PMID- 10240792
TI  - Proposed grants program for schools and hospitals and for buildings owned by
      units of local government and public care institutions: availability of
      environmental assessment and negative determination.

PMID- 10240794
TI  - Noninflationary pay and price behavior; special procedural rules.

PMID- 10240793
TI  - Exchange visitors: final rule.

PMID- 10240795
TI  - Health systems agency and state health planning and development agency review of
      new institutional health services: final regulations.

PMID- 10240796
TI  - Energy measures and energy audits grant programs for schools and hospitals and
      buildings owned by units of local government and public care institutions: final
      rule.

PMID- 10240797
TI  - Sick hospitals.

PMID- 10240798
TI  - Young adulthood: the age of transition.

PMID- 10240799
TI  - Death and dying.

PMID- 10240800
TI  - Health and the individual: sociologist's perception.

PMID- 10240801
TI  - Medical tech center has funding problems.

PMID- 10240803
TI  - Remote order entry systems: is standardization needed?

PMID- 10240802
TI  - Hospital wins energy management award.

PMID- 10240804
TI  - Project aggressive cuts in Michigan, California.

PMID- 10240805
TI  - NJHA group purchasing: committed to committed volume.

PMID- 10240806
TI  - Patient movement within the health care system.

PMID- 10240807
TI  - Public institutions and private castles.

PMID- 10240808
TI  - Burn mask therapy scares community.

PMID- 10240809
TI  - Finding out who trustees really are.

PMID- 10240810
TI  - The voluntary trustee system in Canada.

PMID- 10240811
TI  - The affliction of worker alienation.

PMID- 10240812
TI  - Recommendations for the safe, effective use of ethylene oxide by health care
      facilities.

PMID- 10240813
TI  - VE: the public relation's side.

PMID- 10240814
TI  - . . . At Baptist Memorial Hospital patient concern is everyone's concern.

PMID- 10240815
TI  - Child life program lessens hospital trauma.

PMID- 10240816
TI  - Tennessee hospital computer center cutting costs by sharing services.

PMID- 10240818
TI  - The reality of health care decision-making.

PMID- 10240817
TI  - The case for public ownership of medical technology.

PMID- 10240819
TI  - Public health in the United States: the next 100 years.

PMID- 10240821
TI  - OR X-ray plan: new UCLA suites benefit surgeons, patients.

PMID- 10240820
TI  - International surgical centers: Department of Surgery, Faculty of Medicine,
      University of Cape Town.

PMID- 10240822
TI  - Drug compliance--a study of patient behavior based on medical records.
AB  - Studies concerned with medication compliance after initial prescription
      dispensing have been frequently cited in the literature; however, little research
      has been done on the initial filling of the prescription order. In order to
      ascertain the degree of compliance at the initial filling level, a study was
      carried out on a population associated with a neighborhood health center.
      Overall, the study indicated an initial filling compliance of 94 percent, which
      was affected by the site of patient encounter, the chronicity of the disease, and
      the specificity of the medication in relationship to the disease state. It was
      concluded that: prescriptions for chronic medications are filled at a higher rate
      than those for acute illnesses; specific medication for a specific illness has a
      much higher compliance rate than nondisease specific medications; ease of access
      to a pharmacy is related to a higher compliance level; and frequent patient
      contact for a specific disease tends to increase compliance.

PMID- 10240823
TI  - A computer system for monitoring patient medications.

PMID- 10240824
TI  - Priorities in EMS: implementation of the Eastern North Carolina Helicopter
      Program.

PMID- 10240825
TI  - An individualized instructional system for paramedic training programs.

PMID- 10240826
TI  - Design of a countywide paramedic ambulance system.

PMID- 10240827
TI  - The role of the social worker in EMS.

PMID- 10240828
TI  - Planning an improved emergency system: factors influencing citizen support.

PMID- 10240829
TI  - Equipment: the emergency hospital at the Indianapolis Motor Speedway.

PMID- 10240830
TI  - Medicolegal bulletin: speed limits for ambulances.

PMID- 10240832
TI  - Administrator: EMS is expensive.

PMID- 10240831
TI  - Communications: Part 90-private land mobile radio services.

PMID- 10240833
TI  - A group practice cancer treatment network is born.

PMID- 10240834
TI  - You're not too small to have a CME program!

PMID- 10240835
TI  - Income distribution: 'We went all the way'.

PMID- 10240836
TI  - So you have to plan a meeting?

PMID- 10240837
TI  - Viva pluralism!

PMID- 10240838
TI  - Problems, findings and statistical report on state medical licensure application
      forms.

PMID- 10240839
TI  - What is the J P C in N.C.?

PMID- 10240840
TI  - Supervision of nurse practitioners.

PMID- 10240841
TI  - President's health budget draws fire from various critics.

PMID- 10240842
TI  - In defense of medicine and the physician.

PMID- 10240843
TI  - How will Wales cope after St David's Day?

PMID- 10240844
TI  - A look at the central issues surrounding joint consultation.
AB  - Over the past 30 years the value of staff consultative committees has been
      challenged by unions and managers alike. Authors argue that the revival of
      interest in staff consultative committees will be accelerated if elections to
      staff-sides are carried out on a union rather than professional group basis.

PMID- 10240845
TI  - Pricing the home help service.

PMID- 10240846
TI  - Ageing Britain: ageing ghettos feeling the pressure . . .
AB  - Author looks at provision for the elderly in Norfolk which, in addition to its
      own increasing ageing population, attracts a large number of retired couples from
      outside. He particularly focuses on the voluntary organisations which are helping
      the overstretched social and health services to cope.

PMID- 10240847
TI  - How doctors live with the spectre of ghost patients.
AB  - Describes the system of inbuilt 'inflation' that has evolved in maintaining GP
      patient lists. Although GPs are paid on a capitation basis, absolute accuracy is
      impossible and 'ghost patients' provide the necessary flexibility.

PMID- 10240848
TI  - Bringing heaven right down to earth...

PMID- 10240849
TI  - Why I make false statements for my patients' sake.
AB  - Most patients regularly attending day centres for psychotherapy cannot work and
      rely on social security benefits for income. Author argues that declarations by
      patient and doctor of incapacity for work are harmful and advocates a system of
      grants, similar to those paid to students.

PMID- 10240850
TI  - Questions of dizziness while climbing the peaks of Scottish democracy.

PMID- 10240851
TI  - How participation figures in their lives.

PMID- 10240852
TI  - Muscle that's inflexible.

PMID- 10240853
TI  - Prejudice that faces women as managers.
AB  - Women now outnumber men in health service administrative training schemes but
      many will leave to have families. Unless the service can find ways of attracting
      them back it will face an unprecedented staff crisis at the top.

PMID- 10240854
TI  - Timing episodes in the activities of a budget manager.

PMID- 10240855
TI  - Why we must break down the resistance.
AB  - Expresses reservations about the ability of mental hospitals to respond to the
      changes demanded by the move away from custodial care.

PMID- 10240856
TI  - Mobile coronary and resuscitation units--a practical evaluation.

PMID- 10240857
TI  - Paramedics--American style.

PMID- 10240858
TI  - Long journey to the abolition of pay beds.

PMID- 10240859
TI  - Imagining the worst for sake of fire safety.

PMID- 10240860
TI  - Beating about the undergrowth.

PMID- 10240861
TI  - An open letter to hospital administration.

PMID- 10240862
TI  - Protect mental health services from liability claims.

PMID- 10240863
TI  - Quality control sampling.

PMID- 10240864
TI  - Use of ethylene oxide in health care facilities.

PMID- 10240866
TI  - The Library Training Institute.

PMID- 10240867
TI  - Metal shelving for libraries.

PMID- 10240865
TI  - NY hospital regulatory cost bound to exceed $1.1 billion.

PMID- 10240868
TI  - The community health information network.

PMID- 10240869
TI  - The medical librarian and the patients' library: what is her role?

PMID- 10240871
TI  - The unions in action.

PMID- 10240870
TI  - The national health service and health education.

PMID- 10240872
TI  - The health care of Canadian Indians in North Western Ontario--2.

PMID- 10240873
TI  - Medical manpower planning--getting it right.

PMID- 10240874
TI  - That vicious circle.

PMID- 10240875
TI  - Applying RAWP: regional allocations 1979-80.

PMID- 10240876
TI  - Stroke audit reveals lack of followup care.

PMID- 10240877
TI  - Audit "report card" stimulates better nursing care.

PMID- 10240878
TI  - Cardiac rehab audit yields positive results.

PMID- 10240879
TI  - Establishing criteria for active psychiatric audits.

PMID- 10240880
TI  - Controlling costs; the key word is change.

PMID- 10240881
TI  - CME: a brownie point game? Evolution of ideal to enterprise.

PMID- 10240882
TI  - CME: a brownie point game? A skeptical educator.

PMID- 10240883
TI  - CME: a brownie point game? The Michigan experience.

PMID- 10240884
TI  - CME: a brownie point game? The role of specialty societies.

PMID- 10240885
TI  - Blood: a circular story.

PMID- 10240886
TI  - Nursing's quest for identity: in whose own image.

PMID- 10240887
TI  - Human experimentation: adding insult to injury.

PMID- 10240888
TI  - Death against taxes.

PMID- 10240889
TI  - Work/environ: birth of a movement?

PMID- 10240890
TI  - New York--Koch: how not to succeed while really trying.

PMID- 10240891
TI  - Miners.

PMID- 10240892
TI  - We hear you.

PMID- 10240893
TI  - Better luck next time.

PMID- 10240894
TI  - Lower your susceptibility quotient.

PMID- 10240895
TI  - Attention! Inspection!

PMID- 10240896
TI  - Communicate for cooperation.

PMID- 10240897
TI  - It only hurts when I say 'no'.

PMID- 10240898
TI  - Treating reality shock.

PMID- 10240899
TI  - How to conduct a needs assessment.

PMID- 10240900
TI  - A new national nonprofit organization formed.

PMID- 10240901
TI  - Expansion of pharmacy services in a mental health center.
AB  - This article describes a system redesign initiated at the Connecticut Mental
      Health Center which enabled the pharmacists to release approximately 20 hours per
      week. This time was reallocated to improve and expand pharmacy services. Also
      described is the effect of this system improvement on physicians, clinicians, and
      patients and on the ability to identify first-stage noncompliance in patients who
      are part of the medication maintenance program. The value of system redesign in
      improving and expanding services in an era of cost containment is discussed.

PMID- 10240902
TI  - Drug not given notice.

PMID- 10240903
TI  - Exert your power to ensure that oral solids are visually identifiable.

PMID- 10240904
TI  - A profile of pharmacy service directors in primary medical school hospitals.

PMID- 10240906
TI  - Cardiac arrest data sheet.

PMID- 10240905
TI  - Expanding pharmaceutical services through efficient staff scheduling.
AB  - Methods utilized to expand pharmaceutical services in hospitals without
      additional personnel are of prime concern in light of the numerous cost
      containment constraints. Our hospital was able to expand its services through the
      development of a standardized staff pharmacist schedule. This schedule rotates
      every eight-week period and divides work responsibilities equally during this
      period. In addition, all staff pharmacists are given the opportunity to
      participate in expanded drug information and clinical services for a two-month
      period as the schedule progresses. This article describes how this schedule was
      developed and summarizes the expanded services made possible by its
      implementation.

PMID- 10240907
TI  - Unit appropriateness in health care institutions.

PMID- 10240908
TI  - Library-based health info: Case Western develops pilot.

PMID- 10240909
TI  - Libraries & photocopying: sales tax threat looms.

PMID- 10240910
TI  - How to change a leadership pattern.

PMID- 10240911
TI  - Matrix management: a primer for the administrative manager.

PMID- 10240912
TI  - Viewpoint: the changing role of the administrator.

PMID- 10240913
TI  - The Hedges Clinic, S.C.

PMID- 10240914
TI  - The role of family physicians in a prepaid health plan.
AB  - Piedmont Health Care was started as a fee-for-service multispecialty group but
      later changed its philosophy and physician staffing to offer prepaid health care
      in a family practice setting. Lower hospital and referral costs were the results.

PMID- 10240915
TI  - Supervisory training produces positive changes in self-confidence and job
      performance.
AB  - The third of a three-part series examines the effectiveness of supervisory
      training workshops designed for medical group practice supervisors. Significant
      increases in self-confidence and higher performance ratings in all areas of
      supervision were results of training.

PMID- 10240916
TI  - Interconnect--the new alternative.
AB  - Your probability of success in an experience with interconnect will be directly
      related to the time, effort, and care that goes into your selection of equipment
      and supplies and your preparation of contracts. This article tells how to go
      about conducting your own in-depth investigation and analysis.

PMID- 10240917
TI  - Find out what your patients want: conduct a survey.

PMID- 10240919
TI  - Home health care.

PMID- 10240918
TI  - What you should know about MGMA's affiliate, the Center for Research in
      Ambulatory Health Care Administration.

PMID- 10240920
TI  - Are government hospitals suable? Well, yes and no.

PMID- 10240921
TI  - Negligent samaritans are no good.

PMID- 10240922
TI  - "Good samaritan" statutes: do they protect the emergency care provider?

PMID- 10240923
TI  - Patient privacy and the media.

PMID- 10240924
TI  - Evaluation of management training.

PMID- 10240926
TI  - Public relations audit.

PMID- 10240925
TI  - Children's hospitals: why it costs more to treat sick kids.

PMID- 10240927
TI  - Auxilians meet with legislators at fifth annual "Day at the Capitol".

PMID- 10240928
TI  - W.K. Kellogg Foundation helps people help themselves.

PMID- 10240929
TI  - U-M Hospital: innovative programs save money and improve occupancy rate.

PMID- 10240931
TI  - Stresses cost curbs and private sector role in natl. health ins. plan.

PMID- 10240930
TI  - Joint venture: unique clinical research program at Bronson Methodist Hospital.

PMID- 10240932
TI  - A team approach to patient care.

PMID- 10240933
TI  - Designating the resource hospital.

PMID- 10240934
TI  - Illinois--a look to the future...

PMID- 10240935
TI  - Paramedic education and the development of professional status: a prognosis.

PMID- 10240937
TI  - "My patients help me run our practice".

PMID- 10240936
TI  - Brugge, Belgium: an interview with Dr. Paul Lust.

PMID- 10240938
TI  - Privacy protection and personnel administration: are new laws needed?

PMID- 10240940
TI  - Record retention and posting requirements of the federal government.

PMID- 10240939
TI  - Changing attitudes: a question of loyalty.

PMID- 10240941
TI  - Changing the face of health services in rural Colorado.

PMID- 10240942
TI  - How to plan for crisis communication.

PMID- 10240945
TI  - The snake as a symbol of medicine.

PMID- 10240944
TI  - 157 Americans who transferred from foreign to U.S. medical schools.

PMID- 10240943
TI  - Viewpoint: needs and licenses.

PMID- 10240946
TI  - The health-care crisis: medical double-talk?

PMID- 10240947
TI  - Physicians view respiratory therapists.

PMID- 10240948
TI  - Preparing for promotion to department director.

PMID- 10240949
TI  - A choice and a voice: ACRT.

PMID- 10240950
TI  - An emergency-care tool: esophageal obturator airway.

PMID- 10240951
TI  - The effect of sex role differences on the societal reaction to mental
      retardation.
AB  - This paper investigates the thesis that sex role definitions in the U.S. support
      a double standard in societal reactions to mental incompetence. Role expectations
      for women are such that females are generally expected to be less competent than
      males in a variety of instrumental tasks, although perhaps more expressive. Males
      in turn are expected to be more active and aggressive than females in their
      exercise of the greater power and responsibility ascribed to them. In light of
      these generalized expectations we suggest that incompetence in instrumental
      fields is more disturbing when demonstrated by males, and we hypothesize that
      societal reactions to the mental deficiencies of males are more prompt and
      severe. The paper supports this hypothesis with data suggesting that mentally
      retarded males are more likely to be institutionalized than retarded females, and
      that males tend to be institutionalized at earlier ages and for milder disorders.
      It is noted that these data are consistent with previously reported data on
      mental illness.

PMID- 10240952
TI  - African-American clients: clinical practice issues.
AB  - African-American clients have in general been treated by mental health
      professionals who assess their behavior in terms of white culture and society. By
      failing to examine these clients in relation to their own culture, professionals
      may often arrive at distorted diagnoses that result in ineffective treatment.

PMID- 10240953
TI  - Vicious circles in civil commitment.
AB  - Mental health legislation recently enacted in various states has improved on
      older laws by recognizing new procedural rights for patients. In many instances,
      however, it has also prevented treatment for patients who are severely ill. The
      authors discuss the new laws and the way they have effected the cooperative
      efforts of social workers, lawyers, and psychiatrists, the three groups involved
      in civil commitment.

PMID- 10240954
TI  - A 'SHARP' approach to treating alcoholism.
AB  - SHARP is a hospital-based, self-help program for treating alcoholic veterans,
      which involves them in assuming major roles in governing the program and in
      helping one another. Because follow-up support is essential to maintaining
      sobriety, SHARP created on active social support system in the community. The
      evidence of SHARP's success is shown by results of a follow-up study that
      surveyed former patients' levels of drinking and life functioning.

PMID- 10240955
TI  - Outreach services for elderly native Americans.

PMID- 10240956
TI  - Poetry in therapy.

PMID- 10240957
TI  - Computers in the human services.
AB  - This article examines trends in both computer technology and human services that
      are encouraging the increasing convergence of these two fields and discusses more
      advanced uses of computers in mental health centers and public assistance
      agencies. The authors also present implications for human service professionals
      and for education and further reserach on the subject.

PMID- 10240958
TI  - "We're only trying to help": the burden and standard of proof in short-term civil
      commitment.

PMID- 10240959
TI  - Guns or butter.

PMID- 10240960
TI  - Medical equipment: Singapore.

PMID- 10240961
TI  - New board controls FMG role.

PMID- 10240962
TI  - The role of clinical sociologist in a multispecialty health facility.

PMID- 10240963
TI  - Putting field methods to work: a case in a Latin American health setting.

PMID- 10240964
TI  - How White House markets hospital cost bill.

PMID- 10240965
TI  - Increased productivity in health care industry necessary, Califano says.

PMID- 10240966
TI  - Red Cross rejects AABB plan to revamp blood clearinghouse.

PMID- 10240967
TI  - Group specific and aggregate stop-loss insurance--an attractive new market.

PMID- 10240968
TI  - Extending the life of housekeeping equipment.

PMID- 10240969
TI  - Suggested maintenance procedures.

PMID- 10240970
TI  - Maintaining automatic scrubbers.

PMID- 10240971
TI  - Product testing procedures.

PMID- 10240972
TI  - Housekeeping in hospices: attending the dying patient.

PMID- 10240973
TI  - To hurt is human to heal divine: a biblical view of healing and healers.

PMID- 10240974
TI  - Using video-tape devotions in a general hospital.

PMID- 10240975
TI  - Story of the Beverly Hills fire: minister's role in a major disaster.

PMID- 10240977
TI  - Developing closed-circuit television as an effective medium of the chaplain's
      ministry to patients.

PMID- 10240976
TI  - Establishing and maintaining a pastoral identity in a clinical setting.

PMID- 10240978
TI  - Counseling through prayer: avenues of divine healing in pastoral care.

PMID- 10240979
TI  - The Russell L. Dicks memorial lecture: the caring pastor.

PMID- 10240980
TI  - Coping choices in disasters and emerging health patterns.

PMID- 10240981
TI  - The pastor-chaplain: an answer for community hospital pastoral care.

PMID- 10240982
TI  - Children's concepts of death.

PMID- 10240984
TI  - Death of a newborn.

PMID- 10240985
TI  - Cancer--God's pie-in-the-face, or counseling with the cancer patient.

PMID- 10240986
TI  - A cancer care center: the "team" and the chaplain's role.

PMID- 10240987
TI  - Transitional living: a dream come true.

PMID- 10240989
TI  - Establishing a new department of pastoral care: Part I.

PMID- 10240988
TI  - Putting your pastoral care into cassettes.

PMID- 10240990
TI  - Establishing a new department of pastoral care: Part II.

PMID- 10240991
TI  - The hospital as a clinical setting for an introduction to pastoral work.

PMID- 10240992
TI  - Chaplains and pastoral counselors in family medicine education.

PMID- 10240993
TI  - Pastoral counseling: battered women.

PMID- 10240995
TI  - Jean Piaget and counseling the mentally retarded.

PMID- 10240994
TI  - Development of a cancer care support team.

PMID- 10240996
TI  - Interdisciplinary counseling of the terminally ill: program evaluation.

PMID- 10240997
TI  - Clinical support team: two approaches--Part I.

PMID- 10240998
TI  - Clinical support team: two approaches--Part II.

PMID- 10240999
TI  - Hospice care interventions in hospital care.

PMID- 10241000
TI  - Training local church laypersons in hospital visitation.

PMID- 10241001
TI  - What is a chaplain?... Describing the position.

PMID- 10241002
TI  - Waging the war with cancer: an in-depth re-educative process.

PMID- 10241003
TI  - Life adjustment groups for stroke patients and their families.

PMID- 10241004
TI  - Pastoral services in profound mental retardation residential facilities.

PMID- 10241005
TI  - Pastoral care of the burn patient.

PMID- 10241006
TI  - A plan for ministry: the assistant pastor as hospital chaplain.

PMID- 10241007
TI  - Five dynamics in patienthood.

PMID- 10241008
TI  - Worship in the hospital.

PMID- 10241010
TI  - Intimacy: a factor in hospital ministry.

PMID- 10241009
TI  - A multilevel approach to geriatric chaplaincy.

PMID- 10241012
TI  - Helping the elderly stay healthy.

PMID- 10241011
TI  - The hospital and the aging.

PMID- 10241014
TI  - Reaching the elderly at home.

PMID- 10241015
TI  - Standards of care in thoracic surgery.

PMID- 10241016
TI  - Position statement on cancer patient care evaluation: Commission on Cancer,
      American College of Surgeons.

PMID- 10241017
TI  - The influence of the manpower study of Sossus on graduate education in surgery:
      the Symposium on Graduate Education from the 1975 Clinical Congress.

PMID- 10241013
TI  - Bridging the gap.

PMID- 10241018
TI  - The manpower projections of the SOSSUS data, including academic manpower.

PMID- 10241020
TI  - Director's memo: presumptuous judgment of the ignorant.

PMID- 10241019
TI  - The effects of federal legislation on surgical manpower.

PMID- 10241024
TI  - Rethinking present appraisal systems.

PMID- 10241025
TI  - The supervisor's survival guide: being group leader.

PMID- 10241022
TI  - The hospice movement: rising above suffering and death.

PMID- 10241023
TI  - Hospice: to humanize dying.

PMID- 10241026
TI  - Using process in performance discussions: how to deal with personal feelings and
      needs.

PMID- 10241027
TI  - How to give and receive criticism effectively.

PMID- 10241028
TI  - Paving the rocky road to managerial success.

PMID- 10241021
TI  - Director's memo: manpower.

PMID- 10241029
TI  - The supervisor's survival guide: involving your staff in the decision-making
      process.

PMID- 10241030
TI  - Face-to-face communication: breaking down the barriers.

PMID- 10241031
TI  - Labor-saving devices.

PMID- 10241038
TI  - Boards of inquiry in health care industry collective bargaining disputes;
      proposed regulations.

PMID- 10241033
TI  - Protection of identity--research subjects: final regulations.

PMID- 10241034
TI  - Technical assistance and energy conservation measures: grant programs for schools
      and hospitals and for building owned by units of local government and public care
      institutions: final rule.

PMID- 10241035
TI  - Protection of human subjects; Belmont Report: notice of report for public
      comment.

PMID- 10241032
TI  - On lying to patients.

PMID- 10241037
TI  - Inclusion of computed tomographic scanning services: interim regulations.

PMID- 10241036
TI  - Protection of human subjects; proposed establishment of regulations.

PMID- 10241040
TI  - Regulation: asking the right questions.

PMID- 10241039
TI  - Health planning agencies face threat from deregulators.

PMID- 10241042
TI  - The Memorial Hospital: Easton, MD.

PMID- 10241041
TI  - Wood windows.

PMID- 10241043
TI  - The case for work measurement standards...

PMID- 10241044
TI  - Carpet maintenance...a new point of view to match changing design and
      construction.

PMID- 10241045
TI  - Surveying self-propelled scrubber vacs...

PMID- 10241047
TI  - "Orbital action" cleaning equipment.

PMID- 10241048
TI  - 3M energy management program.

PMID- 10241049
TI  - Consequences of hospital controls.

PMID- 10241050
TI  - Lack of medical staffs heightens health peril at some smaller plants.

PMID- 10241046
TI  - Air handling units...preventive maintenance.

PMID- 10241051
TI  - To cut costs, many hospitals ask their workers for economizing ideas, and the
      savings add up.

PMID- 10241052
TI  - The commodity view of medicine.

PMID- 10241053
TI  - Malpractice awards up 94% in 6 years: study.

PMID- 10241055
TI  - N.J. HMO goes broke; members have options.

PMID- 10241054
TI  - HEW's national health plan chart reeks of double think, generalizations.

PMID- 10241057
TI  - The ethics of human experimentation.

PMID- 10241056
TI  - Wis. hospitals brandish self-insurance scalpel.

PMID- 10241061
TI  - HCA runs purchasing service for Saudi Arabian hospital.

PMID- 10241060
TI  - Purchasing batteries for UPS systems.

PMID- 10241058
TI  - The peoples' clinic.

PMID- 10241059
TI  - Grant helps hospital streamline buying.

PMID- 10241062
TI  - Tucson materials unit streamlines transport.

PMID- 10241063
TI  - FDA resolves controversy on nonwoven disposables.

PMID- 10241065
TI  - New manual puts perspective on purchasing.

PMID- 10241064
TI  - Linen conservation.

PMID- 10241066
TI  - 'Weighted impact'--a group buying formula that works.

PMID- 10241067
TI  - Proposed EPA waste rules will dent hospital budgets.

PMID- 10241068
TI  - Starting your own forms management system.

PMID- 10241069
TI  - St. Michael wages war on price hikes.

PMID- 10241070
TI  - The managerial growth selector.

PMID- 10241071
TI  - Congress and biomedical research: new faces and strategy for 1980.

PMID- 10241072
TI  - The IRB as deputy sheriff: proposed FDA regulation of the institutional review
      board.

PMID- 10241074
TI  - "Conservation" is a key word at St. Joseph Hospital.

PMID- 10241073
TI  - Position statement of the AFCR on the issue of regulation of institutional review
      boards by the FDA.

PMID- 10241075
TI  - Gym class is in session at Loudon Hospital.

PMID- 10241076
TI  - National Health Service Corps practice opportunities offered in Appalachia.

PMID- 10241078
TI  - Nursing professors take sabbatical to provide primary care to migrants.

PMID- 10241077
TI  - New York's underserved getting boost from NHSC assignees.

PMID- 10241079
TI  - A student looks at Rosebud . . . summer 1978.

PMID- 10241080
TI  - Answers to most often asked questions about NHSC scholarships.

PMID- 10241081
TI  - The myth of excess beds.

PMID- 10241082
TI  - Reducing beds: a gainsharing option.

PMID- 10241083
TI  - The development of the coalition for a rational health policy for New York City.

PMID- 10241084
TI  - Perspective on evaluation: readmission rates to community mental health centers
      as a measure of program effectiveness.
AB  - The noncritical utilization of readmission figures as presently collected to
      evaluate community mental health centers is questioned in this report. Several
      issues are raised concerning the validity and reliability of readmission rate
      figures collected at the community mental health center level. The paper argues
      that these issues must be addressed prior to the utilization of readmission rates
      as an indicator of success or failure for community mental health centers.

PMID- 10241085
TI  - Evaluating emergency medical services: Quasi-experimental outcome studies.
AB  - The need to evaluate expensive, dramatic, and politically sensitive emergency
      medical services programs when classical controlled trials are neither ethically
      nor practically possible can be satisfied by quasi-experimental designs. The
      sequential implementation of paramedic services in several suburban areas
      provided a natural experimental situation in which to evaluate whether addition
      of the service could significantly alter the outcome of cardiac emergencies
      compared to the basic emergency medical technician program previously available.
      Before measurements and after measurements were made in a study area plus two
      control areas: one with paramedic services in both time periods and the other
      with emergency medical technician service throughout. Preliminary results
      indicate successful resuscitation increased from 20% to 32% (p less than .05) and
      discharge from the hospital went from 8% to 18% (p less than .01). The
      implications for program and policy decisions are noted. Development of studies
      that evolved from this work are outlined.

PMID- 10241086
TI  - A child psychiatric hospital's first and second admissions: comparative studies.
AB  - This article compares first and second admissions (readmissions) to a Child
      Psychiatric Hospital to identify some demographic factors related to
      readmissions. Male children and children who were younger at the time of the
      initial (first) admission were more predominant in readmissions. Interestingly,
      the most common denominator in readmissions, irrespective of gender, race and
      psychiatric diagnosis, is the length of hospitalization at the time of the
      initial admission. Initial hospital stay was shorter in second admissions than in
      first admissions. This finding raises questions as to the value of early
      discharge of the child psychiatric patient from a hospital without providing a
      continuum of psychiatric care.

PMID- 10241087
TI  - The user satisfaction survey: consumer evaluation of an inner city community
      mental health center.
AB  - The consumer movement has become a recognized force in American society. Yet
      consumer evaluation of community mental health services has largely been ignored
      or avoided particularly when users lack political or social power. As a first
      step toward increasing the accountability of providers to community users, a User
      Satisfaction Survey was developed. The 30-item scale is straightforward and
      requires 15 to 20 minutes to complete. The scale was field tested by 114 users of
      the adult outpatient services of an inner city community mental health center in
      Washington, D.C.

PMID- 10241088
TI  - The nurse practitioner and hypertension control: a pilot study.
AB  - Hypertension is the major health problem affecting blacks today. Socioecological
      stress is implicated in areas in which excess mortality exists. The nurse
      practitioner, whose role has been established in providing medical treatment for
      hypertension, also has a role in alleviating social stressors. The objective in
      this study was to determine the nurse practitioner's effectiveness in reducing
      stress and whether stress reduction resulted in blood pressure reduction. The
      results indicate that the nurse practitioner's intervention was effective--when
      patients complied with her suggestions both socioecological stress and blood
      pressure were significantly reduced.

PMID- 10241090
TI  - The 100,000th bed: a milestone for the investor-owned hospital industry.

PMID- 10241089
TI  - The treatment of alcoholism in a community setting.

PMID- 10241091
TI  - Malpractice insurance: what can be done to resolve the dilemma?

PMID- 10241092
TI  - Empty beds: serious surplus or just a problem? Issue ignites health care
      industry.

PMID- 10241093
TI  - Congressman James F. Hastings.

PMID- 10241094
TI  - Too many beds? Viewpoints from the rank and file.

PMID- 10241096
TI  - Rostenkowski on malpractice: let the states try first.

PMID- 10241095
TI  - NHI? Maybe in the 94th.

PMID- 10241097
TI  - More advantages than disadvantages: group purchasing.

PMID- 10241098
TI  - Hospitals abroad.

PMID- 10241099
TI  - 16-point program: a plan of action for the FAH in 1975.

PMID- 10241100
TI  - A grass roots look at the health care industry: the malpractice crisis.

PMID- 10241101
TI  - The malpractice impact on hospitals.

PMID- 10241102
TI  - The Indiana law.

PMID- 10241103
TI  - The governors: chief executives tell their viewpoints on the malpractice issue at
      the state level.

PMID- 10241104
TI  - Congressman Henry A. Waxman.

PMID- 10241106
TI  - The malpractice crisis: time for the health industry to take stock, plan remedial
      action.

PMID- 10241105
TI  - The CHAMPUS program.

PMID- 10241107
TI  - The malpractice muddle: how does it affect the hospital?

PMID- 10241109
TI  - Regulation foe: Milton Friedman tells why he is against.

PMID- 10241108
TI  - Regulation advocate: Stuart Altman tells why he is for.

PMID- 10241110
TI  - Overregulation: former "price czar" expresses fear.

PMID- 10241112
TI  - The states: rate control survey analyzed.

PMID- 10241111
TI  - Blue Cross view: control facilities and services.

PMID- 10241114
TI  - Florida: hospitals against legislation.

PMID- 10241113
TI  - Pennsylvania: from support to opposition.

PMID- 10241115
TI  - New Jersey: changeover sparks controversy.

PMID- 10241116
TI  - Massachusetts: regulator tells his side of story.

PMID- 10241118
TI  - The consumer and his hospital credit.

PMID- 10241117
TI  - National health insurance problems abroad: a report on socialized medicine in
      Britain, Sweden, Soviet Union.

PMID- 10241119
TI  - State rate control: hospitals must rise to the challenge.

PMID- 10241120
TI  - State rate controls: do we really need another layer of regulation?

PMID- 10241121
TI  - Alcoholism and the increasing role of the hospital.

PMID- 10241122
TI  - Dr. "H" OF HEW.

PMID- 10241124
TI  - Public awareness.

PMID- 10241123
TI  - Wilbur D. Mills: recovering alcoholic.

PMID- 10241125
TI  - The study of alcohol.

PMID- 10241126
TI  - Industry's multi-billion dollar hangover.

PMID- 10241127
TI  - "Drink responsibly".

PMID- 10241128
TI  - Hospitals take new look at old problem.

PMID- 10241129
TI  - HSAs: the groundwork begins.

PMID- 10241130
TI  - Human behavior in a hospital fire.

PMID- 10241131
TI  - A picture of health.

PMID- 10241132
TI  - Annual telethon meets needs of hospital, local cable TV.
AB  - For the past five years, this New Jersey private hospital and the local cable TV
      station have teamed up to produce a successful telethon--complete with handsome
      stars, dancing girls, clowns and kiddies, busy phones and a toteboard that
      climbed to the $26,000 mark last September.

PMID- 10241133
TI  - The future of fund raising: developments in the 1980s.
AB  - Those institutions that survive the "combined onslaught" of inflation, taxes and
      other stubborn foes that will continue to beset them in the decade to come can
      only be strengthened by their tribulations, the author claims. With the aid of
      his "crystal ball", he views what the 1980s have in store for philanthropy.

PMID- 10241134
TI  - Physicians' lib.

PMID- 10241135
TI  - New York cadavers found in Kentucky.

PMID- 10241136
TI  - Tube cleaning improves chiller operation.

PMID- 10241137
TI  - Management: a hospital's number two priority.

PMID- 10241138
TI  - Legal planning constraints on new capital expenditures.

PMID- 10241139
TI  - Selecting criteria for measuring and controlling hospital costs.

PMID- 10241140
TI  - Spotlight on . . .the push for preventive healthcare.

PMID- 10241141
TI  - Matrix organization: is it a sensible approach for hospitals?

PMID- 10241142
TI  - Operational auditing: a key to cost containment.

PMID- 10241143
TI  - Why can't Johnny manage? You may be promoting the wrong people.

PMID- 10241144
TI  - Management development.
AB  - This paper is the account of one area health authority's attempt to give its
      managers some positive help with their own, and their subordinates', development
      and to provide a focus for the discussion of ideas on the development of the
      organisation. The last three years have seen an attempt to conceive and give
      birth to a management development philosophy which despite its hybrid nature
      (being the product of both theory and circumstances) seems to meet the needs of
      one health authority.

PMID- 10241146
TI  - The service's ambivalence towards want and need of high flyers.

PMID- 10241145
TI  - Public awareness and interest in community health councils.
AB  - Community health councils were set up four years ago. They were an institutional
      innovation, with a remit to represent local community interests in the health
      services to those responsible for managing them and to facilitate communication
      between management and (potential) users of the health service. The cover of one
      CHC's annual report explains the service offered: 'We can make sure that the
      consumer's point of view is heard. We can help people who need information about
      the NHS and those who have a complaint about something which has gone wrong'.
      They might have added, as a caveat, that to do all this effectively, 'we need
      you'. This paper presents some information, from a recent national study of
      general practice (Cartwright and Anderson), about public awareness of an interest
      in community health councils.

PMID- 10241147
TI  - Put responsibility where it belongs.

PMID- 10241148
TI  - Age of consent except when over-ridden.

PMID- 10241149
TI  - Turning critics into allies.
AB  - The siting of psychiatric intensive care units can rouse unreasonable hostility
      among local communities. Most of the opposition results from fears based on
      misinformation which can be calmed by a public relations exercise aimed directly
      at the community concerned.

PMID- 10241150
TI  - The student perception.

PMID- 10241151
TI  - Hospital caring without walls...

PMID- 10241152
TI  - Private lives on record.

PMID- 10241153
TI  - EDP cuts lost charges by 93%.

PMID- 10241154
TI  - Simple system features physical counts for prime vendors.

PMID- 10241155
TI  - What happens when what you buy is not "fit for use intended?".

PMID- 10241156
TI  - 15-item market basket shows trend of purchase prices.

PMID- 10241157
TI  - Electrodes: set a 30 cents target price.

PMID- 10241159
TI  - How to make your standardization committee more effective.

PMID- 10241158
TI  - Group buying program brings top quality electrodes at bottom $.

PMID- 10241160
TI  - A contract may be binding even when you don't know what you're buying.

PMID- 10241161
TI  - 9 ways to cut copy costs.

PMID- 10241162
TI  - One key barometer is best measure of materials management workload.

PMID- 10241163
TI  - Price monitor: spread narrows between big two and also-rans for x-ray film.

PMID- 10241164
TI  - Materials management for the radiology department.

PMID- 10241165
TI  - Fire prevention and safety in health care facilities.

PMID- 10241166
TI  - Service counters for libraries.

PMID- 10241167
TI  - Six steps to easier record-keeping.

PMID- 10241169
TI  - Operation Amigos.

PMID- 10241168
TI  - Management by objectives in Baptist Medical Center Library, Oklahoma City.

PMID- 10241170
TI  - The Canadian College moves ahead.

PMID- 10241171
TI  - 'Exercise London'--a community disaster plan.

PMID- 10241172
TI  - The new graduate in the O.R.

PMID- 10241173
TI  - Training the new grad nurse in the O.R.

PMID- 10241174
TI  - How to select surgical instruments.

PMID- 10241175
TI  - National Health Grant 602-21-3.

PMID- 10241176
TI  - Extended work day--two years later.

PMID- 10241177
TI  - As designer and contractor you can cut costs.

PMID- 10241178
TI  - On-site computer proves itself.

PMID- 10241179
TI  - Hospital minutes--can yours stand improvement?

PMID- 10241180
TI  - Child life programs: an essential ingredient to good patient care.

PMID- 10241182
TI  - Are hospitals operating as efficiently as private corporations?

PMID- 10241181
TI  - Developing a common performance evaluation system for all employees of a
      hospital.

PMID- 10241183
TI  - Wanted: a new pharmacist-consumer relationship.

PMID- 10241185
TI  - Taking another look at environmental analysis.

PMID- 10241184
TI  - The case of the missing phalanx.

PMID- 10241186
TI  - Microwave cooking--way of the future?

PMID- 10241187
TI  - How New Brunswick hospitals developed a province-wide collective bargaining
      system.

PMID- 10241189
TI  - New wheelchair design aids spinal therapy.

PMID- 10241188
TI  - The age of organization.

PMID- 10241190
TI  - Delivering dental care in the Canadian North.

PMID- 10241191
TI  - Planning for comprehensive health care.

PMID- 10241192
TI  - What method of nursing is best for you?

PMID- 10241194
TI  - Hospital administrators as community leaders.

PMID- 10241193
TI  - What's ahead in purchasing?

PMID- 10241195
TI  - Some incongruous results.

PMID- 10241196
TI  - Tomorrow's purchasing men.

PMID- 10241197
TI  - Who buys for maintenance?

PMID- 10241198
TI  - Meeting future emergency needs.

PMID- 10241199
TI  - How are hospital beds being used by doctors?

PMID- 10241200
TI  - What feeding system for your hospital?

PMID- 10241201
TI  - Information and reporting: the basis of infection control.

PMID- 10241203
TI  - Matrix management: a system approach to program evaluation.

PMID- 10241202
TI  - TRIDEC--a pioneer in shared medical services in Canada.

PMID- 10241204
TI  - Regional health planning in Sweden: a comparison.

PMID- 10241205
TI  - Centralized OBS services.

PMID- 10241206
TI  - Courses for upgrading laundry service staff now available.

PMID- 10241208
TI  - Economizing in housekeeping without reducing standards.

PMID- 10241209
TI  - Hospital pharmacists: how well do you communicate?

PMID- 10241207
TI  - Textiles in hospitals: the flammability problem.

PMID- 10241210
TI  - Let's have more executive involvement.

PMID- 10241211
TI  - Planned, professional approach needed for nurse recruitment.

PMID- 10241212
TI  - Computer-assisted patient data system.

PMID- 10241213
TI  - Sunnybrook's new acute stroke unit.

PMID- 10241215
TI  - Medical audit--a contagious idea.

PMID- 10241214
TI  - British health service takes a new approach to management.

PMID- 10241216
TI  - Investigating unit dose feasibility.

PMID- 10241217
TI  - Staffing patterns and mobility of nursing personnel.

PMID- 10241218
TI  - The use of standards in the planning process.

PMID- 10241219
TI  - The problems and challenges facing food service administrators.

PMID- 10241220
TI  - Hospital studies commercially supplied surgical dressings.

PMID- 10241221
TI  - When the bigger crunch comes...

PMID- 10241222
TI  - Ties, photo-finishes feature 1974 hospital newsletter contest.

PMID- 10241223
TI  - The hospital newsletter.

PMID- 10241224
TI  - A few hints to help you make your newsletter look better.

PMID- 10241226
TI  - Implementing a management development program.

PMID- 10241225
TI  - The effects of financial restraint on hospital care.

PMID- 10241227
TI  - Evaluation of a treatment centre by its clients.

PMID- 10241228
TI  - An in-depth look at primary care.

PMID- 10241229
TI  - Nurses' professional image and collective bargaining.

PMID- 10241230
TI  - Why social services in general hospitals?

PMID- 10241231
TI  - Frustrations slowing down pace of metric conversion.

PMID- 10241232
TI  - When recipes go metric...

PMID- 10241233
TI  - A training program for central service.

PMID- 10241234
TI  - Hospital engineering--beyond the hospital.

PMID- 10241235
TI  - Changing concepts of health for Canadians.

PMID- 10241236
TI  - Survival in a lawsuit-prone society.

PMID- 10241237
TI  - Quality food service to staff and visitors.

PMID- 10241238
TI  - Catering and public relations.

PMID- 10241239
TI  - 'Team patient care' room design.

PMID- 10241241
TI  - Monitoring professional development.

PMID- 10241240
TI  - Recruit ... retrain ... retain...

PMID- 10241242
TI  - VTR adds new dimension to health care training.

PMID- 10241243
TI  - Hospitals mirror problems of society.

PMID- 10241244
TI  - Making the hospital a people-place.

PMID- 10241245
TI  - Positive deviance and organizational health.

PMID- 10241246
TI  - Psoriasis day care.

PMID- 10241247
TI  - A computer moves into the O.R.

PMID- 10241248
TI  - Preventive maintenance of laboratory equipment.

PMID- 10241249
TI  - Does an all-R.N. staff provide better quality care?

PMID- 10241251
TI  - The changing roles and goals of respiratory technologists.

PMID- 10241250
TI  - Broadening health care horizons.

PMID- 10241252
TI  - Respiratory technology advancing in Quebec.

PMID- 10241253
TI  - Using permanent part-time nursing personnel effectively.

PMID- 10241254
TI  - Evaluating frozen food service in a hospital.

PMID- 10241255
TI  - Primary care: assessing a community's needs.

PMID- 10241256
TI  - Primary care: the hospital perspective.

PMID- 10241257
TI  - Ambulance personnel playing wider role in their community.

PMID- 10241258
TI  - An approach to patient classification...and some results.

PMID- 10241259
TI  - A systematic approach to the organization of a clinical department.

PMID- 10241260
TI  - The dilemma facing critical care nursing.

PMID- 10241261
TI  - Patient education given new dimension by unique TV system.

PMID- 10241262
TI  - Modern hospital inventory management: how modern?

PMID- 10241264
TI  - What price austerity?

PMID- 10241263
TI  - Carded dosage system streamlines drug handling in chronic care institutions.

PMID- 10241265
TI  - Nutrition for today's lifestyle.

PMID- 10241266
TI  - Centralized processing and supply of anaesthetic equipment.

PMID- 10241267
TI  - Patient care auditing in the O.R. suite.

PMID- 10241268
TI  - For Canada Hospital Day: why not a town meeting?

PMID- 10241269
TI  - Hospital spurs dialogue with local clergy.

PMID- 10241270
TI  - Hospitals and new perspectives in health care.

PMID- 10241271
TI  - Health care by objectives.

PMID- 10241272
TI  - Seeking alternatives to institutional care.

PMID- 10241273
TI  - Patient administration services: organization for patient management.

PMID- 10241274
TI  - Decentralization of decision-making to improve patient care.

PMID- 10241275
TI  - The dilemma of psychiatric hospitals: patients' rights vs. public safety.

PMID- 10241276
TI  - Business equipment can help cut costs.

PMID- 10241277
TI  - Expectations and realities--engineering style.

PMID- 10241278
TI  - On managing: administrators should be expected to provide informed support to
      middle managers.

PMID- 10241279
TI  - On planning and design: utilization patterns of health care facilities.

PMID- 10241280
TI  - May a hospital deny medical staff privileges to an applicant on the basis of
      "temperament" or "inability to get along with others?".

PMID- 10241281
TI  - An economist looks at health care.

PMID- 10241282
TI  - A climatology of health care.

PMID- 10241283
TI  - The communications revolution.

PMID- 10241284
TI  - A conversation with Don Shropshire. Interview by James Keough.

PMID- 10241285
TI  - What do you think health care delivery will be like in the year 2000?

PMID- 10241286
TI  - What legislation being considered by Congress this year would have a major impact
      on the health system?

PMID- 10241287
TI  - Capturing the 80s . . . and beyond.

PMID- 10241288
TI  - Which way for health services? Four scenarios of the future.

PMID- 10241289
TI  - Herpes simplex isolation.

PMID- 10241290
TI  - Blue Cross plan funds infection-cutting project.

PMID- 10241291
TI  - Health care engineering for burns hospitals.

PMID- 10241292
TI  - Helping the alcoholic into treatment.

PMID- 10241293
TI  - The temporal organization of continuity: the case of medical and nursing
      coverage.

PMID- 10241294
TI  - Keeping track of patients: a growing responsibility for physicians.

PMID- 10241295
TI  - Keeping track of patients: practice profiling and diagnosis indexing.

PMID- 10241296
TI  - Keeping track of patients: setting up an efficient recall system.

PMID- 10241297
TI  - Strategic planning and control in small health organizations.
AB  - It is the end of the second quarter, and the controller announces that the fiscal
      year's funds for equipment and supplies are fully expended. The executive
      director hits the roof--he has promised the radiology department a new piece of x
      ray apparatus. An ongoing planning-and-control procedure would have foreseen and
      prevented this shortfall.

PMID- 10241298
TI  - Breaking the tradition barrier: managing integration in health care facilities.
AB  - A critically ill patient needs immediate resuscitation. The physician looks for
      the right chest tube in the specialty unit's supplies--it is out of stock. The
      patient dies before a tube can be located elsewhere in the hospital. Under a
      different organizational structure, this death could have been prevented.

PMID- 10241299
TI  - Strategic modelling for health care managers.
AB  - The Medical Director of a new HMO thinks the patient load warrants hiring three
      new internists. What additional factors should he consider? How will this move
      affect the other needs and plans of the HMO? What effect will it have on the
      organization's financial condition? Here's the way a large corporation would
      tackle these questions.

PMID- 10241301
TI  - HCMR interview: the way Dick Wittrup sees it.

PMID- 10241300
TI  - The changing role of the hospital administrator.
AB  - Law and the professional standards of doctors, nurses and aides control the
      performance of their jobs and their response to directives of the institution's
      chief administrative officer. They might be surprised if he asked them to sit
      down together and discuss how a particular problem should be handled--but it's a
      big step toward creating a trustworthy internal system to which the staff feels
      it can belong.

PMID- 10241302
TI  - Why organization development hasn't worked (so far) in medical centers.
AB  - An exasperated corporation executive recently summed up what was, to him, the
      paramount problem of any business: It's full of people. Organization Development,
      born in industry, has done much good in that setting, but it often multiples the
      problems of a health care system rather than solving them. Here are some of the
      reasons--many of them people.

PMID- 10241303
TI  - Linking health needs and facility location: the HCPM's challenge.
AB  - How many people in your area have health needs? What are their needs? Are the
      right services reaching them? How should facilities be located so that their
      needs can be met? The author discusses how these questions often are addressed in
      a way that produces accurate answers + and offers some organized ways to find
      them.

PMID- 10241304
TI  - From state hospital to integrated human service system: managing the transition.
AB  - If a human service facility can treat a mental patient at one-fifth the cost
      incurred at a parallel state mental hospital, and do it better, there is
      compelling reason for mental health care managers to consider the benefits of
      matrix organization.

PMID- 10241305
TI  - Management uses of the Delphi.
AB  - In addition to its simplicity, the Delphi approach to planning and problem
      solving invites candor and uninhibited response from participants. It may also
      serve as a bridge to team building within the health care institution.

PMID- 10241306
TI  - Collective bargaining with professionals: conflict, containment or accomodation?
AB  - The prospect of a collective bargaining unit in his institution sends shivers
      down the spine of the health care facility manager. What are the concerns--and
      are they warranted? This study of an actual situation at "Central Hospital"
      identifies those concerns and follows them over 10 years to point up some
      implications of the collective bargaining agreement for managers, the bargaining
      unit--and other professionals in the institution who might be affected.

PMID- 10241307
TI  - Management noninformation systems in health care organizations.
AB  - The health care manager is often an unwitting accomplice in the creation of
      noninformation systems because he fails to assume leadership in designing,
      installing and operating the system. There's also strong evidence that many
      managers could use a good course in basic accounting.

PMID- 10241308
TI  - HCMR interview: Mr. Inside and Mr. Outside.

PMID- 10241309
TI  - The organization of effective hospitals.
AB  - An analysis of 32 hospitals for effectiveness, organization structure,
      integrative mechanisms, and coordinative aspects reveals some common
      characteristics that can guide managers in structuring their own organizations.

PMID- 10241310
TI  - Workshop: improving worker coordination in health care delivery.
AB  - Patient management teams are able to diagnose and begin to solve their own
      problems with the help of a self-instructional health team development (HTD)
      program. In this case, the focus is on those task-related issues which limit team
      effectiveness.

PMID- 10241311
TI  - The demise of the hospital.
AB  - We observe a mounting strain between the consumer's demand for increasing amounts
      of health care, and a network of hospital services that becomes increasingly
      difficult to maintain. Can adjustments be initiated short of crisis to break the
      present cycle and prevent the derailment of the entire clinical system?

PMID- 10241312
TI  - Valuation as a criterion in not-for-profit decision-making.
AB  - Viable management decisions, in health care just as in industry, must be based on
      many inputs--including financial valuation, which has not traditionally been
      applied in the health sector. Financial valuation helps to insure both continued
      service to the community and economic survival of the institution.

PMID- 10241313
TI  - Ambulatory care protocols as management tools.
AB  - While a protocol is generally used by a physician, it is important for the
      manager to understand its use in monitoring costs and in assuring conformance
      with defined optimal standards of care.

PMID- 10241314
TI  - Economic viability of community-operated prepaid health plans.
AB  - This analysis of economic viability of 30 family health centers reveals that the
      best strategy to insure survival is for the new organizations to perform only the
      insurance company functions. As enrollment increases, some services "made" more
      cheaply within the organization than by contractors can be offered; all other
      services should continue to be "bought".

PMID- 10241315
TI  - Tax-exempt hospital financing: revenue bonds.
AB  - When a hospital must issue a tax-exempt bond, it can influence the net interest
      cost by instituting in advance both risk reduction methods and cash flow adequacy
      measures. Hospital managers should consider when initiating projects that will
      impact on cash flow and revenue as well as in creating the accompanying financing
      package.

PMID- 10241316
TI  - Identity crisis: financial management in health.
AB  - Financial management is something quite different from the "bean-counting" image
      of the traditional "finance man". It is proactive and is closely tied to the
      broader range of organizational strategy and environmental constraints. What are
      the interrelationships that must be recognized in order to make the transition to
      the central role of financial decision making and management?

PMID- 10241317
TI  - Workshop: manpower planning to meet needs.
AB  - Ms. Holland describes the building of a data base which can be updated and used
      to plan for manpower needs. She includes an analysis of the present work force,
      of the organizational structure and of the demand situation as well as
      productivity trends. Her skills inventory can be applied to a large variety of
      institutions.

PMID- 10241318
TI  - Productivity and human services.
AB  - Human services organizations often are coalitions of many elements in the
      community. They have vague goals, intangible output, and the "needle" of
      professionalism all to make the operating manager's job a difficult and
      challenging one. The manager can control, however--if he understands some of the
      particular problems and characteristics of organizations in this industry.

PMID- 10241319
TI  - Keeping up with...new roles in health care: the clinical engineer.
AB  - Most managers are well aware of the costs related to purchasing, installing and
      maintaining sophisticated medical instrumentation. Can these costs be reduced by
      hiring an in-house clinical engineer? The authors consider a number of
      alternatives in addressing this one area of soaring medical costs.

PMID- 10241320
TI  - Hospital managers need management information systems.
AB  - A new hospital director seeking to bring his institution to the brink of solvency
      found himself with ten pounds of data but no "information"--at least, not the
      kind of information he could use as a basis for management decisions. What he
      needed was a system that would not only present data, but the meaning of the
      data. Such a system is the integrated MIS.

PMID- 10241321
TI  - Medical self-care programs.
AB  - Self-care has its roots outside of the traditional or formal medical delivery
      system. However, as potential advantages of such efforts are considered, self
      care projects are increasingly being integrated within the delivery system. The
      authors comment on the rationale behind the self-care movement, report examples
      of successful models and discuss planning, organization and implementation issues
      pertinent to the development of a cost-effective, targeted program.

PMID- 10241322
TI  - HCMR interview: NYC's Lowell Bellin.

PMID- 10241323
TI  - Systems intervention: new help for hospitals.
AB  - Systems intervention is a dynamic approach to dynamic problems. By illustrating
      evolution and change in the nature of the problems--and the solutions--it
      provides a structure that encourages healthy interchange, discourages
      debilitating conflict, and ensures continuing commitment.

PMID- 10241324
TI  - Regionalization of national health insurance in Italy.

PMID- 10241325
TI  - Crisis of age requires bluprint.

PMID- 10241326
TI  - The facsimile solution...

PMID- 10241327
TI  - Hospital opens operating room doors to public.

PMID- 10241328
TI  - O.R. gas hazard can be minimized.

PMID- 10241329
TI  - Health care by consensus.

PMID- 10241330
TI  - Editorial: newest affiliate of the American Hospital Association.

PMID- 10241331
TI  - Dealing with a militant union.

PMID- 10241332
TI  - Catholic hospitals.

PMID- 10241333
TI  - Health education: a neglected role?

PMID- 10241334
TI  - How to choose a consultant.

PMID- 10241335
TI  - Infection control: devices...and dangers.

PMID- 10241336
TI  - Health care in China.

PMID- 10241337
TI  - Weight clinic aims to prevent disease.

PMID- 10241338
TI  - Does nobody want to use this agency?

PMID- 10241339
TI  - The growing role of the hospice.

PMID- 10241340
TI  - The case for group purchasing.

PMID- 10241341
TI  - Success story in psychiatry.

PMID- 10241343
TI  - Modular look for hospital.

PMID- 10241342
TI  - Surgical suite treats 10,000.

PMID- 10241344
TI  - On shrinking the hospital system.

PMID- 10241345
TI  - Team PR.

PMID- 10241346
TI  - Manage each step for quality software.

PMID- 10241347
TI  - Project management teams smooth organizational change.

PMID- 10241348
TI  - How a training manual got us educated.

PMID- 10241350
TI  - How the materials manager affects cash flow.

PMID- 10241349
TI  - Social auditing: is it next for hospitals?

PMID- 10241351
TI  - Charge control is not the answer to containing hospital costs.

PMID- 10241352
TI  - Payment patterns: receivables indicators.

PMID- 10241353
TI  - Employee discounts--viable self-insurance option.

PMID- 10241354
TI  - Keeping it to a dull roar.

PMID- 10241355
TI  - Are you reacting or responding?

PMID- 10241356
TI  - Ever so briefly.

PMID- 10241357
TI  - The hospice concept.

PMID- 10241358
TI  - The supervisor's role in employee health.

PMID- 10241359
TI  - Everyone's different.

PMID- 10241360
TI  - Power and the hospital executive.

PMID- 10241361
TI  - Zera base budgeting.

PMID- 10241362
TI  - The impact of possible financial reporting changes.

PMID- 10241363
TI  - The management of disruptive conflicts.

PMID- 10241364
TI  - Consumer charge: key to hospital autonomy and consumer responsibility.

PMID- 10241365
TI  - Incomplete medical records: three case solutions.
AB  - The medical record is the wellspring of data for countless medical staff and
      administrative decisions. Even though the ancillary activities that depend on the
      medical record have received most of the attention in recent years, the most
      common problem encountered by medical and hospital staffs is probably as old as
      the concept of the medical record itself--completing it in a timely and accurate
      manner. This article details how three hospitals keep the number of incomplete
      charts in check.

PMID- 10241366
TI  - No compromise reached on CON extension.
AB  - With the federal law requiring state certificate of need laws for expensive
      medical equipment up for renewal, the 95th Congress debated whether or not to
      extend the law to cover equipment used in noninstitutional settings. The AHA
      contended that the exemption for physicians' offices was a loophole that had to
      be filled; the AMA argued that each state should make its own choice; and
      Congress couldn't reach a decision. This controversial issue is likely to come up
      in the 96th Congress.

PMID- 10241367
TI  - Rationing health care services through regulation.

PMID- 10241368
TI  - The capital budget: a case study in physician involvement.
AB  - The Capital Budget Committee of a community general hospital in New Jersey
      includes three physician members (along with six trustees and an administrative
      staff member) and is headed by a physician chairman. How this successful
      multidisciplinary approach to capital budgeting works is summarized in practical
      detail.

PMID- 10241369
TI  - The physician's stake in hospital financial planning.
AB  - In the current regulatory and cost-conscious environment there is no longer any
      margin for error in the hospital budget. This means that the medical staff must
      join administrators in the budgeting process to create a tight, effective budget-
      by submitting accurate data, informing administrators of future plans,
      determining priorities to fit financial constraints, participating in long-range
      capital planning, and strictly keeping to the final budget.

PMID- 10241370
TI  - How many beds are enough?

PMID- 10241371
TI  - The Voluntary Effort gears up for a tough year.
AB  - The success of the Voluntary Effort can be credited to the movement's broad-based
      coalition and the commitment shown at the grass roots level. But, much remains to
      be done, and the VE is gearing up to meet the challenge. In 1979 emphasis will be
      placed on: a greater role and involvement for hospital trustees, increased
      efforts by hospitals to develop better ways to inform physicians about the costs
      of tests and services, and the need to create an even greater awareness and
      commitment to the VE at the grass roots level.

PMID- 10241372
TI  - Specialty groups give cost containment support, advice.
AB  - A number of medical and health care specialty organizations have either given
      direct support to the Voluntary Effort or have sanctioned cost containment as a
      principle. Some have drawn upon their professional expertise and developed cost
      containment recommendations for their constituencies. A sampling of these
      recommendations is included.

PMID- 10241373
TI  - The medical staff's contribution to cost containment.

PMID- 10241374
TI  - Safe equipment: a matter of selection and detection.
AB  - Medical diagnostic and therapeutic equipment is a staple of all hospitals.
      Unfortunately, these devices are also the source of a number of legal problems,
      including the need for "keeping up with the Joneses" in purchasing equipment,
      proper selection, and detecting and reporting malfunctions. The medical staff's
      role in regard to these issues is discussed.

PMID- 10241375
TI  - Defective devices--who's liable?
AB  - Biomedical engineering know-how and ingenuity have created numerous new implanted
      and externally used products that have considerably advanced patient care.
      However, some devices have developed unanticipated problems, leading to complex
      medicolegal situations.

PMID- 10241376
TI  - Checking the impulse to x-ray.
AB  - A radiologist discusses the overuse of x-ray examinations in light of their risk
      and cost. He lists the more and the less defensible reasons for these
      examinations and suggests practices that would encourage more selectivity in
      their use.

PMID- 10241377
TI  - Reevaluating the need for discharge summaries.

PMID- 10241378
TI  - How change is achieved--hospitals as a model.

PMID- 10241379
TI  - Coping with resistance to child life programming.

PMID- 10241380
TI  - American studies in English hospitals.

PMID- 10241381
TI  - Criteria for evaluating infant environments in hospitals.

PMID- 10241382
TI  - Development of an in-house clinical engineering shared service.
AB  - Within the Greenville, South Carolina, Hospital System, an in-house Clinical
      Engineering Department is being developed as a shared service. This paper
      discusses the background for this program in a multihospital system. Several
      aspects of the program, including staffing, equipment needs, scheduling,
      participation in system activities, and some future possibilities for department
      expansion are also presented.

PMID- 10241383
TI  - Designing special test instruments for preventive maintenance.
AB  - Periodic performance testing of biomedical equipment can be made considerably
      more efficient by careful design of test procedures and by fabrication of special
      test instruments which are designed for those procedures. The design philosophy
      behind such procedures and instruments and its applicability to a wide variety of
      biomedical devices is discussed. As a practical example, an ECG machine/patient
      monitor test system is described and construction details are given.

PMID- 10241384
TI  - ECG data compression for the emergency setting.
AB  - A low-cost system for digital transmission of the electrocardiogram (ECG) from a
      remote location to a medical facility under emergency conditions is developed.
      Delta threshold, Aztec and a hybrid combination of these two data compression
      techniques are evaluated to determine their ability to accomplish real time
      transmission of the ECG over a telephone system. The evaluations are performed
      using ten electrocardiograms representing arrhythmias commonly encountered in the
      emergency setting. It is shown that the delta threshold technique may cause data
      expansion under certain conditions. The hybrid technique is the optimum choice
      and real-time transmission can be accomplished over a 2400 BAUD system.

PMID- 10241385
TI  - A computer-assisted preventive maintenance system.
AB  - With the growing number of hospitals developing in-house preventive maintenance
      capabilities, and the increasing number of pieces of equipment and instruments
      needing preventive maintenance, automatic data processing has emerged as a tool
      to aid the clinical engineer and hospital in planning preventive maintenance
      programs. Such a system is CAPMS, or Computer Assisted Preventive Maintenance
      System. Through the use of CAPMS, the department in charge of Preventive
      Maintenance can keep accurate records of PM history, safety testing, and year-to
      year maintenance costs. Some of the special features of CAPMS include:
      information of availability of equipment for servicing, priorities, and a text
      file that can be used to print out the procedure form for use during the PM.
      These additional features make CAPMS a useful tool to the clinical engineer.

PMID- 10241386
TI  - Job forecasting in the biomedical engineering disciplines.

PMID- 10241387
TI  - An automated electrical safety and preventive maintenance program.
AB  - The Miami Heart Institute's Electrical Safety and Preventive Maintenance Program
      has been designed as a stand-alone component of a large-scale, computer-based
      hospital information system. It ensures regularly scheduled routine inspections,
      preventive maintenance and, where applicable, calibration of the institution's
      diagnostic, therapeutic and other electrical equipment used in patient care. The
      program also schedules and documents inspection of buildings, service equipment
      and grounding systems. The software consists of a single program which permits on
      line entry, editing and display of information as well as automatic, unattended
      generation of printed forms. This program has been in continuous use since May,
      1974.

PMID- 10241388
TI  - Group dynamics in community health teams.
AB  - The work of community mental health centers is typically organized into
      heterogeneous groups of professionals and nonprofessionals. These groups suffer
      from numerous strains and conflicts and infrequently achieve group cohesiveness
      or a sense of community. This paper analyzes the source of this problem from the
      points of view of group dynamics and social organization. Implications for
      promoting group cohesiveness through group design are discussed.

PMID- 10241389
TI  - Evaluation of outpatient client progress: time-series telephone interview data.
AB  - A cost-efficient information system that allows for the continual monitoring of
      the verbal reports of mental health outpatient behavior was designed and
      implemented. Verbal descriptions of patients' problem behaviors were collected
      during baseline, therapy, and post-therapy periods using a telephone interview
      procedure. Descriptive data were presented for 25 patients, demonstrating that:
      (a) adequate baseline measures can be taken to evaluate therapy interventions,
      (b) there are wide differences among patients' reports as to the change in
      frequency of problems that occurs, and (c) patients' reported satisfaction with
      therapeutic services may be inconsistent with their verbal reports of behavioral
      change.

PMID- 10241390
TI  - Psychiatric impairment in rural communities.
AB  - This household survey of 713 adults residing in nine rural Middle Tennessee
      counties was conducted to estimate the prevalence of psychiatric impairment in
      the rural population, to determine which groups in the population are
      characterized by higher levels of impairment, and to assess the validity of three
      indices of psychiatric impairment (HOS, CES-D, and GWB). The data indicate that
      approximately 12% of the rural population may be impaired and that impairment is
      most likely among females, the divorced, widowed, or separated, and those in
      lower socioeconomic strata. While depression was more common among the young,
      physical and psychosomatic complaints were more common among older respondents.
      Further, respondents classified as impaired by the indices tended to view
      themselves as having "substantial" or "major" problems and were likely to feel
      that they might require professional help. While the GWB appeared to discriminate
      between users and non-users of services, the other indices were less effective as
      predictors of service utilization.

PMID- 10241391
TI  - The realities of rural primary care.

PMID- 10241392
TI  - Primary care in a tertiary care center: its impact on hospitalization.

PMID- 10241393
TI  - Medical group practice in a teaching hospital.

PMID- 10241394
TI  - An overview of medical group practice.

PMID- 10241395
TI  - A neighborhood health center ten years later.

PMID- 10241396
TI  - Goals and experiences.

PMID- 10241397
TI  - Valentine Lane Family Practice, Yonkers, New York: focus on health.

PMID- 10241398
TI  - The family practice team: the role of the family nurse practitioner.

PMID- 10241399
TI  - The pediatrician and family practice.

PMID- 10241400
TI  - Patient evaluation.

PMID- 10241401
TI  - Different models of delivery care: a panel discussion.

PMID- 10241402
TI  - A nurse screening intake system to improve clinic efficiency.

PMID- 10241403
TI  - Reducing broken appointments in a primary care clinic.

PMID- 10241404
TI  - Entry strategies for marketing in ambulatory and other health delivery systems.

PMID- 10241405
TI  - Development of a primary care program for medical students.

PMID- 10241406
TI  - A department of medicine moves toward primary care training.

PMID- 10241407
TI  - Residency program in social medicine and family practice.

PMID- 10241408
TI  - A resident's perspective on a social medicine program.

PMID- 10241409
TI  - Education for primary care in the center for Biomedical Education.

PMID- 10241410
TI  - Primary care and medical education: a panel discussion.

PMID- 10241411
TI  - A possible solution to admission trauma.

PMID- 10241412
TI  - The RN consultant to an ICF.

PMID- 10241413
TI  - Communicating with your employees (it may be the key to remaining union free).

PMID- 10241414
TI  - Early intervention through occupational therapy.

PMID- 10241415
TI  - Being a pro.

PMID- 10241416
TI  - When a nursing home is the answer.

PMID- 10241417
TI  - Tax exempt interest--opportunities and problems.

PMID- 10241418
TI  - Salvaging a disaster!

PMID- 10241419
TI  - Receivership: a remedy for patient abuse cases.

PMID- 10241420
TI  - Friendship! The important dimension.

PMID- 10241421
TI  - Factors related to accidental poisoning in preschool children.

PMID- 10241422
TI  - A survey of clinical practice in music therapy. Part 1: The institutions in which
      music therapists work and personal data.
AB  - In the spring of 1978, 1,064 questionnaires were mailed to registered music
      therapists working in clinical settings. Part 1 of this paper reports on the
      types of institutions in which music therapists work, who employs them, and the
      salaries they earn. This section also deals with age, sex, religion, job
      satisfaction, job security, types of handicapped persons with whom music
      therapists prefer to work, work experience, and longevity.

PMID- 10241423
TI  - Health and mental health care of the 1980s.

PMID- 10241424
TI  - Psychological testing and inpatient treatment: dual anachronisms or clinical
      necessities?

PMID- 10241425
TI  - Bringing program evaluation and clinical practice together.

PMID- 10241427
TI  - From cards to microfilm.

PMID- 10241426
TI  - Is cost containment a myth?

PMID- 10241428
TI  - An empirical analysis of the capacity crisis in medical malpractice insurance.

PMID- 10241429
TI  - The privacy implications of insurers' information practices.
AB  - Insurers and their support organizations are among the largest collectors and
      users of personally identifiable information in the United States, yet little
      attention has been focused historically on the implications of insurers'
      information practices to individuals' privacy. Moreover, these practices are
      virtually opaque from the subject individual's point of view--in other words,
      individuals do not realize the full implications to their privacy when they enter
      into relationships with insurers. Thus, individuals may be at a disadvantage from
      a privacy protection standpoint in dealing with insurers. This paper analyzes
      insurers' information practices from a privacy protection perspective and
      suggests several areas that need improvement.

PMID- 10241430
TI  - "New" sources of data on adulthood and later life.

PMID- 10241431
TI  - Nutrition facts and fallacies.

PMID- 10241432
TI  - Coordinating work in the nursing home: methods and outcomes.

PMID- 10241433
TI  - Texas laundry manager trims monthly expenses by over $250.

PMID- 10241434
TI  - What should be done about disposables in surgery?

PMID- 10241435
TI  - Strategic planning in the Scottish health service--a mixed-scanning approach.
AB  - A programme of research into the development of effective planning processes for
      the Scottish health service has been undertaken. This has led to proposals that a
      mixed-scanning approach be developed with the aim of introducing more systematic
      and rational thinking in a way which is technically and politically realistic.
      This paper discusses these general proposals in outline and the basis on which
      they were designed; it also focuses on one of the key components--the concept of
      a scanning or review process--which will provide an overall appreciation of what
      has been happening within the health service and what the future could hold. The
      research is continuing but even at this stage the emerging concepts could be of
      wide relevance and interest.

PMID- 10241436
TI  - Even a phony lawyer gets top care--need it or not.

PMID- 10241437
TI  - How far can you go in fighting an H.M.O.?

PMID- 10241438
TI  - Components and requirements of a QA program for the medical record service.

PMID- 10241440
TI  - Changing perspectives in credentialing: facing new challenges.

PMID- 10241439
TI  - A quality assurance program in action.

PMID- 10241441
TI  - AMRA bylaws and code of ethics (amended October 1978).

PMID- 10241442
TI  - Epidemiology: does it have value for the RRA?

PMID- 10241443
TI  - What is unique about Catholic hospitals.

PMID- 10241444
TI  - How one group grapples with purchasing--and saves $2 million in the process.

PMID- 10241445
TI  - Survey shows shared services momentum.

PMID- 10241446
TI  - A modified terminal digit filing system enabling the use of double colour coding.

PMID- 10241447
TI  - Aspects of training in medical records.

PMID- 10241448
TI  - Annual Albany College of Pharmacy prescription survey.

PMID- 10241450
TI  - Pushing productivity: look who's talking.

PMID- 10241449
TI  - Detailing in the hospital market.

PMID- 10241451
TI  - Hawaii health plan: a model way to fill gaps in insurance?

PMID- 10241452
TI  - Hospitals cut fuel needs or go solar in model program.

PMID- 10241453
TI  - Rx for physicians: educate while we medicate.

PMID- 10241454
TI  - A lawyer takes a practical look at the state health plan.

PMID- 10241455
TI  - Radiologists and the SHCC's plan and policy committee settle on bilaterally
      rewarding agreement.

PMID- 10241456
TI  - Planning must integrate with decision making.

PMID- 10241458
TI  - Sprinkler systems.

PMID- 10241457
TI  - SHCC at a crossroad: does it go political?

PMID- 10241459
TI  - Special fire extinguishing systems.

PMID- 10241460
TI  - How to conduct a realistic mock disaster program.

PMID- 10241461
TI  - Preventive medicine for employers.

PMID- 10241462
TI  - Systematic assets management: body building for the financial statement.

PMID- 10241463
TI  - Rules for regulators.

PMID- 10241464
TI  - Leaving against medical advice.

PMID- 10241465
TI  - What to expect from your first survey of employee morale.

PMID- 10241466
TI  - A different approach to merit increases.

PMID- 10241467
TI  - When the traditional job description is not enough.

PMID- 10241468
TI  - A legal perspective on the Bakke decision.

PMID- 10241470
TI  - An Rx for performance appraisals.

PMID- 10241469
TI  - Calculating sick leave and vacation with an hourly accrual system.

PMID- 10241471
TI  - Put-down techniques: are you guilty of them?

PMID- 10241472
TI  - Nurses' management problems and their training implications.

PMID- 10241473
TI  - Over 65 health-related agencies participate in Pharmacy Fair in Ohio.

PMID- 10241474
TI  - 1978: top 200 drugs--total number of prescriptions declines by 1.1%, but generics
      rise by 8.7%.

PMID- 10241475
TI  - Diabetes mellitus: a multidisciplinary approach to patient education.

PMID- 10241476
TI  - Who's to blame for rising medical costs?

PMID- 10241477
TI  - Malpractice screening panels: are they worth the cost?

PMID- 10241478
TI  - Supreme Court rules on commitment.

PMID- 10241479
TI  - Impressions of South Africa.

PMID- 10241480
TI  - The problem of non-compliance.

PMID- 10241481
TI  - The CAT scan debate.

PMID- 10241482
TI  - Military medicine--an option worth considering.

PMID- 10241483
TI  - Toward solving medical malpractice problems.

PMID- 10241484
TI  - Banking on health.

PMID- 10241485
TI  - Static AC power supplies for emergency lighting systems.

PMID- 10241486
TI  - Staff evaluation of supervisors.

PMID- 10241487
TI  - Library services for forensic psychiatrists.

PMID- 10241488
TI  - Hospital cost containment: view from the states.

PMID- 10241489
TI  - Hospital cost containment: Round 2.

PMID- 10241491
TI  - Regulation and the paradox of freedom.

PMID- 10241490
TI  - Risk management: no task for the timid.

PMID- 10241492
TI  - As I see it: managing a service institution.

PMID- 10241493
TI  - Open membership.

PMID- 10241494
TI  - Blood pressure screening: a gift that kept on giving.

PMID- 10241495
TI  - One order of toast.

PMID- 10241496
TI  - Giving credit where it's due.

PMID- 10241497
TI  - What do volunteers have to do with health care planning, anyway? An American
      perspective...

PMID- 10241498
TI  - A joyful noise.

PMID- 10241499
TI  - A different kind of intern.

PMID- 10241500
TI  - Drop-in child care: sandcastles and sensitivity.

PMID- 10241501
TI  - Think children!

PMID- 10241502
TI  - What do volunteers have to do with health care planning, anyway? A British
      perspective.

PMID- 10241503
TI  - Women and health statistics: areas of deficient data collection and integration.
AB  - Improved data on women's health should be based on a definition of health capital
      for women that takes into account reproductive efficiency and the life experience
      of women in relation to fertility, general health, employment, and household
      responsibilities. More information is needed about the conduct of household roles
      related to investment in health capital for family members. Definitions of health
      are pragmatic and are related to social systems, including health care providers,
      for which the definitions serve as signals for certain actions. Women can seek to
      modify these definitions, which have expressed historical biases about women.
      Data collection should include information about the extent to which privacy as a
      dimension of access to health care is achieved. Longitudinal and other approaches
      to health history data should be explored. Fertility and general health data
      statistics in federal data systems need to be integrated. Insurance adequacy must
      be determined in relation to benefit scope, relation to prices, employment
      requirements, and family contracts. Data that will be helpful in adapting
      industrial environment to health goals are needed. Provider characteristics
      relevant to women as patients and workers, and qualities of residential
      environments pertaining to health, need to be studied. Future research should
      include evaluation of women's health capital and opportunities for programmatic
      investment to improve household efficiency in conduct of health-related affairs.

PMID- 10241504
TI  - Female illness rates and illness behavior: testing hypotheses about sex
      differences in health.
AB  - Health surveys repeatedly show that females have higher rates of illness,
      disability days, and health services utilization than do males. Numerous reasons
      for these sex differences have been hypothesized, based on four general factors
      thought to differ by sex and to influence self-reported health: genetic
      characteristics, physical risks, illness behavior, and reporting behavior. This
      paper briefly reviews these hypotheses, then discusses research strategies to
      test them. The strategies vary in the type of dependent variables used (medical
      vs. sociomedical health indicators) and the main method of controlling predictor
      factors (elimination vs. statistical control). A study was completed in 1978 in
      the Detroit metropolitan area to (a) explore reasons for sex differences in
      health and (b) reveal how strongly illness behavior (perception and evaluation of
      symptoms, propensities to take curative actions or disability days) affects
      common health indicators, particularly those for the national Health Interview
      Survey. The study's research design (use of a health diary, and focus on
      hypotheses about illness behavior) is described.

PMID- 10241505
TI  - Ninth conference on hospital services in Europe: report--Part II.

PMID- 10241506
TI  - Services for the elderly: World Health Organization.

PMID- 10241507
TI  - Services for the elderly: Belgium.

PMID- 10241508
TI  - Services for the elderly: Denmark.

PMID- 10241509
TI  - Services for the elderly: Finland.

PMID- 10241510
TI  - Services for the elderly: France.

PMID- 10241511
TI  - Services for the elderly: German Democratic Republic.

PMID- 10241512
TI  - Services for the elderly: German Federal Republic.

PMID- 10241513
TI  - Services for the elderly: Ireland.

PMID- 10241514
TI  - Services for the elderly: Italy.

PMID- 10241515
TI  - Services for the elderly: Netherlands.

PMID- 10241516
TI  - Services for the elderly: Norway.

PMID- 10241517
TI  - Services for the elderly: Portugal.

PMID- 10241518
TI  - Services for the elderly: Sweden.

PMID- 10241519
TI  - Services for the elderly: Switzerland.

PMID- 10241520
TI  - Services for the elderly: United Kingdom.

PMID- 10241521
TI  - Services for the elderly: Yugoslavia.

PMID- 10241522
TI  - Health care and the asymptomatic population.

PMID- 10241523
TI  - Family physicians and the mental health system.

PMID- 10241524
TI  - Maternal nutrition: the Montreal Diet Dispensary.

PMID- 10241525
TI  - The medicolegal significance of the package insert.

PMID- 10241526
TI  - D.C. General Hospital: the nurse specialist hypertension clinic.

PMID- 10241527
TI  - Employee alcoholism programs in hospitals.

PMID- 10241528
TI  - Some problems of bedside EEG recording.

PMID- 10241529
TI  - MDs stood on brink of nuclear disaster.

PMID- 10241530
TI  - Assignment: Arabia.

PMID- 10241531
TI  - 'Make sure your contract spells out everything'.

PMID- 10241532
TI  - The Jonestown autopsies: bungled aftermath of tragedy.

PMID- 10241533
TI  - Hospitals well prepared for tornado's aftermath.

PMID- 10241534
TI  - Nursing group reports staff shortages.

PMID- 10241535
TI  - Reed's laundry is growth oriented.

PMID- 10241536
TI  - Free equipment? Well, almost . . .

PMID- 10241537
TI  - Prefabricated modules speed hospital construction.

PMID- 10241538
TI  - Guidelines to the ethical practice of anesthesiology.

PMID- 10241539
TI  - Amendments to ASA by laws.

PMID- 10241540
TI  - Statement of policy.

PMID- 10241541
TI  - Association salaries: equal pay for equal work?

PMID- 10241542
TI  - Successful self-development program takes education into the field.

PMID- 10241543
TI  - American Pharmaceutical Association.

PMID- 10241544
TI  - 'Lack of proper hospital facilities'--labor man.

PMID- 10241545
TI  - Beware of the hidden costs!

PMID- 10241546
TI  - The money in curing hospitals.

PMID- 10241547
TI  - Information science contributions to health information.

PMID- 10241548
TI  - Hospital production--can costs be contained?

PMID- 10241549
TI  - As the world turns: the saga of satellite communications.

PMID- 10241550
TI  - A secluded rendezvous: rural isolationism is a thing of the past.

PMID- 10241551
TI  - How a paramedic nurse coordinator expedites education and review.

PMID- 10241552
TI  - Structuring a sound dental insurance program.

PMID- 10241553
TI  - 5th annual salary survey.

PMID- 10241555
TI  - Controlling fungus.

PMID- 10241554
TI  - Painting a picture of the housekeeping department.

PMID- 10241556
TI  - Your infection control committee needs you!

PMID- 10241557
TI  - Infection control: does your program measure up?

PMID- 10241558
TI  - The status of recertification.

PMID- 10241559
TI  - Patient safety programs: a possible solution.

PMID- 10241560
TI  - Graduate medical education and international relations.

PMID- 10241561
TI  - FMGs in transition.

PMID- 10241562
TI  - FMGs: the issue--a view from abroad.

PMID- 10241564
TI  - Medical school admission policies and the demand for higher education.

PMID- 10241563
TI  - FMGs: the issue--an echo in other countries.

PMID- 10241565
TI  - Meeting the needs of surgical training around the world.

PMID- 10241566
TI  - How U.S. law affects FMGs.

PMID- 10241567
TI  - Preserving our international role in postgraduate medical education.

PMID- 10241568
TI  - Talking pay policy pays off.

PMID- 10241569
TI  - The supervisor's survival guide: the great balancing act.

PMID- 10241570
TI  - Those expensive new toys.

PMID- 10241571
TI  - Private lives: protecting patient records.

PMID- 10241572
TI  - On who will whip whom: Carter and Kennedy duel over competing health plans.

PMID- 10241573
TI  - Califano answers back. Interview by Mary Hager.

PMID- 10241574
TI  - Diagnostic X-ray systems and their major components; amendments to performance
      standard: final rule.

PMID- 10241575
TI  - Prepaid medical service plans; revocation of part.

PMID- 10241576
TI  - Protection of human subjects of biomedical and behavioral research: notice of
      report and recommendations for public comments.

PMID- 10241577
TI  - Health maintenance organizations; procedures for enforcement of employer
      compliance.

PMID- 10241578
TI  - Federal Employees Health Benefits Program; benefits for members of medically
      underserved populations: proposed rulemaking.

PMID- 10241579
TI  - Medical devices--establishment of procedures to make a device a banned device:
      final rule.

PMID- 10241580
TI  - Medical facility construction and modernization; requirements for provision of
      services to persons unable to pay and community service by assisted health
      facilities: final rule.

PMID- 10241581
TI  - HMOs--an idea whose time has come?

PMID- 10241582
TI  - Health care costs: why regulation fails, why competition works, how to get there
      from here.

PMID- 10241583
TI  - The Blues' blitz on health care costs.

PMID- 10241584
TI  - Controlling hospital costs: government rationing or the voluntary effort.

PMID- 10241585
TI  - Rethinking federal health policy: unshackle the health care consumer.

PMID- 10241586
TI  - A prescription for drug reform.

PMID- 10241587
TI  - Conscription for doctors.

PMID- 10241588
TI  - Health care should match your needs for peak efficiency.

PMID- 10241589
TI  - Law reform and you: introduction and overview.

PMID- 10241590
TI  - Euthanasia.

PMID- 10241591
TI  - Human experimentation.

PMID- 10241592
TI  - Behavior modification.

PMID- 10241593
TI  - Treatment.

PMID- 10241594
TI  - Sanctity and quality of life.

PMID- 10241595
TI  - Sterilization.

PMID- 10241596
TI  - Informed consent.

PMID- 10241597
TI  - In search of the ethical man.

PMID- 10241598
TI  - Mental health in Saskatchewan: a look at the past, present and future.

PMID- 10241599
TI  - "Caregivers": a study design.

PMID- 10241600
TI  - Clinical engineering practices: maintenance and safety testing of common
      electromedical devices.

PMID- 10241601
TI  - Continuing education for employed clinical engineers: review of education and
      requirements.

PMID- 10241602
TI  - A regional model for a hospital-based clinical engineering internship program.

PMID- 10241603
TI  - Clinical engineering practices: noise--the new hospital contaminate.

PMID- 10241605
TI  - Setting creative goals.

PMID- 10241604
TI  - Harry Levinson on management development and appraisal of performance. Interview
      by Jules E. Eitington.

PMID- 10241606
TI  - A national policy for biomedical and behavioral research: position of the
      Association of American Medical Colleges.

PMID- 10241607
TI  - Public opinion on subject participation in biomedical research: new views on
      altruism, perception of risk, and proxy consent.

PMID- 10241608
TI  - Trends and issues in health services.

PMID- 10241609
TI  - B.C.H.A. trustee orientation program.

PMID- 10241610
TI  - From one reform to another.

PMID- 10241612
TI  - Grim future for health care.

PMID- 10241611
TI  - The case against medical appeal boards.

PMID- 10241613
TI  - A fun approach to making $$.

PMID- 10241614
TI  - They said it couldn't be done!

PMID- 10241615
TI  - Why a professional society for directors of volunteer services?

PMID- 10241616
TI  - The auxiliary and the cancer patient.

PMID- 10241617
TI  - Madison Hospital has new service--"The Stork Club".

PMID- 10241618
TI  - Methodist Hospital Auxiliary sponsors Hospital Day at Lowenstein's Department
      Store.

PMID- 10241619
TI  - Le Bonheur Twigs plan first annual miniature show.

PMID- 10241620
TI  - Rutherford Hospital auxiliary adds new service.

PMID- 10241621
TI  - Shocking pink garters.

PMID- 10241622
TI  - The added ingredient.

PMID- 10241623
TI  - A new training vehicle for Nashville's health care volunteers.

PMID- 10241624
TI  - Just what's so special?

PMID- 10241625
TI  - Combining geriatrics with pediatrics: a volunteer's "prescription" for getting
      better--not older.

PMID- 10241626
TI  - "The Lodge"--to fill a special need.

PMID- 10241627
TI  - Determinants of equity of rewards for managers.

PMID- 10241628
TI  - The impossibility of group decisions.

PMID- 10241629
TI  - Health professional manpower: shaping public policy?

PMID- 10241630
TI  - Effect of pharmacist consultation on medication compliance.

PMID- 10241631
TI  - Disease conditions and drug usage by ambulatory geriatric Mexican-American
      patients.

PMID- 10241632
TI  - Auditing antiparkinsonism drugs: guidelines for appropriate medication use.

PMID- 10241633
TI  - Clinical pharmacy practice in an allergy clinic.

PMID- 10241634
TI  - Developing pharmacy services in a therapeutic community.

PMID- 10241635
TI  - Selection of pharmacists for assignment to patient care areas.

PMID- 10241636
TI  - National health manpower policy: implications for pharmacy.

PMID- 10241637
TI  - Use of auxiliary labels to improve patient compliance.

PMID- 10241638
TI  - Patient package inserts: a study of communication techniques.

PMID- 10241639
TI  - Pharmaceutical care through a nontraditional outlet.

PMID- 10241640
TI  - An introduction to selected elements of research.
AB  - The purpose of this paper, the first in a two-part series, is to provide an
      introduction to selected elements of research for the practising pharmacist. It
      is not intended to provide the reader with all the tools necessary to plan,
      conduct and report a research study. One paper cannot achieve this since entire
      books have been devoted to single components of research. Through the examination
      and discussion of the structure of a research report as presented in this paper,
      the reader should derive a basic understanding of selected aspects of research. A
      subsequent paper will present an approach to evaluating reports of research
      studies. The background provided by both papers should make it possible for
      pharmacists to review more objectively the increasing number of journal articles
      reporting research studies. Readers should also gain an appreciation of the
      complexity of the research process and the time required to prepare a paper
      acceptable for publication. They will not be in a position to evaluate all the
      details in the research report.

PMID- 10241642
TI  - Organization: who does what when.

PMID- 10241641
TI  - A ward stock exchange cart system.

PMID- 10241643
TI  - Council adopts new logo.

PMID- 10241644
TI  - The utilization of a clinical pharmacist--a way of decreasing medications in a
      community hospital.
AB  - This article summarizes the results of a study designed to evaluate clinical
      pharmacy services as a means of reducing drug usage in a 170-bed community
      hospital. A total of 591 medication orders for 93 hospitalized patients were
      evaluated. A pharmacy resident made recommendations regarding the appropriateness
      of the medication order to the attending physicians. A team of reviewing
      physicians later evaluated these recommendations. The resident's suggestions were
      also monitored by a university-affiliated and experienced clinical pharmacist.
      The number of medications ordered which the pharmacy resident would have
      prescribed during consultation with physicians was 312 (53 percent), while the
      overseeing clinical pharmacist would have prescribed 352 (60 percent). Two
      hundred and fifteen therapeutic recommendations were provided by the pharmacy
      resident, of which 38 (17.6 percent) were carried out by the attending physician.
      The reviewing physicians did not agree with 37 of these recommendations. Twenty
      two drug interactions were detected, of which eleven were thought to be of
      definite clinical significance by the pharmacy resident. The study demonstrated
      that a 40 percent reduction in medication utilization could result in a community
      hospital, while the same level of therapeutic effectiveness was maintained, by
      using the services of a properly trained clinical pharmacist. The patient care
      appraisal committee which was appointed to evaluate the study reviewed the
      results and agreed that, based on the cost factor and improvement of patient
      care, clinical pharmacy services would be beneficial.

PMID- 10241645
TI  - Clinical pharmacy service: contributions on a part-time basis.
AB  - Staffing a majority of hospitals with full-time clinical pharmacists is an aim
      that will not be attainable for many years. In an effort to demonstrate an
      interim approach to clinical practice that could be applied to a large percentage
      of hospitals, a part-time clinical pharmacist's services were documented. Serving
      a teaching hospital with an average census of 97 patients, the pharmacist, with a
      50 percent time allotment for clinical services, monitored 229 total admissions
      during an eleven week period. The majority of patients were on either a pulmonary
      medicine or urology service. The total number of actions taken as a result of
      pharmacy consultations was 106, with 70 percent of these being related to dosing
      problems. It was concluded that a pharmacist providing clinical services to a
      large patient population on a less than full-time basis can have a positive
      impact on drug therapy.

PMID- 10241647
TI  - Pharmacy and pharmacology: importance of collaboration at the clinical level.

PMID- 10241646
TI  - A national survey finding. Medicines in medical care--the clinical pharmacist's
      role.

PMID- 10241648
TI  - Clinical pharmacist or clinical pharmacologist?

PMID- 10241649
TI  - The supply of physicians' services.
AB  - This paper presents a model of the supply of physicians' services based upon the
      assumption that physicians are price-taking utility maximizers. Assuming
      physicians' services are produced using physicians' labor and purchased inputs,
      the paper shows that the impact of changes in final product or input prices on
      the supply of physicians' services depends on the physicians' labor-leisure
      choice and on the degree of substitutability between physicians' labor and
      purchased inputs. The empirical results presented indicate that the physicians'
      labor supply curve is backward-bending, but that the supply curve of physicians'
      services is positively sloped.

PMID- 10241650
TI  - Telemedicine by satellite in Newfoundland.

PMID- 10241651
TI  - Interact--a microwave medical network.

PMID- 10241652
TI  - Patient education network begins operation.

PMID- 10241653
TI  - Quality control or, what's going on out there?

PMID- 10241654
TI  - The Boston emergency medical services project: an exercise in cooperation.

PMID- 10241655
TI  - Physician involvement: a critical factor in the development of community
      emergency medical services.

PMID- 10241656
TI  - Emergency department move.

PMID- 10241657
TI  - The latest survey of state EMS offices has produced some surprising results.

PMID- 10241658
TI  - Only the EMT can define the real opportunities of the multichannels of UHF mobile
      radio trunking.

PMID- 10241659
TI  - Use of the public telephone system as an adjunct in advanced life support
      communications: the Trinity EMS system.

PMID- 10241660
TI  - On becoming an effective supervisor.

PMID- 10241661
TI  - A prototype perinatal transport system.

PMID- 10241662
TI  - Use and abuse of communications.

PMID- 10241663
TI  - Podiatry: its role in medicine in the United States.

PMID- 10241664
TI  - Research designs appropriate for service agencies.
AB  - The intent of research is to inform co-workers in similar environments of new or
      varied approaches to problems assumed to be shared. However, narratives of
      reported studies neglect to identify variables necessary for reproducing
      environmental contigencies. If the proposition is accepted that service agencies
      occupy unique environments, then single organism research designs such as ABAB
      and multiple baseline designs may provide more valuable information than
      currently accepted research methodologies.

PMID- 10241665
TI  - Services for mentally retarded persons: the viability of a short-term residential
      service setting in Pennsylvania's system.
AB  - Data regarding client discharge and client developmental growth were examined in
      an attempt to assess the viability of a short-term residential facility within
      the context of Pennsylvania's service delivery system for mentally retarded
      persons. While developmental growth was evidenced by all levels of retardation,
      discharge was notably absent for the profoundly retarded group. A closer
      examination of the findings highlighted the restraints imposed on the evaluation
      of a single component of a service system by the larger system in which it
      operates.

PMID- 10241666
TI  - SHUR changeover cost still unsure after study of 47 hospitals.

PMID- 10241667
TI  - Physicians' cost containment checklist.

PMID- 10241668
TI  - Nesbitt: Rationing "inevitable" if controls approved.

PMID- 10241670
TI  - Training to add new twist to Hawaiian efforts.

PMID- 10241669
TI  - Sammons: Controversy covers inflation, regulation, demands.

PMID- 10241671
TI  - Governor, legislature laud Illinois VE accomplishments.

PMID- 10241672
TI  - Physicians in Utah to scrutinize hospital charges.

PMID- 10241673
TI  - New cost awareness plan to involve 9,000 physicians on staffs of HCA hospitals.

PMID- 10241674
TI  - Companies encourage doctors to aid in cost programs.

PMID- 10241675
TI  - Catastrophic insurance looms as hot topic, gets Carter's priority in phase 1 of
      NHI.

PMID- 10241676
TI  - AMI to develop health care system for new city in Brazil.

PMID- 10241677
TI  - Hospitals preparing for state rate control struggle in North Carolina.

PMID- 10241678
TI  - Financial disclosure bill approved in West Virginia.

PMID- 10241679
TI  - More response needed from hospitals on proposed regulations.

PMID- 10241680
TI  - Clarity and doubt: the aftermath of court rulings on union solicitation in
      hospitals.

PMID- 10241681
TI  - Audubon is name of new hospital; St. Joseph site to be city park.

PMID- 10241682
TI  - A time to advertise.

PMID- 10241684
TI  - The administrator: a moving force in quality assurance.

PMID- 10241683
TI  - A noted economist critiques the "cap".

PMID- 10241685
TI  - Try this plan of action to mitigate more oppressive health care regulation.

PMID- 10241686
TI  - Public utility approach to rate regulation won't work in hospitals.

PMID- 10241687
TI  - The regulatory process: where is it headed?

PMID- 10241688
TI  - Hospitals rank high in Louis Harris poll.

PMID- 10241689
TI  - Hospitals must educate public on how health dollars are spent.

PMID- 10241690
TI  - The public's advocate.

PMID- 10241691
TI  - Consumerism in health care.

PMID- 10241692
TI  - Ghetto hospital: community service earns Prospect respect, protection in slum
      area.

PMID- 10241693
TI  - Hospitals need public education program.

PMID- 10241694
TI  - Consumer interest makes hospitals more responsive.

PMID- 10241695
TI  - Should hospitals turn to media advertising?

PMID- 10241696
TI  - Consumer advocates voice viewpoints on health care.

PMID- 10241697
TI  - Lobbying and nonprofits: what's the experience so far?

PMID- 10241698
TI  - TRA '69: coming up on 10 years.

PMID- 10241700
TI  - Fundamentals of survival & success.

PMID- 10241699
TI  - The A to Z of zero base budgeting.

PMID- 10241701
TI  - The hassles & happiness of buying.

PMID- 10241702
TI  - How a consultant earns his fee.

PMID- 10241703
TI  - Methods & ethics of buying.

PMID- 10241704
TI  - Do credit cards work for group practice?

PMID- 10241705
TI  - Who's the customer?

PMID- 10241706
TI  - When is a satellite not a satellite?

PMID- 10241707
TI  - A group division converts to objective accounting.

PMID- 10241708
TI  - Patient education: a beginning.

PMID- 10241709
TI  - Developing a regional health educational program.

PMID- 10241710
TI  - Industrial health education: a model.

PMID- 10241711
TI  - Individual physician performance evaluation: could it lead to specialty
      licensure?

PMID- 10241712
TI  - A limited license?

PMID- 10241713
TI  - Reregistration of the license: the Nebraska experience.

PMID- 10241714
TI  - The board of medical examiners: a changing role.

PMID- 10241715
TI  - In the face of sunset, a survival kit for licensing boards.

PMID- 10241716
TI  - California bureaucrats propose control of excess physicians.

PMID- 10241717
TI  - A note on the gentle art of cost prediction: HEW computer model generates cost
      estimates for national health insurance plans.

PMID- 10241718
TI  - Summer health fair--filling the gap.

PMID- 10241720
TI  - Medical ethics: quo vadis?

PMID- 10241719
TI  - Physician attitude toward rural practice: answers to questions that were not
      asked.

PMID- 10241722
TI  - National League for Nursing ends convention without deciding on entry into
      practice.

PMID- 10241723
TI  - HEW gives surprise word on "non-renewal" to Illinois HSA.

PMID- 10241721
TI  - The other Mexican connection.

PMID- 10241724
TI  - AHA plans to sue to stop implementation of Hill-Burton charity care regulations.

PMID- 10241725
TI  - Smoothing the way to staff acceptance of management engineering.

PMID- 10241727
TI  - Taking control of the hiring interview.

PMID- 10241726
TI  - Becoming a nurse manager.

PMID- 10241728
TI  - Using TA for better staff-patient relations.

PMID- 10241729
TI  - A phoenix from the ashes.

PMID- 10241730
TI  - Signs from the mountain as the faithful wait and pray.

PMID- 10241731
TI  - In the bold footsteps of Jay--the professions now reply.

PMID- 10241732
TI  - Poor beast burdened by too many administrators.

PMID- 10241733
TI  - Bringing a little colour to brighten our lives: art projects in hospitals.

PMID- 10241734
TI  - Time to do some tub thumping: the ward nurse as manager.

PMID- 10241735
TI  - Battling for pastures new.

PMID- 10241736
TI  - Testing the waters at Bath.

PMID- 10241737
TI  - Why we are failing to keep up with employees' social needs.

PMID- 10241738
TI  - The key to the growth of social work in Broadmoor.
AB  - Social work is a relatively new discipline at Broadmoor. Author examines the role
      of social work in special hospitals and contends that its intervention with
      patients is influenced not only by the limitation of the institutions but also by
      the need to educate outside agencies about the special problems involved.

PMID- 10241740
TI  - Building an ambulance station.

PMID- 10241739
TI  - Ambulance stations.

PMID- 10241741
TI  - How to forecast staff needs.
AB  - The cost of providing pharmaceutical services to wards is often omitted when
      hospital development schemes are discussed. Author looks at the revenue
      consequences of ward dispensing and provides a framework for such calculations.

PMID- 10241742
TI  - The pleading and the bleeding.

PMID- 10241743
TI  - A job worthy of a fair salary.

PMID- 10241744
TI  - Building a care service on rock foundations.
AB  - A more comprehensive home care service is to receive the largest portion of
      Bromley AHA's joint financing allocation. Author looks at the scope of the home
      care system and Bromley's success in extending the service.

PMID- 10241745
TI  - To have and have not in the land of plenty.

PMID- 10241746
TI  - How to break the strife.
AB  - What can be done to stem the growing use of industrial 'muscle' in the NHS? RHA
      personnel officer looks at the inadequacies of the present disputes procedures
      and puts the case for setting up an anomalies board or pay review bodies with
      powers to award binding agreements to public sector organisations which forego
      the right to industrial action.

PMID- 10241748
TI  - Health administration: no room for revolt at the top.
AB  - The 'revolt' by members of Lambeth, Southwark and Lewisham AHA(T), as well as the
      dilemmas posed by the Normansfield report, have recently done more than anything
      to disturb the calm of the RHAs. Author investigates what officers at the
      regional tier expect and hope of the Royal Commission in the aftermath.

PMID- 10241747
TI  - A special kind of patient care.
AB  - The community hospital is seen as a bridge between the district general hospital
      and primary care, but is not yet wholly accepted by GPs.

PMID- 10241750
TI  - A touch of the exotic in England: high security for infectious diseases.

PMID- 10241749
TI  - Where hospitals shoulder the doctor's burden: accident and emergency services.

PMID- 10241751
TI  - Mecca and the unbelievers.
AB  - Wallingford Community Hospital was an experiment by the then Oxford Regional
      Hospital Board to make available to general practitioners the facilities and
      skills which a community hospital could provide. It included many additional
      responsibilities for the GP.

PMID- 10241752
TI  - Health administration: the shape of things to come if the doctors had their way.

PMID- 10241753
TI  - Joint care: weakness of consultation.

PMID- 10241754
TI  - Joint care: creation of inner city desert areas in the rural communities.

PMID- 10241755
TI  - Removing the veils that surround women's health.

PMID- 10241756
TI  - Going down under for good.

PMID- 10241757
TI  - Opinion survey gets to the heart of the matter: local views on health needs.

PMID- 10241759
TI  - Can we afford the high price of consulting?
AB  - The massive amount of consultation which is involved in the planning of a
      hospital is a factor which, it is said, contributes heavily to the costs. So
      should the system become more autocratic or should we continue to pay the price
      of democracy?

PMID- 10241758
TI  - Keeping the home fires burning: staffing problems threaten Polish hospital.

PMID- 10241760
TI  - Uniformity vies with soul of the architect.

PMID- 10241761
TI  - Away from the workhouse.

PMID- 10241762
TI  - Some representations from the black hole: what Wales needs.

PMID- 10241763
TI  - Togetherness is the keynote: what Northern Ireland needs.
AB  - Signs that various health and social care disciplines are working more closely
      together in Northern Ireland since reorganisation under health and social
      services boards are discussed by author.

PMID- 10241764
TI  - Morale sapping bureaucracy: what Scotland needs.

PMID- 10241765
TI  - Why we are the harlot in reverse.
AB  - What does nurse management stand for and where is it going? Author looks at the
      question in the light of the Salmon Report, reviews the progress made in ten
      years following the report and puts forward her views on what is required in the
      future.

PMID- 10241766
TI  - Decontamination of gastroscopes.

PMID- 10241767
TI  - Room in the waiting room but not in the car park.

PMID- 10241768
TI  - Opening doors to meet the neeeds of the people served.
AB  - Does the patient have an effective say in health service decisions that directly
      affect him? Community health councils have been with us since 1974 but how
      representative are they and how much influence can they exert on health
      authorities? Concluding our series on the Royal Commission, author examines these
      questions and outlines the views of patient organisations and health
      administrators on the proposal for electing rather than appointing members to
      AHAs.

PMID- 10241769
TI  - An uphill struggle for even the most gregarious CHC.

PMID- 10241770
TI  - Juniors at the sharp end.

PMID- 10241771
TI  - Updating Greek legends.
AB  - Having obtained expert advice on a problem how do you go about applying it?
      Author describes a technique being tried in the health service which enables
      expertise to be both tapped and used.

PMID- 10241772
TI  - Analysing how the managers react to industrial problems...

PMID- 10241773
TI  - Fingers on the red button.
AB  - General practitioners are sometimes reluctant to pass information about patients
      to social workers. Author looks at communication between doctors and social
      workers.

PMID- 10241774
TI  - CPR drills: assessment and teaching.

PMID- 10241775
TI  - Play's the thing.

PMID- 10241776
TI  - Materials management and maintenance: partners in cost containment.

PMID- 10241777
TI  - Purchase law--equipment maintenance and service: must the buyer always be wrong?

PMID- 10241778
TI  - Can you believe it? 2 to 4 per cent inflation?

PMID- 10241779
TI  - Who should manage materials for maintenance?

PMID- 10241780
TI  - It's good business to train health care personnel.

PMID- 10241781
TI  - Smoking can be a problem in health care institutions.

PMID- 10241782
TI  - NACHRI study quantifies children's hospitals uniqueness.

PMID- 10241784
TI  - Communicating with clinicians.

PMID- 10241783
TI  - Rochester Rotary Club and the 6-pack mini-medical library.

PMID- 10241785
TI  - The standard accounting system.

PMID- 10241786
TI  - Measuring the accessibility of health services.

PMID- 10241787
TI  - A hospital information room at the Ipswich District General Hospital.

PMID- 10241788
TI  - Ten years on--a strategic plan.

PMID- 10241789
TI  - Less than angels.

PMID- 10241791
TI  - Health service building in Scotland.

PMID- 10241790
TI  - Scotland's health problems and health resources.

PMID- 10241792
TI  - Aspects of health centre provision in Scotland.

PMID- 10241793
TI  - Local health councils--representatives of the consumer?

PMID- 10241794
TI  - Planning for health--the role of the Scottish Health Service Planning Council.

PMID- 10241795
TI  - Care for the mentally handicapped in Scotland.

PMID- 10241796
TI  - Law studies and the health service administrator.

PMID- 10241797
TI  - Implementing the 12-hour shift: a case history.

PMID- 10241798
TI  - The 12-hour shift: 'it's good for nurses, but is it good for the patients?'.

PMID- 10241799
TI  - Home care programs in B.C.

PMID- 10241800
TI  - Developing methodologies for the regional/institutional programming of ambulatory
      care facilities.

PMID- 10241801
TI  - Hospital projects: how to do them in 20 easy steps.

PMID- 10241803
TI  - No smoking in patient rooms--please!

PMID- 10241802
TI  - The ups and downs of elevator courtesy.

PMID- 10241804
TI  - Better PR vital to better health care.

PMID- 10241805
TI  - Dr. Lawrence Ranta: after 25 years' service 'retires' to new post.

PMID- 10241806
TI  - Hospital bed closures: a review of the Canadian experience and a report on the
      Ontario situation.

PMID- 10241807
TI  - Hospital-wide education--getting started.

PMID- 10241808
TI  - Developing a nursing service department.

PMID- 10241809
TI  - The dilemma of the unit-dose pharmacy system.

PMID- 10241810
TI  - Vocational development of health professionals.

PMID- 10241811
TI  - Unionized department heads: a portent of change in hospital management?

PMID- 10241812
TI  - Canadian pharmacists--moving ahead with continuing education.

PMID- 10241813
TI  - Meeting the challenge of change.

PMID- 10241815
TI  - Word processing: it's for everyone.

PMID- 10241816
TI  - Oldest hospital adopts modern intercom system.

PMID- 10241817
TI  - New APGL system is time saver.

PMID- 10241814
TI  - Human rights and employee relations.

PMID- 10241819
TI  - Managerial obsolescence--a diagnostic and prognostic approach.

PMID- 10241818
TI  - Remotivation-therapy: what is it?

PMID- 10241821
TI  - Physical fitness--for a hospital staff.

PMID- 10241820
TI  - The District Health Council: action centre in Ontario's health care delivery.

PMID- 10241822
TI  - Developing regional programs for ambulatory care facilities.

PMID- 10241823
TI  - Health care for the aged.

PMID- 10241824
TI  - The role of physiotherapy in nursing homes.

PMID- 10241825
TI  - Are nursing homes the Third World of health care?

PMID- 10241827
TI  - Infection control recommendations.

PMID- 10241826
TI  - Diet and food service in an extended care facility.

PMID- 10241828
TI  - Small computer speeds up management info reports.

PMID- 10241829
TI  - The true image of our health services.

PMID- 10241830
TI  - Controlling inflation on major renovation projects.

PMID- 10241831
TI  - Whom do hospitals serve?

PMID- 10241832
TI  - Quality assurance in the central service department.

PMID- 10241833
TI  - Is a registered nurse justified in today's central supply department?

PMID- 10241834
TI  - A unique approach to the co-ordination of nursing supplies.

PMID- 10241835
TI  - New group inspires input of fresh ideas.

PMID- 10241836
TI  - Medical devices: how should they be controlled?

PMID- 10241837
TI  - Newfoundland association charts its future role.

PMID- 10241838
TI  - Facing up to reality.

PMID- 10241839
TI  - The fifth dimension.

PMID- 10241840
TI  - 'But, sir, I cleaned my boots!'--priorities for continuing education.

PMID- 10241841
TI  - The imprinting dilemma.

PMID- 10241842
TI  - Contemporary patient handling systems.

PMID- 10241843
TI  - More action needed on tropical diseases.

PMID- 10241844
TI  - I.V. nurses accept a challenge.

PMID- 10241845
TI  - The I.V. nurse.

PMID- 10241846
TI  - Consensus taking in a Delphi study.

PMID- 10241847
TI  - Did I hear someone say: 'We have a bed bug?'.

PMID- 10241848
TI  - Health care in China.

PMID- 10241849
TI  - Obsolete hospital organization structures--and their effects on patient care.

PMID- 10241850
TI  - A co-operative method of internal supply requisitioning.

PMID- 10241852
TI  - Sterilization standards for hospitals ready soon.

PMID- 10241851
TI  - How clinical pharmacy practice benefits hospital and patient.

PMID- 10241853
TI  - Work sampling--can it help you?

PMID- 10241855
TI  - Hospital annual reports contest winners chosen.

PMID- 10241854
TI  - Needed: a more rational method for collecting and using data.

PMID- 10241856
TI  - Social and financial effects of health care programs.

PMID- 10241857
TI  - Who is responsible for quality control in the C.S.R.?

PMID- 10241858
TI  - Practical ways of reducing costs in the dietary department.

PMID- 10241859
TI  - Rapid resoil: a health care carpet appearance problem.

PMID- 10241860
TI  - Regular management development program pays extra dividends.

PMID- 10241861
TI  - Public areas: which areas should be included?

PMID- 10241862
TI  - Appropriate utilization of hospital resources: a major factor in controlling
      costs.

PMID- 10241864
TI  - Quebec residents get new health insurance care.

PMID- 10241863
TI  - Time for more plain speaking.

PMID- 10241865
TI  - Unique program uses prison inmates for geriatric care.

PMID- 10241866
TI  - Health care: the growing dilemma.

PMID- 10241867
TI  - Materials management: getting back to basics.

PMID- 10241868
TI  - (S.E.L.F.) staff evaluation for learning through feedback.

PMID- 10241870
TI  - On behalf of some of our patients.

PMID- 10241869
TI  - How old are you?

PMID- 10241871
TI  - The care and feeding of the Joint Conference Committee.

PMID- 10241872
TI  - Helping them back to a normal lifestyle: a practical and effective coronary
      teaching and rehabilitation program.

PMID- 10241873
TI  - Wider perspectives on hospital constraints.

PMID- 10241874
TI  - Respiratory technology: is it a profession?

PMID- 10241875
TI  - Control of infection in laundry and linen.

PMID- 10241876
TI  - Hospital opens diet food store.

PMID- 10241877
TI  - Is Ontario paying too much?

PMID- 10241878
TI  - Speaking to their condition...

PMID- 10241879
TI  - Community clinics.

PMID- 10241880
TI  - Why a regional trauma unit?

PMID- 10241882
TI  - University Hospital, London, Ontario: a successful beginning...

PMID- 10241881
TI  - The impact of bed planning standards.

PMID- 10241883
TI  - Hospital closings and community involvement.

PMID- 10241884
TI  - Administrative perspectives regarding computer installations.

PMID- 10241885
TI  - Microprocessor technology adds new dimension to patient monitoring systems.

PMID- 10241886
TI  - Staff in/out register system is quiet, efficient, economical.

PMID- 10241887
TI  - Insulated servers ease dietary department concerns.

PMID- 10241889
TI  - CCHSE--a valuable medium for international exchange.

PMID- 10241888
TI  - More entries than ever in newsletter contest.

PMID- 10241890
TI  - Will O.R. experience be part of nurses' undergraduate program?

PMID- 10241891
TI  - Relationship of the chief executive officer to the hospital board.

PMID- 10241892
TI  - Pastoral care in community hospitals.

PMID- 10241893
TI  - Medical manpower: consider this approach.

PMID- 10241894
TI  - What patterns for Canada's health care?

PMID- 10241895
TI  - Hillcrest Hospital stroke unit.

PMID- 10241896
TI  - Pitfalls to be avoided in hospital construction.

PMID- 10241897
TI  - The community and its health resources.

PMID- 10241898
TI  - A nursing practice committee can enhance the management efficiency of a nursing
      department.

PMID- 10241900
TI  - Engineering--and small hospitals.

PMID- 10241899
TI  - The effects of selected demographic and clinical variables on the length of
      hospital stay.

PMID- 10241901
TI  - Newsletters: to publish--or not to publish?

PMID- 10241903
TI  - Labor legislation and collective agreements: acceptance of the changing scene.

PMID- 10241902
TI  - Hospital pharmacy records important advances.

PMID- 10241904
TI  - What organized nursing expects.

PMID- 10241905
TI  - Management of change in the health care environment.

PMID- 10241906
TI  - Pre-retirement counselling programs.

PMID- 10241907
TI  - Bringing the 'quality of life' to nursing home residents.

PMID- 10241908
TI  - Diabetic Education Centre offers several types of programs.

PMID- 10241909
TI  - Salary survey 1976.

PMID- 10241910
TI  - A preventive concept for the care of the elderly (geriatric medicine)

PMID- 10241911
TI  - Ottawa hospitals may pool bulk-purchasing services.

PMID- 10241912
TI  - Central dispatch: should it include the patients?

PMID- 10241914
TI  - How effectively do you use your incident/accident report?

PMID- 10241915
TI  - Organizing a respiratory technology department and how to keep it functioning.

PMID- 10241913
TI  - What's with disposables?

PMID- 10241916
TI  - A maintenance consumers' group?

PMID- 10241917
TI  - How microfilming eases handling of medical records.

PMID- 10241918
TI  - A stamp of obsolescence.

PMID- 10241919
TI  - Two opposing tendencies.

PMID- 10241920
TI  - Vancouver hospital conducts social services survey.

PMID- 10241921
TI  - Governments and long-range planning.

PMID- 10241922
TI  - How to work less and accomplish more.

PMID- 10241923
TI  - Hospital pharmacy: where do we go from here?

PMID- 10241924
TI  - For a reasoned approach to cost constraints.

PMID- 10241925
TI  - Senior VIP service.

PMID- 10241926
TI  - Does your food service department have garbage problem?

PMID- 10241927
TI  - Quebec's health services in a state of dynamic change.

PMID- 10241928
TI  - Telemedicine by satellite.

PMID- 10241929
TI  - How do health administrators spend their time?

PMID- 10241930
TI  - Self-medication: a developing concept in future hospital pharmacy service.

PMID- 10241931
TI  - Problem solving and 'others'.

PMID- 10241933
TI  - Prime vendor benefits.

PMID- 10241932
TI  - On looking ahead.

PMID- 10241934
TI  - Expectations and realities--purchasing style.

PMID- 10241935
TI  - Health care research--where do we go from here?

PMID- 10241936
TI  - What changes ahead in responsibilities of administrators?

PMID- 10241937
TI  - Ensuring quality care in emergency.

PMID- 10241938
TI  - Employee attendance control: an integrated approach.

PMID- 10241940
TI  - Anomie.

PMID- 10241939
TI  - Small accounting computers in the hospital environment.

PMID- 10241941
TI  - Health minister replies to John Boyd's editorial on tropical diseases.

PMID- 10241942
TI  - Pre-operative assessment unit takes fear out of patient care.

PMID- 10241943
TI  - Nurses need to focus attention on expertise in operating room.

PMID- 10241945
TI  - Effective staff hiring calls for special skills.

PMID- 10241944
TI  - The operating room door is open.

PMID- 10241946
TI  - Put the health train back on the rails.

PMID- 10241947
TI  - Mathematical model used in forecasting maternity facilities needs.

PMID- 10241948
TI  - Newest engineering problem--specify silence.

PMID- 10241949
TI  - Financial impact studies: indicators of past three years can serve as development
      guide.

PMID- 10241950
TI  - Controlling food costs.

PMID- 10241952
TI  - Hospital debt: don't be trapped.

PMID- 10241951
TI  - Geriatrics and the health care system.

PMID- 10241953
TI  - Thoughts on the CAT.

PMID- 10241954
TI  - Old habits are hard to break.

PMID- 10241955
TI  - The G.I. procedures unit.

PMID- 10241956
TI  - Effective administrative hiring.

PMID- 10241957
TI  - Practical ways of handling paperwork.

PMID- 10241958
TI  - Planning for ambulatory care.

PMID- 10241959
TI  - Who says there are no more pioneers?

PMID- 10241960
TI  - In-service education and the use of consultants.

PMID- 10241962
TI  - Hospitals must live with continuing constraint.

PMID- 10241961
TI  - New legislation--and the unattended steam plant.

PMID- 10241963
TI  - Drug information--the pharmacist's contribution.

PMID- 10241964
TI  - Brockville hospital honors volunteers.

PMID- 10241965
TI  - Cash on the line.

PMID- 10241966
TI  - The effects of nursing home size and food on elderly residents.

PMID- 10241968
TI  - Performance appraisal--a participative approach.

PMID- 10241967
TI  - Women in management.

PMID- 10241969
TI  - Statements of intent in nursing service departments--how creditable are yours?

PMID- 10241970
TI  - Ontario launches hospital air ambulance service.

PMID- 10241971
TI  - Dated rituals don't check infection.

PMID- 10241972
TI  - Lalonde: time to change talk to action.

PMID- 10241974
TI  - When to hire a consultant.

PMID- 10241975
TI  - The role of a chaplain in crisis.

PMID- 10241973
TI  - A hospital that cares--in any language.

PMID- 10241976
TI  - Is science killing compassion?

PMID- 10241977
TI  - The Tokyo congress: the global challenge.

PMID- 10241978
TI  - Plan ahead for good material management.

PMID- 10241979
TI  - Taking the mystique out of M.M.: what it is...

PMID- 10241980
TI  - Computers in future of material management.

PMID- 10241981
TI  - How many beds is enough?

PMID- 10241982
TI  - Your hospital and drugs: a point by point guide to safety.

PMID- 10241983
TI  - The patient as therapist.

PMID- 10241985
TI  - Health council buffer not bureaucracy.

PMID- 10241984
TI  - Open your door--and let the poor p.r. man in.

PMID- 10241986
TI  - The provinces and capital equipment: Ontario.

PMID- 10241988
TI  - The provinces and capital equipment: Nova Scotia.

PMID- 10241987
TI  - The provinces and capital equipment: Saskatchewan.

PMID- 10241989
TI  - Quebec: how regional councils took over equipment purchases.

PMID- 10241990
TI  - Is there a case for leasing?

PMID- 10241991
TI  - Auditing your way to efficiency.

PMID- 10241993
TI  - Nurses need a high profile boss.

PMID- 10241992
TI  - Energy saving is a full-time job.

PMID- 10241994
TI  - Psychiatry and sensationalism.

PMID- 10241995
TI  - Aftermath of a shooting.

PMID- 10241996
TI  - File those misguided nursing complaints--under "b" for baloney.

PMID- 10241998
TI  - Using computer output microfilm to advantage.

PMID- 10241997
TI  - Emergency procedures criticized as citizens group urges change.

PMID- 10241999
TI  - Affecting the quality of life in America.

PMID- 10242000
TI  - Formal liaison between governing board and medical staff.

PMID- 10242001
TI  - Of counsel.

PMID- 10242002
TI  - Employee orientation is a whole new ball game.

PMID- 10242003
TI  - A clinical pharmacy program for the community hospital.

PMID- 10242004
TI  - Project C-E-A-S-E.

PMID- 10242005
TI  - On managing: committees can be effective.

PMID- 10242006
TI  - May hospital shared laundry services qualify for an exemption from the federal
      income tax?

PMID- 10242007
TI  - Do you feel a merit system of granting pay raises is feasible or desirable in
      today's economy and labor movement atmosphere?

PMID- 10242008
TI  - Memorial goes metric.

PMID- 10242009
TI  - Quiet hospital zone.

PMID- 10242011
TI  - What hospital planning is not!

PMID- 10242010
TI  - A Montana hospital implements roving admissions.

PMID- 10242012
TI  - Developing a hospital planning strategy.

PMID- 10242013
TI  - Energetics.

PMID- 10242014
TI  - On planning and design.

PMID- 10242015
TI  - What legislative steps are being taken to limit the size of damage recoveries
      against physicians for medical malpractice?

PMID- 10242016
TI  - Get out and speak!

PMID- 10242017
TI  - Valdez solves its pipeline influx.

PMID- 10242018
TI  - Get the most from your hospital publication.

PMID- 10242019
TI  - A unique plan for health education.

PMID- 10242021
TI  - Maximizing a company's service, training and technical capabilities.

PMID- 10242020
TI  - Planning a communications system.

PMID- 10242022
TI  - Must a hospital which does not extend "open end" credit comply with the new
      billing error provisions of the Fair Credit Billing Act?

PMID- 10242023
TI  - Managers can evaluate their own performance.

PMID- 10242024
TI  - On planning and design: the hospital's market.

PMID- 10242025
TI  - Computerized scanners: can shared facilities help cut costs?

PMID- 10242027
TI  - What is the best way for the Association of Western Hospitals to serve the
      hospitals in your state?

PMID- 10242026
TI  - Hospital pressure groups.

PMID- 10242029
TI  - On planning and design: how institutions can match their individual role to the
      new market for health care services.

PMID- 10242028
TI  - On managing: every hospital has a "climate".

PMID- 10242030
TI  - A hall of health.

PMID- 10242031
TI  - Developing a labor relations program.

PMID- 10242032
TI  - A case for hospital action.

PMID- 10242034
TI  - Total security: a "safe prescription" for hospitals.

PMID- 10242033
TI  - Western hospitals help "Operation Babylift".

PMID- 10242035
TI  - How good is your hospital security?

PMID- 10242036
TI  - The change in nurse education.

PMID- 10242037
TI  - Earthquake regulations: what do they mean to your hospital?

PMID- 10242038
TI  - A critical look at the motives for hospital mergers.

PMID- 10242039
TI  - How well are you watching your construction dollar?

PMID- 10242040
TI  - The project team one year later finds a hidden asset.

PMID- 10242041
TI  - The hospital engineer on the construction planning team.

PMID- 10242042
TI  - May hospitals legally require members of their medical staffs to carry
      professional liability insurance?

PMID- 10242043
TI  - Hospital labor turnover: separating myth from fact.

PMID- 10242044
TI  - The Alaska pipeline.

PMID- 10242045
TI  - Women vs. breast cancer.

PMID- 10242046
TI  - How Portland hospitals get their message to the public.

PMID- 10242047
TI  - How might a hospital obtain evidence of professional liability insurance coverage
      from applicants or members of its medical staff when such coverage is a condition
      of membership?

PMID- 10242048
TI  - The hospital-physician relationship: who has the responsibility?

PMID- 10242049
TI  - "A spoonful of humor ...".

PMID- 10242050
TI  - Warning! If you think your hospital will have enough fuel this winter ... you may
      be wrong.

PMID- 10242051
TI  - One of the world's great photographers talks about hospital photography.

PMID- 10242052
TI  - Presbyterian survives its malpractice crisis.

PMID- 10242053
TI  - The special world of health care economics.

PMID- 10242055
TI  - Group purchasing brings meat costs ... down.

PMID- 10242054
TI  - Is a physician who contracts with a hospital to provide administrative or
      professional services an employee of the hospital or an independent contractor?

PMID- 10242056
TI  - This hospital has an answer for people who can't drink.

PMID- 10242057
TI  - The hospital's future.

PMID- 10242058
TI  - A desperate struggle for a better life.

PMID- 10242059
TI  - Administrative crunch--what can hospitals do about it?

PMID- 10242060
TI  - On managing: what are your management information needs?

PMID- 10242061
TI  - What are the basic rules concerning disclosure of privileged medical information
      about patients?

PMID- 10242062
TI  - On planning and design: the emergency department market.

PMID- 10242063
TI  - Dealing with death.

PMID- 10242065
TI  - Hiring a consultant.

PMID- 10242066
TI  - On planning and design: new nursing units.

PMID- 10242064
TI  - Damn the planners ... full speed ahead??

PMID- 10242067
TI  - Should hospitals enter into prepaid health plans (HMO's)?

PMID- 10242068
TI  - What types of services are conducive to lower pharmacy costs for non-profit
      hospitals?

PMID- 10242069
TI  - On managing: allocation of effort is necessary to solve a hospital's management
      problems.

PMID- 10242070
TI  - Alternative birth center gives parents a new option.

PMID- 10242071
TI  - Is health care a right?

PMID- 10242072
TI  - Rural health care: problems and solutions.

PMID- 10242073
TI  - Hospital-based primary care group practice.

PMID- 10242074
TI  - What are the basic provisions of the National Health Planning and Resources Act?

PMID- 10242075
TI  - Do you feel the present system of reimbursement by third party payors is
      equitable?

PMID- 10242076
TI  - Rape: what your hospital can do to help.

PMID- 10242078
TI  - Case studies in cost containment.

PMID- 10242077
TI  - A planning process for rural health care.

PMID- 10242079
TI  - What is the most critical element a hospital faces in planning new construction?

PMID- 10242080
TI  - How can hospital-physician liability in medical malpractice cases be apportioned
      by agreement with plaintiffs?

PMID- 10242081
TI  - Achieving quality in hospital design.

PMID- 10242082
TI  - Constraints on construction.

PMID- 10242083
TI  - As a rural hospital administrator, what do you see as your hospital's greatest
      need?

PMID- 10242084
TI  - Do you need physicians?

PMID- 10242085
TI  - "How can I tell my hospital's story?".

PMID- 10242086
TI  - Are you really planning your hospital's future?

PMID- 10242088
TI  - On planning and design: Environmental Impact Report.

PMID- 10242087
TI  - What are the basic provisions of California's new "Right to Die Bill?".

PMID- 10242089
TI  - Do you feel a patient should have the "right to die"?

PMID- 10242090
TI  - Some opinions on rising health care costs.

PMID- 10242091
TI  - Survival planning.

PMID- 10242092
TI  - Dam bursts!

PMID- 10242093
TI  - Is advertising right?

PMID- 10242094
TI  - What is the proper procedure to be used in the preparation and further handling
      of hospital incident reports in order to protect them from discovery in lawsuits?

PMID- 10242095
TI  - The marketing game.

PMID- 10242096
TI  - Health fairs: are they worth the effort?

PMID- 10242097
TI  - Nursing shortage, turnover and some proposed solutions.

PMID- 10242098
TI  - Nursing shortage: a question of numbers or of management?

PMID- 10242099
TI  - Family practice residency in a community hospital.

PMID- 10242100
TI  - What in your mind needs to be done to alleviate the nursing shortage problem?

PMID- 10242101
TI  - At the frontier of management: hospital administration in the 80s.

PMID- 10242102
TI  - Surgeon a clue in puzzle of unusual outbreak.

PMID- 10242103
TI  - CDC expert gives handwashing tips.

PMID- 10242104
TI  - The surgical scrub: why, how, what.

PMID- 10242105
TI  - Infection control challenges in the recovery room.

PMID- 10242106
TI  - Expert unlocks O.R. doors for infection controllers.

PMID- 10242107
TI  - Steam sterilisers.

PMID- 10242108
TI  - The development and training of health care engineers.

PMID- 10242109
TI  - Engineering building services for nucleus hospitals.

PMID- 10242110
TI  - Industrial relations--putting discipline into perspective.

PMID- 10242112
TI  - Technique of safety inspection.

PMID- 10242111
TI  - Guidance to good boilerhouse practice and management.

PMID- 10242113
TI  - The relationship between the design process and maintenance practice.

PMID- 10242114
TI  - Multi-professional planning and design teams, problems and possibilities.

PMID- 10242115
TI  - Report to Greater New York Hospital Association on the blackout of July 13-14,
      1977.

PMID- 10242116
TI  - A view of hospital engineering from Lisbon.

PMID- 10242117
TI  - Increasing efficiency in UR.

PMID- 10242118
TI  - Education is key to successful audits.

PMID- 10242119
TI  - Survey leads to antibiotic use audit in pediatric facility.

PMID- 10242120
TI  - Death scare stalls X-ray criteria.

PMID- 10242121
TI  - Attitudes toward work, leisure and the four day workweek.

PMID- 10242122
TI  - Regression models of emergency medical service demand for different types of
      emergencies.
AB  - Second-order statistical regression models are developed for the rates of demand
      for different types of emergency medical services (EMS) as they relate to various
      socioeconomic, demographic, and other characteristics of a service area. The
      model parameters are estimated by the recent technique of ridge regression, which
      is shown to provide superior estimates to those of the ordinary least squares
      regression method, because of the presence of substantial multicollinearity
      (nonorthogonality) in the exogenous data set. The ridge results are also compared
      with those derived from a related Bayesian approach. The resulting models provide
      substantial fits to the empirical data for the EMS system of the city of Atlanta,
      GA.

PMID- 10242124
TI  - Not hospital, not home: partial care fills a gap.

PMID- 10242123
TI  - When 'min' means more.

PMID- 10242125
TI  - Remodeling project brings unexpected results.

PMID- 10242126
TI  - Learning to manage assaultive behavior.

PMID- 10242128
TI  - Some key issues in starting a hospice.

PMID- 10242127
TI  - Hospice: a new mode of health care.

PMID- 10242129
TI  - States moving to allow generic substitution.

PMID- 10242130
TI  - The Society's position on generics.

PMID- 10242131
TI  - Generic vs. brand name drugs--patients, pharmacists, physicians: caught in the
      middle.

PMID- 10242132
TI  - Use of generics will mean cost savings.

PMID- 10242133
TI  - Generic vs. brand name drugs--quality, not cost, is key issue.

PMID- 10242134
TI  - Health education with patients in hospital.

PMID- 10242135
TI  - Hypothermia in the elderly.

PMID- 10242136
TI  - The role of the general practice pharmacist in health education and health
      maintenance.

PMID- 10242137
TI  - Systems development: trends, issues and implications.
AB  - Integrated systems are developing and growing in the U.S. health care industry.
      This phenomenon has many implications for health care institutions, communities
      and health care consumers across the country.

PMID- 10242138
TI  - Marketing by hospitals: myths and realities.
AB  - Is marketing by hospitals myth or reality? This article explores five myths of
      marketing as well as examines the perceptions of hospital administrators
      concerning the appropriateness of a number of marketing techniques. The opinions
      of these administrators indicate several opportunities for expanding the
      usefulness of marketing by hospitals.

PMID- 10242140
TI  - [Guidelines to productivity bargaining in the health care industry].
AB  - A potential conflict exists between the recent growth of unionization in the
      health care industry and management efforts to increase productivity. One method
      of managing this conflict is to link employee rewards to employee productivity
      through productivity bargaining.

PMID- 10242139
TI  - Legal and financial constraints on the development and growth of multiple
      hospital arrangements.
AB  - Health planning legislation strongly encourages a wide variety of multiple
      hospital arrangements. However, public policy either prohibits or discourages the
      same multiple hospital arrangements encouraged in the health planning efforts.
      This article identifies the issues and implications of the seemingly contrary and
      inconsistent policies.

PMID- 10242141
TI  - The health care manager's role in promoting change.
AB  - In change theory the support of an institution's top management is necessary in
      order for planned change to be successful. However, there are many forces
      inhibiting administrators from providing this support. Three options are
      available to resolve this dilemma.

PMID- 10242142
TI  - HCMR interview: Siegfried Wilfling.

PMID- 10242143
TI  - Mandated long-range planning for hospitals--where is it going and why?
AB  - Massachusetts has instituted mandated long-range planning for hospitals. The
      system is helping the state better control program development and hospital
      costs, and better meet the health needs of Massachusetts residents.

PMID- 10242144
TI  - A hospital self-insurance program: employee medical benefits.
AB  - Many hospitals have explored self-insurance to help keep insurance costs down for
      medical malpractice and workmen's compensation. Before leaping to adopt this new
      approach, however, a hospital must analyze its its advantages and disadvantages,
      variables affecting program costs and ways to quantify the risks.

PMID- 10242145
TI  - Faculty/staff contracts: an alternative for academic medical centers.
AB  - Contracts such as those at Rush Medical College can help management set goals and
      evaluate progress, especially in manpower planning.

PMID- 10242146
TI  - Computerized cash management: the new frontier.
AB  - Because cash management in a hospital is more complicated today than it was ten
      years ago, the finanical manager needs a computerized cash management system to
      help assess cash resources and control cash demands.

PMID- 10242147
TI  - Point of view: ring around the rosie.
AB  - While national strategies have been designed to reduce the number of unnecessary
      health care services and improve the availability of existing ones, the
      overriding conclusion is that a comprehensive, coordinated national health policy
      which is effective in improving the health of the population does not exist.

PMID- 10242148
TI  - Beyond dirty linen: linen use management as an innovative asset.
AB  - Because linen is an item used by virtually every inpatient in the hospital,
      hospital administrators will find that if they provide laundry managers an
      appropriate data base, they can motivate them to a larger role of linen use
      managers.

PMID- 10242149
TI  - Needed: leadership in health administration...grassroots and national?

PMID- 10242150
TI  - Cost reimbursement and price competition in the hospital industry.
AB  - Examination of price trends from 1935-1966 shows that medical care prices in the
      United States have not always been disproportionately high. With the enactment of
      Medicare and Medicaid, however, many health care costs became overpriced.

PMID- 10242151
TI  - The hospital census problem: ways to fill hospital beds.
AB  - Excessive hospital capacity has created a fierce competition in the hospital
      industry. Any hospital within an area which becomes economically healthier
      through increase in the number of hospital beds filled, does so only at the
      expense of another.

PMID- 10242152
TI  - Cost control challenge for hospitals.
AB  - Future management decisions in hospitals will be made under some cost containment
      program. Thus many hospital administrators will face the challenge of reducing
      the rate of increase in hospital expenditures without reducing the quality of
      care.

PMID- 10242153
TI  - Linking physicians, hospital management, cost containment and better medical
      care.
AB  - The cure for cost escalation in hospitals may be a lot worse than the disease,
      not only for patients, but also for hospital staff, managers, legislators and the
      general public.

PMID- 10242154
TI  - HCMR interview: Gary Filerman.

PMID- 10242155
TI  - Complex move tests hospital.

PMID- 10242156
TI  - How to fight child abuse.

PMID- 10242158
TI  - Guidelines for barrier teams.

PMID- 10242157
TI  - The information revolution...

PMID- 10242159
TI  - The rationale behind mergers.

PMID- 10242160
TI  - Doctor fights appointment system.

PMID- 10242161
TI  - Electronic fetal monitoring.

PMID- 10242162
TI  - Nurses' Network formed.

PMID- 10242163
TI  - Maintenance control: it works!

PMID- 10242164
TI  - Every hospital should have an investment policy.

PMID- 10242165
TI  - Negotiate the best price: getting tough with vendors.

PMID- 10242167
TI  - Gross A/R: no management measure.

PMID- 10242166
TI  - Accounting for leases.

PMID- 10242168
TI  - A modest proposal: containing costs through regional funding.

PMID- 10242169
TI  - Paperwork can be cut!

PMID- 10242170
TI  - Internal control: how do hospitals, industry compare?

PMID- 10242171
TI  - Cost counsel: questions about price increases.

PMID- 10242172
TI  - Payment patterns: credit and collection activities.

PMID- 10242173
TI  - Contract defines provider-based physician payment methods.

PMID- 10242174
TI  - User specifications--forgotten first step.

PMID- 10242175
TI  - Data & time sharing: ideal environment for small user.

PMID- 10242176
TI  - Can you afford not to have replacement cost insurance?

PMID- 10242177
TI  - 4 cost-finding methods: which one is best?

PMID- 10242178
TI  - Forecasting utilization in a merged hospital.

PMID- 10242179
TI  - Overbedding: a view close to home.

PMID- 10242180
TI  - Payment patterns: receivables indicators.

PMID- 10242181
TI  - Hospital Financial Management Association: constitution.

PMID- 10242182
TI  - Cost counsel: Christ Hospital and Good Samaritan Hospital.

PMID- 10242183
TI  - Building a career ladder for support personnel.

PMID- 10242184
TI  - Net income CAP could contain costs.

PMID- 10242185
TI  - Putting an end to dead-end jobs.

PMID- 10242187
TI  - Your span of control.

PMID- 10242186
TI  - Special program meets special needs.

PMID- 10242188
TI  - They have it their way.

PMID- 10242190
TI  - Be prepared--with a plan.

PMID- 10242189
TI  - Beating boredom.

PMID- 10242191
TI  - Night-shift safety.

PMID- 10242192
TI  - Savings through simplification.

PMID- 10242193
TI  - The care and feeding of your authority.

PMID- 10242195
TI  - A commonsense approach to CME organization.
AB  - One of the functions of community hospitals is to provide continuing medical
      education programs for their staff physicians. Variety of purpose, medical staff
      characteristics, limited funds, and decentralized decision making are all factors
      that should be taken into consideration as a hospital organizes a CME program. In
      turn, it is helpful to consider these factors in light of certain principles of
      organization, such as avoiding duplication and overlap of functions, fixing
      responsibility and authority, and establishing uniform methods and procedures
      where appropriate.

PMID- 10242194
TI  - Turnover or turnaround?

PMID- 10242196
TI  - TB testing for hospital employees: new recommendations.
AB  - Addressing a problem that has become apparent as tuberculin skin testing is used
      more frequently in hospital employee programs, the Tuberculosis Control Division
      of the Center for Disease Control conducted a study on the booster phenomenon. As
      a result of this study, a new testing procedure is recommended that will minimize
      this factor, and thus allow more certainty that a conversion signifies a new
      infection.

PMID- 10242197
TI  - Audit system upgrades performance, downplays discipline.
AB  - A common problem of medical audit programs is effectively correcting problems
      identified in an audit. A physician may ignore a letter from the audit committee,
      and because many of the problems deserve attention but are not life threatening,
      the medical staff hesitates to use disciplinary actions. This audit program
      offers a physician educational corrective actions without notation on his record.
      Disciplinary measures are invoked by the medical staff bylaws only if the
      physician refuses or fails the educational route.

PMID- 10242199
TI  - The P&T committee and drug use review.

PMID- 10242198
TI  - Cost of cardiopulmonary resuscitation.

PMID- 10242200
TI  - Does your committee pass the McNemar test? .

PMID- 10242201
TI  - Re-evaluating returned drugs.

PMID- 10242202
TI  - I.V. admixture profiling: a simple system.
AB  - The description of an I.V. admixture profile form is presented. Detailed
      information on the mechanisms of using this form, as well as the advantages of
      the profiling system, are delineated. Several examples are illustrated for
      thorough understanding of the system. The authors conclude that the system
      affords a simple, accurate, and flexible profiling system which can be utilized
      in hospital I.V. admixture programs of various sizes. The profiling system
      provides for a mechanism of clinical involvement as well as for quality assurance
      assessment.

PMID- 10242203
TI  - A protocol for medication error reporting in hospitals.

PMID- 10242204
TI  - Quality assurance in I.V. admixture programs.

PMID- 10242205
TI  - Pharmacy involvement in a multidisciplinary diabetic teaching program.
AB  - The following article describes a method of developing a workable diabetic
      teaching program within a hospital setting. Emphasis is placed on involving other
      health professionals with expertise in their respective areas. Development of
      behavioral and learning objectives along with learning activities and methods of
      evaluation are discussed. The purposes of this program are: 1) to reduce the
      overlap in educational instructions given to patients with diabetes, and 2) to
      remove the problem of an unorganized patient education effort by placing such
      patients into a structured learning situation in which they feel comfortable and
      which is conducive to learning. This program has proved successful and provides a
      viable means of involving staff pharmacists with patients. It has taken a minimal
      amount of time and did not necessitate an increase in our staff.

PMID- 10242206
TI  - On-line serials collection analysis.
AB  - A design for an on-line serials decision-making and collection analysis system is
      proposed. It is composed of four basic components: citation data, conventional
      serial records data, utility/cost ratio compilation and journal ranking
      techniques, and user interface software. The system would have the ability to
      respond specifically to user interest profiles and to integrate locally generated
      data. It is postulated that such a system is capable of satisfactorily resolving
      the major criticisms of the use of citation data for selection purposes: that
      libraries are diverse in their interests and that no aggregate list can be more
      than generally relevant; that the inclusion of cost data is essential and that
      citation ranking without regard to cost can be misleading; and that other
      relevant data should be considered as well.

PMID- 10242207
TI  - Implementation of allied health careers for the deaf at the Rochester Institute
      of Technology.
AB  - The National Technical Institute for the Deaf (NTID) at the Rochester Institute
      of Technology (RIT) offers allied health programs for the deaf under the auspices
      of the School of Health Related Professions at RIT. The educational goals of NTID
      are achieved through use of a unique curriculum process model. This model
      analyzes the need/justification of new curricular options, outlines developmental
      and design stages of the curriculum and ensures the continued viability of the
      curriculum through ongoing maintenance and evaluation. Extensive training
      programs for potential employeers and supervisors of deaf graduates are provided
      each year. Apprehension regarding difficulties in communicating with deaf persons
      is significantly reduced through these training experiences. Specialized support
      services such as interpreters, note-takers, tutors and educational specialists
      assist deaf students who cross-register into integrated deaf/hearing programs in
      the other colleges of RIT.

PMID- 10242208
TI  - Overseas careers in allied health professions.
AB  - As the allied health services gain recognition in other countries, an increasing
      number of overseas positions are becoming available to American professionals.
      There is considerable confusion as to the realities of international employment.
      This article provides information intended to guide persons who might be
      interested in careers abroad.

PMID- 10242209
TI  - Educational accreditation in medical and other health fields.

PMID- 10242210
TI  - An automated admissions system for allied health schools.
AB  - An automated system for admissions of allied health students was developed to
      facilitate the progress of admissions for applicants to the programs of study at
      the State University of New York at Buffalo. The data collection process has
      removed the tedious clerical functions of admissions from the faculty. Summary
      information is provided for each applicant in the form and at the time each
      program requests it. Data will be retained as a base for a student information
      system. Information retrieval and research capability is enhanced.

PMID- 10242211
TI  - A career mobility option within a university integrated medical technology
      program.
AB  - Career mobility has become an increasingly important movement influencing the
      education of allied health professionals in recent years. With the advent of
      intermediate levels of professionals in several allied health fields, career
      mobility can facilitate the advancement of careers for many of these health
      professionals.

PMID- 10242212
TI  - Helping a child in the hospital: a father's story.

PMID- 10242213
TI  - Hospitalization enhances creativity.

PMID- 10242214
TI  - Pediatric schoolroom--an oasis of normalcy.

PMID- 10242215
TI  - Danish child life specialists organize for common concerns.

PMID- 10242216
TI  - Play techniques for helping preschool children under stress.

PMID- 10242217
TI  - The Minnesota developmental programming system: its history and application in
      ICF/MRs & SNFs.

PMID- 10242218
TI  - Home health care: its utilization, costs, and reimbursement.

PMID- 10242219
TI  - State deinstitutionalization study.

PMID- 10242220
TI  - A survey of clinical practice in music therapy. Part II: Clinical practice,
      educational, and clinical training.
AB  - Part II of the clinical practice survey is concerned with the amount and quality
      of equipment available to music therapists, length of activity sessions,
      accountability procedures, patient or client referral sources, scheduling
      procedures, communication with other professionals, and the status of music
      therapy in institutions. Additional data include ratings of music therapy
      education and clinical training experiences, the master's degree in music
      therapy, and opinions concerning NAMT registration for music educators working in
      special education.

PMID- 10242221
TI  - Allocation of doctors to health centres in Haryana state of India--a case study.
AB  - Medical Administrators are usually confronted with the problem of determining the
      number of doctors to be posted at different health centres within their
      jurisdiction. In India the number of doctors allocated to a health centre is
      normally decided without any proper study of the health needs of the area served
      by the centre. In certain areas the number of doctors posted is considerably
      different from the requirement of the area. Also, in certain health centres
      situated in villages lacking in modern amenities, absenteeism among doctors poses
      a very serious problem in day to day running of the health centres. The problem
      of allocation is formulated and a heuristic method is suggested for determining
      the optimum number of doctors to be posted at each health centre in order to
      maximise the number of patients seen by the doctor per day. The heuristic method
      is applied to nine health centres of Haryana state of India in order to
      demonstrate the potential benefits.

PMID- 10242222
TI  - Analysis of hospital capital decision alternatives: a priority assignment model.
AB  - In the not-for-profit sector in general and in the hospital industry in
      particular, the systematic analysis of capital decision alternatives is often not
      attempted because those decision making criteria which do not have objective
      measures, but for which judgments must be rendered, are not explicitly integrated
      into the analysis of decision alternatives. Rather, judgments on these criteria
      enter the decision making process in some vague manner after an attempt has been
      made to develop a quantitative profile for each of the decision alternatives. The
      purpose of this paper is to examine a priority assignment model which (1) uses
      judgmental transitivity as a measure of the quality of the judgments rendered,
      and (2) provides for the mathematical integration of the quality adjusted
      judgmental information into the development of priority weights. Various
      operational aspects of the model are examined and illustrated and an example of
      its application provided.

PMID- 10242223
TI  - Pastoral care in breast cancer management.

PMID- 10242224
TI  - Art therapy and the hospital chaplaincy: a new partnership.

PMID- 10242225
TI  - The place of worship in a therapeutic milieu setting.

PMID- 10242226
TI  - From hospital chaplaincy to wholistic health center.

PMID- 10242227
TI  - Wholistic health and pastoral counseling.

PMID- 10242228
TI  - Pricing, insurance and the National Health Service.
AB  - Since the birth of the National Health Service in 1948 there have been periodic
      discussions of the potential role of pricing and insurance in the United Kingdom
      health care system. This article is concerned with discussing the problems
      inherent in these mechanisms and it advocates more careful articulation of the
      cost and benefits of such policies. The first section gives a description of some
      quite recent proposals to extend the role of the pricing and insurance mechanisms
      which have been made by the British Medical Association and the McKinsey
      consultancy company. The second section uses economic analysis to show that both
      the pricing and the insurance mechanisms have inherent problems which may vitiate
      their efficiency in many western health care markets. The third section is
      concerned with the mechanisms by which the efficiency of the health care system
      can be improved, and radical experimentation is advocated. Without radical
      experimentation and the implementation of suitable incentive systems,
      inefficiency and inequality will continue in the National Health Service.

PMID- 10242229
TI  - Closing the loop: a critical assessment of the role of evaluation in the federal
      bureaucracy.

PMID- 10242230
TI  - Labor law and nonprofit organizations.

PMID- 10242231
TI  - Sex, salaries, and library support.

PMID- 10242232
TI  - Why inservice education.

PMID- 10242233
TI  - Family decision-making styles and their relationship towards institutionalizing
      the aged.

PMID- 10242234
TI  - Aging in America: the future is now.

PMID- 10242235
TI  - The therapeutic impact of listening.

PMID- 10242236
TI  - The day care center: an alternative to institutionalization of the elderly.

PMID- 10242238
TI  - The geriatric patient is more than an aged person.

PMID- 10242237
TI  - Health care as a public utility.

PMID- 10242239
TI  - Psychological adaptation in old age.

PMID- 10242240
TI  - An introduction to applied gerontology.

PMID- 10242241
TI  - Training of aides to the elderly.

PMID- 10242242
TI  - Health/medical reporting in the popular press: reporters and sources.

PMID- 10242243
TI  - The effect of three group dynamics treatments on nursing home residents.

PMID- 10242244
TI  - Through "caring" and job restructuring older employees obtain excellent record in
      attendance, safety and health.

PMID- 10242245
TI  - Who belongs in a nursing home?

PMID- 10242247
TI  - The elderly's perceptions of old people: implications for practice.

PMID- 10242246
TI  - The role of informal norms in determining institutional totality in homes for the
      aged.

PMID- 10242248
TI  - Quality care in institutions for the aged: research and practice perspectives.

PMID- 10242250
TI  - Suicide in the elderly: can it be prevented?

PMID- 10242249
TI  - Developing work group satisfaction: the influence of teams, team work and the
      team approach.

PMID- 10242251
TI  - Suicide after sixty.

PMID- 10242252
TI  - Protecting your family and friends from suicide.

PMID- 10242253
TI  - Establishing the cessation of life.

PMID- 10242254
TI  - Ontario's Mental Health (Amendment) Act 1978.

PMID- 10242255
TI  - Society and freedom.

PMID- 10242256
TI  - Note: Saskatchewan Psychiatric Centre.

PMID- 10242257
TI  - Involuntary committal: a medico-socio-legal problem.

PMID- 10242258
TI  - Laundry manager tells of switch from disposables to reusables.

PMID- 10242259
TI  - Consultant: care and concern for employees yield productive plant.

PMID- 10242260
TI  - Financial planning--an organizational commitment.

PMID- 10242261
TI  - Time of service, computer-generated statements/insurance forms.

PMID- 10242263
TI  - Burns Medical Center, P.C.

PMID- 10242262
TI  - Writing the professional resume.

PMID- 10242264
TI  - Instant bill--it's arrived.

PMID- 10242265
TI  - A perspective on group practice administration.

PMID- 10242266
TI  - Little tricks your colleagues use to cut health costs.

PMID- 10242267
TI  - FPs vs. OBGs: a battle over babies.

PMID- 10242268
TI  - Arizona's patient data system: expanding services with small computers.

PMID- 10242269
TI  - Research--whose responsibility is it?

PMID- 10242270
TI  - Review and verification of roles and functions of medical record personnel.

PMID- 10242271
TI  - Nigerians travel far to study medical records.

PMID- 10242272
TI  - MRA students attack image problem.

PMID- 10242273
TI  - Combatting the discharge data reliability problem.

PMID- 10242274
TI  - ICD, modified: Chapter 11 of ICD-9-CM, Pregnancy, Childbirth and Puerperium.

PMID- 10242275
TI  - Requisites of primary health worker.

PMID- 10242276
TI  - The Industrial Disputes Act and hospital management.

PMID- 10242278
TI  - Hospital for rural common man.

PMID- 10242277
TI  - The national schemes for rural health services.

PMID- 10242279
TI  - GAO report advises hospitals to capitalize on competition.

PMID- 10242280
TI  - Hospitals could be buried under hazardous waste rules.

PMID- 10242281
TI  - Forces and direction of drug product selection legislation.

PMID- 10242282
TI  - U.S. medical students at foreign schools: coming home.

PMID- 10242283
TI  - New HEW loan policy perils 'other' schools.

PMID- 10242284
TI  - Women physicians.

PMID- 10242285
TI  - Colorado reprieves cost panel accused of hospital squeeze.

PMID- 10242286
TI  - Informing patients about drugs: a wrong way and a right way.

PMID- 10242287
TI  - Medical education: state of siege.

PMID- 10242288
TI  - Physicians bring special talents to trusteeship.

PMID- 10242289
TI  - Toward building effective governance in a multi-hospital system.

PMID- 10242290
TI  - New Detroit assists--hospital boards should reflect the total community.

PMID- 10242291
TI  - Trusteeship: a serious responsibility.

PMID- 10242292
TI  - 30 years on ...

PMID- 10242293
TI  - An open letter to Michigan hospital trustees: can we be healthy survivors?

PMID- 10242295
TI  - State of the art...emergency lighting.

PMID- 10242294
TI  - The board of trustees must take positions on the front line.

PMID- 10242296
TI  - Sidelights to...emergency lighting.

PMID- 10242297
TI  - Kennedy NHI sets broad insurer role.

PMID- 10242299
TI  - Most satisfied with health care: HII.

PMID- 10242298
TI  - Main points of Kennedy national health care plan.

PMID- 10242300
TI  - Hospital cost control plan the wrong idea: Chase study.

PMID- 10242301
TI  - HII survey shows general satisfaction with health care.

PMID- 10242302
TI  - Businesses take an active role in health care policy making.

PMID- 10242303
TI  - The change-makers.

PMID- 10242304
TI  - Job stress and employee behaviors.
AB  - The relationship between four job stresses (role ambiguity, role overload,
      underutilization of skills, and resource inadequacy) and two employee withdrawal
      behaviors (absenteeism and turnover) was investigated. The joint prediction of
      employee withdrawal from measures of job stress and selected backgroundd
      variables was also investigated. Data were obtained regarding 651 employees in
      five organizations through personal interviews and company records. Analysis
      indicated that job stress is related to employee withdrawal behaviors, that
      prediction of subsequent behaviors is stronger than prediction of prior
      behaviors, and that the predictive power of job stress and background variables
      taken together is as strong as, or stronger than, the predictive power of
      background variables alone. Confidence in the strength of the findings is
      enhanced by the use of multiple data sources and multiple data points.

PMID- 10242305
TI  - Crisis in the big apple.

PMID- 10242306
TI  - Consensus standards: the pathologist's perspective.

PMID- 10242307
TI  - So a laboratory computer system sounds like a good idea?

PMID- 10242308
TI  - Contracting for a laboratory computer system.

PMID- 10242309
TI  - An economist talks back to the regulators. Interview by Dana S. Wickware.

PMID- 10242310
TI  - Development of randomized patient education experiments with urban poor
      hypertensives.

PMID- 10242311
TI  - The health team in primal community: a new context for community medicine.

PMID- 10242312
TI  - Improper prescription instructions: a factor in patient compliance.

PMID- 10242313
TI  - The hows and whys of team building.

PMID- 10242315
TI  - Conflict in the work place and how to manage it.

PMID- 10242314
TI  - Creative decision making and the organization.

PMID- 10242316
TI  - Exit interview: a tool for personnel development.

PMID- 10242317
TI  - Dynamics and hazards of MBO application.

PMID- 10242318
TI  - Does your MBO program include clear performance contracts?

PMID- 10242319
TI  - The irony of the job satisfaction of females.

PMID- 10242320
TI  - The troubled employee: whose responsibility?

PMID- 10242321
TI  - How much is absenteeism costing your organization?

PMID- 10242322
TI  - Guidelines for stress management and life style changes.

PMID- 10242323
TI  - Effective use of communication to minimize employee stress.

PMID- 10242324
TI  - How practical planning created this functional pharmacy.

PMID- 10242325
TI  - Clinical pharmacy: how we can go backward and move ahead.

PMID- 10242326
TI  - A psychiatrist analyzes the relationships among doctors, pharmacists, and
      patients.

PMID- 10242327
TI  - How a computer helps 4 pharmacists directly supervise Rx filling in S.C. naval
      hospital.

PMID- 10242328
TI  - Understanding motivation through effective listening.

PMID- 10242329
TI  - Budgeting: an aid to planning, communication & control.

PMID- 10242330
TI  - Hazardous wastes disposal.

PMID- 10242331
TI  - Patients tell what they think of doctors.

PMID- 10242332
TI  - A fresh approach to research at the American Hospital Association: the HRET/AHA
      operating strategy.

PMID- 10242333
TI  - Health services management in the health administration curriculum: implications
      of using the report of the AUPHA Curriculum Task Force on Administration.

PMID- 10242335
TI  - Implementing the practitioner/teacher role in graduate education for health
      administration.

PMID- 10242334
TI  - Management development: a new challenge.

PMID- 10242336
TI  - A case study: deciding to buy a word processor.

PMID- 10242337
TI  - Information given to dying must meet adequacy tests.

PMID- 10242338
TI  - Administrator calls for hospice evaluation.

PMID- 10242339
TI  - Planning: the manager's key to success.

PMID- 10242341
TI  - Physician response rates to mail and personal interview surveys.
AB  - This paper reports the outcome of a randomized experiment, sponsored by the Food
      and Drug Administration, which compares mail and personal administration of a 12
      page questionnaire dealing with physician antibiotic prescription practices. To
      overcome the barrier created by the lack of clearly defined and accepted
      definitions of survey outcomes, the authors introduce six concepts for describing
      and comparing survey outcomes. Overall, mail surveys appear to require less time,
      to be less costly, and to generate higher response rates than equivalent personal
      contacts. The report describes methods for gaining maximum benefit from the mail
      technique.

PMID- 10242340
TI  - Trends in attitudes toward abortion: 1972-1976.
AB  - Trends in attitudes toward abortion are examined over the 1972-1976 period. While
      an overall tendency of more liberal attitudes is noted, important differences
      over time are apparent by gender, education, occupational prestige, and
      religiosity.

PMID- 10242342
TI  - Government health policy and hospital labor costs: the effects of wage and price
      controls on hospital wage rates and employment.
AB  - This study examines the rapid growth of hospital wage rates and employment levels
      over the past decade, with particular attention to the period 1971-73, when wage
      and price controls were in effect throughout the economy. The analysis shows that
      the hospital regulations under the Economic Stabilization Program reduced real
      hospital wages below what they would have been in the absence of controls; a
      similar but smaller effect of the controls on hospital employment levels is also
      shown. This suggests that if the current HEW proposal for hospital cost
      containment is enacted, its impact would be a significant decrease in the rate of
      growth of hospital wages and employment.

PMID- 10242343
TI  - Physicians as gatekeepers: illness certification as a rationing device.
AB  - Illness or disability is often used as an eligibility criterion by public
      programs that distribute money, services, privileges, and exemptions. Physicians
      then play a central role in the allocation process. But physicians are caught
      between a large pool of applicants who want some benefit, on the one hand, and an
      organization with limited resources to distribute, on the other hand. Three
      conflicts are engendered in this gatekeeping role: the tension between trusting
      and mistrusting information provided by the patient, the tension between erring
      on the false positive side and the false negative side in diagnostic decision
      making, and the tension between doing everything possible for each patient and
      allocating limited resources among several needy clients. Several non-medical
      factors influence the ultimate outcome of this allocation process, which, in
      theory, rests on clinical decision-making: the specificity and restrictiveness of
      the formal definitions of illness and disability used by a program; the structure
      of the determination process; the overall policy of the organization on
      distribution of benefits; and the ability of the organization to use
      administrative review, direct incentives, and written standards to control the
      certifying behavior of physicians.

PMID- 10242344
TI  - Generic drug equivalents: opening Pandora's Rx.

PMID- 10242345
TI  - Curing hospital costs by decree.

PMID- 10242346
TI  - The evolution of critical care medicine.

PMID- 10242347
TI  - Maintenance hemodialysis: how to help patients cope.

PMID- 10242348
TI  - Criteria for purchasing capital equipment.

PMID- 10242350
TI  - Freestanding facilities list top ten procedures.

PMID- 10242349
TI  - Taking the "social" out of security.

PMID- 10242351
TI  - Insurance may block recognition of freestanding units.

PMID- 10242352
TI  - Cost, attitude point to office surgery.

PMID- 10242353
TI  - Where does the responsibility lie for providing postoperative instructions to
      patients having same-day surgery?

PMID- 10242354
TI  - Hospital sponsors freestanding unit.

PMID- 10242355
TI  - The influence of parental attitudes on psychiatric treatment outcome.

PMID- 10242356
TI  - Madness and work: short- and long-term effects of mental illness on occupational
      careers.
AB  - This study assesses the impact of mental illness on occupational careers. Thirty
      six married men who first entered mental hospitals in the 1950s were followed up
      in 1972 and eighteen men who were first hospitalized in 1973-74 were interviewed.
      Their histories reveal the importance of the development of competence in the
      work role prior to the onset of mental illness. Those who were able to develop
      competence were likely to retain their jobs through the initial episode of
      illness and to remain occupationally stable in the ensuing years even in the face
      of persistent symptomatology. The data are interpreted as evidence that the
      label, "mental patient," does not constitute a master status and in and of itself
      does not significantly affect occupational careers.

PMID- 10242357
TI  - Racial differences in infant mortality rates: United States, 1969.
AB  - Using multiple regression analyses, we measured the effects of demographic,
      health, and socioeconomic variables on race-specific neonatal and postneonatal
      infant mortality rates. The racial difference in rates in 1969 is due to (1)
      effects of mean differences in black and white population characteristics, (2)
      differences in the impact of independent variables, and (3) differences from
      other causes. Higher black than white infant mortality is the result of
      unfavorable black means on birthweight, age of mothers at birth, education, and
      marital stability. Black mortality is also higher because mothers' age at birth,
      marital stability, and education have more favorable impact on mortality for
      whites than blacks.

PMID- 10242358
TI  - Smoke detection: part of complete building system.

PMID- 10242359
TI  - Sprinkler standard revisions alter system requirements.

PMID- 10242360
TI  - Energy-integrated multi-purpose sprinkler system.

PMID- 10242362
TI  - Life cycle costing: problem solver for engineers.

PMID- 10242361
TI  - Plastic pipe in sprinkler systems.

PMID- 10242363
TI  - SE digs into governmental red tape.

PMID- 10242364
TI  - A calculated guide for selecting stand-by batteries.

PMID- 10242365
TI  - Overcoming the criterion problem in the evaluation of library performance.

PMID- 10242366
TI  - Search for ideal equipment for food service led to pellet system.

PMID- 10242367
TI  - Baylor commended for improvement of neighborhood.

PMID- 10242368
TI  - Mentally retarded people and the law: preface.

PMID- 10242369
TI  - Mentally retarded people and the law: introduction.

PMID- 10242370
TI  - The new clients: legal services for mentally retarded persons.

PMID- 10242371
TI  - The law and mentally retarded people: an uncertain future.

PMID- 10242372
TI  - The silent clients: legal and ethical considerations in representing severely and
      profoundly retarded individuals.

PMID- 10242373
TI  - Health planning and deinstitutionalization: advocacy within the administrative
      process.

PMID- 10242374
TI  - Anti-institutionalization: the promise of the Pennhurst case.

PMID- 10242375
TI  - Unnecessary coercion: an end to involuntary civil commitment of retarded persons.

PMID- 10242376
TI  - "A sanctuary for people": strategies for overcoming zoning restrictions on
      community homes for retarded persons.

PMID- 10242378
TI  - Organizational change: how to understand it and deal with it.

PMID- 10242377
TI  - Government regulations: no end in sight.

PMID- 10242379
TI  - Remember these dos and don'ts of questionnaire design.

PMID- 10242380
TI  - It's time you considered pre-retirement training!

PMID- 10242381
TI  - National Energy Act--the hospitals program.

PMID- 10242382
TI  - Of interest to smaller hospitals: programs to contain the rate of hospital cost
      increases.

PMID- 10242383
TI  - PR ideas worth rustlin': getting your employees out of the doldrums.

PMID- 10242384
TI  - Legal angle: medical powers of attorney.

PMID- 10242385
TI  - Health issues pending in congress.

PMID- 10242386
TI  - Patient coordinator program.

PMID- 10242387
TI  - The blind person as a hospital employee.

PMID- 10242388
TI  - Educators in action: education in the discharge planning process.

PMID- 10242389
TI  - Life flight expansion.

PMID- 10242391
TI  - A follow-up analysis: Texas Health Facilities Commission application costs.

PMID- 10242390
TI  - Of interest to smaller hospitals: attracting qualified personnel.

PMID- 10242392
TI  - Photo ID reassures patients.

PMID- 10242393
TI  - Do you know what it is really costing your hospital to furnish copies of medical
      records to insurance companies, attorneys and other requestors?

PMID- 10242394
TI  - What trustees can--and can't--do about hospital costs.
AB  - There are five major determinants of hospital costs: hospital size, range of
      services offered, teaching and research activities, cost of production factors,
      and organizational efficiency. Trustees can have a positive impact on these
      determinants by seeking to determine the optimal size for their institution; by
      making more informed equipment purchasing decisions; by entering into cooperative
      ventures with other hospitals; and by selecting cost-conscious administrators and
      supporting their efforts.

PMID- 10242395
TI  - Quality assurance: the buck stops with the board.
AB  - Quality assurance is an ongoing process that seeks to measure and evaluate levels
      of service in light of prevailing standards of professional conduct; its ultimate
      goal is behavior modification. To ensure effective quality assurance in their
      institutions, trustees should accept the legal and civic responsibilities of
      their trusteeship, understand and participate in the quality assurance process,
      and take steps to ensure that the board's responsibility for the provision of
      care is not met at the expense of quality.

PMID- 10242396
TI  - Six ways to add more space.
AB  - In today's cost-conscious climate, hospitals frequently are finding it
      advantageous to expand an existing facility rather than erect a new one. A number
      of expansion alternatives are described herein, and the benefits and liabilities
      of each are delineated. Whatever construction alternative is chosen, the decision
      should be arrived at through a comprehensive consideration of the alternatives by
      all members of the building team--hospital, architect, and contractor.

PMID- 10242397
TI  - Trustee development program. The board's role in marketing the hospital.

PMID- 10242398
TI  - Health care reform must begin with the doctors.

PMID- 10242399
TI  - As I see it: trustees' lot today.

PMID- 10242400
TI  - Legal models for the treatment of the terminally ill.
AB  - In considering which of several models to adopt with regard to the treatment of
      terminally ill patients, hospitals should consider their specific needs, the
      needs of their staffs, and the laws of their state. The involvement of the
      patient's family should not include an unwarranted creation or imposition of
      legal rights that do not exist, and the model that is adopted must be workable
      and followed.

PMID- 10242401
TI  - A physician looks at board-medical staff relationships.
AB  - The hospital that thrives in the short run and survives in the long run is the
      one that best exploits the forces that tend to unite the board and the medical
      staff while minimizing the elements that tend to divide them. A strong, effective
      medical staff is the most important determinant of constructive board-medical
      staff relations.

PMID- 10242402
TI  - As I see it: disruption of the status quo.

PMID- 10242403
TI  - Dollarsense: how the VE can work ... and why mandatory cost controls won't.

PMID- 10242404
TI  - Hiring a CEO made (almost) easy.
AB  - Selecting a CEO and establishing his compensation and the terms of his employment
      are among the board's most important functions. This article suggests a series of
      steps intended to help the board approach the task in an organized and rational
      manner, from the development of a mission statement and job description through
      the recruitment of candidates to the development of a compensation package and
      personnel policies.

PMID- 10242406
TI  - Battle begins over national health insurance.

PMID- 10242405
TI  - Preview of Carter's national health plan.

PMID- 10242407
TI  - Egyptian-Israeli peace: medical implications--Israel's top problem now is
      reorganizing services.

PMID- 10242408
TI  - Hospitals can lead in savings.

PMID- 10242409
TI  - Health care regulation needed.

PMID- 10242410
TI  - MEDIHC: civilian successes.

PMID- 10242411
TI  - The art of helping: the hospital volunteer.

PMID- 10242412
TI  - The Shanti Project.

PMID- 10242413
TI  - North Carolina Volunteer-A-Thon.

PMID- 10242414
TI  - Dynamics and future of self-help parent groups in mental retardation.

PMID- 10242415
TI  - Women and national health insurance.

PMID- 10242416
TI  - M.D. licensing boards--a new appraisal.
AB  - This article summarizes the traditional powers and role of state physician
      licensing Boards. It relates some of the changes in these powers as a result of
      legal changes in 1975 and Governor Brown's innovative use of gubernatorial
      appoint powers. In particular, the changes which have resulted from the
      appointment of women and consumers to the Board are discussed as well as some of
      the accomplishments of the Board on issues concerning women. This is with a view
      toward stimulating reappraisal of licensing Boards and their potential role for
      changes in medicine.

PMID- 10242417
TI  - Patient education and medication compliance.

PMID- 10242418
TI  - Health systems in America--now and in the future.

PMID- 10242419
TI  - Atlanta's Grady Hospital: management of cardiac patients in an urban public
      hospital.

PMID- 10242420
TI  - Genetic services: present and future needs.

PMID- 10242421
TI  - Mental health and health education: an emerging partnership.

PMID- 10242422
TI  - Blue Cross, Red Cross and a television station present a major health fair in
      Atlanta.

PMID- 10242424
TI  - The Washington Heights Medical Group--an independent group practice affiliated
      with Health Insurance Plan of New York.

PMID- 10242423
TI  - Health Insurance Plan of New York and its affiliated medical groups.

PMID- 10242425
TI  - Technology and cost containment: a medical dilemma.

PMID- 10242426
TI  - Turnover turned over: an expanded and positive perspective.
AB  - The negative impact of turnover is well documented in the literature. This paper
      examines turnover with a unique, positive focus. Turnover is reviewed, not only
      from the standpoint of the organizational theorist, but with economic,
      sociological, and psychological/social psychological perspectives. Often ignored
      benefits of turnover are noted.

PMID- 10242427
TI  - Peddling the 'union-free' guarantee.

PMID- 10242428
TI  - HMOs and health care for all Americans.

PMID- 10242429
TI  - The JSPOA Friendship Center.

PMID- 10242430
TI  - Hazelden: evaluation of a residential family program.

PMID- 10242431
TI  - St. Croix: an outpatient family treatment approach.

PMID- 10242432
TI  - Independence House: a specialized program.

PMID- 10242433
TI  - Nursing students' social acceptance of recovered alcoholics.

PMID- 10242434
TI  - Behavior modification with the severely retarded.

PMID- 10242436
TI  - Constitution and bylaws of American Society of Electroencephalographic
      Technologists, Inc.

PMID- 10242435
TI  - A community-based group training program for work with adolescents.

PMID- 10242437
TI  - Skin injury from electrode paste used in electroencephalography.

PMID- 10242438
TI  - Court upholds Blues' policy on reimbursing psychologists.

PMID- 10242439
TI  - Supplies of medical cocaine improving.

PMID- 10242440
TI  - Nursing turmoil continues.

PMID- 10242441
TI  - FTC charges MDs control Blue Shield.

PMID- 10242442
TI  - Discrimination charged at Georgia hospital.

PMID- 10242443
TI  - Interest in hospices is growing, along with prospects for federal dollars.

PMID- 10242444
TI  - Massachusetts MDs say Blue Shield plan locks them into unfair contract.

PMID- 10242445
TI  - Airline physician defends care: victims' relatives ignored, MD claims.

PMID- 10242447
TI  - Where AMA stands on the issues.

PMID- 10242446
TI  - The AMA in Washington: is it doing its job?

PMID- 10242448
TI  - Speak up, speak out!

PMID- 10242449
TI  - The AMA's role in health legislation.

PMID- 10242450
TI  - How physicians fight for their point of view.

PMID- 10242451
TI  - "I've been in on the whole show".

PMID- 10242452
TI  - Covering the Hill.

PMID- 10242453
TI  - Hospital's anesthesiologists agree to changes in policy.

PMID- 10242454
TI  - What's different about rural medicine?

PMID- 10242455
TI  - Blueprint for rural health care: two Illinois towns find a better way.

PMID- 10242456
TI  - Hospitals don't have to be big to be good.

PMID- 10242457
TI  - Put facts at your fingertips.

PMID- 10242458
TI  - Muddled medical news--who's to blame?

PMID- 10242459
TI  - Linen suppliers stalk hospitals.

PMID- 10242460
TI  - Maintaining the lung disease patient at home.
AB  - A pilot home care program for lung disease patients has been set up by a lung
      association, in conjunction with local hospitals and home care agencies. The
      emphasis is on long-term care and support of services for which home care
      agencies would not ordinarily be reimbursed.

PMID- 10242461
TI  - Health regulation: who gains?
AB  - "The American health care system is one of the finest in the world, but in recent
      years, it has been afflicted with uncontrolled cost escalation which amounts to
      double the overall inflation rate. The question is not whether regulation of
      spiraling inflation in the hospital industry is called for but, rather, who
      should do the regulation: the industry or the state or the federal government".

PMID- 10242463
TI  - Bylaws: Association for Practitioners in Infection Control.

PMID- 10242462
TI  - Occupational safety and health.
AB  - Work accidents became a matter of societal concern in the Progressive era of
      Woodrow Wilson. When other contingencies of modern life were brought under social
      security in the New Deal reforms of the 1930s, work accident legislation remained
      separate. One possible reason was that work accidents can be controlled within
      industrial and chance limits. But control does not imply elimination since a risk
      free environment would paralyze production. In spite of imperfections caused by
      low benefits and imperfect insurance arrangements, the workers' compensation
      legislation does help internalize the costs of accidents, but internalization of
      costs is only one remedy. Regulation and a much broader community responsibility
      are others. It is argued that regulation poses greater problems and that broader
      community responsibility may evade the issues involved in choosing the
      appropriate tradeoff point between production and health which will maximize
      social welfare.

PMID- 10242464
TI  - Political action committees: is the PAC parade passing you by?

PMID- 10242465
TI  - How the FEC regulates political action committees.

PMID- 10242466
TI  - An executive faces up to alcoholism.

PMID- 10242467
TI  - How medical executives society developed guidelines on alcoholism.

PMID- 10242468
TI  - Association appearances at legislative and regulatory hearings.

PMID- 10242469
TI  - Ways and means of fund raising.

PMID- 10242470
TI  - Health management and the art of survival.

PMID- 10242471
TI  - The corporate attack on rising medical costs.

PMID- 10242472
TI  - Birth of a nation: documentation and education from conception through birth.

PMID- 10242473
TI  - Friendly persuasion: that's what patient education is all about.

PMID- 10242474
TI  - National health needs a private prescription.

PMID- 10242475
TI  - Approved programs of graduate education in surgery and in the surgical
      specialties in United States government hospitals as of September 1, 1975.

PMID- 10242477
TI  - Fundamental requirements for graduate education in surgery.

PMID- 10242476
TI  - Approved programs of graduate education in surgery and in the surgical
      specialties in civilian hospitals of the United States and in Canada as of
      September 1, 1975.

PMID- 10242478
TI  - American College of Surgeons: statement on qualifications for surgical privileges
      in approved hospitals.

PMID- 10242479
TI  - Local government commitment is essential for an emergency medical services
      system.

PMID- 10242480
TI  - An overseas experience.

PMID- 10242482
TI  - Changing the rules: how to win at supervision.

PMID- 10242481
TI  - Recommendations for reports of various air environments: Air Quality
      Subcommittee, Committee on Operating Room Environment, ACS.

PMID- 10242483
TI  - Managing failure.

PMID- 10242484
TI  - The turnover trap.

PMID- 10242485
TI  - A primer on performance appraisals.

PMID- 10242486
TI  - Tomorrow's employee: the supervisor's greatest challenge.

PMID- 10242487
TI  - Civilian Health and Medical Program of the Uniformed Services (CHAMPUS);
      clarification of CHAMPUS last pay status: addendum to rule.

PMID- 10242488
TI  - Protection of human subjects; HEW support of human in vitro fertilization and
      embryo transfer: report of the Ethics Advisory Board.

PMID- 10242489
TI  - Health Maintenance Organizations; requirements.

PMID- 10242490
TI  - There may be too many doctors in the house.

PMID- 10242491
TI  - Drug industry trying to change FDA's slow but sure policy.

PMID- 10242492
TI  - FTC orders a physicians group to allow hospital access to flat-fee plans'
      doctors.

PMID- 10242493
TI  - '80s medical malpractice crisis will break mutuals: attorney. Interview by Joanne
      Gamlin.

PMID- 10242494
TI  - Dick Beckhard on managing change. Interview by Jules Eitington.

PMID- 10242495
TI  - Selecting and caring for the right carpet in hospital patient care areas.

PMID- 10242496
TI  - Hospital Bureau's food purchasing program saves time, money.

PMID- 10242497
TI  - Pilot sees key CS role on device recall.

PMID- 10242498
TI  - Let's be serious about cost containment.

PMID- 10242499
TI  - Materials management and the paper tiger.

PMID- 10242500
TI  - Sun-powered hospitals.

PMID- 10242501
TI  - More Pa. hospitals now share services.

PMID- 10242502
TI  - GAO scores EPA's proposed hazardous waste regulations.

PMID- 10242503
TI  - Group purchasing based on beds.

PMID- 10242504
TI  - Disposables demand will taper off.

PMID- 10242505
TI  - Origins of a national labor policy.

PMID- 10242506
TI  - Stability versus employee free choice.

PMID- 10242507
TI  - Economic pressure in support of unlawful employment discrimination claims.

PMID- 10242508
TI  - Discrimination in employment--remedies--standards governing backpay awards for
      violations of Title VII of the Civil Rights Act of 1964.

PMID- 10242509
TI  - The use and abuse of warnings in products liability--design defect litigation
      comes of age.

PMID- 10242510
TI  - Design defect litigation revisited.

PMID- 10242511
TI  - First Amendment and the problem of access to migrant labor camps after Lloyd
      Corporation v. Tanner.

PMID- 10242513
TI  - Introduction to the welfare law issue.

PMID- 10242512
TI  - Constitutional law--freedom of the press--prohibition of abortion referral
      service advertising held unconstitutional.

PMID- 10242514
TI  - 1975 developments in welfare law--Aid to Families with Dependent Children.

PMID- 10242515
TI  - Unemployment compensation -- response to a crisis.

PMID- 10242516
TI  - Mandatory continuing education for hospital managers.
AB  - Because hospital managers and supervisors are more aware of the necessity to
      regularly upgrade their knowledge and skills, a health care center has created a
      mandatory management development program that not only fills employee and
      hospital needs but also provides empirical data for merit reviews. How this
      highly structured program was developed and organized is presented in this
      article.

PMID- 10242517
TI  - ASHET: American Society for Health Manpower Education and Training of the
      American Hospital Association.

PMID- 10242518
TI  - In my opinion: development of hospital staff members.

PMID- 10242519
TI  - A practical adult education tool.
AB  - Active involvement of the learner in program development is an important part of
      the teaching-learning process. Because many programs are designed without the
      benefit of direct input by participants, an attempt should be made to mesh the
      learning objectives of the participants with those of the program designers and
      instructors. This article describes a form that can accomplish this, as well as
      set a climate of learner involvement.

PMID- 10242520
TI  - Making a smooth transition from clinician to educator.
AB  - Nurses can be very successful in the role of educator. Although the transition
      from clinician to educator has many real and potential conflicts, practical and
      effective tools exist to assist individual nurse-educators in this new
      professional endeavor. The swiftness with which they adjust to these new
      responsibilities is directly related to how quickly and accurately they can
      identify their own learning needs, develop an awareness of their role transition,
      and learn to use available resources.

PMID- 10242521
TI  - Reorganization is the key to economical ambulatory health care.
AB  - The ambulatory health care program presented here has been created using
      personnel previously employed in the system. Through planning, reorganization,
      and an evaluation system, a health care program has been developed that has
      demonstrated both improved care for clients and professional growth for
      personnel. Health care services are offered at no increase in cost to the
      provider.

PMID- 10242522
TI  - Join the classroom and the workplace for a unique inhouse training program.
AB  - Course assignments that link the classroom and the workplace can transform a
      routine inhouse supervisory training program into one that is tailored
      specifically to the participants. Besides making the program more relevant to the
      supervisor, this strategy allows him to continually demonstrate his capabilities
      to his manager.

PMID- 10242523
TI  - Problem-solving strategies for management.
AB  - This article is an excerpt from chapter 11 of Mr. Bennett's book, entitled
      Improving Management Performance in Health Care Institutions: A Total Systems
      Approach (Chicago: American Hospital Association, 1978). Both group and
      individual strategies that not only assist in solving problems but also provide
      opportunities for upgrading organizational and managerial performance are
      discussed.

PMID- 10242524
TI  - Community health educators band together in Massachusetts.
AB  - Begun last year with only six participants, the Massachusetts Consumer Health
      Educators Association, now 100 members strong, is in the business of sharing
      experiences to help alleviate its members' feelings of being alone. Meetings are
      held once a month, and authorities in the health education field are invited to
      speak. The Consumer Health Educators' first major project is the compilation of
      an index of hospital-based health education programs in the state.

PMID- 10242526
TI  - In my opinion: education is a managerial function.

PMID- 10242525
TI  - New supervisors tackle employee relations.
AB  - By Alan G. Cotzin, director, Office of Human Resources Development, University of
      Michigan Hospital, Ann Arbor. The University of Michigan Hospital has developed
      an employee relations training program for newly appointed managers and
      supervisors. During the 2 1/2-day series, participants learn the hospital's
      management philosophy and how to apply it in a positive manner to various
      employee relations problems. Some of the specific topics covered include coaching
      and counseling, value differences, grievance procedures, and affirmative action.

PMID- 10242527
TI  - Put it all together, it spells 'centralized health education'.
AB  - The centralized health education department at Lexington County Hospital, a 250
      bed community hospital in West Columbia, S.C. started with one full-time and two
      part-time employees. Today, there are 14 employees, two volunteers, and usually
      five graduate students from the University of South Carolina who are successfully
      carrying out the program design presented here.

PMID- 10242528
TI  - Case study discussions contribute to total patient care.
AB  - When staff attitudes toward patients in a busy radiology department were becoming
      somewhat depersonalized, the director of education and training and the
      department's supervisors put together an educational program to reorient staff
      members to total patient care. The case study approach taken allowed staff to
      pinpoint problems and then recommend ways to improve the quality of the
      department.

PMID- 10242529
TI  - A do-less Congress--what the people want.

PMID- 10242530
TI  - The independent 96th: reflecting reforms of the 1970s, mood of voters back home.

PMID- 10242531
TI  - One lobbyist's look at a changed Congress.

PMID- 10242532
TI  - Mills: some reforms hamper Congress' ability to legislate; review needed.

PMID- 10242533
TI  - Rogers favors change in system: full Committees on Health in House, Senate.

PMID- 10242535
TI  - "Power and influence" of congressional staffers: is it truth, fiction--or both?

PMID- 10242534
TI  - "Explosion" in growth of professional staffs poses danger to Congress.

PMID- 10242537
TI  - New economic study, business group's report gives controls foes more ammo.

PMID- 10242536
TI  - Health Policy Forum goal: expedite information as aid to policymakers.

PMID- 10242538
TI  - Financial disclosure bill approved by Florida Legislature.

PMID- 10242540
TI  - HCA's total number of hospital beds reaches 20,000 mark.

PMID- 10242539
TI  - Stolman asks hospitals to aid C of C cost containment programs.

PMID- 10242541
TI  - HAI reorganizes, sets up separate owned, managed hospital firms.

PMID- 10242542
TI  - HCFA administrator stresses desire for industry views.

PMID- 10242543
TI  - Hospitals ponder role of development foundations in protecting resources.

PMID- 10242544
TI  - Special interests--good or evil?

PMID- 10242545
TI  - Colorado becomes first state to abolish rate control commission.

PMID- 10242546
TI  - Appeal court rules for hospital in patients' privacy rights case.

PMID- 10242547
TI  - County's only hospital recruits unusual staff.

PMID- 10242548
TI  - Hospital doesn't need traffic light now.

PMID- 10242549
TI  - T.L.C. is delivered in rural area showplace.

PMID- 10242550
TI  - Company management keeps hospital open.

PMID- 10242551
TI  - NME aids tax-supported facilities with problems.

PMID- 10242552
TI  - Idaho story: a state's fight against regulations.

PMID- 10242553
TI  - Company helps hospital on Mexican border survive.

PMID- 10242554
TI  - Hospitals require profits to meet needs.

PMID- 10242555
TI  - Mobilizing public support for hospitals.

PMID- 10242556
TI  - The rural hospital: blueprints for survival in an era of turmoil and uncertainty.

PMID- 10242557
TI  - Hospital industry's new breed: an administrator for all seasons.

PMID- 10242558
TI  - Case histories reflect challenges, opportunities for administrators.

PMID- 10242559
TI  - New leadership needed for future management systems concept.

PMID- 10242560
TI  - What's ahead? Young executives foresee more dramatic changes.

PMID- 10242561
TI  - Administrative resident envisions ombudsman role for the new breed.

PMID- 10242562
TI  - AID, Inc. expansion helps parent INA keep commitment.

PMID- 10242564
TI  - Algebraic cost finding advocated.

PMID- 10242563
TI  - Will controls return to health care industry?

PMID- 10242565
TI  - Health care gets good marks in Roper poll.

PMID- 10242567
TI  - Debt financing emerges as key capital source for hospitals.

PMID- 10242566
TI  - The president's message: capital formation program must provide for maintenance,
      technological advances.

PMID- 10242568
TI  - Hospital management firms continue to gain momentum in capital market.

PMID- 10242569
TI  - Investor-owned hospitals' capital search burdened by policy inequities.

PMID- 10242570
TI  - Non-profit hospitals should make a profit, says AHA leader.

PMID- 10242571
TI  - Bond financing for hospitals has its advantages and disadvantages.

PMID- 10242572
TI  - Need financing for your hospital? Here are some guidelines to follow.

PMID- 10242574
TI  - Voluntary rate review to start in Florida.

PMID- 10242573
TI  - Study shows rate setting has little impact on rising costs.

PMID- 10242575
TI  - Robert Wood Johnson: assessing success.

PMID- 10242576
TI  - The politics of health care.

PMID- 10242577
TI  - Is quality food enough?

PMID- 10242578
TI  - What price will Jacques Bloch pay for quality?. Interview by Donna Boss.

PMID- 10242579
TI  - Credibility is the issue.

PMID- 10242580
TI  - Gasoline shortages: how groups are coping.

PMID- 10242581
TI  - A time tested income distribution system.

PMID- 10242582
TI  - Patient relations mistakes groups make most (and how to cure them).

PMID- 10242583
TI  - A nurse associate joins a group practice.

PMID- 10242585
TI  - Health for sale?

PMID- 10242584
TI  - A new era for HMOs?

PMID- 10242587
TI  - A humanistic strategy for patient teaching.

PMID- 10242586
TI  - Life-style indicators for interventions to facilitate elderly persons'
      independence.

PMID- 10242588
TI  - The 1979 Walter L. Bierring Lecture: clear and hidden dangers.

PMID- 10242589
TI  - Problems of health care in the barrio.

PMID- 10242590
TI  - Changing times focus attention on medicine in the workplace.

PMID- 10242591
TI  - Informed consent as respectful communication.

PMID- 10242592
TI  - Repression of physicians in Argentina.

PMID- 10242593
TI  - The first year at Green Ridge.

PMID- 10242594
TI  - Nursing grand rounds.

PMID- 10242595
TI  - Patient education centers.

PMID- 10242596
TI  - Price/volume reports facilitate management by exception.

PMID- 10242597
TI  - Administration should raise standards for purchasing.

PMID- 10242598
TI  - Reports to management.

PMID- 10242600
TI  - Industrial action--a learning experience.

PMID- 10242601
TI  - Comparability--some of the issues.

PMID- 10242599
TI  - The sectorisation of a large hospital for the mentally handicapped.

PMID- 10242602
TI  - Definition and display of clinic statistics.

PMID- 10242603
TI  - Normansfield--its implications for health service administrators.

PMID- 10242604
TI  - Presidential address 1979.

PMID- 10242605
TI  - Review of the Mental Health Act 1959--1.

PMID- 10242606
TI  - Is the company man the answer to food service?

PMID- 10242607
TI  - Politics and substance as U.S. battle builds.

PMID- 10242608
TI  - Tight money changing the priorities.

PMID- 10242610
TI  - A community helps shape the future of a hospital.

PMID- 10242609
TI  - Electrocardiography study: cost analysis shows fee schedules are deficient.

PMID- 10242611
TI  - Taking the pulse of OHA: face to face with politics.

PMID- 10242612
TI  - Newsletter contest: relevance key to HAC prizes.

PMID- 10242613
TI  - Intravenous: past and present.

PMID- 10242614
TI  - Caring as well as curing.

PMID- 10242615
TI  - What new approaches might AWH adopt to better meet the educational needs of
      Western hospitals?

PMID- 10242616
TI  - Construction versus project costs.

PMID- 10242617
TI  - Do hospital medical staff bylaws constitute a "contract" between the hospital
      governing body and the medical staff?

PMID- 10242618
TI  - Tele-care.

PMID- 10242619
TI  - Administrators: don't let unions throw you for a loss!

PMID- 10242621
TI  - Which activities do you look forward to the most at an AWH Convention?

PMID- 10242620
TI  - Hospital-home health care.

PMID- 10242622
TI  - Regulation and rebellion.

PMID- 10242624
TI  - Flight for life!

PMID- 10242623
TI  - Should a physician's medical order calling for the withholding of cardiopulmonary
      resuscitation be entered in writing in the patient's permanent medical records?

PMID- 10242625
TI  - Hospitals have inventory ranging from $50 per bed to $1,000 per bed. Why the
      large variance?

PMID- 10242626
TI  - On hospital costs: measured in terms of patient days.

PMID- 10242627
TI  - On finances: prompt payments of accounts of third party insurance billings.

PMID- 10242628
TI  - Announcing a guide for physician recruitment.

PMID- 10242630
TI  - Page one treatment.

PMID- 10242631
TI  - Should hospitals advertise?

PMID- 10242629
TI  - Who needs a speaker's bureau? You do!

PMID- 10242632
TI  - What is the proper forum and procedure for the investigation of an alleged breach
      of professional ethics by a member of a hospital medical staff?

PMID- 10242633
TI  - "Here's an ASF you can afford"!

PMID- 10242634
TI  - Tax-exempt status: no room for complacency.

PMID- 10242635
TI  - Reimbursement, rate and cost review: Uncle Sam wants you!

PMID- 10242636
TI  - What is the hospital's responsibility to patients discharged from the hospital?

PMID- 10242637
TI  - Opinion! The cost of health care.

PMID- 10242638
TI  - Should hospitals sell cigarettes in their gift shops or in vending machines
      located on their premises?

PMID- 10242639
TI  - Say it ain't so, Joe!

PMID- 10242640
TI  - Government regulations: what they cost your hospital.

PMID- 10242641
TI  - Financing construction: a creative approach.

PMID- 10242642
TI  - Recognizing that recent government regulations will greatly affect hospital
      construction, how do you plan to cope?

PMID- 10242643
TI  - What is the functional relationship between the Health System Agency and the
      designated State Agency?

PMID- 10242644
TI  - Constraints on construction--revisited.

PMID- 10242645
TI  - Planning: your hospital's future may depend on it.

PMID- 10242647
TI  - Patient education.

PMID- 10242646
TI  - Will the real health educator please stand up!

PMID- 10242648
TI  - What have been the recent development and trends in the law of "informed
      consent"?

PMID- 10242649
TI  - The 1977 AWH grant projects.

PMID- 10242650
TI  - Shanti Project: volunteer counseling service for patients and families facing
      life-threatening illness.

PMID- 10242651
TI  - Sharing the load.

PMID- 10242652
TI  - Pet implicated in hospital outbreak.

PMID- 10242653
TI  - Handling contaminated hemodialysis equipment.

PMID- 10242654
TI  - I.C. risks of the 'man-machine interface'.

PMID- 10242655
TI  - "Our babies shall not die": a community's response to medical neglect.
AB  - The free neighborhood health center in a Midwest U.S. town was developed in
      response to a report that indicated that infant mortality rates were higher for
      the Black community than for the community-at-large. The health center soon took
      on the full range of health problems brought by clients regardless of client's
      race, ethnicity, or income. The processes for managing health care problems in an
      environment where racism was the rule rather than the exception are considered in
      this study.

PMID- 10242656
TI  - Physician's perceptions of the suit-prone patient.
AB  - The medical profession is experiencing tremendous increases in the number of
      malpractice claims and suits. The individual physician is confronted with the
      question of whether he has patients who are prone to sue him. This paper examines
      physicians' tendencies to label certain patients as suit-prone and identifies the
      social characteristics of those labeled as such. The findings suggest that
      physicians may be labeling the wrong patients. Further, the characterization of
      the suit-prone patient appears to be a stereotype that merely reflects the
      physician's political and social attitudes. The moral, ethical, and practical
      consequences of labeling and of mislabeling are discussed.

PMID- 10242657
TI  - Home I.V. saves money and frees beds.

PMID- 10242658
TI  - Controlling the cost of staff food...and patient meals.

PMID- 10242659
TI  - Room at the top for pharmacy leaders.

PMID- 10242660
TI  - Health care and political folly.

PMID- 10242661
TI  - Hawaii proves therapeutic.

PMID- 10242663
TI  - Job enrichment, an overview.

PMID- 10242662
TI  - The art and science of delegating.

PMID- 10242664
TI  - Accounting, management impact of FAS 13.

PMID- 10242665
TI  - Contracting with emergency physician groups.

PMID- 10242666
TI  - Captive insurance--still a viable alternative.

PMID- 10242667
TI  - Charge control system increases ancillary revenue.

PMID- 10242668
TI  - Inside HFMA: individual projects help your chapter earn points.

PMID- 10242669
TI  - Cost counsel: purchasing a computed tomography scanning unit.

PMID- 10242670
TI  - 3 management theories and the business office.

PMID- 10242671
TI  - "Autocharge"--closing the wound of lost surgical charges.

PMID- 10242672
TI  - "Gross A/R" is less costly and intuitively appealing.

PMID- 10242673
TI  - Has the health care debate gotten out of hand?
AB  - Has the struggle between private providers and the government over the control of
      health care services gotten out of hand? Robert Derzon, former director of the
      Health Care Financing Administration, thinks that both sides have lost their
      perspective on the issues and need to regain a sense of balance and recognition
      of each other's rightful role in the health care delivery system.

PMID- 10242674
TI  - Pharmaceutical inserts: legal consequences.
AB  - Although the legal status of the pharmaceutical package insert is uncertain, a
      physician who prescribes a drug use or dosage that does not appear on the insert
      can best protect himself in case of a malpractice suit by documenting the
      scientific rationale for the FDA-unapproved use and by obtaining the patient's
      informed consent.

PMID- 10242675
TI  - Technology evaluation in the hospital setting: starting from the bottom up.

PMID- 10242677
TI  - Technology assessment--the Pharmacy and Therapeutics Committee revisited.

PMID- 10242676
TI  - Unit-of-use packaging and distribution.

PMID- 10242678
TI  - Present use of clinical engineering in hospitals: a nationwide survey.
AB  - To determine the present involvement of clinical engineers in hospitals, 1120
      hospitals with more than 250 beds were surveyed. Replies were received from 573
      inquiries for a 51% return. Sixty percent of the respondents stated that they
      presently have in-house service, 31% employ clinical engineers, and 29% only
      employ BMET's. Seven percent showed no interest in clinical engineer-type
      service. Extrapolating the data to all hospitals with more than 250 beds, there
      will be a minimum of 345 new clinical engineering positions during the next two
      to five years.

PMID- 10242679
TI  - Review of procedures for investigational device exemptions.
AB  - This critique of the proposed FDA "Device Exemptions" (1978, Docket 76N-0324)
      analyses its defects, estimates the magnitude of device injury to patients during
      past 17 years, provides a prescription for rational FDA regulation under the
      present law, which is summarized and shown to allow FDA wide latitude in
      regulatory pressure; emphasizes the urgent need for properly trained engineers,
      which are not presently in or available to FDA; and estimates and predicts vast
      cost increases, competition suppression and blockade of new devices. The
      classification schema is shown to be illogical and capricious; the economic
      impact assessment faulty; and the law, extant regulations, proposed regulations
      complicated, confusing, and internally inconsistent.

PMID- 10242680
TI  - Medical instrumentation and nosocomial infection.
AB  - A current major concern of the medical community is the incidence of nosocomial,
      or hospital-related infection. One of the chief ways a patient may get a
      nosocomial infection is through medical instrumentation which has been improperly
      sterilized or incorrectly utilized. The clinical engineer, because of his
      critical involvement with medical instrumentation, must, in addition to his
      conventional duties, instruct hospital personnel in the proper sterilization and
      use of medical instrumentation. In order to accomplish this, the clinical
      engineer must understand the relationship between nosocomial infection and
      medical instrumentation, and he must become familiar with basic sterilization
      procedures as they apply to each class of medical instrumentation.

PMID- 10242681
TI  - A low cost medical data handling system.
AB  - A low-cost Medical Data Handling System (MDHS) has been developed on a Digital
      Equipment Corporation PDP 11V03 computer system with dual floppy discs using
      BASIC in a time-shared configuration. The MDHS can be called up by one or more
      users to collect, update, or store patient data on floppy discs. Various analysis
      options are available to generate reports for patient management or
      administrative purposes. All software is written in BASIC to facilitate changes
      or expansion, and to reduce the costs in transferring the software system to
      other low-cost microprocessor systems currently available. The MDHS can be used
      in a variety of hospital departments for data management by simple customization
      of the I/O software to take advantage of the general purpose routines. The system
      is currently in use for generating daily patient-summary clinical-laboratory
      reports for ICU and CCU patients. This is the first part of a two-part article.
      The second part will follow in the July-September issue of this Journal.

PMID- 10242682
TI  - Clinical engineering practicum: a new approach in clinical engineering education.
AB  - The emerging concept of a clinical engineer is that of a practitioner of
      engineering science as it applies to hospital medical devices and the technology
      of health care delivery. Therefore, in addition to the theoretical and scientific
      aspects of the clinical engineer's education, there must also be some form of
      experiential education under proper guidance. For most university-based clinical
      engineering programs, this takes the form of a hospital internship. The
      transition between the academic environment to the hospital environment is not
      always a smooth one, as there is a type of "culture shock" brought on by the new
      and extremely demanding situation encountered in the hospital. In an effort to
      improve the transition from university to hospital and allow the student to focus
      more sharply on his or her professional goals, the concept of the clinical
      engineering practicum was developed. Its function is to be an introductory
      learning experience and half-way point between the hospital and the university.

PMID- 10242683
TI  - EMS access performance: the relative cost of treatment delay.
AB  - A quantitatively defined relationship between in-system mortality and treatment
      delay (the total time delay between traumatic injury and initial care) is
      developed empirically from an emergency medical services data source. This
      relationship is described as an approximate indicator of the cost of treatment
      delay in the system studied which should be useful for resource allocation and
      planning.

PMID- 10242684
TI  - Treatment programs for the young adult.

PMID- 10242685
TI  - Violence in the hospitalized patient.

PMID- 10242686
TI  - Education for the hospitalized adolescent.

PMID- 10242687
TI  - Current issues in the hospital treatment of alcoholism: the role of the
      alcoholism counselor.

PMID- 10242688
TI  - The purpose and content of psychiatric records in accreditation procedures.

PMID- 10242689
TI  - Placements & salaries 1978: new directions.

PMID- 10242690
TI  - Profit-minded management in the nonprofit world.

PMID- 10242691
TI  - The nurse, the computer and patient care.

PMID- 10242692
TI  - Personal view--by "Recorder".

PMID- 10242693
TI  - Fee guides: ASA triumphs over Feds.

PMID- 10242695
TI  - Salary surveys--how to make them work for you.

PMID- 10242694
TI  - Universal marketing concepts for strategic planning.

PMID- 10242697
TI  - Fitness development programs: strengthening the corporate body.

PMID- 10242696
TI  - Straining under too much stress?

PMID- 10242698
TI  - Project: government information and the rights of citizens.

PMID- 10242699
TI  - Business roundtable favors less government control.

PMID- 10242700
TI  - The change-makers.

PMID- 10242701
TI  - At Hershey: medical system near 'failure' during Three Mile Island.

PMID- 10242703
TI  - "A safety equivalency for leakage testing of wall-mounted monitors".

PMID- 10242702
TI  - Housestaff jeopardy.

PMID- 10242704
TI  - The international standards competition.

PMID- 10242705
TI  - A human resource system that lives up to its name.

PMID- 10242706
TI  - Planning for the selection interview.

PMID- 10242707
TI  - The advantages of open communications with employees.

PMID- 10242708
TI  - The other half of employee communication.

PMID- 10242709
TI  - Organizational communications: a linking process.

PMID- 10242711
TI  - Integrating behaviorally-based and effectiveness-based methods.

PMID- 10242710
TI  - Employee attitude surveys: a valuable motivating tool.

PMID- 10242712
TI  - Age discrimination in employment: a guide for employers.

PMID- 10242713
TI  - Disposables reduce wound infection rate.

PMID- 10242714
TI  - Orientation, inservice: methods for same-day units.

PMID- 10242715
TI  - Management forum: staff selection.

PMID- 10242716
TI  - Counting journal title usage in the health sciences.

PMID- 10242718
TI  - Money versus merchandise: which is the best motivator--and the best incentive?

PMID- 10242717
TI  - Interlibrary loan of photocopies of articles under the new copyright law.

PMID- 10242719
TI  - What makes suggestion systems work?

PMID- 10242720
TI  - The 3Rs of productivity improvement: responsibility, recognition, reward.

PMID- 10242721
TI  - How awards and incentives can help speed learning.

PMID- 10242722
TI  - Is giving incentives a good idea?

PMID- 10242724
TI  - Public relations and the health care institution.

PMID- 10242723
TI  - Cost containment fair.

PMID- 10242725
TI  - A picric acid saga.

PMID- 10242726
TI  - . . . of interest to smaller hospitals: the delinquent medical record.

PMID- 10242727
TI  - Educators in action: hospital volunteers.

PMID- 10242728
TI  - Hospitals are saving more than lives--the Texas voluntary effort.

PMID- 10242729
TI  - The problem physician.

PMID- 10242730
TI  - Hospital liability.

PMID- 10242731
TI  - As I see it: recent White House meeting.

PMID- 10242732
TI  - Look at tax questions before you sell services.
AB  - Among the issues involved in the selling of services to persons other than
      hospital patients are the effect of such sales on the hospital's tax-exempt
      status and whether the income derived is taxable as unrelated business income.
      The IRS's negative position on such sales is not necessarily a view shared by the
      courts. The use of separate corporations should be explored by hospitals seeking
      to maximize their net revenues.

PMID- 10242733
TI  - Multihospital systems are changing the health care landscape.
AB  - Multihospital systems can be classified according to system structure, ownership,
      and management structure and geographical coverage. Such systems appear to have
      several advantages over individual, freestanding hospitals, including the ability
      to raise capital more easily, the ability to exploit economies of scale, the
      ability to develop more effective governance structures, and the ability to
      attract and retain high-quality management talent.

PMID- 10242734
TI  - Of takeovers, makeovers, and other myths: trustees in multihospital systems.
AB  - The growth of multihospital systems in recent years has led many trustees to ask
      whether a hospital board can retain its autonomy and responsibilities if the
      hospital joins a system. Members of system corporate boards and individual
      hospital boards are finding that, through careful board work, hospitals and
      systems alike can benefit from multihospital arrangements.

PMID- 10242735
TI  - Trustee development program. The board's role in the planning and acquisition of
      clinical technology.

PMID- 10242736
TI  - Boardroom integrity can't be engineered.

PMID- 10242737
TI  - Twin Cities trustees tackle tough planning issues.

PMID- 10242738
TI  - Savannah's health care community unites to fight hypertension battle.

PMID- 10242739
TI  - Financing treatment for high blood pressure.

PMID- 10242740
TI  - Operations management in selected nonmanufacturing organizations.

PMID- 10242741
TI  - Lifelong learning within the nursing home.

PMID- 10242742
TI  - Keeping a board informed: an administrator's responsibility.

PMID- 10242743
TI  - Staff: the crucial factor in developing a constructive nursing home environment.

PMID- 10242744
TI  - Fire safety training in an award winning facility.

PMID- 10242745
TI  - Health promotion and disease prevention in old age.

PMID- 10242746
TI  - Making the health care system responsive to the needs of the elderly.

PMID- 10242747
TI  - On Lok--the happy, peaceful abode.

PMID- 10242748
TI  - Home for supper--the day hospital.

PMID- 10242749
TI  - Types of changes and hospital planning strategies.
AB  - A major purpose of health planning agencies is to promote constructive changes
      among health institutions that are in the public interest. The approaches to
      promoting such changes in hospitals are examined in this article. The focus is on
      three types of change, the relationship of change to the environment, and three
      kinds of control mechanisms.

PMID- 10242750
TI  - Economic impact analysis: a theoretical approach.
AB  - Where the traditional focus of local planning has been on access to health
      services, recent legislation and policy reflect an equally prominent concern for
      costs. Appropriate methodologies for collection and analysis of financial and
      economic data have been lacking. A particularly difficult problem, both
      theoretically and practically, is the economic impact of a capital investment by
      one provider on the rest of the local service system. In order to focus the
      attention of health service planners, economists and others on this issue, a
      preliminary theory of "economic impact analysis" is outlined here. Scope of
      concern and conditions of application ("ripple" and "spigot" models) are defined.
      Existing analytical tools are reviewed, and related philosophical issues raised.

PMID- 10242751
TI  - Issues in health plan development: a critique of the guidelines for plan
      development under PL 93-641.
AB  - The draft guidelines for development of health systems plans and annual
      implementation plans represent a logical, coherent integration of the best of
      currently available planning concepts and methods. However, there are at least
      six major areas in which the current state of the art is clearly inadequate.
      These are linkages between plan components, synchronization, plan integration,
      level of detail, cross-impact analyses and policy planning. This article
      describes each of these issues and identifies some of the projects which seem
      likely to contribute to their resolution. Finally, it urges each health planning
      agency to take advantage of the latitude in the guidelines to develop innovative
      solutions and to share the results with others.

PMID- 10242752
TI  - Demand reduction: an alternative approach to the health manpower dilemma.
AB  - The article emphasizes the importance of health manpower resources in attempting
      to achieve health systems goals and suggests there are two basic approaches to
      easing deficiencies in manpower. One approach is by gaining additional manpower,
      the second is by decreasing demand. After noting some methods for each approach,
      the article suggests that a preventative approach has not been given adequate
      priority, and urges a national policy commitment to prevention as the best means
      for management of manpower resources.

PMID- 10242753
TI  - Putting it all together.
AB  - Outlines an organizational concept that supports the functions and products
      required of HSAs. Emphasizes the separation of functions with "controlled
      stresses" designed to produce interdependence of staff sections. Points out the
      need for tangible products as a basis for tracking staff performance.

PMID- 10242754
TI  - FTC order bans bias against HMO physicians.

PMID- 10242755
TI  - Court upholds hospitals' suit against Blue Cross.

PMID- 10242756
TI  - Hospital chain begins cost drive.

PMID- 10242757
TI  - Texas physicians vote to form HMO, IPA for Austin residents.

PMID- 10242758
TI  - Regional standards at issue in HSA's battle with HEW.

PMID- 10242759
TI  - Productivity is vital at HLS.

PMID- 10242760
TI  - Poll shows volume decline in hospital laundries.

PMID- 10242762
TI  - Work with other departments in hospital LMs told.

PMID- 10242761
TI  - An RN's views on disposables.

PMID- 10242764
TI  - Health Manpower Law in Australia.

PMID- 10242765
TI  - Impatience in casualty?

PMID- 10242763
TI  - A primer on the postal service.

PMID- 10242766
TI  - UK hospital adopts business management techniques.

PMID- 10242768
TI  - A national interlibrary loan network: the OCLC approach.

PMID- 10242769
TI  - Laundry system conserves water and heat.

PMID- 10242767
TI  - Measuring stress levels in health organisations.

PMID- 10242770
TI  - Techniques for tile care.

PMID- 10242771
TI  - How to take the pulse of your department.

PMID- 10242772
TI  - Energy-saving maintenance for the laundry.

PMID- 10242773
TI  - Getting the equipment you need.

PMID- 10242774
TI  - Nursing home laundry volume up, costs down.

PMID- 10242775
TI  - Treating hard-surface floors as "individuals".

PMID- 10242776
TI  - What should you look for in a washer-extractor?

PMID- 10242777
TI  - Working with an architect on laundry design.

PMID- 10242778
TI  - Two views on carpet care.

PMID- 10242779
TI  - Two views on carpet care.

PMID- 10242780
TI  - Designing interiors for the elderly.

PMID- 10242781
TI  - Nursing home interior that's homelike, cleanable, economical.

PMID- 10242782
TI  - Who should be doing operations?

PMID- 10242783
TI  - The role of the surgeon in the emergency room.

PMID- 10242784
TI  - Statement on cost containment.

PMID- 10242785
TI  - The surgeon, the hospital, and cost containment.

PMID- 10242786
TI  - Working with health systems agencies.

PMID- 10242787
TI  - The incompetent surgeon.

PMID- 10242789
TI  - Telling subordinates what to do and how to do it.

PMID- 10242788
TI  - Changing an ineffective boss into a model manager.

PMID- 10242790
TI  - Bringing MBO back to basics.

PMID- 10242791
TI  - The supervisor's role in accident prevention.

PMID- 10242792
TI  - Rebellion among the 'angels'.

PMID- 10242793
TI  - Prescription drug products; patient labeling requirements: proposed rule.

PMID- 10242795
TI  - Maternal and child health and crippled children's services; disclosure of
      ownership and related information: final regulation.

PMID- 10242794
TI  - Presidential documents: national energy supply shortage.

PMID- 10242796
TI  - Health maintenance organizations; relationships between federally qualified
      health maintenance organizations and other parties: notice of proposed
      rulemaking.

PMID- 10242797
TI  - Requirements for a health maintenance organization: interim regulations.

PMID- 10242798
TI  - Health maintenance organizations; federal financial assistance: general--final
      regulations.

PMID- 10242799
TI  - Health maintenance organizations; employees' health benefits plans--final
      regulation.

PMID- 10242800
TI  - FMCS services in health care industry, labor disputes: promulgation of final
      regulations.

PMID- 10242801
TI  - Grants for demonstrating the training of personnel to provide home health
      services: final rule.

PMID- 10242802
TI  - Public contracts and property management; federal standards for federally funded
      grants and agreements: final rule.

PMID- 10242803
TI  - Revised method of filing notice of intent to terminate; proposed rulemaking:
      proposed rule.

PMID- 10242804
TI  - Grants for state and community programs on aging: notice of proposed rulemaking.

PMID- 10242806
TI  - Requirements for dispensing containers for prescription drugs; stay of effective
      date.

PMID- 10242805
TI  - List of health manpower shortage areas designated under section 332 of the Public
      Health Service Act.

PMID- 10242807
TI  - Health systems agency reviews of certain proposed uses of Federal health funds:
      final regulations.

PMID- 10242808
TI  - Protection of human research subjects: proposed rule.

PMID- 10242809
TI  - Diagnostic x-ray systems amendment of assembly and reassembly provision and
      performance standard: final rule.

PMID- 10242810
TI  - One-way radio paging in the special emergency radio service: order suspending
      conversion date.

PMID- 10242811
TI  - One-way radio paging in the special emergency radio service: notice of proposed
      rulemaking.

PMID- 10242812
TI  - Classification of general hospital and personal use devices; development of
      general provisions: proposed rule.

PMID- 10242813
TI  - Hospices and HEW.

PMID- 10242814
TI  - No recess in hospital costs debate.

PMID- 10242815
TI  - The politics of national health.

PMID- 10242816
TI  - Cancer insurance concerns are criticized over sales methods and benefits offered.

PMID- 10242817
TI  - Skyrocketing costs fuel changes in health care plan design, funding.

PMID- 10242818
TI  - Ottawa Parkdale's "Code 4444".

PMID- 10242820
TI  - Personal profile: Douglas McDermid, Antigonish, Nova Scotia.

PMID- 10242819
TI  - Medical practice in the land of serendip.

PMID- 10242821
TI  - Health for all by the year 2000: from concern to achievement.

PMID- 10242822
TI  - Freedom from hospitalization.

PMID- 10242823
TI  - Preventive maintenance: electrocardiographs.

PMID- 10242825
TI  - The constructive approach to evaluation of ECG computer programs.

PMID- 10242824
TI  - Medical computer systems and the law of torts.

PMID- 10242826
TI  - Health services for the elderly.

PMID- 10242827
TI  - The acquisition and maintenance of medical equipment.

PMID- 10242828
TI  - Proposed hospital fire safety system offers choice of protective measures.

PMID- 10242829
TI  - Cost containment brings CS productivity reviews.

PMID- 10242830
TI  - VA hospital measures energy consumption.

PMID- 10242831
TI  - AMI's regional purchasing directors: powers unto themselves, say MM chief.

PMID- 10242832
TI  - Multi-unit system develops effective MM, CS programs.

PMID- 10242833
TI  - Ether in packaged disaster hospital found hazardous.

PMID- 10242834
TI  - Common misconceptions about behavior modeling and supervisory skill training
      (SST).

PMID- 10242835
TI  - The best method to train managers...

PMID- 10242836
TI  - Perspectives on humanism in health care.

PMID- 10242837
TI  - Survival prospects for small hospitals.

PMID- 10242838
TI  - Patient care quality assurance.

PMID- 10242840
TI  - Fee-for-service private practice medicine: problems and contradictions.

PMID- 10242839
TI  - Medical leadership in hospitals.

PMID- 10242841
TI  - Malpractice and quality.

PMID- 10242842
TI  - Fire safety for health care facilities: cutting costs without cutting corners.

PMID- 10242843
TI  - Clinical pharmacists as allied health care providers to psychiatric patients.
AB  - The effect of clinical pharmacy services on the quality and economy of health
      care provided to psychiatric patients at a Veterans Administration outpatient
      clinic was evaluated. Twenty-one patients were selected from the Day Treatment
      Center, of these, 19 patients completed the study. In providing health care to
      these psychiatric patients, the clinical pharmacist used a systemized approach
      including data gathering, evaluation, plan of action, and follow-up. In addition,
      medication groups and weekly staff meetings were incorporated into the patient
      treatment plan. Following a 3-month study period, the impact of clinical pharmacy
      services was evaluated. The provision of allied health care to psychiatric
      patients by clinical pharmacists resulted in a decreased incidence and severity
      of adverse drug effects, fewer drug use problems, a reduction in the total number
      of drugs prescribed, improved patient drug knowledge, and reduced expenditures
      for health care without compromising the patient's mental functioning.

PMID- 10242844
TI  - Nonpharmacy outlets providing prescription medications to ambulatory patients.
AB  - Nonpharmacy outlets providing prescription medication to ambulatory patients in
      Alachua County, Florida, were investigated. The sample included 16 ambulatory
      clinics and 44 dispensing physicians. The types of medications dispensed and
      dispensing procedures used by these outlets are described. The magnitude of
      prescription drug dispensing in ambulatory clinics and physicians' offices was
      far greater than was initially expected. Numerous drug-related problems were
      identified within these outlets, including a failure to comply with state and
      federal laws, inadequate drug control and storage, and inadequate patient
      medication records. Practicing pharmacists should consider the possibility of
      their patients receiving medication from similar outlets in evaluating therapies
      for appropriateness and interactions. In addition, such centers have apparent
      need for pharmacy consultation services to ensure adherence to the principles of
      responsible pharmaceutical services.

PMID- 10242845
TI  - Radiopharmacist profile--baseline 1974-1975.
AB  - The results of a baseline October 1974 to March 1975 survey are analyzed to
      describe what constitutes radiopharmacists' education, training, and professional
      practice. Frequency distributions for the following descriptors are presented:
      age, location, highest degree earned, major radiopharmaceutical training, years
      of experience, time devoted to radiopharmacy, principal place of work, salary,
      and major appointment or responsibility. Preliminary examination of the possible
      association of some of these descriptors is made; a radiopharmacist profile is
      presented.

PMID- 10242846
TI  - Drug product selection and the law.
AB  - Pharmacists are reported to be concerned about their liability exposure when
      engaging in drug product selection. A review of the elements of a suit for
      negligence is presented along with a brief application of those principles to a
      suit for negligence in drug product selection. The role of the manufacturer in
      assuring product integrity is emphasized. A liability suit also could be based on
      contract law principles, which are discussed. A few reasons that may explain why
      no suit has been successfully maintained in this area to date are presented.
      Finally, discussion of legislative provisions that attempt to contain the
      pharmacist's liability exposure are considered.

PMID- 10242847
TI  - Discharge medication counseling: a functional model.
AB  - A system for providing medication counseling to all patients discharged from a
      large teaching facility is described. After the patient's discharge regimen is
      reviewed by the pharmacist, the prescriptions' are filled, and the pharmacist
      counsels the patient at the bedside. In addition to verbal information, the
      patient is provided with a medication time sheet illustrating the times at which
      individual medications should be taken and an information sheet for each drug.
      Documentation is accomplished by a special entry in the progress notes as
      required in the hospital's audit criteria.

PMID- 10242848
TI  - Evaluation of a training program to improve clinical competencies of pharmacists
      serving skilled nursing facilities.
AB  - Forty-eight pharmacists from the New York area were selected for specialized
      training in consultant clinical services to skilled nursing home facilities. A
      skills curriculum was developed, and the pharmacists participated in 15 training
      sessions which included lectures by nationally recognized experts, audiovisual
      presentations, and on-site clinical workshops. Evaluations were based upon
      clinical preprogram v. clinical postprogram testing, comparisons with clinical
      pharmacy experts, and attitudinal pre- and postprogram testing. It was found that
      the training course did improve the skills of the trainees but they still
      performed at a level below recognized clinical pharmacy experts. Future programs
      should stress fewer topics, but in more detail, and should focus upon monitoring
      techniques, laboratory results, and more on-site experiences.

PMID- 10242849
TI  - The new pharmacist assistant: is there a computer in your future?

PMID- 10242850
TI  - Scenarios for pharmacy manpower in the years ahead.
AB  - Many of the statistics on the elderly are well-known, but they bear repetition.
      The steady growth in the number of elderly is both large and striking. Every day,
      nearly 1600 persons join the group classified as elderly. There may be more than
      40 million elderly people in the United States by the year 2020. It is of the
      utmost importance to realize that the proportion of elders in the 75-year and
      older group is increasing most sharply. By the year 2000, almost 45% of all
      elders will be 75 years and older. It is among the frail old that the most
      serious health problems are encountered, that the most serious adverse drug
      reactions are encountered, and that even minor health probelms, if left untended,
      may well develop into major ones. Pharmacists, therefore, need to look toward an
      increasing involvement in acute as well as chronic care for their elderly
      patients and must develop expertise in the delivery of preventive care.

PMID- 10242851
TI  - Helping supervisors step into the educator's role.
AB  - Supervisors who lack the skills of the educator rarely visualize training as an
      integral part of their jobs. Consequently, new employees suffer from poor
      instruction and supervisors miss out on a potentially rewarding aspect of their
      duties. Seeking to remedy this situation, the University of Texas Medical Branch
      Department of Sterile Processing and Central Supply and the Personnel Office
      tailored a train-the-trainer program to meet the specific needs of their
      supervisors.

PMID- 10242852
TI  - ASHET: health manpower education.

PMID- 10242853
TI  - Massachusetts General Hospital starts own degree programs.
AB  - Massachusetts General Hospital has established a new Education Division that
      administers various degree programs in seven professional fields. Major emphasis
      is on interdisciplinary study and integration of the academic and the clinical
      components of training.

PMID- 10242854
TI  - States allow employee access to personnel files.
AB  - Employee privacy statutes have been enacted in five states. These laws provide
      that employees have the right to see any data in their personnel records
      concerning hiring, promotions, transfers, bonuses, or disciplinary action.
      Because such laws could be the wave of the future, employers should be sure their
      information is accurate and up to date.

PMID- 10242855
TI  - Health promotion: available resources stimulate program development.

PMID- 10242856
TI  - Search and research.

PMID- 10242857
TI  - An approach to evaluating reports of research studies.

PMID- 10242858
TI  - Adverse drug reactions: why should they be reported?

PMID- 10242859
TI  - Have you seen the new CSHP-PMAC product information form?

PMID- 10242860
TI  - Procedure manual for drug monitoring in the Canadian hospital, approved by CSHP
      Council May 1978.

PMID- 10242861
TI  - Personnel management.

PMID- 10242862
TI  - Lawyer and counselor as an interdisciplinary team serving the terminally ill.
AB  - Mental health professionals consult with the terminally ill and provide therapy
      to the client, spouse, and family. Some clients have been forewarned and have a
      carefully drafted estate plan that incorporates all the nuances of property and
      personal planning. In addition, the client may have an interest in donating his
      or her body or its parts as an anatomical gift or may inquire concerning the
      right to die a natural death. He or she may further be concerned with the
      appropriateness of a power of attorney or a living trust. Whatever the inquiry,
      the mental health professional should be ready, willing, and able to offer
      informed data regarding questions in these areas and then to serve with the
      attorney as an interdisciplinary team to respond quickly and effectively to these
      legitimate personal concerns.

PMID- 10242863
TI  - Paperwork and bureaucracy.
AB  - This study explores paperwork as an inherent characteristic of bureaucratic
      behavior. The magnitude and scope of the federal government paperwork burden on
      the private sector is given particular emphasis. A theoretical model of
      bureaucratic behavior is developed which shows that bureaucrats employ paperwork
      to shift the cost of agency functions to the private sector in order to increase
      their perquisites of office. The model indicates that, if the private sector were
      compensated for the federal paperwork burden, agency employment would be smaller,
      as would agency output and the volume of private-sector labor expended in
      preparing federal forms.

PMID- 10242864
TI  - Health care, a growing video field.

PMID- 10242865
TI  - Health Emergency Learning Plan (H.E.L.P.): down-to-earth applications of space
      shuttle technology.

PMID- 10242866
TI  - Hillsborough County, Florida ALS standing orders and protocols, Part III.

PMID- 10242867
TI  - A team concept approach for emergency medical services.

PMID- 10242869
TI  - The esophageal obturator airway--an improved model.

PMID- 10242868
TI  - Helicopter air ambulance in a rural community.

PMID- 10242870
TI  - Emergency medical services following a nuclear reactor accident.

PMID- 10242871
TI  - A need for unity.

PMID- 10242872
TI  - Disaster preparedness.

PMID- 10242873
TI  - Developing an EMS communications plan.

PMID- 10242874
TI  - The right of privacy.

PMID- 10242875
TI  - Volunteer squad: public responsibility and accountability.

PMID- 10242876
TI  - Scene time prior to contact: a study of paramedic compliance.

PMID- 10242877
TI  - On the limiting properties of social indicators.

PMID- 10242878
TI  - Critical appraisal of social indicators.

PMID- 10242879
TI  - New ways of looking at management information systems in human service delivery.

PMID- 10242880
TI  - On the wide open options for social indicators.

PMID- 10242881
TI  - The application of PERT in evaluation of human service programs.

PMID- 10242882
TI  - A witness for the defense of need assessment.

PMID- 10242883
TI  - Perspective from a private practice: the differential diagnosis of alcoholism.

PMID- 10242884
TI  - The psychotherapist as a twelfth step worker in the treatment of alcoholism.

PMID- 10242885
TI  - Setting alcoholic patients up for therapeutic failure.

PMID- 10242886
TI  - Maintaining the sanity of alcoholism counselors.

PMID- 10242887
TI  - FAH manual outlines control programs on risk management for hospital use.

PMID- 10242888
TI  - Florida law requires hospitals to have internal program on risk management.

PMID- 10242889
TI  - Research called key to minimizing damage suits filed against hospitals.

PMID- 10242890
TI  - Hospitals cautioned to identify areas of problems before incident occurs.

PMID- 10242891
TI  - Four companies join forces to insure their hospitals against malpractice loss.

PMID- 10242892
TI  - Self-insurance: can it be a viable alternative in the crisis?

PMID- 10242893
TI  - Arizona features unique plan for rate review in hospitals.

PMID- 10242894
TI  - Reimbursement management program helps hospitals.

PMID- 10242895
TI  - Specter of ESP faces hospitals again with its mandatory cost control.

PMID- 10242896
TI  - Ribicoff sees delay in implementation of plan to cap rise in hospital costs.

PMID- 10242898
TI  - Educators differ inopinions about cost control for hospitals.

PMID- 10242897
TI  - Cost effectiveness in health care takes competition, Friedman thinks.

PMID- 10242899
TI  - Hospital cost limit called step in program to promote health insurance.

PMID- 10242900
TI  - Business, government say health care boils down to the same bottom line--cost.

PMID- 10242901
TI  - National panel seeks to curb abuses of confidentiality on health records.

PMID- 10242902
TI  - Rate setter doubts regulations to lower health care cost.

PMID- 10242904
TI  - Hospitals recognize value of ads for communicating with public.

PMID- 10242903
TI  - Economist of HEW defends plan to trim costs of hospital care.

PMID- 10242905
TI  - Hospital advertising proliferating throughout health care industry.

PMID- 10242906
TI  - AHA proposes list of guidelines on acceptable use of advertising.

PMID- 10242907
TI  - Blue Cross joins Blue Shield to fund unified ad campaign.

PMID- 10242908
TI  - Hospital companies say ads create understanding of industry's role.

PMID- 10242909
TI  - Hospital 'marketing' gaining favor for educating public in Illinois.

PMID- 10242910
TI  - Unique ad strategy increases use of Sunrise Hospital on weekends.

PMID- 10242911
TI  - Nation's hospitals must tell the public why costs are increasing.

PMID- 10242912
TI  - Director of HCFA explains ideas for the improvement of health system. Interview
      by John K. Iglehart.

PMID- 10242913
TI  - Congressmen tell why they back, oppose Carter's plan to cap hospital costs: for.

PMID- 10242914
TI  - Hospitals document statistics to tell their side of story on price jumps.

PMID- 10242915
TI  - Controversy erupts in California on plan to regulate hospital costs.

PMID- 10242916
TI  - Hospitals need proper accounting of inventories.

PMID- 10242917
TI  - INA to acquire Hospital Affiliates.

PMID- 10242918
TI  - Management contract system expected to expand greatly in future years.

PMID- 10242919
TI  - Hospital officials explain how management firms helped them.

PMID- 10242920
TI  - Tulane contract was breakthrough for investor-owned hospital firms.

PMID- 10242921
TI  - U.S. hospital firms operate units in foreign nations under contracts.

PMID- 10242923
TI  - Revision of hospital's business practices puts failing facility on sound footing.

PMID- 10242922
TI  - Hospital's shift to contract proves a life-saver for institution.

PMID- 10242924
TI  - Rehabilitation center recoups losses, expands its services with expert help.

PMID- 10242925
TI  - Management firm hired to run hospital, brings dramatic change.

PMID- 10242926
TI  - Professionals solve problems, lead Holy Family Hospital back to solvency.

PMID- 10242927
TI  - Broke hospital gets new life after company's experts assume control.

PMID- 10242928
TI  - Management contracts aid hospitals and bolster growth of companies.

PMID- 10242929
TI  - Anti-regulatory revolt.

PMID- 10242930
TI  - Deregulation in Colorado.

PMID- 10242931
TI  - California, other state legislatures halt bills calling for rate curbs on
      hospitals.

PMID- 10242932
TI  - Florida gets financial disclosure law after bitter battle in Legislature.

PMID- 10242934
TI  - Control bill fails; Tennessee panel launches cost study.

PMID- 10242933
TI  - West Virginia approve 'disclosure' minus implementation funds.

PMID- 10242935
TI  - Improvement of health care services is goal in North Dakota.

PMID- 10242936
TI  - New York continues search for new system of financing.

PMID- 10242937
TI  - Compromise proposed to end Maryland dispute between rate setters, planners.

PMID- 10242938
TI  - Senate, House showdown looms on Carter hospital controls bill following recess.

PMID- 10242939
TI  - Impact of volunteerism on American way of life exemplified by VE.

PMID- 10242940
TI  - Legal action planned against regs on malpractice insurance.

PMID- 10242942
TI  - FAH Foundation formed; scholarship awards will be major project.

PMID- 10242943
TI  - New faces at HEW--little impact on hill battle.

PMID- 10242941
TI  - Judicial approach beginning to develop for terminating life support systems. Part
      1.

PMID- 10242944
TI  - Problem: how to keep a watch on hospital costs. Solution: provide "basic" &
      elaborate meals & charge accordingly.

PMID- 10242945
TI  - Sources of drug and other biomedical information.

PMID- 10242946
TI  - Pharmacy sources of drug information.

PMID- 10242947
TI  - Bias in medical information.

PMID- 10242948
TI  - Health team interaction for evaluation and utilization of drug information.

PMID- 10242949
TI  - Channels of drug information.

PMID- 10242950
TI  - A comparative description of common secondary drug information systems.

PMID- 10242951
TI  - A case of indomethacin toxicity: the drug information network and its benefits in
      therapy.

PMID- 10242952
TI  - The drug information communication network: concluding remarks.

PMID- 10242953
TI  - Patient rights. PPI: yes or no!

PMID- 10242954
TI  - A survey of funding sources of drug information centers in the United States.

PMID- 10242955
TI  - The drug information communication network--an overview.

PMID- 10242956
TI  - Knowledge--the lifeblood of health care.

PMID- 10242957
TI  - An alternate approach to health education.

PMID- 10242958
TI  - Is growing old healthy?

PMID- 10242959
TI  - Taking "health" out of health planning.

PMID- 10242960
TI  - Danbury turns on the sun.

PMID- 10242961
TI  - 1979: year of the crunch.

PMID- 10242962
TI  - Indexing can stabilize your purchasing.

PMID- 10242963
TI  - Detroit Medical Center: an example of multi-hospital systems.

PMID- 10242964
TI  - The complete look at the CFPP: it's off & running.

PMID- 10242966
TI  - National health insurance: a bitter pill we shouldn't swallow.

PMID- 10242965
TI  - 1979--the year of the crunch: from the other side of the coin.

PMID- 10242967
TI  - Plugging in to the energy management program.

PMID- 10242968
TI  - A look at the dynamic Alabama Hospital Association.

PMID- 10242969
TI  - Forum: Nursing homes can! (successfully participate in grout purchasing).

PMID- 10242970
TI  - Maryland General Hospital's unique heat recovery system.

PMID- 10242971
TI  - Shared services: alternative legal structures.

PMID- 10242972
TI  - You prescribe: so they say.

PMID- 10242974
TI  - New regs give HSAs control over federal health funds.

PMID- 10242973
TI  - It pays to advertise--even in health care.

PMID- 10242975
TI  - Management of nursing care: nurses, are you executive material?

PMID- 10242976
TI  - Achieving results through people: communicating expectations.

PMID- 10242977
TI  - Spotlight on...discipline.

PMID- 10242978
TI  - Evaluating capital-investment proposals.

PMID- 10242979
TI  - Optimal task accomplishment.

PMID- 10242980
TI  - Management development at Lenox Hill Hospital.

PMID- 10242981
TI  - Setting up an effective policies and procedures system.

PMID- 10242982
TI  - The Court Report and acute illness in children in a northern town.
AB  - The classification of the medical and social characteristics of a random sample
      of 360 children requiring admission to a paediatric unit in a Northern town
      revealed a marked social class gradient, rising from social class I to social
      class V, when compared with the social class distribution of children in the
      hospital catchment area wards. This was most evident in children suffering from
      respiratory diseases. Infants were particularly susceptible to respiratory
      diseases when compared with the age distribution of children in the selected
      wards. Two electoral wards had a higher than expected number of ill children. One
      the crisis of a sick child developed, the families of these children were
      disadvantaged in their access to medical care by their lack of private transport
      and private telephones. The reported delay experienced by these families from
      approach to, and contact with, GPs was particularly acute in the mornings and it
      must be concluded that some children may be at risk at this time of day. Out-of
      hours calls were promptly attended by both GPs and deputising service doctors.

PMID- 10242983
TI  - Industrial relations: workings of the maintenance strike.
AB  - The frustrations leading to the maintenance dispute go back four years. Author
      highlights the NHS's inability to handle internal disagreements, and the problems
      of a bureaucratic and politically-directed profession.

PMID- 10242984
TI  - Industrial relations: the personnel challenge.
AB  - The NHS has been lagging in industrial relations compared with other industries.
      In an attempt to correct this, greater emphasis is now being placed in IR
      training for personnel staff. In addition, there is a trend towards separate IR
      officers. Author looks at the developments.

PMID- 10242985
TI  - Industrial relations: the battle of the virgin territory.
AB  - When health service staff finally decided to drop their thermometers and take up
      union banners, the question was, which one? Author looks at the battlefield
      created by the unions in search of members over the last decade.

PMID- 10242986
TI  - Industrial relations: taking the doctors' temperatures.
AB  - Author considers the dilemma of the British Medical Association over its union
      status. Sanctioned by the Government but ignored by the union movement, will it
      become a dinosaur?

PMID- 10242987
TI  - Industrial relations: does Whitley work or whitewash . .?
AB  - The incomprehensible web of committees and councils that constitute the General
      Whitley Council and the attitudes of both staff and management to the 1976 Lord
      McCarthy report on the Whitley Council are discussed.

PMID- 10242988
TI  - Industrial relations: examining the machine's component parts.
AB  - Author considers whether the present centralised Whitley structure causes the NHS
      to invite many of its problems by its inability to respond to local issues before
      they become disruptive.

PMID- 10242989
TI  - Industrial relations: to end it all--tale of a fly on the wall.
AB  - People in the professions supplementary to medicine often wish they could be a
      fly on the wall listening to what goes on at national negotiations over their pay
      and conditions. Here is an account of a typical meeting of the Professional and
      Technical 'A' Whitley Council-PTA for short.

PMID- 10242990
TI  - 'I think we have a series of problems--not all on the pay front . . .'.

PMID- 10242991
TI  - Better project management through network planning.

PMID- 10242992
TI  - Health administration: from the burning Bush . . . the ten commandments.
AB  - A plea for less bureacracy and closer co-operation between health care
      professionals formed part of Basil Bush's presidential address to the IHSA annual
      conference last week. In an uncompromising speech he castigated the Government
      for the excessive numbers of circulars the DHSS issues and called for the
      institute to become the focal point for general administrators.

PMID- 10242993
TI  - The status stakes hurdles that face angry supplies officers.
AB  - Supplies officers do not seem to have much luck with government working parties
      and their status has declined since 1968. Today they are very much second line
      management. To help rehabilitate the discipline he calls for recognition from
      other groups that supplies officers have a professional function to perform.

PMID- 10242994
TI  - The fall of the amateur and the irresistible rise of the pro.

PMID- 10242995
TI  - An open policy for the elderly.
AB  - European countries are re-examining established attitudes to the care of the
      elderly. Some countries are moving away from institutional care and letting the
      community look after old people. In the Netherlands and Norway this approach is
      proving successful. Author reports on the balance between closed and open care in
      Europe.

PMID- 10242996
TI  - Exporting expertise.

PMID- 10242997
TI  - L.P. gas for ambulances.

PMID- 10242999
TI  - A document you must treat with respect: ambulance patient report form.

PMID- 10242998
TI  - Exercise Bluebird.

PMID- 10243000
TI  - A cook's tour of records.

PMID- 10243001
TI  - Health administration (records): resurrecting untapped wealth.
AB  - The confidentiality of clinical information is traced from its original advocate,
      Hippocrates, to the present day. Author discusses how records can best be used to
      the advantage of both patient and clinician, and says that with hindsight it is
      not surprising that clinical observation acquired such a mystique.

PMID- 10243002
TI  - Unique password needed to unlock labyrinth of corridors.
AB  - The controversy over the security and confidentiality of personal information
      held on computers is discussed by author. He argues that problems surrounding the
      security of information lie where they always have, with people.

PMID- 10243003
TI  - Health administration (records): the difficulties of space and bulk that confront
      the GPs.
AB  - Author emphasises the importance of records to the GP. In no other country does a
      patient register with one doctor and receive all treatment via him, providing
      unique epidemiological records for those in the front line of preventive care.

PMID- 10243004
TI  - Joint care (records): the red tag of information.
AB  - The growth away from the traditionally tense relationship between the health and
      social services to one of co-operation between health and local authorities more
      than ever requires systematic and thorough records.

PMID- 10243005
TI  - The case of the leg that turned up in the dustbin: waste and its disposal.

PMID- 10243006
TI  - The kindly kidnappers.
AB  - If to the average child in the street going into hospital is like being
      kidnapped, as a doctor recently put it, then to the child who lives in Birmingham
      'operation baby snatch' may not be such a bad thing. For the children's hospital
      there strives to be more like a home from home.

PMID- 10243007
TI  - Equipment profile: fluidised sand bed.

PMID- 10243008
TI  - The tail-end Charlies and their thin pickings.
AB  - The rapid explosion of functionalism in the NHS since reorganisation has left not
      a few administrators frustrated with their decreased authority and many
      functional officers concerned at the status and structure of their professions.
      Over the next three weeks the Journal will be taking six of the major health
      service functions and examining the importance to patient care of their roles and
      the difficulties of integrating senior functional management into the
      administrative hierarchy. Author describes the trials and tribulations of being a
      works officer.

PMID- 10243009
TI  - No place on the NHS menu for a la carte and candlelight.
AB  - The problems facing the catering manager are so multifarious they include the
      kitchen sink. Not only has he the whole spectrum of modern management skills to
      grapple with but tired appetites to tempt and the out-dated image of
      institutional 'gruel' to overcome. A catering manager for Birmingham Health
      District, describes the ways in which catering can improve the image of hospital
      food.

PMID- 10243010
TI  - Integrating a stores service for two masters...

PMID- 10243011
TI  - Lead needed on the non-treatment of mentally ill.

PMID- 10243012
TI  - Jenkin set against headlong dash to new appointed day.

PMID- 10243013
TI  - Hospital life: the nine articles of war.

PMID- 10243014
TI  - Treasurers' political arena.

PMID- 10243015
TI  - Stumbling block for domestic managers.
AB  - Domestic service management in hospital is not just organising a mop and bucket
      brigade. It carries a wide range of responsibilities many of which are not
      understood outside the profession. Author reports on the need for more trained
      staff and an adequate recognition of their work.

PMID- 10243016
TI  - Hospital life: the new town's problem child.

PMID- 10243017
TI  - Health administration: bringing the grand plans into line with resources reality.

PMID- 10243018
TI  - Shopping list is no substitute for the correct information.

PMID- 10243019
TI  - Whitley and the winter of discontent.

PMID- 10243020
TI  - The tiers not the tears . . .
AB  - What can we expect from the Royal Commission? Author fears that the health
      service's administrative structure will once again be given top billing and its
      social objectives relegated to a walk-on part.

PMID- 10243021
TI  - 10 cent target price for face masks.

PMID- 10243022
TI  - NPVA: 1989 dollars worth just 39 cents even without inflation.

PMID- 10243023
TI  - Watch those routine service contracts!

PMID- 10243024
TI  - Does each patient need 24 sheets?

PMID- 10243025
TI  - Current status of materials management.

PMID- 10243026
TI  - Patient education: the hospital's role.

PMID- 10243028
TI  - Microfilm: helping to save space and keep staff.

PMID- 10243027
TI  - Skin bacteria and theatre clothing.

PMID- 10243029
TI  - Consumer advisory groups--Part 1.

PMID- 10243030
TI  - Caring about food.

PMID- 10243032
TI  - The EGA story.

PMID- 10243031
TI  - Consumer advisory groups--Part 2.

PMID- 10243033
TI  - The ancillary workers' strike--the experience of the Brent Health District.

PMID- 10243034
TI  - Harrogate, the universities, and the future of training in the NHS.

PMID- 10243035
TI  - The training and development of young administrators--an independent view.

PMID- 10243036
TI  - Voices for change.

PMID- 10243037
TI  - Notes for students: review of the Mental Health Act 1959--2.

PMID- 10243038
TI  - Health planning: how to work within the system.

PMID- 10243039
TI  - Life cycle cost: one way to help get the best buy.

PMID- 10243040
TI  - Working with consultants: a checklist for hospital administrators.

PMID- 10243041
TI  - Given the competitive nature of today's hospital, in what area do you think joint
      planning can be effective?

PMID- 10243042
TI  - What are the main junctures at which a hospital undertaking a construction
      project will need legal advice?

PMID- 10243043
TI  - Do good guys have to finish last? Looking out for number one in the hospital
      industry.

PMID- 10243044
TI  - Health planning: California's director views the public perspective.

PMID- 10243045
TI  - Wheelchair wheel suspected in staph spread.

PMID- 10243046
TI  - Inappropriate use of antibiotic ointment a villain in N.I.C.U.

PMID- 10243047
TI  - H.I.C. special report: ethylene oxide update.

PMID- 10243048
TI  - How much of your asepsis is based on myth?

PMID- 10243049
TI  - Overseas developments for the future.

PMID- 10243050
TI  - The distribution of hospital meals.

PMID- 10243051
TI  - Noise measurement.

PMID- 10243052
TI  - Productivity for home health services.

PMID- 10243053
TI  - Physicians' perspective on home health services.

PMID- 10243055
TI  - Home health care and the terminally ill--treating the terminally ill at home:
      opportunities of change.

PMID- 10243054
TI  - Hospice of Northern Virginia, Inc." a replicable implementation model.

PMID- 10243056
TI  - Reimbursement for unauthorized admission tests.

PMID- 10243057
TI  - Novel medical plan helps reduce L.O.S.

PMID- 10243058
TI  - Centralized data system to save hospitals time and money.

PMID- 10243059
TI  - Tips on starting DUR program.

PMID- 10243060
TI  - Coordinating UR, medical records boosts efficiency.

PMID- 10243061
TI  - H.E.W. model cuts need for U.R. coordinators.

PMID- 10243063
TI  - For U.R. coordinators: expanding your role in quality assurance.

PMID- 10243062
TI  - Staff assignments controlled by point system.

PMID- 10243064
TI  - 'City doc'.

PMID- 10243065
TI  - Tackling problems through negotiation.

PMID- 10243066
TI  - Tough-minded management by objectives.

PMID- 10243067
TI  - Revisiting "the wobbly three legged stool".
AB  - Examination of both the similarities and dissimilarities of the use of the
      corporate organizational model in the typical hospital has led to the conclusion
      that the model can, at best, be only a loose fit.

PMID- 10243068
TI  - The use of long-range planning/MBO for hospital administrators.
AB  - If hospital administrators can use Long-Range Planning/MBO to determine the
      results expected of them, it will be a giant stride in the move from a crisis
      situation to a results-oriented management system.

PMID- 10243069
TI  - Cost/volume/profit analysis in the hospital industry.
AB  - Although the concepts and techniques of cost/volume/profit analysis as currently
      discussed and used in general industry can be adapted to the cost-reimbursed
      hospital industry, they cannot be employed with any degree of reliability.

PMID- 10243070
TI  - Point of view: investor-owned hospital chain concept: challenge to the nonprofit
      sector.
AB  - A decided advantage of investor-owned companies is their ability to preserve,
      accumulate and attract capital. This has become increasingly important as the
      capital requirements of hospitals for new construction, renovation or advances of
      technology have grown in the past decade.

PMID- 10243071
TI  - Multihospital systems: the process of development.
AB  - It seems clear that organizations grow by passing through periods of conflict and
      change with varying degrees of success...a company's strategy in time determines
      its structure and change occurs in relation to changes in marked demand.

PMID- 10243072
TI  - On "legal and financial constraints".

PMID- 10243073
TI  - On marketing health care organizations.

PMID- 10243074
TI  - Can marketing help recruit and retain nurses?
AB  - The career dimensions of the job--assignment to the service of one's choice and
      responsibility consistent with training--are clearly important to the nurse
      during the selection of a hospital.

PMID- 10243075
TI  - Consumer satisfaction: a model for health services administrators.
AB  - Health care administrators should recognize that the economic quality and
      behavioral quality dimensions comprising consumer satisfaction are conceptually
      independent in nature and may be empirically independent as well.

PMID- 10243076
TI  - HCMR interview: Paul F. Umbeck.

PMID- 10243077
TI  - Control absenteeism--monitor offenders.

PMID- 10243078
TI  - Why are your nurses absent today?

PMID- 10243079
TI  - Your hospital image: PR to the rescue.

PMID- 10243080
TI  - Speech therapists vocalize needs.

PMID- 10243081
TI  - 1979 AIIE salary survey results.

PMID- 10243082
TI  - Hospital economics: 19 myths the public holds dear.

PMID- 10243083
TI  - Managing your working capital: 1. Cash management.

PMID- 10243084
TI  - Hospital associations favor price level adjusted depreciation.

PMID- 10243086
TI  - Credibility index can measure budget's reliability.

PMID- 10243085
TI  - Insist on employee honesty, counsels expert. Interview by Patricia Kiper.

PMID- 10243087
TI  - Role and scope of HFMA grows with that of field.

PMID- 10243088
TI  - Opinion: regional concepts of health and medical care.

PMID- 10243089
TI  - Cure industry's ills with new tax status.

PMID- 10243090
TI  - Accounting education often ignores nonprofit area.

PMID- 10243091
TI  - EDP is up in hospitals, shows survey conducted for HFMA in 1976.

PMID- 10243092
TI  - Must we really improve productivity?

PMID- 10243094
TI  - The effective chief financial officer delegates.

PMID- 10243093
TI  - Organization, policy affect hospital's costs.

PMID- 10243095
TI  - They'll be making the laws--how to watch the 95th Congress.

PMID- 10243096
TI  - What if? Financial planning model checks HMO viability before start-up.

PMID- 10243097
TI  - Service firms--remedy for cost-saving problems?

PMID- 10243098
TI  - Do your rates reflect costs? Find out with this stepdown analysis.

PMID- 10243099
TI  - The effective chief financial officer gets along with people.

PMID- 10243100
TI  - Cart exchange system aids financial control.

PMID- 10243101
TI  - Computer bypasses tedious work.

PMID- 10243102
TI  - Patient account managers--the problem solvers.

PMID- 10243103
TI  - Lab computers: will performance replace promise?

PMID- 10243104
TI  - Award named for Robert M. Shelton in honor of his 20 years of service.

PMID- 10243105
TI  - Implications of AICPA position on foundations.

PMID- 10243106
TI  - Employment taxes--what hospitals must pay.

PMID- 10243107
TI  - Advance refunding viable approach for hospitals.

PMID- 10243108
TI  - Financial modeling in hospitals--accepted tools for effective management.

PMID- 10243109
TI  - Payment patterns: statistics can be terribly misleading.

PMID- 10243110
TI  - Cost counsel: labeling system to account for chargeable medical supplies.

PMID- 10243111
TI  - Ratio analysis--indispensable management aid.

PMID- 10243112
TI  - A/R investment resembles fixed asset.

PMID- 10243113
TI  - For half a day's work.

PMID- 10243114
TI  - Handling responsibility.

PMID- 10243115
TI  - Meeting the challenge of children.

PMID- 10243116
TI  - On communication.

PMID- 10243117
TI  - A time to judge and a time to be judged.

PMID- 10243119
TI  - Patient education blitz.

PMID- 10243118
TI  - Ombudsman pinpoints trouble spots.

PMID- 10243120
TI  - Is there a goldbrick in your house?

PMID- 10243121
TI  - How employee approval works.

PMID- 10243122
TI  - Grievance procedures: ensuring fair treatment for employees.

PMID- 10243123
TI  - Overloaded with overtime?

PMID- 10243124
TI  - Public relations: more valuable than you know.

PMID- 10243125
TI  - Making yourself clear.

PMID- 10243127
TI  - The new sources of stress you face.

PMID- 10243126
TI  - Efficiency depends on training and motivation.

PMID- 10243128
TI  - Mary, Mary, quite contrary.

PMID- 10243129
TI  - Dynamics of hospital operational control systems.

PMID- 10243130
TI  - Delivery of health care by satellite--hospital-based ambulatory care.

PMID- 10243131
TI  - Labor performance monitoring systems: a comparative analysis in hospital
      applications.

PMID- 10243132
TI  - Educating hospital administrators for Saudi Arabia.

PMID- 10243133
TI  - Nurse staffing, scheduling, and reallocation in the hospital.

PMID- 10243134
TI  - An analysis of the market for tax-exempt hospital financing.

PMID- 10243135
TI  - The matrix organization in business and health care institutions: a comparison.

PMID- 10243136
TI  - Administrators suppor the concept of mandatory continuing education for the
      profession.

PMID- 10243137
TI  - A compelling public relations challenge for American hospitals.

PMID- 10243138
TI  - Current perspectives on hospital governance.

PMID- 10243139
TI  - The role of the executive.

PMID- 10243141
TI  - National health insurance: reintroduction of federal controls.

PMID- 10243143
TI  - Anatomy of hospital cost inflation.

PMID- 10243142
TI  - Two sides of the same coin: voluntary financing and voluntary management.

PMID- 10243144
TI  - Labor costs: their impact on cost control.

PMID- 10243145
TI  - Marketing: entry points and pitfalls.

PMID- 10243146
TI  - Podiatrists' privileges.

PMID- 10243147
TI  - The impact of mandatory continuing education.

PMID- 10243148
TI  - Measuring nurses' job satisfaction.

PMID- 10243149
TI  - Clinical engineering--an enigma in health care facilities.

PMID- 10243150
TI  - How to write an evaluation report.

PMID- 10243151
TI  - How to choose and use data analysis techniques.

PMID- 10243152
TI  - How medical audit and CME affect physician performance--Part 1.

PMID- 10243153
TI  - The case for hospital-based continuing medical education.

PMID- 10243154
TI  - Can physicians be effective managers?

PMID- 10243155
TI  - The undetected pregnancy: a new concern for physicians and hospitals.

PMID- 10243156
TI  - How to recognize and respond to physician imcompetence.

PMID- 10243157
TI  - A plan for performance-based relicensure.

PMID- 10243158
TI  - Outmaneuvering the 'sweethearts' in malpractice suits.

PMID- 10243159
TI  - The physician's responsibility toward victims of child abuse.

PMID- 10243160
TI  - Individual rights and collective needs.

PMID- 10243161
TI  - Multihospital systems: promises and problems.
AB  - More and more hospitals are finding benefits in closer relationships with other
      hospitals. But disadvantages, problems, and conflicts need to be overcome also.
      The author gives a brief summation of the pros and cons of such arrangements, as
      well as information on the AHA's Center for Multihospital Systems and Shared
      Services Organizations.

PMID- 10243162
TI  - Multihospital systems: implications for physicians.
AB  - This overview of the movement toward multihospital systems and shared services
      arrangements and its implications for physicians includes a description of the
      major types of arrangements formed so far, an assessment of their performance, a
      summary of responses to the new systems, a discussion of their advantages and
      disadvantages, and a brief outlook on the future of such systems.

PMID- 10243163
TI  - Medical staff bylaws in a multihospital system.
AB  - Not all multihospital arrangements demand a close association between the medical
      staffs of the individual hospitals involved. However, in those situations where
      the medical staffs will be more closely linked, the bylaws and rules and
      regulations of the cooperating medical staffs should be reviewed and integrated,
      if appropriate, before the changeover. This presents the medical staffs with the
      task--and opportunity--of initiating and controlling these changes.

PMID- 10243164
TI  - A rural hospital/physician health care cooperative.
AB  - In an experiment to establish the viability of rural health care delivery, 13
      rural community hospitals and their medical staffs formed a cooperative with an
      urban university based hospital. The consortium offers rural physicians on-site
      specialty consultation, continuing education programs, joint medical audits, and
      uniform hospital and staff policies and procedures. This cooperative effort
      allows most patients to be treated in their own community and helps to break down
      the isolation of rural practice for the physician.

PMID- 10243165
TI  - Continuing education network builds on physician acceptance.
AB  - In 1975, the Department of Internal Medicine at Yale and nine community hospitals
      in southwestern Connecticut began a continuing medical education program, the
      Yale Affiliated Hospital Program (YAHP). Physicians from Yale and the community
      hospitals were involved in the planning and organization of the YAHP from the
      beginning, since the authors believe that physician acceptance is necessary for
      the success of a program between a university medical center and community
      hospitals. The attention to physician acceptance has fostered a cooperative
      spirit and trust among members of the group so that issues in addition to
      education, such as house staff and faculty recruitment, program content, and
      regional planning, can be dealt with.

PMID- 10243166
TI  - A systemwide quality assurance/risk management program.
AB  - Physician involvement throughout this systemwide quality assurance and risk
      management program is a key element in the program's success. Physicians report
      through their own medical staff organization to a centralized quality assurance
      committee that interfaces between the board of directors and the medical staff of
      each hospital. The program is bolstered by complete support from the board and
      administration.

PMID- 10243167
TI  - Assessment of adverse drug reactions in the hospital setting: considerations.

PMID- 10243168
TI  - Pharmacy planning: a pleasant headache.

PMID- 10243169
TI  - Tort liability considerations for allied health training institutions.
AB  - This paper presents an analysis of legal trends affecting institutions which
      train allied health professionals, including risks faced and actions necessary to
      minimize liabilities. It discusses those factors which determine liabilities that
      may be applicable to health professions educational institutions; trends emerging
      as legal doctrines from courts rendering malpractice decisions; and actions for
      preventing, minimizing, counteracting or neutralizing the likelihood of legal
      liabilities attaching to such institutions.

PMID- 10243170
TI  - Status of clinical affiliation agreements: report on a national study.
AB  - During spring 1977, a survey of all accredited college based educational programs
      in 11 allied health disciplines was conducted to assess the nature and content of
      affiliation agreements, attitudes toward affiliation agreements and the extent to
      which clinical facilities are being reimbursed by academic institutions for
      providing clinical instruction. This paper summarizes the data across the 11
      disciplines. In contrast to prior research, the formal contract emerges as the
      most frequently used form of agreement. Specific rights and responsibilities of
      academic and clinical educators, including personal and professional liability
      insurance, are delineated. Student rights and responsibilities receive less
      attention. Eight percent of respondents are charged an overall fee for use of
      clinical facilities; an additional 32% feel that payment may be required in the
      future. Recommendations include provision for increased attention to student
      rights and responsibilities and for legal counsel in developing affiliation
      agreements.

PMID- 10243171
TI  - Training minorities for health careers: a five-year follow-up study.
AB  - This study investigates the economic status of 69 residents of Newark, New
      Jersey, who completed health career programs at the College of Medicine and
      Dentistry of New Jersey in June 1973. The subjects were black females from
      socially and economically disadvantaged backgrounds ranging in age from 20 to 37
      years. Approximately 28% of the 85 subjects who started the program had dropped
      out of high school by the 11th grade: three had completed the ninth grade and 54
      were high school graduates. None had received postsecondary education. Candidates
      were recruited from the city welfare roster and referred to a selection committee
      consisting of Newark officials, community residents and representatives from the
      New Jersey Medical School. Accepted candidates were given first, second and third
      choices for career selection. Prior to training, 44 subjects were unemployed or
      receiving public assistance. Only six graduates now receive public assistance.

PMID- 10243172
TI  - A recommended management information system for mental health treatment programs.
AB  - On the basis of information obtained during a study of former mental patients
      under a research grant from the state of Florida, the authors point out the
      critical need for more comprehensive management information systems. Twelve
      specific steps for designing and implementing such a system are outlined.

PMID- 10243173
TI  - Competency based education: general concepts.
AB  - Competency based education is a system of education which focuses on the
      performances to be exhibited by the graduates of the educational program. This
      paper presents an overview of the steps in the development of a competency based
      curriculum and gives examples which apply the concepts to a physical therapy
      educational program.

PMID- 10243174
TI  - Managing the change process.
AB  - Change is a normal and expected phenomenon in the 20th century, but how well are
      health professions educators prepared to deal with necessary educational change?
      This article presents a conceptual model for the change process, which provides a
      framework for adopting an innovation. Although a systems model is used, the human
      factors associated with change are emphasized. The model provides a basis for
      action, but the limitations of a static, inflexible viewpoint are discussed. The
      manager of the change process must be sensitive and responsive to human factors.
      To be successful, the manager must capitalize on his/her intuitive and creative
      capabilities. The phenomenon of change may be disruptive to an educational
      organization. The manager of change may not be in a comfortable position, but the
      manager who perseveres will see innovations adopted, experience personal growth
      and contribute to the professional development of others.

PMID- 10243175
TI  - Continuing education for the allied health professions: the dilemma and the
      promise.

PMID- 10243176
TI  - The recreational therapy kardex: a system for integration.

PMID- 10243177
TI  - How we did it: family centered care in a large community hospital.

PMID- 10243178
TI  - Visiting on an adolescent ward.

PMID- 10243179
TI  - Strategic intervention: a mental health program for the Hispanic community.
AB  - Over the past three years the Worcester Youth Guidance Center has developed a
      series of mental health programs directed to the Hispanic community of Worcester,
      Massachusetts. The model for these programs has been that of strategic
      intervention. This approach was based upon knowledge gained from the literature
      and extensive exploratory contacts with key Hispanic leaders. The Center's
      Hispanic Program consists of five components: (1) community education and
      training. (2) clinical consultation, (3) program consultation, (4) research, and
      (5) clinical intervention and case management. This article describes these
      components in detail and presents a rationale for strategic intervention.

PMID- 10243180
TI  - CHMC directors' preferences for training of bachelor's level psychologists.
AB  - A questionnaire devised to measure preferences for training of bachelor's level
      psychologists was mailed to 302 community mental health center (CHMC) directors
      in the southeastern United States; 117 or 39% completed and returned
      questionnaires. Based on the preferences of CMHC directors, bachelor's level
      candidates for employment in CMHCs should manifest the following: (1) a good
      foundation in generic "core" psychology theory; (2) training in fundamental
      intervention skills in the area of group, family, and individual
      counseling/psychotherapy and consultation; plus crisis intervention and intake
      interviewing; (3) specialized training/experiences in working with such high
      priority groups as disadvantaged blacks, the physically disabled, and
      alcohol/drug abusers; (4) knowledge of community resources and skill in
      publicizing/public relations; and (5) personal characteristics that include
      personal warmth, a neat personal appearance, and good oral and written
      communication skills.

PMID- 10243181
TI  - Are dropouts, dropouts?
AB  - In this study, the perceptions of unilateral terminators, "dropouts," of their
      visit to a community mental health center were examined. A telephone survey was
      conducted to assess client satisfaction, impressions of the setting and
      therapist, helpfulness of the visit, expectations of and reported services
      received, and source and degree of problem(s) solution. Forty-seven respondents
      participated in the survey. Seventy percent were satisfied with the service they
      received. Satisfaction was related to favorable perceptions of the setting, the
      therapist, helpfulness of the visit, and whether improvement was due to contact
      with the center. Almost 80% of the respondents reported their problems had
      improved. Expectations of services to be rendered were generally met. Meeting of
      expectations was related to client satisfaction and perceived helpfulness but not
      to problem solution. Center impact was related to client satisfaction, mode of
      entry, meeting of clients' expectations, and number of services received. The
      study suggests that unilateral client termination is not a failure of the client
      or the intervention system. Clients can benefit from one session, use alternative
      sources of assistance, or be affected by environmental changes.

PMID- 10243182
TI  - Who is called mentally ill: public and professional views.
AB  - This study was designed to identify factors that influence the decision to call
      someone mentally ill, and to determine some attitudinal correlates of such
      labelling. Members of the general public and mental health professionals were
      queried on their views about etiologies of mental illness, circumstances in which
      they would call someone mentally ill, and opinions about restricting occupational
      choices of the formerly hospitalized. Results showed considerable agreement
      between lay respondents and mental health professionals. The label of mental
      illness was applied by both groups with considerably greater restraint than was
      anticipated on the basis of prior research. Across issues, two patterns of
      response emerged; some respondents believe that mental illness is a real entity,
      apply the label to a wide range of behavior, regard hospitalization as the best
      course of action and restrict the occupational choices of the formerly
      hospitalized. At the other extreme is a subset of respondents who regard
      hospitalization as objectionable in principle, who narrowly define mental illness
      and who are unlikely to restrict the career choices of the formerly hospitalized.
      These findings are related to previous work in the field.

PMID- 10243183
TI  - Telephone change agentry in the diffusion of a program for the elderly.
AB  - This study examined whether telephone consultation subsequent to a five-day
      workshop on a geriatric program, called milieu therapy, affected the degree to
      which the adoption of the program took place in nursing homes and hospitals. The
      nursing homes and hospitals were randomly assigned to three conditions: 1) no
      person receiving telephone consultation, 2) one person receiving consultation,
      and 3) three persons receiving consultation. Following the workshop, five
      consultations were conducted, one every two weeks. Three months after the last
      consultation a follow-up questionnaire was used to examine the extent of the
      program adoption. Results of the study indicated that telephone consultation did
      not create more information dissemination. However, the consultation with three
      persons 1) enhanced the inclusion of more staff in the planning groups, 2)
      supported low social status staff in taking leadership roles, and 3) included
      more staff from various work areas into the planning group. No significant
      difference could be found for the degree of actual program adoption that took
      place within the organizations.

PMID- 10243184
TI  - Primary care research in a teaching context.

PMID- 10243185
TI  - Research for evaluation of care.

PMID- 10243186
TI  - Evaluating care delivery.

PMID- 10243187
TI  - Summary of workshop: what does the community expect from primary care?

PMID- 10243188
TI  - Summary of workshop: problems of financing teaching in ambulatory care services.

PMID- 10243189
TI  - Quality assurance in a prepaid group practice.

PMID- 10243190
TI  - Can primary care deliver?

PMID- 10243191
TI  - Unknown and unserved? Primary ambulatory care judgments in a low-income
      population.

PMID- 10243192
TI  - Marketing HMOs: a premarketing approach.

PMID- 10243193
TI  - Administering patient satisfaction questionnaires at diverse ambulatory care
      sites.

PMID- 10243194
TI  - Primary care conference--Part III: Research.

PMID- 10243195
TI  - Measuring the uniqueness of primary care.

PMID- 10243196
TI  - AHCA's Congressional Conference: ICF/SNF regulation revision.

PMID- 10243197
TI  - AHCA's Congressional Conference: congressional review of administrative
      rulemaking (H.R. 1776).

PMID- 10243198
TI  - AHCA's Congressional Conference: requirements for all nursing homes to install
      automatic sprinkler systems (H.R. 642).

PMID- 10243199
TI  - AHCA's Congressional Conference: geriatric medical education and training (S.
      711).

PMID- 10243200
TI  - AHCA's Congressional Conference: Nurse Training Act Amendments (S-230, H.R.
      3633).

PMID- 10243201
TI  - Expansion insures quality care in safe surroundings.

PMID- 10243202
TI  - Data needs: getting down to business.

PMID- 10243203
TI  - Media relations and you.

PMID- 10243204
TI  - Close corporations get employment tax break.

PMID- 10243205
TI  - Caregivers.

PMID- 10243206
TI  - The billion dollar cost of regulations.

PMID- 10243207
TI  - What is profit?

PMID- 10243208
TI  - The proof of professionalism in practice.

PMID- 10243209
TI  - Designing a modern home for the elderly.

PMID- 10243210
TI  - Firetrap.

PMID- 10243211
TI  - Issues with the provision of care to the terminally ill patient in nursing homes.
AB  - The need for new special care programs to care for nursing home patients who are
      dying and know it is discussed. Four different types of dying patients are
      identified according to their special needs. The hospice concept is described and
      conclusions are made about its application to the nursing home. In particular, it
      is concluded that: (1) nursing home administration need to form joint efforts
      with hospitals and home health services in deciding how to meet needs of dying
      patients; (2) a team concept is a good way to provide hospice care; and (3)
      current staff of nursing homes need to be educated in managing the patient who is
      dying and knows it.

PMID- 10243212
TI  - Texas--first state to provide training for RN consultants to ICFs.

PMID- 10243213
TI  - Reader-printers for libraries; introductory comments on the LTR test program.

PMID- 10243214
TI  - Minolta RP 405 reader-printer.

PMID- 10243215
TI  - Minolta RP 407 reader-printer.

PMID- 10243216
TI  - 3M "500 LM" reader-printer.

PMID- 10243217
TI  - Microfiche reader-printers.

PMID- 10243218
TI  - Bell & Howell Spacemaster microfiche reader-printer.

PMID- 10243220
TI  - IMTEC 012 (Quantor 412) microfiche reader-printer.

PMID- 10243219
TI  - Canon 370 microfiche reader-printer.

PMID- 10243221
TI  - 3M 800 microfiche reader-printer.

PMID- 10243222
TI  - Price indexes for 1979: U.S. periodicals and serial services.

PMID- 10243223
TI  - Human tissue transplants: legal possibilities.

PMID- 10243224
TI  - The right to die.

PMID- 10243225
TI  - NY hospital curbs expenditures by renovating laundry facility.

PMID- 10243226
TI  - Goal setting receives top priority for management.

PMID- 10243228
TI  - Capsule case history: Huntington Memorial Hospital.

PMID- 10243227
TI  - Consultant offers formula for success as a laundry manager.

PMID- 10243229
TI  - Lowered water temperatures heat bacteriostat controversy.

PMID- 10243230
TI  - Stauffer columnist tells how to control laundry pathogens.

PMID- 10243231
TI  - Housekeeper offers procedures for laundry infection control.

PMID- 10243232
TI  - Bacteriologist speaks on infection control within the nursing home.

PMID- 10243233
TI  - Consultant says good management is key to effective linen control.

PMID- 10243234
TI  - Seattle central laundry wages vigorous cost control campaign.

PMID- 10243235
TI  - A test: do you know your health care planning ABC's?

PMID- 10243236
TI  - Selecting a computerized billing system--a dynamic process.
AB  - This case study of the procedures used by the College of Physicians and Surgeons
      of Columbia University in selecting a computerized billing service provides a
      model for other institutions with similar needs for evaluating billing systems.

PMID- 10243237
TI  - Peninsula Industrial Medical Clinic.

PMID- 10243238
TI  - An incentive program for an HMO-oriented group practice.
AB  - An employee incentive program in this HMO not only improved the quality of
      services offered and maintained them at a more cost-efficient level, but also
      benefitted employees through added income.

PMID- 10243239
TI  - An Indonesian experience.
AB  - Having proven that one person can make a difference, a retired administrator
      writes about his volunteer efforts to start a medical group practice in
      Indonesia.

PMID- 10243240
TI  - Marketing guidelines for medical group practice.
AB  - For some groups, patients are no longer available in an endless supply.
      Administrators are learning that they must respond to changing market situations
      in order to maintain their group's fair share of the market.

PMID- 10243242
TI  - Patient relations--a guide to caring.
AB  - Clinic administration can play a vital role in patient relations--an area which
      has binding interest for physicians, employees, and the organization in total.

PMID- 10243241
TI  - Your employee benefits hit parade.

PMID- 10243243
TI  - The politics of health care delivery.
AB  - This article is the first in a series of three which are designed to give
      managers an overview of the politics, planning, and regulation of health care
      delivery.

PMID- 10243245
TI  - "President Carter could ruin our hospitals". Interview by Richard L. Peck.

PMID- 10243244
TI  - Certificate of need--is group practice next in line?
AB  - Certificate of Need agencies are likely to complicate the lives of group practice
      managers in the future--now is a good time to learn the nature of the beast.

PMID- 10243246
TI  - The year the pendulum swung back.

PMID- 10243247
TI  - Here comes another big push to put an HMO in your future.

PMID- 10243248
TI  - How to fight back when your profession is attacked.

PMID- 10243249
TI  - Paperless claims processing is here.

PMID- 10243250
TI  - What the crackdown on hospital privileges means to you.

PMID- 10243251
TI  - One road to professional expansion: variety in clinical education.

PMID- 10243252
TI  - Alternative work schedules: a flexible approach to getting the job done.

PMID- 10243253
TI  - An automated medical record ordering and tracking system at the Cleveland Clinic
      Foundation.

PMID- 10243254
TI  - Bringing patient care audit back to life.

PMID- 10243255
TI  - ART progression--myth or reality?

PMID- 10243256
TI  - Making medical record review objective and effective.

PMID- 10243257
TI  - Your doctor and you.

PMID- 10243258
TI  - Hospital provides special care for dying patients and their families.

PMID- 10243260
TI  - Some off-the shelf gains seen at one Air Force base.

PMID- 10243259
TI  - A step towards self dependence: training village dhais.

PMID- 10243261
TI  - Group buyers warned on retaining rebates.

PMID- 10243262
TI  - EFM use backed for high-risk patients.

PMID- 10243263
TI  - New dialysis frees patients from machines.

PMID- 10243264
TI  - A hidden market within a 'hidden' delivery system?

PMID- 10243265
TI  - MedEcon brings dealers into group purchasing.

PMID- 10243266
TI  - Infrared (IR) scanning methods.

PMID- 10243267
TI  - Nonwovens reduce post-operative infections.

PMID- 10243268
TI  - CS supervisors welcome materials management.

PMID- 10243269
TI  - The Ohio Generic Product Selection Law: influence on pharmacy practice.

PMID- 10243270
TI  - Economic consequences of the maximum allowable cost program to the entire
      profession of pharmacy.

PMID- 10243271
TI  - Nurses: colleagues or competitors?

PMID- 10243272
TI  - Being a doctor may be hazardous to your health.

PMID- 10243273
TI  - How Harris will HEW to Carter's line.

PMID- 10243274
TI  - Protecting children and society.

PMID- 10243275
TI  - Experimentation with children: the "pawns" of medical technology.

PMID- 10243276
TI  - An innovative system for selective review.

PMID- 10243277
TI  - Patients: the hospital's most important public.

PMID- 10243278
TI  - "Patients come first" in fire procedure.

PMID- 10243279
TI  - The legislative committee: a new mechanism to influence lawmaking.

PMID- 10243280
TI  - They said it couldn't be done.

PMID- 10243281
TI  - One way to measure quality of patient care.

PMID- 10243282
TI  - Development: involving the local community.

PMID- 10243283
TI  - Marketing an auxiliary.

PMID- 10243284
TI  - Public relations, marketing and development stress long-term human relations.

PMID- 10243285
TI  - Development...prescription for hospital needs.

PMID- 10243287
TI  - Food service productivity.

PMID- 10243286
TI  - Marketing: the only authentic long-range planning.

PMID- 10243288
TI  - Is the system the solution?

PMID- 10243289
TI  - You call--we haul: a systems analysis of the movement of supplies, equipment, and
      people.

PMID- 10243290
TI  - U and the 4 R's: uniform reporting, rate review and regulation.

PMID- 10243291
TI  - A proven approach to productivity management.

PMID- 10243292
TI  - Make the most of your organization's ideas.

PMID- 10243293
TI  - Regulatory mentality or creative initiative?

PMID- 10243294
TI  - Chairman's letter: a debate is raging in Washington.

PMID- 10243295
TI  - Physician recruiting: no small challenge.

PMID- 10243297
TI  - St. Francis Hospital parking facility.

PMID- 10243296
TI  - Organizational equity perceptions, employee job satisfaction, and departmental
      absence and turnover rates.
AB  - Employee job satisfaction and perceptions of equitable treatment have been the
      topics of a great amount of behavioral research. Several theorists have suggested
      that one or the other may be related to organizational behaviors of employees
      such as absence and/or turnover. This longitudinal study examines the association
      of the two constructs, and, in a field setting, compares them as separate
      variables relating to absence and turnover. Employee perceptions of equitable
      treatment were found to be stronger predictors of absence and turnover than were
      job satisfaction variables.

PMID- 10243298
TI  - Surgical and medical complications top the list of external causes of injury.

PMID- 10243299
TI  - Minority admissions: the increasingly empty promise of affirmative action.

PMID- 10243301
TI  - Psychiatry--critical negotiations: patients who refuse treatment for life
      threatening conditions.

PMID- 10243300
TI  - Quandaries: coping with conflict in the psychiatric emergency rooms.

PMID- 10243302
TI  - Change: the cornerstone of leadership.
AB  - What is leadership? Who are the leaders? When and where do they lead? In
      answering these questions, the author explores human behavior. He explains why
      one person becomes a leader while another does not; why one leader is effective
      while another is less so. The author remarks at the start that he found it a
      challenge to write about something most persons intuitively understand. He
      thought that perhaps many might regard a discussion of leadership as unrevealing,
      for the subject is thought to speak for itself. Interesting, however, is that his
      many perceptions and observations on what is believed to be an everyday issue are
      far from common and everyday.

PMID- 10243303
TI  - Feds vs meds: what the trustbusters want you to do. Interview by Lois Hoffman.

PMID- 10243304
TI  - MJS: management by job standards.

PMID- 10243305
TI  - The staffing grid: an integrated approach to organizational development.

PMID- 10243306
TI  - Management for more effective staff meetings.

PMID- 10243307
TI  - The void in collective bargaining: professional employees.

PMID- 10243308
TI  - Developing behaviorally-anchored rating scales (BARS).

PMID- 10243309
TI  - Criteria-based planning for employee communication.

PMID- 10243310
TI  - Physicians vs. hospital administrators: different breeds.

PMID- 10243311
TI  - Medical facility design for human patient flow.

PMID- 10243312
TI  - The Freedom of Information Act a decade later.

PMID- 10243313
TI  - The Freedom of Information Act revisited.

PMID- 10243314
TI  - Faithful execution of the FOI Act: one executive branch experience.

PMID- 10243315
TI  - Freedom of information, privacy, and information control: a contemporary
      administrative dilemma.

PMID- 10243316
TI  - Faithful execution of the FOI Act: a legislative branch perspective.

PMID- 10243317
TI  - Regional resource allocation.

PMID- 10243318
TI  - New units for assessing radiation risks for patients in radiography.

PMID- 10243319
TI  - X-ray record card.

PMID- 10243320
TI  - Comparison of centralized and decentralized information systems effects on
      radiology departments: an overview.

PMID- 10243321
TI  - House officer retreats: a way to improve residency training programs.

PMID- 10243322
TI  - Illinois rehabilitation agency becomes first to recognize CARF for accreditation
      of medical rehabilitation facilities.

PMID- 10243323
TI  - Facility report: Memorial Medical Center, Corpus Christi, Tex.

PMID- 10243324
TI  - Tips for convincing surgeons to use same-day method.

PMID- 10243325
TI  - Licensing looms for Georgia freestanding units.

PMID- 10243326
TI  - Construction delays prove costly to units.

PMID- 10243327
TI  - Say 'post-discharge' on infection reporting forms.

PMID- 10243328
TI  - Anatomical aspects of scrub more important than time.

PMID- 10243329
TI  - Policy issues in financing mental health services.
AB  - Although a national health insurance program of some kind may soon be established
      in this country, public policy regarding prepaid and reimbursable outpatient
      mental health services has yet to be formulated. The author explores various
      options for a policy that may determine how services in this area are financed
      and provided.

PMID- 10243330
TI  - Evaluating social work practice.
AB  - Few studies have explored the criteria by which social work practice is generally
      evaluated. This study, which used written case analogues, found that information
      on both the process and outcome of a case is used in making evaluative judments
      of practitioners' performance.

PMID- 10243331
TI  - A systems approach to health insurance policy information: a preliminary taxonomy
      of health insurance issues, program options, problems and solutions.

PMID- 10243332
TI  - Better health care without more inflation.

PMID- 10243333
TI  - The case for deinstitutionalization.

PMID- 10243334
TI  - The California Natural Death Act: an empirical study of physicians' practices.

PMID- 10243335
TI  - The system as solution.

PMID- 10243336
TI  - What is safe and effective in hospital linen.

PMID- 10243337
TI  - The management of mass casualty disasters.

PMID- 10243338
TI  - The voluntary way.

PMID- 10243339
TI  - Nursing shortage continues for Texas hospitals.

PMID- 10243340
TI  - Living with dying: a training program for fiscal employees.

PMID- 10243341
TI  - Hospitals are saving more than lives--the Texas Voluntary Effort.

PMID- 10243342
TI  - Nurses: the validity of standing orders.

PMID- 10243343
TI  - Educators in action: evaluating performance.

PMID- 10243344
TI  - The future depends on us.

PMID- 10243345
TI  - From brownies to carrot sticks: a community health education story.

PMID- 10243346
TI  - As I see it: American Hospital Association's call to get involved in the public
      arena.

PMID- 10243347
TI  - Make your credentialing procedures work for you.

PMID- 10243348
TI  - Dental insurance: a fringe benefit that's spreading.

PMID- 10243349
TI  - Walter Reed fertility clinic service 'unique'.

PMID- 10243350
TI  - Volunteer-union relations: thoughts and warnings.

PMID- 10243351
TI  - The exchange theory.

PMID- 10243352
TI  - The four 'isms' (voluntarism, pluralism, volunteerism and privatism) and their
      effect on the voluntary sector.

PMID- 10243353
TI  - Volunteers and strikes: good motives should not be exploited.

PMID- 10243354
TI  - Strike, stress and community response.

PMID- 10243355
TI  - Neighborhoods and "deinstitutionalization".

PMID- 10243356
TI  - Neo-Fight fights for life.

PMID- 10243357
TI  - To make the road less lonely: the volunteer in hospice care.

PMID- 10243358
TI  - In which an auxiliary helps convince a county to pay more in taxes for a very
      good cause.

PMID- 10243359
TI  - The many-faceted role of the patient rep.

PMID- 10243360
TI  - The psychiatric outpatient as volunteer: a challenge for directors.

PMID- 10243361
TI  - Coffee break.

PMID- 10243362
TI  - Female's natural advantage? Or, the unhealthy environment of males? The status of
      sex mortality differentials.
AB  - Females live almost eight years longer than males, a difference which has
      increased during the 20th Century. Whether considered by age group or disease
      category, the mortality of males exceeds that of females. Environmental and
      behavioral factors, all potentially correctable, explain this differential more
      satisfactorily than genetic factors. It is nurture more than nature which must be
      understood if the sex mortality differential is to be decreased.

PMID- 10243363
TI  - Physician stereotypes about female health and illness: a study of patient's sex
      and the informative process during medical interviews.
AB  - Three hundred and thirty-six tape recorded interactions between a stratified
      random sample of physicians and a sample of their patients are analyzed in order
      to compare male and female information-seeking behavior in the medical interview
      and to contrast the response of doctors to male and female requests for
      information. Some of the underlying attitudes on the part of the physicians that
      may affect the information-exchange process are discussed.

PMID- 10243364
TI  - The planning of medical services for immigrants to big cities.

PMID- 10243365
TI  - Puerto Rican migration and mainland health care: migration to big cities from
      rural areas.

PMID- 10243366
TI  - Coordination of emergency services in big cities.

PMID- 10243367
TI  - Emergency medical services in American cities.

PMID- 10243368
TI  - Planning hospital-based primary care services.

PMID- 10243369
TI  - The rural hospital--its evolution, functions and integration with the rest of the
      health services in Puerto Rico.

PMID- 10243370
TI  - Design of rural hospitals.

PMID- 10243371
TI  - A conceptual framework for health system planning in developing nations.

PMID- 10243372
TI  - Flexible health care facilities for the developing countries.

PMID- 10243373
TI  - Rural health facilities in the developing countries.

PMID- 10243374
TI  - The role of the nurse in the hospital setting of the 1980s.

PMID- 10243375
TI  - Computerised axial tomography--an important health care phenomenon.

PMID- 10243376
TI  - Prototype rural hospital design in Brazil.

PMID- 10243377
TI  - Medical care within the framework of social security.

PMID- 10243378
TI  - Health care in big cities--an IHF overview.

PMID- 10243379
TI  - The effects of migration on the provision of medical services by the municipality
      of San Juan.

PMID- 10243380
TI  - Health services for the marginal population of the Metropolitan Zone of Caracas,
      Venezuela.

PMID- 10243381
TI  - The urban hospital: a significant component of the urban crisis.

PMID- 10243382
TI  - Inflation: tracing the causes.
AB  - In the first half of 1979, the U.S. inflation rate was running higher than the
      alarming pace of most of the previous 10 years. Because the current price
      increases are led by the necessities--food, energy, medical care, housing and
      interest rates--inflation was having a particularly devastating impact on lower
      income families whose incomes go almost exclusively for those necessities.
      Workers remain on a treadmill--losing ground in real spendable earnings despite
      new wage increases.

PMID- 10243383
TI  - A move of geriatric residents in a skilled nursing facility.

PMID- 10243384
TI  - Exercise for the elderly: recreation and therapy.

PMID- 10243385
TI  - The Elizabeth Seton Residence and the patient bedroom module.

PMID- 10243386
TI  - The ideal nursing home as perceived by residents, families and personnel.

PMID- 10243388
TI  - Geriatric nutrition in an extended care facility: a social perspective.

PMID- 10243389
TI  - Avoiding conflicts between the board and administrator.

PMID- 10243387
TI  - Strengthening the board of directors.

PMID- 10243390
TI  - Government buck passing of health care costs.

PMID- 10243391
TI  - Some uses of art therapy data in research.

PMID- 10243392
TI  - Drug information requests at the Philadelphia College of Pharmacy and Science.

PMID- 10243393
TI  - Arson probe under way after hospital fire.

PMID- 10243394
TI  - Is health care 'rationing' inevitable?

PMID- 10243395
TI  - Nepal's long climb to better health.

PMID- 10243396
TI  - Oregon county buying prepaid care for needy.

PMID- 10243397
TI  - Harris County physicians wage 'get tough' campaign against MDs who charge
      excessive fees.

PMID- 10243398
TI  - Theory still challenged: AMA revamps stand on chiropractic.

PMID- 10243399
TI  - The preemies grow up.
AB  - The patients are tiny; their medical problems can be immense. For the infant born
      with heart or lung disease, life begins as an all-or-nothing struggle--a struggle
      that, until recently, the infant usually lost. No longer. Today, thanks largely
      to pioneering work done at the University of California, San Francisco, sick
      newborns who surely would have died a few years ago are being saved and are
      growing up to lead healthier lives than was ever thought possible.

PMID- 10243400
TI  - Cancer insurance: supplemental protection against a devastating disease.

PMID- 10243401
TI  - Preparing a professional development manual.

PMID- 10243403
TI  - Caring for terrazzo.

PMID- 10243402
TI  - Executive housekeepers talk about purchasing.

PMID- 10243404
TI  - Health care problems face congressional overdose.

PMID- 10243405
TI  - Hospital resources for optimal care of the injured patient. Prepared by a Task
      force of the Committee on Trauma of the American College of Surgeons.

PMID- 10243406
TI  - Director's memo: medical ethics.

PMID- 10243408
TI  - Time management: making every minute count.

PMID- 10243407
TI  - Making money the motivator.

PMID- 10243409
TI  - Separation isn't simple.

PMID- 10243410
TI  - Leading the way to success.

PMID- 10243411
TI  - Managing in style.

PMID- 10243413
TI  - Battling shrinks: mind-bending fray in Florida.

PMID- 10243412
TI  - Documenting employee performance.

PMID- 10243414
TI  - Hospital addict: an Irishman sets a record.

PMID- 10243415
TI  - Managing those medical costs.

PMID- 10243416
TI  - Pension and Welfare Benefit Programs: rules and regulations for fiduciary
      responsibility; proposed regulations relating to definition of plan assets and to
      establishment of trust.

PMID- 10243418
TI  - Nonimmigrant alien (H-1) nurses; proposed examination requirement.

PMID- 10243417
TI  - Food and Drug Administration: classification of physical medicine devices;
      development of general provisions--proposed role.

PMID- 10243419
TI  - Medical devices; classification of neurological devices: final rule.

PMID- 10243420
TI  - National Commission on Unemployment Compensation: unemployment compensation
      programs assessment; inquiry.

PMID- 10243421
TI  - National Institutes of Health: recombinant DNA research; final plan for a program
      to assess the risks of recombinant DNA research.

PMID- 10243422
TI  - Trade regulation rulemaking procedures; procedures for asserting privilege in
      response to compulsory process or request for voluntary production of material.
      Federal Trade Commission--final rule.

PMID- 10243424
TI  - Nondiscrimination on the basis of age in programs or activities receiving federal
      financial assistance from HEW: proposed rules.

PMID- 10243423
TI  - Veterans Administration--clinical support wing and psychiatric outpatient
      building, VAMC, Denver, Colo.; finding of no significant impact.

PMID- 10243425
TI  - Sprinkler systems for nursing homes draw fire from industry.

PMID- 10243426
TI  - FDA in hot water again over cost of proposed drug labeling rule.

PMID- 10243427
TI  - Blood Center of Southeastern Wisconsin.

PMID- 10243428
TI  - Remodeling: planning & analysis options.

PMID- 10243429
TI  - Hospitals turning to bold marketing to lure patients and stay in business.

PMID- 10243430
TI  - GM's tough proposal to UAW asks health benefits freeze.

PMID- 10243431
TI  - Bedpan mutuals deny crunch is coming.

PMID- 10243432
TI  - Community placements.
AB  - A pilot study at Queen's University on the use of community facilities for
      undergraduate clinical training is described. The objectives of this project were
      to provide broadening experiences for students outside the institutional model,
      and to increase the number of available placements. From both the faculty and
      student points of view, the project is considered a success and is being
      expanded. The authors suggest that the future therapist must be prepared for
      community practice and recommend the inclusion of similar experiences in all
      undergraduate occupational therapy programmes.

PMID- 10243433
TI  - Mothers in occupational therapy.
AB  - The author explores the current trend of therapists returning to work after
      entering motherhood. The factors both positive and negative of utilizing "Mother
      O.T.'s" in an Occupational Therapy Department are delineated with an emphasis on
      those particular contributions encountered when such an O.T. is employed. Her
      conclusion is a resounding endorsement for employing "Mother O.T.'s" because of
      their added maturity, stability and responsibility. Suggestions such as "Be
      flexible with vacant positions restructuring the job if necessary to accomodate
      part-time therapists", are offered in order to encourage such O.T.'s to return to
      their profession thus alleviating our manpower shortage.

PMID- 10243434
TI  - Sociological overview of professionalism in occupational therapy.

PMID- 10243435
TI  - Some divisive forces in occupational therapy.

PMID- 10243436
TI  - Murial Driver Memorial Lecture. Presented at the 45th Annual Conference of the
      Canadian Association of Occupational Therapists, June 5, 1975.

PMID- 10243438
TI  - The rocky road to riches.

PMID- 10243437
TI  - Factors influencing the education of occupational therapists in Ontario.
AB  - This paper examines some of the factors which were involved in the December 1974,
      decision, of the Ontario's Minister of Colleges and Universities to Mohawk
      College of Applied Arts and Technology to establish an experimental program in
      occupational therapy. This program is being launched without the endorsement of
      the provincial and national association of occupational therapy which wish to
      maintain a baccalaureate level of education for occupational therapists in a
      university settings. Some questions which are explored in the examination of this
      case are: What is a College of Applied Arts and Technology? How is it different
      from a University? What is a profession? What is a paraprofession? Is
      occupational therapy a profession or a paraprofession? Why did Mohawk College
      propose an occupational therapy program? What factors contributed to the
      occupational therapists' inability to stop the proposal? What was the process of
      approval of the proposal? How important are status and prestige as factors in
      these issues? The following discussion will attempt to deal with these questions
      as they relate to the educational arrangements for occupational therapists in
      Ontario.

PMID- 10243439
TI  - Identity crisis in psychology.

PMID- 10243440
TI  - Understanding the total process.

PMID- 10243441
TI  - With a little help from their friends.

PMID- 10243442
TI  - Teaching learning while learning to teach.

PMID- 10243443
TI  - How to develop preretirement planning in the hospital setting.

PMID- 10243444
TI  - Current prospects for biomedical research.

PMID- 10243445
TI  - Quality assurance in hospital pharmacy practice.

PMID- 10243446
TI  - Statement of the role of the pharmacist in preventive health care--approved by
      the Canadian Society of Hospital Pharmacists, May, 1979.

PMID- 10243447
TI  - 1979 Lilly Lecture: comprehensive pharmacy service--what does it take?

PMID- 10243448
TI  - Health care in America takes a new direction: a view by the Surgeon General of
      the U.S. Public Health Service.

PMID- 10243449
TI  - A health priority: continued innovation in pharmaceutical industry and practice.

PMID- 10243450
TI  - The physician glut--what does it portend for clinical pharmacy?

PMID- 10243451
TI  - The availability of education on death and dying: a survey of U.S. nursing
      schools.
AB  - A stratified random sample of 226 U.S. nursing schools was surveyed to determine
      the extent and nature of current death education training for nursing students.
      Of the 205 responding schools, 5 percent reported offering a required death and
      dying course, while an additional 39.5 percent indicated that a death and dying
      course was available for their students on an elective basis. The authors
      challenge the current pedagogical approach toward death education in U.S. nursing
      schools. They propose the need for the development of a model that would formally
      link a death education course, or courses, with the clinical phase of training.
      It is hypothesized that such an approach would enhance the nursing students'
      recognition and management of their feelings regarding death and dying and
      therefore result in more effective means of relating to terminally ill patients.

PMID- 10243452
TI  - Death education--where is thy sting?
AB  - We are not free to choose whether anyone will learn about death, though we have
      some choice about how they will learn. The author discusses the basic questions
      that need to be answered in planning death education at any level, and the
      possible goals, in terms of cognitive gain, skills, and attitudinal objectives.
      Some principles in regard to teaching methods and evaluation are described, with
      illustrations from the experiences of medical students and others. It is
      important that the teacher should be able to deal with the problems that such
      programs may arouse. Cheap emotional arousal is easy to produce, but trivial,
      unless creatively used for a valued purpose and adequately resolved. Death is
      infinitely exploitable, and the growth of death voyeurism via "education" is
      alarming. The capacity to recognize and avoid being exploited or exploiting
      others must be one of our principle educational objectives.

PMID- 10243454
TI  - Central ambulance service: training module program.

PMID- 10243453
TI  - Telephone access to ambulance services.

PMID- 10243455
TI  - Legal barriers to EMS systemization: general.

PMID- 10243456
TI  - A triage system within an emergency department.

PMID- 10243457
TI  - Extrication -- rescue techniques.

PMID- 10243458
TI  - Equipment: vehicle alternator-battery system.

PMID- 10243459
TI  - Communication: fire alarm and ambulance dispatch system.

PMID- 10243460
TI  - Nursing: sudden infant death.

PMID- 10243461
TI  - Paramedics: debate-type program.

PMID- 10243462
TI  - Treatment of rape victims.

PMID- 10243463
TI  - Open forum: extrication.

PMID- 10243465
TI  - EMS systems evaluation.

PMID- 10243464
TI  - The EMS administrator at school.

PMID- 10243466
TI  - SIRFA -- a standard information reporting form for ambulances.

PMID- 10243467
TI  - Legal barriers to EMS systemization: state.

PMID- 10243468
TI  - Microwave brings telemedicine to Appalachia.

PMID- 10243469
TI  - Equipment: the electrocardiogram.

PMID- 10243470
TI  - Communication: EMS communications system.

PMID- 10243471
TI  - Nursing: International Nurse Day.

PMID- 10243472
TI  - Private ambulances.

PMID- 10243473
TI  - Crisis intervention counselor.

PMID- 10243474
TI  - The role of EMTs in radiation accidents.

PMID- 10243475
TI  - The emergency hospital: a complex EMS subsystem.

PMID- 10243476
TI  - The changing focus of pre-hospital care.

PMID- 10243477
TI  - The construction of an ambulance.

PMID- 10243478
TI  - Nursing: the triage nurse.

PMID- 10243479
TI  - Volunteer squad: emergency medical services.

PMID- 10243480
TI  - Communications: repeaters, relays, and other connections.

PMID- 10243481
TI  - Open forum: the quality of EMS.

PMID- 10243482
TI  - High speed -- what price thrills?

PMID- 10243483
TI  - Anatomy of an accident. National Transportation Safety Board, Washington, D.C.

PMID- 10243484
TI  - Elevator extrication.

PMID- 10243485
TI  - Guidelines for reporting medical information to the resource hospital (a basic
      life support approach).

PMID- 10243486
TI  - Disaster preparedness for medical emergencies.

PMID- 10243487
TI  - Scope of immunity status.

PMID- 10243488
TI  - National Association of Emergency Medical Technicians. A message from the
      president.

PMID- 10243489
TI  - Separating food, service & management.

PMID- 10243490
TI  - Problem: how to stop employee theft. Solution: improve controls, increase
      accountability & prosecute.

PMID- 10243491
TI  - Problem: how to decrease labor & serve a varied menu. Solution: install a
      conveyor cart system, switch to chilled foods.

PMID- 10243492
TI  - A painful recovery.

PMID- 10243493
TI  - Beyond TV: Viewdata & its potential for fund raising.
AB  - Viewdata, a two-day information service that links computers with home TV sets,
      is likely to revolutionize American fund raising when it arrives in the U.S.,
      claims the author. She presents the system's actual and possible applications for
      fund raising, drawing upon the experience of two charitable organizations in the
      United Kingdom that are already using viewdata with great success.

PMID- 10243494
TI  - Attendance half the story at successful charity auction.
AB  - The process of procuring the right merchandise is crucial to the success of your
      charity auction, the author maintains. He gives some pointers on how that task
      can become an enjoyable experience for all involved.

PMID- 10243495
TI  - Human experimentation: use of prisoners in biomedical and behavioural research.

PMID- 10243496
TI  - Blood transfusion and blood banks.

PMID- 10243497
TI  - Health professions: provisions governing registration and training.

PMID- 10243498
TI  - Sex discrimination in social work careers.
AB  - Although the social work profession has expressed a commitment to equal
      opportunity in employment for women, this study notes that inequities in salary
      and status still exist between male and female social workers. A major cause of
      these differences appears to be the process of promotion within public agencies,
      which introduces inequities early in the careers of social workers.

PMID- 10243499
TI  - Evaluating outcome measures for deinstitutionalization programs.
AB  - Since deinstitutionalization has become a feature of many state and county mental
      health programs, suitable and effective measures are needed for evaluating the
      success of patients in adjusting to community life. This study attempted to
      identify the factors linked with satisfactory adjustment or return to the
      hospital and evaluated the usefulness of various measures of success in the
      community.

PMID- 10243500
TI  - Advances in genetics give rise to hosts of moral and legal problems.

PMID- 10243501
TI  - PIQuA: looking to the future.

PMID- 10243502
TI  - Learning primary care in a primary care setting.

PMID- 10243503
TI  - The prognosis of the species.

PMID- 10243504
TI  - New test requirement upsets foreign nurses.

PMID- 10243505
TI  - Cheating on nursing test alleged; N.Y. rejects results.

PMID- 10243506
TI  - Policy in motion.

PMID- 10243507
TI  - Job exchange increases cooperation.

PMID- 10243508
TI  - Nurse-midwifery gains popular acceptance, offers nurses a challenging new role.

PMID- 10243509
TI  - Pastoral care.

PMID- 10243510
TI  - Fielding risk responsibilities in the hospital.

PMID- 10243511
TI  - Developing human assets: how good are you?

PMID- 10243512
TI  - Situational leadership: the key to effective supervision.

PMID- 10243514
TI  - 'The area is a godsend to us--it's at least a focal point we can relate to...'.
      Interview by Drew Clode.

PMID- 10243513
TI  - Management of nursing care: how mismanagement can lead to unionization.

PMID- 10243515
TI  - Anatomy of an emergency service.
AB  - An accident flying squad has been in operation in the North District of
      Lincolnshire AHA since December last year. Author describes how the service was
      set up and how it goes about its life-saving business.

PMID- 10243516
TI  - Financing rising costs of the NHS.

PMID- 10243517
TI  - High-speed life in operating theatres.

PMID- 10243518
TI  - Violence: outside the safety of the hospital.
AB  - The DHSS has issued guidelines on how to deal with violent and potentially
      violent patients in hospital. Author argues that it fails to give effective
      advice to ancillary staff dealing with patients in casualty departments and
      outside the hospital.

PMID- 10243519
TI  - Putting specialty costing to the test.
AB  - Specialty budgeting and costing have attracted wide interest among health service
      finance officers in recent years. In the first of three articles describing how
      the techniques have developed, author examines specialty costing in his own
      authority.

PMID- 10243520
TI  - What kind of welcome?
AB  - The failure of the NHS to identify and treat the diseases of Britain's Asian
      minority was highlighted by the recent outbreak of rickets among the Asian
      community in Glasgow. Author examines the reasons for the spread of the 'Glasgow
      disease'.

PMID- 10243521
TI  - How a team finds its way through the budget maze.

PMID- 10243522
TI  - The answer's simple...two plus two makes four.
AB  - Problems related to training administrators are not difficult to resolve. In this
      article author discusses methods of motivating students during training, and
      argues that students' capabilities for self-instruction must be fully utilised.

PMID- 10243523
TI  - Spreading the right words.
AB  - Concluding his two-part article on the health problems of immigrant communities,
      author examines the difficulties encountered in trying to get the health and
      dietary message across to Asians and lists the measures being taken by various
      authorities to close the communications gap.

PMID- 10243524
TI  - How NHS budgeting has become a bristling form of animal life.

PMID- 10243525
TI  - Who's a naughty girl?
AB  - When a nursing officer takes a hospital tissue to blow her nose is it theft?
      Author poses the question as she goes through a whole list of 'borrowings' and
      compares them with the perks of other occupations.

PMID- 10243526
TI  - Ageing Britain: can we cope? The words and the reality of that happy old age.
AB  - Author opens our major eight-part series with an assessment of the growth in size
      and need of our elderly population and, more importantly, Britain's attitude to
      this need. Is Britain able, and willing, to meet the challenge of the eighties?

PMID- 10243527
TI  - Ageing Britain: can we cope? Pressures of bed shortage a sore point.
AB  - Our first close-up examines the shortage of geriatric hospital beds in one health
      district and the consequences, including early discharges and the placing of
      elderly patients in general wards and GP hospitals.

PMID- 10243528
TI  - Professional flab fighting at district level.
AB  - A health care planning team set up in Harrow to tackle the problem of obesity has
      started a slimming club with ten-week courses. Authors explain the club's methods
      and review its progress so far.

PMID- 10243529
TI  - Training for health and safety.
AB  - Section 2 of the Health & Safety at Work Etc Act 1974 imposes on an employer the
      duty to provide '. . . such information, instruction, training and supervision as
      is necessary to ensure . . . the health and safety at work of his employees.'
      Author looks at theoretical and practical aspects of safety training in the NHS.

PMID- 10243530
TI  - Time to look at rules which govern a monopoly game.
AB  - What we buy and who we buy it from are basic questions posing growing
      complexities for the supply service. Do we buy the right things? What about the
      demand for a central supply council? How alert are we to an expanding monopoly in
      a contracting industry? The debate in the wake of the Salmon report goes on
      unabated. Author supplies it with more ammunition on the eve of the supply
      officers' conference in Nottingham.

PMID- 10243531
TI  - Health administration: guide to epidemiology.
AB  - Continuing our series from the Nuffield Centre, author looks at the broadening
      concern of epidemiology today as it embraces chronic disease and non-medical
      aspects of disease and argues that it could be a great help to the health service
      planner.

PMID- 10243532
TI  - The greening of the Meadows.
AB  - When bulldozers flatten old-established terraces and people are forced to move
      miles across a city, community spirit all too often gets demolished in the
      process. But in a South Nottingham clearance area the neighbourhood ties have
      survived the upheaval and have led to the placing of not just a token social
      worker in a health centre, but an entire social work team.

PMID- 10243533
TI  - The visiting professor.

PMID- 10243534
TI  - Five things not to do when making patient videotapes.

PMID- 10243535
TI  - Are unions an anachronism?
AB  - The labor movement in the United States has its roots deep in the soil of worker
      discontent over grueling working conditions, low pay, and indifference of bosses,
      who profited from others' sweaty labor. As more and more grubby jobs are replaced
      by technological innovations, as work becomes more abstract and everyone wears a
      white shirt, and as managers schooled in motivation theory and humane ideals of
      participation replace the owner-bosses of yesterday, what role will the unions
      have left to play? The author of this article, who has been in both the labor
      force and management, explores what the changes in the labor market will be in
      the future and what these changes will mean for labor-management relations. He
      does not conclude that there is no role for unions-only that it will be very
      different and that to survive unions will have to tackle new issues in the
      workplace. That adaptation will affect management's stance as well.

PMID- 10243536
TI  - Does flexitime improve productivity?

PMID- 10243537
TI  - The subordinate's predicaments.
AB  - How can subordinates improve relations with their superiors? And how can
      superiors help their subordinates feel comfortable in what is often a tense
      relationship? These questions have usually been dealt with only indirectly in
      management circles. Yet the relationship is so threatening to many subordinates
      that they react in ways that are damaging to themselves and their ogranizations.
      Drawing heavily on the work of psychologist Erik Erikson, the authors present
      dilemmas that commonly confront the subordinate. They point out that being aware
      of these dilemmas can make them more manageable and then offer advice to
      superiors to aid subordinates in handling such situations.

PMID- 10243539
TI  - Automated ordering system saves $38,000 annually.

PMID- 10243538
TI  - The board's most important function.
AB  - We continue in this issue the discussion of the proper role of outside directors
      in determining the strategy of a company and in evaluating capital investments in
      its future. The comments on Sam Felton's case in HBR's July-August issue are
      logically followed now by William Wommack's recommendation that a corporate
      objectives or strategy committee should become the usual structural means for
      reviewing management's recommendation for investments. The author argues that
      management must organize well to relate to such a committee and that someone
      should be clearly designated the chief strategic officer (if not the CEO, then
      not the chief operating officer). He outlines the processes leading to management
      board involvement in funding strategies (not projects) and in determining
      direction.

PMID- 10243540
TI  - Performance measurement: 84 is a failing grade.

PMID- 10243541
TI  - Hospital supplies prices continue flat trend.

PMID- 10243542
TI  - Purchasing pointers: how do you justify a high price?

PMID- 10243543
TI  - Optimum make-or-buy decision on printing.

PMID- 10243545
TI  - Recall system helps cut hospital liabilities.

PMID- 10243544
TI  - Who buys food for your hospital?

PMID- 10243546
TI  - Current health care problems in Europe.

PMID- 10243547
TI  - Centralised or decentralised health care.

PMID- 10243548
TI  - Reservoir of resistant bacteria readmitted to hospitals.

PMID- 10243549
TI  - Handwashing: why, how, what.

PMID- 10243550
TI  - Disposables: know what you want.

PMID- 10243551
TI  - Coping with the problem practitioner: five experts' advice.

PMID- 10243552
TI  - Tips on sharing medical records information.

PMID- 10243554
TI  - Residents--the most productive physicians in America.

PMID- 10243553
TI  - How important are residents to patient care?

PMID- 10243555
TI  - Doing staffings.

PMID- 10243556
TI  - Containing costs, increasing services: a controversial solution?

PMID- 10243557
TI  - Choosing the solo route.

PMID- 10243558
TI  - PIQuA project moves to field trials.

PMID- 10243559
TI  - Where is group practice going?

PMID- 10243560
TI  - Accrediting ambulatory care.

PMID- 10243562
TI  - Fitness programs: more than a frill.

PMID- 10243561
TI  - What makes a group work?

PMID- 10243563
TI  - Are you manager enough?

PMID- 10243564
TI  - Be creative, be successful.

PMID- 10243565
TI  - Secretaries vital to unit management.

PMID- 10243566
TI  - Health care--it's never been free.

PMID- 10243567
TI  - CHA wants strong federal-provincial link.

PMID- 10243568
TI  - Easing the way with orientation.

PMID- 10243569
TI  - Good communication helps avoid errors.

PMID- 10243570
TI  - Discipline without punishment.

PMID- 10243572
TI  - Work climate: sunny and warm?

PMID- 10243571
TI  - A unique situation: providing emergency treatment for police prisoners.

PMID- 10243573
TI  - Using crisis for change and growth.

PMID- 10243574
TI  - Effective delegation means . . .

PMID- 10243575
TI  - In-house surveys: a big plus at a small cost.

PMID- 10243576
TI  - Supervisors and record-keeping.

PMID- 10243577
TI  - Experiences in planning, designing, and moving to a new hospital.

PMID- 10243578
TI  - A psychosocial approach to institutionalized aged.

PMID- 10243579
TI  - National nursing home week.

PMID- 10243580
TI  - A study of two.

PMID- 10243581
TI  - An analysis of the 1976 incident reports of the Carillon Nursing Home.

PMID- 10243582
TI  - The development of residential care.

PMID- 10243583
TI  - Communities for nursing homes.

PMID- 10243584
TI  - The other side of "Lou Grant".

PMID- 10243585
TI  - Should hospices be encouraged?

PMID- 10243586
TI  - Health and life satisfaction among nursing home residents in Europe and the
      United States.

PMID- 10243587
TI  - How to get appreciated property out of your corporation.

PMID- 10243588
TI  - The use of music therapy with burn patients.

PMID- 10243589
TI  - The Sophie Davis Center for Biomedical Education.

PMID- 10243590
TI  - The American Nurses Association: a professional model for collective bargaining.

PMID- 10243591
TI  - Union impact on hospital management.

PMID- 10243592
TI  - Unionism in the health care industry: an overview.

PMID- 10243593
TI  - Health Labor Relations: a symposium--introductory note.

PMID- 10243594
TI  - Grievance procedures in health care establishments.

PMID- 10243595
TI  - The ombud and health services.

PMID- 10243596
TI  - Health care issues and welfare plans: impact of hospital cost review on
      industrial relations.

PMID- 10243597
TI  - MINET in K.C.

PMID- 10243598
TI  - Determinants of attitudes toward the aged.

PMID- 10243599
TI  - Consider all factors when treating the elderly.

PMID- 10243600
TI  - Depression and the elderly.

PMID- 10243601
TI  - Adult development research: implications for social and activity programs in
      geriatrics.

PMID- 10243602
TI  - Adult day care: its effect upon the psychosocial quality of life of otherwise
      homebound older persons in an urban setting.

PMID- 10243603
TI  - Preemptive auditing: future shock or present opportunity?

PMID- 10243604
TI  - Coping with team trauma.

PMID- 10243605
TI  - The clonal effect in organizations.

PMID- 10243606
TI  - Privacy and the corporation . . .do we need an employee bill of rights?

PMID- 10243607
TI  - The challenge of changing work values: motivating the contemporary employee.

PMID- 10243608
TI  - On-premise hospital laundries are target of Service Master agency.

PMID- 10243610
TI  - $1 million central laundry plant is designed to save money.

PMID- 10243609
TI  - Nurse recommends cooperation between nursing and laundry.

PMID- 10243611
TI  - Director of laundry introduces Raggedy Ann to chidren's unit.

PMID- 10243612
TI  - Consultant provides basic hints for planning laundry expansion.

PMID- 10243613
TI  - To really sell good health care, try a little show biz.

PMID- 10243615
TI  - How many patients still get the drug you prescribe?

PMID- 10243614
TI  - What Congress' cut-rate NHI bill will cover.

PMID- 10243617
TI  - Setting hard-and-fast rules for informed consent.

PMID- 10243616
TI  - Medicine vs. chiropractic: our leaders let all of us down.

PMID- 10243618
TI  - Doctors' earnings: look what's happening to your buying power.

PMID- 10243619
TI  - It's time we made hospitals stop ripping off patients.

PMID- 10243620
TI  - Combining prepaid care with traditional practice.

PMID- 10243621
TI  - UAH Medical Record Department wins award: the inpatient medical record analysis
      program.

PMID- 10243622
TI  - Ward clerk assistance in completion of medical records.

PMID- 10243623
TI  - The problem solving MR team.

PMID- 10243624
TI  - Trends in graduate education for the health professions.

PMID- 10243625
TI  - Freedom of information and privacy acts.

PMID- 10243626
TI  - Medical record practice in Ghana.

PMID- 10243627
TI  - AMRA bylaws and code of ethics.

PMID- 10243628
TI  - Med society hit with antitrust suit.

PMID- 10243629
TI  - Pediatricians will urge an end to formula giveaways.

PMID- 10243630
TI  - Outpatient therapy for alcoholics: off booze on the Blues.

PMID- 10243631
TI  - Alleged sabotage in its ICU denied by Georgia hospital.

PMID- 10243632
TI  - Plot to resell live pacers from dead patients uncovered.

PMID- 10243633
TI  - Intraocular lens implants win qualified approval.

PMID- 10243634
TI  - Doctor-owned malpractice plan cuts defense costs.

PMID- 10243635
TI  - Have doctor-pickets the right to direct patients elsewhere?

PMID- 10243636
TI  - Monday-morning quarterbacks are overrunning the health field.

PMID- 10243637
TI  - Ob-gyn staff quits in battle over surgical turf.

PMID- 10243638
TI  - Miles's six other maxims of management.
AB  - Rufus Miles has suggested that where you stand depends on where you sit. But the
      converse may also be true with regard to your acceptance of his six other maxims:
      Where you sit may depend on where you stand--that is, on whether you accept the
      truth of these maxims.

PMID- 10243639
TI  - NALU health committee lists aims.

PMID- 10243640
TI  - Hit govt. recovery of vet care cost.

PMID- 10243641
TI  - Conflict of interest?

PMID- 10243643
TI  - Designs for pre-hospital emergency care.

PMID- 10243642
TI  - Designating the resource hospital: part 2.

PMID- 10243644
TI  - Emergency transportation--where?

PMID- 10243645
TI  - The hospital medical staff physician in hospital management.

PMID- 10243646
TI  - I&A accomplishments--and ailments.

PMID- 10243648
TI  - An inspector's prescription for a successful inspection.

PMID- 10243647
TI  - Words of advice to inspectors--from inspectees.

PMID- 10243649
TI  - The unfolding of the CAP inspection and accreditation program.

PMID- 10243650
TI  - The Commission on Inspection and Accreditation: who, what, when, and where?
AB  - A review of the Commission on Inspection and Accreditation, this article
      describes the structure of the Commision, identifies the various regional
      commissioners, discusses the responsibilities and charges of the regional
      commissioners as well as those of the deputy and state commissioners and the
      resource committees, and defines the goal and objectives of the Commission.

PMID- 10243651
TI  - The autopsy in private practice: Part II.

PMID- 10243652
TI  - Meds vs feds: doctors deplore the antitrust brouhaha.

PMID- 10243653
TI  - Three practicing physicians respond to the FTC.

PMID- 10243654
TI  - A patient testifies about costs and competition.

PMID- 10243655
TI  - When your patient has (or wants) a living will.

PMID- 10243656
TI  - In praise of monetary motivation.

PMID- 10243657
TI  - Nonverbal communication can be a motivational tool.

PMID- 10243658
TI  - The polygraph in employment: some unresolved issues.

PMID- 10243659
TI  - Alternative work schedules: the state of the art.

PMID- 10243660
TI  - Trends in the development of alternative work patterns.

PMID- 10243661
TI  - A work schedule to increase productivity.

PMID- 10243662
TI  - Union attitudes and the "manager of the future".

PMID- 10243663
TI  - Human resource perspectives for the '80s.

PMID- 10243664
TI  - Centralized responsibility: key in controlling profit-robbing paperwork.

PMID- 10243665
TI  - Changing role of personnel management in the 1980s.

PMID- 10243666
TI  - Combing BARS and MBO6: using an appraisal system to diagnose performance
      problems.

PMID- 10243667
TI  - Patient-carried profiles are updated by MDs and pharmacists.

PMID- 10243668
TI  - Decentralized pharmacist concept saves time and money in our hospital.

PMID- 10243669
TI  - Infection control in housekeeping.

PMID- 10243670
TI  - Absenteeism--a method of control.

PMID- 10243671
TI  - Will fee controls be cranked into national health insurance?

PMID- 10243672
TI  - The Western Network for Education in Health Administration: executive summary.

PMID- 10243673
TI  - The Western Network for Education in Health Administration--plans for network
      future activities.

PMID- 10243674
TI  - The Western Network for Education in Health Administration--summary of activity:
      March 1978-February 1979.

PMID- 10243675
TI  - The Western Network for Education in Health Administration--project governance:
      Western Network Steering Committee.

PMID- 10243676
TI  - The Western Network for Education in Health Administration--making the
      "consortium" work.

PMID- 10243677
TI  - Trustees authorize peer review trial.

PMID- 10243678
TI  - 'Hospital Audiences'--entertaining patients.

PMID- 10243680
TI  - What's wrong with mental hospitals?

PMID- 10243679
TI  - A unique cardiac rehabilitation program.

PMID- 10243681
TI  - Georgia freestanding facilities welcome licensing.

PMID- 10243682
TI  - Licensed lab offers advantages to same-day units.

PMID- 10243683
TI  - Conflict management in project life cycles.

PMID- 10243684
TI  - Changing the corporate culture.

PMID- 10243685
TI  - The serendipity of the fully functioning manager.

PMID- 10243686
TI  - "Interactive" computer systems for managers: a modest proposal.

PMID- 10243687
TI  - The impact of pension reform on American business.

PMID- 10243688
TI  - Private time and public time: the temporal structure of social accessibility and
      professional commitments.
AB  - This paper highlights the temporal aspects of social accessibility, demonstrating
      that time is a major dimension of social organization along which both privacy
      and professional commitments are defined in modern society. An analysis of the
      temporal structure of professional commitments within the domain of health care,
      leads to the claim that the temporally rigid way in which most professional
      commitments are defined today is one of the key characteristics of modern social
      organization. A general conceptual scheme, constructed around the temporal
      structure of social accessibility, is evaluated in terms of its use in helping us
      identify and differentiate various occupational roles as well as various status
      rankings within stratification systems. The symbolic significance of the temporal
      organization of social accessibility is stressed-both in general, and for
      professional commitments in particular.

PMID- 10243689
TI  - Establishing the level of service for public emergency ambulance systems.

PMID- 10243690
TI  - Telelibrary: library services via satellite.

PMID- 10243691
TI  - A women's self-help program in action.

PMID- 10243692
TI  - Insuring women's health.

PMID- 10243693
TI  - TV advertising is injurious to your ...

PMID- 10243694
TI  - Premature probate: a different perspective on guardianship for the elderly.

PMID- 10243695
TI  - Government interference adds to cost of hospital bill.

PMID- 10243696
TI  - Medical equipment/Japan.

PMID- 10243698
TI  - Washroom chemicals for hospital laundering.

PMID- 10243697
TI  - Functional spearation in a textile rental plant.

PMID- 10243699
TI  - What are the prospects for nursing home business.

PMID- 10243700
TI  - Asepsis and textiles.

PMID- 10243701
TI  - Routine culturing--is it really necessary?

PMID- 10243702
TI  - Textiles items for health care in Sweden.

PMID- 10243703
TI  - The rising cost of health care in the textile rental industry.

PMID- 10243704
TI  - Legislation affects health care services.

PMID- 10243705
TI  - Get involved.

PMID- 10243706
TI  - Protect employees, customers with infection control program.

PMID- 10243707
TI  - How to manage hospital linen effectively.

PMID- 10243708
TI  - Industrial business at hospital accounts.

PMID- 10243710
TI  - Independent linen sells quality.

PMID- 10243709
TI  - Serving the health care market in Holland.

PMID- 10243712
TI  - Medical staff secretary--a must.

PMID- 10243711
TI  - Health care operations manual: Textile Rental Services Association of America.

PMID- 10243713
TI  - THACU: benefits for hospital employees.

PMID- 10243714
TI  - The administration's case for "hospital cost containment": a critical analysis.

PMID- 10243715
TI  - Hospital lien law.

PMID- 10243716
TI  - Management education for head nurses.

PMID- 10243717
TI  - Cost containment ideas: utility bills continue to consume larger and larger
      portions of hospital expenses.

PMID- 10243719
TI  - Hospital costs: why the federal lid won't fit.

PMID- 10243718
TI  - Self-insured health coverage.

PMID- 10243720
TI  - As I see it: must reading for all new hospital trustees.

PMID- 10243721
TI  - It all begins with the nominating committee...

PMID- 10243722
TI  - Learning the ropes as a committee chairman.

PMID- 10243723
TI  - Four committee chairman talk about their jobs--1. Executive committee.

PMID- 10243725
TI  - Four committee chairmen talk about their jobs--3. Long-range planning committee.

PMID- 10243724
TI  - Four committee chairmen talk about their jobs--2. Joint conference committee.

PMID- 10243726
TI  - Four committee chairmen talk about their jobs--4. Education and public relations
      committee.

PMID- 10243727
TI  - We've got to stop meeting like this!
AB  - This article describes how leaders can improve the meetings they lead by managing
      their own behavior, seeing that the needs of other participants are met, managing
      participation in meetings, and managing "air time" in meetings.

PMID- 10243728
TI  - Open meetings without fear.
AB  - An open meeting, properly prepared for and conducted, can be one of the best
      public relations tools a hospital has. This article contains practical
      suggestions to guide the board and the chief executive officer in preparing for
      and conducting board meetings that are open to the press and the public.

PMID- 10243729
TI  - The whys and hows of a board retreat.
AB  - When the board never seems to have enough time for planning and critical decision
      making, a board retreat may be the answer. This article describes one hospital's
      experience and offers advice on the planning of a successful board retreat.

PMID- 10243730
TI  - Trustee development program: the board's role in risk management.

PMID- 10243731
TI  - A group-health plan that has come of age.

PMID- 10243732
TI  - Care for Americans in Zone: Panama health policy shaped.

PMID- 10243733
TI  - Egyptian project grows: EMS services upgraded.

PMID- 10243734
TI  - New trends in health care: turf issues sparking VA policy.

PMID- 10243735
TI  - Research guidelines targeted at protecting human subjects.

PMID- 10243736
TI  - HEW funds Alabama rural health program.

PMID- 10243737
TI  - Choices at the crossroads: Israeli youth choose work.

PMID- 10243738
TI  - Development of citizen advocacy as a volunteer role in a residential facility for
      mentally retarded.

PMID- 10243739
TI  - Delusions of reformism--dissent or madness?

PMID- 10243740
TI  - II. The Institute of Health Sciences: a strategy for health manpower development.

PMID- 10243742
TI  - Medical audit or peer review in Australian hospitals.

PMID- 10243741
TI  - Ethics in nursing.

PMID- 10243743
TI  - Health systems agencies: a civil rights forum.

PMID- 10243744
TI  - New programs for elderly citizens: opportunities and options.

PMID- 10243745
TI  - Baltimore's Lutheran Hospital: case history of the role for survival of an inner
      city hospital.

PMID- 10243746
TI  - Public hospitals--there are no alternatives.

PMID- 10243747
TI  - The 'mechanics' of health planning.

PMID- 10243748
TI  - Buffalo, N.Y., Health Department: approaches to reducing infant mortality.

PMID- 10243749
TI  - The role of the public health nurse coordinator in an urban pediatric hospital.

PMID- 10243750
TI  - Newark's fight against childhood lead poisoning.

PMID- 10243751
TI  - Maternal and newborn health care at Columbia Hospital for Women.

PMID- 10243752
TI  - HMOs come to Georgia--responsibility cost control without radical change.

PMID- 10243753
TI  - Day care and selected employee work behaviors.

PMID- 10243754
TI  - Transfer and terminations as staffing options.

PMID- 10243755
TI  - The self-concept, personal values, and motivational orientations of black and
      white managers.

PMID- 10243756
TI  - Member and leader satisfaction with a professional association: an exchange
      perspective.
AB  - The theories of exchange and of collective action were used to guide a study of
      the sources of satisfaction of the participants in a medical specialty society.
      This survey of two groups of participants, leaders and members, showed that the
      leaders of this nationally recognized professional association were more
      satisfied than were the regular members; that even though leaders and members
      have similar professional interests, the two groups evaluated the association
      differently; and that the involvement of leaders in the activities of other
      professional associations affected their satisfaction with this association.
      These results indicate empirical support for exchange theory and for the
      distinction among kinds of rewards made by the theory of collective action.
      Structural sources of satisfaction and dissatisfaction are identified for future
      research.

PMID- 10243757
TI  - The AoA Advocacy Assistance Program: origins and directions.

PMID- 10243758
TI  - Some dos and don'ts in metric.

PMID- 10243759
TI  - "Because we care.".

PMID- 10243760
TI  - Going metric.

PMID- 10243761
TI  - The inevitable metric advance.

PMID- 10243762
TI  - Ladders to the work world.

PMID- 10243763
TI  - In the Northwest, it's WAMI.

PMID- 10243764
TI  - Your library: neighborhood ombudsman.

PMID- 10243766
TI  - Despite 'unspeakable' conditions in camps, refugees' health is 'remarkable,'
      officials say.

PMID- 10243765
TI  - MDs wary of patient rights law.

PMID- 10243767
TI  - Oregon educator emphasizes ethics as basis for cost-related medical decisions.

PMID- 10243768
TI  - Who's telling the doctor what to do?

PMID- 10243769
TI  - Putting the squeeze on hospitals.

PMID- 10243770
TI  - Goodbye, community hospital!

PMID- 10243771
TI  - Can we be reasonable about regulation?

PMID- 10243772
TI  - Bureaucracy 'stifles the spirit'.

PMID- 10243773
TI  - How to fight back--and win!

PMID- 10243775
TI  - FTC's rulemaking authority under fire in courts. Congress.

PMID- 10243774
TI  - Flight from regulation: Canadian physicians 'opt out'.

PMID- 10243776
TI  - Eight fires since July: arson probe under way at Touro Infirmary.

PMID- 10243777
TI  - Hurricane causes major damage to hospitals on Gulf Coast.

PMID- 10243778
TI  - Conservation plan yields substantial savings on linen costs.

PMID- 10243779
TI  - Automated laundry keeps labor costs low.

PMID- 10243780
TI  - Prevention now--lower health costs later.
AB  - Most of the attempts to control health care costs are focused on direct costs of
      diagnosis and therapy. However, what is needed is a more fundamental approach to
      cost containment. The key lies in the prevention and delay of onset of the
      chronic degenerative diseases.

PMID- 10243781
TI  - Post-occupancy study leads to insights on elderly housing.

PMID- 10243782
TI  - Standards are required for the regulation of consumer groups.

PMID- 10243783
TI  - Association retirement programs: how does yours compare?

PMID- 10243784
TI  - Education as a hidden cost in ambulatory care.
AB  - Since nearly a quarter of this nation's hospitals' outpatient and emergency rooms
      engage in medical education, it is of critical importance for administrators to
      determine the extent to which medical training influences the operational costs
      and efficiency of patient care for those services in their facilities. A computer
      simulation model has been developed at a midwest adult medical clinic to study
      the effects of ambulatory medical training on clinic operations. The model is
      capable of showing changes in the facility without disrupting the work flow and
      thus reduces the problems associated with long-term data collection. Various
      staffing patterns, both with and without medical training, were compared for the
      operational effects, patient convenience, and costs. The article offers
      probability distributions based on actual clinic experience. The research
      identifies and evaluates the trade-offs that must be considered when medical
      education is incorporated in an ambulatory program. Since both the faculty and
      students must take time away from direct patient care for consultation, more
      clinic time is required, causing staff costs to increase and patient care
      efficiency to decrease. The model demonstrates that when teaching loads increase,
      the faculty become less available to residents which results in resident
      inefficiency and longer patient waiting time. These operational consequences
      demonstrate the basic management problems of the need for balance between the
      demand for clinical teaching time and the demand for efficient service delivery
      in a solid ambulatory care/teaching program.

PMID- 10243785
TI  - The hospital: how will it survive?
AB  - The federal government is under pressure to implement and enforce a program to
      provide economic and social relief from the rapidly escalating health care costs
      which now consume 8.5% of the Gross National Product. Glick predicts that within
      the next twenty years, the character of health care institutions will be reshaped
      and only the most adaptable hospitals, health maintenance organizations and
      health-related governmental organizations will survive. He urges hospitals to
      develop appropriate strategies to deal with the problems of cost-containment,
      state-operated cost review and control agencies, and the competition for limited
      health care resources. The author warns the health care industry that if it does
      not adjust to these changes, it runs the risk of becoming heavily rgulated. It is
      suggested that health care institutions be integrated into comprehensive health
      care systems and the article includes a model for assigning patients to medical
      care facilities on a regional basis. Glick forecasts that hospitals will enter
      into a competition for survival, resulting in mergers of some and the closing of
      others. He believes that as the number of health care institutions decreases, the
      remaining ones will become more specialized and geographically dispersed.

PMID- 10243786
TI  - The financial manager's role in the Voluntary Effort.
AB  - "Voluntary Effort" hopes to duplicate its first year success by further reducing
      the annual rate of increase of hospital costs by another two percent. The
      financial manager will play a key role in the achievement of this goal. Mr.
      Shelton views the financial manager as part of the hospital management team with
      the responsibility to review the operating goals and management effectiveness of
      the institution. The Hospital Financial Management Association has developed a
      Code of Action to assist the financial manager in dealing with his/her
      assignments and goals. Ultimately, "Voluntary Effort" is striving to establish a
      cost-effective health care financing and delivery system. The financial manager
      is encouraged to initiate in-service training programs for support staff to
      develop a management team capable of creating such a system. The success of the
      "Voluntary Effort" is dependent upon the effectiveness of hospital managers in
      dealing with the 1979 minimum wage and social security tax increases, cost
      containment and inflation. The financial manager can help by determining the
      financial feasibility of institutional decisions, interpreting government
      regulations and supplying written facts and figures to the rest of the hospital
      management team and community.

PMID- 10243787
TI  - Clear federal strategy is emerging for cost control.
AB  - The author states that the purpose of governmental cost containment initiatives
      is to gain control over hospital capital expenditures, utilization, payment and
      quality assurance. He suggests that the costs of hospital operation should be
      completely re-examined stating that the reform of the hospital payment system is
      emerging as the energizing factor which will stimulate proper allocation of
      capital resources and effective utilization and quality assurance. O'Hare
      outlines the potential of the federal strategy. Recent legislation (PL 93-641 and
      PL 95-142) has mandated that hospital financial and statistical data be made
      available to federal agencies. He concludes that a dominant federal role in cost
      containment strategy threatens to abolish individual differences between
      institutions and their ability to be responsive to local needs. The author urges
      hospital leadership to take a more active position in implementing a cost
      containment strategy.

PMID- 10243788
TI  - What can Canada teach us about health care financing?
AB  - Canada now spends proportionally more on health care than any other country
      except the U.S., Sweden and the Netherlands - about 7.2% of its GNP or about $500
      per capita. Almost all Canadians (99%) are insured against the cost of all
      hospital and physician expenses through government health insurance programs
      administered by the provinces. Hospitals are reimbursed by the government 26
      times per year and must work within annual budgets formulated by the Ministry of
      Health. The fiscal restraints imposed upon hospitals have caused them to look at
      expansion of shared services, regionalization and a slowed rate of growth. As in
      the U.S., hospital administrators complain about government regulation on the
      grounds that individual physicians have a much greater influence over utilization
      than do hospital administrators. Further hospital cutbacks will have the effect
      of reducing services and therefore, costs. However, there is concern that these
      kinds of modifications will result in services among communities which would
      affect the very principle of universal health insurance for Canadians.

PMID- 10243789
TI  - Hospital-based versus free-standing primary care costs.
AB  - A survey of the literature supports the broad generalization that primary care
      delivered in this hospital outpatient department will be more expensive than care
      provided in a free-standing setting. Among the reasons discussed by the author
      are: (1) reimbursement policies of third party insurors which mask and inflate
      the distribution of the true costs of care within the hospital; (2) lack of
      control by outpatient department directors over their own costs; (3) the degree
      to which the availability of sophisticated and expensive technology within the
      hospital setting encourages its utilization; and (4) the differences in case mix:
      "sicker" patients are seen in outpatient departments. Gold recognizes that most
      studies to date contain serious limitations in their generalizability; she
      concludes that additional studies are necessary to explain why the costs vary to
      the extent they do. She also suggests studying other issues such as access,
      consumer preferences, provider preferences and training requirements, and quality
      of care before reaching any decisions about the future of hospital-based primary
      care.

PMID- 10243790
TI  - Reorganizing ambulatory care: an administrator's view.
AB  - Citing a continuing increase in the utilization of hospital outpatient services,
      the authors discuss the reorganization of the ambulatory care delivery system at
      a 300-bed community hospital serving the Cambridge, Massachusetts area. Due to
      the attrition of community-based physicians, the Mount Auburn Hospital had an
      overburdened emergency services and an underutilized outpatient department. To
      improve this situation, full-time physicians and a non-physician administrator
      were hired for the outpatient area. In the four years following the
      reorganization, patient volume has increased and utilization has shifted from
      emergency to primary care which has required the hospital to adjust staffing in
      several ancillary departments. The hospital has now reached the point where
      growth must be carefully planned and controlled in order to preserve cost
      effective, high quality care. The authors conclude that planning for hospital
      based ambulatory care units should include: (1) defining the needs of the target
      communities; (2) marketing programs; and (3) anticipating legislation which will
      influence the demand for outpatient services.

PMID- 10243791
TI  - How one hospital broke its inflation fever.
AB  - The Johns Hopkins Hospital has demonstrated that hospital costs can be decreased
      without governmental intervention (controls). From 1975 to 1978, the hospital
      inflation rate was cut by half. One key factor, according to Solomon, was a move
      to decentralize management which was accompanied by a detailed system for
      monitoring costs. Also instrumental were administration's consistent reminders to
      physicians and managers about keeping costs down. The hospital was reorganized
      from a system of clinical departments that behaved, says Solomon, like "fiefdoms"
      into 14 autonomous departments that function under their own budgets. Each
      department controls about 85% of its costs (up from 30%), and is set up to
      function "like a small business." A breakdown of where cost reductions took place
      shows a savings of $5 million in overhead and $1.5 million in malpractice claims
      (Hopkins self-insured). Individual departments have also achieved some dramatic
      reductions: the Department of Medicine decreased the number of laboratory tests
      ordered; and the Department of Gynecology and Obstetrics built a new facility
      with fewer beds than the old one.

PMID- 10243792
TI  - What you should know about the SHUR cost study.
AB  - This article critically examines a study funded by the Health Care Financing
      Administration (HCFA) to estimate the cost of implementing the proposed System
      for Hospital Uniform Reporting (SHUR). Data for the study were gathered by
      Morris, Davis & Company who used field teams working with personnel in 50 test
      hospitals. The author states that the study findings do not reflect the real cost
      of implementing SHUR for the nation's hospitals. Rummer argues that the study
      sample included a greater percentage of hospitals in states which already had
      uniform reporting systems than is actually the case nationally, and that the
      study was done under tremendous time pressure which did not allow staff from
      participating hospitals to review and comment on the field teams' findings. On
      the basis of the SHUR Cost Study, HCFA has extrapolated the cost of reclassifying
      accounting and statistical information for all hospitals to be $65,648.011; the
      author estimates the true figure at over $100 million. She concludes that a new
      approach to meeting the government's information requirements will have to be
      designed.

PMID- 10243793
TI  - Continuing education controversy: cutback in Colorado.

PMID- 10243794
TI  - Charting the course: how to avoid hassles and produce perfect charts and graphs.

PMID- 10243795
TI  - A Minnesota hospital management information system proves itself.

PMID- 10243796
TI  - How the noted Carle Clinic converted its medical records.

PMID- 10243797
TI  - Triumph of the odd couple: they share a Nobel prize for pioneering the CAT
      scanner.

PMID- 10243798
TI  - Dump slump: it hurts nuclear medicine.

PMID- 10243799
TI  - The year of the CAT.

PMID- 10243800
TI  - Food and Drug Administration--classification of hematology and pathology devices;
      development of general provisions: proposed rule.

PMID- 10243801
TI  - Immigration and Naturalization Service: voluntary departure for out-of-status
      nonimmigrant H-1 nurses.

PMID- 10243802
TI  - Equal Employment Opportunity Commission: proposed guidelines on discrimination
      because of religion.

PMID- 10243803
TI  - Hitting the bottle--is it any of the federal government's business?

PMID- 10243804
TI  - A policy agenda on aging for the 1980s.

PMID- 10243805
TI  - Employers suffer sickly effects from government's HMO treatment.

PMID- 10243807
TI  - Preventive maintenance procedure for pacemakers.

PMID- 10243806
TI  - Health plans to stress prevention: study.

PMID- 10243808
TI  - Clinical engineering at Case Western Reserve.

PMID- 10243809
TI  - Maintenance of equipment.

PMID- 10243810
TI  - EtO hazard judged low in California hospital survey.

PMID- 10243811
TI  - EtO guidelines not reaching central supply, says ASHCSP.

PMID- 10243812
TI  - Incinerator at Maryland General lights way to energy independence.

PMID- 10243813
TI  - What to do with obsolete equipment?

PMID- 10243814
TI  - Operational auditing -- GAO project.

PMID- 10243815
TI  - Ethylene oxide: monitoring for operator exposure.

PMID- 10243816
TI  - Board chairman speaks on national issues.

PMID- 10243817
TI  - Hospitals, consumers and advertising.

PMID- 10243818
TI  - Health care marketing management.
AB  - Health Care Marketing Management is the process of understanding the needs and
      the wats of a target market. Its purpose is to provide a viewpoint from which to
      integrate the analysis, planning, implementation (or organization) and control of
      the health care delivery system.

PMID- 10243819
TI  - Provincial trustee education: a guide for trustees.

PMID- 10243820
TI  - Health--a world concern.

PMID- 10243822
TI  - Survey looks at non-profit boards.

PMID- 10243821
TI  - Applying marketing theories to your hospital.

PMID- 10243823
TI  - St. Mary's employees save hospital $48,000.

PMID- 10243824
TI  - Bridging the management-employee gap.
AB  - The chief executive willing to experiment with new ways to reach employees should
      consider four programs used to good effect in a west coast hospital. The benefits
      match the efforts expended.

PMID- 10243825
TI  - Energy-saving ideas.

PMID- 10243826
TI  - Trimming dietary budgets. Is computerized food purchasing in your hospital's
      future?

PMID- 10243827
TI  - The doctor dilemma. Can medical staffs face up to controlling costs?

PMID- 10243828
TI  - Innovative programs help hospitals fight high cost of servicing bio-med
      equipment.

PMID- 10243830
TI  - Anatomy of a development program.

PMID- 10243829
TI  - Increasing philanthropic giving. Fund raising: there's still plenty of money
      around for hospitals.

PMID- 10243831
TI  - Data processing department is programmed for savings at New Jersey hospital.

PMID- 10243832
TI  - Self-insurance contract with Blue Cross cuts hospital's employee health plan
      costs.

PMID- 10243833
TI  - Refinancing capital debt. Tax-exempt bonds: tool for containing costs.

PMID- 10243834
TI  - Standby hospital staff at Sidney A. Sumby Memorial, River Rouge, MI.

PMID- 10243835
TI  - All-out voluntary effort. Texas hospital program becomes model for the nation.

PMID- 10243837
TI  - Shared services. Joint buying becomes the top cost-containment strategy.

PMID- 10243836
TI  - Doctors: key to cost control?

PMID- 10243838
TI  - Holzer Medical Center's incentive plan in action.

PMID- 10243839
TI  - Employee incentive plans. The newest idea: give employees a share of what they
      save.

PMID- 10243840
TI  - No-frills unit has patients helping themselves at Wisconsin University Hospital.

PMID- 10243841
TI  - Management systems. The need is for an overall approach.

PMID- 10243843
TI  - Hospitals find buck-a-day savings isn't a bad idea.

PMID- 10243842
TI  - Mandatory controls. Fiscal life in the nine highly regulated states becomes a
      constant cost squeeze.

PMID- 10243844
TI  - Smooth hospital evacuation in New Brunswick.

PMID- 10243845
TI  - The administrative process of a disaster exercise.

PMID- 10243846
TI  - Simple, quiet, dependable, cost effective--RTSS.

PMID- 10243847
TI  - AmCare membership emergency medical and ambulance service.

PMID- 10243848
TI  - The development of education programs in EMS systems administration.

PMID- 10243850
TI  - EMS in Kuwait.

PMID- 10243849
TI  - Emergency medicine; from the street to the ICU.

PMID- 10243851
TI  - Disaster response to Chicago air crash.

PMID- 10243852
TI  - Update: national registry of EMTs.

PMID- 10243853
TI  - Legal implications of failure to respond and/or transport.

PMID- 10243854
TI  - Effectiveness of continuing medical education: a review of the evidence.

PMID- 10243855
TI  - Rehabilitation medicine educational experiences: a retrospective study of
      exposure to RM.

PMID- 10243856
TI  - Professionals and unionization: a study of two cohorts of physician housestaff.

PMID- 10243857
TI  - Dependency of elderly people in homes on staffing ratios.
AB  - A survey of all local authority residential homes for the elderly was carried out
      in one non-metropolitan county to determine the dependency of residents and
      staffing ratios. It was found that staffing ratios, while appearing generous, did
      not reflect the true ratios or the staff workload relevant to the very high
      levels of dependency which existed. Compared with other, similar counties the one
      surveyed had a slightly lower than average cost per resident-week so that, given
      that similar levels of dependency exist, many other counties must have similar or
      worse workload problems. The dependency of residents and the proportion of
      elderly sick is likely to rise and it is suggested that an alternative scheme for
      a nursing home type of provision within the NHS would alleviate some of the
      problems existing in residential homes for the elderly.

PMID- 10243858
TI  - Ups and downs at unit level.
AB  - The status of the unit administrator is quite often fourth or fifth in line
      because under the present structure administrators cannot take important
      decisions without consultation with other colleagues in different disciplines
      says the Royal Commission. Author looks at the work of one unit administrator at
      Tooting Bec Hospital.

PMID- 10243859
TI  - Circling the pyramid by camel--via the needle's eye.
AB  - The Royal Commission's report on the NHS criticised the lack of central manpower
      planning advice for the nursing profession as well as dwelling at some length on
      the difficulties that the hospital career structure poses medical manpower
      planners. The most damaging disadvantage of the DHSS's approach to the latter
      issue is, says the Commission, 'that it has not delivered the goods'. Author
      examines manpower problems as they affect both professions.

PMID- 10243860
TI  - Why changing the guard is bracing break with tradition.

PMID- 10243862
TI  - Three go in search of England.

PMID- 10243861
TI  - The haves who feel more like have-nots.
AB  - The present and future problems of a so-called 'over-provided' region are defined
      and delved into by author, who asserts that even with existing human ingenuity
      the solutions will take time and painstaking planning.

PMID- 10243863
TI  - Inventories and operating costs slashed with hands-on materials management.

PMID- 10243864
TI  - Are clauses on front and back of order enforceable?

PMID- 10243865
TI  - Organization is key to surplus disposal.

PMID- 10243866
TI  - What buyers want from suppliers.

PMID- 10243867
TI  - The marketing mystique.

PMID- 10243868
TI  - Western viewpoint: what would you like to have the computer do for you that it is
      not now doing?

PMID- 10243869
TI  - Medical-legal forum: what are the legal issues that are likely to confron
      hospitals as they increase their use of computers?

PMID- 10243871
TI  - Infection control maintained during water shortage.

PMID- 10243870
TI  - Computer systems--a management decision.

PMID- 10243872
TI  - Hospital infection control in Sweden.

PMID- 10243873
TI  - Duties of I.C. committee chairman.

PMID- 10243874
TI  - Infinite variety: the nonprofit sector.

PMID- 10243875
TI  - CETA: manna for hungry hospitals.

PMID- 10243876
TI  - Community mental health centers are here to stay.

PMID- 10243878
TI  - The examining room--technology assessment: the fallibility factor.

PMID- 10243877
TI  - The grants clinic: first impressions--the preliminary letter.

PMID- 10243879
TI  - Technology assessment: an evaluation--definitions, applications, timing, doers.

PMID- 10243880
TI  - The trouble with clinical trials.

PMID- 10243881
TI  - Health employment requirements under alternate health insurance schemes.

PMID- 10243882
TI  - Medical education at King Abdulaziz University.

PMID- 10243883
TI  - Health planning in the United States: where we stand today.

PMID- 10243884
TI  - Education and the quality of health services.

PMID- 10243885
TI  - Dualism in medicine: a scenario.

PMID- 10243886
TI  - Plan to get your fair share.

PMID- 10243887
TI  - Increase your odds in the estimating game.

PMID- 10243888
TI  - User fees are bad debt in B.C.

PMID- 10243889
TI  - The future elderly--can we afford them?

PMID- 10243890
TI  - Budgets flounder under blanket policies.

PMID- 10243891
TI  - How to publish a winning newsletter.

PMID- 10243892
TI  - Contractual arrangements have complex administrative, medical, legal
      implications.

PMID- 10243893
TI  - How to choose your investment banker.

PMID- 10243894
TI  - Forecasting operations with time series decomposition.

PMID- 10243895
TI  - New cost-finding system necessary for accuracy, budgeting, staffing.

PMID- 10243896
TI  - ZBB -- decision tool.

PMID- 10243897
TI  - Most institutions have a wealth of potential cost saving areas.

PMID- 10243898
TI  - Borrowed package eases computerization inventory.

PMID- 10243899
TI  - Cost counsel: Joint Purchasing Corporation.

PMID- 10243900
TI  - Payment patterns: possibilities of a recession.

PMID- 10243901
TI  - Treasurer discusses 1979--80 plans.

PMID- 10243903
TI  - Absenteeism plaguing your department? Here's a cure.

PMID- 10243902
TI  - Hospitals are scapegoats for those frustrated with inflation.

PMID- 10243904
TI  - The advantages of creative thinking in your department.

PMID- 10243905
TI  - In defense of the discharge summary.

PMID- 10243906
TI  - Medical record access guidelines promote confidentiality.
AB  - These guidelines were developed by the AHA's Advisory Panel on Privacy and
      Confidentiality of Hospital Medical Records. The portion presented here covers
      only guidelines for disclosure to patients. The complete guidelines for
      institutional policies for disclosure of medical record information also cover
      policies for internal and external disclosure and model authorization for
      disclosure.

PMID- 10243908
TI  - Physicans and CEOs must rediscover common goals.

PMID- 10243907
TI  - Alternatives to defensive medicine.
AB  - The ethics of defensive medicine, as distinguished from unnecessary testing for
      reasons other than fear of malpractice suits, and the usefulness its practice
      affords the physician in court are sharply questioned. Physicians, patients, and
      society are all adversely affected by its practice. Alternatives are recommended
      that physicians and organized medicine can employ to minimize malpractice
      problems.

PMID- 10243909
TI  - Filling and refilling practices with diazepam and methyldopa.

PMID- 10243910
TI  - Managing the hospital pharmacy. Interview by Nancy M. Agresta.

PMID- 10243911
TI  - Predetermined standards in drug use control.

PMID- 10243912
TI  - When the pharmacy and therapeutics committee decides.

PMID- 10243913
TI  - The pharmacist's role as a member of the institutional review board.
AB  - Since World War II, concern about the protection of human subjects in biomedical
      research has increased considerably. The Nuremberg Code and the Helsinki
      Declaration have been published. The United States Department of Health,
      Education, and Welfare (DHEW) has developed and published regulations that
      specify a review process which research institutions must follow in order to
      receive DHEW funds for research involving human subjects. Part of this process
      includes a review of research projects by an Institutional Review Board (IRB).
      Membership on the IRB must be varied and should include allied scientists.
      Because many of the projects include investigational drugs, the inclusion of a
      pharmacist as a member is logical. The pharmacist, if properly selected and
      prepared, can play a vital role in the review of research projects by assisting
      in the evaluation of the scientific merit of the plan, the appropriateness of the
      volunteer agreement, and the regulatory compliance of the project. The selected
      pharmacist should view the duty as another opportunity to practice clinical
      pharmacy.

PMID- 10243914
TI  - Nursing education program: fundamental to successful drug distribution.
AB  - This paper provides a step-by-step, illustrative example of an inservice program
      which aided in the successful conversion of a chronic care facility from a
      routine floor stock drug distribution system to a non-traditional unit dose
      system. The program remains operational as a part of the orientation program for
      new nurses. The program is composed of a policy and procedure manual handout, a
      lecture on the mechanics of the system, a videotape module, a demonstration,
      practice session, return demonstration, and post-test. One aspect of the system
      is the utilization of a demonstration cassette and Kardex. This teaching tool
      enables the lecturer to demonstrate the system, the nurses to practice with the
      system, and the nursing supervisor to evaluate performance before actual
      administration of medications. A unique aspect of the program is a videotape
      module, which had added flexibility to instruction times. The program is
      beneficial to the entire nursing staff when converting to the unit dose system,
      and to the newly hired nurse prior to assignment. Because of the success of this
      videotape module, the use of videotaping has been expanded to other pharmacy
      education programs.

PMID- 10243915
TI  - A survey of the use and educational value of the hospital formularly manual.
AB  - The medical and nursing staffs of two affiliated hospitals were surveyed on their
      frequency and purpose of use of their hospital's formulary manual. A numerical
      rating of the perceived educational value of the manuals was also requested.
      Twenty-two per cent (141/650) of those surveyed completed their questionnaires.
      Ninety-six per cent of the respondents indicated use of the formulary manuals at
      least once a month; 62% used the manuals at least once a week. The frequency and
      character of use of various sections of the formulary manuals are presented. The
      perceived educational value of the manuals was rated 3 or greater on a scale of 1
      (no value) to 5 (greatest value) by 80% of the respondents. The hospitals'
      formulary manuals are frequently referred to for various types of drug
      information. The professional staffs perceive the formulary manuals to be
      educationally valuable sources of drug information. Reasons for the low rate of
      response to the survey are presented. A plan of how to increase the response rate
      in a planned future survey is also presented.

PMID- 10243916
TI  - Documenting educational activities.

PMID- 10243917
TI  - Lesions resembling malignant tumours of bone.

PMID- 10243918
TI  - [The importance of bone scintigraphy in the pretherapeutic development of mammary
      neoplasm (author's transl)].

PMID- 10243919
TI  - [Unusual and early aspects of bone metastasis (author's transl)].

PMID- 10243920
TI  - [Diagnosis of the disorders of the knee ligaments a radiological measurement of
      laxity (author's transl)].

PMID- 10243921
TI  - [Ischemic collapse of the vertebral body: myth or reality? (author's transl)].

PMID- 10243922
TI  - [Pott's disease: report of a case studied by discography and computerized axial
      tomography (author's transl)].

PMID- 10243923
TI  - Osteoblastic metastasis of parotid carcinoma with sun-ray periosteal reaction.

PMID- 10243924
TI  - The role of the clinical engineer in hospital energy conservation.
AB  - The escalating cost of energy is of concern to the hospital industry, and this
      cost has led to increasing interest by hospital administrators in energy
      conservation programs as part of their cost-containments efforts. An effective
      and comprehensive program should be based on an energy management approach which
      includes the careful analysis of the activities of the entire hospital staff. The
      clinical engineer has significant opportunities to contribute to this effort
      through his own department's activities and in other areas where his engineering
      training can be effectively utilized.

PMID- 10243925
TI  - A shocking experience: Ohm's Law and the nurse.
AB  - The Clinical Engineering Center of the Northern New England/University of New
      Hampshire has developed a seminar on electrical safety for members of the nursing
      profession. This program provides an understanding of basic circuit theory,
      grounding problems, wiring systems, and electrical safety. Examples are drawn
      from actual clinical situations. Portions of the seminar are devoted to equipment
      demonstrations and to a panel discussion which provides the participants with an
      opportunity to ask questions. Through this experience, the nurses begin to view
      the function of a Clinical Engineer in a different light, their awareness of the
      role of the Clinical Engineering Center is expanded, and they become a second
      line of defense for electrical safety in the hospital.

PMID- 10243926
TI  - A computer system for biomedical equipment maintenance reporting.
AB  - Biomedical equipment maintenance and repair activities involve an increasing
      amount of paperwork and report generation. A computer system is described that
      collects the necessary data on-line for accuracy and efficiency. The system can
      generate various reports relating to repair history, spare parts usage and
      preventive maintenance scheduling. It is implemented on a time-sharing
      minicomputer, and can reduce substantially the time spent by biomedical engineers
      in documenting their activities.

PMID- 10243927
TI  - Use of automatic door closers improves fire safety.
AB  - In a series of 16 full-scale fire tests, investigators at the IIT Research
      Institute have concluded that automatic door control in the room of fire origin
      can significantly reduce the spread of toxic smoke and gases. The researchers
      also investigated the effects of sprinkler actuation, and the functional
      relationship between sprinklers and automatic door closers. This report presents
      the results of the study, and presents recommendations for health-care
      facilities.

PMID- 10243928
TI  - Polyvinyl chloride--its risk potential in the hospital.
AB  - A potential risk management problem for hospitals is the thermal degradation of
      polyvinyl chloride (PVC). PVC is a synthetic, plastic, polymer wire insulating
      material which releases hydrogen chloride (HCl) gas when it is thermally
      degraded. Inhalation of HCl, either as a gas or in combination with water vapor,
      is irritating to all mucous membranes. Thermal degradation of 25 feet of PVC wire
      yields 1.4 mg HCl/L, which is 70 times greater than the recommended maximum
      concentration. Because of the potential risks, ther is an immediate need to
      develop a safe, economical substitute for PVC.

PMID- 10243930
TI  - Professionals' preferences for support systems for the bereaved family.
AB  - Health-care-related professionals rated the appropriateness and preferred timing
      of various community intervention strategies for assisting the bereaved
      individual. Results indicated: (a) agreement about the general need for such
      assistance programs, but no concensus as to which were most appropriate; (b)
      endorsement of the "resumption of activity" ethic; (c) belief that the most
      desirable period in which to intervene is within six months from the death; and
      (d) the lesser perceived suitability of therapeutic modalities that involve
      social contact with nonfamily members immediately following the death. Earlier
      introduction of family therapy and multiple family counseling was advocated by
      respondents with greater experience treating the bereaved.

PMID- 10243929
TI  - A study of hospital based ambulance systems in Wisconsin.
AB  - This study was undertaken to determine the advantages and disadvantages of a
      hospital-based emergency medical service system with hospital employees serving
      as emergency medical technicians. This type of service is operating in thirteen
      hospitals in Wisconsin. A series of interviews was conducted to obtain pertinent
      information regarding the hospital, emergency medical vehicles, ambulance
      attendants, finances, communications and personal reactions to the system. The
      data indicate that hospital-based services using hospital employees can operate
      with minimal interference to regular patient care, and with apparent advantages
      to the emergency patients. In the rural, sparsely populated areas which were
      studied, response times from the hospital-based systems were comparable to other
      rural systems, and the financial and administrative aspects of the system were
      reviewed.

PMID- 10243931
TI  - Success and failure among male and female Navy paramedical specialists.
AB  - A comparison of the sexes in Navy Hospital Corpsman (HM) and Dental Technician
      (DT) rating groups showed that men and women entering these Navy paramedical
      specialities differed on a number of background, aptitude, and personality
      dimensions. The same proportion of men and women completed training in the HM
      group, but significantly more DT women completed training thand did DT men. The
      proportion of men and women who were still in the Navy one year after completion
      of training was the same in both rating groups. Among those who failed to
      complete training, the women were more likely than the men to be in the Navy one
      year later. These findings show that women were just as successful as men in both
      of these rating groups when success is defined as completion of training and
      remaining on active duty for a period of one year after completion of training.
      The results are contrary to those of earlier Navy studies which showed higher
      discharge rates and lower reenlistment rates for women than for men. It is
      suggested that the results may represent changes in values, role, and
      expectations for the sexes, and changes in Navy policies for women.

PMID- 10243932
TI  - A national study of associate degree mental health and human services workers.
AB  - A random sample of 140 graduates of associate degree mental health/human services
      programs were studied to determine their work activities, adequacy of work
      performance, and job satisfaction. Seventy-seven percent were employed in
      relevant human services jobs. On site interviews with these workers and their
      supervisors revealed that they were performing virtually the entire range of
      traditional mental health service functions and performing them well. A majority
      were satisfied with their work, although low salary levels and restricted
      opportunities for future advancement were recognized as problems. Many were
      receiving little supervision and the user agencies had, for the most part, not
      developed appropriate in-service training programs. The findings appear very
      supportive to the notion that the mental health associate is a valuable new
      source of manpower for the mental health/human services field.

PMID- 10243933
TI  - Community psychology: where are we?

PMID- 10243934
TI  - Do family therapists' family ideologies affect their impressions of families?
AB  - The impact of patients' and family therapists' own family values on judgments
      about a help-seeking family was investigated via a clinical analogue. Fifty
      family-oriented clinicians were classified as either traditional or
      nontraditional in their beliefs about the family. Clinical judgments were
      rendered of a hypothetical family in which the parents' verbalizations were
      suggestive of either traditional or nontraditional family values. Little
      diagnostic value-bias was detected, thereby failing to establish the operation of
      political bias in the family treatment setting.

PMID- 10243935
TI  - The problem of early outpatient terminations from community mental health
      centers: a problem for whom?
AB  - This study examined the relationship between the number of client contacts with a
      mental health center and the client's evaluation of the services. Responses to 3
      structured ratings of the center's services and free response comments were
      obtained from 130 former outpatients. None of the structured evaluation ratings
      was related to the number of contacts, but clients with several contacts were
      more negative in their free response comments. In addition, clients who had
      dropped out of therapy evaluated services as highly as clients whose therapy
      reached a normal termination. These results question the traditional assumptions
      that early terminations usually occur because of client dissatisfaction and
      represent treatment failures.

PMID- 10243936
TI  - The evolution of a human services network.
AB  - The delivery of human services in most communities is complicated by competition
      between agencies for money, esteem, and clientele. There is a need for developing
      a strategy of interagency service coordination. Representatives of human service
      organizations in a suburban community worked together to establish a network of
      services emphasizing coordination and the utilization of multiple resources to
      meet identified program needs. The description of this project includes: (a) a
      discussion of the community and its special problems; (b) a specification of
      objectives for service coordination; (c) a presentation of the theoretical
      framework underlying the development of the network; (d) an analysis of the
      stages of development; and (e) a summary including evaluations, conclusions, and
      possible future directions.

PMID- 10243937
TI  - Demythologizing mental patients' attitudes toward mental illness: an empirical
      study.
AB  - In an attempt to change the medical model attitudes of psychiatric patients in a
      direction more congruent with the radical psychosocial approach of their
      clinicians, an experimental group of 13 outpatients was exposed to a series of
      demythologizing seminars. As predicted, when compared to the attitudes of
      nontreatment controls (N = 13), on posttest and on a three month follow-up,
      results indicated that only the patients receiving the demythologizing seminars
      reported significant and stable attitude changes in the expected direction.

PMID- 10243938
TI  - Rapid puffing as a treatment component of a community smoking program.
AB  - Twenty-six persons participated in a community smoking program, which required a
      $40 contribution to the sponsoring health organization and a $25 refundable
      deposit. Clients were assigned to one of two treatment groups; one involved group
      discussion and rapid puffing, and the other involved group discussion only. The
      number of cigarettes smoked before treatment and one week, two months, and five
      months after treatment were determined for each client. Smoking decreased
      substantially following treatment in both groups and did not differ significantly
      between the groups across the follow-up periods. Females, however, showed
      significantly greater relapse in smoking following treatment than did males.
      Overall, approximately 15% of the clients in each group were abstinent five
      months after treatment.

PMID- 10243939
TI  - Empathic listening test: an instrument for the selection and training of
      telephone crisis workers.
AB  - Although telephone crisis centers have been shown to be a viable mode of
      community service, they are not without problems. Empirically based research upon
      which to make appropriate clinical and administrative decisions, particularly in
      the selection and training of volunteers has been lacking. In response to that
      need, a construct was developed that fused listening, the primary communicative
      behavior, with empathy, the most important interpersonal function of crisis
      center workers, to provide a criterion for selection and training. A 60-item
      situational instrument was developed to measure three dimensions of Empathic
      Listening, (a) Understanding, (b) Interest, and (c) Response-Ability. This study
      was designed to establish validity and reliability data for the instrument. The
      instrument was shown to have potential for selecting and training crisis center
      workers.

PMID- 10243940
TI  - Researching psychotherapy effectiveness in mental health service agencies.
AB  - The results of psychotherapy outcome research to date are briefly reviewed and
      the reasons why this research has not had greater impact on the practice of
      psychotherapy in mental health service agencies are presented. Sources of
      pressure to conduct evaluation research are enumerated. Involving mental health
      practitioners in field research is proposed as a means of increasing the
      relevance of psychotherapy outcome research to service personnel. Difficulties
      frequently encountered in the planning, data gathering, and implementation of
      results phases of evaluation projects are discussed and recommendations are made
      for ameliorating these problems. An improvement-oriented feedback model of
      program evaluation is presented and the value of individualized measurement,
      repeated-measures designs, and experimental case studies in maximizing the
      utilization of research results are discussed.

PMID- 10243941
TI  - Transfer completion rates and treatment modality.
AB  - Client transfers were examined within the context of a large, urban community
      mental health center. Transfer completion rates were computed on a quarterly
      basis for a large number of clients over a period of nearly two years. It was
      found that in a typical quarter about one client out of every seven had a
      transfer initiated and there was an average of 1.4 transfers per client. On the
      whole, nearly seven out of every ten transfers initiated were completed. Transfer
      completion rates among the emergency services, inpatient units, partial care
      services, and outpatient units were determined. It was concluded that modality
      and proximity play significant roles in transfer completion rates.

PMID- 10243942
TI  - Training for a supportive geriatric environment: a preliminary report.
AB  - Gerontological manpower development is the goal of an ongoing project where
      various training modules are designed, tested, and evaluated within the
      institutional or community context where the service is delivered. This paper
      reports initial data on program effectiveness and attitudinal and work assessment
      changes resulting from staff training in environmental therapy.

PMID- 10243943
TI  - Inter-agency referrals and the establishment of a community-based treatment
      program.
AB  - Based upon a treatment program involving the referral of more than 400
      "antisocial" children to a community agency, common problems associated with
      inter-agency referral processes are discussed. The efficacy of selected inter
      agency referral processes (computation, bargaining, judgment, and inspiration)
      are examined. Causes of misreferrals also are discussed. These include those
      generated separately by the host agency and by the donor agency and those
      additionally generated by their mutual interaction. Suggested means for
      preventing dysfunctions are presented.

PMID- 10243944
TI  - Advancement to independent living: a model behavioral program for the
      intermediate care of adults with behavioral and emotional problems.
AB  - This article describes and evaluates the treatment effectiveness of a
      behaviorally oriented intermediate day-care clinic for adults with psychiatric
      disturbances. The goals of the program included reducing the number of
      psychiatric hospital admissions and readmissions, providing a community-based
      controlled environment to assist patients in the modification of specific problem
      behavior, improving interpersonal relations with "significant others" in the
      natural environment, teaching patients how to use community resources, and
      preparing them for employment and/or continued outpatient treatment. The program
      was structured so that patients advance through a series of four achievement
      levels for a variety of extrinsic and intrinsic reinforcers. While in the
      program, patients were introduced to available community resources, and were
      gradually phased into follow-up services. Results showed that 79% of all patients
      thus far treated partially, if not completely, advanced through the levels. There
      was also a high probability that a patient would advance from any given level.
      Outside-clinic behavior showed sustained improvement, with the authors concluding
      that the day-care clinic offered promise for the future.

PMID- 10243945
TI  - Community leaders' attitudes toward family planning.
AB  - Four separate samples of lawyers, businessmen, ministers, and physicians were
      requested to complete four separate non-overlapping attitude questionnaires in an
      effort to assess their attitudes toward sterilization, individual responsibility
      for contraception, family size, social responsibility, overpopulation, and
      contraception in the lower class. The data indicated that the four professional
      groups differed in their attitudes and those differences provided the impetus for
      suggestions focused on developing and maintaining a positive relationship between
      the influential members of the community and the family planning clinic.

PMID- 10243946
TI  - Community mental health ideology and personality preferences of social work
      students.
AB  - 105 women social work graduate students completed the Edwards Personal Preference
      Schedule (EPPS) and the Community Mental Health Ideology (CMHI) Scale. Scores on
      each of the 16 EPPS variables were divided into deciles and into quartiles for
      comparisons with extreme scores on the CMHI Scale. Results revealed that high
      CMHI scorers showed significantly lower needs for deference and order personality
      variables, and indicated that the degree of commitment to community mental health
      ideology is significantly related to personality preferences.

PMID- 10243947
TI  - A note on social self-treatment and professional narcicism.
AB  - A relatively large number (370 students) clustered in a few courses were taught
      in ways and contents very reminiscent of psychotherapy activities. The
      instructors were non-mental health professionals. The implication of such
      training offered independently of any mental health relationship for the
      profession of psychology is discussed.

PMID- 10243948
TI  - Monitoring change in community-oriented treatment programs.
AB  - Changes in the social climate of two alcoholism treatment programs were evaluated
      by repeated assessments with the Community-Oriented Programs Environment Scale
      (COPES). The programs were similar in size and treatment orientation, but
      differed in physical and organizational setting, program length, and patient and
      staff characteristics. Specific and unique changes occurring within the treatment
      programs resulted in corresponding changes in relevant dimensions of the
      programs' social climates. The practical utility of COPES evaluations in
      instituting quality control and evaluating the results of change in community
      oriented treatment programs is discussed.

PMID- 10243949
TI  - The nature and correlates of community mental health ideology in community mental
      health centers.
AB  - Five hundred ninety-five staff at 20 CMHCs were surveyed as part of a large study
      of mental health worker roles. Data on the endorsement of the ideology of
      community mental health (CMHI) were obtained. Significant associations were found
      between ideology and level of education and time allocated to Direct and Indirect
      Services. Different patterns were noted when specific occupations were
      considered. Significant associations were also found between CMHI and
      organizational personal role and role discrepancy. Significant increments in the
      variance associated with CMHI were accounted for by personal role definition and
      time spent in Direct and Indirect Services. The absolute level of CMHI among
      staff was not high. The extent to which CMHCs are carrying out the ideology and
      the implications of this for the future of the movement is questioned.

PMID- 10243950
TI  - Opinions about mental illness held by personnel of a state psychiatric hospital
      and community mental health centers.
AB  - This was a study of opinions about mental illness among occupational groups from
      a state psychiatric hospital and community mental health centers. Data were
      collected with two combined opinions about mental illness scales. The sample
      consisted of 348 participants, including 227 hospital employees and 121 employees
      of community mental health centers. The results indicated that occupational
      groups of both the hospital and the community mental health centers were highly
      differentiated in their opinions about mental illness. Sharp differences were
      found between professional and nonprofessional staff, with the latter indicating
      a much stronger endorsement of Authoritarianism and Social Restrictiveness. The
      personnel of the community mental health centers were significantly less
      authoritarian and socially restrictive, and more acceptant of Mental Hygiene
      Ideology and Nontraditionalism than their hospital counterparts.

PMID- 10243951
TI  - The referral problem in the field of alcohol abuse.
AB  - This paper reports on referral sources and the disposition of 409 problem
      drinkers who were contacted over a two-year period for participation in a 17-week
      alcohol abuse treatment program. A longitudinal follow-up design was used with
      103 persons to evaluate various learning-based techniques in moderating their
      drinking habits. Referrals were analyzed by source (75% were legal referrals),
      percentage completing the program (70%, 72%, and 69% for self, legal, and mental
      health referrals), and "success" at one year. Legal referrals reported a
      significantly smaller pretreatment alcohol intake than self and mental health
      referrals. However, the decrease in alcohol intake for legal and nonlegal
      referrals were almost identical. The stigma of alcoholism as a disease and the
      coercion associated with referral by legal agencies were considered to be factors
      in acceptance of treatment and in treatment outcome.

PMID- 10243952
TI  - Extending clinical service through group intake procedures.
AB  - Group intake procedures have been employed in various mental health facilities to
      establish diagnosis efficiently, reduce time on waiting lists, and introduce
      those seeking service to agency procedures. A number of different models reported
      in the literature are reviewed, including those for adolescents and parents of
      child referrals. The author points to the importance of intake groups with
      respect to their orientation function and the peer support they provide for
      adolescents and members of disadvantaged groups in recounting their problems to
      professionals.

PMID- 10243953
TI  - Recruitment of college volunteers for community service organizations using the
      lecture method.
AB  - The present study was undertaken to determine those variables which best predict
      college students' reactions to lectures designed to solicit volunteers for a
      juvenile corrections program. One hundred and thirty-four students returned
      mailed questionnaires which assessed multiple variables related to: (1) audience
      characteristics, (2) recruiter (lecturer) characteristics, and (3) volunteer
      program (lecture content) characteristics. Results of canonical correlation
      analysis indicated that 8 of 17 predictor variables accounted for the majority of
      the variance in the volunteering behavior variate. Age of respondent, previous
      volunteer experience, overall lecture quality, understanding need for volunteer
      services, clarity and comprehension of volunteer roles, the value of the lecture
      as a significant learning experience, the opportunity for personal growth within
      the program, and the ability to influence existing structures were seen as
      important variables in predicting three volunteering behaviors. In particular,
      the data suggest that for recruitment programs using the lecture method recruiter
      characteristics have the greatest impact on soliciting volunteer personnel.

PMID- 10243954
TI  - Community assistance for rape victims.
AB  - This paper describes a program designed to use trained volunteer companions in
      crisis intervention with rape victims in a public hospital emergency room. The
      history of the extensive negotiations necessary to implement the program and
      detailed descriptions of volunteer training are included. Results are largely in
      the form of subjective experience.

PMID- 10243955
TI  - Assessment of member satisfaction in an HMO: understanding the interaction of
      variables and their implications.

PMID- 10243956
TI  - Implementation of primary nursing in an ambulatory setting.

PMID- 10243957
TI  - A predictive model of clinic output.

PMID- 10243958
TI  - Citizen participation in planning: the relationship between objectives and
      techniques.
AB  - While citizen participation has become a commonplace element in many planning
      efforts, both planners and citizens often assess the participatory elements as
      being unsatisfactory. The contention in this article is that not enough attention
      is being given to the design of participatory programs and that there is a
      particular failing in matching objectives to techniques. Five objectives of
      citizen participation are identified: information exchange, education, support
      building, supplemental decision making, and representational input. Then through
      the development of a typology of participatory mechanisms, techniques are matched
      with their most appropriate objectives. This relationship is further illustrated
      by examining four techniques in detail. The conclusions suggest that if the
      relationship between objectives and techniques is ignored in the design of a
      participatory program, the possibility of a successful program decreases.

PMID- 10243959
TI  - Short-term hospital treatment of the acute schizophrenic episode.

PMID- 10243960
TI  - Schizophrenia: the potentials and limitations of public care.

PMID- 10243961
TI  - Overcoming obstacles in the psychotherapy of schizophrenic patients.

PMID- 10243962
TI  - Operational research projects in health and welfare services in the United
      Kingdom and Ireland.

PMID- 10243963
TI  - The clinic manager's role is what you make it.

PMID- 10243964
TI  - Word processing: a building block to greater office productivity.
AB  - As this method continues to stand the test of time in business and industry, can
      any medical practice manager afford not to consider the use of word processing in
      his facility?

PMID- 10243965
TI  - Family practice building, Bowman Gray School of Medicine.

PMID- 10243966
TI  - The planning of health care delivery.

PMID- 10243967
TI  - The rural health clinic.

PMID- 10243968
TI  - Total medical record: an automated medical information system.
AB  - The strength of the TMR system lies in its integration of medical and business
      information in a practical, easy-to-use design. It eliminates the delay,
      inefficiency, and bulk found in other medical information systems.

PMID- 10243969
TI  - Health care administration in an academic setting.

PMID- 10243970
TI  - Technology Center debutes as cost/quality control. Meeting yields policy clues.

PMID- 10243971
TI  - Therapists, in policy shift, may boost dealer business.

PMID- 10243972
TI  - Jogging on the job--and swimming, playing tennis, weight lifting, stress
      testing...

PMID- 10243973
TI  - Tips for controlling the clock.

PMID- 10243975
TI  - Product liability bill resurfaces.

PMID- 10243974
TI  - Liberalized rules on depreciation sought.

PMID- 10243976
TI  - X-ray records in developing countries.

PMID- 10243977
TI  - Coping with cancer.

PMID- 10243978
TI  - What is a nurse?

PMID- 10243979
TI  - State speaks out: on nurse training and credentialing.

PMID- 10243980
TI  - A trustee speaks out: on nurse staffing.

PMID- 10243981
TI  - Nurse staffing: accountability study focuses of staff abilities and patient
      needs.

PMID- 10243982
TI  - 1985 proposal spurs debate.

PMID- 10243983
TI  - The ANA position.

PMID- 10243984
TI  - National League of Nursing opposes 1985 proposal.

PMID- 10243985
TI  - The MNA position.

PMID- 10243986
TI  - Emergency hospital care: issues of treatment and liability.
AB  - Increased utilization of hospital emergency rooms, and a departure from
      traditional physician-patient relationships, have resulted in increased
      litigation. Risks to hospitals can be minimized if certain policies are pursued.

PMID- 10243987
TI  - Hospital responsibility for physician negligence: changing concepts of liability.
AB  - The honeymoon between the hospital and the courts, under which the institution
      was absolved from blame in a negligent physician's actions, is over. The
      relationship between the hospital and patient is taking the center stage in court
      actions, with some important new developments and future trends to be taken into
      account by those seeking to prevent malpractice claims.

PMID- 10243988
TI  - The significance of the patient-physician relationship in increasing or reducing
      malpractice claims.
AB  - Better relations with the patient can be instrumental in preventing malpractice
      claims. Physicians must understand what they are risking by not dealing directly
      with their patients, by not admitting error, and by not discussing fees openly.

PMID- 10243989
TI  - Should patients have access to their medical records?
AB  - Rather than opposing patients' access to their own medical records, physicians
      can use this trend to deter malpractice actions and improve patient
      communications. By documenting their observations in writing, noting patient
      responses, and maintaining honest rapport with the patient and his or her family,
      physicians can more effectively protect both themselves and their patients in the
      future.

PMID- 10243990
TI  - No-fault insurance in New Zealand and in Sweden.
AB  - No-fault medical malpractice insurance programs in Sweden and New Zealand,
      especially the latter country, can offer useful guidelines to Americans
      considering a no-fault mechanism. In four years of actual operation, the New
      Zealand program has been generally accepted, fairly administered, and kept within
      budget. The government's approach to "medical mishap and error," however,
      encourages physicians to opt in favor of avoiding patients.

PMID- 10243991
TI  - Medical malpractice--statute of limitations.
AB  - Attempts by plaintiffs to circumvent statutes of limitations in malpractice
      actions take a number of forms which health providers and their attorneys should
      be aware of. Careful attention must be paid to the manner in which a summons is
      delivered.

PMID- 10243992
TI  - Prevention of medical injuries.

PMID- 10243993
TI  - Escalating malpractice costs: what's behind them...what preventive procedures can
      be taken to reduce claims.
AB  - Medical malpractice actions are increasing at an alarming rate. Within the past
      five years, the incidence of such claims has escalated to such an extent that
      many physicians in hospitals are finding it difficult to obtain insurance. When
      insurance has been obtained, its cost has approached the prohibitive. To
      understand what's behind this increase in actions and costs, a review of the law
      of negligence, the law that most affects medical malpractice, is in order. With
      such understanding, those most affected financially by the escalation in
      malpractice costs (notably the health facility and the physician) can consider
      what preventive procedures can be taken to eliminate a substantial percentage of
      potential lawsuits. Without taking such preventive action, none of the current
      methods of confronting malpractice costs--private carriers, co-insurance, group
      policies, self-insurance, or going bare--will be effective for any period of time
      in keeping those costs in check.

PMID- 10243994
TI  - Sample forms.

PMID- 10243995
TI  - Medical malpractice litigation: the discoverability and use of hospitals' quality
      assurance committee records.
AB  - Medical staff review committees and their records can play a major role in a
      hospital's defense against malpractice actions. Members of such committees are
      liable to varying degrees to actions for conspiracy, tortious interference with a
      business relationship, defamation and malpractice. Various defenses and statutory
      immunity in many states provide ample protection where the participant is acting
      reasonably and in good faith.

PMID- 10243996
TI  - Elements of patient representative programs in hospitals.
AB  - Studies have shown that patient alienation is a major factor in the decision to
      sue for malpractice. A successful patient representative program can play a major
      role in reducing the feeling of alienation from the provider that many patients
      feel. This excerpt from a new publication of the Society of Patient
      Representatives of the American Hospital Association gives guidance to risk
      managers and others seeking clarification of the patient representative's role.

PMID- 10243997
TI  - The consumer viewpoint on malpractice.
AB  - Our malpractice system is geared to compensate, and perhaps overcompensate, the
      occasional victim of catastrophic injury, while undercompensating, or even
      ignoring, smaller injuries. So states the author in presenting arguments for
      changing the system. She protests attempts to change the tort system, get around
      limits, tighten statutes of limitations, remove the discovery rule, or do away
      with res ipsa loquitur and informed consent. She cites California as a state,
      which has done the most to strengthen its medical discipline as a first step in
      attacking the "real problem of medical malpractice...the reality of injury due to
      medical negligence and the frequent difficulty of obtaining legitimate
      compensation."

PMID- 10243998
TI  - Psychiatry and the dangerous patient--problem: breach of confidentiality.
AB  - Malpractice in the field of psychiatry underscores the legal and ethical
      conflicts between the patient's right to confidentiality of communications and
      the physician's duty to protect an individual or society from possible harm at
      the hands of his patient. There are three criteria used currently to predict
      violent behavior. None are clear-cut and neither the courts nor professional
      societies offer the practitioner much protection. The author suggests some
      courses of action for the psychiatrist to minimize the risk of malpractice.

PMID- 10243999
TI  - Promoting differences in hospitals.
AB  - Hospitals differ from each other in various respects and these differences should
      be publicized so that patient dissatisfaction can be minimized.

PMID- 10244000
TI  - Prevention of unnecessary malpractice claims.

PMID- 10244001
TI  - The National Health Service Corps: is it outgrowing its ideals or merely its
      bureaucracy? Part I. The scholarship program.

PMID- 10244002
TI  - The art of listening.

PMID- 10244003
TI  - Bioethics: the burn victim and medical paternalism.

PMID- 10244004
TI  - Humanistic medicine: knowing the person as well as the disease.

PMID- 10244005
TI  - Adding life to years.

PMID- 10244006
TI  - The National Health Service Corps. Part II: Corps service. Not just home on the
      range (and even a discouraging word).

PMID- 10244007
TI  - Innovations in patient care: where nurse practitioners expand good care.

PMID- 10244008
TI  - Innovations in patient care: focusing on the benefits of NPs in primary care.

PMID- 10244009
TI  - Easing the strain on families of nursing home residents.

PMID- 10244010
TI  - Social workers and Hispanics speak the same language.

PMID- 10244011
TI  - Recovering from a crisis--living with a family helps.

PMID- 10244012
TI  - Released hospital patients rely on 'community friends'.

PMID- 10244013
TI  - Blue Cross, Blue Shield tighten psychiatric coverages in East, West.

PMID- 10244014
TI  - Players focus on problems of patients.

PMID- 10244015
TI  - Judicial action report: the statist notion that governmental power should
      supercede parental authority.

PMID- 10244016
TI  - MH coverage said controllable.

PMID- 10244017
TI  - Peer review dispute ' unsettling'.

PMID- 10244018
TI  - St. Giles: a mental hospital in Fiji.

PMID- 10244019
TI  - Medical schools and the "entitlement ethic".

PMID- 10244020
TI  - Ethics allow physician to invest, operate in same facility.

PMID- 10244021
TI  - Massive disaster drill staged by community hospital.

PMID- 10244022
TI  - How to make meetings become more productive.

PMID- 10244023
TI  - The human experience of dying: the moral primacy of stories over stages.

PMID- 10244024
TI  - Emergency medical service systems and poison control.

PMID- 10244025
TI  - Hospitals are $aving more than lives--the Texas voluntary effort.

PMID- 10244026
TI  - Buggin' around TSICP: information about isolation.

PMID- 10244027
TI  - Helping smokers quit.

PMID- 10244028
TI  - Hospital liability for the medical mistakes of physicans.

PMID- 10244029
TI  - Policies: an educational tool.

PMID- 10244030
TI  - Cost containment ideas...

PMID- 10244031
TI  - Energy management: be positive.

PMID- 10244032
TI  - Bringing the hospital world to the boardroom.
AB  - The Virginia Hospital Association's trustee education program is a statewide
      approach to board development whose cornerstone is individualized seminars
      provided in the local community. This article reviews the events that led to
      development of the program and describes the program's goals, organization, and
      results during its first year of operation.

PMID- 10244033
TI  - HMOs: coming of age in the '80s.
AB  - This excerpt from HMOs and the Politics of Health System Reform (Chicago:
      American Hospital Association and Robert J. Brady Co., 1979) forecasts a period
      of growth for HMOs due to passage of the 1978 HMO amendments and the commitment
      of the Carter Administration to HMO development. HMOs have emerged as the most
      expedient tool to achieve some measure of health system reform.

PMID- 10244034
TI  - Dollarsense: hold the line on hiring.

PMID- 10244035
TI  - HMOs: the real hang up.

PMID- 10244036
TI  - The battle over the bargaining rights of house staff.

PMID- 10244037
TI  - Report from Washington. Legislation to hold down hospital capital expenditures.

PMID- 10244039
TI  - Why Americans are healthiest ever: a new size-up.

PMID- 10244038
TI  - As I see it: marketing.

PMID- 10244040
TI  - The quality of well-being. How do you measure it?

PMID- 10244041
TI  - 'Humandrama' in the treatment of hospitalized alcoholics.

PMID- 10244042
TI  - LM's system controls production and cuts costs.

PMID- 10244043
TI  - Improving compliance in management of hypertension.

PMID- 10244044
TI  - Family care for patients to be tested.

PMID- 10244045
TI  - MDs take new look at births in home.

PMID- 10244046
TI  - The Genesee Region Health Education Study.

PMID- 10244047
TI  - Patient education--at last!

PMID- 10244048
TI  - Medication taking behavior of the elderly: a pilot study.
AB  - The results of structured interviews of fifty persons aged 65 years and older who
      were living independently in the community indicated that hazardous as well as
      wasteful practices were occurring in their medication taking behavior. Sixty-six
      percent of the medications used by this population were being taken without
      adequate instructions and twenty-five percent of the medications were not being
      taken as labeled. There is a need for a greatly improved coordination, improved
      education, and advocacy involving patients, nurses, pharmacists and physicians in
      medication use.

PMID- 10244049
TI  - Hospitals fight disease with new services.

PMID- 10244050
TI  - Providing pharmacy service to ambulatory patients.

PMID- 10244051
TI  - Family support, health beliefs, and therapeutic compliance in patients with
      rheumatoid arthritis.

PMID- 10244052
TI  - Your other half: coping with personalities and mannerisms of EMT partners.

PMID- 10244053
TI  - Paramedics: administration.

PMID- 10244054
TI  - The workplace turns marketplace.

PMID- 10244055
TI  - The DHSS health building system: its engineering components with particular
      reference to the design and commissioning sub-systems.

PMID- 10244057
TI  - "Don't hire the unskilled".

PMID- 10244056
TI  - Retrofit: upgrading the quality of air.

PMID- 10244058
TI  - A penny saved: nation's energy consumption problems.

PMID- 10244059
TI  - Hospital safety--a British point of view.

PMID- 10244060
TI  - "Comfort-zoned" hospital mattress.

PMID- 10244061
TI  - Housekeepers' training room duplicates fixtures and surfaces throughout hospital.

PMID- 10244062
TI  - Training: an important link with your employees.

PMID- 10244064
TI  - Striving for excellence in trauma care.

PMID- 10244063
TI  - Detailed procedures for area cleaning.

PMID- 10244065
TI  - In praise of surgical hedgehogs: trauma and the compleat surgeon.

PMID- 10244066
TI  - Pneumatic counter-pressure device.

PMID- 10244067
TI  - Operating-room utilization and the care of the surgical patient.

PMID- 10244068
TI  - The Gibbon lecture--competence and compassion: two qualities of surgical
      excellence.

PMID- 10244069
TI  - Operating-room design: an introduction.

PMID- 10244070
TI  - Victim-blaming and the "looping" effect of social policy: the cause of physician
      maldistribution and underserved rural communities.
AB  - Ryan's (1971) description of the ideology of "victim-blaming" is briefly
      reviewed. It is then shown how this strategy for obscuring the causes of a social
      problem is used against rural, medically underserved communities by health care
      provider and planning interest groups to "explain" critical shortages of
      physicians in their areas. In addition to lending further support for the
      existence of this ideology, a "looping" effect of social policy designed to deal
      with physician maldistribution is identified. It is argued that this can be
      viewed as analytically distinct from the ideology itself and that it serves the
      purpose of further obscuring the larger structural sources of the social problem.

PMID- 10244071
TI  - Managing for productivity.

PMID- 10244073
TI  - Try a little positive reinforcement!

PMID- 10244072
TI  - Chances are you're not communicating.

PMID- 10244074
TI  - Guidelines for effective delegation.

PMID- 10244075
TI  - Mastering the techniques of two-way communication.

PMID- 10244076
TI  - Creative conflict management.

PMID- 10244077
TI  - Setback in Congress.

PMID- 10244078
TI  - Public Health Service--grants for residency training in general internal medicine
      or general pediatrics: final regulations.

PMID- 10244079
TI  - Nondiscrimination in federally assisted programs; Title VI of the Civil Rights
      Act of 1964; policy interpretation--Office for Civil Rights, Department of
      Health, Education, and Welfare.

PMID- 10244080
TI  - Health Care Financing Administration: clinical laboratories; personnel standards-
      notice of proposed rulemaking.

PMID- 10244081
TI  - Hill-Burton and health professions educational facilities programs. Health
      Resources Administration -- notice of moratorium on approving "refinancings" of
      certain federally guaranteed loans.

PMID- 10244082
TI  - Flammability standards for children's sleepwear; proposed statements of
      enforcement policy--Consumer Product Safety Commission.

PMID- 10244083
TI  - Health maintenance organizations--Public Health Service, HEW. Notice: exclusion
      from basic health services provided by health maintenance organizations.

PMID- 10244084
TI  - Grant programs for schools and hospitals, and buildings owned by units of local
      government and public care institutions: Department of Energy. Final rule;
      technical and editorial corrections.

PMID- 10244085
TI  - Office of Human Development Services--service programs for families and children,
      individuals and families, and aged, blind, or disabled persons; federal financial
      participation in state claims for abortions.

PMID- 10244086
TI  - Implementation of the Civilian Health and Medical Program of the Uniformed
      Services; proposed amendment No. 3--Office of the Secretary of Defense.

PMID- 10244087
TI  - Disaster assistance: reorganization and revision of regulations--Federal
      Emergency Management Agency. Proposed rule.

PMID- 10244088
TI  - Classification of anesthesiology devices; development of general provisions--Food
      and Drug Administration. Proposed rule.

PMID- 10244089
TI  - American Medical Association; prohibited trade practices, and affirmative
      corrective actions--Federal Trade Commission. Final order.

PMID- 10244090
TI  - Proposed interim private sector metric conversion planning guidelines: United
      States Metric Board.

PMID- 10244091
TI  - Cutting health care costs--why not let the market decide?

PMID- 10244092
TI  - Changing attitudes toward the aged.

PMID- 10244093
TI  - The commodity view of medicine.
AB  - Cassell discusses the dichotomy of medical care as being both a technical service
      and a personal interaction. He states that consumers want personal medical care
      to be readily available at a low cost. He sees this as a contradiction arguing
      that "the forces necessary to keep every medical service identical and cheap
      discourage the intense personal involvement by the physician in the patient's
      care that is required to lift medicine above the merely technical." Further,
      waning trust in individual physicians has been exacerbated by the use of more
      technical services in medical examinations and by higher costs. Cassell believes
      that medical care should be conceptualized as a personal service rather than a
      social commodity which employs individual knowledge, human concern, judgement and
      experience. This would re-establish trust between doctors and patients and,
      hopefully, would reduce the reliance on expensive medical technology, allowing
      health care costs to decline.

PMID- 10244094
TI  - Helping to fill out medical forms pays, if they aren't yours.

PMID- 10244095
TI  - Managing change: a psychologist's perspective.
AB  - The uncertainty of today's economic, social and political climate requires that
      managers cope with a variety of forces beyond their operating control. To meet
      the challenges of these new demands, many organizational changes are required.
      This article identifies five human factors involved in change: (1) "Influence"
      makes work more meaningful and contributes to the feelings of satisfaction; (2)
      "Familiarity" reduces the feelings of resistence to change; (3) "Testing" allows
      individuals to evaluate the feasibility and seriousness of the proposed change;
      (4) "Stress" is caused by the apprehension of change; and (5) "Chance" describes
      elements that can send the change process in some unanticipated direction. The
      author believes that managers who understand the process of change will be able
      to implement change more effectively.

PMID- 10244096
TI  - EEOC jeopardizes pregnancy benefits for women who quit.

PMID- 10244097
TI  - Companies absorb the higher charges of pregnancy plans.

PMID- 10244098
TI  - Ullman asks tax penalty on large health benefits.

PMID- 10244099
TI  - Pa. arbitration officials want panel reform.

PMID- 10244100
TI  - Health care economy.

PMID- 10244101
TI  - Insurers underwrite more ASO plans, health study shows.

PMID- 10244102
TI  - Medical malpractice fever cools.

PMID- 10244103
TI  - Benefits increase faster than pay: study.

PMID- 10244104
TI  - A new approach to design and use of management information.
AB  - Information, that is both accurate and timely, is probably the most important
      resource needed by managers to make sound decisions regarding the problems and
      issues facing their organizations. Unfortunately, sophisticated information
      systems often fail to meet this need. Managers complain that the data produced by
      information systems arrive too late, are too general and lack accuracy. Daft and
      MacIntosh studied the system problems of a number of organizations, discovering
      that understanding their work activities is critical to the design of successful
      information systems. The authors also considered the volume of information,
      preciseness of information and the way in which it is handled by users to develop
      a model describing information systems. The article illustrates how the model was
      applied successfully to four case situations.

PMID- 10244105
TI  - Managing organizational conflict.
AB  - This article suggests three ways to manage organizational conflicts. The first is
      the collaboration theory which maintains that people should air their differences
      and work for mutually satisfactory solutions. Collaboration requires that members
      of the organization be interdependent, capable of interacting candidly, and
      sufficiently committed to the organization to justify the time and energy
      required to develop and preserve mutually beneficial relationships. A second
      approach, the power play, is a method of handling organizational conflict which
      is diametrically opposed to collaboration. It is characterized by an adversary
      ethic and rational self-interest; the parties are involved in a win/lose
      situation. According to Derr, the power-play is the dominant conflict management
      strategy for those who seek autonomy and is best suited for idealogical disputes.
      Bargaining, the third technique, contains elements that overlap collaboration and
      power-play. Bargaining "trade-offs" are particularly useful in dealing with
      conditions of scarcity; this method is seen as economical in that it requires
      parties to meet only periodically to review the old contracts and to develop new
      contracts. The author concludes that there is no one best way to manage
      organizational conflicts and suggests that conflict management will require more
      extensive studies of the realities of power play.

PMID- 10244106
TI  - Problem defining and the consulting/intervention process.
AB  - Although many different approaches are currently being used to create planned
      change in organizations, Kilmann and Mitroff feel that too little attention has
      been paid to determining the effectiveness of these different methods in solving
      the organizations' problems. Based on intervention theory and the consulting
      process, the authors offer a method of evaluating an organization's approach to
      change to determine if it is well-suited to the types of problems being
      experienced. The process of change is diagrammed as a five-step cycle: 1) sensing
      problems; 2) defining problems; 3) deriving solutions; 4) implementing solutions;
      and 5) evaluating outcomes. Most consultants enter the process at step 3 which
      increases the probability that they will try to solve the wrong problem (termed
      Type III error). A second source of trouble is that consultants are usually
      trained in one or two disciplines and, therefore, see problems primarily in those
      perspectives. Kilmann and Mitroff suggest the use of teams of consultants so the
      problems can be conceptualized from a number of different viewpoints.

PMID- 10244107
TI  - Court decision offers corporate tax relief.

PMID- 10244108
TI  - "Mayday" for French health.

PMID- 10244109
TI  - Muriel Driver memorial lecture: managers in occupational therapy.
AB  - This paper is devoted to a perspective of Managers in Occupational Therapy today.
      Various facets of management responsibility are described, with emphasis placed
      on the challenge facing today's manager to effect changes that will continue to
      result in the delivery of high quality services.

PMID- 10244110
TI  - Clinical engineering practices: device acquisition.

PMID- 10244111
TI  - Continuing education for employed clinical engineers: review of perceptions.

PMID- 10244112
TI  - Practical automation: development and use of an interactive biomedical inventory
      system.

PMID- 10244113
TI  - Training of biomedical equipment technicians.

PMID- 10244114
TI  - Medical instrumentation at midnight.

PMID- 10244115
TI  - Ethical and practical prolems of a high risk to benefit ratio study in children.

PMID- 10244117
TI  - Pennsylvania hospital finds gourmet meals are recipe for slicing costs.

PMID- 10244116
TI  - Marketing your hospital--Part 1.

PMID- 10244118
TI  - Marketing your hospital--Part II.

PMID- 10244119
TI  - Nursing staff systems. Gearing care to patient needs.

PMID- 10244120
TI  - Hospital finds clothing allowance policy more cost-effective than uniform
      inventory.

PMID- 10244122
TI  - Hospitals find suggestion programs thrive when employees receive share of
      savings.

PMID- 10244121
TI  - Information system--Part 1. Will computerization solve your problems?

PMID- 10244123
TI  - Information systems--Part II: analyzing the cost of computerization.

PMID- 10244124
TI  - Reimbursement by diagnosis: is relating payment to patient care the wave of the
      future?

PMID- 10244125
TI  - A hard look at allied health education.

PMID- 10244126
TI  - Diabetic patient compliance as a function of patient counseling.
AB  - The impact of a specially designed patient education program upon the diabetes
      related knowledge and compliance of insulin dependent diabetic patients was
      investigated. The program consisted of an audiovisual presentation, illustrated
      handout material, and pharmacist-patient counseling. Based on statistical
      considerations, 65 eligible patients were assigned systematically to a control
      group (Group I) and a study group (Group II) and were evaluated for compliance
      following a standardized protocol. Immediately following the interview, Group II
      patients were instructed utilizing the patient education program. Scores for
      initial and final evaluations of knowledge and compliance were compared using
      appropriate statistical procedures. The program was successful in producing
      improvements in both knowledge and compliance but a need for individualization of
      patient education efforts was indicated. Significant improvements in compliance
      were not observed among patients older than the mean age for study patients and
      those with diabetes complicated by cardiovascular and hypertensive disease.

PMID- 10244127
TI  - Alternative sources of drug information: indexing and abstracting systems.
AB  - The proliferation of information and literature in medicine, therapy, and
      pharmacy practice in general has created a need for a centralized source of
      indexing that enables individuals to efficiently locate this type of literature.
      An excellent example of this type of system would be Index Medicus. But Index
      Medicus is voluminous and all-encompassing in its coverage. The need for fast,
      convenient access to publications in specialty areas has led to decentralized
      specialty indexing and abstracting systems that deal with a particular area of
      medicine, therapy, or pharmacy practice. This article deals with these specialty
      systems and encourages their investigation and use when searching the literature.

PMID- 10244128
TI  - Board certification in clinical pharmacology: bane or boon?

PMID- 10244129
TI  - Living with death: some legal considerations.

PMID- 10244130
TI  - Abortion: legal medical and social perspectives.

PMID- 10244131
TI  - Modern midwifery: complicated rebirth of an ancient art.

PMID- 10244132
TI  - Health promotion policy and the placement of responsibility for personal health
      care.

PMID- 10244133
TI  - Public versus private interest in assuring professional competence.

PMID- 10244134
TI  - Public and private credentialing in conflict.

PMID- 10244135
TI  - Protecting directors of nonprofit organizations from liability.

PMID- 10244136
TI  - 25 die in "boarding house" fire.

PMID- 10244137
TI  - How much radioactivity is there in smoke detectors?

PMID- 10244138
TI  - Problem: how to brighten up hospital patients' Sundays. Solution: the Sunday
      brunch.

PMID- 10244139
TI  - The sharp edge of competition.

PMID- 10244140
TI  - Hospitals for profit: the challenge of the chains.

PMID- 10244141
TI  - The chains . . . yesterday & tomorrow.

PMID- 10244142
TI  - The politics of change at South Carolina Baptist Hospital.

PMID- 10244143
TI  - Isn't the customer ever right anymore?

PMID- 10244144
TI  - Publicity for a group practice: opportunity awaiting decision.

PMID- 10244145
TI  - Accreditation for ambulatory care facilities.

PMID- 10244146
TI  - This clinic makes house calls.

PMID- 10244148
TI  - 'The business community understands limited resources'. Interview by James D.
      Snyder..

PMID- 10244147
TI  - The why and how of physician recruitment.

PMID- 10244149
TI  - Using the health belief model to predict patient compliance.

PMID- 10244150
TI  - The role of health education in health care: an analytic model.

PMID- 10244151
TI  - Hospital born from recycled foundry.

PMID- 10244152
TI  - Interior designers prescribe renovation.

PMID- 10244153
TI  - Uniform licensure: an attainable goal, or a myth?

PMID- 10244154
TI  - Candid reflections of a businessman in Washington: interview with Secretary of
      the Treasury, W. Michael Blumenthal.
AB  - In the interview published by Fortune, W. Michael Blumenthal, Secretary of the
      Treasury and former Chief Executive Officer and Chairman of Bendix Corporation,
      discusses his transition from being a business executive to becoming a senior
      member of the cabinet. Blumenthal compares the workings of the corporate world
      with the ways of Washington. Essentially, he views the business world as less
      complex, allowing a manager flexibility as long as he performs successfully. In
      government, administrative practices are more regulated with most policy
      decisions determined in the public arena making the managerial process much
      slower and more complex. Despite the differences between the corporate world and
      Washington, Blumenthal identifies four basic management principles that are valid
      for both; (1) choose very good people; (2) learn to delegate authority; (3) know
      your facts; and (4) be honest. Blumenthal has found his tenure in government to
      be interesting and rewarding and encourages other businessmen to seek the
      challenge of government service.

PMID- 10244155
TI  - An heretical view of management science.
AB  - This article is introduced with the statement, "There is only one way to manage,
      and that is to keep it simple." The author is highly critical of the new
      managerial tools and decision-making modes developed by management scientists in
      business schools. He asserts that the use of these tools encourages a
      "corporations zeal for managerial perfection and threatens it with an excessive
      and paralyzing professionalism." Instead, Levitt suggests using "common sense"
      and "logical simplicity" in management by subdividing work into organizational
      units. This approach is viewed as an easy way to avoid being bogged down by
      "imagined facts" found in mathematical models. Levitt states that sense and
      moderation are the keys to success.

PMID- 10244156
TI  - Academic medical centers: conflict from within.
AB  - The degree to which the priorities and constituencies of schools of medicine and
      university hospitals coincide and conflict is examined by the authors who suggest
      that the differences need not result in continuing unresolved disputes. Because
      federal support for primary care is likely to continue, medical school emphasis
      on this area will grow. However, by recognizing that the cost of primary care is
      highest in the university hospital setting, both the medical schools and
      university hospitals should realize that the university hospital cannot continue
      to serve as the sole clinical training ground for primary care physicians.
      Possible initiatives that might satisfy the interests of university hospitals and
      meet the educational responsibilities of the medical schools include: (1) the
      development of regional hospital consortiums which coordinate education and
      patient services by clinical specialty; (2) the development and expansion of area
      health education centers to include other non-tertiary care providers; and (3)
      the growth of medical school based health maintenance organizations. The authors
      suggest that medical schools and university hospital centers should plan programs
      that match academic needs with both resource availability and service
      obligations.

PMID- 10244157
TI  - Teaching cost containment.

PMID- 10244158
TI  - The patient, the physician, and the regulator.

PMID- 10244159
TI  - Diabetes education, not detection.

PMID- 10244160
TI  - Navy medical team watches health of Congress.

PMID- 10244162
TI  - The alphabet soup boils over: LCCME continues despite AMA pullout; AMA plans own
      CME accreditation.

PMID- 10244161
TI  - Individual rights and the public good . . . no easy answers.

PMID- 10244163
TI  - The hospital of the future: how will it be structured?

PMID- 10244164
TI  - Using the business acumen on your board of trustees.

PMID- 10244165
TI  - Helping the ICU nurse cope with stress: an educational program.

PMID- 10244166
TI  - Achieving results through people: by the yard it's hard, by the inch a cinch.

PMID- 10244167
TI  - Management techniques for winning employment discrimination claims.

PMID- 10244168
TI  - Effective use of supplemental nurses.

PMID- 10244169
TI  - Planning and budgeting: important tools for the healthcare manager.

PMID- 10244170
TI  - Consumer protection... the realities of medical audit.
AB  - The concept of medical audit is an extension of consumer philosophy, writes Ron
      McKay, but if you are paying for someone else's treatment how do you ensure your
      money has been spent correctly? In the United States the answer was auditing
      treatment and medical competence. In the light of the Royal Commission's
      recommendation for a greater degree of urgency in implementing medical audit here
      he asks how much can be learned from the US?

PMID- 10244171
TI  - Reality and a mock coalface.
AB  - Getting back to work after injury or illness often presents problems of
      readjustment and lack of confidence especially in jobs which involve
      environmental stress and hard physical work such as mining and the steel
      industry. Rehabilitation is the key to a successful return to employment. Author
      reports on a visit to the Miners Rehabilitation Centre at Talygarn in Glamorgan.

PMID- 10244172
TI  - Why HAS has no bite may be because it has no teeth.
AB  - Whither the HAS? Did Normansfield point up its ineffectiveness, as it critics
      allege? A personable enough body in its way, they say, but somewhat toothless.
      The Royal Commission saw it differently, approving of its service 'by persuasion
      rather than coercion'. What are the alternatives to this maligned body?

PMID- 10244173
TI  - What makes a team tick as it tackles that goal.

PMID- 10244174
TI  - Bucolic scenes in the outpatient's department: pastoral murals in hospital.

PMID- 10244175
TI  - Hospital life: pop goes the peppercorn.
AB  - The concept of leasing hospitals to voluntary bodies has been voiced if not
      applauded. There are misgivings about the workability of such a scheme on grounds
      of cost and the commitment required. Author looks at some of the implications of
      peppercorn renting as an alternative to closure.

PMID- 10244176
TI  - Health administration: chasing doubtful shadows.
AB  - In one of its more decisive moments the Royal Commission recommended the
      abolition of FPCs and the assumption of their functions by health authorities. In
      this article, author looks at the debate surrounding this issue and in particular
      GPs' problems in inner city areas. He says that while more could be achieved by
      making the management expertise of the hospital sector available in the primary
      sector, wards will always be easier to control than GPs' surgeries.

PMID- 10244177
TI  - Change from within is the essential element.
AB  - Planning has often been thought of as an 'ivory tower' occupation, too far
      removed from the operational nerve centres of the NHS. Author argues for a
      clearer understanding of the planner's role in providing better standards of
      patient care.

PMID- 10244178
TI  - Taking your proposals straight to the people.
AB  - The saga of the secure units at Prestwich Hospital, Manchester, goes on. A new
      chapter is added as author recounts the role the local community played (and
      continues to play) in a development that has had more than its fair share of
      local and national limelight.

PMID- 10244179
TI  - Resource allocation: blueprint for the brave new world.

PMID- 10244180
TI  - Chief casualty could be the senior service.
AB  - A more emotive word than 'private' would be difficult to find in the world of
      health care at the moment. As public spending contracts, private medicine, or at
      least talk of it, expands. Guardians of the NHS are rushing to the defence of
      their embattled institution. The Government-led 'private' army is mobilising.
      Trade unions have pitched into the battle and even the innocent populace is
      caught up in the cross-fire.

PMID- 10244181
TI  - Health administration: the high and the mighty take a return ticket to the moon.
AB  - Over the past few years there have been several attempts to bring the DHSS closer
      to the grass roots of the health service. The aim has been to inject into the
      department a perspective through which its planners could measure the
      consequences of their deliberations. Going back to the late sixties one way of
      helping has been to integrate NHS officers into the DHSS and vice versa.

PMID- 10244182
TI  - Signposting the four phase of team development.

PMID- 10244183
TI  - When duty calls and calls ...
AB  - A working week for the hospital administrator extends to more than a 37-hour
      office week. Many incidents occur which require a decision or intervention from
      an administrator out of normal working hours. An on-call rota system at
      Derbyshire Royal Infirmary has been in use since 1975.

PMID- 10244184
TI  - Health administration: service before self, but . . . what about pay?
AB  - Author peers throuth the 'perpetual fog' that is pay--pay policy, pay restraint,
      pay freeze--to try to discern the way wages are negotiated, the 'lumpy' aspect of
      the structure and the problems of job evaluation and reward; matters which, he
      says, will keep Whitley in steady and altruistically gainful employment for some
      time to come.

PMID- 10244185
TI  - The art of settling in nicely.
AB  - You are a manager and you are moving to another job. What steps would you like
      your new authority to take to ensure that you become an accepted and valued
      member of the staff and that your needs are being met?

PMID- 10244186
TI  - Joint care: conflicts in co-operation.

PMID- 10244187
TI  - When security is the key issue.

PMID- 10244188
TI  - Health administration: the war that is waged even after the wage war is over.
AB  - Conditions are made in every job. It is quite another exercise meeting them.
      Galling things like telephone rental money; malignant little ulcers like removal
      expenses; the kind of friction that ensues when, having been promised the moon,
      you get a handful of dust. Drew Clode, who last week looked into wage packets,
      now tests the letter and the spirit of something more abstract if no less
      realistic: the conditions in which you work and indeed live.

PMID- 10244189
TI  - The art of team management: positive steps against negative behaviour.

PMID- 10244190
TI  - National heritage crying out to be preserved.

PMID- 10244191
TI  - No magic formula but echoes of sympathy.

PMID- 10244193
TI  - What about personnel, then?

PMID- 10244192
TI  - Painful memories of the NHS conflict trap.
AB  - Conditions have been imposed on the NHS by successive governments in pursuit of
      their economic policies which have had serious repercussions for staff. Saying
      that it is unfortunate that the Royal Commission did not make any real
      contribution to an understanding of NHS industrial relations author looks at the
      deep rooted problems which encompass all health service staff. He also says that
      it has become the policy of some national newspaper proprietors to give the
      impression that NHS problems are created by a few untypical malcontents.

PMID- 10244194
TI  - Playing consequences.

PMID- 10244195
TI  - Let's stop creating paper illusions of progress.

PMID- 10244196
TI  - It's all been said before even by Flo Nightingale.

PMID- 10244197
TI  - Those high pitched screams.

PMID- 10244198
TI  - Ploughing the furrow of clinical freedom ...

PMID- 10244199
TI  - Chapter in which the priority ghost walks.

PMID- 10244200
TI  - Doctor in the marketplace.
AB  - Hourly rates of pay and long hours are contentious topics among hospital
      administrators and junior doctors. The introduction of a DHSS circular on control
      of charges by agencies is being firmly opposed by junior doctors as well as
      agencies.

PMID- 10244201
TI  - Health administration: the uncommon agency with services common to all. Interview
      by Sally Burningham.
AB  - To serve, or rather service, a nation is the avowed aim of the Common Services
      Agency, a body as unique to Scotland as its skean dhu. The epithet 'Common' in
      its title alludes to its socio-geographic sweep, one of the things that make it
      so uncommon.

PMID- 10244202
TI  - When no home means no job.
AB  - Recruitment of hospital staff is often dependent upon the accommodation that can
      be offered. Some hospitals are now finding that single accommodation units are no
      longer meeting needs. Graham Aston, environmental health and housing officer for
      Epsom and Ewell, gives an overview of problems and possible solutions.

PMID- 10244203
TI  - Titanic's cash course moves towards the tip of disaster.
AB  - The way regions throughout the United Kingdom cope with the confusion surrounding
      cuts in the health service is described by Stephen Halpern. In the first of three
      articles he gives a guide to the financial state of play in the Thames regions
      and, to bring in a breath of country air after the foggy and depressing financial
      climate of London, Oxford RHA.

PMID- 10244204
TI  - What, how and why does the team think?
AB  - It is all very well being able to 'pick up' what team members seem to be doing
      and even to speculate on the reasons why. It is an entirely different exercise
      doing something constructive with the information you garner about team practice
      and performance. Michael Walton and Graham Smith, in the fourth article of their
      series, introduce some practical perspectives for assessing your team's
      performance.

PMID- 10244205
TI  - Teaching the three Rs and an L for love.
AB  - Mothers love to talk about their babies, children love to hear about them and
      need to hear about them if they are to become, in their turn, caring and
      responsible parents. Susan Thomas describes a pilot scheme at a Kent junior
      school which brought the two together along with experts from many related fields
      and created a comprehensive and involving educational programme which predates
      the Miles report recommendations.

PMID- 10244206
TI  - Catchment populations.
AB  - A method of estimating catchment populations which is easily understood and
      calculable is described by Kevin Cottrell, North Western RHA statistician. It is
      based on traditional statistical theory and as such is robust in its application.
      It can give fairly accurate determinations of the population served by various
      services.

PMID- 10244207
TI  - Retreat for learning.

PMID- 10244208
TI  - Pre-retirement planning.

PMID- 10244209
TI  - Changing employee values: deepening discontent?
AB  - This article presents a synthesis of data on employee attitudes gathered over the
      last 25 years. Most of the findings confirm the hypothesis that employees are
      discontented and expect more from their jobs now than they have in the past.
      While managerial satisfaction has remained relatively constant, the work
      satisfaction among hourly and clerical employees has sharply decreased. The
      authors attribute dissatisfaction to changes in the expectations and values of
      employees and warn that the deterioration of work attitudes may result in
      increased operating costs due to poor quality work, reduced output, absenteeism,
      etc. Instituting an employer attitude survey is suggested as a means of improving
      communication between management and employees and increasing job satisfaction.

PMID- 10244210
TI  - Much ado about mentors.
AB  - An international management firm conducted a study of executives that included
      questions regarding compensations, personal data, and current position. It was of
      special interest to determine the effect of mentor and protege relationships on
      business careers. Of the individuals surveyed, two-thirds reported a relationship
      with a senior person who took a special interest in their career, during the
      first five years of their professional development. In general, executives who
      had a mentor are better educated, earn more money at an earlier age, more apt to
      follow a career plan and report high job satisfaction. The majority of sponsors
      are older businessmen holding positions of authority and who feel that personnel
      development and management succession are key responsibilities. The following
      characteristics of a mentor are judged most important: willingness to share
      experiences, knowledge of the organization, organizational power and respect from
      peers. Mentor-protege relationships frequently develop into lengthy friendships
      which in turn encourage young executives to eventually sponsor their own
      proteges.

PMID- 10244211
TI  - Should you have an internal consultant?
AB  - During the past 10 years, quietly, without much fanfare, between 250 and 500
      organizations have developed an internal consultant function. Many of these
      consultants play similar roles to the ones traditionally played by external
      consultants such as troubleshooting, advising the CEO, analyzing research, and
      implementing new programs. Because the internal consultants can respond rapidly
      to organizational needs and are immediately accountable to the CEO, these
      functions have been successful so far. There are, however, according to this
      author, who has surveyed 200 internal consultants and personally interviewed many
      of them, areas where an external consultant still works out better. In the main
      these are the politically sensitive areas where an internal consultant's
      credibility can be too easily damaged. The author discusses other aspects of the
      problems that surround the internal consultant, the controversy about the merits
      of the outsider versus the insider, and ends his article with some guidelines for
      developing an in-house function.

PMID- 10244212
TI  - The hidden messages managers send.
AB  - If a manager in an organization talks about making an "end run," what is he
      saying? Is he seeing life in the organization as a game; is he seeing it as
      hazardous and maybe nominating himself for a hero role; or is he merely saying
      he's going all the way with a project, regardless. The truth is we don't know
      what he's saying. It is all too easy both to interpret the metaphors others use
      to fit out own meanings and to ignore the fact that metaphors have idiosyncratic
      meanings that should be listened to. The author describes three ways managers
      convey messages about themselves and the ways they see the world. He encourages
      the reader to see these ways--their metaphors, office settings, and body language
      and tones that accompany their speech--as means of communicating. Just as speech
      or mathematics, these are languages that can be learned. With skill in them, a
      manager can see or hear what is really going on when people talk, what hidden
      messages we are sending all the time. The author gives some hints on what to look
      and listen for in trying to understand others, but he warns against simplistic
      interpretations: all messages occur in context.

PMID- 10244213
TI  - Leadership: sad facts and silver linings.
AB  - The typical CEO has endless interruptions and limited options for action. In
      addition, he may not even hear about his choices, or any bad news that might
      require action, until it is almost too late. Finally, any decision he does make
      will probably require months or years to implement fully. This author suggests
      that this gloomy picture has another side. In fact, each of these "sad facts" of
      managerial life can be turned into an opportunity to communicate values and to
      persuade, and they add up to a new notion of the chief executive's function.

PMID- 10244214
TI  - Hospitals beating inflation on sheet/pillow case purchases.

PMID- 10244215
TI  - Focus on critical variables when analyzing hospital linen costs.

PMID- 10244216
TI  - How many sheets per bed?????

PMID- 10244217
TI  - Lack of CON laws may create cash squeeze.

PMID- 10244218
TI  - Purchasing salaries follow no consistent pattern.

PMID- 10244219
TI  - Order numbering system promotes controls, cuts paperwork.

PMID- 10244220
TI  - Case study in effective product evaluation.

PMID- 10244221
TI  - Open vs closed bidding.

PMID- 10244222
TI  - Employees' 'bed jack' safely puts patients up in the air.

PMID- 10244223
TI  - Hospital risk management.

PMID- 10244224
TI  - Carpet for two libraries.

PMID- 10244225
TI  - Carrels for two libraries.

PMID- 10244226
TI  - Security for a library.

PMID- 10244227
TI  - Moving two libraries.

PMID- 10244229
TI  - The integration of health and social services--the Northern Ireland experience.

PMID- 10244228
TI  - The organisation of holiday relief: a pilot scheme to support families caring for
      dependants.

PMID- 10244230
TI  - Notes for students: data routinely collected in a medical records department.

PMID- 10244231
TI  - A BSc level option in biomedical electronics.

PMID- 10244232
TI  - Planned preventive maintenance: drainage and sanitation for hospitals and other
      buildings.

PMID- 10244234
TI  - Steam humidifiers--their use and application.

PMID- 10244233
TI  - Hospital design philosophy for the 21st century.

PMID- 10244235
TI  - Discharge planners prepare for fuel shortage problems.

PMID- 10244236
TI  - Special update: antibiotic review.

PMID- 10244237
TI  - Tips for reviewing blood usage.

PMID- 10244238
TI  - Tips for reviewing blood usage.

PMID- 10244239
TI  - An administrative philosophy toward the concept of materiel management.

PMID- 10244240
TI  - Administrative reporting--the necessary elements.

PMID- 10244241
TI  - Gaining administrative support and respect.

PMID- 10244242
TI  - The management of change: an overview of the transition process.

PMID- 10244243
TI  - Getting results from your materiel manager.

PMID- 10244244
TI  - The materiel manager: a member of the administrative team.

PMID- 10244245
TI  - Evaluating the effectiveness of the materiel management effort.

PMID- 10244246
TI  - Administrative considerations in the selection of a materiel manager.

PMID- 10244247
TI  - Materiel management by objectives.

PMID- 10244249
TI  - Avoiding hide-and-seek in the storeroom.

PMID- 10244248
TI  - What did accounts payable do with that great deal you negotiated?

PMID- 10244250
TI  - The role of materiel managership in property (asset) management.

PMID- 10244251
TI  - Application of the prudent buyer principle to purchasing administration.

PMID- 10244252
TI  - Effective determination of patient charges.

PMID- 10244253
TI  - The age of accountability and hospital inventories.

PMID- 10244254
TI  - The receiving process: a key to effective materiel management.

PMID- 10244255
TI  - Hospital procurement and illegal price discrimination.

PMID- 10244256
TI  - To lease or not to lease.

PMID- 10244257
TI  - Materiel interfaces with financial management.

PMID- 10244258
TI  - Total centralized purchasing: can it ever by achieved?

PMID- 10244259
TI  - Point of view: role of the materiel manager in the budgetary process.

PMID- 10244260
TI  - Getting hospicized.

PMID- 10244261
TI  - Selecting a new residency.

PMID- 10244262
TI  - The art of persuasion: logic and language in proposal writing.

PMID- 10244263
TI  - The research grant application: an exercise in scientific writing.

PMID- 10244264
TI  - The National Cancer Institute and its redefined mission.

PMID- 10244265
TI  - The research grant budget: preparation and justification in relation to the
      proposed research.

PMID- 10244266
TI  - The institution of administrative change in the home health service agency.

PMID- 10244267
TI  - Public cancer education.

PMID- 10244268
TI  - The successful promotion of behavioural change and increase in knowledge by means
      of active participation in a 'Look After Yourself!' exhibition.

PMID- 10244269
TI  - Team care: solution for hospital oncology units?
AB  - Team care promises improved patient care through improved coordination of
      existing hospital services, as well as continuity of care for the patient between
      the hospital and the home. Commitment to the team concept, however, calls for
      more than lip service.

PMID- 10244270
TI  - Point/counterpoint: declining public health organizations--will management make a
      difference?
AB  - Time is running out for public health organizations, says Charles Harper. Their
      traditional role in the health system is eroding rapidly. To reestablish the
      place they deserve in the health system will require an aggressive and united
      effort on the part of all public health professionals. As a counterpoint to
      Harper's article, Donald Smith asserts that the decline is a result more of a
      negative image and changing standards than of managerial problems.

PMID- 10244271
TI  - Academic health science centers: headed for rougher times?

PMID- 10244272
TI  - Resource requirements for health care organizations.
AB  - Decisions regarding resource requirements are often based on single-factor
      decision rules. Although the use of such rules will simplify the decision
      process, these rules ignore the multiple consequences of each decision. Instead
      the health care administrator should base a decision on the mix of performance
      promised by a given resource decision.

PMID- 10244273
TI  - Dimensions of professional development: the case for health administration.
AB  - Can someone be prepared to be a specialist and then be expected to assume general
      leadership roles? Should the general leadership role be abandoned by
      administrators and left to the medical profession? These are some of the
      questions that must be considered in order to meet the education needs of health
      administrators.

PMID- 10244275
TI  - HCMR interview: Gail Warden. Interview by Monty Brown.

PMID- 10244274
TI  - The behavioral sciences and physicians' concerns.
AB  - Although behaviorial scientists have become more involved in health care settings
      recently, their impact has been less than desired. An inadequate understanding of
      individual physicians' concerns has contributed to this situation, and improved
      insight into physicians' lives might benefit behavioral science work in health
      care settings.

PMID- 10244276
TI  - How reasonable is reasonable?

PMID- 10244277
TI  - How practical is the method?

PMID- 10244278
TI  - Physician contracts.

PMID- 10244279
TI  - How to develop or buy a computerized financial planning model.

PMID- 10244280
TI  - Management study sets medical records performance standards.

PMID- 10244281
TI  - Discounted coefficient: best way to evaluate capital expenditures.

PMID- 10244282
TI  - A closer look at HEW's accusation. Waste not, want not?

PMID- 10244283
TI  - Relating costs to charges: analyzing 3 labor/delivery services.

PMID- 10244284
TI  - Ways need to be developed to expedite hospital admissions, discharges.

PMID- 10244285
TI  - Hospital and donor both benefit from deferred gift.

PMID- 10244286
TI  - Cost counsel: saving a "buck a day".

PMID- 10244287
TI  - The hospital--will it survive?

PMID- 10244288
TI  - Payment patterns: health care facility operations.

PMID- 10244290
TI  - Satisfy your need to know.

PMID- 10244289
TI  - The positive side of conflict.

PMID- 10244291
TI  - Planning strategically.

PMID- 10244292
TI  - Violence: teaching staff to cope.

PMID- 10244293
TI  - Personnel accountability: key to effective management.

PMID- 10244294
TI  - Making changes.

PMID- 10244295
TI  - Let employees solve your problems.

PMID- 10244296
TI  - Take time to make time.

PMID- 10244298
TI  - The high cost of working dangerously.

PMID- 10244297
TI  - Resistance to safety: what can be done?

PMID- 10244299
TI  - To hire or not to hire.

PMID- 10244300
TI  - Keep the record straight.

PMID- 10244301
TI  - The everyday problems of discipline and grievances.

PMID- 10244302
TI  - A computerized system to schedule nurses that recognizes staff preferences.

PMID- 10244303
TI  - Human resources accounting system and productivity monitoring.

PMID- 10244304
TI  - Finding inefficiencies: an operations audit model.

PMID- 10244305
TI  - Renew your career--take a sabbatical.

PMID- 10244306
TI  - The public stake in shared services: some political considerations.

PMID- 10244307
TI  - The movement toward multi-hospital arrangements in Michigan.

PMID- 10244308
TI  - Replacement cost accounting: an alternative to price level indexes.

PMID- 10244309
TI  - Court affirms physician's choice of abortion procedure.
AB  - In Colautti v. Franklin the U. S. Supreme Court threw out those portions of a
      Pennsylvania statute making physicians criminally liable for performing abortions
      of a "viable" fetus except to preserve the health of the pregnant woman and, in
      such a case, requiring physicians to use the abortion technique offering the best
      opportunity for the fetus to be aborted alive.

PMID- 10244310
TI  - Family practice finds a home in the hospital.
AB  - A brief description of the growth of family practice over the past 10 years into
      what is now a major specialty leads into a discussion of the implications of this
      development for hospitals. A fundamental shift of emphasis to family practice in
      medical education has already occurred and hospital departments of general
      practice, traditionally administrative in character, are being reorganized into
      clinical departments with responsibility for assigning privileges and
      administering educational and peer review programs.

PMID- 10244311
TI  - Health promotion--keeping people out of the hospital.
AB  - Health promotion is finding a place in the community hospital. This article
      discusses the need for commitment to health promotion as an ongoing program and
      not a publicity campaign. Examples of successful programs, principles of good
      practice, and the benefits of providing the community with information are
      presented.

PMID- 10244312
TI  - A blueprint for medical staff consolidation.
AB  - Consolidation of the medical staffs of merging hospitals must be considered
      separately from the corporate merger, and the organizational framework combining
      the staffs must be carefully planned. A participant of a recent merger outlines
      the mechanism through which two medical staffs established common principles of
      consolidation, separately enacted identical bylaws, developed a cross
      credentialing procedure, and instituted a transitional organizational framework.

PMID- 10244313
TI  - Physicians join in efforts to reduce risks.
AB  - Four risk management programs, recently coordinated on a hospitalwide basis by a
      risk manager or risk management committee, stress the importance of a
      multidisciplinary approach to risk identification and reduction.

PMID- 10244314
TI  - Assessing antibiotic usage in a community hospital.
AB  - Data from a study of aminoglycoside prescribing patterns at a community hospital
      resulted in the hospital infection control committee issuing recommendations that
      were subsequently approved as standard medical practice. These data and
      recommendations are presented in full.

PMID- 10244315
TI  - LCCME opts to continue accreditation process.
AB  - The remaining members of the Liaison Committee on Continuing Medical Education
      have decided to continue accrediting continuing medical education programs
      despite the withdrawal of the AMA from the group. The LCCME will be staffed by
      the Council of Medical Specialty Societies and will focus its accrediting program
      on the national level.

PMID- 10244316
TI  - Physician rights and selective closed staffs.

PMID- 10244317
TI  - Intravenous infusion pumps: a P&T committee concern.

PMID- 10244318
TI  - The career cycle.

PMID- 10244319
TI  - Pharmacy services in a 240-bed Gordon Friesen-design hospital.
AB  - This article describes a typical Gordon Friesen-design institution in which the
      facility design and systems design complement one another to make an efficiently
      run hospital. The basic concepts of the hospital are to keep the nurse with the
      patient and to maintain a steady supply flow by centralizing responsibility for
      materials. Problems that occur in pharmacies of facilities designed by Friesen
      usually are related to logistics. The design of the institution make delivery of
      medication and communication with staff nurses more difficult. Pharmacy programs
      such as unit dose and intravenous admixtures, excellent examples of products in
      "patient-ready units," complement the other supply delivery systems that are
      typical of a Friesen-design institution. Good written and verbal communications
      between nursing staff and pharmacy can bring about a smoothly flowing pharmacy
      service that blends with the overall concept.

PMID- 10244320
TI  - New revenue and improved services in handling ambulatory radiology patients.
AB  - In 1978, the Pharmacy Department at the University of California, Irvine, Medical
      Center succeeded in establishing a procedure whereby all drugs used for
      outpatient radiology procedures were dispensed from the pharmacy and were no
      longer handed out by radiology clerks. Additional revenue was generated for the
      medical center because the pharmacy started to charge patients for the drugs,
      which had not been done previously. This was accomplished with no increase in
      personnel. The procedures have been operating successfully for six months.

PMID- 10244321
TI  - Locked medication drawer in each patient's room.

PMID- 10244322
TI  - Medication drawers in each patient's room.

PMID- 10244323
TI  - A simple systems model for community programs.
AB  - A simple model for general application to the planning and evaluation of
      community programs is presented. It is based on a systems approach and consists
      of seven procedural steps: overview, need assessment, goal-setting, resource
      organization, action, reviews, and outcome statements. Feedback information is
      used to correct and improve system performance. Two examples of the model in use
      are given to illustrate both its application and its generality. These concern
      the management of individual patients in a community-oriented psychiatric ward
      program and the organization of a comprehensive community development project.
      The feature common to these applications is the ability of the model to reduce
      complex endeavors to a few manageable steps, with no loss of comprehensiveness.

PMID- 10244324
TI  - Mental health treatment and referral practices of clergy and physician
      caregivers.
AB  - Consistent with previous literature, the results of a detailed survey mailed to
      clergy and physicians from a community known for its longstanding, excellent
      mental health system indicated extensive treatment and referral of mental health
      problems by clergy and physicians. Clergy and physicians, though, displayed very
      limited knowledge of mental health services and personnel, particularly
      innovative approaches and workers. Receiving mental health training was
      identified as a key factor, particularly for physicians, in terms of knowledge of
      services and personnel, referral to a mental health center, and treatment of
      serious mental health problems. Strategies were, therefore, outlined to provide
      more accurate information to this natural treatment and referral system.

PMID- 10244325
TI  - An evaluation of traditional and alternative mental health facilities.
AB  - Traditional mental health facilities were compared with alternative mental health
      facilities on their response to a crisis situation. Over one-third of the total
      sample of facilities (n = 50) did not respond with any help. Alternative
      facilities gave more direct counseling than did traditional facilities,
      indicating the particular suitability of alternative facilities for crisis
      intervention.

PMID- 10244326
TI  - A community mental health accountability scale.
AB  - An Accountability Questionnaire was administered to administrators, service
      providers, and board members of 50 community mental health centers. The results,
      using cluster analysis techniques, yielded an Accountability Scale of 22 items.
      Four clusters with satisfactory discriminative validity were extracted: (a)
      Importance of Program Evaluation; (b) Satisfaction with State Monitoring
      Procedures; (c) Traditional Clinical versus Community Psychology Concerns; (d)
      Agency Preservation versus External Accountability. Analyses of variance
      indicated that board members, staff, and administrators differed significantly in
      their scores on each cluster. The Accountability Scale is a potential tool for
      community mental health agencies in assessing intraorganizational attitudes
      concerning accountability and has implications for administrative planning and
      evaluation.

PMID- 10244327
TI  - Role perceptions in a community mental health setting.
AB  - The increasing trend of utilizing nonprofessional personnel in community mental
      health has led to considerable controversy. It is suggested that studies
      comparing the relative competence and efficacy of professional therapists to that
      of nonprofessional therapists may be counterproductive and in need of
      augmentation. The present study employed a role perception procedure in which
      members of three different randomly chosen groups (11 professional therapists, 11
      nonprofessional therapists, and 11 children-clients) from a community mental
      health program were asked to rank various aspects of the therapeutic relationship
      in order of importance to the children-clients' improvement. It was hypothesized
      that (a) due to their relatively low self-concept, nonprofessionals would
      underestimate their own role importance in comparison to that of the
      professionals; (b) professionals would overestimate their own role importance;
      and (c) children would selectively value certain aspects of each role without
      preferring one over the other. The last two hypotheses were supported, but the
      first hypothesis was not: nonprofessionals, in fact, showed the highest level of
      overestimation of their own role importance. A further analysis of the data
      showed that inexperienced nonprofessionals did not overestimate their own role
      performance. This suggested specific training procedures for nonprofessionals.

PMID- 10244328
TI  - Assessment of paraprofessionals' on-the-job performance in an outpatient child
      guidance clinic.
AB  - On-the-job performance of paraprofessional and professional staff of an
      outpatient child guidance clinic were compared in three respects: (a) ability to
      do intake interviewing, (b) maintain case records, and (c) collect research data
      for a therapy outcome study. Data indicated that paraprofessionals performed as
      well as professionals on each job activity, and suggest generally that
      paraprofessionals can adequately perform the various tasks assigned to them.

PMID- 10244329
TI  - Program evaluation/quality assurance: a waste of time?

PMID- 10244330
TI  - Development of a nurse aide screening instrument.

PMID- 10244331
TI  - Firesafety evaluation system for health care facilities.

PMID- 10244332
TI  - Rock'n Roll Jamboree: a testimonial.

PMID- 10244333
TI  - Designing the open nursing home SSI fact sheet.

PMID- 10244335
TI  - Responding to calls for nursing home reform.

PMID- 10244334
TI  - Rock'n Roll Jamboree: $1,000,000 worth of fun.

PMID- 10244336
TI  - President Demisay's symposium speech.

PMID- 10244337
TI  - Managerial analysis and decision-making in outpatient health clinics.

PMID- 10244338
TI  - The allocation of specialties to hospitals in a Health District.

PMID- 10244339
TI  - Boards of inquiry in health care disputes: new options for the parties.

PMID- 10244340
TI  - Electric typewriter: Adler SE 1000 SC.

PMID- 10244342
TI  - Microform storage in libraries.

PMID- 10244341
TI  - Electric typewriter: Royal SE 5000 E.

PMID- 10244343
TI  - Periodical prices: 1977-79 update.

PMID- 10244344
TI  - A productivity profile . . . guidelines to productive management.

PMID- 10244345
TI  - Manager tells how to operate a successful laundry facility.

PMID- 10244346
TI  - Hospital director suggests ways to contain health care costs.

PMID- 10244347
TI  - Podiatrists: pushing for equal rights on the medical team.

PMID- 10244348
TI  - Why Congress' deregulation mood doesn't apply to doctors.

PMID- 10244349
TI  - General surgeons less busy, but still high earners.

PMID- 10244350
TI  - The Kennedy liberal with a big voice in your future. Interview by Richard L.
      Peck.

PMID- 10244351
TI  - Why catastrophic health insurance is going nowhere.

PMID- 10244352
TI  - The night we worked through hell.

PMID- 10244353
TI  - Group-practice jobs: suddently it's a buyer's market.

PMID- 10244354
TI  - Internists: nearing an economic crossroads.

PMID- 10244355
TI  - Radiological health.

PMID- 10244356
TI  - Regional variations in hospital stay: a preliminary view of causes.

PMID- 10244357
TI  - The two-plus-two concept in the preparation of health record professions.

PMID- 10244358
TI  - Misleading mortality rates in medical audit studies.

PMID- 10244359
TI  - The effects of reporting accuracy of entries in residents' personal files.

PMID- 10244360
TI  - Health record professionals and prison health care. Interview by Jack A.N. Ellis.

PMID- 10244361
TI  - GAO rejects MAC, prime vendor; urges price talk by purchasers.

PMID- 10244362
TI  - Suppliers, hospitals told to disclose common bonds.

PMID- 10244363
TI  - Hospital Corp. members to consider vendor cutbacks.

PMID- 10244364
TI  - Biofeedback: a feast ahead in hospital and home care markets?

PMID- 10244365
TI  - The hospital market: its growth and the future.

PMID- 10244366
TI  - Two big New York hospitals merge to stay out of red.

PMID- 10244367
TI  - Living--and dying--by the dinosaur principle.

PMID- 10244368
TI  - Malpractice demon stirring again.

PMID- 10244369
TI  - HEW targets 61 cities for HMO expansion in '80s.

PMID- 10244370
TI  - Physicians riled by New York State's hospital computer.

PMID- 10244371
TI  - Second thoughts on CME: it's mandatory for many, but who benefits?

PMID- 10244372
TI  - Might the health care industry function as if it were a regulated public utility?

PMID- 10244373
TI  - DRG: another way to reimburse costs.

PMID- 10244374
TI  - Dilemmas of dying.

PMID- 10244375
TI  - The hospital's obligation to protect patients from carriers of infectious
      diseases.

PMID- 10244376
TI  - First male volunteers at Grace Hospital love their work.

PMID- 10244377
TI  - U.S. congressman spends a day as a nurse aide at Port Huron Hospital.

PMID- 10244378
TI  - The trial of a malpractice case: Part one.
AB  - The following discussion was presented by the late Mr. Levine, one of the
      country's most successful malpractice lawyers, during a series of lectures on
      medical malpractice. It is an invaluable, no-holds-barred introduction for
      administrators, risk management directors, physicians and attorneys to the real
      world of malpractice litigation.

PMID- 10244379
TI  - Avoiding malpractice claims through better hospital management.
AB  - Within the control of hospital management is the capability of reducing
      malpractice claims through better employee and patient communications. Promises
      of successful treatment, billing charges and medical procedures that are
      unexplained, unfamiliarity of hospital management with what constitutes hospital
      liability, and wrong use of informed consent forms are among the factors that
      increase chances of bein sued for malpractice.

PMID- 10244380
TI  - How to handle a deposition: a primer for defendant doctors.
AB  - Depositions constitute an important element in any malpractice trial and, as
      such, must be understood in their full dimensions by physicians and others in the
      medical profession. The author gives a working definition of deposition and
      enumerates the preparations necessary for giving a deposition.

PMID- 10244382
TI  - Doctor, will you please testify!
AB  - A special problem exists for the plaintiff's lawyer in most malpractice cases-
      obtaining expert medical witnesses. The authors explain how this can be done and
      offer a detailed outline for bringing the process to a successful conclusion. In
      addition, the article gives prospective defendants and their counsel insight into
      what can be expected when a case comes to trial.

PMID- 10244381
TI  - Hospital and medical care for the special patient: minimizing malpractice while
      improving service.
AB  - The physically, emotionally, or otherwise handicapped child or adult presents
      special problems to physicians, hospitals and health workers--especially in the
      early years. Poor medical practice and lack of communication expose hospitals and
      professionals to greater malpractice risks when dealing with these patients than
      encountered with average patients.

PMID- 10244383
TI  - The human dimension.
AB  - There has long been a correlation between the degree of anger of the patient
      towards his physician or hospital and the filing of a malpractice suit. The
      following article, reprinted from the Report of the Secretary's Commission on
      Medical Malpractice. DHEW, presents a comprehensive review of the human factor as
      it relates to medical malpractice. Providers and their attorneys wishing to
      obtain the complete two-volume report should write to DHEW in Washington, D.C.,
      referring to publication number OS73-88.

PMID- 10244384
TI  - Local group OKs health care 'action plan'.

PMID- 10244385
TI  - An NHI alternative.

PMID- 10244386
TI  - The leading causes of hospital admission in the United States in 1977.

PMID- 10244387
TI  - Video intercom: O.R. consultation and frozen section with screen display of gross
      and microscopic findings.
AB  - Seldom does the pathologist at Saint Barnabas Medical Center, Livingston, NJ,
      enter the operating room to consult with the operating surgeon. Instead,
      consultation takes place via an audio-intercommunication system supplemented by
      video. In this article, the authors explain how and when the system is used, the
      equipment needed, and the benefits to be derived by pathology residents.

PMID- 10244388
TI  - Television microscopy for education and consultation in pathology via coaxial
      cable, laser beam, and COMSAT satellite.
AB  - In this article, the author describes how the closed circuit TV microscopy system
      used at The Johns Hopkins Medical Institutions facilitates discussion and
      diagnosis in consultation and promotes continuing education in, and out, of the
      institutions. The research, development, implementation, and use of this system
      at The Johns Hopkins Medical Institutions is supported in part by a grant from
      The William Penn Foundation and NCI contract NIH-NO1-CB-92172.

PMID- 10244389
TI  - Videomicroscopy: system design and equipment assembly for resident teaching and
      interdisciplinary conferences.
AB  - The author of this article, sharing the experience his department has had with
      its videomicroscopy system, explains what the advantages, and disadvantage, of
      the system are and what is involved in purchasing and assembling the equipment.

PMID- 10244390
TI  - The autopsy: instrument of quality assessment.

PMID- 10244392
TI  - Sharing records to share the onus for care.

PMID- 10244391
TI  - Recertification unpopular at the polls.
AB  - In March, the American Board of Medical Specialties approved the American Board
      of Pathology's multiple pathway proposal for voluntary recertification for
      pathologists. Just prior to this approval, a Committee Against Recertification in
      Pathology decided to poll CAP members to find out the consensus of pathologists
      on the issue of recertification.

PMID- 10244393
TI  - Record sharing: a lawyer's viewpoint.

PMID- 10244394
TI  - Legal precedents in American law for patient education.

PMID- 10244395
TI  - The information needs of patients with Crohn's disease.

PMID- 10244396
TI  - The relationship of health locus of controls to preventive health behaviors and
      health beliefs.

PMID- 10244397
TI  - Health care and Puerto Ricans: a consultation and educational program.

PMID- 10244398
TI  - A manager's guide to organizational change.
AB  - With the increasing use of consultants to facilitate organizational change,
      managers need to be better informed about the range of available consulting
      services. In an effort to help managers better understand the various consulting
      approaches, Kleiner describes five techniques: "socio-technical systems;"
      "contingency;" "MAPS;" "Michigan survey feedback," and "process consultation."
      The author compares these techniques along nine dimensions: assumptions about
      technology and people; targets; objectives and directions of change; and the data
      and data collection methods used. While conceding the complexity of these
      considerations, Kleiner concludes that the benefits of meticulousness and care in
      consultant selection justify the effort.

PMID- 10244399
TI  - The pay-for-performance dilemma.
AB  - Who was it that talked about how to ruin motivation with pay? Frederick S. Hills
      digs hard into pay-for-performance programs in a striking excavation of the
      reasons why pay does not motivate performance. He examines the problematic
      effects of equity in pay (in terms of both internal wage structure and market
      surveys), the inflation factor, problems with the basic performance model, and
      the system of administration of merit pay systems in terms of the salaries of two
      hypothetical supervisors--one a high performer, the other a minimal performer.
      And while he raises a number of questions, he also leaves us with possible
      answers--which we can explore for ourselves. One result may well be significant
      changes in how organizations view their pay systems--and another may be the
      development of new approaches. One frequently recommended approach Hills espouses
      is the use of annual merit bonuses rather than annual merit increases. This way
      merit dollars can be made more effective.

PMID- 10244400
TI  - Implications of the new EEOC guidelines.
AB  - How can employers exercise their right to select employees without running afoul
      of the new guidelines? Are interviews best? Pencil and paper tests? "Nonrandom
      selection procedures are inevitable for most jobs," says Dr. Thomas Dhanens, a
      management psychologist. "Therefore, employers will always be open to charges of
      discrimination or favoritism from some quarter. Organizations that avoid their
      responsibility for examining and validating their selection procedures will be
      forced into a costly catch-up effort before long." The author shows employers how
      to collect data systematically, analyze job functions, evaluate applicants,
      record data, handle performance appraisals, maintain records, and identify
      priorities. Since a lack of data is no defense in an EEOC action, Dhanens
      suggests that these are the minimum steps wise employers should follow.

PMID- 10244401
TI  - Some practical implications of the Pregnancy Discrimination Act.

PMID- 10244402
TI  - Employee theft and organizational climate.

PMID- 10244403
TI  - Defining line and staff roles in collective bargaining.

PMID- 10244404
TI  - Evaluating personnel programs through the reversal technique.

PMID- 10244405
TI  - Guidelines to corrective discipline.

PMID- 10244406
TI  - Personnel leadership in action: doing something about health care cost
      containment.
AB  - It's no secret that health care costs are skyrocketing and will continue to do so
      unless business, particularly personnel professionals, takes responsibility for
      containing them. This month, we present a panel report whose participants-
      ranging from the corporate manager of employee benefits at TRW to the director of
      public relations at Blue Cross Of Milwaukee--are taking concrete action to
      improve employee health and company expenses.

PMID- 10244407
TI  - Rethinking retirement-age policy in the United States and Canada.
AB  - More than legislation, the recent amendments to the Age Discrimination in
      Employment Act also symbolize a growing interest in the older working population,
      both in the United States and Canada, particularly the question of their
      "failing" job skills and the effects of retirement age on the economy.
      Sociologist Rix examines this issue in terms of demographic, economic and
      biomedical factors, discussing their implications for management, employee
      counselors, insurance and pension planners, the tax payers and employees of all
      ages.

PMID- 10244408
TI  - Past and current trends in negligence and incompetence arbitration.
AB  - With the inclusion of the phrase "just cause" in the collective-bargaining
      agreement, management found itself bound by new and complex limitations
      concerning discharge for negligence/incompetence. In this study, the author
      examines a variety of discharge cases, as well as the changing (and intelligent)
      management attitudes they represent.

PMID- 10244409
TI  - The computer: new common denominator in pharmacy practice.

PMID- 10244410
TI  - What hospital pharmacists expect from drug wholesalers.

PMID- 10244411
TI  - How the computer supports our clinical pharmacy program.

PMID- 10244412
TI  - Arizona hospital operates an ambulatory and emergency care center.

PMID- 10244413
TI  - Pressure to replace free for service with salaries in hospitals.

PMID- 10244414
TI  - Why young physicians locate where they do.

PMID- 10244415
TI  - The conditions of effective implementation: a guide to accomplishing policy
      objectives.
AB  - Although most studies of policy implementation have been very pessimistic about
      the ability of important statutes actually to achieve their objectives, there
      have been a few success stories. The authors first identify five conditions
      conducive to effective implementation and then suggest a number of strategies
      available to legislative and other policy formulators for overcoming deficiencies
      in one or more of these conditions.

PMID- 10244416
TI  - Issues affecting the medical care delivery system.

PMID- 10244417
TI  - Ghana's health administration program.

PMID- 10244418
TI  - The New England Workshop for Health Administrators and Planners. Development of a
      comprehesive continuing education system.

PMID- 10244419
TI  - The public's concerns about health care and cost implications.

PMID- 10244421
TI  - The role of departmental management in the voluntary effort for cost containment.

PMID- 10244420
TI  - Community health nursing: population focus and evaluation.
AB  - A synposis of recent research contributions to evaluation in the field of
      community health nursing is presented in a framework which distinguishes this
      population-focused practice from clinical nursing and emphasizes the scientific
      aspects of community health practice. Systematic need assessment, estimation of
      target population coverage, evaluation based on outcome, and evaluation based on
      process represent the four major types of studies discussed. Throughout the paper
      issues related to the conduct and utilization of the type of research reviewed
      are considered; the paper concludes with a brief discussion of fruitful
      directions for future research and ways to foster practitioners' utilization of
      research.

PMID- 10244422
TI  - Salaries and increments.

PMID- 10244424
TI  - The emergence of wholistic organization development.

PMID- 10244423
TI  - Stress strategies for the health care professional--a case of self management.

PMID- 10244425
TI  - A supervisor looks at human relations.

PMID- 10244427
TI  - Legal commentary: what type of liability insurance should a freestanding center
      carry?

PMID- 10244426
TI  - Putting a price tag on human life.

PMID- 10244428
TI  - Planning mental health programs for Hispanic communities.

PMID- 10244429
TI  - Changing hospital practice and social work staffing.
AB  - If social workers are to survive in hospitals and gain satisfacation from their
      work, they must begin to find new ways to apply their skills. This article
      analyzes several factors affecting the health care industry and suggests that
      staffing a hospital social work department follow a situational rather than a
      universal approach.

PMID- 10244430
TI  - Training the institutionalized elderly in interpersonal skills.

PMID- 10244431
TI  - Lightning protection is also liability protection.

PMID- 10244432
TI  - Snakes and kangaroos in pediatrics?

PMID- 10244433
TI  - At Southwest Texas Methodist Hospital, black-out test insures readiness.

PMID- 10244434
TI  - Forsyth Memorial turns tide against infant mortality in N.C.

PMID- 10244435
TI  - GAO hospital purchasing study.

PMID- 10244436
TI  - The emergency room.

PMID- 10244437
TI  - International: medical equipment/Japan.

PMID- 10244438
TI  - Shared services, legal structures--a brief history.

PMID- 10244439
TI  - Top-down training pays off at Mount Sinai hospital.

PMID- 10244440
TI  - Physicians and hospitals--united in a common purpose, responding to common
      adversaries.

PMID- 10244441
TI  - Communicating/marketing nursing education in the larger hospital.

PMID- 10244442
TI  - Hospitals are saving more than lives--the Texas voluntary effort.

PMID- 10244443
TI  - Marketing: a way of life for educators.

PMID- 10244444
TI  - Medical staff privileges.

PMID- 10244445
TI  - Fair makes safety fun.

PMID- 10244446
TI  - What the Pregnancy Discrimination Act means for hospitals.
AB  - The Pregnancy Discrimination Act of 1978 requires employers to treat pregnant
      women on an equal basis with other employees according to their ability or
      inability to work. Regardless of increased costs, hospitals must make the
      necessary changes in their employment policies and fringe benefit programs to
      bring them into compliance with the new law.

PMID- 10244447
TI  - Cost containment begins at the top.
AB  - Cost containment must be a policy decision made and closely monitored by the
      governing board. This report, incorporating suggestions made by participants in
      the Second Annual AHA Conference on Hospital Governance, focuses on five aspects
      of the board's responsibility: organizing for cost containment, keeping informed,
      challenging the administration and the medical staff to do the job, supporting
      the staff, and serving as public spokesmen on hospital cost containment.

PMID- 10244448
TI  - Some keys to working with physicians.
AB  - Successful cooperative efforts among board, administration, and medical staff are
      a blend of efficient formal organization and informal personal and professional
      relationships. Efficient formal organization is an important key to physician
      participation. Medical staff bylaws frequently can be streamlined to good effect,
      and the efficiency and productivity of medical staff committees often can be
      improved.

PMID- 10244449
TI  - To merge or not to merge: it's a question of survival.

PMID- 10244450
TI  - Trustee development program: using financial and statistical information to
      monitor operating performance.

PMID- 10244451
TI  - Hospital preparedness: when bad winds blow.

PMID- 10244452
TI  - Mental patients: a "forgotten minority" in U.S.

PMID- 10244453
TI  - Study shows counseling uplift for dying patients.

PMID- 10244454
TI  - HUD-HEW loan program to aid mentally ill community adjustment.

PMID- 10244455
TI  - 'Burn out' seen severe for MDs caring for children with cancer.

PMID- 10244456
TI  - Birthplace and attendants: Oregeon's alternative experience, 1977.
AB  - In October of 1977 an article entitled "Birthplace Alternatives" appeared in the
      Oregon State Health Bulletin. This article presented a narrative based on facts
      taken from the data on birth certificates of all births occurring outside of a
      hospital in the State of Oregon in 1976. Tabulations were compiled to show where
      the infants were being born, who was delivering them, the educational level of
      the parents, and the prenatal care given. Insofar as was possible--from
      complications listed on the birth certificates, information from matched infant
      death reports, and full term fetal death reports--the outcome of these deliveries
      was explored. Due to the tremendous response to that article, this update of 1977
      data on out-of-hospital births was prepared.

PMID- 10244457
TI  - Antitrust implications of physician suppression of alternative health care
      providers.

PMID- 10244458
TI  - Pediatrics and social services at the King/Drew Medical Center.

PMID- 10244459
TI  - Genetic disease programs and the black community.

PMID- 10244460
TI  - Howard University Hospital diabetic clinic: ambulatory care of the diabetic.

PMID- 10244461
TI  - Hospital risk management.

PMID- 10244462
TI  - Assessing awareness of coronary disease risk factors in the black community.

PMID- 10244463
TI  - Health education: relevance to the black community.

PMID- 10244464
TI  - Hartford, Connecticut: a prevalence study of folk medical beliefs.

PMID- 10244465
TI  - Calling out and calling off the dogs: managerial diagnosis in public service
      organizations.
AB  - Decision-makers spend their professional lives identifying situations that merit
      action. Nutt defines this process of placing problems in action or deferred
      categories as "managerial diagnosis." It is felt that this is a critical aspect
      of managerial action because it rests on assumptions that need to be considered
      in project planning and evaluation. To facilitate future studies of the
      effectiveness of managerial behavior, a framework of fourteen propositions which
      describe the process of managerial diagnosis is presented. The author says that:
      1) the manager will defer those perceptions where performance exceeds
      expectations; 2) decision-makers are goaded into evaluation (a process used to
      measure performance or comparative alternatives) by stimuli such as conflict,
      uncertain performance, and uncertain expectations; and 3) evaluation findings are
      deemed acceptable only when they reduce conflict.

PMID- 10244466
TI  - Rehabilitating the older alcoholic.

PMID- 10244468
TI  - Emergency room care mandatory: Louisiana's rape treatment law attacked.

PMID- 10244467
TI  - Education for the institutionalized aged.

PMID- 10244469
TI  - Private firms to run 3 military hospitals.

PMID- 10244470
TI  - Medicine: business or charity?

PMID- 10244471
TI  - Hospital privileges, reimbursement: family MDs bid for equal treatment.

PMID- 10244472
TI  - Caribbean transfer students tell story of singleminded determination.

PMID- 10244473
TI  - How Baltimore 'rescued' its city hospitals.

PMID- 10244474
TI  - Those self-help groups: "our surgeons are our heroes!".

PMID- 10244475
TI  - Put doctors at risk for patients' bills.

PMID- 10244476
TI  - Medical education in the '80s: upheaval or utopia?

PMID- 10244477
TI  - Changing views on CME.

PMID- 10244478
TI  - At U. of Chicago: chaplains serve on the treatment team.

PMID- 10244479
TI  - Vietnamese need materials, medicine, and money, says American physician.
      Interview by Dennis L. Breo.

PMID- 10244480
TI  - The productivity triangle. Part 1--in theory.

PMID- 10244481
TI  - The productivity triangle. Part 2--in operation.

PMID- 10244483
TI  - Center for Preventive and Rehabilitative Medicine, Daniel Freeman Memorial
      Hospital, Inglewood, California.

PMID- 10244482
TI  - Baldwin Building for Community Medicine, the Mayo Clinic, Rochester, Minnesota.

PMID- 10244484
TI  - Butler Hospital, Providence, Rhode Island.

PMID- 10244485
TI  - Designing barrier-free toilet rooms within old & new buildings.

PMID- 10244486
TI  - Association standing to bring lawsuits.

PMID- 10244488
TI  - Political snake oil: the hospital cost containment bill is badly mislabelled.

PMID- 10244487
TI  - Quarantine unit, isolators in new government policy.

PMID- 10244489
TI  - Hale and hearty: Hospital Corp. has its own cost-control methods.

PMID- 10244490
TI  - Abortion clinics rush to diversify.

PMID- 10244491
TI  - Procedures to minimize medical x-ray exposure of the human embryo and fetus;
      recommendations for medical radiation exposure of women of childbearing potential
      -Food and Drug Administration. Proposed rule.

PMID- 10244492
TI  - National Institutes of Health--statement of organization, functions, and
      delegations of authority.

PMID- 10244493
TI  - Age discrimination in employment; final interpretations--Equal Employment
      Opportunity Commission.

PMID- 10244494
TI  - Interstate shipment of etiologic agents; proposed rule--Center for Disease
      Control.

PMID- 10244495
TI  - Protection of privacy of individuals: Department of Health, Education, and
      Welfare--proposed rule.

PMID- 10244496
TI  - Final program criteria for screening of applications for grants made by American
      schools and hospitals abroad (ASHA) program--Agency for International
      Development.

PMID- 10244497
TI  - Proposed interpretations; Age Discrimination in Employment Act--Equal Employment
      Opportunity Commission.

PMID- 10244498
TI  - National Institutes of Health: proposed guidelines for research involving
      recombinant DNA molecules.

PMID- 10244499
TI  - Recombinant DNA research; proposed actions under guidelines--National Institutes
      of Health.

PMID- 10244501
TI  - Disposal of high-level radioactive wastes in geologic repositories; proposed
      licensing procedures: Nuclear Regulatory Commission. Proposed rule.

PMID- 10244500
TI  - Rules on confidentiality, access to records and council factfinding: Council on
      Wage and Price Stability. Publication of Final Rules.

PMID- 10244502
TI  - Quality assurance programs for diagnostic radiology facilities: Food and Drug
      Administration. Final recommendation.

PMID- 10244503
TI  - The AMA--reports of its death have been greatly exaggerated.

PMID- 10244504
TI  - Sammons: 'the term "negative" doesn't bother me.'.

PMID- 10244505
TI  - Health focus: a strategy for competition.

PMID- 10244506
TI  - Gephardt's rising star is hitched to success in building coalitions. Interview by
      Richard E. Cohen.

PMID- 10244507
TI  - South Shore Hospital...: anatomy of a safety program.

PMID- 10244508
TI  - Calif. HMO switches to fee-for-service.

PMID- 10244509
TI  - Health plan charges to climb 8% to 15%.

PMID- 10244510
TI  - New stance may swing NHI to first base.

PMID- 10244511
TI  - National health insurance bills: proponents & proposals.

PMID- 10244512
TI  - Health care execs promote HMO use to cut down costs.

PMID- 10244513
TI  - HMO's will double, peak out in '80s: HEW predictions.

PMID- 10244514
TI  - HEW plots HMOs for 61 localities in new promo push.

PMID- 10244515
TI  - Two insurers join hospice care movement.

PMID- 10244516
TI  - Employer groups exercise their clout to trim health costs.

PMID- 10244517
TI  - The gentle pace of a practice in the sun.

PMID- 10244518
TI  - Perspectives from tomorrow's therapists.
AB  - This paper investigates the need for Occupational Therapy to establish a
      philosophy of its own. Two of the Eleanor CLarke Slagle Lectures, Reilly's of
      1961 and Yerxa's of 1966, are examined as being representative of the
      philosophies of pragmatism and existentialism, respectively. Their philosophical
      approaches are compared in terms of their relevance to Occupational Therapy. A
      base is proposed from which a new philosophy could be generated, and a personal
      philosophy and opinion is stated from a student's point of view.

PMID- 10244519
TI  - Southeast hospitals launch buying group.

PMID- 10244520
TI  - 'Get it together,' or face greater controls.

PMID- 10244521
TI  - Linen conservation: maximizing use by minimizing abuse.

PMID- 10244522
TI  - Materials management: what makes it tick?

PMID- 10244523
TI  - GAO gives warning on hospital defaults.

PMID- 10244524
TI  - Purchasing plays first-string on AHA's TEAM.

PMID- 10244525
TI  - Legal problems in CS: interview with a lawyer/physician.

PMID- 10244526
TI  - Are ethics of industry appropriate to medical care?

PMID- 10244527
TI  - Phyllis Whittome on health care trusteeship.

PMID- 10244529
TI  - Hospital financing in Ontario.

PMID- 10244528
TI  - The hospital lawyer.

PMID- 10244530
TI  - First national conference for health care trustees in Canada.

PMID- 10244531
TI  - Le Bonheur Poison Center helps Memphis handle disaster.

PMID- 10244532
TI  - Managerial philosophy changes results in cost containment at Fentress County
      Hospital.

PMID- 10244533
TI  - Research project shows code deficiencies in many Tennessee hospitals.

PMID- 10244534
TI  - Cost containment starts in your own backyard.

PMID- 10244535
TI  - Meeting the challenge of new Hill-Burton regulations.

PMID- 10244536
TI  - Summary of study of task force on two levels of nurse entry.

PMID- 10244537
TI  - Pharmacy in family practice: a description and evaluation.
AB  - Expanded pharmacy functions within a private practice setting are described.
      These activities are a component of a pharmacy training program. The medical
      practitioners evaluated the program, eliciting an overall positive response.
      Additionally, future services were priority rated by the staff, demonstrating
      more accessibility to the services, patient education, and chronic disease care
      programs as the most desirable projects. As the Clinic and the medical residency
      expand, the activities of the clinical pharmacist shall continue to develop.

PMID- 10244538
TI  - Motivating pharmacists.
AB  - Although pharmacists are developing interest in many types of pharmacy practice,
      they are still spending the bulk of their time in the prescription dispensing
      process. Any effort to provide motivation must consider the prescription
      dispensing process. The pharmacy literature includes only a few studies that
      dealt with pharmacists as people. The studies usually showed that pharmacists
      basically were unhappy with their jobs. In developing a motivational climate for
      pharmacists, pharmacy supervisors have several concepts to consider: the
      hierarchy of needs by Maslow; the expectancy theory by Hampton; the gygiene
      motivator theory by Herzberg; and the Theory Y management approach by McGregor.
      Because pharmacists must be induced to enter and remain in an organization,
      supervisors should be aware of the need to use any technique available in
      developing a motivational climate.

PMID- 10244539
TI  - The performance of foreign pharmacy graduates on the National Association of
      Boards of Pharmacy licensure examination.
AB  - Since there is not a shortage of pharmacists, many fear that licensing foreign
      pharmacy graduates will create an oversupply. Boards of pharmacy are concerned
      with licensing qualified candidates. Until 1978, Illinois issued the national
      pharmacy licensure exam to foreign and U.S. graduates. The foreign graduates'
      scores were consistently lower. A prelicensure exam is needed to evaluate the
      foreign student's academic background. Foreign students could matriculate into an
      accredited college of pharmacy for remediation in the necessary areas.

PMID- 10244540
TI  - Application of the Food and Drug Administration's current good manufacturing
      practices regulations to pharmacy practice: a legal view.

PMID- 10244541
TI  - Reuse of disposable dialyzer units has dramatic effect on dialysis costs.

PMID- 10244542
TI  - 'Deferred giving' programs.

PMID- 10244543
TI  - Hospital committee to shorten 'length of stay' effects six-figure savings.

PMID- 10244544
TI  - Success motivation chases away employee blahs.
AB  - An exercise that helps employees concentrate on their successes in life as well
      as on the job can promote healthier attitudes and a more pleasant working
      environment. Participants have come away with a better understanding of
      themselves and of their co-workers.

PMID- 10244545
TI  - 'Feel better/work better' epitomizes employee fitness program.
AB  - It stands to reason that employees who feel better will take less time off
      because of illness and, consequently, improve their productivity. Rather than
      leave the health of their employees to chance, the Mercy Center for Health Care
      Services in Aurora, IL, put together a program that develops the total fitness of
      individual employees.

PMID- 10244546
TI  - MEDIHC program targets in on shortage occupations.
AB  - The expanded MEDIHC (Military Experience Directed Into Health Careers) program is
      successfully filling allied health positions for which employees are in short
      supply. Although the 12 state programs operate under uniform federal contracts,
      each has developed its own criteria for defining a shortage occupation.

PMID- 10244547
TI  - Feasibility of symbolic directions on prescription labels.
AB  - This project presents the results of a study designed to evaluate the usefulness
      of graphic labels in assisting functionally illiterate patients to understand how
      and when to take medication. The project's results indicate that comprehension of
      symbolic directions did not increase as rapidly as comprehension of typed
      directions. Symbolic directions did, however, reduce the variation in
      interpretation of directions among patients with 0-4 grade education. Neither
      age, nor sex, nor the order of label presentation affected level of comprehension
      of typed or symbolic prescription labels. The results of this study indicate that
      use of symbols may not be the sole answer to the problem of assisting patients
      with inadequate reading abilities. Symbolic prescription directions should be
      evaluated before their use. Then, when used, they should be accompanied by oral
      reinforcement.

PMID- 10244549
TI  - Infection control in hospitals--what role does pharmacy play?

PMID- 10244550
TI  - The need for quality hospice care.

PMID- 10244548
TI  - A 'mini-residency' in drug information for the practicing pharmacist.
AB  - Continuing education "mini-residencies" in drug information services were
      sponsored by the University of Washington School of Pharmacy's Division of
      Continuing Education and the University of Washington Drug Information Service
      (DIS) in August of 1976, 1977, and 1978. Each mini-residency covered a two-week
      period (a total of 80 hours) and was divided into didactic and experimential
      sessions. The university's DIS was the major resource for the residents. The two
      week residency was designed to provide education and experience in the areas of
      drug information retrieval, analysis, and dissemination. The program was assessed
      through pre- and post-testing and a midcourse evaluation session. The residency
      format of the program allowed practicing pharmacists to return to the university
      to develop their skills in the area of drug information. The article presents a
      model for other drug information pharmacists who may want to offer similar
      training programs.

PMID- 10244551
TI  - Workshops in caring: a first module.
AB  - Workshops in Caring were designed to expose attitudes, biases, and concerns of a
      nursing home staff toward aging, illness, and death. This paper touches on
      techniques and materials (more literary and humanistic than clinical) for
      encouraging participants to focus on and share their feelings. What inhibits or
      facilitates a caring relationship between elderly, often terminally ill,
      residents and staff members was the prime focus of both sessions: "Will You Still
      Need Me, Will You Still Feed Me?" and "Who Owns One's Life?"

PMID- 10244552
TI  - An assessment of emergency medical services in North America: third annual
      survey.

PMID- 10244554
TI  - Federal specifications for ambulances.

PMID- 10244553
TI  - The tripod necessity for EMS communications.

PMID- 10244555
TI  - EMS and disaster planning for the Winter Olympics.

PMID- 10244556
TI  - Quality assessment in emergency medical services systems: the criteria mapping
      method.

PMID- 10244557
TI  - Hyperbaric therapy for carbon monoxide poisoning.

PMID- 10244558
TI  - The evaluation of physician competency: a reply to Brockway.

PMID- 10244559
TI  - Harnessing the reliability of outcome measures.

PMID- 10244560
TI  - A case study in defining developmental costs for quality assurance in mental
      health center programs.

PMID- 10244561
TI  - Ethnic and class factors affecting mental health clinic service.

PMID- 10244562
TI  - Evaluating sociodemographic data: implications for program planning and
      development.

PMID- 10244563
TI  - Health care industry faces decision: competition or more federal controls?

PMID- 10244564
TI  - Enthoven says his plan would return cost consciousness to health consumer
      decisions.

PMID- 10244565
TI  - Congressional interest in competitive model for health care on the increase.

PMID- 10244566
TI  - Havighurst believes competition in health care possible with regulation.

PMID- 10244567
TI  - Ellwood says the name HMOs stigmatized but not the concept.

PMID- 10244568
TI  - McClure: Reorganize system, set up competitive structure.

PMID- 10244569
TI  - Feldstein favors copayment increase.

PMID- 10244570
TI  - AMA leaders say medical marketplace concept is misunderstood because it is
      different.

PMID- 10244571
TI  - McMahon wants Congress to make exhaustive study of competitive health concept.

PMID- 10244573
TI  - Hospital management company officials tell views on health care competition.

PMID- 10244572
TI  - FAH president favors a cost-sharing incentive health plan.

PMID- 10244574
TI  - Howard develops free market health proposal.

PMID- 10244575
TI  - Doctrine of consent poses questions in terminating life support system. Part 2.

PMID- 10244576
TI  - Firesafety symbols for worldwide communications.

PMID- 10244577
TI  - Fifteen residents die in mental hospital fire.

PMID- 10244578
TI  - Carry on, doctor--privately.

PMID- 10244579
TI  - The influence of human and data retrieval resources on the patterns of use of
      drug information.

PMID- 10244581
TI  - Nurses and physicians--goals complementary, not exclusive.

PMID- 10244580
TI  - Blood transfusion and stamps.

PMID- 10244582
TI  - An experiment in collaboration.

PMID- 10244584
TI  - Technology and values in medicine.

PMID- 10244583
TI  - On selling organs.

PMID- 10244585
TI  - Medical manpower.

PMID- 10244586
TI  - Commentary--consumerism in medicine: does your surgeon spill protein?

PMID- 10244587
TI  - Puerto Rican folk healers in the big cities.

PMID- 10244588
TI  - Should folk healers have a place in health care?

PMID- 10244589
TI  - On the brink: facing baptism in the Potomac.

PMID- 10244590
TI  - Women in medicine: still a long way to go.

PMID- 10244591
TI  - Characteristics of non-board-certified internists.

PMID- 10244592
TI  - Betwixt priesthood and piracy.

PMID- 10244593
TI  - House rejects bill to bring housestaff under NLRA.

PMID- 10244594
TI  - Satellite education centers improve health care.

PMID- 10244595
TI  - A critical management decision: selecting a first-line supervisor.

PMID- 10244597
TI  - Setting objectives for the future--immediate and long range.

PMID- 10244596
TI  - Understanding how antitrust laws affect hospital mergers.

PMID- 10244598
TI  - Bottom line on the top people--by Speakman.
AB  - The Speakman review, that long-awaited probe into top posts in the NHS, is about
      to burst upon an impatient world. Alison Hyde has been taking a look at its
      contents. Speakman proposes 24 steps in appraising top jobs. He has some good
      tidings for area administrators and not so good tidings for works officers: the
      first are what he considers the supremos of the service and the second he places
      a poor third in the area ratings.

PMID- 10244601
TI  - Keeping disease at bay: Singapore.
AB  - The welfare state has arrived and is thriving in Singapore. Mark McCarthy, a
      senior lecturer in community medicine at University College Hospital Medical
      School, London, who visited the country recently, gives his impressions of the
      progress being made in health services, where the emphasis is on prevention.

PMID- 10244600
TI  - Health administration: planning: push-button age.
AB  - With the development of strategic and operational planning in the NHS, the
      demands for techniques for gauging manpower implications have grown increasingly
      loud. At the same time the rise in labour costs has renewed interest in planning
      the use of NHS skills more purposefully. In the first of two articles (the second
      will appear in the near future) on the topic, Drew Clode examines some of the
      methods available nationally for collecting personnel data.

PMID- 10244599
TI  - Dear Ivor...: Having spent my last four years in the NHS working for the mentally
      handicapped.
AB  - An administrator who has been promoted out of the field of mental handicap writes
      an open letter to one of his recent patients in the mental handicap sector of
      Brentry Hospital. Aware of the deficiencies of the 1959 Mental Health Act and
      with deep reservations about any real improvements resulting from the Jay
      committee's recommendations, Winston Tayler, states the case, as he sees it, for
      the mentally handicapped.

PMID- 10244602
TI  - Team management in the NHS--what is it all about?
AB  - Multidisciplinary management teams were a significant new element in the 1974
      reorganisation of the National Health Service. It was a development which in the
      run-up to reorganisation (and since) commanded considerable interest and, in some
      cases, scepticism. (R.G.S. Brown et al, 1973, 40.) Although there had been
      experiments in team management before the change, particularly in hospital
      authorities, there was no national blueprint describing their composition and
      method of working. This was the new factor introduced in 1974 and management
      teams were established at region, area and district levels. Management teams are
      now five years old. Most had their first meeting before the appointed day in
      April 1974 and there is now a fair body of experience on which to draw to make a
      considered evaluation of their contribution to the management of the NHS.

PMID- 10244603
TI  - Robbing Peter to pay Paul.
AB  - Cutbacks in the health service are already affecting recruitment. Employing
      authorities are facing the problem of reducing expenditure and this will,
      inevitably lead to a reappraisal of decisions to employ locums. Peter Briggs,
      area medical officer for Hillingdon, discusses the implications and looks at the
      situation in the London area.

PMID- 10244604
TI  - The night comes alive with laughter.
AB  - A sense of isolation is often felt by the elderly who may be unable to go out and
      meet people. In Castleford an evening group has been set up to try to alleviate
      this and give families an evening off from caring for their elderly relatives. In
      this Joint Care Award entry Malcolm Hornby, hospital social services officer,
      Wakefield, and Mike Brown, district general administrator, Wakefield AHA,
      describe how the scheme was set up; its success is self-evident.

PMID- 10244605
TI  - Time for a rethink on planning emphasis.
AB  - For administrators who joined the service before reorganisation, the temptation
      to look back affectionately at times when planning followed the local authority
      model is often too difficult to master. Here, Steve Taylor, research assistant
      with Clwyd AHA, looks again at the corporate planning mechanisms in local
      government and argues that they still hold lessons which the NHS may need to re
      learn in the future.

PMID- 10244606
TI  - A resting place for pilgrims as life's pilgrimage ends.
AB  - Hospital life goes down that long, dark corridor to the end of life to become,
      for this week at least, Hospice life. At St Mary's in Birmingham a belief in
      man's dignity and destiny informs its every act in lightening that shadow which,
      as Ernest Becker put it, haunts our most sun-filled days--some people's days more
      than others. Derek Spooner, St Mary's administrator, takes up his pen at this
      ultimate watershed in our lives when curing is over and caring begins.

PMID- 10244607
TI  - League for a ball game with a difference.
AB  - The report in last week's Journal on the financial state of the Thames regions
      and Oxford RHA showed that many London AHAs are under severe pressure. This week
      Stephen Halpern looks at the rest of the English regions where cash problems are
      less critical. Growth money is helping to cushion much of the cash limit squeeze
      and most places look able to survive the year without too many cuts although at a
      few places severe cuts or deliberate overspending have occurred. The important
      thing is that the position could get worse this year. Cash shortfall estimates
      have been made on the assumption of an inflation rate of 17 1/2 per cent but it
      could end up much higher. Other problems faced by health authorities include
      increased fuel costs, implementing the Clegg report and the DHSS not playing ball
      by deciding that calculations of the cost of pay awards are too high. All these
      factors will combine to guarantee that life will not be too boring in the
      treasurer's department over the coming winter.

PMID- 10244608
TI  - Remember, 'a little learning is a dangerous thing'.

PMID- 10244609
TI  - Sharing fifty-fifty all the way for Hastings.

PMID- 10244610
TI  - Women in NHS management: still a long way to go from limbo to equality.
AB  - Women working in the health service, and in other professions, have to combine
      shopping bags with briefcases. Jacqueline  Brooks, deputy hospital secretary,
      Bromsgrove Hospital, says that there needs to be a change of attitude by both the
      female employee and the employer if her right to equal career opportunities is to
      be fulfilled.

PMID- 10244611
TI  - Ambulance services: clarion call for action.
AB  - Ambulance transport is scarce and expensive but there are many ways in which it
      can be used more economically. Alison Norman, assistant secretary, National
      Corporation for the Care of Old People, poses some questions about service abuse.

PMID- 10244612
TI  - This is no way to run a whelk stall, let alone a health service.
AB  - The works officer. The last of the big spenders? Today's man for whom tomorrow
      never comes? The victim of a policy of make do and mend and let manana take care
      of itself? Author, declaring that maintenance is a quality not a quantity job,
      fears the cart is being put before the horse and that any amount of oats will not
      change the breed.

PMID- 10244613
TI  - Skin diving for pearls in the murky depths of the DHSS.

PMID- 10244614
TI  - Fighting the common enemy.
AB  - The painful effects of budget lopping in one hard hit health district are
      explained. Author looks at Medway Health District through the eyes of district
      administrator Peter Griffiths who hopes that the 'spirit of co-operation' will
      remain with the staff when the war is won.

PMID- 10244615
TI  - Joint care: the seeds of support are sown and the harvest is strength.
AB  - Caring for people at home is one way of keeping them out of hospital, or allowing
      them to leave as soon as possible. But if such care is to be effective for a
      significant number of patients it must be intensive and professional. In this
      Joint Care Award entry, Neville Millward, community care officer for the London
      borough of Barnet, describes a scheme to provide the necessary care and support
      to both the patient and his family.

PMID- 10244616
TI  - Engagement in activities by old people in residential care.
AB  - A major task facing the staff of residential homes for the elderly and of
      geriatric hospitals is to organise the environment so that the best interests of
      the elderly residents are met. Such organisation will assist each resident to
      solve particular problems or to meet the therapeutic goals for which the person
      was admitted. In addition, and equally important, staff will arrange the day-to
      day environment to ensure that all residents have the opportunity to engage in a
      wide range of activities in order to maintain those abilities they possessed upon
      admission, together with their health and their interest in life. Ideally, too,
      the staff will include each resident in the deliberations and decisions about his
      or her therapeutic goals, and will involve all residents in planning their chosen
      activities or in making changes to encourage greater participation in the
      activities available.

PMID- 10244617
TI  - A rap over the knuckles from the professor.
AB  - When local industrial relations are, in the eyes of NHS managers, like walking on
      eggshells, it is perhaps understandable that an AHA should have decreed to keep
      an important inquiry report hush-hush. So that managers elsewhere may know what
      went wrong and what to watch out for on their own patch, we summarise, in the
      first of a two-part series, Professor Roger Dyson's review of the problems at
      Westminster Hospital and his proposals for improvements.

PMID- 10244618
TI  - It really doesn't make much difference: survey on mixed sex wards.

PMID- 10244619
TI  - Seeing inside with outside eyes.
AB  - Hospital visiting by community health councils is usually accompanied,
      traditionally, by a certain amount of tension and anxiety. Some NHS staff retain
      the old image of the hospital visitor as a benevolent busybody while the CHC
      member may view any defensive attitudes of hospital staff as attempts to
      camouflage. Alison Hyde reports on her talks with CHC secretaries and
      administrators in Northumberland, Nottingham and Kent.

PMID- 10244620
TI  - Your local white elephant?
AB  - Salford Community Health Council carried out a survey to discover what consumers
      think of health centres. Sally Burningham has been reading its report 'Healthy
      Centres?' which indicates that people feel centres could offer more than they do
      although some seem not to make full use of what is available.

PMID- 10244621
TI  - The future of the ambulance service.

PMID- 10244622
TI  - Developing a communication and control system--1.

PMID- 10244623
TI  - Hong Kong's new control system.

PMID- 10244624
TI  - Ambulance training and equipment in West Germany--2.

PMID- 10244625
TI  - Tip-toeing over the minefield of union rivalry.
AB  - Time off for voluntary union officials, the role of Acas, solving inter-union
      rivalry by sole negotiating responsibility: these are topics looked at in the
      second part of our summary of the Dyson review of industrial relations at
      Westminster Hospital. Professor Dyson calls for the underresourced and badly
      deployed district personnel department to be moved urgently to the main hospital
      site and for its staff to be strengthened.

PMID- 10244626
TI  - Hospital life: when it works it works well.
AB  - Although it is now generally accepted that the best place to treat old people is
      in their own homes it is sometimes necessary for them to have some sort of
      institutional care. This poses the question of whether it is better to care for
      them in hospital, in old people's homes, or with community support, in day
      hospitals and day centres. Tony Whitehead looks at schemes in East Sussex which
      cover a catchment area including Brighton.

PMID- 10244627
TI  - Health administration: devolution philosophy heads towards a better tomorrow.
AB  - Reorganisation preached it; the Royal Commission commended it, the new Government
      has welcomed it. But the 'greater degree of delegation of authority and
      responsibility' that is the devolutionist's dream has already come true for
      Claybury Mental Illness Hospital on London's periphery. What Claybyry does today
      others might wish to try tommorrow. Authors believe they have seen that tomorrow-
      and it works.

PMID- 10244628
TI  - A hat-trick of model teams.
AB  - You have seen your team in action and found out what the score is. Now you must
      interpret that score, build on the facts you have gleaned from the game so far.
      Certain concepts come into play if your managerial dossier is to do its analytic
      bit properly. Michael Walton and Graham Smith, continuing their team management
      saga, help make you aware of these concepts, as you must be in pondering the
      game's latest phase.

PMID- 10244629
TI  - Thinking about retirement? Pay now and you may live a little more freely later.
AB  - Money, money, money. The favourite soft toy of a well-heeled few can be a cross
      that the less gilded carry through their working life into retirement. Author
      doles out some advice for the pension conscious, especially those who have just
      stumbled on the fact that retirement is upon them, in fact just around the next
      corner.

PMID- 10244630
TI  - Human resources in the 1980s.
AB  - As the decade of the 1970s closes, new trends in human resources will test the
      ingenuity of corporate planners to produce policies for the 1980s that will match
      changing corporate demands with changing employee expectations. The 1970s have
      produced much-publicized problems--for example, the introduction to the work
      force of larger numbers of minorities and women--that are not yet fully resolved
      and that can be expected to continue. But the 1980s will bring their own special
      challenges. Shifting populations (such as legal and illegal immigrants), the
      women's movement's demand for equal pay for work of comparable worth, and the
      push for civil liberties at the workplace are all factors that will dramatically
      change the business climate. With these factors in mind, the author examines the
      1980s' business environment, takes a backward look at planning policies in the
      1970s, and shows how the priorities of those policies will have to be reevaluated
      to meet the challenges of the future.

PMID- 10244632
TI  - Buying guides: simple tools with many uses.

PMID- 10244631
TI  - Power failure in management circuits.
AB  - When one thinks of "power", one often assumes that a person is the source of it
      and that some mystical charismatic element is at work. Of course, with some
      people this is undoubtedly so; they derive power from how other people perceive
      them. In organizations, however--says this author--power is not so much a
      question of people but of positions. Drawing a distinction between productive and
      oppressive power, the author maintains that the former is a function of having
      open channels to supplies, support, and information; the latter is a function of
      these channels being closed. She then descriges three positions that are
      classically powerless: first-line supervisors, staff professionals, and,
      surprisingly, chief executive officers. These positions can be powerless because
      of difficulties in maintaining open lines of information and support. Seeing
      powerlessness in these positions as dangerous for organizations, she urges
      managers to restructure and redesign their organizations in order to eliminate
      pockets of powerlessness.

PMID- 10244633
TI  - HPM price indexes can measure your performance.

PMID- 10244634
TI  - Purchasing ethics extends beyond simple honesty.

PMID- 10244635
TI  - NAHPMM code sets guidelines for purchasing ethics.

PMID- 10244636
TI  - The importance of being earnest about planning.

PMID- 10244637
TI  - We are not criticising clinical decisions but...the Health Service Commissioner
      and clinical autonomy.

PMID- 10244638
TI  - The continuing education of administrators--a small contribution to debate.

PMID- 10244639
TI  - Who speaks for patients?

PMID- 10244640
TI  - Notes for students: data routinely collected in a medical records department.

PMID- 10244641
TI  - The "new" accountability and the role of the nurse administrator.

PMID- 10244642
TI  - Question: do you feel that hospitals should assume the primary responsibility for
      health education in the community? Is this feasible?

PMID- 10244643
TI  - Preparing the young child for hospitalization.

PMID- 10244644
TI  - Applying child education techniques in the hospital.

PMID- 10244645
TI  - Post-op pneumonia said not reduced by anesthesia filters.

PMID- 10244646
TI  - Study rates chlorhexidine superior to three other handwashing agents.

PMID- 10244648
TI  - Workable employee health program.

PMID- 10244647
TI  - Infection control for burns.

PMID- 10244650
TI  - Architectural designs support IC: sound systems the key.

PMID- 10244649
TI  - Architectural designs support IC: a case history.

PMID- 10244651
TI  - Management of hospital maintenance and operations services.

PMID- 10244652
TI  - Hospital fire precautions: towards cost effective design.

PMID- 10244653
TI  - Low temperature preparation of frozen red blood cells.

PMID- 10244654
TI  - Waste heat recovery system at Farleigh Hospital.

PMID- 10244655
TI  - An operating theatre air conditioning installation incorporating heat recovery
      and user experience of it.

PMID- 10244656
TI  - Report on a plate-type heat exchanger installed on a hydrotherapy pool
      ventilation system at Leybourne Grange Hospital.

PMID- 10244657
TI  - Energy conservation at Wandle Valley Hospital.

PMID- 10244658
TI  - Energy conservation at Winford Orthopaedic Hospital, Bristol.

PMID- 10244659
TI  - Engineering improvements at Monsall Hospital, an infectious diseases hospital,
      with the objective of achieving a reduction in energy consumption.

PMID- 10244660
TI  - Energy conservation at Hackwood Road Hospital--time clock control of heating
      services in intermittently occupied buildings.

PMID- 10244661
TI  - Boiler combustion optimisation by means of oxygen control.

PMID- 10244662
TI  - Energy conservation at Thistle Hill Hospital, Knaresborough.

PMID- 10244663
TI  - Energy conservation at Newmarket General Hospital.

PMID- 10244665
TI  - The progress of energy conservation within the National Health Service since
      1974.

PMID- 10244666
TI  - QA/RM program streamlines work, merges functions.

PMID- 10244667
TI  - Determining proper use of ICUs.

PMID- 10244664
TI  - Energy conservation at Ormskirk District General Hospital.

PMID- 10244669
TI  - A new method--Morie Fringe.

PMID- 10244668
TI  - Determining proper use of ICUs.

PMID- 10244670
TI  - Catastrophic health insurance: who wants it?

PMID- 10244671
TI  - A cost conscious approach to medical care.

PMID- 10244672
TI  - Squaring off on the Voluntary Effort.

PMID- 10244673
TI  - More emphasis should be on working capital management.

PMID- 10244674
TI  - Getting out of Social Security: would it be right for your hospital?

PMID- 10244675
TI  - Communicating with medical staff and employees helps hospital to control
      patients' costs.

PMID- 10244676
TI  - Centralized scheduling allows for "weekends off".

PMID- 10244677
TI  - "Weekend" investments could be beneficial for hospitals' excess cash.

PMID- 10244679
TI  - Easing the trauma of retirement.

PMID- 10244678
TI  - Ambulatory care--designed for patients to receive better care at acceptable cost.

PMID- 10244680
TI  - Older trainees.

PMID- 10244681
TI  - Around-the-clock administration.

PMID- 10244683
TI  - Effective counseling techniques.

PMID- 10244682
TI  - Harnessing the workaholic's energy.

PMID- 10244684
TI  - How to evaluate attitudes.

PMID- 10244685
TI  - Making hospital preparation child-centered (with a little help from Emily).
AB  - Helping youg children learn about the hospital shoould, ideally, involve a
      multifaceted approach that utilizes tools appropriate to the child's age and
      needs. The hospital preparation process at Alberta Children's Hospital that has
      attempted to achieve this end through the coordinated efforts of the
      Recreation/Child Life and Nursing departments is discussed. Our preparation
      process consists of several phases, commencing prior to admission and carrying 
      right through until discharge, with the "thread" that draws it all together being
      a whimsical kitten named Emily.

PMID- 10244687
TI  - Representing the interests of the public?: the case of the local health council
      in Scotland.
AB  - The statutory function of local health councils in Scotland (and of community
      health councils in England and Wales) is to represent the interests of the public
      in the health service. This article, based on data from a four-year research
      project financed by the Scottish Office, examines official and participants'
      assumptions and claims about the legitimacy of health councils, as at present
      constituted, to carry out this function. Clarification of the basis of their
      legitimacy would assist, it is argued, in the resolution of a central dilemma:
      How are councils to represent the interests of the public? The conclusion is
      reached that inadequate thought was given to developing theoretically sustainable
      arrangements. Several interpretations of representation are admixed in the
      rationale for the present system and they cannot be aggregated to produce a
      coherent defence of it.

PMID- 10244686
TI  - Parents' meetings in a pediatric unit: helping parents cope with their child's
      hospitalization.
AB  - The various ways of helping parents of hospitalized children to cope with this
      situation, highlighting a method utilized at Sinai Hospital of conducting
      biweekly meetings for parents is addressed. Ways in which the parents have
      utilized the meetings, issues that have been explored, and suggestions for
      handling parental concerns are the focus of the paper.

PMID- 10244688
TI  - The informal rationing of primary medical care.
AB  - All social services are rationed, yet the effects of such rationing on the client
      are rarely fully explored. This article reviews the evidence on the existence of
      informal rationing devices in general practice. It examines the effects on
      patients of a wide range of informal rationing devices now used by individual
      general practitioners. Various suggestions for reforming the present rationing of
      primary medical care are evaluated and the likelihood of any reform being carried
      out is assessed. Although this article concentrates solely on rationing in the
      primary care sector of the National Health Service, the issues discussed are
      relevant to most welfare agencies as they are presently organized.

PMID- 10244689
TI  - Theft detection systems for libraries revisited: an updated survey.

PMID- 10244690
TI  - Checkpoint theft detection systems.

PMID- 10244691
TI  - Gaylord/Magnavox book security system.

PMID- 10244692
TI  - Knogo book detection systems.

PMID- 10244693
TI  - 3M Tattle-Tape brand book detection systems.

PMID- 10244694
TI  - The hospice movement in the United States.

PMID- 10244695
TI  - Ethnic music in music therapy: a program for Jewish geriatric residents.

PMID- 10244696
TI  - The House Select Committee on the Aging.

PMID- 10244697
TI  - Executive housekeeper suggests methods of employee training.

PMID- 10244698
TI  - Overburdened maintenance staff blamed for inefficient laundry.

PMID- 10244700
TI  - IFI education director discusses national hospital laundry averages.

PMID- 10244699
TI  - Baptist center renovates laundry; improves efficiency, linen quality.

PMID- 10244701
TI  - Laundry to serve 2nd hospital with new distribution system.

PMID- 10244702
TI  - Big business turns up the heat on doctors.

PMID- 10244703
TI  - Try this filing system for retrieving medical pearls.

PMID- 10244704
TI  - We don't need this kind of emergency medical service.

PMID- 10244705
TI  - Where do doctors stand in a nurses' strike? Right in the middle!

PMID- 10244706
TI  - The law & medical electronics: leasing medical equipment.

PMID- 10244707
TI  - Soft-film vs hard-cover electronic thermometers.

PMID- 10244708
TI  - Company health-care management.

PMID- 10244709
TI  - The 'conspiracy' in health care: good intentions gone awry.

PMID- 10244710
TI  - Chinese medicine turns to U.S. again.

PMID- 10244711
TI  - Litigation as a strategy.

PMID- 10244712
TI  - Government regulations interviews.

PMID- 10244713
TI  - Preservation prescription given for academic health care centers.

PMID- 10244714
TI  - HIA raps both Carter and Kennedy proposals on nat'l health insurance.

PMID- 10244715
TI  - Plans revealed for development of 'unique' HMO plan.

PMID- 10244716
TI  - Improving my materials management IQ.

PMID- 10244717
TI  - The Ohio story: the three E's in modern management.

PMID- 10244718
TI  - Hospital libraries: filling the need to know.

PMID- 10244719
TI  - Education: changing the future.

PMID- 10244720
TI  - Designating the resource hospital: part III.

PMID- 10244721
TI  - The workload recording committee and its liaisons.

PMID- 10244722
TI  - Pathologists in New Jersey--an endangered species.
AB  - Pathologists in New Jersey are compensated in accordance with the rate
      established by the state's rate review commissions. The author of this article,
      while granting that the theory is a worthy one, explains that in practice the
      reimbursement procedure is causing the decline of the quality of health care in
      New Jersey.

PMID- 10244723
TI  - Proposed standards: standards for utilization of interlaboratory (proficiency)
      testing programs in the CAP I&A program.

PMID- 10244724
TI  - HEW spurs HMO development.

PMID- 10244725
TI  - "Deny free enterprising at your own risk!".

PMID- 10244726
TI  - Georgians study free enterprise in medicine.

PMID- 10244727
TI  - Revised medical reimbursement plan (section 105H).

PMID- 10244728
TI  - Tips on repackaging unit doses in institutional settings.

PMID- 10244729
TI  - HCF-EMA voluntary certification program.

PMID- 10244730
TI  - Ethnicity and clinical care: Puerto Ricans.

PMID- 10244731
TI  - Court orders written consent for drugs.

PMID- 10244733
TI  - Health Planning Act--some MH progress.

PMID- 10244732
TI  - Residents' forum: careers in a general hospital setting.

PMID- 10244734
TI  - Judge puts Alabama hospitals in receivership.

PMID- 10244735
TI  - Age limit for elderly patients said unrealistic.

PMID- 10244736
TI  - How much should you expect from your designer?

PMID- 10244737
TI  - What they're saying about annual reports.

PMID- 10244738
TI  - On the evaluation of medical imaging systems: some basic considerations.

PMID- 10244739
TI  - Economics as a tool in managerial decision making.

PMID- 10244740
TI  - Ancillary audits in the radiology services: improving patient care.

PMID- 10244741
TI  - Respiratory therapy in nursing homes.

PMID- 10244742
TI  - A social-psychological profile of a respiratory therapy unit.

PMID- 10244743
TI  - Standardizing respiratory care in the home.

PMID- 10244744
TI  - A place for on-the-job training.

PMID- 10244746
TI  - Respiratory therapy's Russian roulette.

PMID- 10244745
TI  - Respiratory therapists on transport.

PMID- 10244747
TI  - A very special patient and very special care.

PMID- 10244748
TI  - The need for qualified respiratory therapy personnel in the small hospital.

PMID- 10244749
TI  - Specialization: a growing trend.

PMID- 10244750
TI  - Revitalizing employee benefits programs.

PMID- 10244751
TI  - New, machine-dominated era of health care is coming.

PMID- 10244752
TI  - Transplant technology today: a scorecard + the outlook.

PMID- 10244753
TI  - Holistic medicine.

PMID- 10244754
TI  - An innovative approach to selecting an executive director.
AB  - As a guide for how to select a new executive director, a family agency adopted
      the search committee process from higher education. The approach included
      clarifying agency goals and the director's qualifications, a board-staff
      screening, and interviews held jointly with public representatives before final
      board selection.

PMID- 10244756
TI  - Deinstitutionalization: those left behind.
AB  - Whether a retarded child can be cared for at home depends primarily on the
      ability of his or her family to function as primary caretakers. Not surprisingly,
      then, the rate at which retarded children are deinstitutionalized is being slowed
      by this country's failure to emphasize programs that are supportive of these
      children's families. After examining the discrepancy between the needs of
      families with retarded children and services currently being provided, the author
      proposes various changes in policy to increase assistance and support to the
      family as a unit.

PMID- 10244755
TI  - Abortion work: strains, coping strategies, policy implications.
AB  - As a result of the moral and social conflicts surrounding abortion, workers
      involved in counseling potential abortion recipients are subject to certain
      strains. The author uses observations made at one abortion clinic to support her
      conclusion that these strains, as well as the methods of coping developed by
      staff and administration, must be considered in formulating any policy on
      abortion.

PMID- 10244757
TI  - Prescription for success: the New Jersey program of pharmaceutical assistance to
      the aged.

PMID- 10244758
TI  - Michigan's public health code.

PMID- 10244759
TI  - Before renovation: 'fit' of environment to patients, staff studied.
AB  - Before undertaking a hospital or clinic renovation project, "expert" opinions are
      usually gathered from architects, administrators, trustees, etc., but what about
      the opinions of those who will be most directly affected--the staff and the
      patients? This article talks about a study, funded by the Regenstrief Institute,
      which investigated the benefits to be gained by asking questions of that often
      ignored group.

PMID- 10244760
TI  - Hospital self-insurance offers some advantages.
AB  - Practically all large employers are faced with the problem of providing
      economical employee insurance in its benefits program. Hospitals have some unique
      advantages over some other employers in terms of being able to provide self
      insurance and eliminate most of the costs of sustaining an insurance carrier.

PMID- 10244761
TI  - Contractor must know healthcare and construction.
AB  - A successful contractor-hospital relationship in a building project requires more
      than willingness and knowledge of one's own craft from both parties. As Touro
      Infirmary's Robert Arnold found out, it helps if the contractor has an intimate
      understanding of the priorities and problems in providing health care, as well as
      knowing his own territory.

PMID- 10244762
TI  - Facing up to the enemy--Interview by David Cassak.

PMID- 10244763
TI  - What is a patient representative?

PMID- 10244764
TI  - Hospitals are saving more than lives--the Texas voluntary effort.

PMID- 10244765
TI  - TIES brings quality educational programs to hospitals.

PMID- 10244766
TI  - Some thoughts on establishing an education department.

PMID- 10244767
TI  - Cost containment ideas...the nursing department.

PMID- 10244768
TI  - Unit dose system for smaller hospitals.

PMID- 10244769
TI  - A new emergency ambulance service that flies.

PMID- 10244770
TI  - Hill-Burton: no defense.

PMID- 10244771
TI  - Health manpower shortages promise to worsen.

PMID- 10244772
TI  - How the AHA meets the challenge of change.
AB  - The American Hospital Association and its member institutions have always
      adapted, and must continue to adapt, to change. Socioeconomic developments that
      must be reckoned with include the energy crisis, an economic recession, and the
      growth of consumer consciousness. Political developments include the growing
      similarity of the two major political parties, increased fiscal conservatism, and
      an antigovernment mood.

PMID- 10244773
TI  - A management contract for your CEO?
AB  - A task force of the Massachusetts Hospital Association has recommended that
      hospitals consider strengthening the management role of their chief executive
      officers by providing them with job security in the form of a management
      contract; by establishing a well-defined job description that clearly identifies
      the CEO's role in the management of the hospital; and by developing an annual set
      of goals and objectives that the CEO is expected to accomplish.

PMID- 10244774
TI  - Dollarsense: industry's role in health care cost containment and the business
      perspective on the Voluntary Effort.

PMID- 10244775
TI  - Changes in the national health planning law.

PMID- 10244776
TI  - Report from Washington: increasing distaste for federal regulation.

PMID- 10244778
TI  - AFGE consolidation issue: VA union vote will include MDs.

PMID- 10244777
TI  - Bringing down-to-earth medical care to areas without doctors.

PMID- 10244779
TI  - GAO hits DoD's plan for contingency beds.

PMID- 10244780
TI  - NAVAP secures AFGE's backing.

PMID- 10244781
TI  - CHAMPUS covering nurse midwife services.

PMID- 10244782
TI  - Israeli hyperbaric unit treats civilians most.

PMID- 10244784
TI  - Something Xtra in Xray.

PMID- 10244783
TI  - A matter of image.

PMID- 10244785
TI  - Riding back to health.

PMID- 10244786
TI  - A penny saved...

PMID- 10244787
TI  - Pediatrics orientation: two variations on a theme--UTH goes to school.

PMID- 10244788
TI  - Assessing skills as a volunteer administrator: a new approach to certification.

PMID- 10244789
TI  - Developing effective volunteer services.

PMID- 10244790
TI  - 21st International Hospital Congress, Oslo, Norway, 24-29 June 1979.

PMID- 10244791
TI  - The role of the hospital in a changing world.

PMID- 10244792
TI  - The use and abuse of accident and emergency departments--the Stockholm
      experience.

PMID- 10244793
TI  - The organization and integration of services for emergencies in Sao Paulo.

PMID- 10244794
TI  - The organisation of emergency medical services based on a teaching hospital
      (Rouen).

PMID- 10244795
TI  - The organisation of medical services at the site of a disaster.

PMID- 10244796
TI  - The planning and management of community and hospital services for children.

PMID- 10244797
TI  - Hospital-based initiatives in Canadian child health.

PMID- 10244798
TI  - The role of children's hospitals as child health centres.

PMID- 10244799
TI  - Planning local health services for children.

PMID- 10244800
TI  - Innovations in child health services in Nigeria.

PMID- 10244801
TI  - The Child Safety Centre--a new concept in child accident prevention.

PMID- 10244802
TI  - 'Medicine of the family and the family of medicine'.

PMID- 10244804
TI  - Manners are good business.

PMID- 10244803
TI  - The roots and practice of voodoo medicine in America.

PMID- 10244805
TI  - How to dissuade some people from looking for work.

PMID- 10244806
TI  - Surface data and deep structure: observing the organization of professional
      training.

PMID- 10244807
TI  - Rising costs concern physicians...

PMID- 10244808
TI  - Rising costs concern physicians...and the general public.

PMID- 10244810
TI  - New corporate physician: "a burr in the conscience of management".

PMID- 10244809
TI  - The occupational physician: 'company man' or workers' ally?

PMID- 10244811
TI  - Keeping workers healthy: trouble at Willow Island.

PMID- 10244812
TI  - Doctors in hard hats.

PMID- 10244813
TI  - VA hospital documents sought: suit threatens peer review privacy.

PMID- 10244814
TI  - After hospital nursery 'inspection': four jailed in feminist controversy.

PMID- 10244815
TI  - As medical gains prolong life, new dilemmas arise for courts.

PMID- 10244817
TI  - Hospital price policy change asked by AMA.

PMID- 10244816
TI  - Disaster plans not adequate for mass evacuation, officials say.

PMID- 10244818
TI  - Scotland's death rate among Europe's worst.

PMID- 10244819
TI  - HCA opens hospital at Orange.

PMID- 10244821
TI  - Comparing hospital costs.

PMID- 10244820
TI  - Autocaf is a goer.

PMID- 10244822
TI  - A note on objectives for regional hospital planning.

PMID- 10244823
TI  - Medibank Mark II: peer review.

PMID- 10244824
TI  - Maryland: system criticized--but supported.

PMID- 10244825
TI  - Patient handling systems compared.

PMID- 10244826
TI  - The reorganization of DHEW: what happened, why, and so what?
AB  - This is a case study of the restructuring of the Department of Health, Education
      and Welfare that was announced by the Secretary, Joseph Califano, in March 1977.
      Balutis addressed the question: Did the reorganization accomplish the Secretary's
      purposes? Of the 12 goals outlined by Califano, the author feels that only those
      seeking to consolidate supervision over fraud and abuse were achieved. As a
      result of the reorganization, both Medicare and Medicaid are reviewed by a single
      staff, a change designed to achieve a "more balanced, integrated, and active"
      effort. Two of the purposes for restructuring were: improvement of internal
      efficiency and cost-savings; it is difficult to discern real progress in these
      areas. The author terms the overall effect "traumatic" because the process
      remains incomplete and other changes appear emminent. He concludes that
      reorganization is useful only for addressing the "fragmentation of related
      programs among different organnizational units." Balutis argues that
      reorganization in and of itself is not likely to increase efficiency or reduce
      government costs, and may in fact, be counterproductive to these objectives.

PMID- 10244828
TI  - Preferential treatment: diagnostic photography comes first at this medical
      center.

PMID- 10244827
TI  - "Conflict management" and "conflict resolution" are not synonymous terms.
AB  - Robbins sees functional conflict as an absolute necessity within organizations
      and explicitly encourages it. He explains: "Survival can result only when an
      organization is able to adapt to constant changes in the environment. Adaption is
      possible only through change, and change is stimulated by conflict." Robbins
      cites evidence indicating that conflict can be related to increased productivity
      and that critical thinking encourages well-developed decisions. He admits,
      however, that not all conflicts are good for the organization. Their functional
      or dysfunctional nature is determined by the impact of the conflict on the
      objectives of the organization. The author identifies several factors underlying
      the need for conflict stimulation: (1) managers who are surrounded by "yes men";
      (2) subordinates who are afraid to admit ignorance or uncertainty; (3) decision
      makers' excessive concern about hurting the feelings of others; or (4) an
      environment where new ideas are slow in coming forth. He suggests techniques for
      stimulating conflict; manipulating the communication channels (i.e., repression
      of information); changing the organizational structure (i.e., changes in size or
      position); and altering personal behavior factors (i.e., role incongruence).
      Robbins stresses that the actual method to be used in either resolving or
      stimulating conflict must be appropriate to the situation.

PMID- 10244829
TI  - Directional signals: paramedics receive emergency assistance from doctors via a
      radio network.

PMID- 10244830
TI  - Remedies as ills.

PMID- 10244831
TI  - Quality health care in a regulated society.

PMID- 10244832
TI  - In California: new doc on the Hill.

PMID- 10244833
TI  - Health maintenance organizations; July list--Public Health Service, HEW.

PMID- 10244834
TI  - Executive Order 12184 of December 17, 1979, relating to the President's
      Commission for the Study of Ethical Problems in Medicine and Biomedical and
      Behavioral Research.

PMID- 10244835
TI  - Statement of organization and functions of the commission: United States
      Commission on Civil Rights. Final rule.

PMID- 10244836
TI  - Health Resources Administration: notice of health planning agency responsibility
      for review of hospital applications for assistance for energy conservation
      measures under the National Energy Conservation Policy Act, Pub. L. 95-619.

PMID- 10244837
TI  - Office of Federal Statistical Policy and Standards, Department of Commerce:
      notice of final standards for establishing metropolitan statistical areas
      following the 1980 census.

PMID- 10244838
TI  - A novel approach to the subject of health care cost control.

PMID- 10244839
TI  - Health plug: exercise and a check.

PMID- 10244840
TI  - Hospital liability: increasing awards push premiums up.

PMID- 10244841
TI  - Prompt reports shield against false claims.

PMID- 10244842
TI  - Doctors kill Colorado HMO.

PMID- 10244843
TI  - Health premium tax: Ullman bill sells quack medicine, underwriter says.

PMID- 10244844
TI  - Pastoral care at St. Boniface General Hospital: a policy statement.

PMID- 10244846
TI  - Catholic Health Conference of Ontario.

PMID- 10244847
TI  - Bringing Christian values to society through health care.

PMID- 10244845
TI  - Social health care in the next decade and beyond: a personal statement.

PMID- 10244848
TI  - Comments on the working paper: evaluative criteria for Catholic health care
      facilities.

PMID- 10244849
TI  - Comments on the working paper: evaluative criteria for Catholic health care
      facilities.

PMID- 10244850
TI  - Buildings and budgets: the overinvestment crisis.
AB  - Over the last ten years, American colleges and universities have spent over $400
      billion on their physical plants despite the fact that student enrollments have
      continued to decline. The increase in maintenance and energy costs has caused a
      financial strain, forcing cutbacks in vital ingredients of education: research,
      course offerings, student financial aid, faculty and staff support. The author
      draws a comparison between higher education and the health care industry and
      suggests that costs can be reduced by avoiding duplication of facilities and
      developing modes of interinstitutional cooperation. An increase in institutional
      efficiency will reduce the reliance of the higher education community on public
      subsidies for operations. This approach is seen to be particularly important
      during an era when every qualified student is expected to have the opportunity to
      obtain a university education without undue financial strain.

PMID- 10244851
TI  - The college presidency: life between a rock and a hard place.
AB  - Hesburgh, the President of Notre Dame, draws on his experience to write a very
      human account of what makes a good college president. He suggests that the basic
      cause of most presidential failure is the inability to realize that all
      constituencies cannot be satisfied all the time. Hesburgh advises that criticism
      is a far greater part of presidential life than plaudits and gratitude. He
      acknowledges that decisions should be based on what is right, given the
      alternatives, not what is least costly or most popular. The author suggests ways
      to satisfy the various constituencies of the college president (students, faculty
      and trustees) and says that "effective leadership means getting the best people
      you can find to share the vision and help in achieving it".

PMID- 10244852
TI  - The crisis of the nonprofits.

PMID- 10244853
TI  - Fooling ourselves with child autonomy and assent in nontherapeutic clinical
      research.

PMID- 10244854
TI  - Parental consent: its justification and limitations.

PMID- 10244855
TI  - Protection of elderly research subjects.

PMID- 10244856
TI  - Hospital social work: a valuable community service.

PMID- 10244857
TI  - DRG: a new concept in reimbursement.

PMID- 10244858
TI  - Hospitals, consumers and advertising.

PMID- 10244859
TI  - Microfilming: a unique shared service.

PMID- 10244860
TI  - Medical center devises plastic card system to identify and bill outpatients.

PMID- 10244861
TI  - Strengthening internal controls.

PMID- 10244862
TI  - How healthy are your control systems?

PMID- 10244863
TI  - Ten pointers for organizing hospitalwide education.
AB  - Although there is no one particular "recipe" for putting together a hospitalwide
      education function, there are some basic guidelines and general caveats that have
      been culled during the concept's 10 years of existence. Some helpful hints that
      can be applied to most situations are detailed herein.

PMID- 10244864
TI  - Keep an eye on human resources 'yardsticks'.
AB  - By monitoring certain human resources "yardsticks", personnel administrators can
      demonstrate the results of institutional and departmental goals and objectives.
      Thus, taking an economic approach to personnel management can help the hospital
      in the struggle to contain costs.

PMID- 10244865
TI  - Materials to continue to Immunization Initiative.

PMID- 10244866
TI  - Tort liability in genetic counseling.

PMID- 10244867
TI  - The hospital pharmacist and nursing pharmacology.
AB  - This article attempts to provide some general guidelines to pharmacists who teach
      pharmacology to student nurses. With proper preparation, the pharmacist
      instructor can offer a course that will be rewarding both for him and for his
      students. To aid the beginning instructor in organizing a course, suggestions are
      made regarding the organization of a course, methods of instruction, the
      selection of a textbook, the use of audiovisual aids, the selection of guest
      speakers, the preparation of tests, and course evaluation. After having read the
      article, the novice instructor should be able to set clear goals and objectives
      for his course and to avoid some of the potential pitfalls associated with a
      course on a complex subject.

PMID- 10244869
TI  - [Unit dose system can prevent medication errors--only if monitored properly].

PMID- 10244868
TI  - Research in clinical pharmacy: needs and priorities.
AB  - The importance of research to a service profession such as pharmacy is
      established. The current state of research in clinical pharmacy, and some
      proposed priorities for the future, are outlined. General requirements for
      research staff, facilities, and funding are listed. To produce accurate and
      meaningful results, three guidelines must be borne in the minds of researchers:
      (1) select research topics that will have recognized impact on the quality of
      patient care and education; (2) design and conduct studies which can withstand
      the scrutiny of the established scientific community; and (3) communicate
      meaningful information to all who can facilitate its utilization.

PMID- 10244870
TI  - Treating the Jehovah's Witness.

PMID- 10244871
TI  - Public relations in emergency care.

PMID- 10244872
TI  - North Dakota's approach to moving the message.

PMID- 10244873
TI  - Public information and education Texas style.

PMID- 10244874
TI  - Emergency medical services and the media: partners for better health care.

PMID- 10244875
TI  - Crisis management: the EMT and the sexual assault victim.

PMID- 10244876
TI  - One answer to the problem of education.

PMID- 10244877
TI  - Rural volunteer emergency medical coordinators.

PMID- 10244878
TI  - Bylaws of the National Association of Emergency Medical Technicians, Inc.-
      adopted Nov. 15, 1975; revised Jan. 21, 1978, and April 27, 1979.

PMID- 10244879
TI  - Comprehensive evaluation model for nursing education.
AB  - The proposed model provides structure for determining decisions to be made,
      questions to be answered, and sources of information about evaluation. A sample
      of the kinds of decisions that can be made for the various matrix elements of the
      evaluation model is reflected. Examples of questions that could be asked (why) in
      order to evaluate various aspects of a program (what) and of whom these questions
      could be asked (who) are provided. The model as described is useful in
      comprehensively delineating all aspects of the system. The flexibility of the
      system allows for the unique needs and aspects of the individual school to
      emerge. The model also provides a framework for organizing and implementing a
      plan for total program evaluation.

PMID- 10244880
TI  - Utilization of behavioral knowledge from short-term workshops.
AB  - Workshops on new methods in the health professions have often been evaluated for
      participant reaction and understanding of the material. But behavior change on
      the job following workshops has seldom been assessed. Rehabilitation
      professionals in seven states were surveyed to determine use of behavior
      management procedures after three-day training workshops. Those trained within
      the previous 15 months reported more frequent use of specific procedures than
      those trained 16 to 30 months before the survey. Positive verbal reinforcement
      for appropriate behaviors and for behaviors incompatible with inappropriate
      behaviors were the specific procedures used most frequently by respondents. Group
      token economies were more frequently used by trainees who worked with homogeneous
      client populations than those who had clients with different types of
      disabilities. The need for consultants and additional training were the most
      frequently cited reasons for not using procedures more frequently.

PMID- 10244882
TI  - Would you trust this therapist with your troubles?

PMID- 10244881
TI  - A resident's internal medicine practice.
AB  - The decision-making experience of residents in a primary care internal medicine
      training practice was examined. The patient population provided residents
      appropriate training opportunities but the experience of many residents making
      decisions about prevalent primary care problems was often inadequate. The
      residents' evaluation of their educational experience with patients suggests that
      several elements of patient care affect their ability to learn. These include the
      occurrence of diseases in their patients, opportunities to treat and follow
      patients, the chance to use diagnostic procedures, and the option of reviewing
      their care with supervisors and consultants or through reading. The results of
      this study and the current understanding of the development of clinical judgment
      are discussed as arguments for evaluating internal medicine training programs in
      part by examining the content of residents' decision-making opportunities in
      their ambulatory patient practices.

PMID- 10244883
TI  - Dr. Moriarty's war on poison.

PMID- 10244884
TI  - Feeding children back to health.

PMID- 10244885
TI  - It's how you do it, not what you do.

PMID- 10244886
TI  - Kaiser plays growing national role.

PMID- 10244887
TI  - Promoting the group practice view.

PMID- 10244889
TI  - Mandatory continuing medical education.

PMID- 10244888
TI  - Assessment of physician competence for relicensure.

PMID- 10244890
TI  - Let's be fair.

PMID- 10244891
TI  - Physicians find a variety of uses for computers.

PMID- 10244892
TI  - Can fee-for-service private practice survive competition?

PMID- 10244893
TI  - The role of specialty societies in recertification.

PMID- 10244894
TI  - Energy management: modifications and monitoring.

PMID- 10244895
TI  - AMA contributions helped defeat cost-cap, Common Cause study claims.

PMID- 10244896
TI  - Planners approve medical school "test tube baby" clinics.

PMID- 10244897
TI  - Fighting to save the future of the Mandeville miracle.
AB  - Last week, 70 wheelchair-bound ex-patients occupied Stoke Mandeville Hospital in
      protest against proposed cuts which would further restrict the work of its famous
      Spinal Injuries Unit. Although the unit's achievements in treatment and
      rehabilitation are considerable, lack of funds have caused it to fall behind in
      the last ten years. The staff are distressed because they can no longer offer
      help to enough patients, as Alison Hyde found when she visited the unit.

PMID- 10244899
TI  - Political skills and the science of diplomacy.
AB  - Present NHS management structure involves relationships which are based more on
      political processes than authority. In the first of a two-part article Steve
      Harrison and Jack Hallas look at management as a political process and argue that
      politics are about redistribution of resources and cannot be taken out of health
      care management.

PMID- 10244898
TI  - Is it time that the kings of London lost their empires?
AB  - It is rumoured that Patrick Jenkin is mulling over a reorganisation of the health
      service in London which could strip it of its traditional predominance in medical
      matters. Nick Davidson looks at some of the arguments for and against.
      Administrators in the home counties feel that they don't carry the same clout as
      regional officers who, they argue, do not understand problems facing rural areas.
      The home countries are fed up with being in regional authorities where the votes
      are stacked against them.

PMID- 10244900
TI  - New hospitals from old stock.
AB  - With careful planning, existing hospital buildings can be adapted to meet current
      needs effectively and relatively cheaply. Author describes how one small hospital
      has been redeveloped and what lessions can be learned from 'the Nelson project'.

PMID- 10244901
TI  - Health administration: good doctor's cure to quell the service's sea-sickness.

PMID- 10244902
TI  - Politics and conjurers' rabbits.

PMID- 10244903
TI  - Joint care: a pat on the back for a unique family hospital.
AB  - Over the years Stannington Children's Hospital has evolved into an hospital with
      a difference offering care to sick children from socially deprived backgrounds.
      Author looks at this remarkable home which has made 'the impossible possible'. He
      explains why it is a prime candidate for closure and why all concerned with
      Stannington, including the Health Advisory Service, feel it should be funded as a
      regional specialty.

PMID- 10244904
TI  - Midwives of reorganisation and the still-born CHCs.

PMID- 10244905
TI  - Hospital life: avoiding negative attitudes.
AB  - The population of Milton Keynes continues to grow and with it the need for more
      facilities in its recently opened community hospital. But how can the hospital
      cope now that Buckinghamshire AHA has put staff replacements under an embargo?
      Alison Hyde finds out how the staff are facing up to disappointed hopes, delayed
      plans and an establishment level which is one third under target.

PMID- 10244906
TI  - Health administration: the wealth and welfare wager.
AB  - Taking resources away from the NHS is not an easy thing to do, as the outraged
      cries of protest against the cuts over the past few months have testified. But
      hand in hand with this process has been the Government's determination to find
      new ways of putting money back into the service. Drew Clode examines some of the
      local approaches to fund raising so warmly espoused by the DHSS and examines how
      successful similar schemes have been when tried out in local government.

PMID- 10244907
TI  - Local packages tied up with a piece of corporate string.
AB  - The arguments concerning the most appropriate means of applying and monitoring
      standards in the NHS were highlighted recently by Frank Pethybridge's evidence to
      the Royal Commission. Here members of the Institute of Health Service Studies
      evaluate his approach and put forward an alternative case for a locally oriented
      agency to exchange a 'wholehearted consensus over priorities'.

PMID- 10244908
TI  - Four units under one roof.
AB  - Taking advantage of a vacant hospital building, a joint care team in Sunderland
      has initiated a centre for mentally handicapped children which includes
      assessment, physiotherapy, day nursery and residential facilities. Dr Alan
      Lillington, consultant paediatrician, Sunderland AHA, believes the scheme is
      unique in Britain in providing such a comprehensive service under one roof.

PMID- 10244909
TI  - Resource control: the seven per cent who spend the most.
AB  - The medical profession has long been notorious for its reluctance either to adopt
      an administrative role itself, or to participate fully with other NHS professions
      in health service management. Here, Dr Graham Page of the Health Services
      Management Centre, Birmingham University, argues that this can lead to a
      substantial waste of resources. An answer, he suggests, is that participation in
      management should be an integral part of medical education.

PMID- 10244910
TI  - Volunteer training.

PMID- 10244911
TI  - Managers can drive their subordinates mad.
AB  - This article explores the phenomenon of "folie a deux"--an aberrant relationship
      between manager and subordinates that is characterized by shared delusions.
      Though most visible among public figures like Adolf Hitler, J. Edgar Hoover and
      Jim Jones, the problem also surfaces among private managers and their associates
      with dangerous implications for the firm. In folie a deux, the unusual behavior
      patterns of a manager in an isolated setting become mirrored by dependent
      subordinates, and the organization loses touch with its original goals and
      strategies. The author describes the dynamics of this phenomenon and details
      steps to remedy the situation. Once recognized, he suggests that the manager
      establish a trusting relationship with the instigator as a prelude to altering
      the behavior patterns, then transfer the subordinates and reorient the work
      climate so that independence and responsibility are encouraged. If the instigator
      is a powerful executive, the author suggests enlisting the support of a
      countervailing force, such as the government or a union, to guide the
      organization away from possible self-destructive adventures.

PMID- 10244912
TI  - How to test for ethylene oxide concentration.

PMID- 10244913
TI  - Who buys for your lab?

PMID- 10244914
TI  - Purchase law clinic: our suppliers are increasing prices at a rate that seems out
      of line with President Carter's guidelines.

PMID- 10244915
TI  - Alkalis and bleaches are competitively priced.

PMID- 10244916
TI  - Bring the docs into your standardization program.

PMID- 10244917
TI  - Hospitals responsible to patients for infection control.

PMID- 10244918
TI  - CDC issues new guidelines for hepatitis isolation.

PMID- 10244919
TI  - IC for mental institutions.

PMID- 10244920
TI  - Simple program best for small hospitals.

PMID- 10244921
TI  - Data processing: necessary and effective for home health management.

PMID- 10244922
TI  - The role of the nurse oncologist in home care.

PMID- 10244923
TI  - Discharge planning in the tertiary health care setting.

PMID- 10244924
TI  - A continuing education program for the home care administrator: the first pilot
      test.

PMID- 10244925
TI  - Changes in job satisfaction among registered nurses in a home health agency as a
      result of organizational restructuring.

PMID- 10244926
TI  - Pilot program reduces LOS for mothers and newborns.

PMID- 10244927
TI  - Anxiety over transfer can cause increase in illness, death in elderly.

PMID- 10244928
TI  - Massachusetts law expands patients' rights.

PMID- 10244929
TI  - Test your skills: utilization review.

PMID- 10244930
TI  - California enacts new confidentiality law.

PMID- 10244931
TI  - Photo psychology.

PMID- 10244932
TI  - The play's the thing: mental health in the spotlight.

PMID- 10244933
TI  - Our common senses: art therapy and therapeutic art.

PMID- 10244934
TI  - Learning through Loose Association.

PMID- 10244935
TI  - Puppets with no strings attached.

PMID- 10244936
TI  - The lively arts of healing.

PMID- 10244937
TI  - Private philanthropy and public service policy: a New York City case.

PMID- 10244938
TI  - Children's health needs in the 1980s: a perspective on what foundations can do.

PMID- 10244939
TI  - Energy special on window management.

PMID- 10244940
TI  - The role of the community health education specialist in the delivery of health
      care.
AB  - This paper seeks to define a "model" role for a community health education
      specialist having due regard to the dictates of professionalism and to the
      potential of education and the behavioural sciences for increasing effectiveness
      in the delivery of health care. It subsequently examines the "goodness of fit"
      between existing health education services and the "model" role by matching this
      latter with data from a postal survey of 152 health education officers collected
      just prior to the reorganisation of the NHS in April 1974.

PMID- 10244941
TI  - Comparing ratios shows fiscal trends.

PMID- 10244942
TI  - Assessing financial position with 29 key ratios.

PMID- 10244943
TI  - LIFO inventory accounting: is it for you?

PMID- 10244944
TI  - Endowment fund management: does 'prudence' exclude stocks?

PMID- 10244945
TI  - How to make certificate of need work for you.

PMID- 10244946
TI  - Recognizing and assisting the alcoholic hospital employee.

PMID- 10244947
TI  - Energy: 'ring in the new'.

PMID- 10244948
TI  - Dignify routine jobs.

PMID- 10244949
TI  - How to use interviews.

PMID- 10244950
TI  - Physician and hospital involvement in community health education.

PMID- 10244951
TI  - Hospital attorneys update medicolegal issues.
AB  - Medical staff bylaws, due process, malpractice insurance, termination of
      extraordinary medical care, health planning regulations, and consent to treatment
      were among the topics discussed at a two-day educational program sponsored by the
      American Society of Hospital Attorneys.

PMID- 10244952
TI  - Privilege delineation system leaves room for flexibility.
AB  - A large metropolitan hospital developed a formal procedure for delineating
      clinical privileges for new physicians and those physicians already on staff.
      Although the hospitalwide procedure is standardized, it is based on the use of
      forms that were developed individually by each department.

PMID- 10244953
TI  - AMA stands firm on LCCME withdrawal.
AB  - The American Medical Association stood by its decision to withdraw from the LCCME
      and released a major report on graduate medical education at the association's
      interim meeting in December. The delegates also maintained their stand on
      national health insurance and discussed a number of medical staff issues.

PMID- 10244954
TI  - The new USP-NF: drug standards and patient information.

PMID- 10244955
TI  - Evolving concerns of pharmacy and therapeutics committees.

PMID- 10244956
TI  - Analysis of missing medication episodes in a unit dose system.
AB  - The unit dose drug distribution system at The Buffalo General Hospital in
      Buffalo, New York, was evaluated by an analysis of cases in which doses of
      medication were missing from the unit dose administration cart. When a dose was
      missing, the medication administration nurse reported the occurrence to the
      pharmacy. When time permitted, the cause of the missing dose was determined and
      recorded. Thirty causes for missing doses are cited. The causes were found to
      arise from misuse of the unit dose system by nurses, misunderstandings between
      the Nursery and Pharmacy Departments, or from oversights on the part of nurses or
      pharmacy personnel. Missing doses can be prevented in the future by instructing
      nurses in the use of the system, improving communication between the Departments
      of Pharmacy and Nursing concerning the needs of the patients, and being aware of
      mistakes that can occur so care can be taken to prevent them in both departments.

PMID- 10244957
TI  - Readability--its applicability to education of patients by pharmacy.
AB  - The applicability of readability to the development of pharmacy educational
      materials is reviewed. The importance of reading skills must be recognized in all
      areas of education, including pharmacy patient education. If people are to
      perform certain tasks, they must understand the instructions for those tasks. To
      be understandable, the instructions must be written on the reading level of the
      people who will be following the instructions. Readability has been defined as
      those characteristics of reading materials, involving certain mental processes,
      that make for ease or difficulty of comprehension of the reading material. It is
      the task of the reader to use as few or as many of these mental processes as
      necessary to grasp the intended meaning of the material. It has been estimated
      that the average reading level of the American public is approximately 7th to 8th
      grade. However, many adults do not have sufficient reading skills to comprehend
      fully material written on these levels. Therefore, pharmacy educational material
      should be written on the reading level of the patient population it serves.
      Several readability formulas have been developed to evaluate the various
      characteristics of reading material that lead to reading comprehension. Among the
      ones recommended for use with pharmacy educational materials are the Fry
      Readability Graph and the Gunning Fog Index.

PMID- 10244958
TI  - Evaluation of a videocassette approach to pharmacology inservice training for
      nurses.

PMID- 10244959
TI  - Work measurement is serious business.

PMID- 10244960
TI  - Hospital reimbursement and clinical pharmacy programs.

PMID- 10244961
TI  - Foods high in potassium.

PMID- 10244962
TI  - Literature searching by computer in a university-based drug information center:
      format of pharmacist-generated input data.

PMID- 10244963
TI  - Role of clinical information systems in controlling costs.

PMID- 10244964
TI  - Guidelines for developing an effective electrical safety program.
AB  - This paper describes the steps and key factors involved in preparing an
      Electrical Safety Program tailored to meet the needs and resources of a patient
      care facility. The effectiveness of the program depends upon how well the Safety
      Committee completes the tasks involved. The Electrical Safety Program in use at
      Boston University Medical Center is described.

PMID- 10244965
TI  - Regulatory affairs and product integrity.
AB  - This review analyzes the regulations and control resulting from the Medical
      Device Amendments of 1976, and their effect on product integrity. There is a
      discussion on claims, safety considerations, recalls, cost factors, and the
      advantages and disadvantages of increasing governmental regulation of medical
      devices. A glossary of regulatory terms is included.

PMID- 10244966
TI  - Low cost ambulatory medical information system.
AB  - A simple, low-cost computerized minirecord system (minimal essential record) has
      been in operation at the Johns Hopkins Medical Clinic since mid-1975. The system
      has three primary components: (a) the Minirecord which contains a listing of
      problems and medications, plus information about visits to other clinics, (b) an
      appointment system used to organize materials prior to clinic encounters and
      assist in the follow-up of high risk special patients, and (c) an encounter data
      system to prepare reports used for management, quality assurance and training.
      This paper describes the system's operation, and reports on its utility and cost.

PMID- 10244967
TI  - Professional staff acceptance of medical nurse practitioners in ambulatory care.

PMID- 10244968
TI  - Ambulatory care reorganization in teaching hospitals.

PMID- 10244969
TI  - Dentistry and ambulatory health care.

PMID- 10244970
TI  - The ACCESS experience: a success story.

PMID- 10244971
TI  - Consumer views of the impact of nurse-midwifery in low-income areas.

PMID- 10244972
TI  - Joining a rural practice: a pilot program in primary care education in internal
      medicine.

PMID- 10244973
TI  - Point of view: the procedural manual--a once-a-year nightmare.

PMID- 10244974
TI  - Habilitation: a health care concept with a future.

PMID- 10244975
TI  - Residential care--its future and our future.

PMID- 10244976
TI  - The 1980 tax forecast.

PMID- 10244978
TI  - Accommodation fees: have you earned them?

PMID- 10244977
TI  - How can you get your building to work?

PMID- 10244979
TI  - A group-process approach to resident and staff abuse.

PMID- 10244980
TI  - Supplemental Security Income.

PMID- 10244981
TI  - AHCA vice president critical of newspaper attack on industry.

PMID- 10244982
TI  - Staff development--call for action.

PMID- 10244983
TI  - Quality of life department of a nursing home.

PMID- 10244984
TI  - Combining sensory stimulation with reality orientation to promote sensory
      orientation.

PMID- 10244985
TI  - Staff attitudes in nursing homes: is a good attitude towards the aged really
      important?

PMID- 10244986
TI  - Improving behavior options in long term health facilities.

PMID- 10244987
TI  - A vacation for residents.

PMID- 10244988
TI  - Music therapy for retarded adults with psychotic overlay: a day treatment
      approach.

PMID- 10244989
TI  - The social consequences of deinstitutionalization.

PMID- 10244990
TI  - Economic barriers to patient reentry into the community.

PMID- 10244991
TI  - The future of mental health services for the chronically mentally ill.

PMID- 10244992
TI  - Patient reentry into the community: provision of care.

PMID- 10244993
TI  - Deinstitutionalization: a transition to the future.

PMID- 10244994
TI  - Patient reentry into the community.

PMID- 10244995
TI  - Patient reentry into the community: the federal viewpoint.

PMID- 10244996
TI  - The role of management science.

PMID- 10244997
TI  - Pastoral care in the nursing home: guidelines for communication with
      institutionalized elderly.

PMID- 10244998
TI  - Quality or discount, which one do you want?

PMID- 10244999
TI  - The key to a successful PAR system: the credit professional.

PMID- 10245000
TI  - Money by telephone.

PMID- 10245001
TI  - Voluntary steriolization: legal and ethical aspects.

PMID- 10245002
TI  - Psychosurgery.

PMID- 10245003
TI  - Experimentation on humans: controls at the international level and in foreign
      nations.

PMID- 10245004
TI  - Patient package insert--legal perspective.

PMID- 10245005
TI  - Law reform, privacy and nursing.

PMID- 10245006
TI  - Howard F. Root wing of the Joslin Diabetes Foundation, Inc.

PMID- 10245007
TI  - The evolution of an HMO.

PMID- 10245008
TI  - Health Maintenance Physicians, Inc.

PMID- 10245009
TI  - Prepayment and the Genesee Health Service.

PMID- 10245010
TI  - The St. Louis Park Medical Center.

PMID- 10245011
TI  - West River HMO.

PMID- 10245012
TI  - Fees: are they getting out of hand?
AB  - In the past, Medical Economics has conducted an annual survey of fees charged by
      office based physicians in general practice, family and internal medicine,
      obstetrics-gynecology and pediatrics, and general surgery. This year, the data
      base was expanded to include six other specialties. The article provides a series
      of tables exhibiting the fees charged by physicians for first office visits,
      return visits, history and physical exams, and other general procedures specific
      to particular specialties. It is pointed out that the fee for return office
      visits has doubled in eight years. The increase in costs of routine services
      accounts for much of the 9.6% increase in physicians' fees during the last year.
      Primary care doctors have initiated the highest fee hikes for 1978. This is
      attributed to young physicians entering the field and charging more than their
      older colleagues. Surgical fees have doubled in cost in the last ten years. For
      the past three years, physicians' fees have increased at the average rate of
      9.5%, usually exceeding the Consumer Price Index. Physician services only account
      for 20% of the entire health care bill, but due to their visibility, they are
      subject to criticism and careful review. Since the pressure is on for health care
      cost containment, the author advises physicians to think again before raising
      their fees in the near future.

PMID- 10245014
TI  - We're making our patients too dependent.

PMID- 10245013
TI  - A plan to put primary-care doctors in the driver's seat. Interview by Richard L.
      Peck.
AB  - The Institute of Medicine has developed a report outlining a plan to produce more
      primary-care physicians; reimbursement of commonly accepted health education and
      preventive medicine procedure is proposed. Dr. E. Harvey Estes, Chairman of the
      Study Team, reviews the recommendations offered by the Institute to achieve this
      goal. The Institute directs many of its suggestions at restructuring the
      reimbursement system. If the federal, state and private organizations reimbursed
      primary care physicians and specialists on a more equal scale, regardless of
      geographic location, there would be more incentive for new doctors to enter
      primary care and to practice in underserved communities. Third-party payors are
      encouraged to reimburse physicians and physician extenders at the same rate to
      reinforce the fact that they are all part of a practice team. In addition, it is
      recommended that third-parties reduce the number of fractional reimbursements and
      bureaucratic delays that currently take place. Estes concludes that primary care
      should have sufficient financial incentive to attract and maintain well-trained
      physicians.

PMID- 10245015
TI  - Ways to head off a new malpractice crisis.

PMID- 10245016
TI  - The 1980's: your practice: a cost crunch, new controls, more competition.

PMID- 10245017
TI  - Why rip apart a health-care system that works?

PMID- 10245018
TI  - Why hospitals may be giving your colleagues an edge.

PMID- 10245019
TI  - A financial readout on the family practice boom.

PMID- 10245020
TI  - Overvoltage protection for medical electronics.

PMID- 10245022
TI  - Belgium: sophisticated market with an eye on imports.

PMID- 10245021
TI  - Electrical safety standards--1980.

PMID- 10245023
TI  - It's time to dump the law barring FMGs.

PMID- 10245024
TI  - Public backs federal control of doctors' fees.

PMID- 10245025
TI  - Legal implications of the delivery of hospital emergency care services.

PMID- 10245026
TI  - Pre-hospital emergency care.

PMID- 10245027
TI  - Rural EMS under construction.

PMID- 10245028
TI  - Two rural hospitals respond to ambulance need.

PMID- 10245029
TI  - GFAHA: EMS committee coordinates variety of activities.

PMID- 10245030
TI  - Emergency medical services.

PMID- 10245031
TI  - EMS planning and categorization.

PMID- 10245032
TI  - Another attempt at over-regulation.

PMID- 10245033
TI  - HEW to fund program for disabled and hospices.

PMID- 10245034
TI  - Unions' interest in hospitals increases.

PMID- 10245035
TI  - Selecting purchasing groups.

PMID- 10245036
TI  - British medicine/American medicine: learning closer but still an ocean apart.

PMID- 10245037
TI  - Courting bankruptcy: the continuing saga of America's urban teaching hospitals.

PMID- 10245038
TI  - "Quality of life" judgements in medicine?

PMID- 10245039
TI  - A decade of rapid change: the outlook for human resources management in the '80s.
AB  - The new decade also means a new chapter for personnel professionals. From our
      research, interviews and observations during the '70s come these predictions for
      the '80s.

PMID- 10245040
TI  - Some further implications of the Pregnancy Discrimination Act.
AB  - A follow-up to the authors' October 1979 analysis of the Pregnancy Discrimination
      Act, this study details the pros and cons of the various strategies that
      personnel managers will have to consider in order to successfully cope with PDA.

PMID- 10245041
TI  - The "refined" performance evaluation monitoring system: best of both worlds.
AB  - The computer is proving itself to be an almost limitless resource: it can easily
      refine your performance appraisal system simply by using weighted normalized
      ratings. A consultant explains his system and how it can save a company both
      money and mistakes.

PMID- 10245042
TI  - The dollars and sense of motivation.
AB  - Too many middle and upper middle-class Americans are finding that their
      "executive" salaries are no match for inflation. Here are some solid solutions
      that compensation and benefit people can recommend to managements that want to
      restore their employees' motivation while easing their financial situation.

PMID- 10245043
TI  - But I can't work on Saturdays.
AB  - Potential religious discrimination poses troubling problems for today's personnel
      manager, who must be careful not to run afoul of legal constraints.

PMID- 10245044
TI  - Targeted Jobs Tax Credit program.
AB  - Tax credits will help reimburse employers for the added costs of hiring and
      training disadvantaged workers from seven target groups with especially high
      rates of unemployment.

PMID- 10245045
TI  - Exercises draw out nursing home residents.

PMID- 10245046
TI  - Counseling for children of hospitalized parents.

PMID- 10245047
TI  - Van on a street corner.

PMID- 10245048
TI  - Pressure on physicians to join prepaid plans.

PMID- 10245049
TI  - How demographers can help legislators.
AB  - Demographic change bears directly on the formulation of social policy because it
      determines in large part whose wealth or income is redistributed to whom. Where
      demographic events modify the recipients and donors in such redistribution, they
      may sharply alter the consequences of existing legislation or create
      constituencies for new laws. This article considers how current and emerging
      demographic changes are affecting the redistribution of wealth across
      generations, across income groups, and across geographic regions.

PMID- 10245050
TI  - Closing up the 'snake pits'--two approaches.

PMID- 10245051
TI  - Union impact on wages and fringe benefits of hospital nonprofessionals.
AB  - Union effects on the wages and fringe benefits of nonprofessionals are estimated
      for a sample of hospitals in three midwestern states. Survey questionnaire,
      personal interviews, and published data are combined to determine both the
      compensation gains of unionized workers and the "spillover" effects on nonunion
      workers in unionized hospitals. The results of this analysis suggest that overall
      union effects on total compensation are in the order of 6 to 7 percent for both
      groups.

PMID- 10245052
TI  - Putting the skids to meals on wheels.

PMID- 10245053
TI  - American medicine: an obstacle course for FMGs.

PMID- 10245054
TI  - Chinese medicine: old & new.

PMID- 10245055
TI  - Employer acquisition of health care facilities: a possible outcome of escalating
      premiums?
AB  - The price of health care is rising faster than most other prices; the increasing
      number of employer-financed health insurance plans means that insurance premiums
      are a significantly growing expense. Some companies might save money without
      sacrificing the quality of care by building or buying health care facilities. The
      authors analyze hospital costs and corporate experience with in-house care.

PMID- 10245056
TI  - Management conflict in network development.

PMID- 10245057
TI  - Priorities in the allocation of health care resources.

PMID- 10245058
TI  - Property, pinmakers and physicians: liberal myths and American health care
      anomalies.

PMID- 10245059
TI  - The right to health care: a contractual approach.

PMID- 10245060
TI  - Hospital costs and distributor inventories.

PMID- 10245061
TI  - Philosophy of prehospital coronary care.

PMID- 10245062
TI  - Prehospital care: an integrated concept of emergency medicine.

PMID- 10245064
TI  - An air emergency service: the extension of the emergency department.

PMID- 10245065
TI  - Medical-legal considerations in prehospital care.

PMID- 10245063
TI  - Citizen CPR: the role of the lay person in prehospital care.

PMID- 10245066
TI  - The social construction of a medical emergency.

PMID- 10245067
TI  - Prehospital care--education, evaluation and medical control.

PMID- 10245068
TI  - Crisis intervention training for prehospital care personnel.

PMID- 10245069
TI  - Prehospital care systems for advanced coronary life support.

PMID- 10245070
TI  - Burnout--real or imagined?

PMID- 10245071
TI  - Transfer of the emergency patient: avoiding legal complications.

PMID- 10245072
TI  - Planning within an institutional setting.

PMID- 10245073
TI  - Productivity improvement: a voluntary effort.

PMID- 10245074
TI  - Orientation for new house staff.

PMID- 10245075
TI  - Reason prevails in interpretation of hospital lien statute.

PMID- 10245076
TI  - Voluntary effort success rewarded by Congress.

PMID- 10245077
TI  - What's ahead for governing boards? Panelists look at the '80s.

PMID- 10245078
TI  - Seven forces that are shaping the future of hospitals.
AB  - Among the developments that can be expected to shape the future of hospitals are
      the rapid aging of the population; the emergence of chronic disease as the
      dominant pattern of morbidity; a growing realization of limits; a slowdown in
      technological extravagances; a "surplus" of physician manpower; increased public
      sophistication about health; and the emerging legislative and administrative
      environment.

PMID- 10245079
TI  - In the 1980s: smaller boards, stricter standards of conduct.
AB  - By the mid-1980s, the structure of governing boards and the nature of hospital
      governance are likely to be considerably different from what they are today.
      Trends such as the development of multiple-unit systems and the growing authority
      of regulatory agencies will result in smaller and more professionalized boards
      with stricter requirements and standards of conduct.

PMID- 10245080
TI  - A medical threat produced by the closing of two nuclear waste dumps.

PMID- 10245081
TI  - Trustee development program: the board's role in energy management.

PMID- 10245082
TI  - For "new nurse": bigger role in health care.

PMID- 10245083
TI  - As companies jump on fitness bandwagon.

PMID- 10245084
TI  - GAO-inspired health steps reportedly saving millions.

PMID- 10245085
TI  - Former PHS administrator suggests use of hospitals as 'benchmark'. Interview by
      Nancy Tomich.

PMID- 10245086
TI  - St. Elizabeths' patients will receive medical, surgical care at GUH.

PMID- 10245088
TI  - Towns 'romance' physicians in southern 'blind date'.

PMID- 10245087
TI  - How the British health service is doing.

PMID- 10245089
TI  - Architect of planning law sees room for improvement.

PMID- 10245090
TI  - Polio treatment center: Warm Springs Hospital to close.

PMID- 10245091
TI  - Six physicians resign posts: dispute over midwifery splits hospital staff.

PMID- 10245092
TI  - Out-of-town indigent care cut by hospital.

PMID- 10245093
TI  - Let's put Meals-on-Wheels back on course!

PMID- 10245094
TI  - Women in medicine: moving toward equality.

PMID- 10245095
TI  - These doctors pay their patients' bills.

PMID- 10245096
TI  - Counseling center aids victims of fastest growing violent crime: rape.

PMID- 10245097
TI  - Thieves get hospitals' x-ray film.

PMID- 10245098
TI  - Hiring and retaining good laundry workers.

PMID- 10245099
TI  - Automated equipment cuts costs and boosts production.

PMID- 10245100
TI  - Broadening the textile cost management horizon.

PMID- 10245101
TI  - Nosocomial infection surveillance techniques--a review.

PMID- 10245102
TI  - Paronychial infections of nurses in clinical practice: a questionnaire survey.

PMID- 10245103
TI  - Disposable humidifiers in a recovery room--a microbiological evaluation.
AB  - Humidification, unlike nebulization, does not produce water droplets in the
      process of producing desiccated gases, and therefore is considered low risk in
      terms of potential infection sources. However, direct inoculation of bacteria
      into these units has been shown to produce contaminated effluents. Therefore, the
      present study was designed to determine if the airborne route of contamination
      was a potential source of bacterial inoculum for these units and to determine the
      maximum number of days units remained free of bacterial contamination. Disposable
      humidifiers were placed in both high and low volume patient areas of the recovery
      room. Units were used on multiple patients with only the cannula replaced between
      patients. Our results showed that these units do have the potential for becoming
      inoculated through the airborne route, but did not produce contaminated effluents
      greater than background air. Units remained sterile during the entire time in use
      in both high and low volume areas. In conclusion, our data suggests that each
      institution should evaluate the usage of disposable humidifiers based on patient
      parameters and environment rather than manufacturer's guidelines.

PMID- 10245104
TI  - Infection surveillance and the microbiology laboratory.

PMID- 10245105
TI  - A selection sheet for objective evaluation of products.

PMID- 10245106
TI  - A new concept in the old practice of obstetrics.

PMID- 10245107
TI  - Integrated parking for hospitals.

PMID- 10245108
TI  - The hospital's role in drug abuse.

PMID- 10245109
TI  - Distribution and cost of drugs in a pharmaceutically decentralized health
      maintenance organization.
AB  - A private, free-standing health maintenance organization, Group Health of
      Arizona, was established with a decentralized pharmacy distribution system. A
      closed formulary and monthly peer review by pharmacists and physicians influence
      the number of prescriptions written as well as drug cost. A study was conducted
      to determine: the 50 most-prescribed items by number and cost; drug cost
      according to certain therapeutic categories; the average drug cost per
      prescription; the number of prescriptions dispensed per enrollee; and the cost of
      drugs dispensed as a percentage of wholesale cost. The objectives of the study
      were achieved but additional questions requiring future studies were raised.

PMID- 10245110
TI  - The North Carolina Area Health Education Center program: an overview.
AB  - North Carolina has been at the forefront of the planning, development, and
      operation of area health education centers (AHECs). These centers have
      dramatically improved health manpower education and training at all professional
      levels. In effect, the North Carolina Area Health Education Center Program is a
      major decentralization and coordination of medical, dental, pharmacy, and public
      health education and regionalization of nursing, allied health education, medical
      residency training, and continuing education. The program links each of the
      university health science centers in North Carolina to major community hospitals
      that form a regional network with other institutions. The University of North
      Carolina at Chapel Hill School of Pharmacy has a major role in the AHEC program.
      A full-time faculty is located in each AHEC. In addition to providing and
      coordinating clinically oriented pharmaceutical services and functioning as a
      resource in all matters relating to drugs, they are extensions of the school's
      faculty. The North Carolina AHEC Program approach offers pharmacy an excellent
      opportunity to maximize the pharmacist's contributions to society through
      education and practice.

PMID- 10245111
TI  - Pharmacists as instructors of health education in community colleges.
AB  - The public is demanding quality information on the appropriate use of medicinal
      agents. The pharmacist is a potential source of this information; however, lack
      of time and appropriate environment often limit this interaction. An educational
      model has been developed, used, and evaluated in order to increase public
      knowledge on nonprescription medications, increase pharmacist professional
      visibility in the community, and provide a practical means of creating this
      interaction. Using the setting of four California community colleges, consumer
      education courses were developed during 1972 to 1977. Instructional syllabi,
      written and audiovisual materials, and evaluations were developed at these
      colleges by five pharmacists. The courses were presented in an aggregate of 17
      semesters to 514 enrollees. Results from objective examination on presented
      topics showed a mean score increase from 18 to 82% among 62 enrollees.
      Subjectively, participant response was enthusiastic, with frequent reports of
      daily usefulness and increased awareness of the pharmacist as a health
      information resource person. The described model has proven to be an effective
      means of providing lay persons access to important health care information, while
      providing pharmacists with an effective means of meeting professional
      responsibilities, increasing professional visibility in the community, and
      gaining professional satisfaction.

PMID- 10245112
TI  - A comparison of female and male pharmacists' employment benefits, salary, and job
      satisfaction.
AB  - This study compared women pharmacists' job characteristics, salary, benefits, and
      job satisfaction to those of their male colleagues. A mail questionnaire was sent
      to 1700 North Carolina employee pharmacists in August 1978. Approximately 478
      pharmacists responded, yielding a 28% return rate. Job satisfaction was measured
      with the job descriptive index (JDI). Approximately 29% of women versus 5% of men
      worked part-time. To avoid biasing the results, further analysis excluded all
      part-time pharmacists. Women earned less than their male counterparts primarily
      because fewer women held management positions. Hypothesizing that the discrepancy
      was due to the recent entry of women into the profession, the data were analyzed
      holding age, years in practice, and time in present job constant. The significant
      difference in employment status by sex remained. No differences were found in job
      satisfaction by sex that were not attributable to age. Possible reasons for these
      results are hypothesized.

PMID- 10245113
TI  - Pharmacy competencies: their relative importance to consumers, practitioners,
      educators, and students.
AB  - The pharmacy profession increasingly is involved in developing and maintaining
      competency standards as objective criteria in evaluating the educational process
      and in judging practitioners' continuing competence. This study compared the
      rankings of various pharmacy competencies among diverse populations,
      specifically, consumers, practicing pharmacists, pharmacy educators, and pharmacy
      students. The competencies were assessed through a questionnaire which required
      the respondents to rank 17 competency labels in order of importance. The
      questionnaire was completed by 104 metropolitan residents and additional samples
      included 450 practitioners, 39 pharmacy educators, and 217 pharmacy students.
      Interesting differences appear between the rankings of the competencies among the
      consumers, practitioners, faculty, and students. Results indicate that consumers
      highly ranked the traditional roles of the pharmacist as a drug distributor.
      Faculty tend to rank highly the clinical roles of the pharmacist. The highest
      rank correlations on pairs occurred between students and faculty (0.89) and
      between pharmacists and consumers (0.89). The lowest rank correlation occurred
      between faculty and consumers (0.64).

PMID- 10245114
TI  - The Burger Court and the prima facie case in employment discrimination
      litigation: a critique.

PMID- 10245115
TI  - The Supreme Court, 1978-79--labor relations and employment discrimination.

PMID- 10245116
TI  - Productivity up, expenses down.

PMID- 10245117
TI  - It's never too early for human relations.
AB  - Human relations training as part of an employee orientation program can ease an
      employee's entrance into a new working environment. Employees who understand
      their own motivations and those of their co-workers are better equipped to handle
      their jobs and are thus a valuable asset to the institution.

PMID- 10245118
TI  - Personnel administration can act on cost containment.
AB  - Hosiptal personnel administration programs have the potential to contain costs in
      a variety of areas, including human resources management, payroll costs, benefits
      costs, labor turnover, and recruitment costs. Recognizing this, the Maine Society
      for Hospital Personnel Administration presented a seminar and prepared a guide
      for trustees and administrators on the role that personnel administration can
      play in the Voluntary Effort to contain costs. The following article is an
      adaptation of the information included in the seminar and guide.

PMID- 10245119
TI  - 11 November 1979--a day to remember: the Mississauga disaster.
AB  - The derailment of a train carrying potentially lethal chlorine, accompanied by
      exploding tank cars of propane, set into motion the evacuation of the Mississauga
      Hospital, Queensway General Hospital (Etoblcoke), and Oakville-Trafalgar Memorial
      Hospital, near Toronto. The method in which the three hospitals, along with the
      220,000 residents of Mississauga, were evacuated was so highly efficient and
      orderly that many now question the necessity of the action. But absence of panic
      should not be interpreted as an absence of danger. The Economist (17 - 23
      November, 1979, volume 273, number 7107) extrapolated data from a British study
      to show there was enough chlorine in the tank to kill 24,000 people, given the
      population density in the area of the derailment. The purpose of this article is
      to describe the involvement of hospital pharmacy in the "Mississauga Saga", and
      to draw some conclusions from this experience.

PMID- 10245120
TI  - A further note on visions.

PMID- 10245121
TI  - Beclomethasone dipropionate aerosol: patient consultation recommendations.
AB  - Patient administration errors in the use of beclomethasone dipropionate aerosol
      are frequent. Asthmatics once labeled "treatment failures" on this aerosol may
      only need adequate consultation to achieve therapeutic results. Pharmacists
      should monitor for patient noncompliance and provide instruction and follow-up on
      the use of beclomethasone dipropionate aerosol. Common administration errors
      associated with this drug are described, along with information patients should
      receive to obtain optimal benefits.

PMID- 10245122
TI  - Use of computer drug-drug interaction program for detection of adverse drug
      reactions and related therapeutic problems.
AB  - Pharmacies currently using computers to detect drug-drug interactions may not be
      fully utilizing the computers' programs. Potential drug-disease interactions and
      some potential adverse drug reactions not traditionally defined as interactions
      can be detected by extending the basic concept of cross-referencing. For example,
      certain clinically important ADRs are readily detected by cross-referencing drugs
      which are often used to treat the results of specific ADRs with certain causative
      agents. The potential therapeutic implications of such a system when restricted
      to clinically significant ADRs can be readily appreciated, especially in
      situations where the pharmacist's time in patient-care areas is limited. This
      concept is currently being practiced at Bayfront Medical Center, and has added a
      new dimension to the clinical services provided by the pharmacy. It seems likely
      that detection of therapeutic situations in this manner may be appropriate in
      other hospital settings.

PMID- 10245123
TI  - The past decade--the future decade: three viewpoints. The EMT--where to from
      where.

PMID- 10245124
TI  - The past decade--the future decade: three viewpoints. Nursing: the fight for
      greater freedom.

PMID- 10245125
TI  - The past decade--the future decade: three viewpoints. The coming of age of
      emergency medicine.

PMID- 10245126
TI  - Medical devices: point-counterpoint.

PMID- 10245127
TI  - Setting the damaging defibrillator question.

PMID- 10245128
TI  - Reinforcing the case for health promotion.

PMID- 10245129
TI  - Earning Sherman's trust: a one-act farce (?)

PMID- 10245130
TI  - Today's students in medicine: a look at the work of GMENAC. Interview by Joan
      Williamson.

PMID- 10245131
TI  - Strategies for goal setting: options for multispecialty groups.

PMID- 10245132
TI  - The ordinary and the extraordinary in institutional litigation.
AB  - Institutional litigation, in which courts are requested to oversee the operation
      of large public institutions, has been frequently attacked as a departure from
      the traditional model of litigation. In this Article, Professors Eisenberg and
      Yeazell argue that the procedures and remedies employed in institutional
      litigation are not unprecedented but have analogues in older judicial traditions.
      Nor, they assert, do the doctrines of separation of powers and federalism present
      any obstacles to institutional litigation. They conclude that the novelty lies in
      the newly created substantive rights which courts are asked to enforce.

PMID- 10245133
TI  - Doesn't the FTC realize that the purpose of advertising is to stimulate demand?

PMID- 10245134
TI  - Hospital may lose Blue Cross status over planning issue.

PMID- 10245135
TI  - Systematic leadership selection.

PMID- 10245136
TI  - Managing discretionary organizational expenses: applying the hospital's goals to
      department services.

PMID- 10245137
TI  - The abuse of "cooling out": recognition and prevention.

PMID- 10245138
TI  - Using performance standards for employee development.

PMID- 10245139
TI  - Cold wards, warm feelings.
AB  - Frenchay Hospital, near Bristol, was built in the last war and two thirds of its
      accommodation falls below modern standards. But Alison Hyde found that the high
      level of its surgical work and its good atmosphere combine to make it a success
      with staff, patients and the local community.

PMID- 10245140
TI  - Health administration: the dustbin syndrome.
AB  - Apart from a few notable exceptions, official reports and inquiries have a habit
      of collecting dust sometimes for years after publication. It is feared that the
      Royal Commission's report is going the same way and that the Government in its
      consultative document will choose to ignore most of the findings. Stephen Halpern
      looks at the fate of several recent NHS inquiries and concludes that reports can
      often remain to haunt successive governments long after publication.

PMID- 10245141
TI  - A framework for local health service control.
AB  - In a major speech recently, Dr. David Owen, former minister of health, argued the
      case for a genuine localist approach to NHS organisation. He outlines here the
      advantages of separately elected health authorities financed by local income tax.
      Under these new arrangements the service, he believes, would be better able to
      meet the challenge of the cinderella areas and central government could revert to
      its rightful role of upholding standards and broadly planning resources.

PMID- 10245142
TI  - Hospital life: better wise before the event.
AB  - Some of the problems of integrating a new casualty unit into a district general
      hospital are described by Dr. A. R. Dow, consultant, A & E unit, Sunderland
      District General Hospital. He discusses some of the advantages and lessons that
      can be learned for future development within the unit.

PMID- 10245144
TI  - Health insurance in America: a vision of health in the world's richest nation.
AB  - Alone among industrialised countries, the USA does not have a comprehensive
      national health insurance system. There are some federal and state schemes, but
      for most people the choice is between hefty private insurance premiums or no
      coverage at all. Now the establishment of an effective NHI has become a key issue
      in the presidential campaign, says Reva Klein.

PMID- 10245143
TI  - Exploring the twisting road to and from the staging post.
AB  - Approaches developed by the DHSS's central analytical team as a basis for
      comparing national priorities are explained by Gordon Harris, an economic adviser
      to the department, and Colin Parker, who recently completed a period of
      secondment to the department as an operational research consultant.

PMID- 10245145
TI  - Pay beds 'bad news' for private medicine.

PMID- 10245146
TI  - Purchasing performance: cost per order is misleading barometer.

PMID- 10245147
TI  - Will supplier guarantee that price is lowest charged?

PMID- 10245148
TI  - Is your equipment out of control?

PMID- 10245149
TI  - Buying for the small hospital, Part 1.

PMID- 10245150
TI  - Tight control over salvage silver sales pays off.

PMID- 10245151
TI  - Are you paying too much for service in radiology?

PMID- 10245152
TI  - Throwaway items create new waste disposal challenge.

PMID- 10245153
TI  - Industrial democracy in the public sector.

PMID- 10245154
TI  - And any other duties that...

PMID- 10245155
TI  - Geographic cost variations in the North Western Regional Health Authority.

PMID- 10245156
TI  - Development of a district dietetic service.

PMID- 10245158
TI  - Standards for hospice address definition and quality concerns.

PMID- 10245157
TI  - Coping with burn-out.

PMID- 10245159
TI  - Grief--the healing pain of profound loss.

PMID- 10245160
TI  - Hospital employees educated on hospice.

PMID- 10245161
TI  - Responsibilities toward the hopelessly comatose.

PMID- 10245162
TI  - A self-assessment tool for hospital management.

PMID- 10245164
TI  - Four models of hospice care.

PMID- 10245163
TI  - The changing American way of death.

PMID- 10245165
TI  - Lack of standard FDA tests clouds handwashing agent issue.

PMID- 10245166
TI  - Bruch outlines FDA position on washing, tests.

PMID- 10245167
TI  - Isolation in small nursery.

PMID- 10245168
TI  - Site progress and valuation.

PMID- 10245169
TI  - From the editor...in hospital circles "cost containment" certainly merits
      recognition as buzz phrase of the year.

PMID- 10245171
TI  - The vendor's role in hospital cost containment.

PMID- 10245170
TI  - Supply utilization studies: the trend of the future.

PMID- 10245172
TI  - Supply shortage: the vendor's burden.

PMID- 10245173
TI  - Utilizing suppliers to the hospital's best interests.

PMID- 10245174
TI  - Systems emphasizing cost containment in the surgical suite.

PMID- 10245175
TI  - The art and science of inventory reduction.

PMID- 10245176
TI  - The prime supplier contract: getting the most for the hospital's supply dollar.

PMID- 10245177
TI  - Shopping for the best brain.

PMID- 10245178
TI  - "Arbitrability"--to begin with.

PMID- 10245179
TI  - AHA divided over user fees.

PMID- 10245180
TI  - Group buying--a game of Russian roulette.

PMID- 10245181
TI  - Testifying at a coroner's inquest.

PMID- 10245183
TI  - Drop-in centre eases emergency.

PMID- 10245182
TI  - Hospitals need business instincts too.

PMID- 10245185
TI  - Trustees take on quasi-legal role.

PMID- 10245184
TI  - Multi-unit systems--a means to an end.

PMID- 10245186
TI  - Feds seek role in infection control.

PMID- 10245187
TI  - Prevent ill health--promote wellness.

PMID- 10245189
TI  - "Real" approach to disaster planning.

PMID- 10245188
TI  - Getting together for better or worse.

PMID- 10245190
TI  - Health care v. the law--and the verdict is...

PMID- 10245192
TI  - Competition: the name of the game.

PMID- 10245191
TI  - Bargaining units--who's in, who's out.

PMID- 10245193
TI  - Teenagers and health care: a growing right to choose.

PMID- 10245194
TI  - Teaching teenagers to cope.

PMID- 10245195
TI  - Caring for adolescents. Tailoring the delivery system.

PMID- 10245197
TI  - Has job loyalty become an anachronism?

PMID- 10245196
TI  - Anatomy of a fire drill.

PMID- 10245198
TI  - Standing orders: a medicolegal perspective.
AB  - Standing orders are a routine part of patient care in hospitals. They add
      significantly to the efficiency of patient management, but they should be
      reviewed by the medical staff on a routine basis to avoid the rigidity that may
      lead to inappropriate, slavish reliance in certain situations. Standing orders
      should also be reviewed in view of cost containment.

PMID- 10245199
TI  - How to use malpractice data in quality assessment.
AB  - Although some may doubt that malpractice claims data are a useful quality
      assurance device, a recently released volume compiled by the National Association
      of Insurance Commissioners dispels much of this criticism, according to the
      author. The article details how the data were derived and suggests how they might
      be used in the hospital setting.

PMID- 10245200
TI  - Prescription drug use and patient education.

PMID- 10245201
TI  - Therapeutic devices and the P&T committee.

PMID- 10245202
TI  - Discrepancies in unit dose cart fills.

PMID- 10245203
TI  - Drug-distribution problems in a Friesen-concept hospital.

PMID- 10245204
TI  - Recognition in the 80's.

PMID- 10245205
TI  - A network analysis of an inpatient/outpatient department.

PMID- 10245206
TI  - Viewpoint: a regulatory mentality.

PMID- 10245207
TI  - The regulation of health care delivery.

PMID- 10245208
TI  - A personal filing system.

PMID- 10245209
TI  - Filed for easy reference: a method for maintaining personal files of medical
      articles.

PMID- 10245210
TI  - Designed for a personal atmosphere: Nashville Orthopaedic Associates, P.A.

PMID- 10245211
TI  - Physicians' compensation: what is everyone else doing?

PMID- 10245213
TI  - AMRA Bylaws and Code of Ethics (amended October 1979).

PMID- 10245212
TI  - Retirement planning: an examination of the factors involved in a clinic's
      determination of an appropriate retirement plan.

PMID- 10245214
TI  - Performance appraisal as a management tool in two hospitals.

PMID- 10245215
TI  - The philosophical foundation of medical records.

PMID- 10245216
TI  - Home care record systems and the medical record professional.

PMID- 10245217
TI  - Patient's progress notes: an approach to improved patient care through a team
      effort in maintaining the patient record.

PMID- 10245218
TI  - Reflections on working "Down Under".

PMID- 10245219
TI  - The Rhode Island Medical Record Association's position statement on
      confidentiality.

PMID- 10245220
TI  - Proposal writing: essential first step to research.

PMID- 10245222
TI  - Update on nursing diagnoses.

PMID- 10245221
TI  - Analysis of graduate study questionnaire results.

PMID- 10245223
TI  - How we reduced medical record deficiencies.

PMID- 10245224
TI  - Product markets of the 1980s--the accent on patient access.

PMID- 10245225
TI  - Human blood use market could triple by 1988.

PMID- 10245226
TI  - State-of-the-art care demands a CT scanner in every hospital.

PMID- 10245227
TI  - Protesters barred from distributing leaflets in hospital.

PMID- 10245228
TI  - Physician recruitment: the Hastings Method.

PMID- 10245229
TI  - Health care costs and the smaller hospital.

PMID- 10245230
TI  - Contract management in a small hospital.

PMID- 10245231
TI  - Does small hospital equal small auxiliary?

PMID- 10245232
TI  - Small, rural hospitals: an exciting future is possible.

PMID- 10245233
TI  - How the smaller hospital can be attractive to the "new" family practitioner.

PMID- 10245234
TI  - The trial of a malpractice case: part two.
AB  - The following discussion was presented by the late Mr. Levine, one of the
      country's most successful malpractice lawyers, during a series of lectures on
      medical malpractice. It is an invaluable, no-holds-barred introduction for
      administrators, risk management directors, physicians and attorneys to the real
      world of malpractice litigation. Part One of this article appeared in the October
      1979 issue of this journal.

PMID- 10245235
TI  - Reducing malpractice claims through proper maintenance of medical records.

PMID- 10245236
TI  - Medical records and malpractice claims.
AB  - The importance of the hospital medical chart in a medical malpractice case is
      well known. This article gives hospitals and their medical records directors
      guidance on what should and should not appear in the patient's medical chart.

PMID- 10245237
TI  - Diagnostic tests--a source of potential malpractice lawsuits.

PMID- 10245239
TI  - How to reduce the chances of malpractice legal action.

PMID- 10245238
TI  - Substantive law of legal medicine.

PMID- 10245240
TI  - An arbitration plan for patient, hospital and physician.

PMID- 10245241
TI  - State of the Union: asks NHI, cost curb action.

PMID- 10245242
TI  - Hospital use by Blues subscribers declines.

PMID- 10245243
TI  - Ill. medics blast Blue Cross 'necessity' clause.

PMID- 10245245
TI  - The elderly: selected studies on the health condition and hospital care of
      geriatric patients.

PMID- 10245244
TI  - The manager under stress.

PMID- 10245246
TI  - Introduction: health projections of an aging kind.

PMID- 10245247
TI  - Cancer time trends at older ages.

PMID- 10245248
TI  - Autopsy rates: the decline with age.

PMID- 10245249
TI  - Geriatric population health care systems in urban and rural areas: a structural
      equation model.

PMID- 10245250
TI  - Birthdays as stressful life events in the elderly.

PMID- 10245251
TI  - Blood utilization patterns by age.

PMID- 10245252
TI  - TNP'S housestaff forum: the leaders of the RPS and the PNHA offer their views on
      the housestaff movement.

PMID- 10245254
TI  - Certificate of need.

PMID- 10245253
TI  - Recertification and the American Board of Pathology--its position and proposal.

PMID- 10245255
TI  - About health, who's to teach what to whom?. Interview by Rick Honey.

PMID- 10245256
TI  - Audit at the Given Center: better patient care through self-assessment.

PMID- 10245257
TI  - Office audit how-to: choose your own approach to self-audit.

PMID- 10245258
TI  - New quality assurance standard for psychiatric facilities.

PMID- 10245259
TI  - What's the estimated cost of a national outpatient Rx program?

PMID- 10245260
TI  - How pharmacists can reduce hospital costs.

PMID- 10245261
TI  - Beyond the categories: human service managers view the new federal aid.
AB  - Social agency chief executives in six program areas--welfare, health, mental
      health, community action, model cities, and community mental health centers--were
      surveyed to determine their reaction to the recent revenue sharing/block grant
      efforts to decentralize the federal aid system. Despite their strong belief that
      social initiatives and values were advanced principally by federal action, and
      that excessive reliance on state and local officials could severely jeopardize
      social programs with weak constituencies, agency executives also recognized major
      weaknesses in traditional categorical grant policy and, to varying degrees,
      supported revenue sharing and block grant alternatives. Those agencies largely
      dependent on federal support for their survival--model cities, community action
      programs, and community mental health centers--tended to support the new aid
      efforts only reluctantly. Those agencies more fully integrated into the regular
      policy-making arrangements of local government--health, welfare, and mental
      health agencies--were considerably more positive in their endorsement of greater
      decentralization.

PMID- 10245262
TI  - Needs: importance and satisfaction in respiratory therapy personnel.
AB  - Using Maslow's hierarchy of needs as a base, this article attempts to determine
      the motivational level of respiratory therapy personnel. Also analyzed was the
      importance of these needs to the individuals studied. The instrument used to
      obtain the necessary data was a questionnaire designed to indicate a mathematical
      score relevant to a person's position in the hierarchy. This instrument was
      designed by Lyman Porter and is called the Porter needs-satisfaction index
      (PNSI). The respondents, who were representatives of all classes of respiratory
      therapy personnel, showed high levels of satisfaction in areas concerned with
      helping others, autonomy, and prestige. They ranked ability to help others, self
      fulfillment, and feelings of accomplishment as highly important. Further analysis
      of the questionnaires is presently under way. It is hoped that data relative to
      position in the hierarchy based on demographic data will soon be available.

PMID- 10245264
TI  - Continuing education for respiratory therapists and technicians: a positive
      approach.

PMID- 10245263
TI  - Hyperbaric oxygen therapy: high-pressure solutions for oxygen deprivation and
      other conditions.

PMID- 10245265
TI  - Getting what you want from disposables.

PMID- 10245266
TI  - Common anesthesia mishaps pinpointed by studies.

PMID- 10245267
TI  - Can Southern hospitals fight the unions?
AB  - As unions turn their attention southward to the vast, largely untapped potential
      here; can they find widespread success in organizing hospitals in the region?
      They can, according to the author, a High Point, NC labor attorney, unless
      hospital management becomes more skilled. Sheahan points out that legislation and
      other factors have created a climate favorable to organizing activity in even non
      profit hospitals.

PMID- 10245268
TI  - Leasing: an attractive alternative to equipment purchases?

PMID- 10245269
TI  - Primer on leasing.
AB  - The science of leasing is a complicated one, full of special terms and technical
      angles. This article explores the various types of leasing contracts and
      financing alternatives, as well as shedding some light on technical aspects.

PMID- 10245270
TI  - The changing federal role in medical technology.

PMID- 10245271
TI  - The financial administrator and cost containment.

PMID- 10245272
TI  - Hospitals are saving more than lives--the Texas voluntary effort.

PMID- 10245273
TI  - Natural Death Act re-examined.

PMID- 10245274
TI  - Physician orientation: private hospital perspective.

PMID- 10245275
TI  - Preventative health: a prescription for the 80's.

PMID- 10245276
TI  - Medical readiness key DoD concern.

PMID- 10245277
TI  - AF: more health care at less cost.

PMID- 10245278
TI  - International undercurrents may affect U.S. medical programs.

PMID- 10245279
TI  - The development of hospital activity and hospital costs.

PMID- 10245280
TI  - The contribution of the operational researcher.

PMID- 10245281
TI  - Cost containment--an overview of US experience.

PMID- 10245282
TI  - The contribution of the epidemiologist.

PMID- 10245283
TI  - Mutual influences of architectural design and engineering services.

PMID- 10245284
TI  - The engineer's brief for the construction and the redevelopment of health
      buildings.

PMID- 10245287
TI  - WHO objectives and programmes on health manpower planning and distribution.

PMID- 10245286
TI  - Design for retrofit--planning for future change.

PMID- 10245285
TI  - The problem of providing non-medical professional and technical staff in
      hospitals.

PMID- 10245288
TI  - The community health aide in the Commonwealth Caribbean with special reference to
      Jamaica.

PMID- 10245289
TI  - Reorientation of medical education to improve health care staffing.

PMID- 10245290
TI  - Saudi Arabia's advanced medical centre.

PMID- 10245291
TI  - Health service access and utilization by children.

PMID- 10245292
TI  - Prevention: the second public health revolution.

PMID- 10245293
TI  - A medical group's visit to the People's Republic of China.

PMID- 10245294
TI  - Elderly housing in Northern Europe.

PMID- 10245295
TI  - A ten point model for home care delivery.

PMID- 10245296
TI  - Public policies for the aged in Japan.

PMID- 10245297
TI  - Psychiatric consultation in alcoholism agencies.

PMID- 10245298
TI  - Once a model IPA, ChoiceCare is dead.

PMID- 10245299
TI  - Kaiser physicians proud of health plan's private roots in free-market economy.

PMID- 10245300
TI  - Proposed federal rules for labs 'catastrophe' pathologist warns. Interview by
      Brenda Stone.

PMID- 10245301
TI  - Prison riot victims keep hospital busy.

PMID- 10245302
TI  - Development and application of an antimicrobial-susceptibility guide.
AB  - Computer analysis of results of hospital antimicrobial susceptibility tests had
      lead to the development of a tabular-form clinical guide. The tables allow
      comparison of differences due to variables, such as hospital service and source
      of specimen. They also provide a basis for the initial selection of an
      antimicrobial agent. Several of these applications are discussed in this paper.

PMID- 10245303
TI  - Legionnaires' Disease.

PMID- 10245304
TI  - Hospital infection control.

PMID- 10245305
TI  - Organizing for better medical school management.
AB  - Growth, increasing organizational diversification and specialization, and public
      demands for accountability make it mandatory that medical school managers begin
      to move beyond simple administration and into true management. This article
      describes an organizational structure that is designed to help medical schools
      deal with critical management problems. Within this structure, newly appointed
      "department managers" work with an independent manager in the central
      administration office, provide staff assistance to their department chairmen, and
      participate in a problem-solving group that provides assistance on specific
      technical projects anywhere in the organization.

PMID- 10245306
TI  - Data bases on-line in 1979.

PMID- 10245307
TI  - Accreditation of medical education.

PMID- 10245308
TI  - Appendix A to hospital resources document. Qualifications of trauma care
      personnel--American College of Surgeons Committee on Trauma.

PMID- 10245309
TI  - Appendix C-1 to hospital resources document. Interhospital transfer of patients-
      American College of Surgeons Committee on Trauma.

PMID- 10245310
TI  - Appendix C-2 to hospital resources document. Air ambulance operations--American
      College of Surgeons Committee on Trauma.

PMID- 10245311
TI  - Multiple trauma: early management in the emergency department.

PMID- 10245312
TI  - Appendix D to hospital resources document. Treatment protocol for prehospital
      management of the trauma patient--American College of Surgeons Committee on
      Trauma.

PMID- 10245313
TI  - Appendix E to hospital resources document. Field categorization of trauma
      patients and hospital trauma index--American College of Surgeons Committee on
      Trauma.

PMID- 10245314
TI  - Appendix F to hospital resources document. Quality assurance and education in the
      emergency department--American College of Surgeons Committee on Trauma.

PMID- 10245315
TI  - Trauma appendices: Committee on Trauma of the American College of Surgeons.

PMID- 10245316
TI  - A report to the Fellows--American College of Surgeons.

PMID- 10245317
TI  - Up is not the only way.

PMID- 10245318
TI  - Superkids? A sperm bank for Nobelists.

PMID- 10245319
TI  - Home care pays off.

PMID- 10245320
TI  - Public Health Service--health systems agencies and state health planning and
      development agencies; certificate of need reviews. Notice regarding certificate
      of need programs.
AB  - This Notice sets forth advance information regarding amendments to the
      regulations governing certificate of need reviews by health systems agencies and
      State health planning and development agencies. This Notice is intended to
      provide early guidance to States prior to publication of interim final
      regulations implementing the amendments to certificate of need provisions of the
      Public Health Service Act made by the Health Planning and Resources Development
      Amendments of 1979 (Pub. L 96-79). This early guidance will assist the States in
      beginning to revise their certificate of need laws. Under the amended provisions
      of the Public Health Service Act, the planning agencies are required to review
      and determine the need for proposed capital expenditures, institutional health
      services and major medical equipment. The Secretary intends to publish these
      interim final regulations within a few weeks. Following consideration of comments
      which will be solicited with regard to the interim regulations, the Secretary
      will publish an analysis of the comments and will revise those regulations as
      appropriate.

PMID- 10245321
TI  - Hazardous waste management; Environmental Protection Agency. Final rule.
AB  - The Resource Conservation and Recovery Act, as amended, provides for the
      development and implementation of a comprehensive program to protect human health
      and the environment from the improper management of hazardous waste. A
      fundamental premise of the statute is that human health and the environment will
      best be protected by careful management of the transportation, treatment,
      storage, and disposal of hazardous waste, in accordance with standards developed
      under the Act. In today's Federal Register, the Environmental Protection Agency
      is publishing several documents setting in motion a series of events which will
      culminate in full implementation of the hazardous waste control program. This
      document sets forth definitions of words and phrases which appear in the
      subsequent Parts as well as general guidance for the use of these regulations and
      provisions which are generally applicable to all Parts.

PMID- 10245322
TI  - Public Health Service--assignment of National Health Service Corps personnel;
      requirements. Final regulation.
AB  - This regulation sets forth the requirements for the assignment of National Health
      Service Corps personnel to public or nonprofit private entities to provide health
      services in or to health manpower shortage areas.

PMID- 10245323
TI  - Rules and regulations for reporting disclosure; summary plan description
      requirements; final regulations--Department of Labor. Adoption of final
      regulations.
AB  - These regulations, which were effective on an interim basis, relate to the
      summary plan description, which is filled with the Department of Labor
      (Department) and is furnished to, and describes the rights and benefits of,
      participants and beneficiaries under an employee benefit plan. The regulations
      affect all plans required to file and furnish a summary plan description under
      the Employee Retirement Income Security Act of 1974.

PMID- 10245324
TI  - Medical benefits; nursing home care in foreign countries--Veterans
      Administration. Proposed regulation.
AB  - This proposed amendment is necessary to correct an error concerning authority of
      the Veterans Administration to furnish medical care in foreign countries. Nursing
      home care at Veterans Administration expense may not be furnished in a foreign
      country other than the Republic of the Philippines. There has also been a change
      in the name of the government hospital in Quezon City, Republic of the
      Philippines. It is now called Veterans Memorial Medical Center instead of
      Veterans Memorial Hospital.

PMID- 10245325
TI  - HEW presses for spending priorities in slicing NIH's basic research pie.

PMID- 10245327
TI  - Portable self-treatment devices liberate patients from expensive hospital stays.

PMID- 10245326
TI  - New Mayo Clinic X-ray scanner promises to add to medical knowledge--and costs.

PMID- 10245328
TI  - City of doctors: will surplus of M.D.s be good for patients? Look at San
      Francisco.

PMID- 10245329
TI  - Labor puts on a show for its hospital workers.

PMID- 10245330
TI  - HMO obstacles: program use will depend on motivation.

PMID- 10245331
TI  - Firms push HMO use, dabble in development.

PMID- 10245332
TI  - Lack of commitment on all sides stymies health cost reduction.

PMID- 10245333
TI  - Cost-control coalitions.

PMID- 10245334
TI  - Doctors on call.

PMID- 10245335
TI  - Developments in a rehabilitation service for psychiatric patients.
AB  - This paper deals with the operation of the Rehabilitation Services of the Clarke
      Institute of Psychiatry in Toronto, Ontario. It is particularly addressed to
      developments in the service during the last two and one-half years. Included are:
      a brief historical review; a description of current goals and procedures; plans
      for the future; a description of the work adjustment program--a new adjunct to
      the service; some demographic information on clients served in 1977 and 1978; and
      a discussion of the computerized data collection, outcome studies, program
      analyses etc. now underway. The tasks of the members of the rehabilitation team
      will be outlined. Emphasis is placed on the work of occupational therapists who
      have played a major role in planning, establishing and conducting the service.
      Flow charts of service procedures are included.

PMID- 10245336
TI  - Finger painting: a projective technique.
AB  - Finger painting was used in a diversified program with two different groups of
      patients, primarily as a medium for expression of feeling that facilitated the
      collection of diagnostic data and the detection of change in mental status. It
      was found to be an economical method of eliciting data and monitoring change
      during therapy. In this technique the patient produces his own material and
      verbally associates to it thus giving a more objective profile of personality and
      psychopathology. Perusal of the literature revealed no recent studies of the
      technique and prompted a documentation of this project at the Reddy Memorial
      Hospital. The technique proved itself a worthwhile method of eliciting data but
      needs to be scientifically evaluated. Attempts should also be made to assess its
      ability to discriminate between different diagnostic categories in psychiatry.

PMID- 10245337
TI  - The unit value system: if you're not interested you should be.
AB  - This paper, based on an address delivered at the 1977 C.A.O.T. Conference in
      Halifax, contends that, generally speaking, occupational therapists are neither
      well informed about, nor proficient in the use of statistics. This is unfortunate
      in an age when its use of has become a powerful administrative tool. It is
      important for Occupational Therapists to become knowledgeable about the use of
      statistics in order that they can communicate with the administrators who speak
      the language of numbers. Statistics can be used and abused. Improved knowledge
      and understanding will protect occupational therapy from abuse and enable us to
      concentrate on our real specialty, service delivery.

PMID- 10245338
TI  - A comparison of children's electric wheelchairs.
AB  - During the past few years, the Occupational Therapists at the Kitchener-Waterloo
      Rotary Children's Centre have explored and prescribed electric wheelchairs for
      handicapped children from 2-19 years of age. This paper presents a comparison of
      three children's electric wheelchairs, the Bec, Solo, and Everest and Jennings.

PMID- 10245339
TI  - The importance of standards.

PMID- 10245340
TI  - Antishock garments.

PMID- 10245341
TI  - Children, cancer and death: a discussion of a supportive care system.

PMID- 10245342
TI  - Silver recovery crucial, as X-ray film prices rise.

PMID- 10245343
TI  - Hospital nuclear waste facilities judged adequate.

PMID- 10245344
TI  - Equipment acquisition.

PMID- 10245345
TI  - Reorganizing your storeroom: a game plan.

PMID- 10245346
TI  - Communicating with nursing and other departments.

PMID- 10245347
TI  - Not all disasters are drills.

PMID- 10245348
TI  - Blue Cross plans experience sharp 10-year decline in hospital utilization rates.

PMID- 10245349
TI  - Tennessee hospitals get high marks from business leaders.

PMID- 10245350
TI  - Health consumers at the crossroads: which way to go?

PMID- 10245351
TI  - Consumer participation: sinking or swimming?

PMID- 10245352
TI  - Consumer participation: futile efforts in a misguided system.

PMID- 10245353
TI  - End of the decade: a consumer view.

PMID- 10245354
TI  - Microbes to Monticello.

PMID- 10245355
TI  - Nosocomial postsurgical infections.

PMID- 10245356
TI  - Optimizing reimbursement.

PMID- 10245357
TI  - The great HMO debate: will affiliation help or hinder your hospital's future?

PMID- 10245358
TI  - Patient education TV need not cost $.

PMID- 10245359
TI  - Employee satisfaction procedure leaves no room for grievance.

PMID- 10245361
TI  - New design process for hospitals keeps soaring costs in check.

PMID- 10245360
TI  - Job performance improved after hospital-based education.

PMID- 10245363
TI  - Three existing hospitals convert to one modern facility.

PMID- 10245362
TI  - Fantasy environments promote health-care therapy.

PMID- 10245364
TI  - Function first sets hospital pace.

PMID- 10245365
TI  - Treatment and environment inseparable in children's psychiatric facility.

PMID- 10245366
TI  - Ronald McDonald showcase house: rooms for families of ailing children.

PMID- 10245367
TI  - Owens/Corning compiles fire codes on hospital draperies, cubicle curtains.

PMID- 10245368
TI  - Doctors, dyscommunication, and death.
AB  - The problems of dyscommunication between physician and the dying patient are
      discussed. A personal encounter with cancer is shared. The experience helped the
      physician-author to communicate openly with his patients and to regard them as
      persons with needs for care, comfort, and reassurance.

PMID- 10245369
TI  - Caring for the dying: advocacy or paternalism.
AB  - Moral dilemmas in the care of a dying person ideally should be decided in the
      context of that person's own freely determined understanding of death. At the
      philosophical, the clinical, and the personal levels, the primal question of how
      to understand death must be addressed before decisions are made concerning much
      ethical problems as euthanasia. Philosophers and practitioners who fail to do
      this are guilty of an a priori paternalism toward the dying, on whom their
      conclusions will be imposed. Until we have determined, together with the person
      involved, the way in which that person wants to view his or her death, any prior
      ethical judgment not only is presumptuous but infringes on the most basic
      freedom, that of determining the meaning that one's own experience shall have.
      The role of advocacy is an alternative to the traditional paternalism toward the
      dying. The essay attempts to (a) develop the distinctions among paternalism,
      consumerism, and advocacy; (b) propose a concept of advocacy as the assistance to
      the dying in freely determining how to understand their dying and death; (c)
      describe three of the views of death (naturalistic, religious, and
      existentialist) that need to be understood by those who assist the dying in
      exercising their freedom of self-determination.

PMID- 10245370
TI  - Assessment of client/patient satisfaction: development of a general scale.

PMID- 10245371
TI  - Case management: lessons from earlier efforts.

PMID- 10245372
TI  - Co-op care arrives.

PMID- 10245373
TI  - A small fire that stayed small.

PMID- 10245374
TI  - Halfway house fire in Washington, D.C. kills ten.

PMID- 10245375
TI  - Hospital fire shows value of planning, design, training.

PMID- 10245376
TI  - The numbers game: mathophobia & you.

PMID- 10245377
TI  - The numbers game: budgets that work.

PMID- 10245378
TI  - Problem: how to control your budget. Solution: watch tray counts & meals per
      patient day.

PMID- 10245379
TI  - A time for change in space.

PMID- 10245380
TI  - Problem: how to make a non-selective menu attractive. Solution: creative serving.

PMID- 10245381
TI  - Recession strategy: renewal efforts up, prospecting down.
AB  - This computer pro offers insights into non-profit strategy during a recession.
      Renewals, prospecting, basics, visibility and markedting are keywords to plan a
      successful route through recessionary periods.

PMID- 10245382
TI  - Two views on philanthropy: what does the future hold.
AB  - What is the philanthropic outlook for the 1980's? Will giving be consistent with
      the decline of the dollar? How can non-profits deal with the skyrocketing costs
      of management and fund raising? These issues are surveyed in separate points of
      view from two leading philanthropic experts, drawn from their years of experience
      in the non-profit sector.

PMID- 10245383
TI  - Inflation's impact taking toll on non-profit groups.
AB  - This thoughtful and detailed analysis on inflation's impact on charity shows an
      uneven future. Marketing, budgeting and fund raising will become key words in
      offsetting inflation's devastating impact.

PMID- 10245384
TI  - How one hospital started new development program.
AB  - Starting from "scratch," this development director was able to expand her
      hospital's annual giving program from $1 to $100,000 last year. It took ten years
      to reach that goal, but the success of this program has lessons for all
      institutions starting a fund raising department.

PMID- 10245385
TI  - Managerial concepts get top priority in '80.
AB  - Before the 1970's rarely did the non-profit area make use of the management
      theories which have so long determined the future of commercial businesses.
      Today, with costs on the upswing, non-profits are seeing their way towards
      employing the strategies of business and committing themselves to institutional
      development for greater giving. The author discusses the components of this
      concept and the performance evaluations of each.

PMID- 10245386
TI  - Strong proposals make easy going on solicitation road.
AB  - "Just get out a proposal," is a command that is heard all too frequently from the
      officers of an institution, notes this author. The result is a slap-dash replica
      of what should have been a carefully constructed piece. With advise on the do's
      and don'ts of proposal writing, the author explains how any fund raiser can reach
      what at first seemed an unobtainable goal.

PMID- 10245387
TI  - Gallup charity survey shows giving patterns.
AB  - The Coalition of National Voluntary Organizations undertook this survey to
      broaden understanding of contribution habits. The results provide a rich source
      of knowledge about giving patterns and insight into America's giving habits.

PMID- 10245388
TI  - More emphasis on bequests needed in balanced program.
AB  - Sure direct mail, special events, membership appeals, computers and annual giving
      techniques are important, claims the author. But he chides fund raising for the
      lack of attention paid to planned gifts. He outlines how his program generated
      insured income for his group.

PMID- 10245389
TI  - Resource development is key to non-profit success.
AB  - Developing a non-profit's resources produces a successful fund raising program,
      maintains this foundation program director. Found at the tip of every non
      profit's fingers, they include volunteer services, innovative campaigns and good
      proposal writing. An aggressive implementation of these resources is in order if
      a non-profit desires to effectively address its long and short term goals.

PMID- 10245390
TI  - AGPA's patient/health education program.

PMID- 10245392
TI  - Abortion laws in Commonwealth countries.

PMID- 10245393
TI  - Guidelines for prescribers of controlled substances: a joint statement of the
      Drug Enforcement Administration (DEA) and the DEA/Practitioners Working
      Committee.

PMID- 10245394
TI  - Two ways of using behavioral science to improve management.

PMID- 10245391
TI  - Patient education reimbursement.

PMID- 10245396
TI  - Need analysis in the healthcare facility: a marketing approach to the community.

PMID- 10245395
TI  - Compensation for HMO physicians:what program is best for them and their patients?

PMID- 10245397
TI  - Political pendulum swings as clocks chime in the decade.
AB  - It's only decades that inspire which are given the accolade of a memorable
      prefix; the naughty nineties, roaring twenties, swinging sixties. Perhaps in this
      respect the past decade never stood a chance. For, as Professor Brian Abel-Smith,
      a long time adviser to successive governments at the DHSS explains, the high
      hopes with which the seventies started were soon dashed. Looking further ahead
      through the next ten years he outlines the major difficulties which will beset us
      and asks whether we have the political will and economic ingenuity to face up to
      them.

PMID- 10245398
TI  - The eighties in perspective as a millenium passes.
AB  - It has been a long and busy decade for the health service. But what of the years
      to come, the lead up to the turn of the millenium. Robert Jefford, planning
      administrator, Cambridge AHA(T) has stepped into an NHS time machine and sent us
      this report, first given as a talk to the IHSA, from 2001. The Government is a
      coalition, muddling through is a respectable art, and the service has survived
      twenty years in which computer planning has 'transformed strategic planning, not
      only by relating it to feasibility but by bringing together the isolated concepts
      that had previously been at war with each other. The NHS was saved'.

PMID- 10245399
TI  - Driving force behind day care for the mentally ill.
AB  - The Croft is a focus for mental health services in Derbyshire, writes Graham
      Harper, development officer (community services), Derbyshire Social Services. In
      a Joint Care Award entry he describes the enthusiasm and work which went into
      setting up a day centre for the mentally ill in a house scheduled for demolition
      to make way for a new by-pass.

PMID- 10245400
TI  - Hospital day nurseries: a survey.
AB  - In view of the fact that the NHS is one of the largest employers of women, there
      is a surprising dearth of discussion in staff periodicals about the problems of
      recruiting or retaining staff with young children, and about the extent to which
      child care provision should be made available to staff. This report aims to
      redress the balance by presenting information gathered from day nurseries for the
      children of staff in NHS hospitals.

PMID- 10245401
TI  - Health authorities: the time is ripe for a new model.
AB  - Health authorities are charged with the management of the NHS on behalf of the
      Secretary of State. They are expected to provide leadership and guidance to their
      chief officers. How realistic is this expectation? Brian Watkin suggests Patrick
      Jenkin should think again about the constitution of health authorities as
      essentially lay bodies.

PMID- 10245402
TI  - Facts of life about industrial relations training.
AB  - It is likely that the role of all line managers will come to include an element
      of industrial relations, write Steve Harrison and Stuart Dimmock. The emphasis on
      conflict resolution rather than how it is generated means that the line manager's
      role will become overwhelmingly important.

PMID- 10245403
TI  - The no-fault principle.
AB  - The number of claims against doctors and health authorities for negligence,
      though not on the scale of those in the USA are, nevertheless, increasing. Harry
      Orriss looks at the recommendations of the Pearson Commission and compares these
      with compensation schemes in New Zealand and Sweden.

PMID- 10245404
TI  - Health administration: two and two making five.
AB  - Gerard Vaughan expects to save pounds 30m by streamlining NHS administration, but
      where did that figure come from--thin air perhaps? Nick Davidson has been doing
      some calculations and reckons that to save anything like that amount, many heads
      must roll. But at what point does a reduction in administrative costs become a
      reduction in efficiency?

PMID- 10245405
TI  - Health centre's success story.
AB  - The success of Selly Oak's new health centre is apparent from many points of
      view. Jane Dicks, Richard Miles and Stan Young, all of South Birmingham Health
      District describe the problems faced and how they were solved to maintain a
      prodigious building schedule.

PMID- 10245406
TI  - Rural clinics try out patient education in four demo projects.

PMID- 10245407
TI  - Through the organizational looking glass: you can't plan tomorrow's organizations
      with today's assumptions.
AB  - It's hard to imagine what our industrial society would be like if, for instance,
      there were no factories. How would things get produced, how would business
      survive? But are we, in fact, an industrial society? Are factories going to be
      the prime production place for a society that is conserving energy and doesn't
      need to travel to work because the silicon chip makes it more efficient to work
      at home? Who knows what the impact of energy conservation and women in the work
      force will be on future organizations? One thing we can be sure of, this author
      writes, is that whatever tomorrow brings, today's assumptions probably cannot
      account for it. We are, he asserts, entering a period of discontinuous change
      where the assumptions we have been working with as a society and in organizations
      are no longer necessarily true. He discusses three assumptions he sees fading-
      what causes efficiency, what work is, and what value organizational hierarchy has
      -and then gives some clues as to what our new assumptions might be. Regardless of
      what our assumptions actually are, however, our organizations and society will
      require leaders willing to take enormous risks and try unproved ways to cope with
      them.

PMID- 10245408
TI  - Instilling activism in trustees.
AB  - One of the great challenges in America today is the stewardship of its not-for
      profit institutions. While the profit motive may be absent in the running of such
      organizations, the demand for thoughtful budgeting, cost accounting, and
      financial skills still exists. Voluntary community hospitals in particular--given
      the economic realities of the day--need leadership, reciprocal education, and
      future planning. Speaking from his own experience, the author presents an
      activist's perspective on hospital boards; but service to other types of not-for
      profit institutions involves similar demands for change.

PMID- 10245409
TI  - The energy outlook: combining the options.
AB  - Where can we get all the energy we will need for the rest of the century to heat
      our homes, cool our offices, run our hospitals, and keep our factories going? Not
      from the conventional sources of energy at home and certainly not from foreign
      oil, say these authors. According to their calculations, U.S. supplies of oil,
      natural gas, coal, and nuclear power will be inadequate, and U.S. importation
      policy has already made us dangerously dependent on the unstable, unpredictable
      Middle East. To lessen our dependence on imported oil, they say, requires a
      balanced program of adopting reasonable conservation measures, developing solar
      power, and producing energy from our usual domestic sources under new incentives.

PMID- 10245410
TI  - Managing your boss: a compatible relationship with your superior is essential to
      being effective in your job.
AB  - Good managers recognize that a relationship with a boss involves mutual
      dependence and that, if it is not managed well, they cannot be effective in their
      jobs. They also recognize that the boss-subordinate relationship is not like the
      one between a parent and a child, in that the burden for managing the
      relationship should not and cannot fall entirely on the boss. Bosses are only
      human; their wisdom and maturity are not always greater than their subordinates'.
      Effective managers see managing the relationship with the boss as part of their
      job. As a result, they take time and energy to develop a relationship that is
      consonant with both persons' styles and assets and that meets the most critical
      needs of each.

PMID- 10245411
TI  - Let first-level supervisors do their job.
AB  - Performing well as a first-level supervisor is like walking the circus high wire.
      In both positions, the ability to maintain one's balance when shifting forces
      pull in opposite directions is a measure of one's success. First-level
      supervisors must be able to harmonize the demands of management, the demands of
      the collective work force (often represented by unions), and the demands of
      workers with the requirements for doing the tasks at hand. These needs are more
      often than not conflicting and even at times mutually exclusive. First-level
      supervisors usually have mixed emotions about their situation and often lose
      their sense of identity as they try to perform this precarious balancing act.
      Today these supervisors are part of management, but chances are they were once
      among the employees they are now trying to supervise. Although first-level
      supervisors have the responsibility for implementing the goals of upper
      management, their organizational authority to carry out the necessary actions is
      frequently unclear and often insufficient. By allowing these lowest-level
      managers to use the levers of influence inherent in their position, higher-level
      managers will be improving the performance of the whole organization.

PMID- 10245412
TI  - 'Invisible' resource: women for boards.
AB  - Despite the increased appearance of women on corporate boards in recent years,
      only 1.8% of the directors of the top 1,300 boards are women. Almost without
      exception, these women have been highly "visible" for their achievements in
      government, education, and nonprofit circles. But there are hundreds of other
      high achievers who are not so visible. The problem for chairmen and nominating
      committees is two-fold: (1) identifying and selecting the best of this "unknown"
      but talented pool of candidates and (2) defining and communicating their
      expectations from women.

PMID- 10245413
TI  - When do hospital pharmacists violate antitrust laws?

PMID- 10245414
TI  - Vendors think small to grow big.

PMID- 10245416
TI  - How much space for materials management?

PMID- 10245415
TI  - A methodology for space evaluation and programming for the materials management
      function, Part 1.

PMID- 10245417
TI  - Competition continues to restrain hospital supplies price indexes.

PMID- 10245418
TI  - Insurance company's admission preview cuts hospital stays.

PMID- 10245419
TI  - Committee reports ruled discoverable by Wisconsin court.

PMID- 10245420
TI  - Committee lowers number of long stays in pediatric facility.

PMID- 10245422
TI  - Diocese of Austin leases hospital to Sisters "To retain Catholic identity.".

PMID- 10245421
TI  - Administration reduces aid to health professions schools.

PMID- 10245423
TI  - Satellite hospital: innovation in rural health care.

PMID- 10245424
TI  - Southern Illinois consortium targets shared services, planning.

PMID- 10245425
TI  - Employees, community members join in good neighbor breakfasts.

PMID- 10245426
TI  - Personalist humanism: value system for medicine.
AB  - Medical science and pastoral care should support a personalist humanism that
      values the inherent dignity of all persons. Religion enhances such humanism,
      affirming the physicians' responsibility for themselves and for those in their
      care.

PMID- 10245427
TI  - Do suffering patients turn to God?
AB  - Interpretative data from 300 Catholic hospitals and 48 interviews with Catholic
      health professionals suggest that patients who have always had faith will turn to
      God when in distress; patients who did not have faith may still not turn to God;
      and some patients may reject God entirely through pain and disablement.

PMID- 10245428
TI  - Health care delivery in the 1980s: the consumer's perspective.
AB  - Consumers are calling for more choices in health care services in the 1980s. They
      want to be able to choose among private physicians, HMOs, nurse practitioners,
      paraprofessionals, and insurance coverage. Faith in technology will decrease,
      while appropriateness and accessibility of care for population groups now poorly
      covered will be emphasized.

PMID- 10245429
TI  - Statewide hospital productivity center offers managerial expertise, scientific
      standards.
AB  - The Texas Hospital Association's (THA's) nearly 600 member hospitals in 1977
      formed a statewide productivity center in response to rising labor costs, excess
      services and beds, uneven personnel allocation, activity duplication, and
      delinquent accounts. By developing and applying scientific standards formulas,
      and programs difficult for individual hospitals to implement, the center has
      increased productivity and cut costs.

PMID- 10245430
TI  - "Split management" corporation balances central authority, autonomy.
AB  - Three hospitals' boards of directors voted to create a multihospital split
      management corporation to allow each hospital to function effectively in a
      cooperative effort while retaining as much autonomy as possible. Each hospital
      preserves its mission and philosophy, selects its personnel, retains ownership of
      its assets, and receives specialized management expertise from the corporation,
      especially in budgeting and long-range planning.

PMID- 10245431
TI  - Woman has incapacitating pains after ovarian surgery.

PMID- 10245432
TI  - Nursing home patient discharged for noncompliance with rules.

PMID- 10245433
TI  - Catholic health care's mission: fact or myth?

PMID- 10245434
TI  - Institution acquires city land, avoids relocation.

PMID- 10245435
TI  - A patient care success story.

PMID- 10245437
TI  - Time waits for no one.

PMID- 10245436
TI  - Employee suggestion programs net hospital/patient savings.

PMID- 10245438
TI  - The impact of role clarity on job satisfaction for hospital managers.

PMID- 10245439
TI  - Pharmacy Q's & A's: communication problems.

PMID- 10245440
TI  - Material management Q's & A's.

PMID- 10245441
TI  - Evaluation of a new generation ethylene oxide sterilizer relative to reduction in
      operator exposure to ETO.

PMID- 10245442
TI  - What are the standard qualifications and compensation for hospital cardiologists?
      How are they selected?

PMID- 10245443
TI  - Shared services: a long term commitment or a short term fad?

PMID- 10245444
TI  - A quality control program for central supply.

PMID- 10245445
TI  - Beneficial by-products of decentralization.

PMID- 10245446
TI  - Timbrell reassures small hospitals.

PMID- 10245447
TI  - Nursing survival in the executive jungle.

PMID- 10245448
TI  - Administration in a bilingual community.

PMID- 10245449
TI  - Hospitals merge laundry operations.

PMID- 10245450
TI  - Contract services--food for thought.

PMID- 10245452
TI  - Australians find TV sets cut monitoring costs.

PMID- 10245451
TI  - Crombie isn't jumping the gun.

PMID- 10245453
TI  - Basic services vital for small pharmacy.

PMID- 10245454
TI  - Imaging from all points of view.

PMID- 10245455
TI  - Technique caters to hospital needs.

PMID- 10245457
TI  - Health ministers chart course for 80s. Interview by Nicole-Marie Squires.

PMID- 10245456
TI  - Should you invest in a solar energy system?

PMID- 10245458
TI  - Trustees have power--grab it and use it.

PMID- 10245459
TI  - Cut cleaning costs--it's all in the timing.

PMID- 10245461
TI  - Competence: the main determinant.

PMID- 10245460
TI  - Low morale spurs Canada's brain drain.

PMID- 10245462
TI  - Let's swing the pendulum back.

PMID- 10245464
TI  - Regulation: the fourth power.

PMID- 10245463
TI  - Hospitals: a triple play for power--defining who does what.

PMID- 10245465
TI  - New assertiveness among trustees.

PMID- 10245466
TI  - Community consumers seek access to the board room at Roxborough Memorial
      Hospital.

PMID- 10245467
TI  - From SAC's to DAC's--will consumers' voices be muted?

PMID- 10245468
TI  - HSAs and the representation of consumer interests: conceptual issues and
      litigation problems.

PMID- 10245469
TI  - Hospital cost containment: unpleasant choices, unpleasant prospects.

PMID- 10245470
TI  - Hospital cost containment: a voluntary program for Pennsylvania.

PMID- 10245471
TI  - Hospital cost containment: New Jersey's rate regulation system.

PMID- 10245473
TI  - The evolving practice of midwifery.

PMID- 10245472
TI  - Blue Shield and the nurse-midwives.

PMID- 10245474
TI  - Bakke-ing up the wrong tree.

PMID- 10245475
TI  - "Human rights" for FNGs.

PMID- 10245476
TI  - Training: key to efficient security system.

PMID- 10245477
TI  - BAD program increases employee cost awareness.

PMID- 10245478
TI  - Two approaches to energy conservation.

PMID- 10245479
TI  - Health sector vs. public utility regulation.

PMID- 10245480
TI  - Adaptation to environmental change: the board's role.

PMID- 10245481
TI  - Cost containment committees: slowing down the increases.

PMID- 10245482
TI  - Understanding professional job attitudes.

PMID- 10245483
TI  - Filling empty board seats.

PMID- 10245485
TI  - HSAs versus physicians--health planning adversaries.

PMID- 10245484
TI  - Primary care group practice: impact on a community hospital.

PMID- 10245486
TI  - Strengthening doctor's office/hospital ties.
AB  - Relations between the physician's office and the hospital are important to
      patients, physicians, and to the physician's office staff. Lack of communication,
      misinformation, and mistakes often can put unnecessary strain on the relationship
      and can cause conflict between the physician and his staff and the hospital.
      Several hospitals and their medical staffs have worked to promote good
      physician's office/hospital relations through programs that improve
      communications.

PMID- 10245487
TI  - Making pediatrics residency training a community affair.
AB  - A successful community pediatrics residency training program was created through
      a university/community hospital affiliation agreement. Residents get firsthand
      experience with children on an ambulatory basis through the special office
      rotation program, and they are exposed to a broad panorama of pediatrics that is
      not primarily tertiary in nature. Residents also become familiar with community
      hospital settings--the facilities that they will use most often in their careers.

PMID- 10245488
TI  - Developing an educational safety program for pharmacy employees.
AB  - The need for developing educational safety programs for pharmacy employees is
      discussed. A three-part program is offered as a guide for structuring a
      departmental safety program. Part I deals with environmental hazards such as wet
      floors, poor lighting, and cluttered walk areas. Precautions that should be taken
      to avoid accidental exposure to patients with communicable diseases are also
      included. Hazards that may result from improper handling of materials or
      equipment are addressed in Part II. Included are precautions for handling
      chemicals, needles, ladders, and electrical equipment. Proper methods of lifting
      heavy objects are also discussed. Part III details plans to protect staff members
      in the event of a fire. Plans for reporting fires and evacuating the pharmacy and
      hospital are discussed. The outlined program requires self-study by staff members
      during initial employee orientation, followed by annual retraining. Employees are
      tested and graded on safety topics, and training records are filed for future
      reference. The program outlined is thought to offer a simple yet effective means
      of acquainting staff members with established institutional and departmental
      safety procedures.

PMID- 10245489
TI  - Unit dose packaging for long-term mental health facilities.
AB  - A study was conducted by two mental health institutions to determine the usage
      and the cost of providing oral solid unit dosage medications to 1400 patients.
      The results in the two institutions were as follows: 1) 257,732 (12%) and 73,956
      (17%) doses were not commercially available; 2) 656 and 134 technician hours per
      year could be saved by employing a vendor packaging service; 3) only 119,802 (5%)
      and 66,627 (15%) of the doses were available commercially at little or no
      additional cost compared to bulk purchase; and 4) 1,856,752 (83%) and 298,712
      (63%) doses were available commercially at a premium price of $34,138 and $8,544
      per year. The unusually high quantity of medications not commercially available
      in unit dose packages and the high cost of purchasing those that are available
      may be the result of the specialized care provided by a mental health facility.
      Therefore, methods of providing unit dose products in acute-care hospitals may
      not be adaptable to mental health facilities or to other specialized care
      providers.

PMID- 10245490
TI  - Implementation of a unit dose distribution system for respiratory therapy
      medications.
AB  - The development and implementation of a comprehensive unit dose distribution
      system for respiratory medications is described. Initially, an evaluation of
      carts and unit dose packaging materials for respiratory medications was
      conducted. Subsequent to the selection, a unit dose processing and packaging
      program was developed in accordance with the Respiratory Therapy Medical
      Director's Standard Treatment Orders. A 24-hour exchange system, separate but
      paralleling the already operational unit dose system, was implemented. The
      primary advantages attributed to the implementation of this system were 1) a
      decrease in potential respiratory medication order interpretation/transcription
      errors; 2) a decrease in the waste of medication solutions; 3) a decrease in
      potential preparation errors by the respiratory therapists; 4) standardization
      and accuracy of respiratory medication dosages; and 5) a more equitable method of
      charging patients.

PMID- 10245491
TI  - Financing hospitals and clinical pharmacy services.
AB  - This article describes the existing health care operating environment and
      specifically details the reimbursement pressures within the hospital milieu. The
      paper outlines several financial management subjects that have special relevance
      to financing clinical pharmacy services. The process of developing new clinical
      pharmacy services which were subsequently approved for third-party payment is
      highlighted. The article optimistically concludes that new and extremely relevant
      clinically oriented pharmacy programs that offer valuable service to the patient
      population can be developed and implemented with approval for reimbursement.

PMID- 10245492
TI  - Education and training for computer-based reference services: review of training
      efforts to date.
AB  - This article raises several questions regarding training for computer-based
      reference services, including who is to be trained and who is responsible for
      training. It discusses these issues and then provides a summary of the training
      provided to date by search service suppliers, database suppliers, library schools
      and extension programs, library cooperatives, and professional organizations. The
      available training materials are also discussed. Some projections are made of
      likely future activities.

PMID- 10245493
TI  - Preparation and the hospitalized child.
AB  - The whys and hows of preparation for children with special emphasis on the young
      child. It discusses under what circumstances preparation is most valuable. The
      role of the parent as an essential ally in successful preparation is explored.
      The emotional "set" of the person doing the preparation is discussed. The very
      conscientious worker will be consoled that despite all earnest efforts there will
      be instances of failure.

PMID- 10245494
TI  - Parent aides: an intervention program in cases of child abuse and neglect.
AB  - The article describes a program at Childrens Hospital of Los Angeles that has
      developed a treatment modality for child abuse and/or neglect families using
      nonabusive parents as a critical link between the patient families and community
      and professional resources. A component of a larger intervention program, the
      Parent Aide Program involves nine aides recruited from the community and given
      orientation and training to some of the probelms of child abusing and neglecting
      families. Under supervision they are assigned to selected families identified at
      the hospital and function in a variety of ways. They provide many of the services
      of a "good neighbor" (e.g., emergency transportation and babysitting) as well as
      emotional support and encouragement.

PMID- 10245496
TI  - Association for the Care of Children in Hospitals: child life activity study
      section position paper.

PMID- 10245495
TI  - Association for the Care of Children in Hospitals: position statement on
      involvement of parents and families in health care settings.

PMID- 10245497
TI  - Going beyond the cosmetic: a Southern California community hospital supports
      design in depth.

PMID- 10245498
TI  - Red Cross Blood Center: Buffalo's new AIA award-winning facility designed by
      Hamilton Houston Lownie Architects.

PMID- 10245499
TI  - At Mount Sinai: John Saladino's prototype patient rooms presage a planned four
      floor renovation.

PMID- 10245500
TI  - The business aspects of hospital design.

PMID- 10245501
TI  - The hospital vacuum cleaner: mechanism for redistributing microbial contaminants.
AB  - Carpeting patient care units in acute care hospitals is increasingly common.
      While the safety of carpeting has been heavily debated, there has been little
      epidemiological data to document risk to the hospitalized patient. With the
      report of a two-year study documenting human contamination and potential
      colonization by microorganisms spread from hospital carpeting, a need was
      established to document modes of transmission. The objective of this study was to
      define the potential of hospital vacuums for dispersing particles of a size
      comparable to the microbial cell. Both filter efficiency and vacuum exhaust
      turbulence are evaluated. Results document that of eight units claiming high
      efficiency filtration, none was capable of meeting advertising claims. In
      addition, exhaust air velocities for one unit reached 175 feet per minute at 30
      inches above the floor.

PMID- 10245502
TI  - Comparison of a reality orientation program for geriatric patients with and
      without music.
AB  - Reality orientation (RO) is a technique used with patients exhibiting confused or
      disoriented behavior. The purpose of RO is to reverse or halt confusion, social
      withdrawal, and apathy characteristic of elderly institutionalized patients. The
      purpose of this study was to compare the effects of a traditional versus music
      based RO program. Eight residents of the Chateau de Notre Dame Nursing Home were
      randomly assigned to experimental and control groups. A pretest was administered
      to identify any significant differences in RO and behavior functioning between
      the two groups. The specific goals and objectives for the RO program were then
      formulated from information gathered on the pretest. The experimental group
      received two 30-minute music-based RO sessions a week for 8 weeks, while the
      control group received the same number of traditional RO sessions without music.
      Upon completion of the treatment, the posttest was administered to each subject.
      A two-way "mixed effects" analysis of variance was used to analyze the data. A
      significant interaction (p less than .05) was found between the groups and the
      treatment condition, with the control group remaining at the same level across
      trials and the group receiving the music-based RO showing marked improvement.

PMID- 10245503
TI  - Musical psychodrama: a new direction in music therapy.

PMID- 10245504
TI  - Litigation as a tool for social change.

PMID- 10245505
TI  - Mental health law and administration: who is "on the side of the angels"?

PMID- 10245506
TI  - Trends in hospital labor relations.

PMID- 10245507
TI  - Regulating the diffusion of hospital technologies.

PMID- 10245508
TI  - Self-image and age group perceptions of the institutionalized elderly.

PMID- 10245509
TI  - Geriatrics beyond 1980.

PMID- 10245510
TI  - The effects of socioeconomic characteristics and off-reservation contacts on the
      service awareness and usage patterns of elderly native Americans.

PMID- 10245511
TI  - Gerontological health care: from a hospital perspective.

PMID- 10245512
TI  - Does the aim of human medical experimentation affect its legal or ethical
      validity?

PMID- 10245514
TI  - Laundry and nursing departments should work together, says nurse.

PMID- 10245513
TI  - Artificial insemination and semen cryobanking: health and safety concerns and the
      role of professional standards, law and public policy.

PMID- 10245515
TI  - Two burn care units create serious stain removal problems.

PMID- 10245516
TI  - Soviet medicine from the inside: 2. Nothing works, including some doctors.

PMID- 10245517
TI  - A model for cost control? Not this teaching hospital!

PMID- 10245518
TI  - How to mine the silver lode in your office.

PMID- 10245519
TI  - How our model IPA went bankrupt.

PMID- 10245520
TI  - Electronic thermometry.

PMID- 10245521
TI  - ASTA evaluates findings of GAO report.

PMID- 10245523
TI  - Certificate of need revisions on the way.

PMID- 10245522
TI  - Thoughts on the salesmaker's nemesis -- inflation.

PMID- 10245524
TI  - The backbone of health care economics: community hospitals.

PMID- 10245525
TI  - Preferences of a proprietary hospital purchaser. Interview by James D. Snyder.

PMID- 10245526
TI  - Computers--use in health care.

PMID- 10245527
TI  - 'Surgicenters'--knifed by hospitals?

PMID- 10245528
TI  - HEW advisers eye physician 'oversupply'.

PMID- 10245529
TI  - Legal criteria for orders not to resuscitate: a response to Justice Liacos.

PMID- 10245530
TI  - How to make the Massachusetts patients' bill of rights work.

PMID- 10245531
TI  - What's right with patients' rights.

PMID- 10245532
TI  - Hospital engineering in the 1980s.

PMID- 10245533
TI  - Hospital industry leans toward GOP, but candidate support still divided.

PMID- 10245534
TI  - Step up discussions of SEIU-RWDSU merger.

PMID- 10245535
TI  - Defeat of Carter's cost cap bill confirms Voluntary Effort success.

PMID- 10245536
TI  - Consumers will have larger role in formulating healthcare policy.

PMID- 10245537
TI  - Planners warned of anti-reg mood.

PMID- 10245538
TI  - Diploma schools fight ANA proposal.

PMID- 10245539
TI  - Multiunits boost nursing's clout.

PMID- 10245540
TI  - Medicine turns to non-X-ray modes.

PMID- 10245541
TI  - Building costs rising, so find project financing now, analysts recommend.

PMID- 10245542
TI  - Hospital execs spend more time and money on trustee education.

PMID- 10245543
TI  - Recession will worsen in 1980, but with little impact on hospitals.

PMID- 10245544
TI  - Inflation boosting labor costs 9% from 1979's moderate 7.5% rise.

PMID- 10245545
TI  - Multilevel garages solve parking problems of land-locked hospitals.

PMID- 10245546
TI  - Hospitals shifting planning emphasis from facilities to programs, services.

PMID- 10245547
TI  - Court's decision uncovers some ambiguity in state's conscience law.

PMID- 10245549
TI  - Antitrust suit may affect all group purchasing.

PMID- 10245548
TI  - Healthcare antitrust litigation threatens shared services.

PMID- 10245550
TI  - Religious opposition raises cost of setting up 'test tube baby' lab.

PMID- 10245551
TI  - Employee benefits: no abortion benefits, no contracts.

PMID- 10245552
TI  - Closing hospitals won't generate any savings.

PMID- 10245553
TI  - Banks buy hospital bonds again.

PMID- 10245554
TI  - PRRB's independence questioned.

PMID- 10245555
TI  - See 14% design dollar volume rise; renovation's share grows rapidly.

PMID- 10245556
TI  - 1980 construction volume will rise sharply following slight dip in 1979.

PMID- 10245557
TI  - Alternative birth centers prove their popularity with patients, physicians.

PMID- 10245558
TI  - Facility replacement troubles boards.

PMID- 10245559
TI  - Hospital moves can run smoothly.

PMID- 10245560
TI  - New designs cut construction costs.

PMID- 10245561
TI  - Codes: too broad, too brief and inflexible.

PMID- 10245563
TI  - Small hospitals' computer usage will increase rapidly through 1983.

PMID- 10245562
TI  - Computer-design trims building cost.

PMID- 10245564
TI  - Administrator must share authority.

PMID- 10245565
TI  - Hospitals owe incapacitated patients extraordinary supervision and care.

PMID- 10245566
TI  - Accounting for multi-unit systems.

PMID- 10245567
TI  - I.V. manufacturers compete with new products, better management.

PMID- 10245569
TI  - Hospitals cut inventories by 20%.

PMID- 10245568
TI  - It's a nurse's market.

PMID- 10245570
TI  - Employe must complain to EEOC before feds force abortion payment.

PMID- 10245571
TI  - Financing healthcare: soaring rates force new strategies.

PMID- 10245572
TI  - Conservation and solar power bridge energy gap during 1980s.

PMID- 10245573
TI  - Hospitals turn to energy consultants.

PMID- 10245574
TI  - Basic, energy-conserving design principles take high priority again.

PMID- 10245575
TI  - HEW incentives depend on Philadelphia study.

PMID- 10245576
TI  - Garbage fires hospital steam boiler.

PMID- 10245577
TI  - Long paybacks slow solar power, but more widespread use expected.

PMID- 10245578
TI  - Boiler coal retrofit will save millions of dollars.

PMID- 10245579
TI  - Energy awareness nets savings.

PMID- 10245580
TI  - Pre-placement medical exams.

PMID- 10245581
TI  - Early disease detection services.

PMID- 10245583
TI  - Insurers urge catastrophic health plan.

PMID- 10245582
TI  - Buying first aid.

PMID- 10245584
TI  - Applaud health care quality, boo high cost.

PMID- 10245586
TI  - Hot shots: unauthorized photography.

PMID- 10245585
TI  - Patient acuity determines staffing at Miami Valley.

PMID- 10245587
TI  - Medical ethics and social reality.
AB  - The Ad Hoc Committee on the Principles of Medical Ethics of the American Medical
      Association currently is working to revise the Principles of Medical Ethics,
      first adopted in 1847 and last revised in 1957. In this article, the author
      examines the rapidly expanding and changing society that has made a revision in
      the Principles necessary.

PMID- 10245588
TI  - Instrument quality assurance for test result quality and laboratory operation.
AB  - To assure the quality of the clinical laboratory analytical process, each element
      composing that process must be tested for quality control--including the
      laboratory instruments. This article concerns itself with three areas of
      instrument quality control, areas which result in a prolongation of equipment
      life and a general improvement in laboratory quality.

PMID- 10245589
TI  - Training first-line supervisors to criticize constructively.

PMID- 10245590
TI  - Employee relations and union organizing campaigns.

PMID- 10245591
TI  - An EEO examination of employment applications.

PMID- 10245592
TI  - Illegal aliens: employment restrictions and responses.

PMID- 10245593
TI  - Seattle agency provides home care for shut-ins.

PMID- 10245594
TI  - Procedures for isolation techniques.

PMID- 10245595
TI  - Controlling linen usage.

PMID- 10245596
TI  - The dying patient.

PMID- 10245597
TI  - Parrying attacks on medical confidentiality.

PMID- 10245598
TI  - The public health issues in nursing home care.
AB  - Characteristics of patients in nursing homes and the nursing homes in the United
      States are reviewed. Issues concerning the selection of right nursing home for
      the right patient are discussed in the context of measuring the needs of the
      patient, describing the environment of the home, and involving the patient and
      family in the selection process so that the best patient-environment mix can be
      obtained. The major issues after nursing home placement relate to quality and
      cost of care. The problems in measuring quality of care in the nursing home are
      addressed, and a goal-attainment model is proposed for both quality assessment
      and cost containment. Examining alternatives to nursing home care and encouraging
      research into diseases that lead to placement in nursing homes are seen as high
      priority goals in the field.

PMID- 10245599
TI  - How to prepare a radiology policy and procedure manual.

PMID- 10245600
TI  - The impact of government regulation on radiology.

PMID- 10245601
TI  - Can radiologic technologists form their own collective bargaining unit within a
      hospital, exclusive of other employees?

PMID- 10245602
TI  - Radiologic administration: structure and style.

PMID- 10245603
TI  - Wealthier is healthier.

PMID- 10245605
TI  - How to succeed as a risk manager.

PMID- 10245604
TI  - A landmark decision re: the $3600 exclusion?

PMID- 10245606
TI  - Product liability and the vendors' endorsement.

PMID- 10245607
TI  - Adapting chronological stabilization to property risks.

PMID- 10245608
TI  - The psychosocial needs of the Chinese elderly.
AB  - Changing Chinese family patterns caused by immigration have contributed to the
      breakdown of traditional community and familial control in Chinese-American
      families. As a result, the Chinese-American elderly are faced with unique
      psychosocial problems that workers must consider when providing services to this
      population.

PMID- 10245609
TI  - The regulation of family involvement in deinstitutionalization.
AB  - Conflicting legal, administrative, and professional policies surround family
      involvement in the deinstitutionalization process. This article addresses these
      discrepancies and makes recommendations for developing effective and consistent
      channels of policy among social workers and other helping professionals.

PMID- 10245610
TI  - Short-term treatment with the adolescent client.
AB  - Short-term treatment is proposed as the treatment of choice for adolescents
      because it is consistent with the developmental needs and goals of that age
      group. Several case illustrations have been provided to show the value and
      benefit of such an approach for the adolescent client as well as for the
      therapist.

PMID- 10245611
TI  - Sex differences in the use of psychiatric outpatient facilities.
AB  - Previous research has shown that both symptoms and sociocultural factors are
      related to use of psychiatric outpatient facilities. However, the utility of
      using treatment rates from these facilities to make etiological inferences
      depends on whether sociocultural effects on utilization are trivial or
      substantial. In this paper data are presented for one such inference, that women
      are more in need of treatment than men. We find that observed sex differences in
      the use of a student psychiatric clinic are due both to differential propensities
      to seek help for problems and also to differential numbers of problems, both of
      which are higher among women than men. However, the differential propensity to
      seek help is found to be by far the more important of these two effects.

PMID- 10245612
TI  - Forecast '80: $9.5 billion bonanza.

PMID- 10245613
TI  - The hospital supply market in the '80's: a study.

PMID- 10245614
TI  - Case studies to challenge the nursing home activity coordinator.

PMID- 10245615
TI  - Therapeutic recreation services as a component of optimal health care in a
      general hospital setting.

PMID- 10245616
TI  - The marketing mystique.

PMID- 10245617
TI  - Hospital marketing: a first hand account.

PMID- 10245618
TI  - Marketing research tools for hospital management.

PMID- 10245619
TI  - Risk management education: program development--Part two.

PMID- 10245620
TI  - Cost containment ideas....the increase in silver has some significant cost
      considerations for hospital radiology departments.

PMID- 10245621
TI  - Crime victims compensation act.

PMID- 10245622
TI  - Marketing mania: a brief look at what the process is all about.

PMID- 10245623
TI  - "The recruitment effort is an extensive and time consuming one.".

PMID- 10245625
TI  - Pipeline or panic.

PMID- 10245624
TI  - Hospitals are $aving more than lives--the Texas voluntary effort: focus on the
      nursing shortage.

PMID- 10245627
TI  - Hospital auxiliary.

PMID- 10245626
TI  - The shortage of nurses.

PMID- 10245628
TI  - Risk management education program development.

PMID- 10245629
TI  - Nurse shortages: the growing crisis.

PMID- 10245630
TI  - Release of medical records.

PMID- 10245631
TI  - Quality assurance coordinator: what are the qualifications?

PMID- 10245632
TI  - The chairman's page: the nursing shortage.

PMID- 10245633
TI  - "Communicating information about the hospital's nursing program is the nurse
      recruiter's greatest challenge.".

PMID- 10245635
TI  - Report from Washington: the hospital cost containment issue.

PMID- 10245634
TI  - Psychotropic drugs: a constitutional right to informed consent.

PMID- 10245636
TI  - The legal perspective: leasing office space to physicians.
AB  - The leasing of space in medical office buildings should be undertaken only after
      a careful study of the tax, certification-of-need, and reimbursement
      consequences. Under some circumstances, income from the leasing of space is
      taxable, and the goal of achieving favorable tax consequences may conflict with
      the goal of achieving favorable CON and reimbursement results. The question of
      obtaining public charity status for a freestanding medical office building also
      should be addressed.

PMID- 10245637
TI  - Demystifying quality assurance.
AB  - At Methodist Hospital of Indiana, trustees participate as observers on certain
      medical staff committees. In addition to its educational and other advantages,
      the method has helped to increase understanding between trustees and medical
      staff members.

PMID- 10245638
TI  - Where have all the donors gone?
AB  - Hospital philanthropy is not going to vanish, although it may change with the
      changing society. Some observers believe that the hospital share of the
      philanthropic dollar may diminish in the future, but there are balancing
      circumstances suggesting that hospital philanthropy may grow instead of
      shrinking.

PMID- 10245639
TI  - Community responsibility ain't easy.
AB  - Although the confrontation politics of the '60s have mellowed, hospitals
      shouldn't be lulled into thinking that they have met all their community
      responsibilities. Hospitals can respond to their communities by, among other
      things, including community representatives on their boards, communicating with
      as many groups as possible, and seeking to reduce fragmentation and increase
      comprehensiveness of care.

PMID- 10245640
TI  - 'Mr. Trustee' as Under Secretary of Health, Education, and Welfare.

PMID- 10245641
TI  - Hospital trustees to face tough rationing decisions, analyst says.

PMID- 10245642
TI  - As I see it: the defeat of the Administration's cost control legislation.

PMID- 10245643
TI  - Pay parking brings new problems: six VA hospitals win exemptions; unrest
      continuing.

PMID- 10245644
TI  - Abortion services lacking in local areas, study says.

PMID- 10245645
TI  - The role of government in health-care delivery in the 1980s: private initiative
      or government coercion?

PMID- 10245646
TI  - A panel discusses health manpower legislation in the '80s.

PMID- 10245647
TI  - Federal health programs: the Health Services Administration.

PMID- 10245648
TI  - Productivity and efficiency in human service organizations as related to
      structure, size, and age.
AB  - A study of the relationship of productivity and efficiency to the organization's
      structure, size, and age (or "time") indicated that a highly centralized
      authority structure is the most powerful direct determinant of productivity and
      efficiency. Conclusions focus on the pervasive conflict between quality and
      quantity of services delivered and the implications of this for the human service
      administrator.

PMID- 10245649
TI  - Prescription drug use and patient education--the critical role of the pharmacist.

PMID- 10245650
TI  - Overcoming the barriers to pharmacist intervention in problems associated with
      the use of drugs--institutional pharmacy.

PMID- 10245652
TI  - Canadian physicians urge funding changes in Medicare program.

PMID- 10245651
TI  - AMA brief challenges FTC ad ruling.

PMID- 10245653
TI  - Physician-market analyst plans to develop medical investment banking firm.

PMID- 10245655
TI  - Patients urged to examine MDs.

PMID- 10245654
TI  - Budget outlook bleak for health programs.

PMID- 10245656
TI  - California MDs vote to set up bargaining unit.

PMID- 10245657
TI  - New hospital policy voted.

PMID- 10245658
TI  - Overdue accounts? Ten ways to minimize the problem now.

PMID- 10245659
TI  - New boom in alcoholism therapy brings growing pains to industry.

PMID- 10245660
TI  - Candidates' views on NHI.

PMID- 10245661
TI  - HCFA backs study of federal programs for reimbursing MDs.

PMID- 10245662
TI  - Civilian hospital use by military in wartime likely, Pentagon MD says.

PMID- 10245663
TI  - Protecting privacy.

PMID- 10245664
TI  - Dying as failure.
AB  - With the changes over the past forty years in the way people die and in the ways
      they are cared for when ill, the attitudes toward death have changed. When death
      seemed a metaphysical event, it commanded a kind of respect. Today, with the
      process of dying protracted--sometimes for years--it seems an evidence of
      failure.

PMID- 10245665
TI  - Moral and ethical dilemmas: seven years into the debate about human ambiguity.
AB  - Developments in modern medical technology force many questions upon the health
      professions and the public. To what extent should technology be used to extend
      life when doing so seems futile, perhaps brutal? Who should decide such
      questions? What options should be available? Conditions in which such questions
      arise are often chaotic because of the nature of illness and treatment and
      because many extremely important issues in life have been poorly deliberated by
      the health  professions and the public. This essay is an attempt to clarify some
      of the issues.

PMID- 10245666
TI  - Talking about death: patterns of lay and professional change.
AB  - For the past thirty years, researchers have surveyed attitudes of providers and
      patients to the disclosure of the diagnosis and prognosis to the dying cancer
      patient. Though the lay population has expressed the wish to know over time, a
      change in provider attitudes is apparent: physicians are now more likely to
      inform their dying patients of the truth than before. This trend is viewed
      against a number of precipitating factors: changes in perception of the impact of
      disclosure and changes in the basic ethical norms related to disclosure with new
      cohorts of younger physicians reflecting these changes. These correlate with
      changes in underlying social structure brought about in part by the shift to
      chronic disease as the paradigm for medical care. With increasingly
      bureaucratized health care delivery, the physician must collaborate with others
      who may hold different judgments about what ought to be disclosed. Some nurses
      not only find it right to disclose, but also in their professional interest. In
      such settings, honesty may be necessary to avoid conflicting messages to the
      patient. These shifts may signal underlying shifts in the sick role and in the
      medical professional role with the patient more active and more knowledgeable in
      medical decisions and the physician serving as a source of information and
      counsel.

PMID- 10245668
TI  - The hospice movement and its implications.
AB  - Hospices, unheard of in this country a few years ago, have become a fast-growing
      American phenomenon. They promise effective pain relief for terminal cancer
      patients as well as a warm, homey atmosphere where fear and loneliness are
      minimized. Hospices are basically a creation of the British and it is still
      unclear how--or even whether--the principles they embody can be successfully
      incorporated into American medicine. However, hospices can make an important
      philosophical contribution by showing the way toward removing the stigma attached
      to death. Hospice principles also have implications for all of health care, in
      emphasizing the importance of treating the whole person rather than just the
      disease.

PMID- 10245667
TI  - Nursing the dying: implications of Kubler-Ross' staging theory.
AB  - Society's failure to value the work of nurses, the professionals most frequently
      involved in the care of the dying, is attributed to a cultural definition of
      nursing as a second-class occupation and the public's need to deny the realities
      of the suffering and indignities often associated with the process of dying.
      Efforts within the field of nursing to improve the care of the dying, by shifting
      emphasis from a narrow physical focus to a more holistic patient and family
      focus, preceded the past decade's contributions of Elisabeth Kubler-Ross.
      Although her staging theory has been cited as having limitations in development
      and in interpretation, Kubler-Ross' influence towards increasing awareness of the
      needs of the dying and others experiencing major losses has been substantial as
      evidenced by many references to staging theory in nursing literature, by a marked
      increase in attention to holistic care of the dying in the basic and continuing
      education programs of nursing, and by specialty role development in nursing care
      of the dying. This decade has also witnessed the major growth of professionalism
      in nursing, including strides towards professional autonomy. Conflict with the
      traditional pattern of medical dominance and bureacratic constraints in
      institutions is inevitable, especially when the medical goal of cure is not
      attainable. Change to an interdisciplinary model of care is viewed as essential
      for optimal care of the dying and their families.

PMID- 10245669
TI  - Is death and dying merely an ethical issue?
AB  - Some people worry about the current tendency to ignore the distinction of
      religious and ethical issues in the area of death and dying. This article
      attempts to identify sources and consequences of such blending. One of the
      countries offering a microcosm of religious and ethical trends with regard to
      death and dying is the Netherlands. Issues identified in Dutch society are,
      therefore, being compared with similar listings in North American and European
      literature on death and dying. In an even more paradigmatic way the unfinished
      debate on the distinction between active and passive euthanasia remains
      representatives of a religious approach to death and dying.

PMID- 10245670
TI  - The health-care merry-go-round.

PMID- 10245671
TI  - On the critical list.

PMID- 10245672
TI  - Deregulation fever spreads to HEW's rules on using human guinea pigs.
AB  - The federal deregulation effort has reached all the way to the use of human
      guinea pigs in medical and social science experiments. But in the views of many
      critics, the Health, Education and Welfare Department hasn't gone far enough with
      its current proposal to add flexibility to the operations of the boards that
      review experiments involving human subjects at institutions that receive HEW
      research money.

PMID- 10245673
TI  - FTC is cautious about health-plan rule on eve of Senate debate of agency power.

PMID- 10245674
TI  - Administration studies ways to control some hospital costs without legislation.

PMID- 10245675
TI  - Health care and the poor.

PMID- 10245677
TI  - HMO option keeps costs down: survey.

PMID- 10245676
TI  - Alcohol abuse: employe benefit plans start to cover treatment as insurers alter
      attitude.

PMID- 10245678
TI  - Hospital execs start society.

PMID- 10245679
TI  - CS technician: a career job at St. Mary's.

PMID- 10245680
TI  - Shared CS: the norm in the United Kingdom. Interview by Dan Dildine.

PMID- 10245681
TI  - Handling small orders fast with a requisition/purchase order form.

PMID- 10245683
TI  - Pauley on purchasing: policies and procedures.

PMID- 10245682
TI  - Borrow and loan made simple.

PMID- 10245684
TI  - Anti-pilferage plan held legal in court.

PMID- 10245685
TI  - Blount Memorial aids county in trustee selection process.

PMID- 10245686
TI  - Subscriber advisory councils provide plans with informational pipeline.

PMID- 10245687
TI  - Patient opinion surveys: costly showpieces or valuable commodities.

PMID- 10245689
TI  - How to deal with Ma Bell.

PMID- 10245688
TI  - Engineers say heat exchangers can help cool off fuel costs.

PMID- 10245690
TI  - Patient telephone service: covering costs.

PMID- 10245691
TI  - Containing telephone costs--Part II.

PMID- 10245692
TI  - The competitive response of Blue Cross to the health maintenance organization.
AB  - The health maintenance organization (HMO) is an alternative to the traditional
      fee-for-service health care system in the United States. Other studies have shown
      that the HMO reduces hospital utilization and offers greater benefit packages
      than fee-for-service. This paper tests whether the presence of HMO's provides
      effective competitive pressure on Blue Cross, the largest insurer of hospital
      costs. The cross sectional regression analysis supports the hypotheses that Blue
      Cross has reduced hospital utilization and increased benefit packages in response
      to HMO competition. Consequently, competitive forces are shown to be operative in
      at least one area of health care.

PMID- 10245694
TI  - Victory in the House. Greater challenges seen for VE after House rejection of
      Carter cap.

PMID- 10245693
TI  - Looking ahead: HCFA in the 80s.

PMID- 10245695
TI  - Regulatory relief ideas for hospitals in '80s: some viewpoints from an observer.

PMID- 10245696
TI  - Cost containment: a permanent idea.

PMID- 10245697
TI  - Legal, ethical risks make doctors hesitant to stop life support systems. Part 3.

PMID- 10245699
TI  - Barry Hutchings, ASHFSA, forecasts hospital foodservice in the 80's.

PMID- 10245698
TI  - 1980: innovation or defeat?

PMID- 10245700
TI  - Staff and patient participation in decision-making in residential treatment
      programs.
AB  - The merit of increasing the involvement of staff and patients of residential
      treatment programs in decision-making has been discussed by numerous writers, but
      few studies have provided extensive measurement of this concept. The authors have
      developed a twenty-four-item scale that assesses in detail the nature and extent
      of participation by staff and patients in decisions about treatment planning and
      routine patient care.

PMID- 10245701
TI  - Silver: a futures commodity for hospitals.

PMID- 10245702
TI  - The hospital energists team: in place in Virginia.

PMID- 10245703
TI  - The personnel director: a cautious hero indeed.

PMID- 10245705
TI  - Deinstitutionalization: the church as a resource.

PMID- 10245704
TI  - The growing role of clergy in wholistic medicine.

PMID- 10245706
TI  - Deinstitutionalization: our Fairweather friends.

PMID- 10245707
TI  - Deinstitutionalization: mental health and religious community.

PMID- 10245708
TI  - Therapy improvement in two out-patient mental health clinics.
AB  - This study describes clients, therapists, treatment characteristics, and therapy
      outcomes for 551 consecutive, first-time clients at two out-patient mental health
      clinics. Significant improvement was found on target problems, global outcome
      ratings, and Hopkins Symptom Checklist scores for clients who mutually terminated
      therapy. The target problem and outcome ratings remained higher for this group
      than for dropouts at a six-month follow-up interview. Clients who improved most
      were those who were initially most uncomfortable and disturbed. Improvement was
      also strongly related to the number of therapy sessions. The implications of
      these and other results are discussed.

PMID- 10245709
TI  - Issues in mental health management and administration.
AB  - Administrators and middle managers from six CMHCs in Tennessee and Alabama were
      interviewed during site visits for the purpose of determining the main issues in
      mental health management. A step-by-step conceptual methodology was followed to
      process the field notes and interview responses. The views of a senior-level
      management professor specializing in mental health management and a senior-level
      professor in community psychology were used to further interpret and refine the
      results of this investigation. Although many diverse issues surfaced, an
      integrating theme emerged in the form of a need for management to motivate and
      inspire CMHC staff to a sense of mission.

PMID- 10245710
TI  - A study of coordination of services: referrals.
AB  - This article reports a study of referrals among social service and mental health
      agencies. Staff from human service agencies were interviewed about the process of
      referring and asked to make simulated referrals using mock clients constructed
      for this study. Interview data show lack of communication and inappropriate
      referrals as the biggest problems with the referral system. Interjudge agreement
      about the simulated referral choices was found to be not significantly different
      from chance. The data also suggest that agency staff refer on the basis of
      "habits" as much or more than on the basis of client problems. The frequency of
      inappropriate simulated referrals was relatively high (15%) considering that
      agencies included in the sample are large public agencies with broad definitions
      of what clients are appropriate for their services. Implications of these
      findings are discussed in terms of existing incentives for agencies to cooperate
      or compete and need for methodology to evaluate service delivery systems or
      networks.

PMID- 10245712
TI  - Director points out the advantages in bridging linen and housekeeping.

PMID- 10245711
TI  - Application of the training in community living program to rural areas.
AB  - In previous work, The Training in Community Living program has been shown to be
      an effective and feasible mode of community treatment for markedly impaired
      patients. However, questions have been raised regarding its potential for
      dissemination to clinical settings in communities other than Madison, Wisconsin.
      Described are successful experiences in consulting with three rural Wisconsin
      counties to help them establish community treatment programs modeled on Training
      in Community Living principles. Also described are the factors responsible for
      the success of these consultations.

PMID- 10245713
TI  - Executive housekeeper fights for 2nd laundry expansion.

PMID- 10245714
TI  - Columnist tells how to judge cost effectiveness of bed linen.

PMID- 10245715
TI  - Hospital loss control consultant tells how to prevent accidents.

PMID- 10245716
TI  - Planning--a cycle or a steamroller?

PMID- 10245717
TI  - Filing room.

PMID- 10245718
TI  - Discharge procedures including ward clerk involvement and HAA.

PMID- 10245719
TI  - The information room.

PMID- 10245720
TI  - "Do-it-ourself" health care plans--prescription for inflation.

PMID- 10245721
TI  - A practical approach to determining training-solvable problems.
AB  - Training is a necessity to progressive companies, but how do you decide which
      problems would benefit from it? The authors' model, based on current literature
      and consulting experience with a large organization, stresses the importance of
      using existing data for a more exact and cost-effective diagnosis.

PMID- 10245722
TI  - A neglected and intelligent alternative to arbitration is finally coming of age.
AB  - Although not a substitute for arbitration, grievance mediation can be an
      effective, readily available and inexpensive means of resolving some disputes.
      Educator/arbitrator Bowers also sees it as an unjustly neglected preventive
      measure and seeks here to remedy that neglect by examining mediation's role in
      labor relations.

PMID- 10245723
TI  - Starting an assessment center the correct way.

PMID- 10245724
TI  - Controversy over physicians on Blue Shield boards.

PMID- 10245725
TI  - Rural practice: why some physicians prefer it.

PMID- 10245726
TI  - How to establish physicians' salaries in group practice.

PMID- 10245727
TI  - Coping with OSHA.

PMID- 10245728
TI  - Abortion policy in Britain and the United States.
AB  - This article compares the number of legal abortions performed in the United
      States and Great Britain. It reveals that the rate of abortion in the United
      States is more than twice that of Britain. The author analyzes the reasons for
      the different rates.

PMID- 10245729
TI  - Use of the telephone in child play therapy.

PMID- 10245730
TI  - How to conserve O.R. garments.

PMID- 10245731
TI  - Survey on hospital penetration of rental service.

PMID- 10245733
TI  - A sewing room that cuts costs.

PMID- 10245732
TI  - Significant issues in medicine and law 1978-1979.

PMID- 10245734
TI  - A voice of reason: balancing new technology with health & safety.

PMID- 10245735
TI  - VA clinic saves space with automated records retrieval.

PMID- 10245736
TI  - Health Resources Administration: determination of population of health service
      areas.

PMID- 10245737
TI  - Medical participation in control of certain open-panel medical prepayment plans:
      Federal Trade Commission. Request for comment and advance notice of proposed
      rulemaking.
AB  - This Notice requests comments on two staff reports dealing with medical
      participation in control of Blue Shield and certain other open-panel medical
      prepayment plans and on alternative courses of action that the Commission might
      take to deal with this subject, one of which might be rulemaking.

PMID- 10245739
TI  - Health Resources Administration--grants to state health planning and development
      agencies, determination of population of the states.

PMID- 10245738
TI  - Food and Drug Administration--infant formulas; interim guidelines for nutrient
      composition; notice to manufacturers, packers, and distributors. Notice.
AB  - The Food and Drug Administration (FDA) is announcing in this notice a statement
      of policy concerning interim guidelines for the nutrient composition and nutrient
      levels in infant formulas. The recommendations on standards for nutrient levels
      in infant formulas made by the Committee on Nutrition of the American Academy of
      Pediatrics in 1976 should be followed by infant formula manufacturers as interim
      guidelines until revision in the existing infant formula nutrient composition
      regulation (21 CFR 105,65) is completed.

PMID- 10245740
TI  - Hospitals and the government.

PMID- 10245741
TI  - Meals on wheels: how to turn victory into defeat--and back into victory.

PMID- 10245742
TI  - Floor maintenance.

PMID- 10245744
TI  - Medical costs and the drug industry.

PMID- 10245745
TI  - Minn. hospitals challenge state in maternity case.

PMID- 10245743
TI  - NLRB bid to ease recognition of unions in nonprofit hospitals fails in top court.

PMID- 10245746
TI  - Apathy over HMOs.

PMID- 10245747
TI  - Nurse/midwives: most Blues plans won't pay.

PMID- 10245748
TI  - Pressures are building: extended health or medical benefits to workers in the
      event of layoffs or plant shutdowns.

PMID- 10245750
TI  - Should doctors be on hospital boards?

PMID- 10245749
TI  - The right to die by choice. (Whose life is it, anyway)?

PMID- 10245751
TI  - Cessation of treatment--euthanasia--suicide of patients.

PMID- 10245752
TI  - Euthanasia.

PMID- 10245753
TI  - Sterilization.

PMID- 10245754
TI  - The current judicial interpretation of the 1969 abortion law.

PMID- 10245756
TI  - Technology in nonhospital medicine.

PMID- 10245755
TI  - Moral leadership in a socialized health care system: a new challenge to Catholic
      health care service.

PMID- 10245757
TI  - Clinical engineering practices: BMET training at the high school level.

PMID- 10245758
TI  - Engineering in health care: technology transfer.

PMID- 10245759
TI  - IAHCSM releases salary survey.

PMID- 10245760
TI  - Hospital stays decline for Blues' patients.

PMID- 10245761
TI  - Implementing a perpetual inventory system.

PMID- 10245762
TI  - Centralized vs. decentralized purchasing.

PMID- 10245763
TI  - Health care in America: a purchaser's perspective.

PMID- 10245764
TI  - The relationship of institutional planning to areawide planning.

PMID- 10245765
TI  - Changes in Tennessee Certificate of Need program.

PMID- 10245766
TI  - Data for health planning.

PMID- 10245767
TI  - The fiscal crisis of New York City: the conflict in allocation of resources to
      the public and private health sectors.

PMID- 10245768
TI  - Surgical intensive care unit--University of Rochester Medical Center.

PMID- 10245769
TI  - Opting out of social security: a multihospital system tells why it quit.

PMID- 10245770
TI  - Hospital merger in Buffalo yields first-year savings of $700,000.

PMID- 10245771
TI  - Work effectiveness programs.

PMID- 10245772
TI  - Setting 'service levels'--a practical approach to measuring departmental
      performance.

PMID- 10245773
TI  - A method for post-marketing screening of adverse reactions to drugs: initial
      results.
AB  - The FDA is pilot-testing a methodology for signaling previously unsuspected
      relationships between drugs and important adverse events. This method uses data
      it receives through the FDA spontaneous reporting program. Reviewing drugs used
      primarily on an outpatient basis, this screening methodology focuses on "tracer"
      adverse events and the organization of these reactions into body/functional
      systems. This review process enables a clinical evaluator to perceive more easily
      the clinically important drug-adverse event patterns. The method can incorporate
      drug use data; this enables a drug's proportional share of specific adverse
      events, relative to its therapeutic class, to be compared to its respective
      proportional share of drug use. The assumption is that the adverse event
      distribution of drugs in a therapeutic class should be the same as the
      distribution of drug use in that class, if all drugs in the class were to carry
      the same risk. Actual examples of drug-adverse event associations signaled by the
      screening method are presented. The potential uses of this methodology in other
      settings, and under other data situations, are discussed.

PMID- 10245774
TI  - Legal and ethical issues in clinical pharmacy research--informed consent, Part I.
AB  - The continued growth of hospital and clinical pharmacy should be paralleled by
      the development of sound research methods justifying innovative practices. Such
      research will, on occasion, require experimentation involving human subjects. The
      principal means of assuring that the welfare of research participants is not
      compromised is through the procurement of effective informed consent.
      Pharmacists, like many other health professionals, have had relatively little
      exposure to methodology involved in the writing of an informed consent
      instrument. A comprehensive document must not only conform to the requirements of
      federal regulatory agencies, but must also satisfy various institutional
      guidelines. Past instances of unethical human experimentation are discussed, and
      a format for preparation of an informed consent instrument is examined.
      Circumstances requiring informed consent and identification of the basic elements
      of consent are also explained.

PMID- 10245775
TI  - The patient package insert--rhetoric versus logic.

PMID- 10245776
TI  - The Mississauga "saga".
AB  - At approximately seven minutes to midnight on Saturday, November 10, 1979, a
      Canadian Pacific Railway (CPR) train travelling from Windsor to Scarborough,
      Ontario, was derailed in an industrial area in the centre of Mississauga in Peel
      County (near Toronto). The accident was attributed to an overheated axle bearing
      on a propane tank car. The resultant fire which ignited the gas created a huge
      column of fire that lit up the sky. Firefighters noticed the flames from their
      stations. The nine fire stations in Mississauga were alerted and the first units
      arrived on the scene at 2355 hrs. (In 15 minutes, 55 firefighters were on the
      scene, and within the next half hour there were 110). This was the start of what
      was to result in the largest peace-time evacuation in recorded history. What
      follows is an account of the events that took place during the tense days that
      followed, and includes information available as of 17 December 1979.

PMID- 10245777
TI  - Social work in EMS.

PMID- 10245778
TI  - Some specific problems in the care of the geriatric patient.

PMID- 10245779
TI  - Levels of training for a rural state.

PMID- 10245780
TI  - Caring for the geriatric patient.

PMID- 10245781
TI  - Dealing with death.

PMID- 10245782
TI  - Essentials and guidelines of an accredited educational program for the EMT-P.

PMID- 10245783
TI  - Needs assessment for continuing education: a guide for EMT instructors and
      training officers.

PMID- 10245784
TI  - Hassle management workshop.

PMID- 10245786
TI  - Emergency vehicles and the speed limit.

PMID- 10245785
TI  - Burnout: the most probable causes and the most likely solutions.

PMID- 10245787
TI  - Rural EMS problems.

PMID- 10245788
TI  - Women in health care: today's goal is strength through unity.

PMID- 10245789
TI  - Evaluations of patient education programs: a meta-analysis.
AB  - A literature search located 23 evaluations of patient education programs that
      utilized a randomly selected control group (i.e., an experimental design) or a
      nonequivalent control group (i.e., a quasi-experimental design), Meta-analysis
      procedures were used to combine the findings of these studies. The effect size
      for each of 102 dependent variables was derived from the mean of an experimental
      group and the mean and standard deviation of an untaught control group. The
      effect size is a =-score that can be converted into the mean percentile rank of
      taught patients relative to the untaught controls. The mean effect size for all
      studies was .74, which is equivalent to improving the average taught patient from
      the fiftieth to the seventy-seventh percentile relative to the untaught patient
      group. Suggestions for improving the usefulness of patient education research
      design and report content are discussed.

PMID- 10245790
TI  - Organizational effects on mentally retarded adults: a longitudinal analysis.
AB  - Normalization has gained wide acceptance as a goal that residential
      institutations for the mentally retarded should strive to achieve, but many
      organizations have been shown to have difficulty achieving the goal. Theories
      developed from the organizational contingency perspective suggest that
      organizations with bureaucratic structures will have particular difficulty
      accomplishing the nonroutine tasks associated with normalization. Our major
      purpose was to test the usefulness of such theories for the evaluation of mental
      retardation facilities by ascertaining whether a less bureaucratic organization
      for the mentally retarded would achieve greater success than a more bureaucratic
      organization. The closing of a large public hospital and the subsequent transfer
      of most of its residents to two new facilities (one of which was more
      bureaucratic than the other) allowed us to examine bureaucracy's effect on
      treatment. As predicated, the analysis showed that the less bureaucratic
      organization produced a greater average positive change in behavior than did the
      more bureaucratic organization. A number of clinical and demographic
      characteristics of the residents which could have influenced the observed changes
      in behavioral level were identified and controlled. They were not found to
      explain the differences between facilties. Other factors, which could not be
      controlled in this study, provide suggestions for future research.

PMID- 10245791
TI  - Synthesizing the interests of consumers, citizens, and administrators in
      gathering client feedback.

PMID- 10245792
TI  - On philanthropy today and tomorrow. Interview by James H. Mooney.

PMID- 10245793
TI  - Snatching capital campaign success from jaws of failure.
AB  - This article details the steps of one medical center which turned an "almost"
      $3.1 million capital campaign into a success. Leadership provided the steps to
      victory for a development director who stepped into a job with the high prospects
      of failure. In two years, he made his goal.

PMID- 10245794
TI  - "Hospitals face image problems which affects all non-profits".

PMID- 10245795
TI  - Quality assurance and risk management: linking both benefits all.

PMID- 10245796
TI  - Kellogg grant fuses quality and delivery: a prototype program to fit many
      settings.
AB  - Just as any business enterprise involving many personal interactions, group
      practice medicine can suffer from organizational parallax, narrowed by time, and
      resulting from one-sided views of its own decision-making. Indeed, that is why
      accreditation reviews of groups take into account broad happenings within a
      medical practice as observed by outsiders. Aside from the all-important medical
      record, source materials for such reviews include questionnaires on the logical
      processes of care, educational activities of the staff in all departments,
      technological support, ethical considerations and overall environment. This
      article takes a look at quality assurance-in an innovative form--within group
      practice. The type of program detailed in it was first put to the test in 1975,
      by the St. Louis Park Medical Center, Minneapolis, in conjunction with a grant
      from the W. K. Kellogg Foundation to St. Louis Park, and to the Minneapolis-based
      firm InterStudy.

PMID- 10245797
TI  - Technology and group diseases: treatment calls for planning, consultative
      approach.

PMID- 10245798
TI  - Ambulatory care accreditation: an historical overview of AGPA's role.

PMID- 10245799
TI  - Foreign medical graduate legislation and its impact on international relations.

PMID- 10245801
TI  - "...A very present help in trouble.".

PMID- 10245800
TI  - The physician's dilemma: when to let go.

PMID- 10245802
TI  - Why I am leaving a rural practice.

PMID- 10245803
TI  - Recertification or retreat?

PMID- 10245804
TI  - GAO challenges planning group's savings claims.

PMID- 10245806
TI  - Hospitals: a link to alcoholism treatment.

PMID- 10245805
TI  - Communication problems on the job.

PMID- 10245807
TI  - Conducting a successful survey.

PMID- 10245808
TI  - Compensation for HMO physicians: pay policies for staff retention and motivation.

PMID- 10245809
TI  - Nucleus hospitals: blending old into new.
AB  - A new nucleus hospital at Macclesfield will in three years' time form the
      keystone of a totally modernised district health service. Meanwhile, 40 miles
      away at Chester, a similar nucleus scheme is being built using a new type of
      contract which the DHSS hopes will enable hospitals to be built more quickly,
      more cheaply. Benjamin Marsh traces the history and the implementation of these
      schemes.

PMID- 10245810
TI  - Health administration: sensible medicine not radical surgery for NHS ills.
AB  - In Nick Davidson's second article on government expectations for saving 30m
      pounds by streamlining NHS administration, he looks at non-management costs and
      asks what kind of savings could be made. He examines Beckenham Hospital's savings
      committee which is exploring methods of cutting costs without affecting patient
      services.

PMID- 10245811
TI  - Joint care: what the parents want.
AB  - No-one knows better than the parents of mentally handicapped children what
      facilities should be available for their short-term care, but they are not often
      asked. The North Tyneside Planning Group for the Mentally Handicapped did ask.
      Dave Bromley, senior administrative assistant, North Tyneside AHA and Tim Lister,
      clinical psychologist, Northumberland AHA explain that the results indicate the
      need for a flexible service.

PMID- 10245812
TI  - Hospital life: a contrast in Cambridge.
AB  - Dr John Addenbrooke, born 300 years ago, left 4,500 pounds in his will to found a
      hospital for the poor in Cambridge. Today, Addenbrooke's Hospital occupies two
      sites which could not be more of a contrast--a fine old building dating from 1766
      and a huge new hospital which is a monument to 1960s design. On her visit, Alison
      Hyde found out about the current problems and possible future developments at
      'old' and 'new' Addenbrooke's.

PMID- 10245813
TI  - Health insurance: an eye on American welfare.
AB  - One of the great myths about the United States is that it does not have a welfare
      state. The myth is largely founded on the fact that America is one of the few
      remaining western nations with no national health insurance scheme to protect its
      citizens against the crippling costs of medical and hospital care. However, that
      does not mean that the United States does not have an extensive welfare system,
      writes John Draper.

PMID- 10245814
TI  - The patient iceberg: some characteristics and variations in consultation
      behaviour.
AB  - From the recent interest in the field of illness and consultation behaviour shown
      by medical sociologists, and from the much larger volume of epidemiological data
      available, some interesting facts about patients' use of their general
      practitioner have emerged. Despite increasing interest there remain a number of
      anomalies or 'grey areas' which merit much more attention from both sociologists
      and those who administer or practice professional medical care at the primary
      level.

PMID- 10245815
TI  - Open for business as usual.
AB  - Mount Vernon Hospital's new burns unit, opened in 1974, has been closed--the
      research programme being run there ended prematurely and the fabric of the
      building itself mysteriously deteriorated. Until it can be re-opened, work
      continues as usual back in the old burns unit where, as Alison Hyde found, a
      friendly atmosphere and a high staff/patient ratio compensate for the cramped,
      old-fashioned ward.

PMID- 10245816
TI  - If you have tiers to shed, shed them for the patient.
AB  - If the NHS has one tier too many, perhaps this is true also of the nursing
      management structure inherited from Salmon. John Pealing, district nursing
      officer, SE Staffs, and based at Burton-on-Trent, describes a structure in which
      nursing officers are accountable to the divisional nursing officer, without an
      intervening tier of SNOs.

PMID- 10245817
TI  - Courting the idea of national health.
AB  - Compromise is the name of the game as America works towards a system of health
      insurance. In the run up to the presidential elections, John Draper looks at the
      current legislative proposals and their chances of survival in a country which
      has always shied away from 'socialised' health care.

PMID- 10245818
TI  - Information at the touch of a button.
AB  - At a time of increasing interest in the development of computerised supplies
      information systems, N. Evers-Crabtree, K. Haworth and J. Batchelor describe the
      development and implementation of an on-line stock control and stores accounting
      system in North Western RHA.

PMID- 10245819
TI  - Health administration: good communication is the key to success.
AB  - Chris Barrett, area pharmaceutical officer, City and East London AHA, starts the
      Journal's series of articles on the organisation of pharmaceutical services by
      outlining the administrative structure and considering the role of regional, area
      and district pharmaceutical officers. He says that it is essential that all three
      should form good working relationships if there is to be a good service.

PMID- 10245820
TI  - Domestic management in the eighties: at the hub of the hospital wheel.

PMID- 10245821
TI  - Domestic management: first and foremost--home.
AB  - Domestic management of mental handicap hospitals presents a challenge to staff
      who often have to cope with outdated methods of cleaning, difficult areas to
      clean, and insufficient money to spend on new equipment. Catherine Jones, a
      domestic services manager, outlines some of the problems of management in this
      type of hospital.

PMID- 10245822
TI  - Domestic management: value for money training.
AB  - 'Nellie' can still train 'Nellie'--to a point, but in order to obtain value for
      money in health service domestic management attention must be given to the need
      for more technical input. Inez Oliver reviews the training facilities available.

PMID- 10245823
TI  - Domestic management: nemesis for pharaoh's ant.
AB  - Apathy and ignorance about pest infestation and the health risks involved are the
      subject of an article by Norman Southam, who discusses the use of pesticides and
      measures to control and eradicate many pests which thrive in many hospitals
      today.

PMID- 10245824
TI  - Check your telephone bill.
AB  - A careful check on the Westminster Hospital's telephone system showed that, among
      other things, the hospital was being charged for extensions which did not exist.
      Eventually the Post Office made a rebate of nearly 15,000 pounds. D. V. Hodgson,
      telephone supervisor, and T. J. Townend, district residences manager, tell how
      this was achieved and what steps have been taken to see the hospital is not over
      charged in the future.

PMID- 10245825
TI  - Pharmacy: training for co-operation.
AB  - Pharmacists today are called upon to use a wide range of skills but their
      training, at present, lacks well-defined aims. In the second of the Journal's
      series on the organisation of pharmaceutical services, Dr E. Fullerton, regional
      pharmaceutical officer, North West Thames RHA, suggests some guidelines for the
      development of pre-registration and continuing in-service education.

PMID- 10245827
TI  - Materials management plays leadership role.

PMID- 10245826
TI  - Patients First: in the light of the last six years.
AB  - Patients First has proposed a reduction in the number of health service
      administration tiers. Ellie Scrivens, lecturer in social administration and
      health services research in the department of community medicine at St Thomas's
      Hospital Medical School, welcomes this but feels there are contradictions and
      omissions to be rectified before reorganisation begins.

PMID- 10245828
TI  - The new product committee looks at old products.

PMID- 10245829
TI  - Materials management in the small hospital.

PMID- 10245830
TI  - Are you setting proper priorities for your job?

PMID- 10245832
TI  - Six components control hazards in hospital environment.

PMID- 10245831
TI  - Pick your targets for price cuts in 1980.

PMID- 10245833
TI  - Does your hospital safety program meet JCAH standards?

PMID- 10245834
TI  - Suggested procedures for disposing hospital solid waste.

PMID- 10245835
TI  - Procedures for the hospital library.

PMID- 10245836
TI  - Recruiting and interviewing.

PMID- 10245838
TI  - Pitfalls in operational policies.

PMID- 10245839
TI  - Queen's Medical Centre, Nottingham.

PMID- 10245837
TI  - $57,000 in thirty days.

PMID- 10245840
TI  - The organisation of NHS supplies services 1948-1980.

PMID- 10245841
TI  - Large institutions reconsidered: an approach to the management of transition.

PMID- 10245842
TI  - A policy group at work--lessons learnt.

PMID- 10245843
TI  - Computerised scientific equipment listing for planning and management in the NHS.

PMID- 10245844
TI  - Beyond the programme budget: economics and resource planning in the NHS.

PMID- 10245845
TI  - Union decertification: three ways to lose the election.

PMID- 10245846
TI  - Why nurses join unions.

PMID- 10245847
TI  - Hospital strikes under the health care amendments.

PMID- 10245848
TI  - Communicating during a strike threat.

PMID- 10245849
TI  - Flying rescue team handles wilderness emergencies.

PMID- 10245850
TI  - AWH needs assessment results analyzed.

PMID- 10245851
TI  - Excessive hospital costs: guilty or not guilty?

PMID- 10245852
TI  - "Death counseling" -- more professionals needed.

PMID- 10245853
TI  - Hospital unions: which way for the West?

PMID- 10245854
TI  - Hospital records: friends or foes in the courtroom?

PMID- 10245855
TI  - Attorneys outline basics of IC malpractice cases.

PMID- 10245856
TI  - Quality-of-care index shows board how hospitals rate.

PMID- 10245857
TI  - JCAH responds to legal questions raised over QA standard.

PMID- 10245858
TI  - Liability, role of trustees affected by QA standard, says administrator.

PMID- 10245859
TI  - Patient reps in the ER: an asset to your QA program.

PMID- 10245861
TI  - Bishop links involuntary sterilization to other ethical-moral issues.

PMID- 10245862
TI  - Neighborhood clergy advise, assist hospital in pastoral care program.

PMID- 10245863
TI  - State questions tax-exempt bond financing for Catholic hospitals.

PMID- 10245860
TI  - Expert urges expanded functions for patient reps.

PMID- 10245864
TI  - Hospital charged as vendor in impure blood transfusion.

PMID- 10245865
TI  - ER treatment fails to meet reasonable standard of care.

PMID- 10245866
TI  - Canada's NHI needs fiscal realism, hospital autonomy, consumer responsibility.
AB  - Government-sponsored health care programs must have limits if they are to be
      effective and cost-cutting. Canada's experience with a national health insurance
      plan indicates that long-range planning, a measurable definition of health, and
      consumer responsibility are necessary ingredients.

PMID- 10245867
TI  - Sponsoring congregations' answer to McGrath Thesis: corporate control.
AB  - Fr. Maida refutes McGrath's Thesis and posits that Catholic health care
      facilities face special corporate, financial, and theological administrative
      issues. By maintaining corporate control of the institutions they sponsor,
      religious congregations can determine institutional policies consistent with
      church teachings.

PMID- 10245868
TI  - Rating departmental tasks: a tool for accountability.

PMID- 10245869
TI  - GAO's report on hospital purchasing: discrepancies, buried conclusions.

PMID- 10245870
TI  - The midwife in Taiwan: an alternative model for maternity care.

PMID- 10245871
TI  - Judging drugs: patients' conceptions of therapeutic efficacy in the treatment of
      arthritis.

PMID- 10245872
TI  - Ethnomedical beliefs and patient adherence to a treatment regimen: a St. Lucian
      example.

PMID- 10245873
TI  - Body concepts and health care: illustrations from an Egyptian village.

PMID- 10245874
TI  - Physician surplus: the specialty of internal medicine.

PMID- 10245876
TI  - Physician surplus: the role of specialists.

PMID- 10245875
TI  - Physician surplus: allied health professionals.

PMID- 10245877
TI  - A coming glut of doctors?

PMID- 10245878
TI  - Physician surplus: blessing or burden? Keeping up with the competition.

PMID- 10245879
TI  - Physician surplus: blessing or burden? How will quantity affect quality?

PMID- 10245880
TI  - Physician surplus: blessing or burden? Comparing the financial options.

PMID- 10245881
TI  - Thumbing through medical records: easy access? No easy answers.

PMID- 10245882
TI  - Thumbing through medical records: from hieroglyphs to computers.

PMID- 10245883
TI  - Future directions in national health policy for the United States.
AB  - Unlike other countries which have established some form of national health
      insurance, the United States is debating this profound social program in facing
      all problems of financing and managing personal health services simultaneously:
      elimination of cost at time of service, sharing this cost equitably through the
      tax system, distributing the services equitably goegraphically, controlling
      rapidly rising costs and managing the organizational structure of services.
      Originally in other countries the primary objectives were to free citizens of the
      burden of costly illnesses, improve access across income groups, and share the
      costs more or less equally. Now other countries are expressing the problems found
      simultaneously by the United States. It is argued that universal and
      comprehensive national health insurance spreads money and resources so thinly
      that specific and important problems such as pockets of high infant mortality or
      curable diseases are obscured and ignored. The United States sould set up a
      health program which targets specific problems and mitigates high cost episodes
      rather than indulge itself in a comprehensive and universal national health
      insurance. This proposal is not politically feasible, however, and predictions
      are made as to what will happen in the United States within the politically and
      culturally determined range of debatable options.

PMID- 10245884
TI  - Effects of financial incentives on physicians' specialty and location decisions.
AB  - Available information is reviewed on the effects of financial incentives on
      physicians' specialty and location decisions. Income of physicians varies by
      specialty and geographic area, but evidence is limited on the effects of these
      differences on career decisions. Only two studies have been done on the
      relationship of oncome to specialty choice. These studies showed that the impact
      of income on specialty choice, if any, is weak. Studies on the relationship of
      both reimbursement levels and income to physician location choice generally
      concluded that there is a small, positive correlation between these financial
      factors and physician density. Thus, increasing physicians' income appears to be
      viable public policy for attracting physicians to underserved areas. Though rough
      estimates are calculated of the cost of attracting additional physicians, based
      on studies reviewed, conclusions on costs of incentive programs are premature.

PMID- 10245885
TI  - The decision-making process: implications for the medical school organization.
AB  - In this article, the authors make use of some contemporary models of decision
      making to show how the process of decision-making can become more self-conscious,
      and thus both more enlightened and more assured. The approach is an examination
      of several models examined both from the perspective of the steps in the process
      itself, as well as general observations about the decision-making process. The
      practical focus is on the medical school organization with its unique
      characteristics. This article also examines the decision-making process through a
      comparison of two types of organizational structure (pyramidal and matrix) found
      in most medical schools. Certain constants emerge from this article that
      positively enhance good decision-making. These elements are: (1) the rapidity of
      change; (2) the critical need for a wide range of alternatives; (3) an
      understanding of both the organizational structure and human factors involved;
      and (4) the necessity of involving others in the decision-making process. By
      analyzing various modes of decision-making and presenting options, this article
      should be of real assistance to administrators.

PMID- 10245887
TI  - Electronic fetal monitoring: is it effective? Is it safe? Office of Technology
      Assessment.

PMID- 10245888
TI  - Electronic fetal monitoring: are federal and state controls effective? Is HSA
      planning relevant?

PMID- 10245886
TI  - Assuring professional competence in medicine: expectations of the public.
AB  - A trend toward increased public involvement in assuring professional competence
      in medicine has resulted as an outgrowth of the consumer movement, the public
      disenchantment with many traditional institutions, including professions, and
      broad social acceptance of the concept of health care as a basic human right.
      Expectations of consumers and the public include a broader definition of
      professional competence which includes caring and ability to communicate as
      aspects of curing. Knowledgeable consumers are concerned that inadequate
      safeguards exist to preclude physicians from practicing beyond their scope of
      competence and to assure continued competence of a physician over time. While
      assuring competence is the responsibility of the medical profession, it serves a
      public function and must be held accountable to public and consumer interests.
      Consumers should be involved more directly in the process. They can bring
      valuable judgment to the human questions relating to competence. They can bring a
      more holistic and humanitarian view to the process. Involvement of consumers,
      particularly in relation to hearing grievances, would serve to increase public
      confidence in certifying institutions. They can help assure that public, not
      merely professionals, interests are served: To assure that consumer
      representation makes a significant contribution, consumer members of certifying
      bodies should be provided with adequate orientation, continued training and
      direct staff assistance to aid in understanding technical issues and evaluating a
      technical recommendations.

PMID- 10245889
TI  - What's in it for us? A consumer analysis of the 1979 Health Planning Act
      amendments.

PMID- 10245891
TI  - Hospital closings--a national problem.

PMID- 10245890
TI  - What is happening in the struggle to obtain a sensible reimbursement system for
      nurse-midwives in Pennsylvania?

PMID- 10245892
TI  - Health systems agencies and their role in the Hill-Burton program.

PMID- 10245893
TI  - Why medicine is failing.

PMID- 10245894
TI  - Whom do providers represent?

PMID- 10245895
TI  - The holistic health movement: challenges to health planning.

PMID- 10245896
TI  - Occupational health: a new focus on prevention for HSAs.

PMID- 10245897
TI  - Emergencies with reservation: an experience in Indian community programming.

PMID- 10245898
TI  - Last gasp for hospital bill.

PMID- 10245899
TI  - Part of the way with HSAs.

PMID- 10245900
TI  - New York: HHC kills its own.

PMID- 10245902
TI  - CBC: what's preventing a health politics?

PMID- 10245901
TI  - Is there a doctor in the shop? The role of the company doctor.

PMID- 10245903
TI  - Off to a bad start: the obstetrical experience of the urban poor.

PMID- 10245904
TI  - Motivation through recognition.

PMID- 10245905
TI  - A miracle cure for meeting misery.

PMID- 10245907
TI  - How to field test and validate a program or product.

PMID- 10245906
TI  - Effective communications minimize problems.

PMID- 10245908
TI  - Measuring productivity in an ambulatory setting.
AB  - Planning, budgeting, and effective management depend on some measurement of
      productivity. Until now, there has not been a concerted effort to look for means
      of measuring productivity of health care providers in an ambulatory setting. The
      author presents a simple technique for measuring productivity that can be
      agreeable to both managers and providers.

PMID- 10245911
TI  - The expanding role of pharmacy. Interview by Nancy Agresta.

PMID- 10245909
TI  - Planning for community and medical staff changes.
AB  - The physician's role in planning at both the community and the medical staff
      level has become increasingly complex in recent years. A recent AMA seminar
      discussed some of the ways that physicians can participate in HSAs as well as
      deal with some of the planning problems confronting the medical staff
      organization.

PMID- 10245910
TI  - Age contrasts in self-discharge from general hospitals.

PMID- 10245914
TI  - Some abbreviations found in medical records.

PMID- 10245913
TI  - General suggestions for auditing antibiotic usage.

PMID- 10245912
TI  - Evaluation of a new semi-rigid intravenous container.
AB  - Mercy Hospital, in cooperation with McGaw Laboratories, conducted a pre-marketing
      evaluation of a new intravenous solution container made of a polyallomer
      thermoplastic, polyolefin. Following a four-month evaluation period using the
      Accumed container in the pharmacy intravenous admixture program and on all
      nursing units, the container was evaluated by both the pharmacy and nursing
      staffs and compared with our present system, Viaflex. A questionnaire prepared
      and supplied by McGaw Laboratories allowed nurses to evaluate the container
      subjectively. A questionnaire was also prepared for members of the pharmacy
      staff, both professional and supportive personnel, to use in evaluating the
      container. In addition, a time and motion study was developed to compare the
      Viaflex, Travenol glass, and Accumed containers in all areas of the hospital
      where intravenous solutions were used. Both the subjective and objective
      evaluations demonstrated acceptance by the Departments of Pharmacy and Nursing,
      and the Accumed container performed comparably with the Viaflex and glass
      containers tested in intravenous admixture preparation and in their
      administration. A list of properties of the "ideal" system is proposed.

PMID- 10245915
TI  - Evaluating community awareness of a community mental health center.
AB  - To assess community awareness of a community mental health center, a telephone
      survey was conducted, using a random stratified sample. In order to provide
      comparative analyses, two other mental health agencies were included in the
      study. Five specific issues were addressed: (a) the percentage of the population
      that was aware of the agencies, (b) inter-agency comparisons, (c) heterogeneity
      of awareness levels among geographic areas, (d) the relative merit of different
      sources of information, and (e) the relationship between awareness and
      demographic factors. The results indicated relatively high levels of awareness
      for the three agencies (X = 57%). There were, however, significant differences in
      awareness levels between agencies and between geographic areas. The source of
      information cited most often by respondents was the newspaper; in addition, there
      was an effect for the primary agency's storefront office. Sex, education, and
      family size had significant but weak correlations with the amount of accurate
      information a respondent possessed. The results provided substantive answers to
      the agency's concerns as well as methodological guidelines for future evaluations
      of community awareness.

PMID- 10245916
TI  - Primary presenting problem and mental health service delivery.
AB  - This study describes the variety of problems reported by clients seeking the
      services of a large urban community mental health center and explores the extent
      to which these problems are related to three sets of variables: client
      demographic characteristics, system entry, and system response. A 10% random
      sample totaling 273 case files was examined. The most frequently reported problem
      area was interpersonal followed by drug/alcohol abuse and cognitive disturbance.
      Clients' presenting problem was significantly related to all three sets of
      variables. Implications for planning service delivery are discussed with emphasis
      on identifying both unique and shared center responses to presenting problems,
      client characteristics, and system entry factors.

PMID- 10245917
TI  - Correlates of community mental health center underservice to non-whites.
AB  - The relationships between relatively low utilization rates for non-whites and
      catchment area demography and center service characteristics were examined for
      142 federally funded community mental health centers. Center characteristics were
      less strongly related to relative utilization by non-whites than were area
      demographic characteristics. Several characteristics of the black population were
      among those most highly associated with relative non-white utilization rates.

PMID- 10245919
TI  - From the editors: Washington, D.C. "crystal ball gazers".

PMID- 10245918
TI  - Community families: a seven-year program perspective.
AB  - During the past seven years, Southwest Denver Community Mental Health Services,
      Inc., has made use of an alternative network of families in lieu of psychiatric
      hospitalization. This particular article focuses on its key operational aspects
      and considers recruitment, screening, and support structures which have enabled
      the project to become a viable community mental health center program. In
      addition, there is a discussion of the limitations of the system and how it might
      be integrated with psychiatric hospital services.

PMID- 10245920
TI  - Simplified manual systems for clinical management: the internal management
      report.

PMID- 10245921
TI  - A performance-based physician compensation plan.

PMID- 10245923
TI  - A management alert--now schools are delivering ambulatory care.

PMID- 10245922
TI  - Setting standards for monitoring the performance of primary care personnel-
      outreach workers.

PMID- 10245924
TI  - Service, teaching and research in a university ambulatory care facility.

PMID- 10245925
TI  - Environmental health impact in the hospital laundry.
AB  - The task of surveying the hospital laundry is often dismissed by public health
      officials as unnecessary because the laundry cycle is generally considered to be
      capable of destroying all pathogens. Even though a properly operated laundry can
      produce a relatively bacteria free product, there are a number of variables that
      have an impact on the bacterial quality of the linen before it reaches the
      patient. It is vital that surveillance personnel understand these factors during
      processing, transporting, or sorting linen so that the final product is
      aesthetically, chemically, and bacteriologically acceptable for patient use. At
      the U. S. Public Health Service Hospital laundry in New Orleans, surveillance by
      the Environmental Health Department has identified potential problem areas.
      Operational improvements have been instituted at this laundry that would not have
      been possible without a thorough understanding of the laundry cycle. The authors
      describe the laundry cycle, including potential problem areas; identify useful
      microbial and chemical surveillance methods; and discuss process control
      procedures. This information will help the environmental health worker in
      discussions with laundry personnel regarding contamination control and
      operational efficiency.

PMID- 10245926
TI  - Writing made easy for nursing home administrators.

PMID- 10245928
TI  - "The professional".

PMID- 10245927
TI  - Determinants of job satisfaction in nursing care units.
AB  - Considerable attention has been placed on containing health care costs through
      structural approaches and budgetary means. Often overlooked in this process are
      costs associated to employee turnover and absenteeism. One of the important
      contributing factors to this withdrawal behavior is job satisfaction.
      Unfortunately few studies have explored the factors which influence the job
      satisfaction of health care workers. This study, using data collected from four
      hospitals, identifies fifteen factors that make major contributions to predicting
      the job satisfaction of nursing employees. This research suggests that the job
      satisfaction of nursing aides is influenced by procedures and practices that are
      organizational in their impact, by interactions with the work team and
      supervisor, and the daily activities of the nursing job. By understanding the
      interactive nature of these factors on job satisfaction, improvements in
      absenteeism and turnover can be realized with a reduction in personnel costs and
      improvements in quality of care.

PMID- 10245929
TI  - Hammering back at the insurance industry.

PMID- 10245930
TI  - Third party letters improve cash flow.

PMID- 10245931
TI  - "AGPAM standards of performance, how necessary are they?".

PMID- 10245933
TI  - A fair question?

PMID- 10245932
TI  - The effect of a manual follow-up system on days revenue outstanding.

PMID- 10245934
TI  - Communication in conflict.

PMID- 10245935
TI  - Employee performance evaluation.

PMID- 10245936
TI  - P.S. problem: how to respond to a patient's letter concerning excessive hospital
      charges.

PMID- 10245938
TI  - Slow pay letter 95% effective.

PMID- 10245937
TI  - P.S. solution: implementing a pre-admission testing program.

PMID- 10245939
TI  - Hospital notebook -- OHM: from an information booklet prepared by Osteopathic
      Hospital of Maine.

PMID- 10245940
TI  - Cutting rising medical costs.

PMID- 10245941
TI  - Using a collection agency.

PMID- 10245942
TI  - Bankruptcy: attractive option under new Bankruptcy Reform Act for debtor.

PMID- 10245943
TI  - P.S. solution: implementing a pre-admission testing program.

PMID- 10245944
TI  - Preventive medicine: the library prescription.

PMID- 10245945
TI  - Good neighbors: California health volunteers in Mexico.

PMID- 10245946
TI  - ACMGA plays leadership role in health administration education.

PMID- 10245947
TI  - The hiring process.
AB  - Anyone who has done any hiring at all can tell something about the difficulty in
      choosing people from a group of strangers. Hiring the right people is the most
      important step in managing an organization. Any hiring is important, but making
      the correct choice in management people is increasingly vital the higher the job
      being filled is in the organization.

PMID- 10245948
TI  - Leave and academic allowance policies for physicians.

PMID- 10245949
TI  - Who says doctors can't live with negotiated fees.

PMID- 10245950
TI  - Making a claim form tell enough--but not too much.

PMID- 10245952
TI  - FPs: no longer shortchanged on hospital privileges.

PMID- 10245951
TI  - Our health planners are fiddling while I'm burning.

PMID- 10245953
TI  - Let's pay patients to stay well.

PMID- 10245954
TI  - Which malpractice reforms protect you best.

PMID- 10245955
TI  - How states plan to regulate physician supply.

PMID- 10245956
TI  - Child health: some priorities.

PMID- 10245958
TI  - Person data or event data.

PMID- 10245957
TI  - The challenge of the child in India.

PMID- 10245959
TI  - The computerised psychiatric case register as an information system.

PMID- 10245960
TI  - By-pass arrangements for the direct transfer of A4 size general practice records.

PMID- 10245961
TI  - Some observations on medical records practice and training in the U.S.A.

PMID- 10245962
TI  - The effect of the economic recession on the hospital market.

PMID- 10245963
TI  - 24th annual prescription survey, Albany College of Pharmacy.

PMID- 10245964
TI  - 'Is there a doctor in the house?' a health planner asks.

PMID- 10245965
TI  - Patient advocacy becomes a specialty.

PMID- 10245966
TI  - Rewriting Roe v. Wade.

PMID- 10245967
TI  - The juridical status of the fetus: a proposal for legal protection of the unborn.

PMID- 10245970
TI  - Abortion and the presidential election of 1976: a multivariate analysis of voting
      behavior.

PMID- 10245968
TI  - The abortion-funding cases and population control: an imaginary lawsuit (and some
      reflections on the uncertain limits of reproductive privacy).

PMID- 10245969
TI  - Roe v. Wade and the lesson of the pre-Roe case law.

PMID- 10245973
TI  - Nosocomial acquisition of aeromonas hydrophila.

PMID- 10245974
TI  - Nosocomial bacteremia from intravascular pressure monitoring systems.

PMID- 10245971
TI  - Public support for pro-choice abortion policies in the nation and states: changes
      and stability after the Roe and Doe decisions.

PMID- 10245972
TI  - The politics of abortion in the House of Representatives in 1976.

PMID- 10245975
TI  - Alternative birth centers: assessment of the risks and recommendations for
      operation.

PMID- 10245976
TI  - Statement on the reuse of disposable items for patient care.

PMID- 10245977
TI  - Urges redesign of health care toward preventive system.

PMID- 10245978
TI  - Decision analysis assessment of a national medical study.
AB  - To decide whether or not to undertake an expensive national survey to determine
      the effectiveness of infection control, we devised a quantitative decision model
      to analyze the costs and probabilities of successful study outcomes. The result
      allowed us to determine whether the proposed study method and design would
      provide sufficient statistical power to ensure meaningful conclusions from the
      research. The model was robust in assessing the adequacy of method accuracy and,
      within the range of assumptions specified, it suggested that the project should
      be undertaken. The results helped to secure official approval and funding for
      this large-scale research project. A novel approach to evaluating sensitivity
      analysis is included. As constructed, the model is applicable to other projects
      in applied research and, with some modification, to projects in basic research as
      well.

PMID- 10245979
TI  - Inflation, hospitals, and the soaring costs of health care.
AB  - What's the real story on health care costs? In answering this question, the
      author examines the role of the hospital, which, he explains, cannot be isolated
      from the economy as a whole.

PMID- 10245980
TI  - The Yale General Oncology Clinic: a model for comprehensive cancer care.
      Interview by Marion E. Prilook.

PMID- 10245981
TI  - Occupational health management--by objectives.

PMID- 10245982
TI  - New York City's approach to problem-employee counseling.
AB  - Employee problems such as alcohol and drugs (and the emotional turmoil that leads
      to them) continue to slow productivity and increase turnover. For nine years, New
      York City has been an innovator in this area of personnel concern, abandoning the
      traditional warn-and-terminate method for the centralized and cost-effective
      outreach program that is outlined here.

PMID- 10245983
TI  - Behavioral contingency management: a bottom-line alternative for management
      development.

PMID- 10245984
TI  - How hospital pharmacists prepare agendas for P & T committee meetings.

PMID- 10245985
TI  - Ethnicity and clinical care: the Chinese patient.

PMID- 10245986
TI  - Comments on doctoral education.

PMID- 10245987
TI  - Perspectives on doctoral training in health administration.

PMID- 10245988
TI  - Labor union sets drive to halt deinstitutionalization.

PMID- 10245989
TI  - Recruiting psychiatrists seen as vital issue.

PMID- 10245990
TI  - Openness urged in therapy of adolescent inpatients.

PMID- 10245991
TI  - Child Academy issues broad range of positions.

PMID- 10245992
TI  - Turning employees on with TV.

PMID- 10245993
TI  - The polls: changing attitudes toward euthanasia.

PMID- 10245994
TI  - State services for children: an exploration of who benefits, who governs.
AB  - In recent years, equity, choice, and efficiency issues in the provision of
      education have received much attention and analysis. Yet, in the area of other
      state services for children (health, protective services, day care, etc.), there
      has been scant concern for equity, efficiency, or choice, despite the fact that
      out-of-school influences can be crucial in determining in-school performance.
      This paper reports on work in progress that reaches the following initial
      conclusions: 1. In the field of children's social services, data compilation is
      approximately 20 years behind the state of the art for education. Basic data on
      services provided is not collected for submission to state or federal authorities
      in any standard format on a recurring basis. 2. From the limited data available,
      the access of children to quantity and quality in social service programs varies
      enormously within states. The variations are much larger than those discovered in
      the public financing of education even before the recent school finance reform
      movement (1968-1978). 3. Federal allocations to states for social service
      programs comprise a substantial proportion of state Title XX budgets. For several
      reasons, the degree of accountability for these funds is less than that for
      federal education grants. 4. In all three states Title XX state allocations to
      localities are purported to be based on need. Closer examination of the formulas,
      and interviews with policy makers, revealed that Title XX allocations are
      determined primarily by political criteria.

PMID- 10245995
TI  - Respiratory therapists in the NICU.
AB  - The need for respiratory therapists in a hospital's NICU has not always been
      apparent, nor has the respiratory therapist's role been entirely understood and
      adequately defined. Many hospitals do not even recognize the need for respiratory
      care services in this specialty area, and among medical staff there is a certain
      uneasiness in allowing an unfamiliar paramedical profession (such as respiratory
      therapy) to enter their well-established realm. Training in ICU care for infants
      and becoming credentialed in this specialty area is still in its beginnings. Loma
      Linda University Medical Center (LLUMC) is one example of how a respiratory-care
      department was able to break through the barriers and deliver care to the NICU
      patients. The background of how this breakthrough actually took place and what
      role the respiratory therapist first played is discussed, as well as that role's
      expansion and the progression that has taken place since respiratory care's first
      involvement.

PMID- 10245996
TI  - The role of the respiratory therapist in adult critical care.

PMID- 10245997
TI  - With all deliberate speed: the respiratory therapist and the transportation of
      critically ill neonates.

PMID- 10245998
TI  - Chicago conspiracy trial: NBRT and AART go to court.

PMID- 10245999
TI  - Stopping the guessing game of patient communication.

PMID- 10246000
TI  - Computers: how they can help your ambulatory surgery facility.

PMID- 10246001
TI  - Tips for documenting nursing care in the OR.

PMID- 10246003
TI  - Organized purchasing system saves time, money.

PMID- 10246002
TI  - What to include on your autoclave record.

PMID- 10246004
TI  - Your x-ray soon may result in much less harmful radiation.

PMID- 10246005
TI  - Electromagnetic interference--hazardous to health.

PMID- 10246006
TI  - A perspective on childhood sexual abuse.
AB  - In 1977, the Cincinnati Children's Hospital treated seventy-eight preadolescent
      children for symptoms, signs, or complaints of sexual abuse. The alleged abuser
      was known to the children in 72 percent of the cases. This article describes the
      hospital's procedure for identifying these children and the follow-up services
      necessary for their protection and emotional adjustment.

PMID- 10246007
TI  - Coordination of client services.
AB  - Case coordination is an important social work activity with roots in the earlest
      objectives and functions of the profession. This article outlines the theoretical
      framework of case coordination and describes the tasks, skills, and knowledge
      essential to it.

PMID- 10246008
TI  - Making the area agencies on aging work: the role of information.

PMID- 10246009
TI  - Reduced energy use occurs despite facility's growth.

PMID- 10246010
TI  - A multi-institutional care delivery system.

PMID- 10246011
TI  - The changing dynamics of hospital purchasing.

PMID- 10246012
TI  - It must never happen here: a personalized look at Britain's National Health
      Service and the problems which have befallen it.

PMID- 10246013
TI  - Hospital supply industry review...focus on the hospital pharmacist.

PMID- 10246014
TI  - The OR utilization factor: an examination of how the changing nature of the
      operating room can affect surgical dealers.

PMID- 10246015
TI  - The voluntary effort.

PMID- 10246016
TI  - The clinical diagnostic reagents and test kit markets.

PMID- 10246017
TI  - Cost of hospital care in U.S.--opposing views on major issues.

PMID- 10246019
TI  - VA patient-rating system: test will shape program.

PMID- 10246018
TI  - DoD interest in defensive strategies grows as foreign incidents mount.

PMID- 10246020
TI  - Medic 1--the Seattle System for the management of out-of-hospital medical
      emergencies.

PMID- 10246021
TI  - Emergency medical services planning for urban and rural areas--an Egyptian
      example.

PMID- 10246022
TI  - The role of the EMI scanner in the care of the injured. Can the scanner save
      lives?

PMID- 10246023
TI  - The prevention of disability in the child.

PMID- 10246024
TI  - The primary school and the teacher: new health care roles in developing
      countries.

PMID- 10246025
TI  - Hospital design: a blue print for safety.

PMID- 10246026
TI  - Management of health institutions and manpower utilisation in India.

PMID- 10246027
TI  - The barangay health worker and the barangay nutrition and health scholar.

PMID- 10246028
TI  - Guatemala's rural health technicians: an overview.

PMID- 10246029
TI  - Health care staffing in Bahrain.

PMID- 10246030
TI  - Health care facilities in developing countries: prevailing concerns and possible
      solutions.

PMID- 10246031
TI  - Community health centers--fifteen years later.

PMID- 10246032
TI  - Holistic health program for low-income children.

PMID- 10246033
TI  - Preventing the 'untreatable epidemic' of teenage pregnancy.

PMID- 10246034
TI  - The big count: undercount or overcount?

PMID- 10246035
TI  - What is happening to flexitime, flexitour, gliding time, the variable day? And
      permanent part-time employment? And the four-day week?

PMID- 10246037
TI  - Toward a sane national policy on food safety.

PMID- 10246036
TI  - Conditions 'tragic' in adult care homes.

PMID- 10246038
TI  - "We kept our fingers crossed!".

PMID- 10246039
TI  - Food safety: a sensible way to assess the risks.

PMID- 10246040
TI  - Food safety: are our laws too lenient? Too strict?

PMID- 10246041
TI  - Health care screening: not an end in itself.

PMID- 10246042
TI  - Caring for the rural poor: dollars alone won't do the job.

PMID- 10246043
TI  - Sociobiology -- a new way of viewing the world.

PMID- 10246044
TI  - Italian medicine: the wine is souring.

PMID- 10246045
TI  - New Cancer Society checkup rules draw criticism of some physicians.

PMID- 10246047
TI  - Symptoms are clear, MDs say, that Canada's standard of health care is in trouble.

PMID- 10246046
TI  - Health promotion drive held ineffective.

PMID- 10246048
TI  - Soviet medicine seems unsophisticated to physicians treating emigres.

PMID- 10246049
TI  - Public education on nuclear risks still needed a year after TMI.

PMID- 10246050
TI  - Hospital billing plan upheld.

PMID- 10246051
TI  - Energy use study hikes productivity.

PMID- 10246053
TI  - DOE's energy performance standards: the debate intensifies.

PMID- 10246052
TI  - Complex for the elderly opens to neighborhood.

PMID- 10246054
TI  - A major new health care facility for Detroit: an efficient machine designed with
      compassion.

PMID- 10246055
TI  - The basics of budgeting.

PMID- 10246056
TI  - Keeping up with ... health policy and women's health.
AB  - The author compares current data on women's health with men's, in the early and
      adult years, noting socioeconomic variations and similarly compares variations in
      their use of health services. Clues to changes in women's health are described
      and relevant areas of policy which can affect emerging health problems as women
      alter their position in society are sketched.

PMID- 10246057
TI  - Understanding the context for long-range planning in hospitals.
AB  - Using their own experience in an urban hospital of national reputation, the
      authors describe and illustrate some of the background issues for long-range
      planning decisions pointing out that managers must steer a clear course among a
      number of internal and external pressures. The expectations of trustees,
      philanthropists, reimbursing agencies, the university, medical staff, patients
      and the surrounding community may sometimes be at odds. Managers can use long
      range planning as a tool to ease the hospital into changing modes of operation
      and to achieve, over a time, a smoother interaction among their several
      constituencies.

PMID- 10246058
TI  - HCMR interview: Vernon Wilson of Vanderbilt University.
AB  - Vernon Wilson talks about definitions of health and measures of health, about
      leadership and credibility, democracy in decision-making, uses of power, and the
      process of delineating boundaries between managerial roles. He also describes how
      Vanderbilt Medical School entered the field of primary care medicine, a new
      direction for a school that has traditionally emphasized tertiary care.

PMID- 10246059
TI  - The Janus principle.
AB  - The leaders who guide health organizations into formal and informal alliances
      must serve their own organizations while meeting the demands of a larger
      environment. Those who recognize the need for change in leadership style are most
      likely to help their organizations to maintain their strengths within new
      structures. The authors examine several theories of leadership style, describe
      the developmental stages involved in forming an inter-institutional organization,
      and discuss the new leadership tasks and skills that collaboration mandates.

PMID- 10246060
TI  - The big payoff: tips on preparing the winning grant proposal.

PMID- 10246061
TI  - Hi ho silver! Silver recovery yields high dollar returns.

PMID- 10246062
TI  - Satellite broadcasting, simplified: getting your first satellite program off the
      ground.

PMID- 10246063
TI  - The image of success.

PMID- 10246064
TI  - Talent agents: a professional service places and trains nursing talent.

PMID- 10246065
TI  - Private cost containment.

PMID- 10246066
TI  - Rectal cancer patterns of care.

PMID- 10246067
TI  - Can personality affect hospital privileges?

PMID- 10246068
TI  - Holding down practice costs and fees.

PMID- 10246069
TI  - National health insurance: the medical profession's perspective.

PMID- 10246070
TI  - National health insurance: government regulation or consumer choice?

PMID- 10246072
TI  - National health insurance: the view from Washington.

PMID- 10246071
TI  - Government in health--too much or too little?

PMID- 10246073
TI  - The importance of knowing your employee's needs.

PMID- 10246074
TI  - The problems of perfect employees.

PMID- 10246075
TI  - The exit interview: why bother?

PMID- 10246076
TI  - Let's talk: understanding one-to-one communication.

PMID- 10246077
TI  - Is intensive care too intensive?

PMID- 10246079
TI  - Office of the Secretary of Defense--Civilian Health and Medical Program of the
      Uniformed Services (CHAMPUS); clarification of medical indications for head and
      body CT scans. Guidelines to rule.
AB  - These are guidelines to Amendment No. 3 of Part 199 of this title. The Purpose of
      Amendment No. 3 was to expand benefits under CHAMPUS regarding computer
      tomography (CT) scanning coverage. The purpose of these guidelines is to clarify
      those medical indications for which CT scan benefits are extended for head and
      body.

PMID- 10246078
TI  - Health Care Financing Administration: adoption of the National Bureau of
      Standards fire safety evaluation system for health care facilities. Notice of
      comment period.
AB  - The Department of Health, Education, and Welfare is proposing to extend use of
      the new Fire Safety Evaluation System (FSES) to all hospitals participating in
      the Medicare and Medicaid programs. We are seeking public comment on this
      proposal and on whether to apply the FSES to intermediate care and skilled
      nursing facilities. The Fire Safety Evaluation System (FSES) was designed by the
      National Bureau of Standards. It defines the combinations of widely accepted fire
      safety systems and structural arrangements which can be used by health care
      facilities to meet safety standards equal to or exceeding those in the Life
      Safety Code. The FSES provides a framework which guarantees that the high
      standards of fire safety necessary to protect patients will be met and which is
      flexible enough to allow for new advances in safety technology and practice. It
      is based on our experience, which clearly demonstrates that the Life Safety Code
      can be implemented more effectively and without waste if certain changes are made
      in the procedures for achieving these mandated levels of safety.

PMID- 10246081
TI  - Prescriptions for Schedule II controlled substances: Drug Enforcement
      Administration, Justice. Notice of proposed rulemaking.
AB  - The proposed amendment of 1306.13 of Title 21 of the Code of Federal Regulations
      would permit the partial filling of prescriptions for Schedule II controlled
      substances, beyond the current 72-hour time limit, if the prescriptions are
      written for patients in Long Term Care Facilities.

PMID- 10246080
TI  - Drug Enforcement Administration--controlled substances in emergency kits for long
      term care facilities. Statement of policy.
AB  - The Drug Enforcement Administration has received numerous requests from State
      licensing and regulatory boards, pharmaceutical associations, and professional
      organizations concerning this agency's policy for the use and handling of
      controlled substances in emergency kits for patients in Long Term Care Facilities
      (LTCF). The Drug Enforcement Administration has determined that an amendment to
      current regulations is not necessary or desirable, in that LTCF's are not
      controlled premises under Federal law. However, issuance of a Statement of Policy
      will provide the individual State licensing and regulatory boards with general
      guidelines under which they may, in turn, promulgate specific rules for the use
      and handling of controlled substances in emergency kits in Long Term Care
      Facilities. Additionally, this course of action should improve health care
      services to such patients and decrease the quantities of controlled substances
      which might otherwise accumulate at Long Term Care Facilities which federally are
      non-registered locations.

PMID- 10246082
TI  - Public Health Service--health maintenance organization loans and loan guarantees
      for acquisition and construction of ambulatory health care facilities. Interim
      regulations.
AB  - This notice sets forth the requirements for qualified health maintenance
      organizations (HMOs) to obtain loans or loan guarantees for the acquisition or
      construction of ambulatory health care facilities and the acquisition of
      equipment for those facilities. It also sets forth project requirements and
      procedures to be followed for repayment of the loan and in the event of a
      default. These rules implement Section 1305A of the Public Health Service Act, as
      amended.

PMID- 10246083
TI  - Health Care Financing Administration--conditions for coverage of suppliers of
      ESRD services; revocation of requirements for emergency generator and ground
      fault interrupters. Final rule.
AB  - These amendments remove the requirements for emergency generators and ground
      fault interrupters in end-stage renal dialysis (ESRD) facilities. The purpose is
      to reduce unnecessary and burdensome requirements which are not necessary to the
      health and safety of patients.

PMID- 10246084
TI  - Immigration and Naturalization Service--nonimmigrant alien (H-1) nurses; state
      license or examination requirements. Final rule.
AB  - This final rule requires nonimmigrant nurses to possess a valid state license to
      practice nursing in the United States or to have successfully passed the
      screening examination given by the Commission on Graduates of Foreign Nursing
      Schools in order to qualify for an "H-1" nonimmigrant visa classification. Proof
      of having met either requirement is necessary before the Service will approve the
      visa petition. This amendment to the regulations is necessary to ensure that only
      those nonimmigrant nurses who are fully qualified to perform services of the
      "exceptional nature" required by section 101(a)(15)(H)(i) of the Act are admitted
      under this classification.

PMID- 10246085
TI  - Public Health Service--Migrant health centers; delegations of authority.

PMID- 10246086
TI  - Assistant Secretary for Housing--Federal Housing Commissioner--Revision no. 9,
      increases of fire safety requirements for HUD minimum property standards (MPS).
      Final rule.
AB  - This rule improves and clarifies fire safety requirements for the HUD Minimum
      Property Standards (MPS) for Multifamily Dwellings Handbook 4910.1 and MPS for
      Care-Type Housing Handbook 4920.1.

PMID- 10246087
TI  - Food and Drug Administration--Delegations of authority and organization, health
      information and health promotion programs. Final rule.
AB  - This document amends the regulations for delegations of authority to the
      Commissioner of Food and Drugs and the redelegation of authority to agency
      officials. This action is taken because of a new delegation of authority under
      Title XVII of the Public Health Service Act.

PMID- 10246088
TI  - Department of Health and Human Services: statement of organization, functions,
      and delegations of authority.

PMID- 10246089
TI  - Even when it's giving out money, HEW can't escape controversy.
AB  - No one in the medical community argues that the federal government's kidney
      disease program isn't worthwhile. But the providers of kidney treatment are
      giving the Health Care Financing Administration a hard time on the issue of
      federal reimbursement. The agency is moving slowly, because a misstep in the
      kidney program could endanger the prospects for broader health insurance
      proposals.

PMID- 10246090
TI  - Sober diagnosis as once bright market for CAT scanners dims, smaller makers of
      the X-ray devices fade out.

PMID- 10246091
TI  - Occupational health: detection program cuts disease incidence, costs.

PMID- 10246092
TI  - Borden's stance challenges HMO law.

PMID- 10246093
TI  - Research and occupational therapy.
AB  - The quality and quantity of research in occupational therapy remains in its
      infancy. The following article is based on a study carried out in the spring of
      1974, the objectives of which were to examine the role and function of the
      occupational therapist in clinical research, to identify areas in which
      occupational therapists have been involved in research and to examine the
      attitudes of registered therapists towards research.

PMID- 10246094
TI  - Occupational therapy and the need to influence delivery of service.
AB  - This article is an attempt to re-define the role of the occupational therapist in
      light of numerous concepts and models which have been developed in recent years.
      The de-emphasis on hospital-based programs is significant and the community role
      for the occupational therapist, while not necessarily new, is a much expanded one
      which offers exciting and challenging prospects for the future. The need to
      influence the system for the delivery of service to embrace this community
      concept is emphasized.

PMID- 10246095
TI  - Summary of a project comparing student performance forms.
AB  - This paper is a summary of a pilot project designed to provide data which would
      lead to more effective methods of evaluating field work performance of
      occupational therapy students in Canada. Three evaluation forms were selected for
      comparison. A quantitative-descriptive type of research was utilized and a
      questionnaire to occupational therapy clinicians and students was the method used
      for data collection. The three major findings were: i) that the American
      Occupational Therapy Association Field Work Performance Report Form was the most
      complete form in evaluating student performance in specific skill areas; ii) the
      Queen's University Occupational Therapy Clinical Training Report Form contained
      essential components concerning interaction skills; and iii) the Canadian
      Association of Occupational Therapy Report of Clinical Training was in need of
      major revisions if its use was to be continued. This paper includes an outline of
      the results and the major limitations of the pilot project; however, the
      conclusions and recommendations arising from the project are the main focus of
      discussion.

PMID- 10246097
TI  - Could an HMO give you better, cheaper health care?

PMID- 10246096
TI  - Portable swing-away tray for electric wheelchair.

PMID- 10246098
TI  - The last resort.

PMID- 10246100
TI  - Making your memorials work for the community.

PMID- 10246099
TI  - P. A. T. offers new service opportunity for St. Thomas volunteers.

PMID- 10246101
TI  - "Pierre the Pelican" delivers at Blount Memorial Hospital.

PMID- 10246102
TI  - Commitment to service results in gift shop for Obion County General Hospital.

PMID- 10246103
TI  - Quality assurance--coming of age.

PMID- 10246105
TI  - Where do you draw the line?

PMID- 10246104
TI  - Operation crystal ball...a look at national health insurance in Canada and its
      implications for health care in the U.S.

PMID- 10246107
TI  - Nashville Memorial shows off...medical services to physicians.

PMID- 10246106
TI  - East Tennessee Baptist opens cardio/pulmonary reconditioning center.

PMID- 10246108
TI  - Impact of drug substitution legislation--implications for continuing education
      for Michigan pharmacists.
AB  - In June 1974, Michigan Public Law 155 was enacted. This law permits a pharmacist
      to exercise drug product selection under specified conditions. The intent of the
      legislation is to achieve savings in prescription drug costs by encouraging
      pharmacists to dispense less costly, generically equivalent products. For this
      legislation to be effective, there have to be many substitutable products for a
      sufficient number of drugs; there has to be minimal interference with
      pharmacists' judgment; and pharmacists must be aware of the products available.
      As part of a survey, we attempted to measure physicians' and pharmacists'
      knowledge of generically equivalent products. Pharmacists demonstrated a higher
      level of knowledge of drug products. Continuing education must respond to the
      needs of more complicated societal demands.

PMID- 10246109
TI  - Responsibility charting in a consultative pharmacy service.
AB  - A task-oriented approach to providing an aminoglycoside consultation service was
      implemented at the University of Maryland Hospital. The interdisciplinary nature
      of the consultation service required that involved practitioners have a thorough
      understanding of the responsibility of every other provider involved in the
      program. The development of a system in which individuals were assigned specific
      task-oriented responsibilities for the service is described.

PMID- 10246110
TI  - Physician-, nurse-, and pharmacist-conducted patient drug histories.
AB  - A study was conducted in a 99-bed community hospital to determine quantitative
      differences in medication histories of selected patients conducted by
      pharmacists, nurses, and physicians. The hospital pharmacist documented more
      frequent patient medication usage than the nurse or physician. This study
      reaffirms the results observed by other investigators. The pharmacist,
      extensively trained and educated in the use and action of medications, should be
      considered a valuable resource in the documentation of drug use prior to hospital
      admission.

PMID- 10246111
TI  - Planning for ambulatory pharmacy services.
AB  - To aid in the planning of patient-oriented pharmacy services in an ambulatory
      care center, the demographic profile of the patients visiting the pharmacist at
      the Sunol Health Center (SHC) pharmacy in Los Angeles, California was studied.
      Analysis of the data collected over a 6-month period revealed that female patient
      visits were double the number of male patient visits. Ten disease conditions
      requiring drug therapy accounted for 75% of all problems presented by the
      patients. The mean number of prescribed medications received per patient was 1.7.
      The ratio of newly prescribed medications versus refill medications was 2.5 to1
      or 70% versus 30%. The proportion of new patient visits versus return patient
      visits was 55% versus 45%. With this information, the training of the pharmacist
      and the services of a pharmacy may be designed specifically to meet the needs of
      the patients in the community or the ambulatory care setting.

PMID- 10246112
TI  - Community drug information services by telephone.
AB  - Counseling patients on the use of their medications is a direction the pharmacy
      profession has taken in recent years. The location of this interaction generally
      is assumed to be within the confines of a pharmacy or institutional setting. The
      concept can be expanded in scope and service to the community by encouraging drug
      information requests by telephone. A representative reference library and a form
      to document each call are the essential materials needed to begin. Exercising
      good judgment and a clinical approach to each call ensures the best possible
      outcome.

PMID- 10246113
TI  - Consumer expectations compared to the reported use of pharmacy services in rural
      areas.
AB  - Selected households in three northern Mississippi counties were surveyed to
      assess their primary medical care needs. Consumers' expectations concerning
      pharmaceutical services were analyzed. The results indicate that the surveyed
      population expects comprehensive pharmaceutical services. Patient profiles were
      the most desired service. Consumers were least interested in pharmacist
      counseling on health matters unrelated to drugs. Most services, however, are
      sought and/or delivered less frequently than expected. Pharmacists need to make
      consumers aware of available services.

PMID- 10246114
TI  - The great saccharin snafu.

PMID- 10246115
TI  - TRIS: confusion over another cancer hazard.

PMID- 10246116
TI  - New "instant conversion" fluorescent unit helps brighten hospital's energy
      picture.

PMID- 10246117
TI  - Legal and ethical issues in clinical pharmacy research--informed consent, Part
      II.
AB  - Preparation of an effective informed consent document presents significant
      problems to those investigators not familiar with federal and institutional
      requirements. This article examines a detailed format for preparation of an
      informed consent instrument. Prepared by the authors and supplied to potential
      clinical investigators by a university institutional review committee, the
      guidelines incorporate Department of Health, Education, and Welfare regulations.
      An example consent form is provided.

PMID- 10246118
TI  - Some observations on research methodologies used in drug product selection
      studies.

PMID- 10246119
TI  - Clinical team role models are needed within pharmacy.

PMID- 10246120
TI  - The economics of short-term leasing.
AB  - Short-term leasing is an everyday occurrence. Tax savings cannot account for the
      ubiquity of leasing by temporary users. Monopoly explanations are inconsistent
      with concurrent leasing and selling markets for perfect substitutes. Leasing
      economizes upon the costs of detecting, assuring, and maintaining quality, costs
      of search, and costs of risk-bearing. This view is based on standard economic
      reasoning and has numerous specific implications.

PMID- 10246121
TI  - Cafeteria plans.

PMID- 10246122
TI  - Metropolitan's program stresses employee interests, self-help.

PMID- 10246123
TI  - Hospital spreads health fitness message to community.

PMID- 10246125
TI  - Carlson predicts upsurge in corporate health care activity.

PMID- 10246124
TI  - Planning hospital health promotion.

PMID- 10246126
TI  - Patient care: the health care employee's responsibility.

PMID- 10246127
TI  - Life in the hospitals in a new musical revue: Take Care.

PMID- 10246128
TI  - Health, risk factor reduction and life-style change.

PMID- 10246129
TI  - Prospective medicine: past, present and future.

PMID- 10246130
TI  - Competing for acute care dollars: the economics of risk reduction.

PMID- 10246131
TI  - Social perspective on risk reduction.

PMID- 10246132
TI  - Pediatric health promotion through risk reduction.

PMID- 10246133
TI  - Wellness promotion on a university campus.

PMID- 10246134
TI  - A survey of risk reduction programs.

PMID- 10246135
TI  - Colorado deregulation becomes reality; VE to be strengthened.

PMID- 10246136
TI  - Financially-ailing Cook County Hospital trying to solve problems; Hyatt makes
      study.

PMID- 10246137
TI  - HEW Under Secretary says professional management can assist urban hospitals.

PMID- 10246138
TI  - Investor-owned company management of governmental hospitals continues to rise.

PMID- 10246140
TI  - Brookwood takes free world health care services to inmates in Alabama prisons.

PMID- 10246139
TI  - Management company buys, replaces government hospitals.

PMID- 10246141
TI  - Health product industry wary of technology center's mission, HIMA president says.

PMID- 10246142
TI  - Medical staff hearings: right to counsel and judicial review are still
      unresolved.

PMID- 10246143
TI  - Involuntary conversion gains, losses: no consensus on acceptable accounting
      procedure.

PMID- 10246144
TI  - HCFA expected to use tougher regs to limit federal health care spending.

PMID- 10246145
TI  - VE steering panel receives top award from the FAH.

PMID- 10246146
TI  - Historic change marks opening of new Louisville hospital.

PMID- 10246147
TI  - Georgia legislature approves delay in DRG experiment.

PMID- 10246148
TI  - Saudi Arabia awards NME $1 billion management contract.

PMID- 10246149
TI  - The nurse shortage: a national dilemma. Recruitment, retention become key goals
      in hospitals' quest for more nurses.

PMID- 10246150
TI  - Investor-owned firms use enterprising methods to cope with nurse dilemma.

PMID- 10246151
TI  - Supplemental staffing services' goal: trying to help fill void in nurse shortage.

PMID- 10246152
TI  - High court's decision in NLRB v. Baptist Hospital updates union solicitation
      issue. Part 1.

PMID- 10246153
TI  - Energy Tax Act provides hospitals economic incentives to invest in energy saving.

PMID- 10246154
TI  - Hospitals can improve reimbursement by keeping accurate property records.

PMID- 10246155
TI  - New AHR proposal fails to make substantial reduction in hospital reporting
      burden.

PMID- 10246156
TI  - FAH voices viewpoints on competitive approach to health care delivery.

PMID- 10246158
TI  - Georgia DRG delay bill vetoed; review, study set.

PMID- 10246157
TI  - The health budget: deep cuts are on the way.

PMID- 10246159
TI  - Human behavior in a nursing home fire.

PMID- 10246160
TI  - Marry capital giving cycle with deferred giving cycle.
AB  - This article suggests a way to transform the future to the present by
      transferring planned giving techniques into capital campaigning. The author
      discusses the merits of his case by instilling the needs of the donor first and
      the success of the institution as a natural second.

PMID- 10246162
TI  - Expert explores avenues of economic alternatives.
AB  - "Economics focuses on relevant alternatives," asserts this author, and in the
      context of fund raising management, they can be incorporated into the
      solicitation process necessary to raise those big dollars. This author discusses
      three.

PMID- 10246161
TI  - Hospital foundation finds ups-and-downs has benefits.
AB  - Like any brand new venture, this hospital foundation found its first year
      development effort had successes and failures. The author describes how
      experience will provide a sure base of steady growth.

PMID- 10246163
TI  - New reporting forms attempt to meet common needs.
AB  - Easing the pain of reporting finances is one blessing non-profits would jump at.
      Now, a specially designed form has been developed by the National Information
      Bureau which abolishes scores of governmental report forms and makes the task of
      reporting much easier.

PMID- 10246164
TI  - Evaluation in a community mental health center: Huntsville, Alabama.

PMID- 10246165
TI  - Accountability, like charity, begins at home.

PMID- 10246166
TI  - Mental health evaluation worldwide: an interview with Norman Sartorius. Interview
      by Susan Salasin.

PMID- 10246167
TI  - Enhancing program evaluation in the community mental health centers program.

PMID- 10246168
TI  - Evaluation in a community mental health center: Hennepin County Mental Health
      Service.

PMID- 10246169
TI  - Certification of need programs: regulation in search of the evaluation process.

PMID- 10246170
TI  - Social service tracking systems: a public-private experience.

PMID- 10246172
TI  - Management engineering: an inpatient technique adapts to the outpatient setting.

PMID- 10246171
TI  - Foreign nurse recruitment: group in 'Lone Star State' launches large-scale
      effort.

PMID- 10246173
TI  - Physician-nurse interaction: conflict, compromise or cooperation?

PMID- 10246174
TI  - The implications of cultural conflict for health care.

PMID- 10246175
TI  - Medical self-care: a stop on the road to high level wellness.

PMID- 10246176
TI  - Potential uses of microprocessors for home health education.

PMID- 10246177
TI  - Education as a prevention modality for alcohol abuse.

PMID- 10246178
TI  - What is a health care contract?

PMID- 10246179
TI  - Distribution of social service expenditures: a study.
AB  - Because this country is providing more social service through public programs, it
      is important that professionals as well as policymakers understand how the
      billions of dollars devoted to these services are being spent. This study
      investigated patterns of distribution of social service expenditures and found a
      trend toward equalization of expenditures among the states.

PMID- 10246180
TI  - Foreign medical graduates in New York City.

PMID- 10246182
TI  - Who watches the watchmen?

PMID- 10246181
TI  - Medical conglomerates.

PMID- 10246183
TI  - Touring the health bureaucracy.

PMID- 10246184
TI  - Rights for gays in the face of NHS 'homophobia'.
AB  - Difficulties encountered by gays when they seek help from the NHS for conditions
      which may not be associated with their homosexuality are discussed in this
      article by Brian Deer. He looks at ways in which a better understanding of gay
      people's problems could be promoted but recognises that there are no easy
      solutions.

PMID- 10246185
TI  - Deficiencies in efficiency.
AB  - Technical advances in treating acute illness, particularly cardiac arrest, have
      outstripped the management capability allowed by the existing administrative
      structure of acute hospitals. Richard Shircore, service planning officer in SE
      Thames RHA, and Terry Garrison, a lecturer in management, put forward this view
      and suggest changes which they believe would improve emergency patient care.

PMID- 10246186
TI  - Health Administration: of fleas and smaller fleas...
AB  - Monitoring as an official management tool has been a source of discontent since
      its introduction with reorganisation. Normal pride in a job well done is replaced
      by tension over monitoring being a negative and censorious act of interference.
      Drew Clode reports on some schemes that aim to make it a participatory and
      constructive exercise.

PMID- 10246187
TI  - How to use that 'low profile' often in industrial relations.
AB  - When confronted with industrial action the manager's need to act and to be seen
      to be acting can distort the longer term expedient. Ian Tibbles, deputy unit
      administrator, West Suffolk Hospital, warns of the pitfalls in a response to the
      options presented in last week's article.

PMID- 10246188
TI  - Painting a sombre picture of unlawful control.
AB  - For the past five years, Michael Glorney, now administrator of Barnet Family
      Practitioner Committee, has followed closely attempts to bring the practitioner
      service within the provisions of the 1973 NHS Reorganisation Act. Here he looks
      at the current position on what he calls 'a misuse of executive power' in Barnet.

PMID- 10246189
TI  - A dressing down for tariff system.
AB  - The poor standard of dressing provision in the crucial role of community nursing
      is discussed by Roy Lukacs, assistant district finance officer, Aylesbury and
      Milton Keynes Health District and Mike Dormer, product manager, patient care
      division, Johnson and Johnson. They ask why the drug tariff system is still
      common to many districts.

PMID- 10246190
TI  - Seed bed of psychiatry.
AB  - Mapperley Hospital, Nottingham, is celebrating its centenary. For more than 20
      years Mapperley had, as its physician superintendent, Dr Duncan Macmillan, one of
      the great pioneers of community psychiatry in Britain. In 1952 it became the
      first British mental hospital to unlock all its wards. Now it looks forward to
      its second century.

PMID- 10246191
TI  - Forecasting: unknowns and intangibles.
AB  - If the rate at which the patient population of a mental hospital is likely to
      decline can be predicted with reasonable accuracy, policies and plans can be put
      on a realistic basis. Len Goldstone, of the University of Manchester Institute of
      Science and Technology, explains how simulation can give planners and managers a
      better chance of meeting future needs.

PMID- 10246192
TI  - Medical records: a question of confidence.
AB  - Concern is growing about the number of requests for release of confidential
      personal information relating to the hospital treatment of patients. Colin
      Starling, administrator, Watford General Hospital, reviews some of the problems
      and offers some guidelines towards a general hospital policy.

PMID- 10246193
TI  - HSSJ guide to managerial salaries and conditions in the NHS.

PMID- 10246194
TI  - Staff monitoring: a better way to get ahead?
AB  - William Burrell, area administrator, Jim Haig, area management services officer
      and Brian Hughes, area personnel officer discuss the thorny subject of staff
      monitoring and its development in Northamptonshire AHA. They seek to answer
      questions raised in Andrew Wall's article, 'Bonus schemes--have they a future',
      published in the November issue of 'Health Service and Manpower Review'.

PMID- 10246195
TI  - Pharmacy--health centers: assessing the public's needs.
AB  - The role of the pharmaceutical officer in the establishment of health centres is
      explained by Dr Shirley Ellis, regional pharmaceutical officer, East Anglian RHA.
      She describes the conflicts which may arise for the PhO and stresses the
      importance of avoiding the impression that pharmacists lose some of their
      independence by agreeing to practise from a health centre.

PMID- 10246196
TI  - Ambulance services: a logical, effective and economic solution.
AB  - Ambulance services tend to be over-manned and under-productive. Metropolitan
      services, run by regions, cost more and are less sensitive to local needs than
      those run by areas. In offering his strictly personal views, Terry Ball, staff
      officer, West Yorkshire Metropolitan Ambulance Service, suggests that in future
      DHAs should run the ambulances.

PMID- 10246197
TI  - HSSJ guide to managerial salaries and conditions in the NHS: Clegg and the PSM
      management grades.

PMID- 10246198
TI  - Private medicine: causes of the coming boom.
AB  - Many different factors have influenced the recent expansion of private medicine.
      In this article, Suzanne Mollo examines them in detail and looks at the future
      prospects for both NHS and private health care.

PMID- 10246199
TI  - Training: five stars for the White Hart.
AB  - It is important that NHS staff should be aware of the service offered by the
      training and studies centre at Harrogate, writes Alex Hart, the centre's
      principal. Housed in the White Hart, a Georgian style building which was
      originally a hotel, it has a small staff and a distinctive method of operation.

PMID- 10246200
TI  - Pharmacy: financial viability and public needs.
AB  - One of the main aims of the 1974 reorganisation was to provide a uniform service
      of a good standard, throughout the country. In the latest of our series D. W.
      Carrington, area pharmaceutical officer, Norfolk AHA, considers how far this has
      been achieved in relation to pharmacy.

PMID- 10246201
TI  - Health planning: putting the weight where it belongs.
AB  - With the advent of such far reaching developments as national formulae for
      revenue and capital allocations, it is becoming increasingly important that full
      account is taken of the demographic structure of populations creating demands and
      using services. K. M. Cottrell, regional statistician, North Western RHA,
      describes the derivation and application of an age-sex index.

PMID- 10246202
TI  - Computers in construction.
AB  - It is now possible, using computers, to 'build' a hospital without laying a
      single brick. John Bolton, Chief Works Officer and Director General of Works,
      DHSS, describes the development of a suite of programs through which architects,
      engineers, surveyors and planners can co-ordinate their work.

PMID- 10246203
TI  - Estate management: when reality stifles ambition.
AB  - Health service buildings and lands make up an estate which must be managed in
      such a way that the future does not suffer from the neglect of the present.
      Looking to the NHS as it is likely to be in the 1980s, Gordon Brooke, regional
      works officer, Mersey RHA, suggests an end to a system in which capital is a
      'free good' and districts under financial pressure have little incentive to
      preserve the value of their estates.

PMID- 10246204
TI  - An important factor in drug usage......and the adoption of a positive role.
AB  - How can drug use be controlled and what is the most effective way of organising
      pharmaceutical services? In these two articles P.I. Harrison, BSc, MPhil, MPS,
      APO, Ealing Hammersmith and Hounslow AHA and J.G. Roberts, FPS, OBE, RPO, Mersey
      RHA, discuss the answers to these questions.

PMID- 10246205
TI  - "Trainers in health care seem to lack clout because they often lack credibility"-
      Margolis.

PMID- 10246206
TI  - A methodology for space evaluation and programming for the materials management
      function, Part III.

PMID- 10246207
TI  - Looking at the 80's--what hospitals should get from suppliers.

PMID- 10246208
TI  - Purchasing managers rate distributors "best" or "worst".

PMID- 10246209
TI  - Dealing with disaster: making community emergency plans.

PMID- 10246210
TI  - Diagnostic related groups: basis for hospital information system.

PMID- 10246211
TI  - Newham Nucleus hospital.

PMID- 10246212
TI  - Participative management: the Cleveland way.

PMID- 10246213
TI  - Towards a simpler organisation.

PMID- 10246214
TI  - Budgets for clinicians.

PMID- 10246215
TI  - Out-patient survey of the North Western Region.

PMID- 10246216
TI  - 41 years at the IHSA.

PMID- 10246217
TI  - The graphical representation of hospital bed provision.

PMID- 10246218
TI  - Resource allocation: the need for greater attention to efficient utilisation.

PMID- 10246219
TI  - An alternative statistic to percentage occupancy.

PMID- 10246220
TI  - ECHO around the world.

PMID- 10246221
TI  - Finance in the NHS.

PMID- 10246222
TI  - The nursing dilemma: a question of accountability.

PMID- 10246224
TI  - The nursing dilemma: organizing a research program.

PMID- 10246223
TI  - The nursing dilemma: agent of change in disposables switch.

PMID- 10246225
TI  - Preventive maintenance--a cure or expensive medicine?

PMID- 10246226
TI  - Setting up a volunteer program for teenagers.

PMID- 10246227
TI  - Drugs brought in by patients: the need for control.

PMID- 10246228
TI  - Nurses need written standards.

PMID- 10246229
TI  - Change is vital if small hospitals are to survive.

PMID- 10246230
TI  - Patient care: four steps toward increasing positive interactions between hospital
      staff and patients.

PMID- 10246232
TI  - 50 years of service to the West: an AWH retrospective.

PMID- 10246231
TI  - Implementing a good neighbor policy.

PMID- 10246233
TI  - A conversation with Jim Heidenreich.

PMID- 10246234
TI  - Health planning amendments will add to hospitals' certificate-of-need burdens.

PMID- 10246235
TI  - Hospital governance: a dual function served by three power bases.

PMID- 10246236
TI  - Hospital consortia: the multi-unit hospital model that preserves multiple
      management.

PMID- 10246237
TI  - Residents' gallery--outstanding auxiliary project turns handicrafts into needed
      medical equipment for hospital.

PMID- 10246238
TI  - Question: how will health care change in the 1980s?

PMID- 10246239
TI  - Trustees & administrator: a plan for sharing responsibility.

PMID- 10246240
TI  - Purchase order convinces administration of epidemic.

PMID- 10246241
TI  - Advise visitors of risks from isolated patients.

PMID- 10246242
TI  - Should pregnant nurse work?

PMID- 10246244
TI  - Report of the USCC dialogue on aging: "Graying of the Church"--a problem and an
      opportunity.

PMID- 10246243
TI  - Budget cuts bound to rejuvenate cost containment bill.

PMID- 10246245
TI  - Report of NAWR workshop. Correctives for health care injustices: self-reliance,
      networks.

PMID- 10246246
TI  - Report of NEHA-NECCHA meetings: technology friend and foe in quality-cost
      containment struggle.

PMID- 10246247
TI  - Primary care centers serve inner-city residents.

PMID- 10246248
TI  - In-hospital recruitment pool relieves nursing shortage.

PMID- 10246249
TI  - Home health services reduce inpatient delays.

PMID- 10246250
TI  - Geothermal energy reduces hospital's heating bill.

PMID- 10246251
TI  - Health care institutions face issues of justice, need.
AB  - Health care facilities, although founded to provide important services, should
      not rest content. Commitment to justice requires continued efforts in furthering
      cost containment, patients' dignity, equitable compensation, and full
      participation in decision making and in combating racism and sexism.

PMID- 10246252
TI  - CHA Evaluative Criteria: strengthening commitment to the apostolate.
AB  - CHA's Evaluative Criteria helps facilities determine the breadth of their
      Catholic focus and character. It is the best response Catholic health care
      facilities can make to the issue of quality of care.

PMID- 10246253
TI  - Health care marketing needs rational, ethical approach.
AB  - Health care facilities can avoid service duplication and inefficiency through a
      more hard-headed marketing approach to consumer need and demand. Rather than
      assuming that all institutions can and should provide the same service, health
      care facilities must couple public service obligations with costs, demands, and
      capabilities.

PMID- 10246254
TI  - The helicopter ambulance: essential medical service.
AB  - Aeromedical evacuation, adapted from military practice, now enlarges the scope of
      emergency care. Hospitals nationwide are weighing three different operating
      options before instituting local services.

PMID- 10246255
TI  - Hospital-based air ambulance service extends emergency care.
AB  - St. Louis University Hospitals lease a helicopter ambulance service to reach
      emergency patients in inaccessible areas quickly, to carry specialized medical
      personnel and equipment to outlying hospitals, and to transfer patients at risk
      to appropriate facilities.

PMID- 10246256
TI  - Lay volunteers enlarge pastoral care department's scope.

PMID- 10246257
TI  - Psychiatric patient refuses medication.

PMID- 10246258
TI  - Community group distributes leaflets in clinic lobby, halls.

PMID- 10246260
TI  - The mechanics of cost containment: an administrative point of view.

PMID- 10246259
TI  - Mother refuses to pay for children's treatment.

PMID- 10246261
TI  - Understanding economic order quantity.

PMID- 10246262
TI  - Understanding the principles of supply consignment.

PMID- 10246263
TI  - Continuing education for the material manager.

PMID- 10246264
TI  - Forms control: is it possible?

PMID- 10246265
TI  - Amalgamation of the supply, process and distribution function.

PMID- 10246266
TI  - Significant savings through decontamination by Pasteurization.

PMID- 10246267
TI  - Establishing effective supply maximums and minimums.

PMID- 10246268
TI  - 101 ways to contain hospital supply costs.

PMID- 10246269
TI  - Inner city hospitals.

PMID- 10246271
TI  - Pastoral counseling: preachers of prevention.

PMID- 10246272
TI  - 'Helping thyself' to mental health.

PMID- 10246270
TI  - Participatory management: an executive alternative for human service
      organizations.

PMID- 10246273
TI  - Rediscovering recovery.

PMID- 10246274
TI  - Neighborhood networks: power in the process.

PMID- 10246275
TI  - GAO releases study on hospital supplies prices.

PMID- 10246276
TI  - Aspects of Jewish ministry in the mental health setting.

PMID- 10246277
TI  - Your medical record--access in Pennsylvania.

PMID- 10246278
TI  - The American sickness care system: an answer to the views of Drs. Salmon and
      Berliner on "Why medicine is failing".

PMID- 10246279
TI  - Consumer caucuses in HSA's: a preliminary study of the nationwide situation.

PMID- 10246280
TI  - Medical care prices.

PMID- 10246281
TI  - Employment, hours, and earnings in the health care sector.

PMID- 10246282
TI  - Selected community hospital statistics from the National Hospital Panel Survey.

PMID- 10246283
TI  - Pathologies of place and disorders of mind: "community living" for ex-mental
      patients in New York City.

PMID- 10246284
TI  - Community clinics in Seattle: a system that works.

PMID- 10246285
TI  - 'The 80's--ready or not!'.

PMID- 10246286
TI  - Hospital information systems: past, present and future.

PMID- 10246287
TI  - The 80s--fiscal imperatives for hospitals.

PMID- 10246288
TI  - The financial impact of materials management.

PMID- 10246289
TI  - Bad debts: calculating an appropriate reserve.

PMID- 10246290
TI  - Bad debts are an operating expense.

PMID- 10246292
TI  - HFMA education policy statement. Guidelines for implementation of HFMA education
      policy.

PMID- 10246291
TI  - Time: the executive's dilemma.

PMID- 10246293
TI  - Kellogg Foundation helps universities to start graduate programs.

PMID- 10246294
TI  - Internal auditing--helping control costs.

PMID- 10246295
TI  - Complying with the Hill-Burton regulations--a step-by-step guide.

PMID- 10246296
TI  - HEW answers Hill-Burton questions.

PMID- 10246297
TI  - Taxation of exempt organizations: tax on unrelated business income.

PMID- 10246298
TI  - HIM-15 revisited.

PMID- 10246299
TI  - Systems developed to aid proper charging of services.

PMID- 10246300
TI  - Financial forecasts: overcoming the obstacles.

PMID- 10246301
TI  - Payment patterns: accounts receivable.

PMID- 10246302
TI  - Reader adds input to Davis' article: accounting of PIP.

PMID- 10246303
TI  - Working capital management: how strong is it in hospitals?

PMID- 10246305
TI  - Use income sensitivity indexes to maximize revenue from rate increases.

PMID- 10246304
TI  - How to estimate the optimal cash balance.

PMID- 10246306
TI  - GRASP--making the most of nursing budgets.

PMID- 10246307
TI  - Issues for legislative effort.

PMID- 10246308
TI  - 3 rules for selecting capital financing options.

PMID- 10246309
TI  - Payment patterns: CHAMPUS claims.

PMID- 10246310
TI  - Is a report-writer the answer to information retrieval?

PMID- 10246311
TI  - Disclosure: who should do what...and why.

PMID- 10246312
TI  - How to plan an effective silver recovery program.

PMID- 10246313
TI  - Containing costs through operational review.

PMID- 10246314
TI  - Computer room disasters--are you prepared?

PMID- 10246315
TI  - Collection agencies: guardians of our credit economy.

PMID- 10246316
TI  - Variable budgeting: to accurately monitor a hospital's performance.

PMID- 10246317
TI  - A guide for evaluating purchasing groups.

PMID- 10246318
TI  - Payment patterns: the correct way to calculate the age of receivables.

PMID- 10246319
TI  - Stress on stress.

PMID- 10246320
TI  - Material management: a concept for today.

PMID- 10246321
TI  - How to use pattern analysis.

PMID- 10246322
TI  - Medical staff merger: a follow-up case study.
AB  - The November 1979 issue of The Hospital Medical Staff contained the article "A
      Blueprint for Medical Staff Consolidation," in which a mechanism was described
      for consolidation of the medical staffs of two merging hospitals, Deaconess
      Hospital of Buffalo and The Buffalo General Hospital. An organizational framework
      was outlined that included the adoption of common principles of consolidation,
      common bylaws, a common cross-credentialling mechanism, and a transitional
      organizational format. The following article describes the implementation of that
      plan.

PMID- 10246323
TI  - Home care needs physicians who care.
AB  - With home care being looked at as a cost-saving alternative to institutional
      care, hospitals and home care agencies are developing and expanding their home
      care services. Physicians need to become better informed about these services and
      participate in their development, if the proper medical perspective is to be
      preserved.

PMID- 10246324
TI  - A sampling of medical staff cost containment projects.
AB  - Medical staffs are implementing and participating in a variety of programs
      designed to lower health care costs in their institutions and communities. This
      article details a number of these programs ranging from cost awareness to
      procedural changes within the hospital. These projects are representative of a
      large selection of projects soon to be published in digest form.

PMID- 10246326
TI  - A model for the management of a hospital pharmacy staffed by specialized
      pharmacists.

PMID- 10246325
TI  - A two-blank system to minimize prescription forgeries.

PMID- 10246327
TI  - Medication error reports.

PMID- 10246328
TI  - If you cannot make the sale, move on or move over.

PMID- 10246329
TI  - Impact of change on food service department: the pyramid of change.

PMID- 10246330
TI  - CDA management evaluation programme: a management tool.

PMID- 10246331
TI  - Hospital food service management with computer assistance.

PMID- 10246332
TI  - Development of a computerized system for calculating nutrient intakes.

PMID- 10246333
TI  - Labor time comparison of a cook-freeze and a cook-serve system of food
      production.

PMID- 10246335
TI  - Communicating with the communicatively impaired person.

PMID- 10246334
TI  - Present and potential use of computers in dietetics in Canada.

PMID- 10246336
TI  - Multiculturalism and nutrition counselling.

PMID- 10246337
TI  - Dietary counselling and the behavioral sciences.

PMID- 10246338
TI  - ECG/respiration monitor calibrator.
AB  - This paper describes an ECG/Respiration monitor calibrator used by the Biomedical
      Staff to check such units quickly, inexpensively and accurately. The calibrator
      can be constructed by the Biomedical Engineering Staff in one day for a parts
      cost of less than fifty dollars. Once the calibrator is connected to the patient
      cable of an ECG/Respiration monitor, the calibrator will generate concurrently a
      calibrated rate and amplitude ECG-pulse and respiration waveform.

PMID- 10246339
TI  - Certification of clinical engineers.
AB  - This paper constitutes a review of the certification process for Clinical
      Engineers, and specifically the nature and activities of the National
      Certification Commission. It describes written and oral certification
      examinations, and the working relationship between the Board of Examiners and the
      National Board of the Commission. This paper discusses BMET Certification and its
      relationship to the central role of Clinical Engineers. The need for
      Certification is stressed and its effect on the quality of health care is
      discussed.

PMID- 10246340
TI  - Setting up a clinical engineering department.
AB  - The problems of cost, personnel qualifications, task assignment, and productivity
      involved in establishing a clinical engineering department are addressed in this
      paper. A basic department consisting of a Clinical Engineer, a Biomedical
      Equipment Technician, a Testing Technician and a Clerical Assistant can provide a
      full range of clinical engineering services to a hospital with 225 instruments.
      The annual cost of such a department, including materials, would be approximately
      $90,000. The average capital investment in a selection of 225 instruments would
      be on the order of $860,000. This paper discusses levels of skills within a
      clinical engineering department, and the services that a hospital could expect
      from a four-man department.

PMID- 10246341
TI  - Device standards: the view from the FDA.
AB  - This paper constitutes an overview of FDA's functions and activities, offering a
      brief introduction to the Medical Device Amendments, and performance standard
      requirements from FDA's point of view. It discusses the agency's voluntary
      standards policy and the required conditions for deferral of mandatory standards.
      This paper also describes the Medical Device Standards Survey, and the role of
      the clinical engineer in standards development. It lists new Problem Definition
      Studies of the Bureau of Medical Devices which represent the first step in the
      new standards development process.

PMID- 10246342
TI  - Current outlooks in long-term care: management and community relations.

PMID- 10246343
TI  - Waking up!

PMID- 10246344
TI  - Current outlooks in long-term care: financial management.

PMID- 10246345
TI  - Are concepts of organizational theory and concepts of individualized treatment
      contradictory?

PMID- 10246346
TI  - The concepts of overlays applied to mental hospital administration.

PMID- 10246347
TI  - Achieving accountability in community mental health programs: a proposed method.

PMID- 10246348
TI  - A multiple entry system for psychiatric clinics.

PMID- 10246349
TI  - State community mental health services -- a new management perspective.

PMID- 10246350
TI  - Empirically based community mental health administrative procedures: a procedure
      for evaluating accuracy of client information systems.

PMID- 10246351
TI  - Political constraints on the mental health budgetary process.

PMID- 10246352
TI  - Selected administrative issues for improved mental health organization.

PMID- 10246353
TI  - Management by objectives for mental health executives.

PMID- 10246354
TI  - One solution to an age old problem: the generalist and angiographers.

PMID- 10246356
TI  - Collection forms, an analysis: what is illegal, objectionable under P.L. 95-109?

PMID- 10246355
TI  - Implementation of a central registration system.

PMID- 10246357
TI  - Keep alive--or allow to die?

PMID- 10246358
TI  - Healing in Haiti: Albert Schweitzer Hospital in the New World.

PMID- 10246359
TI  - New light on the legend that big groups do it better.

PMID- 10246360
TI  - Nice work, said the jury. But the patient got $600,000.

PMID- 10246361
TI  - Now a temper tantrum can cost you your privileges.

PMID- 10246362
TI  - Dealers fear drastic action now unavoidable to brake inflation.

PMID- 10246364
TI  - Final device classifications set.

PMID- 10246363
TI  - FDA sets standards policy, priorities.

PMID- 10246365
TI  - How a hospital maximizes savings through computers.

PMID- 10246366
TI  - Chiropractors crack the practice barrier...

PMID- 10246367
TI  - Why do we treat cancer patients special?

PMID- 10246368
TI  - Keeping the paper beast at bay.

PMID- 10246369
TI  - Forensic medicine: the medicolegal history.

PMID- 10246370
TI  - The right to refuse psychiatric medication.

PMID- 10246371
TI  - Is big beautiful?

PMID- 10246372
TI  - Sisters of Mercy Health Corporation...effective management can be demonstrated in
      a multi-hospital system.

PMID- 10246373
TI  - Detroit Medical Center...on the threshold of a renaissance in Detroit's health
      care delivery.

PMID- 10246374
TI  - St. Clair Health Services Corporation...the corporate committee approach to
      successfully managing diversified health care activities.

PMID- 10246375
TI  - Flexible resources...a tradition of innovation at Henry Ford Hospital is
      exemplified by a variety of approaches to sharing.

PMID- 10246376
TI  - Multi-hospital alliances...participating hospitals retain autonomy in Beaumont's
      shared service program.

PMID- 10246377
TI  - Individualized diabetic education...doing it better.

PMID- 10246378
TI  - A quality assurance program that is hospital-wide.

PMID- 10246379
TI  - TV...a special friend.

PMID- 10246380
TI  - U.P. hospital receives $400,000 from donor.

PMID- 10246381
TI  - The super sitter.

PMID- 10246382
TI  - Holistic medicine.

PMID- 10246384
TI  - Fairness and unfairness in television product advertising.

PMID- 10246383
TI  - The corporate and securities adviser, the public interest, and professional
      ethics.

PMID- 10246385
TI  - Notes: rationalizing administrative searches.

PMID- 10246386
TI  - Developments in labor relations.

PMID- 10246387
TI  - A demographic approach to health services.

PMID- 10246388
TI  - Teaching hospitals and regionalisation in NSW a more viable alternative.

PMID- 10246389
TI  - Delegation of technical procedures to nursing staff.

PMID- 10246390
TI  - New venture in hospital administration.

PMID- 10246391
TI  - The clinical pharmacist -- an educational challenge.

PMID- 10246393
TI  - Community health for health professionals.

PMID- 10246392
TI  - Diagnostic ultrasound in Australian hospitals.

PMID- 10246394
TI  - Evaluation of the health system.

PMID- 10246395
TI  - AHA study of the 1974 report on hospitals in Australia.

PMID- 10246396
TI  - Nursing people: problems, goals and strategies.

PMID- 10246397
TI  - Health services in the private sector.

PMID- 10246398
TI  - Criteria for assessment of resident medical officer performance.

PMID- 10246399
TI  - The mechanics of accreditation.

PMID- 10246400
TI  - The rural area hospital and health services improvement in Australia.

PMID- 10246401
TI  - Ward pharmacy program in a 210 bed general hospital.

PMID- 10246402
TI  - Health in the world of tomorrow.

PMID- 10246403
TI  - Management by concensus and professional integration.

PMID- 10246404
TI  - Pragmatic planning of rural health services.

PMID- 10246406
TI  - McMaster and beyond.

PMID- 10246405
TI  - Planning to maximise staff resources.

PMID- 10246407
TI  - Total health planning.

PMID- 10246408
TI  - The hospital's responsibility for graduate medical education.

PMID- 10246409
TI  - The value of professional food management service.

PMID- 10246410
TI  - Involving dietary with total patient care.

PMID- 10246411
TI  - The administrator-resident relationship.

PMID- 10246412
TI  - A guide to codes for hospital planning.

PMID- 10246413
TI  - Unified hospital interiors reflect function and anesthetics.

PMID- 10246415
TI  - Philanthropy: the key to solving pressing financial problems.

PMID- 10246414
TI  - The capital financing dilemma for non-profit hospitals: examining the role of the
      contributed dollar.

PMID- 10246416
TI  - Employee dishonesty.

PMID- 10246417
TI  - Excess hospital beds.

PMID- 10246418
TI  - Do public relations people really work?

PMID- 10246419
TI  - Problem-oriented hospital communications--a new approach.

PMID- 10246420
TI  - Progress report on hospital leasing.

PMID- 10246421
TI  - Medical leasing helps hospitals battle economic woes.

PMID- 10246422
TI  - Hospital trustees: benefactors or anachronisms?

PMID- 10246423
TI  - Another day at the hospital and my journal is late.

PMID- 10246424
TI  - Up and down the organizational ladder.

PMID- 10246425
TI  - The health systems President--Odyssey 2001.

PMID- 10246427
TI  - Managing today's modern hospital.

PMID- 10246426
TI  - Improving productivity in health care.

PMID- 10246428
TI  - Where are we? Where are we going?

PMID- 10246429
TI  - Hospital economics: 19 myths the public holds dear.

PMID- 10246430
TI  - How to know when to switch to microfilm.

PMID- 10246431
TI  - The hospital service representative.

PMID- 10246432
TI  - Executive recruitment. Part I--The planning stage.

PMID- 10246433
TI  - The merit plan: the key to productivity.

PMID- 10246434
TI  - The political realities of capital formation and capital allocation. Part I-
      Capital formation.

PMID- 10246435
TI  - How temporary help services relieve short-term hospital staffing problems.

PMID- 10246436
TI  - Executive recruitment. Part II--The interview: intermediate stage.

PMID- 10246437
TI  - Hospitals in the 1980's.

PMID- 10246438
TI  - The political realities of capital formation and capital allocation. Part II-
      Capital allocation.

PMID- 10246440
TI  - For trustees ... an era of great opportunity. But things can get worse. And they
      will!

PMID- 10246439
TI  - Are you an effective hospital administrator?

PMID- 10246442
TI  - An interview with Congressman Dan Rostenkowski.

PMID- 10246441
TI  - Executive recruitment. Part III--Evaluation and selection.

PMID- 10246443
TI  - Why many hospitals lose NLRB elections.

PMID- 10246444
TI  - Training and motivation: keys to good housekeeping.

PMID- 10246445
TI  - Checkless payroll: an inexpensive employee benefit.

PMID- 10246446
TI  - Is your hospital vulnerable to IRS audit?

PMID- 10246447
TI  - How hospitals are controlling costs.

PMID- 10246448
TI  - Let the government guarantee your hospital loan.

PMID- 10246449
TI  - The changing hospital.

PMID- 10246450
TI  - Poor press plans compound disaster.

PMID- 10246451
TI  - Holding the CEO accountable.

PMID- 10246452
TI  - Holding the CEO accountable. Part II.

PMID- 10246453
TI  - Making MBO work.

PMID- 10246454
TI  - The wobbly three-legged stool.

PMID- 10246455
TI  - The future of the voluntary hospital system.

PMID- 10246456
TI  - CEO performance review: a board responsibility.

PMID- 10246457
TI  - Goals of the administrative housekeeper and how to reach them.

PMID- 10246458
TI  - Capital report: National Health Resources and Development Act of 1974.

PMID- 10246459
TI  - AOHA educational institute focuses on hospital employee relations.

PMID- 10246460
TI  - Managing the evolution of a laboratory computer system.
AB  - The Laboratory Information System (LABIS) of the National Naval Medical Center,
      Bethesda, Md., was installed in 1974. Since that time, the system has undergone
      transitions which suggest that its evolution proceeded in three distinct stages.
      The author details the different management techniques and supervisory
      qualifications that each stage of growth requires, and he explains how an
      understanding of these requirements will enable the pathologist to adjust better
      to the evolution of the system.

PMID- 10246461
TI  - Observing overseas medicine: home care for myocardial infarction?

PMID- 10246462
TI  - Needs assessment strategies in working with compliance issues and blood pressure
      control.
AB  - This paper addresses the development and effect of health education interventions
      on compliance behavior and blood pressure control of hypertensive patients. The
      focus is on two main tactics: 1) the use of a baseline questionnaire to determine
      the patients' needs in the area of medical regimen management and the translation
      of that information into education intervention; 2) the development of a group
      method as a form of internality training providing a needs assessment and
      simultaneously responding to the assessment. The results supported the study's
      hypotheses with respect to blood pressure control. Both the theoretical and
      practical aspects of internality training as a needs assessment process and a
      skill training process are discussed.

PMID- 10246463
TI  - Communicating with terminal cancer patients.
AB  - Communication between doctors and terminal cancer patients has been identified as
      a problem area in medical care. There have been attempts to overcome this problem
      by establishing new teaching programs; however, the most effective teaching
      methods are costly. A model is described that requires minimal staff involvement
      in teaching about communicating with terminal cancer patients.

PMID- 10246464
TI  - Active patient orientation.
AB  - The successful treatment of chronic ambulatory illness requires that patients be
      involved actively in the management of their own conditions. How health providers
      orient services toward patients is likely to affect the quality of patients'
      involvement. In the study reported here, three programs of care were evaluated in
      terms of the extent to which the care provided was oriented toward patients as
      active participants in the treatment process. Ninety-one hypertensive patients,
      randomly assigned among the three programs, rated their care in terms of active
      patient orientation (APO). On the basis of the structural characteristics of the
      three programs, it was hypothesized that the contingency-contracting approach
      would afford a stronger APO than either the educational or routine-care approach.
      The findings conform to expectation. Observed linkages among structure of care,
      level of APO reported, and patient participation are discussed in addition to the
      practice implications.

PMID- 10246466
TI  - Quantifying the human resources function.

PMID- 10246465
TI  - A comparison of two methods of delivering presurgical instructions.
AB  - A 2 x 2 factorial design was employed to test the effects on various indicators
      of postoperative recovery of surgical patients who had received preoperative
      instructions. A pamphlet and/or a nurse visit were used as delivery methods. The
      study population consisted of 50 patients who were scheduled for
      cholecystectomies. Patients were given information on the expected sequence of
      events on the day of surgery and instructions in postoperative self-care
      activities. Findings indicate that a differential effect of providing information
      was dependent on the patient's level of preoperative fear, with high-fear
      patients benefiting most from information. Patients in the high preoperative-fear
      group who received either the pamphlet or the pamphlet and a nurse visit had
      shorter postoperative hospitalizations, switched from injected to oral medication
      sooner, scored higher on an index of energy and movement, and rated their
      appetites as better when compared with patients in either the nurse-visit or
      control groups. However, among those who scored low in preoperative fear,
      patients in the control group had better recoveries from surgery than patients
      who received preoperative information. The study points out the need to perform
      an educational assessment of patients before information is provided.

PMID- 10246467
TI  - An update on personnel recordkeeping and employee privacy.
AB  - "Privacy," says the President, "is a permanent public issue." So permanent, in
      fact, that the federal Privacy Protection Study Commission made 34
      recommendations covering employee recordkeeping, all of which deserve personnel's
      attention. Our author also focuses on General Electric's all-out privacy
      compliance program, which may well prove a good model for other corporations to
      follow.

PMID- 10246468
TI  - What employees need to know about benefit plans.

PMID- 10246469
TI  - Trends and practices in employee benefits.

PMID- 10246470
TI  - Is there merit in merit increases?

PMID- 10246471
TI  - How we operate a useful interdisciplinary teaching program for warfarin patients.

PMID- 10246472
TI  - Physicians' inflation fight becomes tougher.

PMID- 10246473
TI  - X-rays: the silver mine in your office.

PMID- 10246474
TI  - Drug refusal rights set in California.

PMID- 10246475
TI  - Price competition, federal law and the HSA.

PMID- 10246476
TI  - Comparability of radiology departments.

PMID- 10246477
TI  - Health planning and resources development: Titles XV and XVI of the Public Health
      Services Act as amended by the Health Planning and Resources Development
      amendments of 1979 (Public Law 96-79).

PMID- 10246478
TI  - Case study: a radiology department management control program.

PMID- 10246479
TI  - An introduction to productivity for the radiology manager.

PMID- 10246480
TI  - Monitoring financial and productivity performance in radiology departments.

PMID- 10246481
TI  - The development and use of personnel specifications.

PMID- 10246482
TI  - Hiding the costs of national health insurance.

PMID- 10246483
TI  - Coordination and citizen participation.
AB  - This study investigates the validity of the assumption that coordination and
      citizen participation are related inversely and, thus, are incompatible as
      features in the same social service reform strategy. Seventeen social service
      organizations situated in the same urban area were studied. Data were obtained by
      structured interview. The concepts of coordination and citizen participation were
      operationalized by means of scales. The findings support the validity of the
      assumption noted above. Although interpretations of the findings can be provided,
      they are post-factum. This implies a need for explanatory research which might be
      guided by theories of community power structure and of organizational behavior.

PMID- 10246484
TI  - Role strain and burnout in child-protective service workers.
AB  - Social workers in child-protective services have always been called on to fulfill
      complex and demanding roles. In recent years dramatic increases in public and
      professional awareness of child neglect and abuse have produced new patterns of
      service delivery and rapidly expanding expectations for protective-service
      workers. At the same time, the problem of job dissatisfaction and burnout among
      these workers has received increased attention and may be becoming more
      widespread. This article reports on a study which applies the role conflict and
      ambiguity theory developed by Kahn and others to the problem of job
      dissatisfaction among protective-service social workers.

PMID- 10246485
TI  - Inequality in the social services.
AB  - This article analyzes national data on the institutionalized population and shows
      the different patterns for white and nonwhite children and adults. It considers
      and refutes explanations based on differential problems and needs and explores
      organizational mechanisms. It also marshals evidence to show how such proxies as
      race and class are employed by organizations to induce a rationing of diagnostic
      categories and of services. The outcome is downward drift, the propelling of
      minority and poor persons into failure-reinforcing institutions. Directions for
      change are indicated.

PMID- 10246486
TI  - Self-help among the aged.

PMID- 10246487
TI  - The community cares: older volunteers.

PMID- 10246488
TI  - Skin banking: a new field fulfills a vital need.

PMID- 10246489
TI  - The value of risk management today.

PMID- 10246490
TI  - Avoiding malpractice risk through proper maintenance.

PMID- 10246491
TI  - Texas hospital insurance exchange: Rx for savings and cost containment.

PMID- 10246492
TI  - Quality assurance anecdotes: it's a great life, if you don't weaken.

PMID- 10246493
TI  - Risk management: hospital health insurance.

PMID- 10246494
TI  - Legal angle: risk exposure in malpractice cases.

PMID- 10246496
TI  - The role of the utilization reviewer in risk management.

PMID- 10246495
TI  - Hospitals are saving more than lives--the Texas voluntary effort. Risk
      management.

PMID- 10246497
TI  - Knowing your equipment: a vital element in risk management.

PMID- 10246498
TI  - Risk management education: program development. Part three.

PMID- 10246499
TI  - Buggin' around TSICP: product evaluation committees.

PMID- 10246501
TI  - Trustee development program: the board's role in health promotion.

PMID- 10246500
TI  - As I see it: H.R. 2626.

PMID- 10246502
TI  - The legal perspective: how hospitals can play politics.
AB  - A number of federal tax and election laws apply to political activity by
      charitable hospitals and trade associations, including the formation of political
      action committees. Trustees of charitable hospitals should approach political
      activity with an awareness of potential IRS hostility and with the advice of
      legal counsel.

PMID- 10246503
TI  - Trustees: indispensable to hospitals' political thrust.
AB  - Because of trustees' unique role in the hospital and the community, they are a
      vital part of health care's political thrust. The American Hospital Association
      and the allied state and metropolitan hospital associations have responded to
      trustees' increased commitment to political action by stepping up their own
      commitment to trustee political involvement.

PMID- 10246504
TI  - How the Partnership for Action helps hospitals wield clout.
AB  - The AHA/state hospital association Partnership for Action provides grass-roots
      input to members of Congress from hospital representatives throughout the United
      States. This article describes how the Partnership was instrumental in last
      year's defeat of the Carter Administration's hospital cost containment
      legislation.

PMID- 10246505
TI  - Tips from a Congressman on being a better lobbyist.
AB  - Last year's defeat of the Administration's hospital cost containment legislation
      provides convincing evidence of the potential hospital trustees have for
      successfully influencing the outcome of major health legislation. A U.S.
      Representative offers tips to help trustees influence the legislative process
      more effectively.

PMID- 10246506
TI  - Stalking the wild legislator.
AB  - Lobbying is rapidly becoming an accepted role for trustees, but it is not an easy
      one. Learning to communicate effectively with elected officials requires thorough
      knowledge of the issues under discussion, close liaison with hospital
      administration and hospital associations, and an understanding that diplomacy is
      critical.

PMID- 10246507
TI  - A political action success story.
AB  - When the insurance commissioner of North Dakota put on the ballot a proposal to
      place the costs of all health services under state regulation and control, the
      North Dakota Hospital Association (NDHA) set in motion an all-out campaign to
      defeat the measure. The president of the association describes the NDHA's
      successful grass-roots lobbying effort.

PMID- 10246508
TI  - Trustees tell why they're involved.

PMID- 10246509
TI  - As I see it: fence-mending on the home front.

PMID- 10246510
TI  - Patient advocacy program links board and patient.
AB  - The patient advocacy program at Hurley Medical Center, Flint, MI, was developed
      as part of an administrative effort to make the institution more responsive to
      the human needs of patients. The program acts as a direct link between the
      patient and the trustee by bringing to the board's attention specific information
      on patient problems along with corrective actions that have been implemented.

PMID- 10246511
TI  - Board retreat has 'grand rounds' theme.
AB  - An innovative trustee education program uses a "grand rounds" theme to acquaint
      board members with the functioning of their specialized facility.

PMID- 10246512
TI  - Hospital governance pictured as vital, neglected, with little being done in the
      way of reform.

PMID- 10246513
TI  - Trustee development program: physician recruitment in small and rural hospitals.

PMID- 10246514
TI  - What you need to know about D & O liability insurance.
AB  - In response to trustees' concerns about a liability insurance crisis and about
      their own personal liability, many hospitals are purchasing directors and
      officers (D & O) liability insurance for their board members. This article
      describes the coverage that D & O policies should provide, lists the kinds of
      claims that are made against hospital trustees and officers, and suggests the
      need for preventive measures to reduce liability exposure.

PMID- 10246515
TI  - As I see it: rising hospital costs.

PMID- 10246516
TI  - Why neither competition nor regulation is the whole answer.
AB  - The full potential of competitive marketplace incentives and governmental
      regulatory incentives in the health field will be achieved only in effective
      interaction with voluntary incentives. This article examines the relationships
      among regulation, competition, and voluntary discipline and the implications of a
      balanced approach in health planning.

PMID- 10246517
TI  - Competition: the game everyone's playing.
AB  - The need of all hospitals to make a profit and the key role of census in the
      creation of that profit have led to a crisis in census marked by strong
      competition between hospitals, administrators, and physicians. This article
      examines how hospitals compete for patients and physicians and the need for the
      direct participation of the hospital board in the competitive struggle.

PMID- 10246519
TI  - Hyatt Medical gets contract with Cook County Hospital.

PMID- 10246518
TI  - Sustaining board trains future trustees.
AB  - The sustaining board of fellows of Mount Sinai Medical Center, Miami Beach, FL,
      serves as a training ground for future members of the hospital's board of
      trustees. The sustaining board also sponsors numerous hospital projects,
      including a student scholarship program and various community outreach programs.

PMID- 10246520
TI  - CT seen as costs scapegoat.

PMID- 10246521
TI  - Community hospitals--a new outreach toward the Veterans Administration.

PMID- 10246522
TI  - National health insurance: now, later, never?

PMID- 10246523
TI  - Retention of the hard-core unemployed.
AB  - Previous attempts to determine correlates of successful employer experience with
      the hard core unemployed have been restricted because of their focus upon a
      limited number of variable sets and lack of follow-up over time. The present
      study examines the impact of individual, organizational and program variables on
      the success of 104 manpower program participants over time. Results provide
      support for the systems approach to the design and evaluation of such programs as
      well as for expectancy theory in the explanation of results.

PMID- 10246524
TI  - Assessing personal, role, and organizational predictors of managerial commitment.
AB  - Using a role and exchange theory framework, this study examines the commitment to
      their organization and to the federal service of 634 managers in 71 federal
      government organizations. Results indicate that certain role factors such as
      tenure and work overload and personal factors such as attitude toward change and
      job involvement are strong influences on commitment. Implications of the findings
      and the need for further theoretical and methodological refinements are
      discussed.

PMID- 10246526
TI  - Supervisory power as an influence in supervisor-subordinate relations.
AB  - Ninety subjects were randomly assigned to a supervisory role in either a reward
      only, penalty only, or reward and penalty power condition. The subjects then
      supervised both successful and unsuccessful subordinates. Subordinate
      performance, but not supervisory power, consistently affected a subject's
      actions. Some interesting effects of supervisory power were noted.

PMID- 10246525
TI  - Some determinants of compensation decisions.
AB  - This research investigated the effects of three variables upon compensation
      decisions. Results indicated that, in a simulated personnel task, both
      subordinate pay equity and subordinate equity off the job directly affected
      subjects' decisions. The strength of the subordinate's demand for a raise also
      influenced compensation decisions through its interaction with each of the other
      two variables.

PMID- 10246527
TI  - Organizational career stage as a moderator of the satisfaction-performance
      relationship.
AB  - The relationship between performance and dimensions of job satisfaction is
      studied among 132 employees of a public agency located in a large southwestern
      city. The results of this study indicate that the relationship between
      performance and a particular dimension of job satisfaction may be a function of
      an individual's career stage within the organization.

PMID- 10246529
TI  - Policy issues concerning the Hispanic elderly.

PMID- 10246528
TI  - Amigos Del Valle.

PMID- 10246531
TI  - The psychology of aging: implications for health care professionals.

PMID- 10246532
TI  - The gerontological nurse as a health assessor.

PMID- 10246530
TI  - Clinical problems in geriatric medicine: a team approach.

PMID- 10246533
TI  - The development of services for the care of the elderly in Britain.

PMID- 10246534
TI  - Health and welfare programs for the aged in Korea.

PMID- 10246535
TI  - After 65: activities, services, and medical care for seniors in Sweden.

PMID- 10246536
TI  - Health care delivery and health data processing in the United States.

PMID- 10246537
TI  - In praise of praise.

PMID- 10246538
TI  - New focus for young lawbreakers.

PMID- 10246539
TI  - Health and nutrition education.

PMID- 10246540
TI  - Training the mentally retarded: a progress report.

PMID- 10246541
TI  - FTC halts hair implant ads by MD.

PMID- 10246543
TI  - AMA comments on legislation, regulations.

PMID- 10246542
TI  - Couple lead legal fight against church.

PMID- 10246544
TI  - Iowa physician's cost containment crusade pays off for hospital budget.

PMID- 10246545
TI  - Controversy troubles founders of first test tube baby clinic in United States.

PMID- 10246546
TI  - Physicians preparing for volcano emergency.

PMID- 10246547
TI  - Health economist predicts--no bold health policy expected in 1980s.

PMID- 10246548
TI  - Teaching hospitals get grants to establish group practice programs.

PMID- 10246549
TI  - Blues plan capitation pay experiment.

PMID- 10246550
TI  - A Texas tale of two clinics.

PMID- 10246551
TI  - Cuban exile MDs organize to care for influx of refugees.

PMID- 10246553
TI  - Keeping healthy--by computer.

PMID- 10246552
TI  - Courts, committees, and caring.

PMID- 10246554
TI  - In this GP's practice...the patients help call the shots.

PMID- 10246555
TI  - How they turned things around in Tillamook.

PMID- 10246556
TI  - Catching up with the 20th century.

PMID- 10246557
TI  - Hospital-based specialists affected: MDs' pay held subject to review.

PMID- 10246558
TI  - Patient education can make a difference.
AB  - Relieving the acute physical distress of chronic lung ailments is just one step
      in rehabilitation. The American Hospital Association and the American Lung
      Association have developed a manual for health-care teams to teach patients how
      to help themselves return to a more normal life.

PMID- 10246560
TI  - Roots.

PMID- 10246559
TI  - How interested groups have responded to a proposal for economic competition in
      health services.

PMID- 10246561
TI  - Hospital marketing: a new tool for cost containment conscious institutions.

PMID- 10246562
TI  - Faith's focus: its formation and reformation.

PMID- 10246563
TI  - A theological basis for the church delivering health services in the present
      American society.

PMID- 10246564
TI  - Listening revisited.

PMID- 10246566
TI  - Protestantism and the whole person: an historical perspective.

PMID- 10246565
TI  - Pulmonary rehabilitation: a model for pastoral care.

PMID- 10246567
TI  - Pastoral care...communicating the love of God.

PMID- 10246568
TI  - Whole person health care at Trinity.

PMID- 10246569
TI  - Themes in coping: toward a pastoral assessment.

PMID- 10246570
TI  - Living-with-cancer program at a small hospital.

PMID- 10246571
TI  - A role for spiritual assessment in diagnosis and treatment of chemically
      dependent persons: the chaplain's challenge.

PMID- 10246572
TI  - Confronting one's own dying: an experiential approach.

PMID- 10246573
TI  - The chaplain should wear only one hat.

PMID- 10246574
TI  - Reducing stress and depression with exercise.

PMID- 10246575
TI  - Guardian of the milieu: a role for the psychiatric chaplain.

PMID- 10246576
TI  - Closed circuit TV and patient care.

PMID- 10246577
TI  - Praying with the terminally ill.

PMID- 10246578
TI  - Personal illness: a creative force in pastoral care.

PMID- 10246579
TI  - Healing through hypnosis: an avenue into the subconscious.

PMID- 10246581
TI  - Burnout--occupational hazard: description and prescriptions.

PMID- 10246582
TI  - When touch talks.

PMID- 10246580
TI  - Hogan's Heroes or Howards's Helpers.

PMID- 10246583
TI  - If Jesus were chaplain.

PMID- 10246584
TI  - Establishing clinical pastoral education for a fundamentalist Bible college.

PMID- 10246585
TI  - Hospice: new opportunity for ministry.

PMID- 10246587
TI  - Stress management.

PMID- 10246586
TI  - Peer review and competence in ministry.

PMID- 10246588
TI  - Multi-ministry in a small Christian hospital: "It's you and me, Tonto.".

PMID- 10246589
TI  - "Nice" as a disease.

PMID- 10246590
TI  - Management by objectives related to pastoral care programs.

PMID- 10246591
TI  - The chaplain as facilitator of reconciliation in the rehabilitation process
      (treatment) of chemically dependent people.

PMID- 10246592
TI  - Reducing anxiety of the orthopedic patient.

PMID- 10246594
TI  - Visiting the sick: an authentic encounter.

PMID- 10246593
TI  - Application of insights learned in disasters to institutional systems.

PMID- 10246595
TI  - The problem of Barr v. United Methodist Church.

PMID- 10246596
TI  - Chaplaincy challenges in the 80's.

PMID- 10246597
TI  - A mandatory continuing education program for chaplains.

PMID- 10246598
TI  - Problems affecting urban hospitals.

PMID- 10246599
TI  - Health planning: ambivalences and ambiguities.

PMID- 10246601
TI  - Medical devices: assuring quality and safety through user education.

PMID- 10246600
TI  - The worst of times for technological innovation.

PMID- 10246602
TI  - Potentiation and the patient.

PMID- 10246603
TI  - Let's talk: breaking down barriers to effective communication.

PMID- 10246604
TI  - Mustard plasters to heart surgery: a revolution in health care that is still
      being fought.

PMID- 10246605
TI  - Dial 03 for speedy emergency aid: on duty with the Soviets' efficient ambulance
      corps.

PMID- 10246606
TI  - Occupational Safety and Health Administration--Access to employee exposure and
      medical records. Final rule.
AB  - This final occupational safety and health standard, promulgated today as a
      revised 29 CFR 1910.20, provides for employee, designated representative, and
      OSHA access to employer-maintained exposure and medical records relevant to
      employees exposed to toxic substances and harmful physical agents. Access is also
      assured to employer analyses using exposure and medical records. The final
      standard requires long term preservation of these records, contains provisions
      concerning informing employees of their rights under the standard, and includes
      provisions protective of trade secret information.

PMID- 10246607
TI  - Rules of agency practice and procedure concerning OSHA access to employee medical
      records. The Occupational Safety and Health Administration of the United States
      Department of Labor (OSHA). Final rule.
AB  - These rules of agency practice and procedure, promulgated today as a new 29 CFR
      1913.10, govern OSHA access to personally identifiable employee medical
      information contained in medical records. The rules are structured to protect the
      substantial personal privacy interests inherent in identifiable medical records,
      while also permit OSHA to make beneficial use of these records for proper
      occupational safety and health purposes. The rules regulate the manner in which
      OSHA will seek access to employee medical records, and how the medical
      information will be protected once in the agency's possession.

PMID- 10246608
TI  - Nursing homes and intermediate care facilities mortgage insurance eligibility
      requirements definitions: Department of Housing and Urban Development (HUD).
      Final rule.
AB  - This final rule amends Part 232 to allow mortgage insurance for additional
      facilities for nonresident care of elderly individuals and others who are able to
      live independently but who require care during the day.

PMID- 10246609
TI  - Nuclear Regulatory Commission--Alexandria Hospital order imposing civil monetary
      penalties.

PMID- 10246610
TI  - Veterans Administration--Grants to states for construction of state home
      facilities. Final regulations.
AB  - These regulations delete the requirements of war service in the determination of
      veterans' eligibility for State home care and in the determination of the number
      of State nursing home beds in each State for construction purposes. In addition,
      [1] the term "construction" has been expanded to include construction of new
      domiciliary buildings to provide care in State homes, [2] the term "cost of
      construction" has been expanded to include the amount found necessary for a
      construction project, [3] the percentage of bed occupancy has been amended to
      allow no more than 25 percent occupancy by non-veterans in buildings constructed
      with grant funds, [4] general standards of construction and equipment have been
      expanded to include domiciliary and hospital facilities, and [5] the recapture
      period for construction funds, when a facility is no longer operated for the
      purpose for which the grant was made, is now no greater than 20 nor less than
      seven years based on the magnitude of the project and the grant amount involved.
      Also, the number of beds required to provide adequate nursing home care to
      veterans residing in each State has been adjusted. These regulations implement
      legislation.

PMID- 10246611
TI  - Veterans Administration--VA Consumer Affairs Program. VA consumer program.
AB  - The Veterans Administration Consumer Affairs Program addresses the ongoing Agency
      consumer activities and integrates the programs of the Departments of Medicine
      and Surgery, Veterans Benefits, and Memorial Affairs. The primary goal of this
      program is to ensure that veterans, their dependents, and their surviving
      beneficiaries have the opportunity to provide input to the decision making
      process. The program described complies with the requirements established by
      Executive Order 12160 on Federal Consumer Programs.

PMID- 10246612
TI  - Health Resources Administration--Application announcement for grants for faculty
      development in family medicine.

PMID- 10246613
TI  - Veterans Administration--Medical benefits; readjustment counseling for Vietnam
      era veterans. Final regulations.
AB  - The VA [Veterans Administration] has added regulations to comply with the
      Veterans Health Care Amendments of 1979. This law mandates that the VA provide
      readjustment counseling and related mental health services to Vietnam era
      veterans. The law allows for the providing for these services through contract
      sources. Contractors will be required to meet quality and effectiveness standards
      established by the Veterans Administration before they can be authorized to
      provide services.

PMID- 10246614
TI  - Office of the Secretary--Civilian Health and Medical Program of the Uniformed
      Services (CHAMPUS); clarification of home oxygen therapy and physician standby
      charges. Statement of policy.
AB  - These are policy statements to Part 199 of this title. The purpose of these
      policy statements is to clarify the conditions under which CHAMPUS benefits may
      be considered for physician standby charges and for home oxygen therapy.

PMID- 10246615
TI  - Public Health Service--Information regarding requirements for health maintenance
      organizations. Notice, information regarding requirements for qualified health
      maintenance organizations.
AB  - This notice contains information relating to the requirements for federally
      qualified health maintenance organizations (HMOs) as set out in Title XIII of the
      Public Health Service Act (the Act), as amended, and its implementing regulations
      at 42 CFR Part 110. This information, which includes a number of interpretive
      rulings, is being published in response to significant questions that have been
      raised regarding those requirements.

PMID- 10246616
TI  - Office of the Secretary--Civilian Health and Medical Program of the Uniformed
      Services (CHAMPUS); double coverage; correction. Correction to final rule.
AB  - The purpose of this correction to the regulations on implementation of the
      Civilian and Medical Program of the Uniformed Services (32 CFR Part 199) is to
      reinsert at section 199.14, Double Coverage, paragraph (d) (3), Title XVIII of
      the Social Security Act, as Amended: Medicare.

PMID- 10246617
TI  - Public Health Service--Grants for construction of teaching facilities,
      educational improvements, scholarships and student loans; grants for nurse
      practitioner traineeship programs. Interim-final regulations.
AB  - These regulations set forth requirements for grants to schools of nursing,
      medicine, and public health, to public or nonprofit private hospitals, and to
      other nonprofit entities to meet the costs of traineeships for the training of
      nurse practitioners. Trainees must reside in health manpower shortage areas and
      sign a commitment with the Secretary to practice full-time as nurse practitioners
      in areas having shortages of primary medical care manpower.

PMID- 10246618
TI  - Environmental Protection Agency--Hazardous waste and consolidated permit
      regulations, Parts II-IX. Revisions to final rule and interim final rule and
      requests for comments.
AB  - Subtitle C of the Solid Waste Disposal Act, as amended by the Resource
      Conservation and Recovery Act of 1976, as amended (RCRA), directs the
      Environmental Protection Agency (EPA) to promulgate regulations to protect human
      health and the environment from the improper management of hazardous waste. The
      first phase of EPA's regulations implementing this directive are contained in
      Parts 262 and 263 of this chapter (which were promulgated on February 26, 1980)
      and Parts 261, 264, 265, 122, 123, and 124 of this chapter (which are being
      promulgated today). This regulation (Part 260) sets forth definitions of words
      and phrases which appear in Parts 261 through 265 and contains provisions which
      are generally applicable to all those regulations. It was originally published on
      February 26, 1980, concurrent with the promulgation of EPA's Part 262 and 263
      regulations. It is now being amended to add new provisions required by today's
      publication of Parts 261, 264 and 265 and to revise one of the definitions
      published in February.

PMID- 10246619
TI  - Environmental Protection Agency--Hazardous waste and consolidated permit
      regulations, Parts X-XI. Final rule.
AB  - This rule establishes consolidated permit program requirements governing the
      Hazardous Waste Management program under the Resource Conservation and Recovery
      Act (RCRA), the Underground Injection Control (UIC) program under the Safe
      Drinking Water Act (SDWA), the National Pollutant Discharge Elimination System
      (NPDES) program and State Dredge on Fill ("404") programs under the Clean Water
      Act (CWA), and the Prevention of Significant Deterioration (PSD) program under
      the Clean Air Act, for three primary purposes: (1) To consolidate program
      requirements for the RCRA and UIC programs with those already established for the
      NPDES program. (2) To establish requirements for State programs under the RCRA,
      UIC, and Section 404 programs. (3) To consolidate permit issuance procedures for
      EPA-issued Prevention of Significant Deterioration permits under the Clean Air
      Act with those for the RCRA, UIC, and NPDES programs.

PMID- 10246620
TI  - Business, as a health care consumer, is paying heed to the bottom line.
AB  - It may be spending up to $100 billion a year for health care, and business wants
      not only to hold down costs but also to forestall the alternative: federal
      regulation.

PMID- 10246621
TI  - Scaring the planners.

PMID- 10246622
TI  - A national health problem demands a national effort.

PMID- 10246623
TI  - Overspending for 'overbedding'? The Administration cracks the whip.

PMID- 10246624
TI  - HMO growth: incentive plan shows signs of success.

PMID- 10246625
TI  - Kaiser marks $300 million for HMOs.

PMID- 10246626
TI  - Health plan would pay the non-user.

PMID- 10246627
TI  - Pull leash on costs.

PMID- 10246628
TI  - Humanizing the intensive care unit for children.

PMID- 10246629
TI  - Renovated x-ray equipment: hospital money saver.

PMID- 10246631
TI  - Purchasing the right quality is value buying.

PMID- 10246630
TI  - Medline's consignment inventory service praised by clients.

PMID- 10246632
TI  - CS supervisors frown on disposable re-use.

PMID- 10246633
TI  - HEW seeks to revamp utilization review plan.

PMID- 10246634
TI  - Budgeting and the purchasing process.

PMID- 10246635
TI  - Storerooms: new cost-savings frontier?

PMID- 10246636
TI  - Drawing the line on reconditioned equipment.

PMID- 10246637
TI  - Computerized purchasing key to cost containment plan.

PMID- 10246638
TI  - Used lab equipment not attractive to hospitals.

PMID- 10246640
TI  - Massive support for medical research.

PMID- 10246641
TI  - Rebuilding Edmonton's health sciences centre.

PMID- 10246639
TI  - Health services in Alberta: cancer services take a major step.

PMID- 10246642
TI  - Future of nursing in Alberta.

PMID- 10246643
TI  - Health services in Alberta: health districts provide unlimited potential.

PMID- 10246644
TI  - Health services in Alberta: unique approach to forensic services.

PMID- 10246645
TI  - Cardiac rehabilitation--a team effort.

PMID- 10246646
TI  - Health services in Alberta: three into one = District 93.

PMID- 10246647
TI  - C.H.A. brief to Hall review.

PMID- 10246648
TI  - Fee-for-service private practice medicine: the end is in sight.

PMID- 10246649
TI  - Salaried doctors.

PMID- 10246650
TI  - Microprocessor hoards energy by holding mechanical units to rigid schedule.

PMID- 10246651
TI  - Reducing excess capacity: closing down or converting hospital facilities may be
      easier said than done.

PMID- 10246652
TI  - New computer at U. of Iowa Medical Center controls clinical lab record-keeping
      costs.

PMID- 10246653
TI  - Code of ethics could unify personnel administrators.
AB  - A variety of factors, such as federal protective labor legislation and unionism,
      have pushed personnel administration into the forefront of hospital management.
      The added responsibility brought on by these factors and the growing number of
      people entering the field have created a burgeoning profession that will require
      guidance with regard to ethical principles of practice. The following article
      presents one example of a code of ethics for hospital personnel administrators.

PMID- 10246654
TI  - Training program focuses on developing managers' skills.
AB  - The movement toward skill development and behavior modification in the training
      and staff development field is just beginning to affe(t management training in
      hospitals. The training model described in this article is adaptable to a variety
      of tasks involving the management of people.

PMID- 10246655
TI  - Perceived clinical significance of consultant pharmacist recommendations in the
      skilled nursing facility.
AB  - In an attempt to determine if pharmacists could make significant contributions to
      SNF patient care in the area of disease management, the drug therapy of the
      residents of two SNFs was reviewed once monthly for six months by two clinical
      pharmacist consultants. Pharmacist-identified problems and recommendations were
      communicated in writing to the medical staff by means of a communication form
      attached to the patient's chart. Nearly 72 percent of the recommendations made
      were accepted by the SNF physicians. Descriptions of the cases and corresponding
      recommendations were distributed to review-panel physicians. These physicians
      were asked to agree or disagree with the pharmacists' suggestions, and to rate
      the clinical significance of each recommendation using a modified Likert scale.
      The clinical pharmacist-consultants were perceived to have had a significant
      input into disease management in SNF patients.

PMID- 10246656
TI  - Geriatrics--gerontology: a challenge and opportunity for pharmacy.

PMID- 10246657
TI  - Pharmacy inservice to OR/RR nursing staff.

PMID- 10246658
TI  - Content and method in a thanatology training program for paraprofessionals.
AB  - A training program of paraprofessionals was developed in a university teaching
      hospital. Trainees were exposed to seminars and a supervised practicum. The
      objectives of the experience included sensitization of persons in the natural
      helping network to (a) psychosocial needs of seriously ill persons and their
      families, (b) experience and comfort in interaction with such persons; (c) the
      structure of the health care delivery system, and (d) the usefulness of peer
      support groups.

PMID- 10246659
TI  - NAEHMO survey of health care coverage and industry involvement in cost
      containment.

PMID- 10246660
TI  - A method for clinical categorization of emergency facilities.

PMID- 10246661
TI  - Managing for motivation in EMS.

PMID- 10246662
TI  - Advanced cardiac life support: a recertification program for health
      professionals.

PMID- 10246663
TI  - The development of an emergency medical service in New York City.

PMID- 10246664
TI  - General Dynamics fitness program sparks employee enthusiasm.

PMID- 10246665
TI  - What is a fitness program worth?

PMID- 10246666
TI  - Company encourages good health with 'well pay,' positive environment.

PMID- 10246667
TI  - Health awareness seminar sparks ongoing company program.

PMID- 10246669
TI  - A mother and her child: grievance wins leave so 1199er can be at ailing son's
      bedside.

PMID- 10246668
TI  - 1199s scholarship program.

PMID- 10246670
TI  - Brooklyn Jewish: how the fight for a community's health was won.

PMID- 10246671
TI  - New York 1199ers tell Mayor Koch: hands off voluntary hospitals.

PMID- 10246672
TI  - Power for RNs through 1199.

PMID- 10246673
TI  - Georgetown University Hospital goes 1199E.

PMID- 10246675
TI  - New Hampshire RNs go 1199.

PMID- 10246674
TI  - Hospital election win caps 12-year campaign.

PMID- 10246676
TI  - Medical malpractice insurance premiums.

PMID- 10246677
TI  - States should shun rate controls and concentrate on citizens' health needs.

PMID- 10246678
TI  - Health Planning Act: a new testing ground for state vs. federal control.

PMID- 10246679
TI  - Health aides' consortium helps governors shape strategy.

PMID- 10246680
TI  - Cecil Andrus leads protests of states to P.L. 93-641.

PMID- 10246681
TI  - Rubel bows out with strong resolve on planning need.

PMID- 10246682
TI  - Bob Appel's story of AMI: birth of an industry.

PMID- 10246683
TI  - High court ruling: weapon against conspiracy.

PMID- 10246684
TI  - The PRRB: concept passes first tests.

PMID- 10246685
TI  - News media regulations.

PMID- 10246686
TI  - Three investor-owned hospitals treat over 150 persons hurt in ammonia disaster at
      Houston.

PMID- 10246687
TI  - Reimbursement decisions facing next Congress.

PMID- 10246689
TI  - Nine ways to encourage gifts through recognition.
AB  - A strong case statement provides a solid foundation to build an appeal, notes the
      author. He prepared a list of nine ways to encourage increased giving. Be bold
      about asking for a gift, he warns. Initiative must be grabbed to get donors
      upgraded.

PMID- 10246688
TI  - Settlement or strike?

PMID- 10246690
TI  - Regulations force hospitals to re-think mission.
AB  - Hospital philanthropy is feeling a surge of pressure from government in
      regulating its costs. Alternative solutions have been proposed, but this author
      thinks a greater attention to the true purpose of hospitals will be their only
      relief from future government intervention.

PMID- 10246691
TI  - Does the nonprofit form fit the hospital industry?
AB  - Nonprofit hospitals currently enjoy favored legal status. In this Article,
      Professor Clark critically examines the basis for such preferential treatment. He
      begins by identifying endemic problems in the health care industry and then
      explores the relationship between nonprofit hospitals and these problems. He
      finds that the evidence does not persuasively establish that nonprofit hospitals
      serve as fiduciaries rather than exploiters, and that nonprofits engage in much
      involuntary cross-subsidization of medical services. He concludes that the legal
      favoritism for the nonprofit form is based not on sound reasoning and hard data
      but on intuition. Professor Clari proposes that the legal rules affecting
      nonprofit hospitals reflect this reality by treating both nonprofits and for
      profits neutrally, by controlling cross-subsidization, and by strengthening
      consumers' information about and control over health care decisionmaking.

PMID- 10246692
TI  - "... But my patient is dying".

PMID- 10246693
TI  - Reflections on whole-body transplants.

PMID- 10246694
TI  - For most doctors practicing under National Health Insurance in Canada, the pros
      outweigh the cons.

PMID- 10246695
TI  - Component approach to energy budgets.

PMID- 10246696
TI  - Justice Department gives planning program partial OK on antitrust.

PMID- 10246697
TI  - Congress told to lift restrictions on foreign-trained doctors.

PMID- 10246698
TI  - Affirmative action: take aim at discrimination.

PMID- 10246699
TI  - Coping with the nursing shortage.

PMID- 10246700
TI  - Developing valid employee appraisal systems.

PMID- 10246701
TI  - The hospital auxiliary's role in the organization.

PMID- 10246702
TI  - Task forces: reap big rewards at small costs.

PMID- 10246703
TI  - Cutting hospital losses.

PMID- 10246705
TI  - What motivates employees?

PMID- 10246704
TI  - Uncovering organizational problems through employee surveys.

PMID- 10246706
TI  - How "good employee relations" can prevent and win labor disputes.

PMID- 10246708
TI  - A continuing education program that insures quality care.

PMID- 10246707
TI  - A plan for integrating the new employee.

PMID- 10246709
TI  - The power of supervision.

PMID- 10246710
TI  - Rights, wrongs and risks of patients' charter campaign.

PMID- 10246711
TI  - Learning to take it easy.
AB  - Stress can be deadly and more and more people are seeking outside help in dealing
      with it. Leicestershire AHA is taking positive steps; Vivienne Evans, senior
      health education officer, describes a scheme to teach people who feel under
      threat from stress to relax.

PMID- 10246712
TI  - Cottage hospitals: Cranleigh's loyal army keeps its history alive.
AB  - It never called itself a cottage hospital, but it started the cottage hospital
      movement which gave Britain a network of small hospitals unique in the world.
      Nick Davidson visits Cranleigh Village Hospital for the first article in a series
      on the small hospitals now once more in favour, as the reaction sets in against
      the cult of bigness.

PMID- 10246714
TI  - Hospital catering: more plates for more patients.
AB  - Hospitals which increase in size in terms of buildings and beds present problems
      to catering staff especially when the buildings are a mixture of old and new.
      Existing facilities are seldom adequate to cope with extended distances between
      wards or throughput of meals for an increasing number of patients. The Royal
      Sussex County Hospital at Brighton has solved most of its problems with the
      opening of a new catering complex described here by John Neale, district catering
      manager.

PMID- 10246713
TI  - Pharmacy: a unique opportunity to participate in education.
AB  - Health education and health maintenance are part of the traditional role of the
      pharmacist, particularly for those engaged in general practice (retail) pharmacy,
      writes J. W. Barnett, APhO Hereford and Worcester AHA, in the last of our series.
      Pharmaceutical officers have many opportunities to exercise this professional
      role themselves either by direct contact with the public, or indirectly by
      helping and advising others. Although this generally involves educating the
      public on medicines, wider issues are also involved -- for example, fluoridation
      and the risk of poisoning from household chemicals.

PMID- 10246717
TI  - Mental health: shaping new models in the European workshop.

PMID- 10246716
TI  - District profile: the shoe fits at Northampton.
AB  - An old county town that has retained its individuality through all the changes of
      the last three centuries, and is expanding vigorously to meet the challenge of
      the next--that is Northampton. The health services of the district reflect the
      town, and draw strength, as they always have done, from close links with the
      community they serve.

PMID- 10246715
TI  - Hospitals: problems of creating a sense of security.
AB  - Next week British and American experts will meet in a hospital security
      management seminar to be held at Charing Cross Hospital, London, under the
      auspices of the International Association for Hospital Security. In this article,
      Charles Morris, district security officer, Central Derbyshire Health District,
      looks at hospital security in the context of the British NHS and its current
      financial problems.

PMID- 10246719
TI  - Cottage hospitals: singing the praises of an unsung gem of the NHS.
AB  - You are not a mere case, or number, or symptom at Lynton Cottage Hospital in
      Devon. You are, in the words of Pauline Garnham, its matron, a "whole person'.
      Nick Davidson drove down the village high street with Mrs. Garnham. It was, he
      writes, like a royal procession. A wave here, a nod there: no chance of being
      inconspicuous in a world whose smallness is its endearing, not to say enduring,
      beauty.

PMID- 10246718
TI  - Health services: shadows in the valleys.

PMID- 10246720
TI  - Monitoring: making use of the tools which are available.
AB  - "Count what is countable, measure what is measurable and what is not measurable,
      make measurable'. Dr Brian Moores of the University of Manchester Institute of
      Science and Technology endorses Galileo's words but would add that having counted
      and measured, we could make much more use of the techniques developed.

PMID- 10246722
TI  - The hard sell for savings. Interview by Sally Burningham.
AB  - The NHS might seem to present an opportunity to purchase, store and distribute on
      a national basis but it is, in reality, a series of largely autonomous local
      services. According to Graham Hart, DHSS controller of supply, in most parts of
      the country supplies are held in 'a variety of small, local stores unsuited to
      their purpose'.

PMID- 10246721
TI  - Joint care: a creative use of resources.
AB  - The National Development Team for the Mentally Handicapped argues that social
      work in hospitals for the mentally handicapped needs to adopt "a more dynamic
      approach' to the problems of families of the mentally handicapped. By way of
      agreement, John Tebbet offers an account of how a social work team based in a
      health setting has tried to create new low cost community resources.

PMID- 10246723
TI  - Reaction and repercussion: the period of consultation on the proposals to
      restructure and reorganise the NHS has now drawn to a close.

PMID- 10246724
TI  - Pharmacy: eight signposts to follow after Noel Hall milestone.
AB  - If existing health districts were to become DHAs many would not be viable units
      of organisation for pharmaceutical services. John Barnett, David Carrington and
      Keith Munns, chairman, vice-chairman and secretary respectively of the
      Association of Area Pharmaceutical Officers, report on a survey of the
      association's membership which provided evidence for an eight-point plan for
      pharmacy.

PMID- 10246725
TI  - Care for the elderly: a different dimension.
AB  - The geriatric day hospital has established a place in the services for the
      elderly. That place is examined in detail in a new book 'Progress in Geriatric
      Day Care', by J. C. Brocklehurst and J. S. Tucker (King's Fund, pounds 7.00).
      Here Professor Brocklehurst, who holds the chair of geriatric medicine at the
      University of Manchester, outlines some of the book's findings. The illustrations
      are of the day hospital attached to the Department of Geriatric Medicine, St
      Thomas's Hospital, London.

PMID- 10246726
TI  - Problems in purchasing IV solutions.

PMID- 10246727
TI  - Get rid of de facto prime vendors.

PMID- 10246728
TI  - The human side of materials management.

PMID- 10246729
TI  - Mary Ingmire at Silver Cross says: "They just say 'Thank you' all the time".

PMID- 10246730
TI  - Bridging the information gap.

PMID- 10246732
TI  - Danbury Hospital Health Sciences Library in Connecticut.

PMID- 10246731
TI  - The importance of journal publications in information transfer for the health
      sciences.

PMID- 10246733
TI  - When patients become patrons...patient education in the public library.

PMID- 10246735
TI  - Tinley Park Mental Health Center Library ... in Illinois.

PMID- 10246734
TI  - Explaining reference literature and search processes.

PMID- 10246736
TI  - Hospital library cooperation in Kentucky, Ohio & Michigan.

PMID- 10246737
TI  - On the road to effective hospital library committees. Part 1.

PMID- 10246738
TI  - Augustana Hospital Library in Chicago...immediate response and service for all.

PMID- 10246740
TI  - Hospital library staffing patterns: a survey.

PMID- 10246739
TI  - St. Vincent Hospital Library in Indianapolis.

PMID- 10246741
TI  - St. Joseph Hospital Library in Chicago.

PMID- 10246743
TI  - Touro Informary Libraries in New Orleans.

PMID- 10246742
TI  - Saint John Hospital's Medical Library in Detroit.

PMID- 10246744
TI  - How to succeed in librarianship by really trying!

PMID- 10246745
TI  - St. Thomas Hospital Library in Nashville.

PMID- 10246746
TI  - The librarian as facilitator of patient education.

PMID- 10246747
TI  - Copyright and the librarian.

PMID- 10246748
TI  - John A. Taft, Jr., Administrator, Delnor Hospital, St. Charles, Illinois.

PMID- 10246749
TI  - Reactions to hospital library money survey.

PMID- 10246751
TI  - Policies for the hospital library.

PMID- 10246750
TI  - The Ottawa General Hospital (fifty beds) and George C. Andrews, Administrator.

PMID- 10246752
TI  - What's a librarian doing in a hospital?

PMID- 10246753
TI  - One librarian for six hospitals.

PMID- 10246754
TI  - Developing a health science information network in rural eastern Kentucky.

PMID- 10246755
TI  - How to find a librarian.

PMID- 10246756
TI  - Visit to Jewish General Hospital, Montreal, Quebec.

PMID- 10246757
TI  - Hospital administrators should hire librarians!

PMID- 10246758
TI  - The hospital administrator and fund raising.

PMID- 10246759
TI  - A "communication consortium".

PMID- 10246760
TI  - Fireplace in the hospital library.

PMID- 10246761
TI  - Dr. Angel Leano Hospital Library, Guadalajara, Mexico.

PMID- 10246762
TI  - Implementing S.D.I. in the hospital library.

PMID- 10246763
TI  - Book-look: pointers on new books.

PMID- 10246764
TI  - National Library of Medicine; extramural programs.

PMID- 10246765
TI  - $50,000 grant for the Central DuPage Hospital library.

PMID- 10246766
TI  - Hospital library standards for 1980 and beyond: professional library services.

PMID- 10246767
TI  - Librarians who work in two or more hospitals.

PMID- 10246768
TI  - A quartet of attitudes on interviewing and being interviewed.

PMID- 10246769
TI  - Protecting the immunosuppressed.

PMID- 10246770
TI  - Routine urine cultures needed?

PMID- 10246771
TI  - Committee records not admission of negligence.

PMID- 10246772
TI  - What should be the regional role?

PMID- 10246773
TI  - The district and unit functions.

PMID- 10246774
TI  - Air flow patterns in the operating theatre.

PMID- 10246775
TI  - The viability of the new authorities in estate management.

PMID- 10246776
TI  - Health buildings--fire precautions.

PMID- 10246777
TI  - The Home Office approach to hospitals and the Fire Precautions Act 1971.

PMID- 10246778
TI  - The working of a common services agency and, in particular, a building division.

PMID- 10246779
TI  - Aerial heat loss survey of hospitals.

PMID- 10246780
TI  - Management--what's it all about?

PMID- 10246781
TI  - Accountability.

PMID- 10246782
TI  - Medicine and machines.

PMID- 10246783
TI  - The efficient utilisation of steam.

PMID- 10246784
TI  - Records' confidentiality at risk without new legislation.

PMID- 10246785
TI  - Report of CHAC convention: CHAC tackles thorny issues of pastoral care and
      continuing sponsorship.

PMID- 10246786
TI  - St. Elizabeth Medical Center, Covington, KY. Self-contained medical village
      emphasizes planned growth, convenience.

PMID- 10246787
TI  - St. Joseph's Hospital, Lancaster, PA. Pioneer in lay ministry faces special
      challenge.

PMID- 10246788
TI  - An interview with Sr. Joanne Upjohn, CSC, Chairman, CHA Board of Trustees.

PMID- 10246789
TI  - Pastoral care: recognizing life as multidimensional.
AB  - Human life is multidimensional; physical illness touches both the physical and
      spiritual dimensions. Total health is possible only when the body and spirit are
      integrated into one reality. The pastoral care department's goal is to integrate
      scientific growth and spiritual values--for patients and staff alike--to ensure
      the spiritual dimension of healing.

PMID- 10246790
TI  - Children's health care needs lack broad-based constituency.
AB  - With no consensus for action on children's behalf, the hard-won gains of the
      1960s will diminish. Governmental expenditures for child health needs have
      steadily decreased in the face of a worsening economy. Consensus is critical to
      reverse this trend.

PMID- 10246791
TI  - Stewardship in the 1980s: call to justice, prophetic care.

PMID- 10246792
TI  - Setting up a marketing department: why? How?
AB  - Marketing is assuming a new and more critical importance in the health care field
      as institutions struggle with rising costs and increased consumer demand.
      Techniques once considered manipulative and unethical in the not-for-profit
      sector, however, can be successfully and honestly implemented.

PMID- 10246793
TI  - Traveling service agency promotes health maintenance.
AB  - Persons need help in setting goals to achieve well-being. A traveling health
      service agency offers lectures and films on nutrition, podiatry, circulation, and
      coping with loneliness.

PMID- 10246794
TI  - Disaccredited hospital's services claimed substandard.

PMID- 10246795
TI  - Permanent catatonia ascribed to suspected subdural hematoma.

PMID- 10246796
TI  - Mercury poisoning.

PMID- 10246797
TI  - Attributes of hospital suppliers that influence hospital buyers.

PMID- 10246798
TI  - Hospital topical law: damages for breach of a contract.

PMID- 10246799
TI  - Planning a hospital-based patient education system.

PMID- 10246800
TI  - Job tension among unit managers.

PMID- 10246801
TI  - Financially healthy management of health: INA's health care management business.

PMID- 10246802
TI  - A safe psychiatric unit.

PMID- 10246803
TI  - Consultant's corner: questions to ask a prospective construction manager.

PMID- 10246804
TI  - Results of a survey: clinical dietetic staffing practices in 138 short-term acute
      care hospitals.

PMID- 10246805
TI  - Infection control in the laundry.

PMID- 10246806
TI  - Pharmacy news and views--professional burnout.

PMID- 10246807
TI  - Material management Q's & A's: service component.

PMID- 10246808
TI  - The cost containment-quality of care issue.

PMID- 10246809
TI  - GAO report determines lack of "federal focal point"--hinders low-level nuclear
      waste disposal policy development.

PMID- 10246810
TI  - AHR comment period ends: congressional analysis begins.

PMID- 10246811
TI  - Action alert: hospitals should act now to preserve right to appeal the
      malpractice issue.

PMID- 10246812
TI  - Court rules that physicians may strike without advance notice.

PMID- 10246813
TI  - Administration proposes program to limit support for hospital construction in
      overbedded areas.

PMID- 10246814
TI  - U.S. Regulatory Council's hospital project progresses--outcome uncertain.

PMID- 10246815
TI  - OCR's move into health access arena evidenced in new general hospital civil
      rights survey.

PMID- 10246816
TI  - Keep an eye on OR staff costs.

PMID- 10246817
TI  - Tune-in to prime time health care.

PMID- 10246818
TI  - Cell separator battles infection.

PMID- 10246819
TI  - Burn unit concerns sparked by Chapais.

PMID- 10246820
TI  - Professionals debate mandatory measures.

PMID- 10246821
TI  - Health education is no place to cut back.

PMID- 10246822
TI  - There are pluses for horizontal plan.

PMID- 10246823
TI  - Birthing room feels "homey".

PMID- 10246824
TI  - Centre reorganizes to meet 1980s.

PMID- 10246825
TI  - Councils need clout--how much is enough?

PMID- 10246826
TI  - New centre blends security, treatment.

PMID- 10246827
TI  - Labour arbitration: back-pay is a ticklish issue.

PMID- 10246828
TI  - Educate linen execs for health and finance.

PMID- 10246829
TI  - Tri-level planning proves best.

PMID- 10246831
TI  - WP--it's more than a typewriter.

PMID- 10246830
TI  - Women have made it--more to follow.

PMID- 10246833
TI  - Be prepared for future strikes.

PMID- 10246832
TI  - Calgary parents have high hopes for diet.

PMID- 10246834
TI  - The legal aspects of health records.

PMID- 10246835
TI  - Day care--treatment pattern of the future.

PMID- 10246836
TI  - Inequality defeats health care goals.

PMID- 10246837
TI  - Day hospitals--health and home linked.

PMID- 10246838
TI  - Maternity leave: a shelter or sword?

PMID- 10246840
TI  - Flow charts help uncomplicate change.

PMID- 10246839
TI  - Easing the trauma of hospitalization.

PMID- 10246841
TI  - Getting, and keeping your nurses.

PMID- 10246842
TI  - Participative method of cost containment.

PMID- 10246843
TI  - Make plans based on strategy.

PMID- 10246844
TI  - AIA awards: an excellent prognosis.

PMID- 10246845
TI  - Do we have the will and the way?

PMID- 10246847
TI  - Malpractice revisited--Physician-owned companies: the road to recovery.

PMID- 10246846
TI  - Malpractice revisited: still coping with the crisis.

PMID- 10246848
TI  - Risk management: preventive medicine for hospitals.

PMID- 10246849
TI  - Health manpower indicators.

PMID- 10246850
TI  - Health manpower utilization in the 1980s.

PMID- 10246851
TI  - Employment, hours, and earnings in the health care sector.

PMID- 10246852
TI  - Selected national economic indicators.

PMID- 10246853
TI  - Selected community hospital statistics from the National Hospital Panel Survey.

PMID- 10246854
TI  - Medical care prices.

PMID- 10246855
TI  - The value of values.

PMID- 10246857
TI  - Consider the human factor.

PMID- 10246856
TI  - Sensitivity and awareness are keys to good management.

PMID- 10246858
TI  - What to do when the union beckons.

PMID- 10246859
TI  - Competition among hospitals.

PMID- 10246860
TI  - What executive managers should know about the grievance procedure.

PMID- 10246861
TI  - Peer evaluation.

PMID- 10246862
TI  - New frontiers: nontraditional approaches to education.

PMID- 10246864
TI  - Does a patient have a right of access to his hospital medical records?

PMID- 10246863
TI  - Legal and regulatory issues in hospice care.
AB  - The philosophy of hospice care is to improve the quality of the patient's life by
      alleviating pain; controlling symptoms; and caring for the emotional, physical,
      and social needs of the dying patient. This concept presents new medicolegal
      problems with regard to regulation and reimbursement.

PMID- 10246865
TI  - OTA studies estimates of physician supply in 1990.

PMID- 10246866
TI  - A simple work measurement system that can aid in effective production planning.
AB  - With the advent of increased controls in the hospital field has come the mandate
      for more efficient use of available resources. Production planning is the
      mechanism by which these efficiencies can be gained. Ongoing measurement of
      various work components must be conducted and retrospectively compared to make
      meaningful use of production planning techniques. The pharmacy department at
      Brokaw Hospital, which utilizes a unit dose drug distribution system combined
      with intravenous admixture and monitoring services, has developed an internal
      measurement system based on key variable weighted units of service. Each
      component is assigned a value depending on time needed (in minutes) for
      completion. The units are tabulated daily, with the monthly sum being divided by
      departmental manhours to yield a monthly productivity ratio. This ratio is used
      as an aid in making decisions related to work assignments and staff scheduling.
      Compared against the productivity ratio of a benchmark month of known
      departmental efficiency (derived by measuring all activities for the month
      divided by man-hours consumed), projections can be made for future manpower
      requirements.

PMID- 10246867
TI  - Analysis of dispensing activities before and after decentralization of
      pharmaceutical services.
AB  - Changes in drug handling activities, revenue, and telephone communications were
      documented during a conversion from a centralized unit dose system to
      decentralized pharmacists and unit dose services in a 310-bed university teaching
      hospital. All decentralized services were mobile; no physical satellites were
      utilized. Computer programs were used to collect and analyze drug handling and
      revenue data during a prestudy control period and three equal-length study
      periods after decentralization of pharmaceutical services for five patient care
      areas of the hospital. All telephone calls to the central pharmacy were recorded
      and classified by type during 21 days of the prestudy period and were compared
      with 21 days of the second postimplementation period. The mean number of doses
      handled decreased for all patient care areas. After decentralization the number
      of telephone calls to the central pharmacy requesting clinical drug information,
      as well as distributive information, decreased sharply. Moving the pharmacist to
      the patient care unit decreased the time that pharmacists spent handling drugs
      and improved communication with the medical and nursing staffs.

PMID- 10246868
TI  - Association for the Care in Hospitals: statements of policy for the care of
      children and families in health care settings.

PMID- 10246869
TI  - Psychoesthetic environmental design for pediatric care facilities.
AB  - Since the emotional reactions of children have a direct effect on their health
      exclusive of their disease, health care facilities are obligated to serve the
      psychological and emotional needs of pediatric patients as well as their
      physiologic needs. Following guidelines of certain environmental and
      psychological studies, intelligent and creative decoration can be executed by use
      of elemental design principles to achieve the atmosphere in a facility capable of
      satisfying the demands of the patient, the family, and the working personnel.

PMID- 10246870
TI  - When nurses compete with parents.
AB  - Subtle competition flourishes between parents and nurses in neonatal intensive
      care settings. Because the parents have so little opportunity to contribute to
      the care of their infants, and because they come to the experience with a broad
      range of emotional preparation, they often feel displaced by the competent and
      occassionally overprotective staff nurses. The nurses may not recognize the
      subtle forms of competition but they do cope with outcomes: hostile or
      uncooperative parents. This article describes competitive situations, discusses
      the impact upon the family, and recommends alternatives to competitive nursing
      care.

PMID- 10246871
TI  - Contemporary perceptions of unionization in the medical profession: a study of
      attitudes of unionized and non-union physicians.
AB  - This study investigated current perceptions of a sample of unionized and non
      unionized physicians toward the concept of collective bargaining. Specific areas
      for study were the issues that have motivated and might motivate physicians to
      unionize, as well as the individuals or institutions physicians perceive as the
      opponent in collective bargaining. The analysis showed that economic
      considerations and the imposition of external controls on the practice of
      medicine dominate the physicians' perceptions. Government and health insurance
      companies are perceived as the primary adversaries. Perceptual differences
      between unionized and non-unionized physicians were shown to be small.

PMID- 10246872
TI  - Promoting appropriate therapy in a long-term care facility.

PMID- 10246873
TI  - Pharmaceutical services in skilled nursing facilities.

PMID- 10246874
TI  - Pharmacist's involvement in the long-term care facility.

PMID- 10246876
TI  - The volunteer member: report on the 1975 VSC survey.

PMID- 10246875
TI  - A look at chapter 10 of the Life Safety Code and anticipated 1976 edition
      changes.

PMID- 10246877
TI  - The rhythm of reality.

PMID- 10246878
TI  - The 'new look' for health centers.

PMID- 10246879
TI  - Three views: patient assessment: its use in long term care facilities.

PMID- 10246880
TI  - A challenge: activities projects.

PMID- 10246881
TI  - A look at twelve efficient and effective nursing homes.

PMID- 10246882
TI  - Landmark?: United States Supreme Court recognized the issue of the constitutional
      rights of civilly committed mental patients.

PMID- 10246883
TI  - The AHCA member: final report on the 1975 survey.

PMID- 10246884
TI  - Will shortages of raw materials and rising prices hurt our chances for better
      health care?

PMID- 10246885
TI  - New life for the elderly: liberation from 'agism'.

PMID- 10246886
TI  - Sources of capital financing for long term care facilities.

PMID- 10246887
TI  - Representing health facilities: the challenge of association management.

PMID- 10246888
TI  - Some solutions for in-service training in skilled nursing facilities.

PMID- 10246889
TI  - The use of patient assessment forms.

PMID- 10246890
TI  - Peer review: the aims and guidelines of a program to improve quality of care.

PMID- 10246891
TI  - The psychiatric-geriatric patient.

PMID- 10246892
TI  - The comparative health data program.

PMID- 10246893
TI  - The bowling tournament.

PMID- 10246894
TI  - The resident council: a survey.

PMID- 10246895
TI  - Bureaucrats, legislators, and the decline of the state mental hospital.

PMID- 10246896
TI  - FDA's new vending code: a review.
AB  - The concept of developing and promoting the nationwide adoption of uniform
      sanitation regulations for food and beverage vending was agreed upon by the U.S.
      Public Health Service and industry leaders more than 20 years ago. Two revisions
      of the original Vending Code which was published in 1957 have kept pace with
      industry changes, the most recent now available in booklet form. Trends in food
      and beverage vending prompted code revisions resulting in the 1978 Vending Code
      which has major changes and effects on existing state and local regulations.

PMID- 10246897
TI  - Prescribe art therapy for "back wards" too.

PMID- 10246898
TI  - The other side of art therapy.

PMID- 10246899
TI  - Dance therapy in the psychiatric hospital.

PMID- 10246900
TI  - Psychodramatic treatment for psychiatric patients.

PMID- 10246901
TI  - The creative arts therapies: an overview.

PMID- 10246902
TI  - Some advantages of art therapy in the treatment of the schizophrenic patient.

PMID- 10246903
TI  - OSHA's enforcement policy.

PMID- 10246904
TI  - Hospice care: its implications and influence on current health care concepts.

PMID- 10246906
TI  - Setting up a company productivity program.

PMID- 10246905
TI  - Self-concept among institutionalized and non-institutionalized elderly.

PMID- 10246907
TI  - EDP contingency planning: how to survive a disaster.

PMID- 10246908
TI  - The male-female management team: a dance of death?

PMID- 10246909
TI  - When is a group a group? The case of university medical practice plans.
AB  - A discussion of the background information on university practice plans and a
      number of the major issues that occupy the energies of the practice plan
      administrator.

PMID- 10246910
TI  - Medical group managers: beware of the wage-hours laws.
AB  - Are the policies and practices of your group in accordance with the amended Fair
      Labor Standards Act of 1938?

PMID- 10246911
TI  - Employee separation.
AB  - The first of a two-part article dealing with an effective employee separation
      process and its maximization as a management tool through interview feedback.

PMID- 10246912
TI  - National health insurance and the single specialist.
AB  - The factors affecting medical economics in the future will necessitate not only
      changes in existing systems of medical care, but even the implementation of new
      systems.

PMID- 10246914
TI  - Why you can't rely on a hospital consent form.

PMID- 10246913
TI  - Analysis of economic performance in medical group practices: 1. executive
      summary.

PMID- 10246915
TI  - What is hospital cost-cutting doing to doctors?

PMID- 10246916
TI  - The HMO flop that gave fee-for-service a black eye.

PMID- 10246917
TI  - Payment by diagnosis: what does it mean for you?

PMID- 10246918
TI  - Can you sue your insurer's lawyer for settling a claim?

PMID- 10246919
TI  - Computed radiography.

PMID- 10246920
TI  - National Library of Medicine uses high-density mobile stacks.

PMID- 10246921
TI  - The harvesting of an MRA.

PMID- 10246922
TI  - On-line medical record abstracting.

PMID- 10246923
TI  - Interaction analysis: an application for medical record administration
      instructors and clinical supervisors.

PMID- 10246925
TI  - Assessing the educational needs of medical record personnel.

PMID- 10246924
TI  - A new approach to psychiatric progress notes: musical score model.

PMID- 10246926
TI  - Continuing education:another source.

PMID- 10246927
TI  - The expanded role of the health record practitioner: health information
      specialist.

PMID- 10246928
TI  - A pre-empirical approach to assessing the need for a medical record
      administration education program.

PMID- 10246929
TI  - Use of generic outcome screening criteria.

PMID- 10246930
TI  - Federal Privacy of Medical Information Act.

PMID- 10246931
TI  - Peer review for the medical record professional.

PMID- 10246932
TI  - Inservice skills and microteaching at the University of Mississippi Medical
      Center.

PMID- 10246933
TI  - Independent study at the University of Tulsa.

PMID- 10246935
TI  - How do you solve problems?

PMID- 10246934
TI  - The development of medical records in Jamaica.

PMID- 10246936
TI  - Medical documentation and literature.

PMID- 10246937
TI  - Transactional analysis: an effective management tool for medical record
      practitioners.

PMID- 10246938
TI  - Planning for health service delivery.

PMID- 10246939
TI  - The Raigarh-Ambikapur experience.

PMID- 10246940
TI  - The Kottar experience.

PMID- 10246942
TI  - U.S.P. laboratory-medical product problems report.

PMID- 10246941
TI  - The Berhampur experience.

PMID- 10246943
TI  - 'ACCESS' to time and cost savings.

PMID- 10246944
TI  - Doctors contest ACS screening advisory.

PMID- 10246945
TI  - One dealer's new 'product'.

PMID- 10246946
TI  - Final classifications set for ob-gyn devices.

PMID- 10246947
TI  - The major vectors affecting health care in the 1980s.

PMID- 10246949
TI  - Feds predict spending spree on newest breeds of scanner.

PMID- 10246948
TI  - Political gains, grassroots problems: Jim Sammons' AMA.

PMID- 10246950
TI  - No Monday wash-day blues at Community Hospital Services.

PMID- 10246951
TI  - Unemployment compensation.

PMID- 10246952
TI  - Financial consulting.

PMID- 10246953
TI  - Building codes: conflicting requirements can be costly.

PMID- 10246954
TI  - Group insurance programs.

PMID- 10246955
TI  - Michigan Hospital Association Mutual Insurance Company.

PMID- 10246956
TI  - A plan for developing rural hospital shared services.

PMID- 10246957
TI  - Group purchasing: a successful cost containment tool.

PMID- 10246958
TI  - Laboratory fume hoods.

PMID- 10246959
TI  - Private sector holds health cost curb key.

PMID- 10246961
TI  - NHI debate moving right: ins. lobbyist.

PMID- 10246960
TI  - Prior authorization cuts hospital costs.

PMID- 10246962
TI  - Health companies advised to start educating public.

PMID- 10246963
TI  - N.J. hospitals using malpractice facility get $7.2 million refund.

PMID- 10246964
TI  - Study finds cancer cover expensive.

PMID- 10246965
TI  - Inflation in the examination room--Part 2.

PMID- 10246966
TI  - Health ins. for all said U.S. priority.

PMID- 10246967
TI  - See HMO enrollment tripling by 1990.

PMID- 10246968
TI  - 1979 health figures: Prudential continues hold on total premium title.

PMID- 10246969
TI  - Optimal ordering policies for continuous review perishable inventory models.
AB  - This paper extends the notions of perishable inventory models to the realm of
      continuous review inventory systems. The traditional perishable inventory costs
      of ordering, holding, shortage or penalty, disposal and revenue are incorporated
      into the continuous review framework. The type of policy that is optimal with
      respect to long run average expected cost is presented for both the backlogging
      and lost-sales models. In addition, for the lost-sales model the cost function is
      presented and analyzed.

PMID- 10246970
TI  - Indisposed to medicine: the women's self-help movement.

PMID- 10246971
TI  - Unkept promises: discrimination continues in health care.

PMID- 10246972
TI  - A small computer as management and documentation tool.

PMID- 10246973
TI  - Laboratory medicine in the People's Republic of China.
AB  - In August 1979, 12 U.S. laboratory scientists visited the People's Republic of
      China in an attempt to introduce Chinese physicians and laboratorians to
      developments in laboratory medicine not yet known or understood in China. The
      author of this article, one of the group of visiting scientists, recounts the
      experience, and thus draws an interesting comparison between laboratory medicine
      in the United States with that in China.

PMID- 10246974
TI  - International standards: their increased importance to the United States.
AB  - The recent approval of the Multilateral Trade Negotiations Standards Code and
      subsequent U.S. Trade Agreements Act of 1979 have caused international standards
      to assume an increasingly important role in many countries. A review of these
      recent initiatives, and an explanation of how they will impact on the National
      Committee for Clinical Laboratory Standards, are presented here so that
      pathologists will understand the developments that are taking place on the
      national and international scenes.

PMID- 10246975
TI  - Strategy space: personnel and the law.
AB  - Government regulation is a source of many management headaches, but it has also
      broadened personnel's field of expertise (and consequent influence). According to
      Dr. Greenlaw, human resource practitioners would be well advised to learn their
      "strategy space boundaries" for complying with legislation, because it is this
      sort of pro-activity that can make and keep personnel a line function.

PMID- 10246976
TI  - Preventive-maintenance techniques for staying union-free.
AB  - Maintaining union-free status is a matter of maintaining credibility with your
      employees in five key areas: management development, employee training,
      promotion, compensation and benefits, and communications. The latter two concerns
      are particularly stressed by Dr. Rand in this low-cost, high-return strategy.

PMID- 10246977
TI  - The politics of regulation: understanding the regulatory complex.
AB  - A look at the federal regulatory process--its cost and benefits, its
      effectiveness--and alternatives to present regulatory concepts.

PMID- 10246978
TI  - An interpretive review of the federal Uniform Guidelines on Employee Selection
      Procedures.
AB  - This article clarifies the complex implementation process of the federal Uniform
      Guidelines on Employee Selection Procedures.

PMID- 10246979
TI  - Clamor over recertification continues.

PMID- 10246980
TI  - Make costly physicians accountable.
AB  - Physicians make the majority of decisions about the type and quantity of medical
      care, but cost-sharing mechanisms intended to control costs place the burden upon
      the patient. This article proposes a variety of mechanisms for placing this
      burden upon the small group of physicians identified as being excessively costly.

PMID- 10246982
TI  - Psychiatry and the law--end of an affair?

PMID- 10246981
TI  - Danger seen for future of CMHC movement.

PMID- 10246983
TI  - How to plan a special event.

PMID- 10246984
TI  - Health care programs for scattered populations.
AB  - Health care for scattered populations is discussed. An optimal system applying
      current technology is described emphasizing the economic supportability of such a
      system. This is accomplished by basing the system on health auxiliaries and
      middle level health personnel who have undergone problem oriented training and
      who receive regular supervision. The Alaska Native Health Program is described in
      detail. Several other health care systems in use in sparsely populated areas of
      the world are reported on. Emergency care as a particular and essential aspect of
      any health care program for isolated populations is discussed. Finally future
      trends including current experiments utilizing satellite technology are reported
      on.

PMID- 10246985
TI  - Amniocentesis: Pandora's box.

PMID- 10246986
TI  - Dental public health.
AB  - The dental profession has prime responsibility for the care of oral health
      problems in the U.S. Medicine has essentially relinquished responsibility for
      that part of the body. Dental public health primarily evolved from within the
      dental profession and it is unique in that a special area in public health was
      created to address the problems of a particular part of the body. Although one
      may not think of the major dental diseases--dental caries and periodontal disease
      -as particularly serious ones, the magnitude of the problem, as evidenced by the
      universality of the diseases and the extensive levels of untreated pathology,
      results in a public health problem of major proportions. The field has been
      expanding in scope and complexity with more emphasis being placed on the total
      dental care delivery system and its impact on oral health status. The concept of
      oral health has a very different meaning and value for people in different
      cultures and socio-economic classes. The prevalent philosophy in the U.S. places
      the prime responsibility for dental health on the individual.

PMID- 10246987
TI  - Psychiatry and medicine: partners in primary care.

PMID- 10246988
TI  - Medical benefits from the space program.

PMID- 10246989
TI  - Screening tests to plan preoperative and postoperative respiratory therapy.

PMID- 10246990
TI  - Integration of primary prevention into social work practice.
AB  - Although much has been written about the concept, primary prevention has not been
      integrated into social work practice. The author discusses factors that might
      move the profession toward adapting this concept and discusses as well those that
      inhibit its integration.

PMID- 10246991
TI  - Forecasting demands for inpatient services in a large public health care delivery
      system.

PMID- 10246992
TI  - How does self-help work?

PMID- 10246993
TI  - Beyond coping.

PMID- 10246994
TI  - Management briefs--hospital management companies.

PMID- 10246995
TI  - Physician cost containment...the next hurdle?

PMID- 10246996
TI  - International medical equipment/Israel.

PMID- 10246997
TI  - The blood pressure equipment market.

PMID- 10246998
TI  - Commercial hospital linen versus rental service.

PMID- 10246999
TI  - Outside consultants: the pros and cons of hiring them.

PMID- 10247000
TI  - Kill-O-Watt energy conservation tips: a multi-hospital energy conservation
      program.

PMID- 10247001
TI  - Hospitals are saving more than lives--the Texas voluntary effort: productivity
      must be increased.

PMID- 10247002
TI  - The law and multi-hospital systems.

PMID- 10247003
TI  - Multi-hospital systems: where they've been, where they're going.

PMID- 10247004
TI  - A not-for-profit perspective on multi-hospital systems.

PMID- 10247005
TI  - A penny saved: non-duplication of services.

PMID- 10247006
TI  - Santa Rosa Medical Center: how one religious multi-hospital system operates.

PMID- 10247008
TI  - Cooperate to communicate.

PMID- 10247009
TI  - Getting the word out: publicity and promotion.

PMID- 10247007
TI  - Harris County Hospital District: a quasi-governmental approach to multi-hospital
      systems.

PMID- 10247010
TI  - Supervisory training without a supervisory trainer.

PMID- 10247011
TI  - The demand for health services in Texas.

PMID- 10247012
TI  - Hospitals are saving more than lives--the Texas voluntary effort: alternate
      delivery systems.

PMID- 10247013
TI  - Medical record consultants: valuable members of the small hospital team.

PMID- 10247014
TI  - The Health Systems Agency and Certificate of Need.

PMID- 10247015
TI  - Big business moves into nursing homes.

PMID- 10247016
TI  - Network for spinal cord care planned.

PMID- 10247018
TI  - Discrimination, poverty described as co-repressors of health care.

PMID- 10247017
TI  - Agencies experimenting with fringe benefits: four VA hospitals planning
      compressed workweek test.

PMID- 10247019
TI  - Some refugees suffer contagious diseases.

PMID- 10247020
TI  - Volunteers key to mental health center's philosophy.

PMID- 10247021
TI  - The effective use of the retired volunteer.

PMID- 10247022
TI  - Going up? A look at your upward mobility potential.

PMID- 10247023
TI  - Hospital cost containment: views of Virginia congressman David E. Satterfield,
      III.

PMID- 10247024
TI  - 'Project Health' serves medically indigent through prepaid health plans and
      private physicians.

PMID- 10247025
TI  - Pattern of black hospital closings interrupted as Richmond community revitalizes
      old hospital in new plant.

PMID- 10247026
TI  - Paying for preventive care: why change is needed.

PMID- 10247027
TI  - Role of the occupational health nurse in industry.

PMID- 10247028
TI  - Board power and organizational effectiveness among human service agencies.
AB  - This study examines the importance of an externally powerful board of directors
      to the effectiveness (ability to attract scarce resources) of 46 human service
      agencies operating within the same community. Traditional assumptions regarding
      the importance of a powerful board were supported when effectiveness was
      operationalized using static measures of funding but were not supported when
      dynamic measures were used.

PMID- 10247030
TI  - Establishing relationships in health care facilities.

PMID- 10247029
TI  - Surprise and sense making: what newcomers experience in entering unfamiliar
      organizational settings.
AB  - Growing disillusionment among new members of organizations has been traced to
      inadequacies in approaches to organizational entry. Current directions of
      research on organizational entry and their limitations are described, and a new
      perspective is proposed. The new perspective identifies key features of
      newcomers' entry experiences, including surprise, contrast, and change, and
      describes the sense-making processes by which individuals cope with their entry
      experiences. Implications for research and practice on organizational entry are
      drawn.

PMID- 10247032
TI  - Administrator expectations of the food service manager.

PMID- 10247033
TI  - Elder care in Sweden--a quick look.

PMID- 10247031
TI  - Recreation services in health care facilities: a collaborative approach.

PMID- 10247034
TI  - Enhancing the patient's environment.

PMID- 10247035
TI  - The 1980 AIA Honor Awards: a hospital achieves rare levels of design and amenity.

PMID- 10247037
TI  - In earthquakes, failure can follow form.

PMID- 10247036
TI  - The 1980 AIA Honor Awards: 'calm excellence' in a retirement housing complex.

PMID- 10247038
TI  - Trends in allied health education for the health care team of tomorrow.

PMID- 10247039
TI  - Employment differences of baccalaureate and associate degree graduates from
      allied health education programs.

PMID- 10247040
TI  - The equality of women's jobs in the allied health professions.

PMID- 10247041
TI  - Communication of information to the aphasic patient and family.

PMID- 10247042
TI  - Client-centered planning: implications for training health professionals and
      patient counselors.

PMID- 10247043
TI  - An essay-type method for evaluating knowledge of interviewing procedures.

PMID- 10247044
TI  - The impact of the allied health professions on health care delivery.

PMID- 10247045
TI  - A therapeutic art session with rapevictims.

PMID- 10247046
TI  - The decisions pharmacists make.

PMID- 10247047
TI  - The foreign pharmacy graduate: the displaced pharmacist.

PMID- 10247048
TI  - Electrical safety.

PMID- 10247049
TI  - '500' crowds challenge MD's.

PMID- 10247050
TI  - Huge cost savings foreseen for Blues' two new programs.

PMID- 10247051
TI  - Hospitals enter the 'wellness' business.

PMID- 10247052
TI  - Tornadoes batter Nebraska VA hospital.

PMID- 10247053
TI  - Physicians and clergymen cooperate at Indiana counseling center.

PMID- 10247054
TI  - Running a VA laundry: some similarities, some differences.

PMID- 10247055
TI  - Building a better linen usage system.

PMID- 10247056
TI  - The well-being of design quality in the health-care world.

PMID- 10247057
TI  - Finding opportunities in health-care construction.

PMID- 10247058
TI  - Sydney raised funds to keep its laser.

PMID- 10247059
TI  - Death, dying and patient care: the patient and his family.

PMID- 10247060
TI  - Patients in casualty--Part 1.

PMID- 10247062
TI  - Current system OK--AHA.

PMID- 10247061
TI  - The effective use of boards.

PMID- 10247063
TI  - Saudi centre slammed.

PMID- 10247064
TI  - A national voice for women's health concerns.

PMID- 10247065
TI  - A California county tries running an HMO.

PMID- 10247066
TI  - Media center in Peru needs your help.

PMID- 10247067
TI  - College influences education and art of surgery in Chile.

PMID- 10247068
TI  - The College's role in Australia.

PMID- 10247069
TI  - Greece: a new chapter in the making.

PMID- 10247070
TI  - Hospitals can require liability insurance.

PMID- 10247071
TI  - The goals and activities of the International Relations Committee.

PMID- 10247072
TI  - Some reflections on the College's international role.

PMID- 10247073
TI  - Four California hospitals convert to computerized dictation.

PMID- 10247074
TI  - Why and how business uses temporary help.

PMID- 10247075
TI  - Getting ready for the appraisal interview.

PMID- 10247076
TI  - Food and Drug Administration-Redesignation of the Department of Health,
      Education, and Welfare as the Department of Health and Human Services. Final
      rule.
AB  - The agency is amending Chapter I of Title 21 of the Code of Federal Regulations
      to reflect the redesignation of the Department of Health, Education, and Welfare
      as the Department of Health and Human Services.

PMID- 10247077
TI  - Drug Enforcement Administration--Records and reports of registrants; central
      recordkeeping permits. Final rule.
AB  - This rule amends 1304.04(a) of Title 21 of the Code of Federal Regulations by
      eliminating Central Recordkeeping Permits but still provides a means whereby
      qualified registrants will be able to keep certain required records at a central
      location. The amendment will establish a simplified notification system in lieu
      of requiring a central recordkeeping permit necessary under current regulations.

PMID- 10247078
TI  - Public Health Service--Information regarding requirements for health maintenance
      organizations. Correction notice: information regarding requirements for
      qualified health maintenance organizations.
AB  - This notice corrects an error made in a Federal Register notice with respect to
      information regarding requirements for health maintenance organizations (HMO's).

PMID- 10247079
TI  - Life safety codes: over-regulated or over-designed?

PMID- 10247080
TI  - Heart-attack victims leave the hospital earlier as doctors learn to assess
      damage, predict risk.

PMID- 10247081
TI  - Our sickness care system.

PMID- 10247082
TI  - Economics of hospital management attract institutions to that group, analysts
      find.

PMID- 10247083
TI  - Calif. investigates medical claim fraud.

PMID- 10247084
TI  - Law reform survey--Part 1. Law reform and you: your verdict's in--criteria for
      determination of death.

PMID- 10247086
TI  - The impact of collective bargaining.

PMID- 10247085
TI  - Longueuil clinic runs on oiled wheels.

PMID- 10247087
TI  - Care of the patient in the x-ray department.

PMID- 10247088
TI  - Relating to the patient.

PMID- 10247090
TI  - Clinical education--who needs it?

PMID- 10247089
TI  - The new SI units--problems of conversion.

PMID- 10247091
TI  - Clinical education--who needs it?

PMID- 10247092
TI  - Clinical education--who needs it?

PMID- 10247093
TI  - Clinical education--who needs it?

PMID- 10247095
TI  - Statistics Canada: radiological technicians.

PMID- 10247094
TI  - The Canadian Association of Medical Radiation Technologists: letters patent, by
      laws, rules and procedures.

PMID- 10247096
TI  - Twenty-eight Annual Welch Memorial Lecture: "Radiology management in the 80's".

PMID- 10247097
TI  - The provincial role in the Canadian welfare state: the influence of provincial
      social policy initiatives on the design of the Canada Assistance Plan.

PMID- 10247098
TI  - Systems analysis: the health care delivery system in the United States today.

PMID- 10247100
TI  - Systems analysis: motivational aspects of multiphasic screening.

PMID- 10247099
TI  - Systems analysis: an approach to the care of heart disease and stroke--a
      practitioner's view.

PMID- 10247101
TI  - Should vendors be trapped in fund-raising efforts?

PMID- 10247102
TI  - It's called SAVE--and it does! Selective supply monitoring.

PMID- 10247103
TI  - Product evaluation--standardization--value analysis.

PMID- 10247104
TI  - 'Systematic' order entry methods.

PMID- 10247105
TI  - MSI--a new homework assignment.

PMID- 10247106
TI  - It makes dollars and sense to use BEEP.

PMID- 10247107
TI  - The hidden barriers to team building.

PMID- 10247108
TI  - Disaster checklist for PR.

PMID- 10247109
TI  - Public awareness campaign.

PMID- 10247110
TI  - Problems in Wisconsin.

PMID- 10247111
TI  - Contracting with HMOs.

PMID- 10247112
TI  - Administration/On medical benefits.

PMID- 10247113
TI  - Controlling therapeutic diets.

PMID- 10247114
TI  - Management of records.

PMID- 10247115
TI  - Cherokee Lodge story: at home in Kansas, the dream comes to life.

PMID- 10247116
TI  - Leader Nursing Center: the goal is rehabilitation and home.

PMID- 10247117
TI  - Cost allocation for LTC facilities.

PMID- 10247118
TI  - Canada/subsidies and high interest.

PMID- 10247119
TI  - Dietetics/patients plan the menus.

PMID- 10247120
TI  - The garden: producing their own food in Nebraska.

PMID- 10247121
TI  - Psychiatric care in a nursing home.

PMID- 10247122
TI  - Retention of tax records.

PMID- 10247123
TI  - Confidentiality and the law.

PMID- 10247124
TI  - Nursing/billing for supplies.

PMID- 10247125
TI  - Canada/accreditation and the critics.

PMID- 10247126
TI  - Health care needs political action.

PMID- 10247127
TI  - Preventing nurse 'burnout': "assertiveness training' can be cost-effective.

PMID- 10247128
TI  - Fixed unit assignments for respiratory therapists cuts length of stay, costs.

PMID- 10247129
TI  - Hospital sets up public relations effort to encourage pre-admission registration.

PMID- 10247130
TI  - Storage and retrieval of radiology records enter the computer age.

PMID- 10247131
TI  - Costs can be reduced when hospitals ask the right questions.

PMID- 10247132
TI  - Residencies in review.

PMID- 10247133
TI  - Antibiotic utilization monitoring--study and review in a Canadian teaching
      hospital.
AB  - Patients receiving gentamicin, cephalosporins and penicillinase-resistant
      penicillins were monitored by pharmacists in a 536-bed university hospital. Of
      the 217 cases monitored 56% were considered to be rational therapy, 34% were
      irrational therapy and 10% were questionable. The guidelines used for evaluation
      of cases were The Audits of Antimicrobial Usage. Guidelines for Peer Review,
      Kunin and Efron 1977. Treatment was the indication for antibiotic use for the
      remaining 32% of cases. Sixty-seven per cent of prophylactic therapy was
      considered to be irrational.

PMID- 10247134
TI  - Trends in clinical pharmacy in Spain.

PMID- 10247135
TI  - The application of a freeze-microwave thaw technique to central admixture
      services.
AB  - The establishment of a centralized, intravenous solution/admixture drug program
      in a hospital enhances the quality of patient care. Costs for personnel,
      equipment, and space have constrained the growth of such a service in the past. A
      method of preparation for admixture units, which capitalizes on the economics of
      volume and employs personnel at levels of training consistent with need, is
      proposed. This technique, utilizing freezing, long-term storage at -20 degrees C,
      and thawing by exposure in a microwave oven minutes before intended use,
      surmounts the real and perceived difficulties in many planned or existing
      admixture programs. A strong element of prospective quality control can be
      introduced. Where demand is insufficient to justify a separate activity,
      cooperative arrangements among hospitals will bring all the advantages of central
      admixture to each. It appears that reductions can be made in the pharmacy hours
      devoted to admixture. Waste of any unused, reconstituted drugs or prepared units
      that were not administered may be diminished. Thus, there may be substantial
      savings for existing admixture programs, if the technique described is adopted.
      The ultimate form of implementation in each institution, as always, is dependent
      upon the special "personality" of the hospital.

PMID- 10247136
TI  - Who takes the risk? A variety of methods are available for financing the health
      care plan.

PMID- 10247137
TI  - Group life and health coverage in Brazil.

PMID- 10247138
TI  - Emergency medical services in the United Kingdom.

PMID- 10247139
TI  - Jump crews: an approach to rural emergency care.

PMID- 10247140
TI  - EMT-P-operated motorcycle rescue, a preliminary note.

PMID- 10247142
TI  - A study of cardiopulmonary resuscitation technical skill retention among trained
      EMT-A's.

PMID- 10247141
TI  - The new standards for cardiopulmonary resuscitation and emergency cardiac care.

PMID- 10247143
TI  - House staff knowledge of blood component therapy: an evaluation.
AB  - It has been documented that most transfusion errors are either administrative or
      clerical. It is necessary to ascertain if those responsible for transfusing
      patients have the knowledge to do it properly. Since house staff are responsible
      for the proper administration of blood components at many teaching hospitals, a
      group of pediatric interns and residents were given a short examination to
      measure their knowledge of transfusion practices and to identify when, during
      their training, this knowledge is obtained. Transfusion techniques, inspection of
      blood bag labels, compatibility, and transfusion reactions were covered in the
      exam. It was found that the knowledge of transfusion therapy is learned by
      experience and that many house staff members have an adequate knowledge of
      present-day transfusion practices.

PMID- 10247144
TI  - Evaluating continuing education: a focus on the client.
AB  - This article presents the evaluation methodology used in an NIMH funded
      continuing education project for mental health professionals. The 96 participants
      who completed the course in three distinct cycles came both as work teams from
      agencies and as individuals and had potential impact on 1700 staff and 6913
      clients. Forty-eight quantifiable and two qualitative dependent measures were
      used to assess participants' perceptions of the course, knowledge and attitudes,
      clinical behaviors as reflected in work environment and ward atmosphere, and
      impact on client status. A controlled experimental design with pretest, posttest,
      and follow-up data collection points was planned. Problems encountered and
      evaluation findings suggest the need for different types of evaluation
      strategies.

PMID- 10247145
TI  - An educational program for psoriatics: an evaluation.
AB  - Patients with psoriasis referred to the Dermatology Service at Women's College
      Hospital and satisfying certain criteria relating to percentage body involvement,
      age, and the absence of serious coincident conditions were assigned at random to
      three weeks of day care and education at the Psoriasis Education and Research
      Centre (PERC) or to the Dermatology Service at Women's College Hospital (WCH) for
      normal hospital care. On admission, all study patients received normal history
      and physical examinations and were photographed by a standardized procedure that
      provided an accurate estimate of type and extent of body involvement. A
      functional history was taken from PERC patients that provided information
      concerning their ability to cope at home, at work, and socially; the extent and
      appropriateness of their self-care practices; and their knowledge concerning the
      pathophysiology and etiology of psoriasis and the names and actions of the
      medications they were using. Individualized patient education programs were
      designed with reference to the medical and functional information and implemented
      in the three weeks of day care. Photographic assessment and the functional
      history were repeated at three weeks, six months and twelve months. Hospital
      patients were reassessed at six and twelve months and a functional history was
      taken at six months. The functional status of PERC and hospital patients was
      compared at six months. The results of this study reinforced the belief that in
      the case of psoriasis, education coupled with treatment is more effective than
      treatment alone.

PMID- 10247146
TI  - Health education evaluation: an alternate research paradigm.
AB  - A major disappointment with educational evaluative research in general, and
      health education evaluation in particular, is all too often outcome of "no
      significant difference" or "no effect." Reviewing the evaluation literature one
      finds experienced investigators such as Donald Campbell, Marcia Guttentag, and
      Carol Weiss lamenting the fact that educational programs persistently fail to
      uncover statistical differences. This problem continues to plague evaluators
      whose experiential evidence indicates that the program may have produced some
      very desirable results. Thus, the traditional methods of evaluation are
      increasingly being called into question. Evaluators are presenting theories to
      explain the "no effects" phenomenon and alternate methodologies are being
      proposed in the literature. This article suggests that health educators not only
      acknowledge the existence of this dilemma, but develop a working knowledge of
      alternate or qualitative data methodologies, their possibilities, and their
      limitations, thus encouraging the evaluation of those health programs which have
      traditionally been classified as undoable.

PMID- 10247148
TI  - Usefulness of case mix systems as a tool in hospital management must be
      determined.

PMID- 10247147
TI  - DRG concept generates mixed reaction in hospital industry as research continues.

PMID- 10247150
TI  - Congressman's opinion: return balance and common sense to the regulatory process.

PMID- 10247149
TI  - Advice to hospitals: prepare for some sort of reimbursement system change.

PMID- 10247151
TI  - Want to get your AHR complaints heard? One "SHUR" way--tell your congressman.

PMID- 10247152
TI  - Hospital's solicitation rules involving unions should consider concerns of
      courts.

PMID- 10247153
TI  - HCA-managed hospital votes tax cut; finances improved.

PMID- 10247154
TI  - Hyatt's management team begins work at Cook County Hospital.

PMID- 10247155
TI  - British health minister calls for private-public sector partnership at AMI
      ceremonies.

PMID- 10247156
TI  - INA proposes HOPE--market-oriented health care program.

PMID- 10247157
TI  - HAMC helps hospital trustees chart long-range planning.

PMID- 10247158
TI  - NME gives priority to recruitment for Saudi project.

PMID- 10247159
TI  - DRGs: the new regulatory strategy.

PMID- 10247160
TI  - Lutheran Medical Center: a case history of how sprinkler option provides design
      flexibility and can save money.

PMID- 10247161
TI  - Capital campaign basics promise high visibility.
AB  - For an organization to conduct a well-supported, successful capital campaign,
      there's more required than a willing spirit and an institutional need. Dedicated
      volunteers, an enthusiastic constituency, professional advice and a detailed
      feasibility study before a campaign is launched are the necessary components.

PMID- 10247162
TI  - New ways to profit from a feasibility study.
AB  - Contrary to popular opinion, a feasibility study should do more than simply
      indicate a "go/no-go" decision says this author. What it can do is measure how an
      institution can go about raising those big dollars.

PMID- 10247163
TI  - Commentary--medical technologies: a perspective of the Carter administration.

PMID- 10247164
TI  - Interview: Eli Ginzberg. Interview by Robert Spanier.

PMID- 10247165
TI  - Hospice--What is it? What is its future?

PMID- 10247166
TI  - Pharmacists prescribe drugs in pilot project.

PMID- 10247167
TI  - Legal problems facing the internist.

PMID- 10247168
TI  - New hospital assistance plan begins with $15.4 million in New York.

PMID- 10247169
TI  - Precedents for establishing district health authorities.

PMID- 10247170
TI  - Dawson Report: sixty years after the high hopes of 1920.
AB  - Nearly everyone has heard of the Dawson Report although few have read it.
      Unobtainable for many years, its historical importance was recognised when the
      King's Fund reprinted it in 1950. It has been described as 'the parent of all
      regional schemes of health services,' with an influence extending far beyond
      Britain. Although it was shelved by the government of the day within a few weeks
      of publication, it can now be seen as a powerful influence on the thinking that
      went into the creation of the NHS.

PMID- 10247171
TI  - Dawson Report: design for the future...
AB  - The Memorandum on Designs for Health Centres, printed as an appendix to the
      Dawson Report, described three types of health centre, of steadily increasing
      size and complexity. We print here the description and plans for Type 1, the
      simplest. The plans, drawn for the consultative council by an architect, C. H.
      Biddulph-Pinchard, were not intended to be used as standardised models, but as
      suggestions to be modified in the light of local conditions and the peculiarities
      of the site. Health Centre Type 2 was intended to serve a small town, or a group
      of small towns or villages, and had twice the number of beds as well as more
      elaborate facilities generally. Type 3 was very grand, including a ward block
      with up to 66 beds and accommodation for 35 staff.

PMID- 10247172
TI  - Dawson Report: the centres of discontent.
AB  - In many respects health centres have done more harm than good. The primary health
      care teams, which health centres were supposed to foster, have generally failed
      to materialise. These are among the saddening conclusions of research described
      by Dr J. Gerald Beales, formerly of the University of Bradford Management Centre
      and now a research fellow in the department of rheumatology, University of
      Manchester Medical School.

PMID- 10247173
TI  - Dawson Report: more and smaller theme.
AB  - It is possible to consider many of the health centres opened in the last 10 years
      as 'illness centres' rather than 'health centres'. But Hazel Grayson, research
      officer, and Dr Raymond Moss, director of the Medical Architecture Research Unit
      at the Polytechnic of North London, argue that it is where a health centre is,
      rather than what it is, that determines its success.

PMID- 10247174
TI  - Centres of excellence.
AB  - The present Government may not be enthusiastic about health centres. But Dr Joyce
      M. Watson, of Glasgow University Department of General Practice and based at
      Woodside Health Centre in Glasgow, writes with enthusiasm of their advantages for
      the practice of medicine and the care of patients.

PMID- 10247175
TI  - Clinical psychology: an independent profession.
AB  - There are few clinical psychologists, just over 1,000 in the NHS in England and
      Wales. Derek Thomas, Bernard Kat and Frank McPherson review the profession and
      argue that it should be organised on a district basis.

PMID- 10247176
TI  - Hospital size: manage...be they large or small.
AB  - In this article R. Banyard, assistant hospital administrator, and M. Gorham,
      hospital administrator, at the Northern General Hospital, discuss Government
      statements on the size of future hospitals and relate these to the current debate
      on Patients First.

PMID- 10247177
TI  - Getting more out of purchasing: a purchasing workshop.

PMID- 10247178
TI  - Six steps to follow in purchasing lab equipment.

PMID- 10247179
TI  - The sealed bid--a matter of confidence.

PMID- 10247180
TI  - Group purchasing: It's getting bigger...is it getting better?

PMID- 10247181
TI  - Hospital and integrated health services--philosophy and overview.

PMID- 10247182
TI  - Hospital and integration health services.

PMID- 10247184
TI  - Progressive patient care.

PMID- 10247183
TI  - Hospital and integrated health services--community view.

PMID- 10247185
TI  - March of health manpower through plans in India.

PMID- 10247186
TI  - O.P.D.--the peep window of the community morbidity.

PMID- 10247187
TI  - Role of the nurse in the delivery of health care.

PMID- 10247189
TI  - Application of administrative theory to hospital operations.

PMID- 10247188
TI  - A study on drug usage on inpatients at the Nehru Hospital, P.G.I. Chandigarh.

PMID- 10247190
TI  - Reorientation of medical education to improve health care staffing.

PMID- 10247192
TI  - Hospital pharmacy at cross road.

PMID- 10247191
TI  - Hospital in total health care programme.

PMID- 10247193
TI  - 'Management' by objectives.

PMID- 10247194
TI  - Organisation of blood transfusion service in a hospital.

PMID- 10247195
TI  - Implementation of family welfare planning programme.

PMID- 10247196
TI  - A system for improved ward management.

PMID- 10247197
TI  - Hospital infections.

PMID- 10247198
TI  - Hospital out-patient services.

PMID- 10247199
TI  - Casualty and emergency services.

PMID- 10247200
TI  - Spotlight on specialist nurse.

PMID- 10247201
TI  - Primary health care in rural areas.

PMID- 10247202
TI  - Factors contributing to the reduction of inventories in hospitals.

PMID- 10247203
TI  - Sharing health service capital resources in Scotland.

PMID- 10247204
TI  - Changing hospital organization using outside consultants: evaluation of one
      example.

PMID- 10247205
TI  - Career development of administrators for the year 2000--and beyond.

PMID- 10247206
TI  - Management arrangements below district level: a framework for analysis.

PMID- 10247207
TI  - Joint consultation in the NHS.

PMID- 10247209
TI  - The best in hospital architecture.

PMID- 10247208
TI  - Building & remodeling: what you need to know and do before construction begins.

PMID- 10247210
TI  - Chinese Hospital.

PMID- 10247211
TI  - Quake! San Francisco hospitals join in massive disaster drill that points up weak
      links in emergency program.

PMID- 10247212
TI  - Planning issues for the 80s.

PMID- 10247213
TI  - Terry describes program of environmental sampling.

PMID- 10247214
TI  - Integration of architectural, structural, mechanical and electrical systems in
      hospitals.

PMID- 10247215
TI  - Planning and execution of preventive maintenance in hospital and industry.

PMID- 10247216
TI  - Estate maintenance condition monitoring.

PMID- 10247217
TI  - Total nursing assessment of the home care patient.

PMID- 10247218
TI  - Levels of knowledge about aging among homemaker/home health aides.

PMID- 10247219
TI  - Maximizing reimbursement sources--one agency's approach.

PMID- 10247220
TI  - U.S. Regulatory Council's hospital project--opportunity for change.

PMID- 10247221
TI  - St. Elizabeth Hospital responds to Mt. St. Helens disaster.

PMID- 10247222
TI  - Defining the "professional" nurse: an issue for providers, consumers.
AB  - A survey conducted in Georgia reveals that 65 percent of hospital administrators
      and nursing directors oppose the ANA's resolution to make the BSN the entry-level
      requirement for professional nurses by 1985. While state nurses' associations and
      professional groups are formulating their positions, further research is
      necessary to determine the resolution's implications.

PMID- 10247223
TI  - Mercy Center for Health Care Services, Aurora, IL. Benefits fair supplements
      policy handbooks, statements.

PMID- 10247224
TI  - Patient alleges eye and hand injuries after surgery.

PMID- 10247225
TI  - Woman argues hysterectomy was unnecessary.

PMID- 10247226
TI  - MHA supports voucher system, not new VA hospital.

PMID- 10247228
TI  - Tapping the flow of information in a rural region: the example of the smallpox
      eradication program in Bihar, India.

PMID- 10247227
TI  - Labeling theory and community care of the mentally ill in California: the
      relationship of social theory and ideology to public policy.
AB  - The practical merit of a labeling theory approach to mental illness is examined
      and assessed through an exploration of its application in terms of public policy,
      i.e., community mental health policy in the state of California since 1968.
      Primary focus is placed on the impact of the deinstitutionalization of mental
      health services in that state, and the release of former mental patients into the
      community. Similarities in the fundamental ideological underpinnings of labeling
      theory, an associated conspiratorial model of mental illness, and contemporary
      California mental health policy, are presented and examples of policy input by
      labeling theorists and researchers are detailed. The impact of the California
      policy on the mentally ill is generally negatively assessed in terms of three
      major criteria: (1) rehabilitation; (2) reintegration; and (3) quality and
      continuity of care. The "translation" of several theoretical misconceptions
      regarding mental illness, caused by putting labeling theory into official policy,
      is suggested to lie at the root of many of the policy's implementation problems.
      The uses of social science theory and research are discussed, and caution is
      advised in the translation and application of social scientific theory and
      research to public policy proposals and programs.

PMID- 10247229
TI  - The rights of charitable organizations and the First Amendment.

PMID- 10247230
TI  - Court of Appeals upholds denial of interim relief in Hill-Burton lawsuit--one
      judge dissents.

PMID- 10247232
TI  - U.S. Appeals Court confirms NLRB's authority to classify house staff students,
      not employees.

PMID- 10247231
TI  - Legislation to limit use of tax-exempt bonds unlikely in 1980; flexible financing
      terms are best precaution.

PMID- 10247234
TI  - Regulated utilities' First Amendment rights to "commercial speech" affirmed by
      U.S. Supreme Court--possible analogies to hospital industry.

PMID- 10247233
TI  - HCFA clarification permits some reimbursement of unionizing-related costs; AHA
      pursues total withdrawal of Sec. 2180.

PMID- 10247236
TI  - Health education and nursing: concepts for practice.

PMID- 10247235
TI  - Administration's standby gas rationing plan fails to address hospital employees'
      transportation needs; AHA reminds Congress of 1973 mandate to protect public
      health.

PMID- 10247237
TI  - Effectiveness of one-to-one health education in the home.
AB  - HEALTH education conventionally takes one of two forms, a mass campaign to the
      whole population using the media, or an approach to members of chosen at-risk
      groups, through individual or small group sessions. The following study explores
      the efficacy of one-to-one education of the whole adult population, at risk or
      not, by visiting a random sample of them in their homes and giving them
      information on one of four relevant topics, adapting the style and content to the
      individual's needs and interests. The survey therefore tests the technique of a
      flexible, person-orientated approach to health education.

PMID- 10247238
TI  - Knowledge of health information and services in a random sample of the population
      of Glasgow.
AB  - A RANDOM sample of adults in Glasgow was surveyed by trained interviewers to
      determine public knowledge on four topics chosen specifically for each of four
      age groups. The topics were: Welfare rights and services; Coronary Heart Disease
      (CHD) and individual action that can reduce risk; The dangers of smoking in
      pregnancy; and fluoride and its functions and the connections between good health
      and habitual behaviour.

PMID- 10247239
TI  - A study of factors related to rural job preference among prospective nursing
      graduates.
AB  - Four hundred and thirty prospective nursing graduates from ten schools and five
      colleges in India were studied to identify factors related to their preferences
      for work in urban or rural areas. Seventy per cent expressed a preference for
      urban work. Significant factors related to rural preferences were: religion and
      background (rural or urban); type of educational institution (government or non
      government); and living in a rural setting during community nursing experience.
      Of the personal, professional and socio-cultural factors related to rural work
      preference, the most significant were: accomodation, sanitation and safe water;
      job availability for spouse, security, and school for children. Of the personal
      and professional factors, the most important were: continuing education
      opportunities, job satisfaction, and intellectual stimulation.

PMID- 10247240
TI  - Principles of steam sterilization.
AB  - Moist heat in the form of saturated steam under pressure, is by far the most
      reliable medium, known for the destruction of all forms of microbial life. Steam
      sterilisation, therefore, is the most economical, effective and widely used
      method of seeking sterilisation in hospital practice. This article aims at
      describing the principle mechanism that makes steam an effective destruction of
      micro-organisms, the equipment that is most commonly used for the purpose and the
      practical methods of testing for sterility. The application of these principles,
      it is hoped, will ensure standardisation and quality control of routine
      sterilisation practice in hospitals thus, contributing towards the reduction in
      the incidence of hospital acquired infection.

PMID- 10247241
TI  - Integration of leprosy control work with general health services as planned in
      Maharashtra.
AB  - The current literature on integration of Leprosy Control work with General Health
      Services has been reviewed. In view of the introduction of Multipurpose Workers'
      Scheme and an experience in a pilot project, the authors feel that the time of
      integration of leprosy is ripe. The process of involvement of Multipurpose
      Workers in the Leprosy Control Programme is being introduced in a manner that
      ensures adequate supervision by the present Leprosy Control staff during the
      training period and also subsequently for one year so that the transition from
      unipurpose to integrated service, is a smooth one. After the successful
      integration of leprosy, the leprosy staff, after adequate training, can be used
      as Multipurpose Supervisors.

PMID- 10247242
TI  - Challenge of infant mortality in India.
AB  - The paper analyses the existing constraints in the delivery of adequate health
      services to children. A strategy for containing the infant mortality due to
      neonatal causes, diarrhoeal diseases and respiratory infections is presented:
      suggestions are given for better training of manpower for child health services,
      continuous supply of drugs and equipment and adoption of the "at risk" approach
      for identification of children likely to die, without intervention.

PMID- 10247243
TI  - Late hospitalisation of children: some observations and experience.
AB  - The author analyses the factors responsible for delayed hospitalisation of
      children which ultimately accounts for high rate of mortality. The problem
      becomes significant as 50 per cent deaths of children in hospital occur within
      first 24 hours of admission. The experiences included in this paper are based on
      personal observations and studies conducted by B. K. Shrimali at Smt. Patel
      Paediatric Centre, Government Medical College, Jabalpur (M.P.).

PMID- 10247244
TI  - Reaching the child in need.
AB  - "Reaching the Deprived Child" is India's theme for the Year of the Child. This
      paper describes the recording system employed in the Community Health Programme
      of Christian Medical College, Ludhiana and how it enables us to reach not only
      deprived children, but those in danger of deprivation, the majority being the
      children of the socioeconomically underprivileged. Many are nutritionally normal
      at 12 months but 57 per cent of the males and 75 per cent of the females suffer
      from malnutrition in the 2nd year, 50 per cent of females having severe
      malnutrition. The etiology, discerned from a study of the deprived, allowed a
      preventive approach to be designed for those at risk. Intensive nutrition
      education is given in the homes, commencing as each baby reaches 5 months, and
      mothers are taught to feed them on suitable modifications of the food available
      in Punjab homes. The results in respect of 123 babies who had a minimum of 6
      months of this care, are described. Complete compliance was achieved in 82 per
      cent and in the rest partial compliance was achieved. The nutritional status of
      these infants, compared with a control group, improved greatly, especially in
      females in whom the prevalence of normal nutrition rose from 26 to 61 per cent
      and that of severe malnutrition fell from 50 to 17 per cent. The success of this
      approach depends on an accurate knowledge of the community since this allows
      priorities to be selected with clarity and maximum effort to be expanded upon
      those in greatest need.

PMID- 10247245
TI  - A study of low birth weight infants in an urban community.
AB  - The study concerns the problem of low birth weight as seen in a prospectively
      studied cohort from a South Delhi urban community covering 23,700 families and
      1,19,799 population over a four year period from 1969-73. The incidence of low
      birth weight was 22.9 per cent of which 2.7 per cent had a birth weight of 2000
      gms. or less and 20.2 per cent had a birth weight 2001-2500 gms. Maternal height
      of 140 cms or less and pregravid weight of 35 kg or less were associated with the
      occurrence of low birth weight infant. The mortality was related inversely to
      birth weight and the gestation affected the outcome directly. The mortality rates
      declined sharply in infants of birth weight 2001-2500 gms but was still high as
      compared to infants of birth weight more than 2.5 kg. The later physical growth
      was affected by the initial birth weight. The study was conducted under the
      research project 01-658-2 funded by the National Centre for Health Statistics,
      3700 East West Highway, Hyattsville, Maryland-20782, U.S.A.

PMID- 10247246
TI  - Expanded programme of immunisation for children.
AB  - The Expanded Programme of Immunisation for Children (EPI) operates as part of the
      maternal and child health programme and budgeted under it. It has been assured
      that there shall be no constraints of finances for it. This programme will become
      the touchstone to prove the concern and commitment of the medical and health
      administrators for the cause of child health in the country. This paper deals
      with the background of the EPI, recommended schedule of Immunisation and
      Programme for the future.

PMID- 10247247
TI  - Integrated child development services.

PMID- 10247248
TI  - Social aspects of health care in Igbo-Ora, Nigeria.
AB  - The philosophy and aims of a health care scheme in Igbo-Ora, Nigeria, are
      outlined. Some of the problems related to creating a data base from which work
      can proceed are set out and discussed. Social factors are mentioned, and
      attention is drawn to the need for seeing health problems against general
      settings specific to a given area rather than measuring upto some abstract or
      "scientific" standards. The uncharted ground in many Third World practices make
      this particularly important.

PMID- 10247249
TI  - Quality of medical care by central government health scheme--a study.
AB  - This study reports findings on the time spent by CGHS medical officers per
      patient in different medical care activities for 2,115 patients, as obtained by
      time study technique. This study was conducted during the year 1976-77. The
      average observed time spent by the medical officer per patient was found to be
      117.15 seconds per patient. The medical officers elicited only main complaints
      without asking past and family history in 84.44 per cent of patients and the
      average time spent on history taking was 42 seconds per patient which also
      included examination of identify card, recording of name, age and sex of the
      patients. Physical examinations were conducted in only 23.88 per cent of patients
      and the time spent per patient was 45.93 seconds. The advice for investigations
      was imparted in 2.60 per cent of patients, though the facilities for routine
      laboratory examinations were available in the dispensaries. Advice to the patient
      regarding dietary instructions and general advice was exclusively given in only
      5.20 per cent of cases whereas the family planning/health education advice to the
      patients was given only in 0.76 per cent of patients. The medical officers are
      aware of the inadequate quality of medical care provided to the beneficiaries and
      they felt they should at least spend 6.83 minutes for an old patient and 12.42
      minutes for the new patient. Probably they are not able to do so because of long
      queues in the dispensaries during peak hours. Hence, to improve the overall
      medical care and provide comprehensive care to the beneficiaries it is suggested
      that the medical officers can be given certain beneficiary population and made
      responsible to them.

PMID- 10247250
TI  - A study of combustibility of wastes of two hospitals for determining disposal by
      incineration.
AB  - Determination of quantity, quality and characteristics of the wastes of two
      hospitals located in the same sector of a class B city was undertaken to review
      the present dumping method of disposal. On an average 1,424.71 and 224.6 kgs. of
      five types of wastes as per the moisture content were found daily for seven days
      in these two hospitals of 1000 general beds, and 600 long stay beds for chest
      tuberculosis and other Cardiothoracic diseases respectively. The wastes of first
      hospital had higher combustibility due to its sprawling nature and activities for
      general patients than that of the second multistoreyed hospital treating special
      cases. A combustibility analysis of hospital wastes would help to decide whether
      to adopt incineration for disposal.

PMID- 10247251
TI  - Quality and effectiveness of PHC level class room training under MPW scheme.
AB  - Government of India have prescribed duration, curriculum and trainers for
      training of PHC field staff under multipurpose workers' scheme. The extent of
      implementation was studied in three States. Quality of training was also observed
      and its impact on knowledge and understanding was determined by comparing pre-
      and post-test scores on different subject areas. Centralised strategy for class
      room training with HFWTC as the venue was found to offer several advantages. By
      and large, Government of India's prescribed curriculum had been followed.
      Deviation had taken place mostly in the type of trainers. Topics and their
      sequence were well covered. There was, however, little use of training techniques
      to promote understanding and participation. In particular, there was lack of
      teaching aids at PHC level class room. Male field staff showed greatest need and
      profitted most from the training. Knowledge of maternal and child health and
      family welfare was least in both male and female staff before and after the
      training. Administrative factors affecting MO of PHCs as trainers were also
      determined. This is second in the series of papers based on the project findings.

PMID- 10247253
TI  - Will the Health Department enforce the law? Will the hospital Patient's Bill of
      Rights be implemented--or scuttled?

PMID- 10247254
TI  - Urban hospital closings in the face of racial change.

PMID- 10247252
TI  - Informational and documentational needs for education and training for health and
      family welfare--"para-professional and auxiliary".
AB  - In this paper, the author stressed the needs for a central arrangement for
      acquisition, exchange and dissemination of scientific information in the field of
      health and family welfare so as to increase the efficiency and effectiveness of
      planning, administration and evaluation of health and family planning programmes
      and also to carry out research when needed. The proposed arrangement in the form
      of a documentation centre must collect information on health care systems as
      their main functions so that the information and documentational needs for the
      education and training of health personnel are rationally developed in the
      context of present and future health needs and demands.

PMID- 10247255
TI  - Hospice: the rise and implications of a new addition to the health care scene.

PMID- 10247256
TI  - Antitrust ruling could affect several health professions.

PMID- 10247257
TI  - Philadelphia sans PGH.

PMID- 10247258
TI  - NY nurses hit the bricks.

PMID- 10247260
TI  - Pride fosters motivation.

PMID- 10247261
TI  - Improving relations with medical staff.

PMID- 10247259
TI  - The 1981 health budget.

PMID- 10247262
TI  - Sampling: how to fix the odds--Part 1.

PMID- 10247263
TI  - Early physician intervention saves hospital's resources.

PMID- 10247264
TI  - Procedures for decontamination, management of toxic waste.

PMID- 10247265
TI  - Risk control allows hospitals to share insurance profits.

PMID- 10247266
TI  - Structured settlement can save hospital monies, benefit patient.

PMID- 10247267
TI  - Recirculation air creates xylene intoxication hazard.

PMID- 10247268
TI  - Precautions followed by personnel involved with the preparation of parenteral
      antineoplastic medications.
AB  - There have been no guidelines published for precautions to be taken by personnel
      preparing parenteral antineoplastic agents. A questionnaire was prepared and
      mailed to all of the Comprehensive Cancer Centers in the United States for their
      opinions on this subject. A response rate of 84% was achieved. The major concerns
      of the respondents were 1) the local effect from spillage of antineoplastics on
      the skin and 2) the possible inhalation of solutions vaporized during
      preparation. On the basis of the responses to the questionnaire, it is
      recommended that all hospitals evaluate their procedures for preparing
      antineoplastics and take appropriate precautions to protect their personnel from
      any potential adverse effects from the medication prepared.

PMID- 10247269
TI  - The handling of antineoplastic drugs in a major cancer center.
AB  - It has long been known that many commonly used antineoplastic agents are
      carcinogenic. Yet most health care professionals take few precautions, if any,
      when handling these drugs. Recent findings suggest a possible hazard to personnel
      as evidenced by increased mutagenicity of urine of nurses exposed to anticancer
      drugs during preparation and administration of doses. Although more study is
      needed to determine the significance of these data, it would seem prudent to take
      measures to prevent any unnecessary exposure to these drugs by those preparing
      and administering them. The policies and procedures at the Memorial Sloan
      Kettering Cancer Center require that chemotherapeutic drugs be prepared in a
      vertical laminar flow containment hood by personnel wearing sterile disposable
      gloves. Chemotherapeutic agents are specially labeled to ensure segregated
      disposal of waste, which is subsequently incinerated.

PMID- 10247270
TI  - Evaluation of two sterility testing methods for intravenous admixtures.
AB  - The Addi-Chek Quality Control System (Millipore Corporation) and Ivex-2 Filterset
      (Abbott Laboratories) were evaluated to determine their effectiveness,
      applicability, and cost as part of a pharmacy quality-control program. Each
      method was tested using 50 solutions, 25 of which had been contaminated by
      inoculation with one of five micro-organisms; the other 25 solutions were used as
      controls. Aseptic technique was used, and procedures were carried out in a
      laminar air flow hood. Contaminated solutions were blinded from the person
      performing the tests. Addi-Chek detected contamination in all the inoculated
      solutions and in three of the uninoculated solutions. The latter may have been a
      result of adventitious contamination during the testing procedure. Ivex-2
      detected contamination in 24 of the 25 inoculated solutions; no other
      contamination was found. The effectiveness of the methods in detecting low-level
      microbial contamination appears comparable. Both methods have been shown to be
      useful in the pharmacy setting, but Ivex-2 could be used to test for
      contamination when used as an in-line filter at the patient level. Ivex-2 is less
      expensive and warrants further evaluation in monitoring for microbial
      contamination during preparation and administration of intravenous solutions.

PMID- 10247271
TI  - 1980 Lilly hospital pharmacy survey: preliminary report.

PMID- 10247272
TI  - . . . And voting, too!

PMID- 10247273
TI  - Food services: careless talk can sink ships.

PMID- 10247275
TI  - From the inside looking out.

PMID- 10247274
TI  - Competitive market holds key to private health resources.

PMID- 10247276
TI  - Food services: garnish is an art to be learned.

PMID- 10247277
TI  - Health planning: how the law works.

PMID- 10247278
TI  - Health planning: the federal perspective.

PMID- 10247279
TI  - Health planning: the consumer's role.

PMID- 10247280
TI  - State certificate of need.

PMID- 10247281
TI  - Legal implications of P.L. 93-641.

PMID- 10247282
TI  - HSA: mockery of democracy.

PMID- 10247283
TI  - Food services: why use the standard recipe?

PMID- 10247284
TI  - How to save money on utility bills.

PMID- 10247285
TI  - How the nation looks at nursing homes.

PMID- 10247286
TI  - Rocking & rolling to the tune of $140,000.

PMID- 10247287
TI  - A non-proprietary view: administrator-board communications.

PMID- 10247288
TI  - College of knowledge: how much does the resident of your skilled nursing facility
      really know about the facility in which he resides?

PMID- 10247289
TI  - What's wrong with U.S. health care.

PMID- 10247290
TI  - Businessman, heal thyself.

PMID- 10247291
TI  - Food services: portion control.

PMID- 10247292
TI  - A service delivery system for consumer implementation and evaluation.

PMID- 10247293
TI  - Odyssey of a comprehensive community mental health center in a voluntary teaching
      hospital.

PMID- 10247294
TI  - Rape accusations in psychiatric hospitals: institutional dynamics in crisis.

PMID- 10247295
TI  - A comparison of passive and active music reinforcement to increase preacademic
      and motor skills in severely retarded children and adolescents.
AB  - Eight severely retarded subjects were each taught two behaviors with contingent
      music listening (passive reinforcement) and contingent rhythm instrument playing
      (active reinforcement) to determine which type of reinforcement was more
      effective. A variation of the multiple baseline design was used in which a
      baseline condition preceded and followed two treatment conditions, passive and
      active music. Treatment conditions for each behavior were terminated at criterion
      or after the subject failed to meet criterion. Criterion was defined as an
      increase of 25% above the baseline mean for three consecutive sessions. An F test
      was performed on the sessions to criterion and the behavior frequencies under
      each reinforcement condition. Results indicated that both passive and active
      music reinforcement had a positive effect even though no significant differences
      were discerned between the two reinforcers for either variable. These findings
      were consistent with the previous limited study in this area.

PMID- 10247296
TI  - The effect of music ear training upon the auditory discrimination abilities of
      trainable mentally retarded adolescents.
AB  - The purpose of this study was to investigate the effect of music ear training
      upon the auditory discrimination abilities of 30 institutionalized trainable
      mentally retarded (TMR) adolescents. Subjects were 15 TMRs enrolled in choir and
      15 TMRs who were not choir members. The hypothesis was that music ear training
      incorporated in choir rehearsals would enhance auditory discrimination abilities,
      as measured by the Goldman-Fristoe-Woodcock Test of Auditory Discrimination. An
      analysis of variance revealed significantly more errors in auditory
      discrimination by the TMR adolescents not enrolled in choir. Results of t tests
      comparing the scores of TMR choir members to Goldman-Fristoe-Woodcock test norms
      for the same chronological age revealed significantly more errors by the choir
      members. However, t tests comparing the performance of TMR choir members and
      Goldman-Fristoe-Woodcock test norms for normal subjects of the same mental age
      revealed significantly more errors by normal subjects.

PMID- 10247297
TI  - Theories of aging: the difference in orientations.

PMID- 10247298
TI  - Quality assurance in psychiatric treatment.

PMID- 10247299
TI  - A private mental hospital model.

PMID- 10247300
TI  - Treatment aspects of inpatient care.

PMID- 10247301
TI  - Developmental concepts in the quality care of adolescents.

PMID- 10247302
TI  - Follow-up study on residential treatment of children, ages six through twelve.

PMID- 10247304
TI  - Alternative solution methods for the inventory replenishment problem under
      increasing demand.

PMID- 10247305
TI  - Health systems agencies: performance and prospects--a symposium.

PMID- 10247303
TI  - Practical inventory replenishment policies for a linear trend in demand followed
      by a period of steady demand.

PMID- 10247306
TI  - High level wellness and the HSAs: the failure to move from advocacy to action.

PMID- 10247307
TI  - Resolving state-local differences among plans under the 1974 Health Planning Act.

PMID- 10247308
TI  - Evaluating health systems agency performance.

PMID- 10247309
TI  - The national government's role in health planning: a political analysis.

PMID- 10247310
TI  - Dealing with the conflict of loyalties: the continuing seminar and action
      research.

PMID- 10247311
TI  - What we need to know about performance appraisals.

PMID- 10247312
TI  - How to make a business decision: an analysis of theory and practice.

PMID- 10247313
TI  - Preventing medical malpractice in hospitals: perspectives from law and policy.

PMID- 10247315
TI  - Laundry workers should be part of linen conservation programs.

PMID- 10247314
TI  - Laundry manager offers advice on how to control linen usage.

PMID- 10247316
TI  - I.P.A.--the initials that may mean your future.

PMID- 10247317
TI  - Grayzoning: does it protect patients--or bad doctors?

PMID- 10247318
TI  - How pressure is building for negotiated fees.

PMID- 10247319
TI  - The human face of records.

PMID- 10247320
TI  - An analysis of an innovative curriculum in medical record technology.

PMID- 10247321
TI  - The medical record scientist as a health care computer user: an emerging role for
      the future.

PMID- 10247322
TI  - Development of a medical record management control system through a work sampling
      study.

PMID- 10247323
TI  - Improving medical record completion at a university hospital.

PMID- 10247324
TI  - A risk management primer for medical record practitioners.

PMID- 10247325
TI  - Federal Privacy of Medical Information Act: update.

PMID- 10247326
TI  - Students' efficient management of the registration examination.

PMID- 10247327
TI  - Cincinnati Technical College's "co-opportunity" plan.

PMID- 10247329
TI  - Bed use statistics.

PMID- 10247328
TI  - Medical records manpower.

PMID- 10247330
TI  - Procedures for disclosure of a Health Authority's case notes relating to a
      patient involved in or contemplating civil proceedings.

PMID- 10247331
TI  - Inflation, unpredictable money costs complicate CEO's job.

PMID- 10247332
TI  - Hospitals may need product liability immunity for therapeutic x-rays.

PMID- 10247333
TI  - Harris signs notice of CON rules.

PMID- 10247334
TI  - Fire brigade insures fast response.

PMID- 10247335
TI  - Wanted: more innovation in nurse recruiting ads, use of new media.

PMID- 10247336
TI  - Bill helps city hospitals pull U.S. medical grads.

PMID- 10247337
TI  - Financing healthcare: survival depends on profit boost.

PMID- 10247338
TI  - Design innovations improve laboratories.

PMID- 10247339
TI  - Pump $300 million into Kaiser growth.

PMID- 10247340
TI  - Multihospital system survey: multiunit systems grow 11% in '79.

PMID- 10247341
TI  - Chains continue HUG despite pullout.

PMID- 10247342
TI  - Regulators will force unit mergers.

PMID- 10247343
TI  - Nonprofits raise share of contracts.

PMID- 10247345
TI  - International multihospital systems.

PMID- 10247344
TI  - Investor-owned systems: for-profits target smaller hospitals.

PMID- 10247346
TI  - VA units undergo $1 billion facelift to meet increasing service demands.

PMID- 10247347
TI  - Multiunits threaten regulators' clout.

PMID- 10247348
TI  - Multihospital systems' goals and structures change as they mature.

PMID- 10247349
TI  - PHS uses DRGs to determine costs.

PMID- 10247350
TI  - Nursing administration: what does it take to stem turnover, flight from field?

PMID- 10247351
TI  - DRG modifications, cost data needed.

PMID- 10247352
TI  - Inefficient buying may spur controls.

PMID- 10247353
TI  - Hospitals commit to IV contracts.

PMID- 10247354
TI  - Capital markets recover slightly but long-term bond market lags.

PMID- 10247355
TI  - Highly diversified National Medical Enterprises shows it's able to do it all.

PMID- 10247356
TI  - Economics of private rooms change.

PMID- 10247357
TI  - Hospitals' computer costs will rise dramatically during next five years.

PMID- 10247359
TI  - Phoenix hospitals merge emergency medical services.

PMID- 10247358
TI  - More than low salaries deter data processing staff from hospitals.

PMID- 10247360
TI  - Consultants see shift from shared services toward in-house systems.

PMID- 10247361
TI  - Data base: new management power.

PMID- 10247362
TI  - Trustee involvement in managing hospital data processing rises.

PMID- 10247363
TI  - Smooth implementation depends on planning input from system's users.

PMID- 10247364
TI  - Office building can be part taxable and part tax-exempt, court decides.

PMID- 10247365
TI  - GE buys EMI CT scanner business.

PMID- 10247366
TI  - HHS begins enforcing equal access to healthcare; threatens fund cuts.

PMID- 10247367
TI  - Information systems: shaking their inferiority complexes, hospitals prepare for
      new advances.

PMID- 10247368
TI  - Multihospital systems are becoming opportunistic planners, marketers.

PMID- 10247369
TI  - Purchasing: feds' committed volume wields clout.

PMID- 10247370
TI  - Competition in, regulation out in healthcare reform proposal.

PMID- 10247371
TI  - HMOs' federal mandate may face legal challenge.

PMID- 10247372
TI  - Seattle prepaid group plan cuts hospital stays.

PMID- 10247373
TI  - Hospitals resume feasibility studies as many gear up for bond market.

PMID- 10247374
TI  - Planning dilemma of '80s may be to protect, enhance access to capital.

PMID- 10247375
TI  - Bond markets restrict borrowing; may force new financing strategies.

PMID- 10247376
TI  - Hospitals scramble to issue bonds as crippled municipal market rallies.

PMID- 10247377
TI  - Multiunits increasing municipal bond issues.

PMID- 10247378
TI  - Secondary market activity picks up.

PMID- 10247379
TI  - Sloppy bookkeeping, California's Proposition 9 may hurt credit ratings.

PMID- 10247380
TI  - Insurance for tax-exempt hospital bonds dries up; no relief in sight.

PMID- 10247381
TI  - More hospitals will resume leasing as prime interest rate decreases.

PMID- 10247382
TI  - Alternative construction contracts save hospitals thousands of dollars.

PMID- 10247383
TI  - Tight money, higher interest rates slow nursing home systems growth.

PMID- 10247384
TI  - Dividing up markets might violate antitrust laws, Justice Dept. says.

PMID- 10247385
TI  - Read laws as are, not as might be.

PMID- 10247386
TI  - Blues test capitation payment plan.

PMID- 10247387
TI  - Management must meet nurses' changing needs.

PMID- 10247388
TI  - Trustees must decide to whom they owe allegiance: hospital or employer.

PMID- 10247389
TI  - Running an E.R. with staggered shifts.

PMID- 10247390
TI  - Performance appraisal: the legal implications of Title VII.
AB  - Since the enactment of the Civil Rights Act of 1964 and specifically Title VII of
      the Act, the federal government has increasingly involved itself with personnel
      policies and practices of employers in both the public and the private sector.
      While Title VII was initially directed toward discriminatory employee selection
      practices, the development of case law in this area suggests that the courts are
      now interpreting the Act much more broadly. In light of this, human resources
      managers would be wise to reevaluate the adequacy of existing performance
      appraisal systems to make them defensible against charges of discriminatory
      employment practices. After examining significant cases brought before the courts
      involving performance appraisal systems, authors Gary L. Lubben, Duane E.
      Thompson, and Charles R. Klasson draw conclusions as to what would constitute a
      defensible appraisal system. Chief among these is to make the overall appraisal
      process as formal, standard, and objective as possible and to consider subjective
      supervisory ratings as only one component of the overall evaluation process.

PMID- 10247391
TI  - Evaluating the personnel department's internal functioning.
AB  - Much has been written of late about auditing the personnel department-
      particularly in terms of its cost effectiveness, the time allocated to its
      various functions, and the extent and nature of expanding services. R. Bruce
      McAfee, assistant professor of management at Old Dominion University, takes up a
      different kind of audit--one that evaluates the effectiveness of personnel staff
      members in delivering and implementing personnel policies and procedures.
      Logically enough, he points to those who avail themselves of such services--the
      other employees in the organization--as being in the best position to perform
      such an evaluation. Thus the first step in his "personnel internal functioning
      audit" is to design a questionnaire for the purpose, and he takes it from there-
      citing along the way the experiences of a large midwestern hospital that
      conducted this kind of simple, inexpensive audit.

PMID- 10247392
TI  - Suggestion systems, an answer to perennial problems.
AB  - Suggestion systems, as one of our five panelists puts it, are no longer just the
      "complaint box" on the wall, but a formal communication vehicle which taps
      employee creativity, improves morale, and saves your company time and money. This
      comprehensive report is for those organizations who are interested in setting up
      a suggestion system program and for those whose present programs could be
      bettered.

PMID- 10247393
TI  - The annual employee earnings and benefits letter.
AB  - Considering the investment that companies make in establishing and improving
      fringe benefits, it appears that many of these same companies do very little to
      translate benefits into a value dimension that employees will understand and
      appreciate. One answer to the problem is a simple, easily customized form letter
      that can be given to employees along with their W-2 forms.

PMID- 10247394
TI  - Managing professionals: the quiet conflict.
AB  - The dichotomy between managers and professionals is usually seen as a matter of
      incompatible values and false perceptions. Consultant Lebell supports this basic
      viewpoint, but enriches it through theoretical discussion, practical
      recommendations and some revealing interviews with both parties to the conflict.

PMID- 10247395
TI  - Commonly overlooked dimensions of employee selection.
AB  - Most failures on the job are not due to lack of skills or ability. Therefore,
      according to psychologist Witkin, the employee selection process must also
      consider such factors as employee motivation, past performance, potential for
      failure, the emotional demands of the job, and the proper use of testing tools.

PMID- 10247396
TI  - Evaluation of quality of patient care in physiotherapy.
AB  - Government control over health spending and public demands for improved services
      have increasingly stimulated professional activity in methods of evaluating the
      quality of patient care. This paper discusses three distinct approaches to
      evaluation: evaluation of structure, process and outcome. A well-rounded system
      of quality appraisal should probably include concurrent or co-ordinated
      assessments of all three methods, to the extent that each of these is observable
      and measurable under the constraints inherent in any given setting. The greatest
      value of developmental and methodological tasks in this area may be that they
      channel creative activity into a critical appraisal of the content and effect of
      professional practice. Nonetheless, the challenge ahead is our ability to
      demonstrate experimentally that these activities do indeed improve the quality of
      care.

PMID- 10247397
TI  - Measurement systems in physical therapy.
AB  - Many physical therapists lack an understanding of the prociples and applications
      of objective measurement methods in the clinical environment. This paper presents
      a working definition of the parameters of motor performance (analyzed in terms of
      outcome or process) as well as an explanation of measurement systems,
      particularly those related to measurements of position and motion (goniometers
      and photography), force (dynamometers and force gauges), and muscle activity
      (electromyography).

PMID- 10247398
TI  - Infection control in hydrotherapy.
AB  - Bacteria which flourish in untreated whirlpool and hubbard tank water may cause
      disease in people who are elderly, debilitated, or on antibiotics. This study
      compared various bactericidal agents in order to find the most economical,
      convenient and effective way to prevent infection occurring in patients
      undergoing hydrotherapy. Samples of water from a hubbard tank and two whirlpool
      baths were tested for colony count and culture before, during and after use,
      while regular patient loads and cleaning procedures were in effect. A germicidal
      detergent, an iodophor, and two chlorine agents were tried in succession.
      Acceptability to patients, effectiveness against bacteria, cost, and ease of
      handling were compared. The germicidal detergent only killed some bacteria and
      was very foamy. The iodophor was expensive and stained the tanks. Household
      bleach was unreliable in its effect hard to handle, and produced many complaints
      of "chlorine" smell. Stabilized granular chlorine treatment of the water provided
      an excellent infection control method for the physiotherapy department in this
      study.

PMID- 10247400
TI  - A physiotherapist in China.

PMID- 10247399
TI  - Continuing education: avoiding professional obsolescence.
AB  - The purpose of this paper is to describe how professional excellence can be
      maintained by participation in continuing education, thus avoiding professional
      obsolescence, and to describe essential factors in planning programs. Health
      professionals must recognize that lifetime licensure in a health care field is no
      longer a viable method of operation. Mandatory recertification requiring
      continuing educational experiences seems to present a possible alternative.
      Factors that contribute to professional obsolescence are reviewed and a rationale
      supporting continuing educational experience is developed. It is argued that
      health care professionals must participate in lifelong educational experience to
      maintain professional competence. Processes for planning continuing education
      programs for health professionals are reviewed. Seven steps necessary for program
      planning are outlined: set the philosophy, goals, objectives, obstacles, scope
      and the control and evaluation guidelines. The factors that reduce resistance to
      change and facilitate planning are discussed. The author concludes by noting that
      the health professional will become incompetent and a danger to the health care
      delivery system if he or she ignores the need for continuing education.

PMID- 10247401
TI  - Reflections on designing special devices for the disabled: towards a holistic
      approach.
AB  - This paper proposes a holistic systems approach to the prescription, development
      and provision of devices and environments aimed at supplementing the abilities of
      the disabled so that they might achieve independent living at an optimal level.
      The study of man-environment phenomena and the adoption of an ecosystemic view of
      these phenomena are proposed as essential elements, providing the 'attitudinal'
      context from which a comprehensive approach to problem identification and
      solution might be derived. The design and development of devices and environments
      for the disabled is presented within a proposed model of rehabilitation design. A
      model of the design process is also presented and both seek to establish a
      general systemic understanding of this field of intervention.

PMID- 10247402
TI  - Stand by...you're on! Physiotherapy on community television.
AB  - A 12-month trial of a community television series entitled Physiotherapy and Your
      Health has been completed. The evolution and philosophy of the series are
      described. Mechanics of production, limitations, and potential scope for other
      television series on physiotherapy, in areas served by community television
      outlets, are presented.

PMID- 10247404
TI  - What's in a name? A lot, wellness center experience shows.

PMID- 10247403
TI  - Wellness...and what's in it for the hospital.

PMID- 10247405
TI  - A step-by-step guide to fund raising.

PMID- 10247406
TI  - Focus groups save centers one year's worth of time, money, and staff morale.

PMID- 10247407
TI  - Showcase displays hospitals' promotion program, forges closer links with city's
      business community.

PMID- 10247408
TI  - Long-standing hospital seeks new look, new life in health and fitness center.

PMID- 10247409
TI  - Taking the mystery out of evaluation.

PMID- 10247410
TI  - Issues: Washington's view--federal health promotion effort.

PMID- 10247411
TI  - Hospitals find hidden benefits in evaluating health promotion programs.

PMID- 10247412
TI  - 'Thermometer' illustrates importance of dietary restrictions.

PMID- 10247413
TI  - Abridged report of the context, content, and levels of education and training
      programs in health services management/administration needed in developing
      countries and possible U.S. involvement in this field.

PMID- 10247414
TI  - Remarks presented at the conference on certification of long-term care
      administrators.

PMID- 10247415
TI  - The relationship of admissions criteria to student performance.

PMID- 10247416
TI  - Court orders hearings in hospital transfers.

PMID- 10247417
TI  - Privileged communication in social work.

PMID- 10247418
TI  - Ft. Lauderdale hospital offers 'cuisine a la cart'.

PMID- 10247419
TI  - Innovative approach can turn coffee shops into profit centers.

PMID- 10247420
TI  - Primary nursing: trend or tradition?

PMID- 10247421
TI  - Medical equipment/Germany.

PMID- 10247422
TI  - CHAMPUS peer review questioned.

PMID- 10247423
TI  - Groups decry refugees in VA hospitals.

PMID- 10247424
TI  - M.P.H. training in native American alcohol phenomena.

PMID- 10247425
TI  - Attitudes of health professional students toward selected social issues in health
      care.

PMID- 10247426
TI  - Perspectives on aging and dying.

PMID- 10247427
TI  - Professional review in Quebec includes office inspections.

PMID- 10247428
TI  - CT scanners' image is improving.

PMID- 10247429
TI  - Louisville central to serve four hospitals.

PMID- 10247430
TI  - Why annual health checkups may not really help.

PMID- 10247431
TI  - Quality decisions start with good questions.

PMID- 10247432
TI  - Making good health pay off--in cash.

PMID- 10247434
TI  - Public Health Service--National Institutes of Health; statement of organization,
      functions, and delegations of authority.

PMID- 10247433
TI  - Department of Defense--Implementation of the Civilian Health and Medical Program
      of the Uniformed Services; Amendment No. 4. Final rule.
AB  - This amendment extends benefits under the Civilian Health and Medical Program of
      the Uniformed Services (CHAMPUS) for abortion services, and adds an exclusion in
      the provisions for cosmetic, reconstructive, and/or plastic surgery procedures.
      This amendment also implements language contained in Public Law 96-154,
      Department of Defense Appropriations Act of 1980, and Public Law 96-173,
      effective October 1, 1979, which deletes the CHAMPUS exclusion of benefits for
      Military Service-connected disabilities.

PMID- 10247435
TI  - Office of Human Development Services--Grants to Indian tribes for social and
      nutrition services. Final rule.
AB  - The Administration on Aging (AoA), in the Office of Human Development Services,
      is issuing final regulations for a new program for older Indians authorized by
      Title VI of the Older Americans Act, as amended. The purpose of this program is
      to promote the delivery of social and nutrition services for older Indians
      comparable to the services provided through the State and Community Programs on
      Aging, under Title III of the Act. Eligible tribal organizations will be able to
      apply for direct funding to pay the costs of providing social and nutrition
      services to Indians at 60 and older, including the acquisition, alteration, or
      renovation of multipurpose senior centers.

PMID- 10247436
TI  - Public Health Service--Grants for community mental health centers; Final rule.
AB  - This rule establishes requirements for grants and applications for grants under
      the Community Mental Helath Centers Act (42 U.S.C. 2689 et seq.), excluding Part
      D thereof ("Rape Prevention and Control"), as amended by the Community Mental
      Health Centers Amendments of 1975 (Title III of the Act of July 29, 1975; Pub L.
      94-63), section 308 of the Health Services Extension Act of 1977 (in Title III of
      the Act of August 1, 1977; Pub. L. 95-83), the Community Mental Health Centers
      Extension Act of 1978 (Title I of the Act of November 9, 1978; Pub. L 95-622),
      and section 8 of the Act of July 10, 1979 (Pub. L. 96-32). Also included are
      requirements for the development, submission, and approval of State  plans.

PMID- 10247437
TI  - Public Health Service--Grants for allied health projects. Final rule.
AB  - These regulations set forth requirements for grants to: (a) Establish regional or
      State systems to assure that allied health and nursing personnel needs in the
      area are met by coordinating and managing allied health professions and nursing
      education and training within and among educational institutions and their
      clinical affiliates; (b) Establish or improve recruitment, training, and
      retraining programs for allied health personnel; and (c) Establish career ladders
      and advancement programs for practicing allied health personnel. These
      regulations implement section 796 of the Public Health Service Act.

PMID- 10247438
TI  - Health Care Financing Administration--Adoption of the National Bureau of
      Standards fire safety evaluation system for health care facilities. Final notice.
AB  - The Department of Health, Education, and Welfare proposed extending the new Fire
      Safety Evaluation sSystem (FSES) to all hospitals participating in the Medicare
      and Medicaid programs in a Notice of comment period publishedon June 28, 1979 in
      the Federal Register (44 FR 37818). The Department also sought public comment on
      whether to apply the FSES to skilled nursing facilities (SNFs) and intermediate
      care facilities (ICFs) in this same Notice. After a careful review and analysis
      of the public comments received, the Department has decided to adopt the FSES as
      a means of evaluating alternative arrangements used to achieve compliance with
      the provisions of the Life Safety Code for hospitals, skilled nursing facilities,
      and intermediate care facilities participating in the Medicare and Medicaid
      programs.

PMID- 10247439
TI  - Public Health Service--Grants for graduate programs in health administration.
      Final rule.
AB  - This rule sets forth requirements for Programs for Grants for Graduate Programs
      in Health Administration under section 791 of the Public Health Service Act (42
      U.S.C. 295h), as amended by the Health Professions Educational Assistance Act of
      1976 (Pub. L. 94-484).

PMID- 10247440
TI  - Public Health Service--Special project grants for graduate programs in public
      health. Final rule.
AB  - This rule sets forth requirements for programs for Special Project Grants for
      Graduate Programs in Public Health under section 792 of the Public Health Service
      Act (42 U.S.C. 295h-1).

PMID- 10247441
TI  - New congressional health leaders--the emphasis is on competition.

PMID- 10247442
TI  - Competition coming on.
AB  - Even the proponents of national health insurance have come around to the view
      that private insurers, not the government, should be in charge of its
      administration. Just listen to Rep. Henry A. Waxman, who complains that
      government-run programs leave consumers with no choices.

PMID- 10247443
TI  - Health care and inflation: social compassion and efficient choice.

PMID- 10247444
TI  - Retrofitting fire safety systems.

PMID- 10247445
TI  - After 70,000 malpractice actions in five years, physicians strike back with suits
      of their own.

PMID- 10247446
TI  - Seamen health guides may cut costs.

PMID- 10247447
TI  - Follow-up self care assessment.
AB  - The following study was undertaken to evaluate the level of slef-care activities
      of severely disabled patients discharged from the G. F. Strong Rehabilitation
      Centre to extended care units (FCU). The results may offer significant
      information with regard to the ongoing rehabilitation program at the Centre, and
      could have implications in terms of total management for severely disabled
      patients in the future.

PMID- 10247448
TI  - Canada's health care insurance programs (Medicare) today.

PMID- 10247449
TI  - Can Saskatchewan save its Catholic hospitals?

PMID- 10247450
TI  - Interview: Reverend Norman Andries of Saskatchewan.

PMID- 10247451
TI  - Chicoutimi: an initiative toward further humanizing a hospital environment.

PMID- 10247452
TI  - Moral leadership in a socialized health care system (Part II).

PMID- 10247453
TI  - Catholic health services today.

PMID- 10247454
TI  - On death and human existence.

PMID- 10247455
TI  - A death that is worthy and Christian.

PMID- 10247456
TI  - Interview: Dr. Leo Klug, Catholic Health Care Conference of Alberta.

PMID- 10247458
TI  - West coast hospitals cope with volcanic aftermath.

PMID- 10247457
TI  - The CHAC's presentation to the Hall Inquiry: health services review 1979-1980.

PMID- 10247459
TI  - The role of central service in infection control.

PMID- 10247460
TI  - Associations: keys to competence.

PMID- 10247461
TI  - Western hospital saves $50,000 with geothermal heating.

PMID- 10247463
TI  - Hospital obsolescence: do non-code compliant hospitals have to be closed?

PMID- 10247462
TI  - The chemistry and microbiology of disinfectants.

PMID- 10247464
TI  - Consumers' impact on the diffusion of medical technology.

PMID- 10247465
TI  - National health insurance.

PMID- 10247466
TI  - Keepers of the environment.

PMID- 10247467
TI  - Canada/Required staffing levels.

PMID- 10247468
TI  - Averting dietary complaints.

PMID- 10247469
TI  - Life begins at Swiss Village.

PMID- 10247470
TI  - The prima facie case and remedies in Title VI hospital relocation cases.

PMID- 10247471
TI  - New Jersey hospital complex offers 'money-back' guarantee on services.

PMID- 10247472
TI  - In-house registry for part-time nurses saves hospital $190,000 in agency fees.

PMID- 10247474
TI  - Multihospital systems: weighing the pros and cons of joining together.

PMID- 10247473
TI  - NJ Hospital Association initiates computerized food buying for members.

PMID- 10247475
TI  - Employees identify work unit's learning needs.
AB  - The modified critical incident technique described in this article is a
      diagnostic tool that takes advantage of employees' insight into the everyday
      problems facing a work unit. Through group needs assessment, a training program
      can be devised that directly addresses the deficiencies in a particular work
      environment.

PMID- 10247476
TI  - Top management meets line employees face to face.
AB  - The communication gap between a hospital's top management and the line employees
      need not be an ever-widening chasm. St. Luke's Hospital of Kansas City, MO, has
      established a system that allows administrators and employees to meet face to
      face every month without destroying the hospital's essential chain of command.

PMID- 10247477
TI  - Education of independent elderly in the responsible use of prescription
      medications.
AB  - A pilot study to test the effectiveness of medication instruction was carried out
      using 61 voluntary participants age 65 and older. They were interviewed regarding
      their medication taking, and instruction was individualized using one of four
      teaching modes: oral; written; oral and written; and oral and written combined
      with memory aids. Postinstruction interviews revealed no significant difference
      in compliance among all groups. The preinstruction mean compliance score of all
      subjects was 98.8 percent. Although compliance, judged specifically on the basis
      of the prescription label instructions, was extremely high both before and after
      instruction, drug-taking behavior and knowledge did change. The preinstruction
      compliance score does not necessarily reflect safe or desirable drug-taking
      behavior. There was no specific information given to clients with their
      prescriptions and prescription medications, indicating, for drug-therapy decision
      makers, a much broader problem than non-compliance.

PMID- 10247478
TI  - Activity of antibiotic admixtures subjected to different freeze-thaw treatments.
AB  - The freezing of antibiotic admixtures has been proposed as a potentially useful
      method by which the efficiency of admixture services might be improved. The time
      involved in thawing, however, has discouraged the implementation of this
      practice. This study describes a technique of thawing frozen antibiotic
      admixtures contained in minibags in commercially available microwave ovens. A
      quantitative microbiological agar gel diffusion assay was employed to determine
      the effect of such treatment on the antibiotic activity of the admixture.
      Admixtures containing cephalothin sodium, cefazolin sodium, cefamandole nafate,
      cefoxitin sodium, penicillin G potassium, ampicillin sodium, oxacillin sodium,
      carbenicillin disodium, and gentamicin sulfate in dextrose 5% solution were
      frozen at -20 degrees C for 30 days. The admixtures were assayed immediately
      before freezing, and again after either thawing technique: that is, upon exposure
      of the minibags to room temperature air or to microwave radiation. Assays were
      also performed 8 and 24 hours after thawing in order to assess antibiotic
      stability following each freeze-thaw treatment. It was discovered that, with the
      exception of ampicillin sodium, each of the antibiotics studied could be frozen
      and thawed as described without significant loss of activity, and were stable for
      24 hours after thawing. The application of a freeze microwave-thaw technique to
      central admixture services can be seen as a cost-effective method of
      circumventing many of the problems associated with existing programs.

PMID- 10247479
TI  - Contributory dental plan option introduced.

PMID- 10247480
TI  - HIAA reviews state cost control regulation.

PMID- 10247481
TI  - FHP celebrates anniversary with 6,100 members.

PMID- 10247482
TI  - Chicago employer's program: communications spark high enrollment in HMOs.

PMID- 10247483
TI  - No aid snarl for casualties at Olympics.

PMID- 10247484
TI  - Emergency dept. standards debated at meeting.

PMID- 10247485
TI  - Regional concept overcoming state boundary arguments.

PMID- 10247486
TI  - Physician must get involved to help make the law comfortable.

PMID- 10247487
TI  - Disaster plan works for volcano eruption victims.

PMID- 10247488
TI  - New ED closings in NYC smooth out EMS service.

PMID- 10247489
TI  - Seattle paramedic training impresses British observer.

PMID- 10247490
TI  - Phone screen effective in reducing ED pediatric visits.

PMID- 10247491
TI  - The role of a hospital-based emergency helicopter service in a rural state.

PMID- 10247492
TI  - Trauma center utilization in Illinois: a report from the Illinois trauma study.

PMID- 10247493
TI  - Experimental use of mobile satellite communications technology in rural EMS
      systems.

PMID- 10247494
TI  - EMS communications: a coordinated approach.

PMID- 10247495
TI  - A new voice in the hospital.

PMID- 10247496
TI  - Why Syosset Hospital is sick.

PMID- 10247497
TI  - Family practice physicians: their impact on improving family and community
      health.

PMID- 10247498
TI  - Entering the 1980s: the health care system and primary care.

PMID- 10247499
TI  - Nurse practitioners in primary care.

PMID- 10247500
TI  - An approach to the organization of primary care.

PMID- 10247501
TI  - The Alaskan health aide: a successful model of family and community health.

PMID- 10247502
TI  - Stress and holistic medicine.

PMID- 10247503
TI  - The physician's own type A behavior pattern.

PMID- 10247504
TI  - On the meta-physical aspect of health care: attitudes, values, and other thoughts
      we use to think.

PMID- 10247505
TI  - Fire preparedness--studies show survival linked to leadership.
AB  - This article takes a look at fire prevention in group practice settings from
      several different vantage points: through an examination of data gathered on fire
      incidents in group practice-type settings, reported on a national level; from the
      perspective of an informal inspection at an AAAHC-accredited AGPA member group
      practice; via an appeal to member groups to become concerned with life and fire
      safety.

PMID- 10247506
TI  - Clinical research--advantages for group practice.

PMID- 10247507
TI  - Clinical research--advantages for delivery.

PMID- 10247508
TI  - Managing the conflicts of change--communication is the key.

PMID- 10247509
TI  - Declaratory judgments: revamping tax law for charities.

PMID- 10247510
TI  - Tap all sources in search for major gifts.
AB  - To launch a deferred giving program in the midst of spiraling inflation, growth
      of competition and the changing attitudes of individuals, it is necessary to look
      towards all sources for major gifts. A planned giving program which incorporates
      this concept along with dedication on the part of the staff and sound plan of
      action will bring about success.

PMID- 10247511
TI  - Identify super donors through direct mail.
AB  - Landing donors who are willing to make a planned gift is a difficult task if not
      all of the avenues of fund raising are uncovered. One of the most effective means
      to target your "super donors" is through an adequate program in direct mail.

PMID- 10247512
TI  - Get down to basics key in hospital development.

PMID- 10247513
TI  - Group purchasing: why & how.

PMID- 10247514
TI  - Prescriptions for reducing hospital drug expenditures.

PMID- 10247515
TI  - Mandatory continuing medical education.

PMID- 10247516
TI  - Medical ethics--its role in medical care.

PMID- 10247517
TI  - Telemedicine Project.

PMID- 10247518
TI  - Survival of the medical internship.

PMID- 10247519
TI  - A comment on specialty board examinations: they don't use multiple-choice tests
      to license airline pilots.

PMID- 10247520
TI  - A time of transition.

PMID- 10247522
TI  - Health planning will continue but road may be rocky, Cain predicts.

PMID- 10247521
TI  - Marketplace medicine--no bargain.

PMID- 10247523
TI  - Communication: the indispensable tool for managerial success.

PMID- 10247524
TI  - Bringing the upper echelons into MBO.

PMID- 10247525
TI  - Accident and emergency: a hospital under siege.
AB  - There is often little or no warning of a major accident or emergency; the
      receiving hospital may have to prepare very hurriedly. Howard Lyons, house
      governor of St Stephen's in Chelsea, London, describes how his hospital fared
      when faced with the aftermath of the Iranian Embassy siege earlier this month.

PMID- 10247526
TI  - Perinatal mortality: is home a safer place?
AB  - An immediate reduction in perinatal mortality could be achieved by reversing the
      policy which seeks to ensure that all births take place in consultant obstetric
      units. This is the logical consequence of the argument presented by Marjorie Tew,
      research associate in the department of surgery, Nottingham University Medical
      School, which is based on a statistical study of the various risk factors
      sometimes assumed to account for the higher crude perinatal mortality rates found
      in these units.

PMID- 10247527
TI  - Keep the official flag flying over birth control services.
AB  - The Family Planning Association celebrates its fiftieth anniversary this year.
      However, the celebrations are marred by the current problems of NHS family
      planning clinic services. Audrey Leathard, a lecturer in social policy and
      administration, comments.

PMID- 10247528
TI  - Hospital building: sizing up the size problem.
AB  - Political dogma or an attempt to bring hospital services closer to the people?
      The Government's policy on hospital size as expressed in a new consultation paper
      is sure to be controversial; Stephen Halpern looks at the proposals and their
      implications for hospital staff, patients and the NHS.

PMID- 10247529
TI  - NHS finance: exploring the way ahead.
AB  - The DHSS has made West Midlands RHA responsible for developing new financial
      information systems for the NHS. Gordon Greenshields, area treasurer, Lambeth,
      Southwark and Lewisham AHA(T), has been looking at two documents outlining the
      project's objectives and the results of initial consultations with NHS officers
      of varying disciplines and levels.

PMID- 10247530
TI  - Physiotherapy: the roots of a profession.
AB  - Sixty years after their Royal Charter was granted by King George V,
      physiotherapists are proud to acknowledge their heritage and traditions. Bob
      Bryant, secretary of the Chartered Society of Physiotherapy takes us through its
      history to the present, to a vigorous and expanding profession already looking
      forward to its centenary.

PMID- 10247531
TI  - Cottage hospitals: beautiful isles with an air of fiction.
AB  - Continuing our series on cottage hospitals Nick Davidson visited St Mary's
      Hospital in the Isles of Scilly and found himself surrounded by breathtaking
      beauty. The hospital, which is practically self-sufficient in vegetables, is run
      by a nursing officer who believes in 'people not machines', and most casualties
      are treated for sunburn or the removal of fish hooks.

PMID- 10247532
TI  - Distribution of knowledge is the distribution of power.
AB  - Earlier this year the Journal published an article by Brian Watkin in which he
      criticised the contribution made to the NHS by many health authority members. Now
      Charlotte Williamson, a member of the North Yorkshire AHA, takes the debate a
      stage further. The specific remit of members, she argues, is to protect the
      interests of patients by ensuring resources are allocated in accordance with
      need, and proper standards of care are achieved.

PMID- 10247533
TI  - Staffing levels: choosing the right use for the formula.
AB  - There is increasing interest in the use of the Aberdeen formula to establish
      appropriate nurse staffing levels. Len Goldstone, of the Department of Management
      Sciences, University of Manchester Institute of Science and Technology, suggests
      that if it is to be used it is more useful for region-wide planning than for day
      to-day management at local level.

PMID- 10247534
TI  - Health education: the community as an agent of its own change.
AB  - Health education has often proceeded on the assumption that when a health problem
      is identified, efforts should be made to make the public more aware of it. Dr Ina
      Simnet, area health education officer for Northumberland, suggests this approach
      may be counterproductive.

PMID- 10247535
TI  - Estate management: a dynamic approach to restructuring.
AB  - Proper estate management can improve the environment for patients and make
      substantial capital and revenue savings. Cyril Battye, of the Centre for Health
      Services Management, Leicester Polytechnic, describes some of the work being done
      to improve the status and effectiveness of estate management in the NHS.

PMID- 10247536
TI  - IHF tour: efficiency with humanity.
AB  - For all its current concern about high health service and hospital building
      costs, West Germany has for many years been content to spend far more than
      Britain. One result is hospitals where finishes and fittings put British
      hospitals to shame, and an adventurousness in design which is difficult to
      achieve under the stricter controls of the UK.

PMID- 10247537
TI  - Contract services: patients and the profit motive.
AB  - As pressure grows within the health service for more effective use of ever
      scarcer resources, Jack Broadley, managing director of Crothall Limited, a
      hospital domestic and housekeeping services company, looks at the contractor's
      role and discusses the benefits that companies like his can provide.

PMID- 10247538
TI  - Centralized inventory: the key to decreasing space needs and material movement.

PMID- 10247539
TI  - Group purchasing: it's only as good as members make it.

PMID- 10247540
TI  - Fact sheet: health hazard notification report.

PMID- 10247541
TI  - Orientation introduces new employees to safety policies.

PMID- 10247542
TI  - Smoking restrictions help reduce hospital fire hazards.

PMID- 10247543
TI  - Morale, job satisfaction and turnover--part 1.

PMID- 10247545
TI  - A salaried service for general practitioners: a scheme for the Shetlands.

PMID- 10247544
TI  - HMOs and health delivery reform.

PMID- 10247546
TI  - The Secretary of State's address.

PMID- 10247547
TI  - Manpower for the 1980s.

PMID- 10247548
TI  - The planning of central store.

PMID- 10247549
TI  - Marketing in the real world: 4 views.

PMID- 10247551
TI  - Fallout from Mount St. Helens.

PMID- 10247550
TI  - Chaplaincy in the hospital.

PMID- 10247552
TI  - What is hospital marketing? And how did it get a bad name?

PMID- 10247553
TI  - Marketing basics for hospital managers.

PMID- 10247554
TI  - IC officer quells alarm about high C-section infection rates.

PMID- 10247555
TI  - Isolation infringes on rights of nursing home patients.

PMID- 10247556
TI  - Bacteremia tied to overcrowding, overtime and decreased handwashing.

PMID- 10247557
TI  - Identifying and discarding the myths of infection control.

PMID- 10247558
TI  - Iowa association markets infection report system.

PMID- 10247559
TI  - Maley study suggests need to wash forearms and hands.

PMID- 10247560
TI  - The proper care of whirlpools.

PMID- 10247561
TI  - Legionnaires' disease haunts Wadsworth VAMC since opening.

PMID- 10247562
TI  - Plastics--the energy savers.

PMID- 10247563
TI  - New switchboard at Glasgow Royal Infirmary.

PMID- 10247564
TI  - Is death chart review feasible?

PMID- 10247565
TI  - ECG criteria for employees.

PMID- 10247566
TI  - VA hospital modernization: humanitarian and economical.

PMID- 10247567
TI  - NCCB issues statement on tubal ligation.

PMID- 10247568
TI  - Vatican declaration on euthanasia: declaration synthesizes Church teaching,
      stresses conscience.

PMID- 10247569
TI  - An interview with Sr. Mary Brooks, CSC: Sisters respond to CRS call for
      volunteers to Thailand.

PMID- 10247570
TI  - Calvary Hospital, New York CITY. Internship program facilitates Sisters' career
      change decisions.

PMID- 10247571
TI  - Health care: an apostolate to the family.
AB  - Family life and a definition of the family are frequent topics of discussion in
      1980. Catholic health care institutions have a special opportunity and obligation
      to advocate a sense of family on three levels: among their own staffs, between
      patients and their families, and in outreach to the global community.

PMID- 10247572
TI  - A child's rights to his own parents: a look at two value systems.
AB  - Christians and humanists accept an evolutionary world view and respect those
      fundamental relations underlying evolutionary development. Both value systems
      should be able to discuss seriously the risks of altering one of the most
      fundamental of all relations: that of child to parent.

PMID- 10247573
TI  - Bioethics guides medical-moral decisions that affect families.
AB  - Advanced medical technology has complicated moral decisions affecting health care
      by increasing costs and by holding out heroic measures that may be contrary to an
      individual's self-actualization. Bioethics guides the family, society's principal
      institution for nurturing, as it grapples with issues of life generation,
      prolongation, and termination.

PMID- 10247575
TI  - Government-financed health care two-edged sword in recession.

PMID- 10247574
TI  - Family-centered health care recognizes needs of patients, families, employees.
AB  - Total patient care includes care for the needs of the patient's family who, up
      until hospitalization, have been the care-givers. A family-centered hospital
      attends to needs of patients, employees, and their families.

PMID- 10247576
TI  - Centralized transcription reduced costs, increases productivity.
AB  - By centralizing transcription services, a 340-bed hospital stabilized personnel
      turnover and absenteeism, eliminated equipment duplication, and improved output.
      A well-planned implementation and a financial incentive program contributed to
      increased productivity.

PMID- 10247577
TI  - Bad writing wastes time, raises costs.
AB  - Pompous phrasing, grammatical errors, and incorrect usage plague business.
      Hospital administrators cannot afford to tolerate unclear writing, which fails to
      communicate, wastes time, and causes errors.

PMID- 10247578
TI  - Hospital sues anesthesiologist in malpractice case.

PMID- 10247579
TI  - NY Court refuses to review medical privileges.

PMID- 10247580
TI  - Supply warehousing by hospitals: sensible or senseless?

PMID- 10247581
TI  - Effect of governmental regulation on the vendor.

PMID- 10247582
TI  - Hospital supply representatives replaced by technical experts.

PMID- 10247583
TI  - Vendors: a product inservice goldmine.

PMID- 10247584
TI  - The future of the prime vendor concept.

PMID- 10247585
TI  - Your ethics: how do they look?

PMID- 10247586
TI  - Simplifying the purchase procedure.

PMID- 10247587
TI  - Will shared materiel management services work?

PMID- 10247588
TI  - Equipment selling and hospital materiel management.

PMID- 10247589
TI  - The effects of the prudent buyer concept on the supplier.

PMID- 10247590
TI  - Hospital topical law: breach of an oral contract for life-time employment.

PMID- 10247591
TI  - Expanded hospital role for family physicians.

PMID- 10247592
TI  - That expensive hideaway.

PMID- 10247593
TI  - Material management in nursing service.

PMID- 10247594
TI  - Alternative birth center for cesarean delivery opens.

PMID- 10247595
TI  - The challenge of infection control.

PMID- 10247596
TI  - Successful planning and implementation of a hospital-based community self-help
      group for patient and community cardiac education.

PMID- 10247597
TI  - Department of nursing implementation of JCAH standards: a quality assurance
      program applied.

PMID- 10247599
TI  - Spreading word on infection to hospitals in Virginia.

PMID- 10247598
TI  - Delineating privileges for clinical nurses.

PMID- 10247600
TI  - Million dollar annual savings in material management operations.

PMID- 10247601
TI  - Internal control procedures in the department of material management.

PMID- 10247602
TI  - The planning stages of building a new or remodeled hospital library.

PMID- 10247603
TI  - Hospital topical law: dismissal.

PMID- 10247604
TI  - Hospital marketing communications.

PMID- 10247605
TI  - Trial retrospective drug audits using the PAS system.

PMID- 10247606
TI  - An on-going internal audit of nursing care.

PMID- 10247607
TI  - The effect of microcomputer based medical equipment on hospital cost containment.

PMID- 10247608
TI  - The Pygmalion effect in management.

PMID- 10247610
TI  - Consultant's corner: European health systems.

PMID- 10247609
TI  - How to build pride with positive image.

PMID- 10247611
TI  - Modified diet prescriptions in medical school affiliated hospitals.

PMID- 10247612
TI  - How Utah Valley Hospital put their CPD on wheels!

PMID- 10247613
TI  - Bureau of Health Planning clarifies definition of provider: new interpretation
      will benefit hospitals as HSAs fill board vacancies.

PMID- 10247614
TI  - EPA issues hazardous waste regulations; infectious waste regulations expected in
      fall.

PMID- 10247615
TI  - HCFA sends final draft on PRRB regulations to Secretary Harris...

PMID- 10247616
TI  - . . . Hospital associations submit PRRB reform bill to Congress.

PMID- 10247617
TI  - Federal Appeals Court affirms National Gerimedical ruling of antitrust exemption
      for health planning.

PMID- 10247618
TI  - Two U.S. Appeals Courts deny tax-exempt status to shared laundry services: AHA
      will file Amicus brief in appeal to U.S. Supreme Court.

PMID- 10247619
TI  - Antitrust ruling touches on health care and insurance; requires Blue Shield
      reimbursement to psychologists.

PMID- 10247620
TI  - California High Court rules on ability to work with others as criterion for
      medical staff privileges: must be related to patient care.

PMID- 10247621
TI  - Legal aid organizations investigate hospital compliance with Hill-Burton;
      answering extra-regulatory requests is at hospital's discretion.

PMID- 10247622
TI  - National Governors' Association recommendations for low-level radioactive waste
      disposal will impact on hospitals.

PMID- 10247623
TI  - Community Services Administration revised poverty income guidelines effective
      immediately.

PMID- 10247625
TI  - New ruling touches health care-antitrust relationship.

PMID- 10247624
TI  - AHA's CON regulation testimony focuses on effective date, access, and procedures.

PMID- 10247626
TI  - New York Court outlines procedures for ending life support.

PMID- 10247627
TI  - DOE's proposed Federal Emergency Energy Conservation Plan regulations prompt
      AHA's hospital-specific comments.

PMID- 10247628
TI  - Employee evaluation: it's a dirty job, but somebody's got to do it.

PMID- 10247629
TI  - FDA chief says demand by patients for more drug information is genuine.

PMID- 10247630
TI  - Employment, hours, and earnings in the health care sector.

PMID- 10247631
TI  - Selected national economic indicators.

PMID- 10247632
TI  - Selected community hospital statistics from the National Hospital Panel Survey.

PMID- 10247633
TI  - Productivity: it's every supervisor's business.

PMID- 10247634
TI  - A suggested process for selecting a forecasting model.

PMID- 10247635
TI  - Arguments for and against MBO.

PMID- 10247636
TI  - Achieving growth through HMO.

PMID- 10247638
TI  - Promoting health and fitness--a new role for hospitals.

PMID- 10247637
TI  - Strategic planning: reality versus literature.

PMID- 10247639
TI  - Need satisfaction among health care managers.

PMID- 10247640
TI  - Coping with your HSA.

PMID- 10247641
TI  - Computer system streamlines variance reporting for Iowa hospitals.

PMID- 10247642
TI  - Uniform approach to safety reduces incidents, director says.

PMID- 10247643
TI  - Patient confusion on consent forms can pose legal liability.

PMID- 10247644
TI  - Risk managers request IC practitioners' cooperation.

PMID- 10247645
TI  - Local water supply: a risk to dialysis units?

PMID- 10247646
TI  - Expert details risk areas for mental health care.

PMID- 10247647
TI  - Antibiotic review is part of integrated quality assurance activities.

PMID- 10247648
TI  - Implied consent to drunk driving tests: how hospitals can help.
AB  - An attorney explains the state laws designed to remove intoxicated drivers from
      the road by suspending their driving privilege. He describes the role the
      hospital emergency department plays in performing tests to determine blood
      alcohol level, and suggests that hospitals establish procedures for
      administration of such tests.

PMID- 10247649
TI  - Surgeons face cost containment issues.
AB  - Surgeons who attended the annual convention of the American College of Surgeons
      heard strong arguments on what surgeons can--and cannot--do to lower the cost of
      health care. Although reducing the number of laboratory and x-ray tests will
      help, others contended that a more complete approach taking into account health
      care as part of the national economic picture is needed.

PMID- 10247650
TI  - Medical education faces a no-growth decade.
AB  - The nation's medical colleges are coming out of a decade of growth and expansion
      into what some perceive as a steady-state decade that will see a decline in
      financial support and an increase in regulation. Physicians and administrators
      gathered at the annual convention of the Association of American Medical Colleges
      discussed the effects of such a restricted environment on medical education and
      health care in general.

PMID- 10247651
TI  - Tax-exempt status can boost group practice benefits.
AB  - Although organizing a group practice as a professional corporation has some
      advantages, operating such a plan as a tax-exempt organization has greater
      advantages.

PMID- 10247652
TI  - Committee generates year-round interest in accreditation process.
AB  - During the usual two-year period between JCAH surveys, staff members' interest in
      the accreditation process often dwindles. Forming an in-house hospital
      accreditation committee is one method for generating year-round staff involvement
      in the process and awareness of the standards.

PMID- 10247653
TI  - Auditing neomycin irrigating solution in orthopedic surgery.

PMID- 10247654
TI  - Adverse drug reactions and the P & T committee.

PMID- 10247655
TI  - Compounding and repackaging--a need for complete records.
AB  - The necessity for adequate record systems is discussed in relation to repackaging
      and compounding activities. Sample forms are presented. Basic requirements
      associated with governmental and professional regulations and guidelines are
      detailed. Specific governmental regulatory agencies do not now directly monitor
      hospital pharmacy in terms of Good Manufacturing Practices; however, professional
      and legal criteria should be appraised to account for what may be construed as
      the "state of the art." An example of one type of record system is presented for
      review.

PMID- 10247656
TI  - Unit dose prepackaging: a guide for development of policies and procedures.

PMID- 10247657
TI  - Development of a multihospital pharmacy quality assurance program.
AB  - Seven community hospitals have worked cooperatively for 18 months to develop an
      initial hospital pharmacy quality assurance program. Auditing criteria were
      developed for nine service areas corresponding to the model program developed by
      the American Society of Hospital Pharmacists. Current plans are to implement and
      modify this program as required at each participating hospital. Follow-up
      programs will also be essential to a functional, ongoing program, and these will
      be developed in the future.

PMID- 10247658
TI  - Volunteer paraprofessional mental health workers' participation in an inner city
      early intervention program: a dose of reality.
AB  - Specification of the personal impact of participating as a paraprofessional in
      mental health programs has become increasingly important. The present study
      compared seven paraprofessional participants in a school-based program with seven
      matched controls, pre and post participation. Paraprofessionals, relative to
      controls, became significantly: (a) warmer, (b) more positive in attitudes about
      mental health and children, and (c) less optimistic about social systems in
      general and more negative toward "elementary schools" in particular.

PMID- 10247659
TI  - Characteristics of clients, staff interventions, and the continuum of care.
AB  - In two samples of over 200 consecutive referrals each from a psychiatric hospital
      to community agencies, client characteristics were generally unrelated to
      referral success but three staff interventions were related to completing
      referrals. It was concluded that known interventions are stronger predictors of
      successful referrals than patient characteristics. Staff telephone contacts with
      ethnic minorities were more successful in effecting referrals than with majority
      patients.

PMID- 10247660
TI  - Reducing missed initial appointments in a community mental health center.
AB  - Budget cutbacks and cost accountability are currently key issues for community
      mental health centers. Consequently, maximizing the available resources is
      important to the staff and to the community. Clients who fail to attend the
      initial appointment represent a significant loss of staff time and resources.
      Many studies have looked at variables related to missed initial appointments.
      However, the current study looked at means of reducing missed initial
      appointments. Eighty-eight subjects were assigned to one of four groups. Group A
      received a letter three days prior to initial appointment; Group B received a
      telephone call three days prior to initial appointment; Group C received a
      telephone call one day prior to initial appointment; Group D was a non
      intervention control. The results showed a significant reduction in the rate of
      missed initial appointments in the group receiving a telephone call one day prior
      to the initial appointment. This group had a 9% nonattendance rate. Groups
      receiving either a letter or telephone call three days prior to the initial
      appointment had a 32% nonattendance rate. The nonintervention control group had a
      55% nonattendance rate. The effectiveness of these interventions in reducing the
      nonattendance rate and thereby enhancing the resources of CMHCs was discussed.
      Unexpected effects of the study upon the homeostasis of the CMHC were looked at
      as well as other areas of application.

PMID- 10247661
TI  - Patients' satisfaction with an Army family practice setting.
AB  - Using the Patient Satisfaction Questionnaire to assess consumer satisfaction,
      patients were very satisfied with the quality of the health care received. The
      care received by patients who visited the family practice clinics was rated as
      significantly more satisfying than the care received at either the non-family
      practice clinics or at the General Medical clinic.

PMID- 10247662
TI  - Will multi-institutional systems serve as change agents to improve the management
      of ambulatory care?

PMID- 10247663
TI  - Ambulatory care opportunities: linking the private and public sectors.

PMID- 10247664
TI  - The federal initiative in primary care.

PMID- 10247665
TI  - Multi-institutional system enhances access to care: Samaritan Health Service.

PMID- 10247666
TI  - A regional concept in ambulatory care services.

PMID- 10247667
TI  - The Memorial General Hospital Association experience.

PMID- 10247668
TI  - The emergicare center.

PMID- 10247670
TI  - Wichita tornado paralyzes laundry.

PMID- 10247669
TI  - Environmental health and safety concerns in the health care setting.
AB  - Increasing attention to the physical, chemical, and biological aspects of the
      health care environment is evidenced by the actions of consumer groups, as well
      as state and federal regulatory bodies, and private accreditation and insurance
      agencies. This paper reviews the major areas of environmental concern within the
      health care industry and encourages active participation by environmental health
      professionals in evaluating environmental risk and impacting positive change.

PMID- 10247671
TI  - How does a laundry consultant view an institutional laundry?

PMID- 10247672
TI  - Hospital consultant tells how to get the most for your linen dollars.

PMID- 10247673
TI  - How to "price" X rays.
AB  - With the escalating cost of x-ray production, it has become necessary to look at
      some alternatives for setting prices.

PMID- 10247674
TI  - Rural health care: a case study in Maine.
AB  - Experience recommends a dual financial strategy--"hard" practice money and "soft"
      grant and contract money--as a flexible approach to rural healthcare problems.

PMID- 10247675
TI  - Employee separation.
AB  - The second of a two-part article dealing with an effective employee separation
      process and its maximization as a management tool through interview feedback.

PMID- 10247676
TI  - Will the Twin Cities experience be duplicated? A study of HMO development in
      Denver, Colorado.

PMID- 10247677
TI  - Competition and regulation: the consumer choice health plan alternative.

PMID- 10247678
TI  - Use of computers in medicine.

PMID- 10247679
TI  - How HMOs are refining their hard-sell tactics.

PMID- 10247681
TI  - Advertise? You'll need a thick skin.

PMID- 10247680
TI  - Are you robbing patients of the will to live?

PMID- 10247682
TI  - Mt. St. Helens fallout causes run on surgical masks.

PMID- 10247683
TI  - 'Birthing centers' being born across country.

PMID- 10247684
TI  - Products for the 1980s: technology in the medical equipment and devices industry.

PMID- 10247685
TI  - Financing distributor chargebacks to manufacturers.

PMID- 10247686
TI  - Controlling rental equipment.

PMID- 10247687
TI  - Pharmaceutical services: XIII Olympic Winter Games.

PMID- 10247689
TI  - Patient labeling regulations.

PMID- 10247688
TI  - The nurse's role in pharmaceutical therapy.

PMID- 10247690
TI  - AMA council finds HMOs high in quality, low in cost.

PMID- 10247691
TI  - Do your employee understand all they are getting in addition to paychecks?

PMID- 10247692
TI  - The changing group insurance marketplace.

PMID- 10247693
TI  - Health planning and the law: an update on the statute.

PMID- 10247694
TI  - The goals of informed consent.

PMID- 10247695
TI  - Authority hospitals helped. How P.A. 104 became law.

PMID- 10247696
TI  - Disaster strikes.

PMID- 10247697
TI  - American Medical Intl. acquires Hyatt Medical for about $60 million.

PMID- 10247698
TI  - Private sector hospitals beat feds on prices for high volume supplies.

PMID- 10247699
TI  - Albumin contract prompts vendor attempts to break purchasing group.

PMID- 10247700
TI  - Interest rates are creeping up, but bond market can withstand pressure.

PMID- 10247702
TI  - Conversion plans infuriate Harlem.

PMID- 10247701
TI  - Election-year federal bailout for financially distressed hospitals?

PMID- 10247703
TI  - Contract management: department contract management up to 14%.

PMID- 10247704
TI  - Trustees hire management firms and ease financial, recruiting pressures.

PMID- 10247705
TI  - Industry protests reimbursement cutback on management services.

PMID- 10247706
TI  - Management firms hike psych, alcohol profits.

PMID- 10247707
TI  - Straightforward annual reports keep trustees and public informed.

PMID- 10247708
TI  - Multihospital chains add services.

PMID- 10247709
TI  - Do administrative residencies fit the needs of the 'me' generation?

PMID- 10247710
TI  - Carter's NHI bill gets a boost...

PMID- 10247711
TI  - The service stranglehold.

PMID- 10247712
TI  - What is productivity?
AB  - Effective laboratory management and planning requires an evaluation of current
      levels of activity, review of past experience, and projection of future trends.
      This need can be met in large part by measuring workload, and if the method of
      measurement is codified into a system, comparative studies among cooperating
      laboratories can be made. In this article, the authors describe and compare three
      such systems for measuring workload, and review standards for productivity which
      various authors have provided in the past.

PMID- 10247713
TI  - Quality control revisited.
AB  - Quality Control is a way of life for today's clinical laboratory and the direct
      responsibility of its director. While individual laboratory sections require
      quality control procedures of ever-growing complexity, there also is need for an
      overview and the statement of policies that concern the laboratory as a whole. In
      the August 1977 issue of Pathologist (I & A Center, pp. 442-444), Dr. Diamond,
      regional commissioner for the northeast, described a guide for a comprehensive
      quality control statement. The following article is an expansion and development
      of that statement.

PMID- 10247714
TI  - SAMA/PMA position: safe disposal of laboratory wastes containing sodium azide.
AB  - While it is well established that the disposal of laboratory wastes containing
      sodium azide might be hazardous, evidence proving such a risk when the wastes are
      disposed of properly remains inconclusive. The Scientific Apparatus Makers
      Association and the Pharmaceutical Manufacturers Association oppose any general
      policy requiring the elimination of the preservative from laboratory reagents.
      Rather, they endorse the concept of alerting users to its presence and advising
      them of proper handling procedures. The following position paper, prepared by the
      SAMA/PMA Task Force, explains these suggestions.

PMID- 10247715
TI  - Cost containment: stay independent and compete with HMOs?

PMID- 10247716
TI  - Cost containment: what's it really like to be in an IPA?. Interview by Rick B.
      Honey.

PMID- 10247717
TI  - An interview with Sen. James McClure: regulating the regulators. Interview by
      Rick B. Honey.

PMID- 10247718
TI  - A riled community attacks HSA plans.

PMID- 10247719
TI  - An HSA planner defends his goals.

PMID- 10247720
TI  - Given Center--Part III: making team care serve patient wants and needs.

PMID- 10247721
TI  - Taking action to contain health care costs: Part 1.
AB  - Health care is one company expenditure that can definitely be cut and controlled.
      Part I of this two-part study focuses on what major corporations have been doing
      to keep their costs down and their employees healthy--practices which will work
      within most existing corporate structures.

PMID- 10247722
TI  - Measuring human resources effectiveness.

PMID- 10247723
TI  - The 10 most common mistakes in developing computer-based personnel systems.
AB  - Computers are a boon to personnel record-keeping, but the author warns us not to
      fall prey to these too-common errors in judgment which can prove fatal to an
      effective personnel data system.

PMID- 10247724
TI  - Personnel budgets and staffs: how big should they be?
AB  - Different situations, of course, can dictate the size of a personnel department
      in any given company, but here are some methods of justifying that needed staff
      addition.

PMID- 10247725
TI  - Ethnicity and clinical care: American blacks.

PMID- 10247726
TI  - The future of private practice in the USA.

PMID- 10247727
TI  - Results of the Third National Conference on Mental Health Administration.

PMID- 10247728
TI  - Training the mental health administrator of the twenty-first century.

PMID- 10247729
TI  - The role of health administration programs in training administrators for mental
      health and mental retardation services.

PMID- 10247730
TI  - Mental retardation, the education of administrators: comments on the report of
      the National Task Force on Mental Health/Mental Retardation Administration.

PMID- 10247731
TI  - The graduate education program for mental health manpower specialists at the
      Johns Hopkins University.

PMID- 10247732
TI  - Mental health administration for the practicing administrator: a unique program.

PMID- 10247733
TI  - An integrated educational program in mental health administration at the
      University of Missouri-Columbia.

PMID- 10247734
TI  - A specialization in mental health policy and program management at the University
      of North Carolina-Chapel Hill.

PMID- 10247735
TI  - Perspectives on mental health administration education.

PMID- 10247736
TI  - Administrative medicine: education of clinician-executives at the University of
      Wisconsin-Madison.

PMID- 10247738
TI  - Defining 'informed consent'.

PMID- 10247737
TI  - Study results of the AUPHA nationwide investigation of the education and
      experience requirements and job responsibilities of senior-level mental health
      administrators.

PMID- 10247739
TI  - Is your department ready for a union?

PMID- 10247740
TI  - Resources in radiologic physics and radiation safety for the radiology
      administrator.

PMID- 10247741
TI  - The legal forum: should a radiology administrator discharge an employee who fails
      to carry out an order because the employee feels incompetent, or not legally
      qualified to perform the procedure?

PMID- 10247742
TI  - Cost containment, CT scanning and the future of health care technologies.

PMID- 10247743
TI  - Diagnostic radiology guidelines: the Commonwealth of Massachusetts Department of
      Public Health.

PMID- 10247744
TI  - Processor quality control science.

PMID- 10247745
TI  - Medical device regulations: the Bureau of Medical Devices and the Bureau of
      Radiological Health.

PMID- 10247746
TI  - The voluntary effort: how to put $ lid on.

PMID- 10247747
TI  - Who is liable if a student from an affiliating college or university negligently
      injures a patient while conducting their clinical practicum at a hospital?

PMID- 10247748
TI  - Competition and health care: planning for deregulation.

PMID- 10247749
TI  - 'Competition' legislation: cure for health care woes?

PMID- 10247750
TI  - Spinal cord injuries.

PMID- 10247751
TI  - Casework and the medical metaphor.
AB  - After discussing metaphors in general, the author describes the medical metaphor-
      or medical model--that was for many years the basis of casework. The author
      suggests that the medical model has had a detrimental influence on the profession
      of social work, and he offers alternative models.

PMID- 10247752
TI  - Recognizing the mental health needs of developmentally disabled people.
AB  - Many developmentally disabled persons and their families are being denied
      adequate mental health services. This problem exists because of the attitudes of
      mental health professionals and the structure of major agencies that serve the
      disabled. The author presents brief case histories that illustrate the types of
      stress experienced by the developmentally disabled and makes suggestions for
      therapeutic intervention.

PMID- 10247753
TI  - A model automated resource file for an information and referral center.

PMID- 10247754
TI  - Will the sun set on occupational licensing?

PMID- 10247755
TI  - Utilizing the total hospital case care system.

PMID- 10247756
TI  - Perceived control and responsibility as mediators of the effects of therapeutic
      recreation on the institutionalized aged.

PMID- 10247757
TI  - Death rates from cervical cancer by health service area, 1968-72.

PMID- 10247758
TI  - M. D. Anderson: treating cancer on an outpatient basis.

PMID- 10247759
TI  - Dealing with childhood cancer.

PMID- 10247761
TI  - The art of caring.

PMID- 10247760
TI  - Isolation techniques.

PMID- 10247762
TI  - Quality assurance anecdotes: committee canons.

PMID- 10247763
TI  - Allied health education: recommendations and comments.

PMID- 10247764
TI  - Hospice: a concept of care for the terminally ill.

PMID- 10247765
TI  - Psychiatric liability: abuse of the therapist-patient relationship.

PMID- 10247766
TI  - Drug liability litigation: toward better dental care.
AB  - Seattle attorney Ann Pearl Owen reviews the proliferation of litigation involving
      dental anesthesia and drug liability, ties it to trends in dentistry and
      pharmaceutical manufacturing, and finds a positive role for trial lawyers.

PMID- 10247767
TI  - Effective initial screening.

PMID- 10247768
TI  - Emergency room negligence.

PMID- 10247769
TI  - How directors can meet their responsibility of patient care quality.
AB  - The Joint Commission on Accreditation of Hospitals and the courts have laid on
      the governing board ultimate responsibility for quality of care and the
      competence of medical staff appointees. This article describes the steps one
      board has taken to comply with these directives.

PMID- 10247770
TI  - The CEO: finding the right one...
AB  - Recruiting a hospital administrator is perhaps the single most important task of
      the board of trustees. This article offers guidelines for making the search
      process more productive, from choosing a search committee through locating and
      interviewing candidates to making an offer.

PMID- 10247771
TI  - The CEO: ...paying him what he's worth.
AB  - With competent hospital executives in increasing demand, boards of trustees can
      no longer base executive compensation levels on the traditional view of the
      market. This article reviews the changing forces affecting executive compensation
      in hospitals and the elements that make up a sound executive compensation
      program.

PMID- 10247772
TI  - Trustee Week: education for trustees, by trustees.
AB  - Trustee Week, an in-depth educational program designed and conducted by the
      University of Washington's Graduate Program in Health Administration and Planning
      under a grant from the W. K. Kellogg Foundation to the Western Network for
      Education in Health Administration, uses a graduated workshop format to allow
      trustees to select the level best suited to their needs.

PMID- 10247773
TI  - As I see it: the job of a hospital president.

PMID- 10247774
TI  - Anatomy of a merger.
AB  - Last November, two neighboring New York City hospitals merged to become the first
      full-service hospital in lower Manhattan. This article describes how the merger
      came about as well as the role played by the new hospital's board chairman in
      carrying out the merger.

PMID- 10247775
TI  - Designing for hospital growth.
AB  - This article describes and illustrates a planning methodology for accommodating
      the unpredictable pattern of hospital growth. The methodology is based on four
      concepts: overstated planning targets for every department; a circulation
      skeleton; a zoning pattern providing separate zones for major hospital functions;
      and a deliberate effort to design flexible, expandable physical space.

PMID- 10247776
TI  - Trustee development program: the hospital auxiliary.

PMID- 10247777
TI  - As I see it: being the chairman of the board of a hospital in the 80's.

PMID- 10247778
TI  - Five rules to help trustees avoid liability.
AB  - Although the legal duties and obligations of hospital trustees are substantial,
      the threat of personal liability should not cause trustees undue concern. Simple
      honesty and sound business judgment will enable trustees to avoid most liability
      issues.

PMID- 10247779
TI  - The hospital board chairmanship: living in a fishbowl.

PMID- 10247780
TI  - The HMO board chairmanship: a pleasant disposition helps.

PMID- 10247781
TI  - The hospital board in an investor-owned chain.

PMID- 10247782
TI  - Why occupancy isn't the best measure of hospital performance.
AB  - Occupancy is a time-honored measure of hospital efficiency and bed need, but it
      is a measure whose chief virtue is its ease of calculation. Specific indicators
      of cost, quality, and access are more difficult to develop and interpret, but
      they are far more accurate and important measures of the appropriateness of a
      hospital's capacity and use.

PMID- 10247783
TI  - Federal hospital plan drops provision for HSA reviews.

PMID- 10247785
TI  - Disposal reservation restrictions pose problem for some hospitals.

PMID- 10247784
TI  - Contingency plan details approach to wartime civilian hospital use.

PMID- 10247786
TI  - Health information series draws community audiences.

PMID- 10247787
TI  - Eyes right for glaucoma detection.

PMID- 10247788
TI  - Local artists on display.

PMID- 10247789
TI  - Museum pieces: treasures for the finding.

PMID- 10247790
TI  - Service before salaries: volunteers test job skills.

PMID- 10247791
TI  - Self-help groups offer new service options.

PMID- 10247793
TI  - Where villains are booed and heroes cheered.

PMID- 10247792
TI  - The education connection.

PMID- 10247794
TI  - Volunteers who've been there support recovering alcoholics.

PMID- 10247795
TI  - For newborns in crisis, parents help parents cope.

PMID- 10247796
TI  - Why does Stockholm have eight times as many hospital beds for the elderly as
      Bristol?

PMID- 10247797
TI  - The Stockholm County health care information system.

PMID- 10247798
TI  - Health planning in the United States.

PMID- 10247799
TI  - Hospitals and primary health care.

PMID- 10247800
TI  - HECLINET--specialised international documentation for hospital care.

PMID- 10247801
TI  - Health care planning in urban areas: a progress report on an IHF project.

PMID- 10247802
TI  - The role of the family doctor in the health care service.

PMID- 10247803
TI  - The challenge for community medicine.

PMID- 10247804
TI  - Essential drugs.

PMID- 10247805
TI  - Kenya--Flying Doctor Service.

PMID- 10247806
TI  - Ten years of American medicine.

PMID- 10247807
TI  - New programs and careers for the rehabilitation specialist.

PMID- 10247808
TI  - Creative arts therapies.

PMID- 10247810
TI  - Hard times ahead for physicians?

PMID- 10247809
TI  - The transitional volunteer: paradigm of community mental health in action.

PMID- 10247811
TI  - Administration vs. medical staff: how to squelch the squabbles.

PMID- 10247812
TI  - Health planning: its strengths and weaknesses.

PMID- 10247813
TI  - Canada's doctors take off the gloves.

PMID- 10247814
TI  - A race we're winning: the United States and the Union of Soviet Socialist
      Republics: infant mortality and age-adjusted death rates.

PMID- 10247815
TI  - Britain's NHS: how one physician would update it.

PMID- 10247816
TI  - Stranded and sick.

PMID- 10247817
TI  - How MDs would improve emergency medical care in flight.

PMID- 10247818
TI  - Laundries clean up after volcanic ash covering.

PMID- 10247819
TI  - Alta Bates' program: trainable retarded work in laundry.

PMID- 10247820
TI  - P.R. and the department head.

PMID- 10247821
TI  - Clinician's task made easier.

PMID- 10247822
TI  - HCA opens 10th Australian unit.

PMID- 10247823
TI  - Making your meetings count.
AB  - In the article, the author outlines and discusses techniques that he has found
      useful in planning productive meetings. To be successful, a meeting has to be
      planned around a specific objective. A goal should be set before the meeting, a
      related plan should be formulated, and feedback should be provided to ensure the
      achievement of this goal. Tombari classifies meetings as educational,
      informational, or decisional, and applies his broad principles to these specific
      settings. In meetings called to educate participants, it is recommended that the
      leader: (1) prepare brief remarks about a well defined topic supplemented by
      audio or visual aids; (2) open the meeting up for discussion; and (3) comment on
      the learning experience following general discussion. In an informal "action"
      meeting, the leader is acting as a monitor or disseminator and must be well
      versed on the topic. The author recommends that general participation be limited.
      When the purpose of the meeting is to reach a decision, the leader's tasks are
      to: (1) articulate the problem facing the group; (2) demonstrate the urgency; (3)
      clarify the need for a group decision; (4) seek as many suggestions as possible;
      (5) help formulate alternative solutions; and (6) try to bring about a consensus.
      Despite the differences in the types of meetings and the approaches required, it
      is concluded that a successful meeting is dependent on careful planning and
      management.

PMID- 10247824
TI  - Private health care in Britain.
AB  - Private medicine has been growing rapidly in Great Britian, a trend the author
      says indicates dissatisfaction with the National Health Service (NHS). Spivak
      notes that even when free medical treatment is available, citizens will pay for a
      private room, quicker treatment, and the chance to choose their own physicians
      and hospitals. Membership in private health plans has increased 15 fold since the
      inception of NHS 30 years ago. These plans are adding over 100,000 members a year
      so that the private sector now accounts for about $550 million, or 2-3% of
      Britian's annual outlay on medical care. The author attributes this trend to
      three factors: (1) private medicine is now generating enough capital to finance a
      substantial expansion of its own facilities; (2) deterioration in NHS; and (3)
      the low price of private health plans. Critics of private health care have
      described it as an alternative restricted to the affluent; the author counters
      that private plans are beginning to enroll blue-collar workers for the first
      time. He cites the opinions of experts who foresee the private sector covering
      for NHS shortcomings in non-emergency care until a full-fledged partnership
      develops. Spivak concludes by pointing to a conservative plan, now in its early
      stages, to promote a move in this direction. Whether or not this scheme comes to
      fruition, he adds, private medicine is beginning to flourish in a socialized
      system.

PMID- 10247825
TI  - A unique nonprofit, hospital-based faculty group practice.

PMID- 10247826
TI  - Why the FTC has declared war on doctors.
AB  - In this article, the Washington editor of MEDICAL ECONOMICS reviews the salient
      actions taken by the Federal Trade Commission (FTC) against medical societies,
      physician directors of Blue Shield organizations, Health Systems Agencies, and
      Professional Services Review Organizations. When interviewed, top-ranking FTC
      staff officers responded to specific questions regarding the concerns of the
      agency. The FTC regards the practice of medicine as an activity in which
      competition must be protected. Thus, the restriction of advertising, setting of
      free schedules, limitation on the number of physicians, and exclusion of other
      health-care providers or organizations is regarded as anti-competitive and merits
      intervention by the FTC. The staff members acknowledge that the Congress may
      enact laws to control health care costs which would permit practices that the FTC
      would oppose in the absence of such legislation.

PMID- 10247827
TI  - Physicians and collective bargaining.
AB  - This article discusses both the history of physician collective bargaining and
      the applicability of the 1974 health amendments of the National Labor Relations
      Act to this subject. Gordon outlines the issues for housestaff programs as well
      as for hospital-based professionals. The scope of physician bargaining includes:
      wages, hours, working conditions and issues related to the quality of patient
      care. Housestaff collective bargaining often addresses the issues of on-duty
      meals, free laundry and uniforms, subsidized housing, parking facilities, and on
      call rooms. The concerns of staff physicians include tenure, pensions, and
      insurance benefits. Gordon suggests that the difficulty and novelty of physician/
      hospital collective bargaining will frequently result in an impasse. He states
      that the propriety or impropriety of a doctors' strike depends upon: (l) the
      patient-care implications of the grievance causing the strike; (2) the gravity of
      the grievance leading to work stoppage; (3) the consequences of the strike for
      patient care; and (4) the other alternatives available. In the view of the
      author, a doctors' strike may be justified when it arises from a grievance
      relating to patient care as well as to self-aggrandizement. He states,"...if the
      strike is the only effective method of making known conditions prejudicial to
      patient care, including conditions which regularly and systematically cause loss
      of health and life, the physician may be obliged to engage in such a strike,
      rather than desist from such action." He concludes that as professionals shift
      from being private entrepreneurs to salaried employees, they will be compelled to
      use a collective bargaining approach for professional as well as economic
      concerns.

PMID- 10247828
TI  - Why a new malpractice crisis is coming.
AB  - This article predicts escalating premiums and a greater risk of malpractice suits
      based on the increasing frequency and cost of claim payouts. The number of
      insurance claims increased by 12% in 1978 after a decrease of 11% in 1976 and by
      2% in 1977. The percentage of premium income paid out has followed the same
      pattern. It was a high of 66.5% in 1975 and then fell into the 40% range in the
      next two years. Last year it bounced back to 60.6%. Some insurance authorities
      view the 1976-77 drop in claims as artificial and attribute it to a reluctance to
      file suits during the period immediately following new malpractice laws. The
      reluctance to sue has apparently relaxed. About 16% of the cases actually go to
      court. Out of those, 90% of the verdicts favor doctors. The rise in cases going
      to court shows that reform! legislation passed in several states to reduce
      malpractice litigation is not yet working. The average payout was up 20% between
      1976 and 1978 with the greatest rise in large awards; million-dollar settlements
      are not uncommon. Escalating payouts are attributed to general inflation anf
      rising medical costs. In addition, the public has become better medically
      informed and been taught that for every wrong ther is a remedy.

PMID- 10247829
TI  - Let's talk: effectively communicating praise.

PMID- 10247830
TI  - An acute shortage of nurses.

PMID- 10247831
TI  - Blood and blood components; error and accident reports--Food and Drug
      Administration. Proposed rule.
AB  - The Food and Drug Administration (FDA) is proposing to amend the biologics
      regulations concerning blood and blood components to require the submission of
      certain error and accident reports to the agency by licensed and unlicensed blood
      etablishments. These reports of error and accidents are being limited to those
      related to the issue of hepatitis-reactive blood and blood components and the
      accidental infusion of the wrong red blood cells to a donor during
      plasmapheresis. Certain other reports of error and accidents would no longer be
      required to be submitted to the Director, Bureau of Biologics, by these blood
      establishments. The agency is also proposing to amend the current good
      manufacturing practice (GMP) regulations for blood and blood components to
      provide a uniform procedure for reporting and maintaining these records.

PMID- 10247832
TI  - Public Health Service--National Health Service Corps Scholarship Program. Final
      regulations.
AB  - These regulations set forth the requirements for the award of scholarships under
      the National Health Service Corps Scholarship Program to students receiving
      academic training in medicine, osteopathy, dentistry, and other health
      professions in order to assure an adequate supply of trained health professionals
      for the National Health Service Corps.

PMID- 10247833
TI  - Public Health Service--financial distress grants to health profession schools.
      Final regulations.
AB  - The Public Health Service is issuing regulations to implement the program of
      financial distress grants to health professions schools to assist them in meeting
      their costs of operation, if they are in serious financial distress, or in
      meeting accreditation requirements, if they have a special need for assistance in
      meeting these requirements, and to carry out appropriate operational, managerial,
      and financial reforms. These grants are authorized under the Public Health
      Service Act.

PMID- 10247834
TI  - Public Health Service, Health Resources Administration--list of health manpower
      shortage areas designated under section 332 of the Public Health Service Act.

PMID- 10247835
TI  - Public Health Service--health maintenance organizations: final regulations.
AB  - These rules amend the Public Health Service (PHS) regulations by implementing
      certain changes made by the HMO Amendments of 1978 with respect to grants and
      loan guarantees for planning and initial development costs (Subpart D) and to
      loans and loan guarantees for initial costs of operation (Subpart E). These
      regulations change Subpart D by including projects for the "expansion of
      services" of an HMO among the projects eligible for initial development
      assistance. In addition, they change the limits on the amount of assistance
      permitted for initial development projects. These regulations also change Subpart
      E by substituting the words "costs of operation" for the words "operating costs,"
      thereby expanding the scope of assistance for initial operations (1) to include
      costs of certain small capital expenditures for equipment and alterations and
      renovations of facilities and (2) to incorporate into the regulations a
      longstanding policy which specifies the amount of preaward balance sheet
      liabilities which may be paid for with funds under operating loans (whether made
      directly or guaranteed by the Secretary).

PMID- 10247836
TI  - Federal Emergency Management Agency--emergency health and medical occupations:
      final rule.
AB  - This rule lists skills which would be needed to provide public health services
      during and after an emergency in which the survival of the population is the
      primary consideration. It is issued with the agreement of the Secretary of Labor
      and the Secretary of Health, Education and Welfare.

PMID- 10247837
TI  - Department of Energy--appropriate technology small grants program: final rule.
AB  - This rule prescribes amendments to the Program Guidelines for the Appropriate
      Technology Small Grants Program which were issued pursuant to the Energy Research
      and Development Administration Appropriation Authorization of 1977. The full text
      of Part 470, as amended, is set forth in this final rule.

PMID- 10247838
TI  - Department of the Air Force--Obtaining medical, dental and veterinary care from
      civilian sources. Final rule.
AB  - The Department of the Air Force is amending its regulations by revising Subpart A
      of Part 880, Subchapter I, 32 CFR. The revision tells how Air Force and NATO
      personnel may obtain essential medical, dental, and veterinary care from cilivian
      sources when care from a government facility is unavailable, and tells how to
      authorize and provide reimbursement at Air Force expense. This revision also
      changes the policy on active duty maternity episode. The internal effect of this
      revision is to keep current those rules published in 32 CFR, Chapter VII.

PMID- 10247839
TI  - Hospitals adopting the old axiom--in numbers there is strength.
AB  - Almost a third of the nation's hospitals are owned, leased or managed by hospital
      corporations, and the trend toward professional group management is expected to
      continue. It is partly a response to the growing complexities of the federal laws
      that govern reimbursements for medicare and medicaid services and that dictate
      conformity to state plans for hospital expansion. Group ownership is also a way
      of pooling resources to make it easier to obtain the capital for expansion.

PMID- 10247840
TI  - Severe nurse shortage forces some hospitals to close beds or units.

PMID- 10247841
TI  - Right-to-die groups seek another right: to aid in suicide.

PMID- 10247843
TI  - Hospitals organize group property plan.

PMID- 10247842
TI  - The overburdened manager and decision making.
AB  - This article discusses three methods managers can use to make decisions:
      intuition, management analysis, and Type 1 and Type 2 error analysis. Olson
      identifies studies that have shown that top managers work at an unrelenting pace
      and jump from one activity to another. He claims that managers do not have time
      to plan in a reflective, systematic manner. In fact, in his view, decision makers
      usually react intuitively to situations that can no longer be ignored. The
      author presents evidence that top managers prefer verbal media such as telephone
      calls and meeting for decision making because of their timeliness. He points out
      that the strategic data bank of the organization is largely in the mind of the
      manager. As a consequence, he states, an effective analysis requires that the
      manager communicate to the analyst the relevant data stored in his head. This
      process often makes it easier for the manager to solve the problem himself rather
      than delegate it to others. Olson identifies five organizational conditions that
      enable a top manager to effectively delegate problem solving tasks to management
      analysts: (1) the analyst must have the confidence of the same people who
      influence the manager; (2) the analyst must be able to adapt the techniques to
      the specific needs of the manager; (3) there must be sufficient time for the
      analyst to structure the problem and evaluate the alternatives; (4) the analyst
      must share in information gathered by the manager from verbal contacts; and (5)
      the manager must be part of an organization large enough to make it profitable
      for him to seek assistance from an analyst. When the above organizational
      conditions are not met, the author suggests Type 1 and Type 2 error analysis. He
      promotes this form of analysis as a method for using logic and intuition to
      consider various forms of information. This management tool is named for Type 1
      error (accepting a proposal that should have been rejected) and Type 2 error
      (rejecting a proposal that should have been accepted). The author advocates the
      use of this methodology because, in his view, it focuses the attention of the
      manager on the facts when a decision needs to be made. In this process, the
      manager must identify and evaluate the likelihood and consequences of each
      alternative strategy. Olson sees Type 1 and Type 2 error analysis as providing
      explicit logic to strengthen the intuitive decision making process.

PMID- 10247844
TI  - Health reform act encourages competition.

PMID- 10247845
TI  - Wellness epidemic sweeps companies.

PMID- 10247846
TI  - Hospital cost control test backfires; tune-up helps.

PMID- 10247847
TI  - Health care costs: saving in the private sector.
AB  - Robeson offers a number of options to employers to help reduce the impact of
      increasing health care costs. He points out that large organizations which employ
      hundreds of people have considerable market power which can be exerted to contain
      costs. It is suggested that the risk management departments assume the
      responsibility for managing the effort to reduce the costs of medical care and of
      the health insurance programs of these organizations since that staff is
      experienced at evaluating premiums and negotiating with third-party payors. The
      article examines a number of short-run strategies for firms to pursue to contain
      health care costs: (1) use alternative delivery systems such as health
      maintenance  organizations (HMOs) which have cost-cutting potential but require
      marketing efforts to persuade employees of their desirability; (2) contracts with
      third-party payors which require a second opinion (peer review), a practice which
      saved one labor union over $2 million from 1972 to 1976; (3) implementation of
      insurance coverage for less expensive outpatient care; and (4) the use of claims
      review. These strategies are compared in terms of four criteria: supply of demand
      for health services; management effort; cost; and time necessary for realized
      savings. Robeson concludes that development of a management plan for containing
      health care costs requires an extensive analysis of alternatives, organizational
      objectives, existing policies, and resources, and offers a table summarizing the
      cost-containment strategies that a firm should consider.

PMID- 10247848
TI  - When in doubt, act: Law Reform Survey--Part 2.

PMID- 10247849
TI  - Take care of yourself in the hospital.

PMID- 10247850
TI  - Day programs for the elderly.

PMID- 10247852
TI  - Health care ethics--living-will legislation opposed: Massachusetts.

PMID- 10247851
TI  - The denominational hospital within a socialized health care system.

PMID- 10247853
TI  - An ethical basis for nursing in Canada.

PMID- 10247854
TI  - Systems analysis: the need for automation in health care.

PMID- 10247855
TI  - Engineering in medicine.
AB  - The Canadian Medical and Biological Engineering Society has produced an outline
      of activities to clarify categories of engineering in medical care. The outline
      is intended to provide health care personnel with a better understanding of the
      role of rapidly growing disciplines. CLINICAL ENGINEERING believes these
      description to be of great value and is reprinting them with permission. It
      appears to us that the three areas designate a beginning, broad field (BME), much
      like biology is to medicine, followed by a clinical unit (CE), much like medicine
      itself, and finally a subspecialty (rehabilitation or physical therapy, for
      example).

PMID- 10247856
TI  - Wellness across Tennessee.

PMID- 10247857
TI  - Cardiac rehab gains momentum: Heart Beat at Gibson General.

PMID- 10247858
TI  - Cardiac rehab gains momentum: a nuts & bolts program outline.

PMID- 10247860
TI  - Hospitals as future houses of well repute.

PMID- 10247859
TI  - Wellness--what does it mean for hospitals?

PMID- 10247861
TI  - Teaching because we care.

PMID- 10247862
TI  - Discharge planning: a wellness mechanism.

PMID- 10247863
TI  - Two-way communications--is anybody there?

PMID- 10247864
TI  - Automated management in a nursing home.

PMID- 10247865
TI  - FTC investigation: long-term care industry has valid complaints.

PMID- 10247866
TI  - Meetings in small homes: do they help?

PMID- 10247867
TI  - 'Giving to get' breeds success.

PMID- 10247868
TI  - Prescription medication practices of the elderly.
AB  - The prescription medication practices of 30 subjects, 65 years or older, were
      surveyed and compared to the actual physician's instructions indicated on the
      prescription label. The study identified reasons for errors in administration and
      compliance or noncompliance with the prescribed regimen. The subjects were
      interviewed with a questionnaire developed by the author. The study revealed that
      more errors were made by subjects who were 65 to 69 years old, Protestant, and
      female. The error-prone individuals also lived alone and had less than 12 grades
      of education. Teaching about medications is typically a nursing or pharmacy
      function; a professional nurse or pharmacist could be employed to present
      instructional sessions periodically.

PMID- 10247869
TI  - Human serum albumin usage in a comprehensive cancer center.
AB  - During 1977, M.D. Anderson Hospital and Tumor Institute used 270,575 g of human
      serum albumin (HSA) at a patient cost of $1.1 million. For a 1-month period in
      early 1978, a survey of HSA usage was conducted in the 440-bed hospital. Patients
      who were started on albumin during the study period were included and monitored
      for the duration of their therapy. The largest groups of patients receiving
      albumin were those with gynecological tumors (30%) and gastrointestinal tumors
      (16%). Two-thirds of all patients receiving HSA were also receiving intravenous
      hyperalimentation (IVH); 80% of all HSA used was given to IVH patients. Although
      the IVH patients received a smaller daily dose of HSA, the average length of
      their therapy was about three times longer than that of the non-IVH patients. The
      mean total dose for the IVH patients was 344 g as compared to 180 g for non-IVH
      patients. For all patients, the mean total dose of HSA was 289 g at a patient
      cost of $1212. Of the patients, 66% had an initial serum albumin level determined
      before therapy was begun, 43% had a serum albumin level run at the termination of
      therapy, 16% had neither, and 28% had only one serum albumin level during their
      HSA therapy. Ninety percent of the patients had at least one period of 4 days or
      longer without a serum albumin level being obtained.

PMID- 10247870
TI  - Pharmacy services for diabetic patients in South Carolina: a survey of physician
      and patient attitudes.
AB  - Diabetic patients and physicians in South Carolina were surveyed to gauge their
      attitudes to 13 potential pharmacy services. Approximately 33% of the physician
      sample and 42% of the patient sample responded to a self-administered, mailed
      questionnaire. The results indicated that both groups held favorable attitudes
      toward services aimed at improving the patient's knowledge of diabetes but
      reacted negatively to services in which the pharmacist would be involved in the
      collection of information relating to diabetic control. Although the attitudes of
      patients and physicians were highly congruent, patients typically held more
      favorable attitudes than physicians when significant differences were found. It
      also was found that patient and physician characteristics were incapable of
      segregating respondents into groups with varying attitudes.

PMID- 10247871
TI  - Attitudes of pharmacists and physicians toward Florida's drug product selection
      law.
AB  - Pharmacist and physician attitudes were surveyed approximately 1 year after the
      implementation of Florida's drug product selection legislation. It was not
      possible to identify a consistent relationship between the attitudes of
      prescribers and pharmacists and subsequent drug product selection behavior, even
      though pharmacists were generally in favor of the law and physicians opposed it.
      However, neither saw the law as weakening their professional relationships. Both
      groups seemed to overestimate the degree of drug product selection activity
      actually occurring. From a methodological perspective, this suggests that a
      survey questionnaire approach to estimating these rates may not be valid.

PMID- 10247872
TI  - Potential and actual drug product selection rates in Florida.
AB  - A systematic review of new prescriptions conducted 1 year after the enactment of
      Florida's drug product selection law showed that 36.3% were potentially subject
      to product interchange. Product interchange actually occurred in only 6.2% of
      these potentially eligible prescriptions. Positive formularies established by the
      pharmacies reduced the eligible population to 8.1% of all new prescriptions and
      the product selection rate relative to these formularies was 14.7%. Twenty drugs
      accounted for nearly three-fourths of all drug product selection activity.

PMID- 10247873
TI  - A Talk with Nathan Stark.

PMID- 10247874
TI  - X-ray "miniaturization" program boosts income from used film.

PMID- 10247875
TI  - Hospitals and the recession.

PMID- 10247876
TI  - Management development is imperative in small/rural hospitals.
AB  - Management development is important for all health care institutions, but for
      small and rural hospitals it could be the pivot point for survival in the 1980s.
      The program described here concentrates not only on developing managers' skills
      but also on building a team approach to hospital management.

PMID- 10247877
TI  - In my opinion...pressures for cost containment.

PMID- 10247878
TI  - Take a systematic approach to patient education programming.

PMID- 10247879
TI  - Group evaluation of programs unites educators.
AB  - The Northwestern Washington Chapter of the American Society for Health Manpower
      Education and Training focused on alternative methods of educational programming
      to create a forum for planned constructive sharing of ideas and problem solving.
      This project served not only to enhance the existing program, which consists of a
      quarterly business meeting and educational events, but also to strengthen the
      cohesiveness of the membership

PMID- 10247880
TI  - 'Megahertz' education brings variety of program to Ohio hospital.

PMID- 10247881
TI  - Making patient education a reality.

PMID- 10247882
TI  - How to cope with a small budget.

PMID- 10247883
TI  - The effective committee chair: a primer.
AB  - The author summarizes his past work on committees with special emphasis on the
      Chair as leader, administrator, meeting head, and spokesperson. Articulating
      principles of agenda and temporal integrity, the "rule of halves," the "rule of
      three-fourths," and the "rule of thirds," Dr. Tropman provides a procedural
      checklist to help the new--and not-so-new--committee Chair evaluate committee
      performance.

PMID- 10247884
TI  - Continuing education for the improvement of professional intervention in patient
      care.
AB  - Continuing education has a vital and unique role to play in enabling the
      practitioner to maintain professional competence. The contributions of continuing
      education supplement formal preparatory education and practice experience. The
      future for pharmacy continuing education is tied to the transition currently
      underway as pharmacy emphasizes involvement in patient care. The Pharm.D.'s
      affect on the pharmacist, acceptance of the pharmacist in a new role, preparation
      of pharmacists to deal with an aging population, and capitalizing on the movement
      toward health promotion are all challenges that face continuing pharmacy
      educators.

PMID- 10247885
TI  - Self-monitoring of blood pressures in hypertensive subjects and its effects on
      patient compliance.
AB  - This study investigated the effects, if any, that teaching hypertensive patients
      to take their own blood pressures, as well as education and counseling, would
      have on compliance. Prior to the initiation of the study, the pharmacist
      investigator collected data on the hypertension clinic as it traditionally
      functioned. This preliminary investigation included studying the work flow of the
      clinic and reviewing medical records to determine who among the clinic
      registrants met the criteria set up for inclusion in this study. During the study
      phase, 12 patients were educated about their disease state, counseled, and taught
      to take their own blood pressures, using a home blood pressure measuring device.
      Upon each return visit, they were evaluated by the pharmacist using such
      parameters as pill counts, blood pressure readings, fluctuations in body weight,
      and disease symptomatology. All these data were analyzed and compared to those of
      the 12 patients in the control group who were educated and counseled, but not
      taught to take their blood pressures. An overall improvement in any or all of
      these monitored parameters was the criterion for determining effectiveness in
      promoting better compliance. At the end of the five-month study, the frequency of
      prescription refill had increased from 38 to 72.56 percent for the treatment
      group and from 31.6 to 59.26 percent for the control group. There were no
      significant changes in the other parameters monitored during this period.

PMID- 10247886
TI  - Equity for the pharmacist: recognition with responsibility.

PMID- 10247887
TI  - Consumer reactions to differing amounts of written drug information.
AB  - Four prototype patient package inserts (PPIs) for erythromycin were tested in an
      analog study using 325 individuals drawn from a college community. There was no
      difference in the total amount of knowledge communicated by the different PPIs,
      but results for individual test items suggest (1) that more explicit information
      may be better recalled, and (2) that longer PPIs may aid in information
      integration, whereas shorter PPIs may aid in pure recall of facts. PPIs
      containing elaboration on why drug effects occur were rated by the subjects as
      more "accurate." Subjects tended to rate PPIs that provided behavioral
      instructions on what to do if certain drug effects occurred as designed to
      promote better care.

PMID- 10247888
TI  - Clinical pharmacy and specialization.

PMID- 10247889
TI  - School management and contingency theory: an emerging perspective.
AB  - In an article written for educational administrators, Hanson  explains the
      assumptions, framework, and application of contingency theory. The author sees
      contingency theory as a way for organizations to adapt to uncertainty by
      developing a strategic plan with alternative scenarios. He urges school
      administrators to join businessmen and public managers in using a technique
      described as "the most powerful current sweeping over the organizational field."
      The theory assumes that: (1) a maze of goals govern the development of events;
      (2) different management approaches may be appropriate within the same
      organization; and (3) different leadership styles suit different situations.
      Contingency planning helps the organization to respond to uncertainty in the
      external environment by identifying possible events that may occur and by
      preparing alternative stratgies to deal with them. Hanson describes the purpose
      of this process as providing "a more effective match between an organization and
      its environment." He explains that contingency theory analyzes the internal
      adjustments of the organization (e.g., decision making process, structure,
      technology, instructional techniques) as it seeks to meet the shifting demands of
      its external or internal environments. According to the author, the intent of
      contingency theory is to establish an optimal "match" between environmental
      demands (and support) and the response capabilities of the organization including
      its structure, planning process, and leadership style.

PMID- 10247890
TI  - Evaluating EMS devices: FDA vs. private sector.

PMID- 10247891
TI  - Joint company/YMCA fitness program benefits employees.

PMID- 10247892
TI  - Controlling high blood pressure at the worksite.

PMID- 10247893
TI  - Hospital's wellness program helps employees improve lifestyles.

PMID- 10247894
TI  - New York's League negotiations begin.

PMID- 10247895
TI  - We're making more money than we used to, but we're living worse.

PMID- 10247896
TI  - New minimum wage rates for League 1199ers.

PMID- 10247897
TI  - Equal pay for women workers.

PMID- 10247898
TI  - Victory at St. Barnabas.

PMID- 10247899
TI  - Network analysis in evaluation: some words of caution.

PMID- 10247900
TI  - Evaluation in the U.S. Department of Health, Education, and Welfare.

PMID- 10247901
TI  - Utilizatin of within-hospital services: a study of the effects of two forms of
      group practice.

PMID- 10247902
TI  - Public relations and promotion: a few ideas for group practices.
AB  - Public relations is the attempt to influence another's perception of an event,
      individual or institution by presenting a specific, directed, outward image. In
      public relations terms, the very worst thing that can happen is for someone to
      say something bad about you. The second very worst thing is for them to say
      anything at all about you! Between this Scylla and Charybdis, what can a group
      practice do to enhance its public image and increase its visibility within its
      community while, at the same time conducting itself in an appropriate and seemly
      manner? Some suggestions follow.

PMID- 10247903
TI  - Satellite laboratory services: a blending of form and function.
AB  - In March, 1980, Holzer Clinic, Ltd., a 45-physician multispecialty group practice
      located in southeastern Ohio, started its own clinic laboratory operation at a
      facility some four miles from the clinic building. To the clinic, this
      significant event signaled a major departure in operations, concept and
      philosophy.

PMID- 10247904
TI  - The high cost of a CON.

PMID- 10247905
TI  - Congressman Gramm favors eventual abolishment of CON to pave way for competition
      model.

PMID- 10247906
TI  - New National Council chairman tells views on major health planning issues.

PMID- 10247907
TI  - Administration's bed reduction plan: capital punishment for hospitals.

PMID- 10247908
TI  - Health planning costs study indicates significant changes needed in system.

PMID- 10247909
TI  - Managed hospitals in 3 towns merge, stop duplication, reduce beds, plan new
      buildings.

PMID- 10247910
TI  - Employee Stock Option Plan (ESOP) offers investment potential for hospitals.

PMID- 10247911
TI  - Skill of Sherman Oaks Burn Center team helps Pryor, others win their fight for
      life.

PMID- 10247912
TI  - AMI expanding mobile CT fleet; plans to extend service to all parts of country.

PMID- 10247913
TI  - Competition and CON: an incompatible combination?

PMID- 10247914
TI  - AMI sees Hyatt purchase strengthening its management capabilities in domestic
      contracts.

PMID- 10247915
TI  - Burnout in foodservice.

PMID- 10247916
TI  - Problem: how to involve foodservice in family healthcare. Solution: celebrate
      births with a gourmet meal.

PMID- 10247917
TI  - Running a hospital is no different from running a store.

PMID- 10247919
TI  - The creation, maintenance and distribution of a computerized drug inter-action
      file (DIF).

PMID- 10247918
TI  - Information--the key to the future.

PMID- 10247920
TI  - Hospitalizations in three competing HMOs during their first two years: a cohort
      study of the Rochester experience.

PMID- 10247921
TI  - Aspects of member satisfaction under two types of health delivery systems: a
      comparison of prepaid group practice HMO members and a Blue Cross/Blue Shield
      matched control group.

PMID- 10247922
TI  - Prepaid medical practice: a summary of findings from a recent survey of group
      practices in the United States. A comparison of fee-for-service and prepaid
      groups.

PMID- 10247924
TI  - Dialogue with John Welbourn: managing the hospital's BTUs.

PMID- 10247923
TI  - A national survey of opinions toward health promotion among directors of health
      systems agencies.

PMID- 10247925
TI  - United States citizens studying medicine abroad.

PMID- 10247926
TI  - It's roundup time for the runaway regulators.
AB  - Alexander reviews some of the problems caused by governmental regulation of
      business practices and considers some of the current moves to decrease regulatory
      intervention. According to the author, this is the first time in 15 years
      Congress has acknowledged that regulation is a matter of serious concern. The
      trigger was a 1978 proposal of the Federal Trade Commission (FTC) to extend its
      control over the voluntary product standards established by industry. Prior to
      that action, the author states, the FTC was condemned for listless enforcement.
      Economists blame excessive regulation for low productivity, lack of innovation,
      inflation, unemployment, and shortages. The author points out that the stringent
      rules of the Federal Drug Administration (FDA) have brought about a steep decline
      in the number of new drugs introduced--drugs which presumably could have
      prevented considerable suffering and quite a few deaths. The author thinks that
      the gold medal earned by the FDA for its refusal to approve Thalidomide has
      fostered a siege mentality--"We only get into trouble by approving something."
      The stringent regulations have caused voter dissatisfaction, as evidenced by the
      attempt of the FDA to bar the use of saccharine. In an effort to restore
      political accountability, Congress is considering strengthening the oversight of
      agencies by elected officials. The House of Representatives favor the wider use
      of the "legislative veto." This would make any new rule an agency writes subject
      to nullification by either House of Congress for a 60-day period. The Senate
      prefers a "sunset" approach, which would require that regulations, spending
      programs, and even entire agencies undergo periodic reapproval. A study carried
      out by the American Bar Association (ABA) singles out the congressional sin of
      needlessly enlarging the burden of regulation by creating a new agency every time
      it perceives a problem, eventually resulting in sharply increased regulatory
      compliance costs. The same ABA study recommends that each agency be required to
      prepare an analysis of the likely costs and benefits of their proposed rulings
      and of recommended regulations in light of established national priorities.
      Alexander concludes that the ABA recommendation for increased reliance upon the
      competitive market is an essential step in encouraging regulatory reform.

PMID- 10247927
TI  - The meeting goer's lament.
AB  - Executives spend about 69% of their time in meeting with at least two other
      people, according to a recent study out of McGill University. In spite of this,
      participants do not consider this to be time used wisely  and, according to the
      respondents, the problem seems to be growing worse. Despite the claims of some
      executives that government regulations or increased corporate complexity
      underlies the problem, society at large is viewed as the source of the change.
      Meyer asserts that all institutions have become less authoritarian and the trend
      away from command has left persuasion and consensus as the basis for corporate
      level decision-making. Although executives seem to agree that most time is wasted
      because participants fail to be succinct, the author argues that leaders could
      improve meetings by choosing the right participants, guiding them briskly through
      the agenda, and closing the meeting before it degenerates into a shouting match.
      The article suggests that chief executives are concluding that meeting skills can
      be learned. Most of the FORTUNE 500 companies have hired outside experts to teach
      these skills and some companies are building inhouse units for the same purpose.
      Since meetings have become an integral part of the business day, Meyer concluded
      that the goal of the executive should be to use the meeting time well.

PMID- 10247928
TI  - Federal regulation of medical practice in nursing homes.

PMID- 10247929
TI  - Controlling hospital costs.

PMID- 10247930
TI  - Interview: Henry Simmons.

PMID- 10247932
TI  - Plumbing for hospitals.

PMID- 10247931
TI  - Medical care in Papua New Guinea.

PMID- 10247933
TI  - A partnership for rural healthcare.

PMID- 10247934
TI  - Overcoming resistance to change.

PMID- 10247935
TI  - What every nurse manager should know about risk management.

PMID- 10247936
TI  - Finding the causes of job stress and learning to control them.

PMID- 10247937
TI  - Porter training: the key is 'keep it practical'.
AB  - Just over two years ago, Edward Lewis, personnel officer, Mid Glamorgan HA,
      described in the Journal how a training programme for head and deputy head
      porters was received in Wales. At that stage only the first module had been
      devised. Now with Nigel Bryant, lecturer in the department of management studies,
      Polytechnic of Wales, and William Brown, Welsh Office advisor, he reports on
      further progress.

PMID- 10247938
TI  - Supply council: a man of persuasion. Interview by Joyce Galley.

PMID- 10247939
TI  - Disposables: saving by throwing away.
AB  - The demand for health care facilities and services will remain insatiable,
      concludes a report by Frost and Sullivan due to be published shortly. The report
      on trends in the European clinical soft goods market says growth is guaranteed
      but that the market penetration of disposables is not.

PMID- 10247940
TI  - Disposables: one-way trip articles.
AB  - There are many factors to be considered before a decision to introduce
      disposables can be confidently made. Although the supplies officer signs the
      order, he must take into account the advice of people from many other
      disciplines.

PMID- 10247942
TI  - Out of hours social care: planning for peaks and troughs.

PMID- 10247941
TI  - Look for the silver lining.
AB  - On January 1, 1980, the price of silver on the London Metal Exchange reached an
      all-time record of pounds 21.55 per troy ounce. The predicted price in 1978 had
      been pound 3.80. This sudden upturn in the market sent people scurrying to silver
      merchants with family trophies, and put a glow on the faces of hospital finance
      officers. Proceeds from the sale of photographic waste from radiography
      departments are very healthy.

PMID- 10247943
TI  - Health education: focusing on the video show.
AB  - In his second article on patient education Dr J. L. Graham, chief administrative
      medical officer, Forth Valley Health Board, describes how six short videotapes
      are being produced and evaluated in a research project. The research consists of
      four main areas: preliminary work, exploratory work, production of the videotape
      and, lastly, evaluation of its effectiveness.

PMID- 10247944
TI  - Calculators: managing with technology.
AB  - When the calculators do the calculating, the managers can do the managing. Len
      Goldstone of the UMIST Department of Management Sciences examines how close we
      are to that ideal. There are, he says, calculators of three levels of complexity
      and price, but warns that tomorrow's manager may find even the most sophisticated
      of today's instruments clumsy compared to the mini-computers now being developed.

PMID- 10247945
TI  - Family practitioners: justice for GPs and patients.
AB  - The Family Practitioner Committee has a broad ombudsman function, writes Judy
      Allsop, a former medical service committee lay member and senior lecturer in
      social policy, Polytechnic of the South Bank. She discusses the way PFCs deal
      with complaints against GPs and highlights some of the problems faced by
      complainants and the medical service committees.

PMID- 10247946
TI  - Medical staffing: working out a better balance.
AB  - The Medical Practitioners' Union is the latest group to call for changes in
      junior doctors' career structures. These would entail a shift in emphasis away
      from the consultant's traditional role and reliance on inpatient care. Here,
      Brian Watkin discusses the MPU's policy document.

PMID- 10247947
TI  - IHF study tour: a lesson in Swedish.
AB  - The International Health Federation paid its first visit to Sweden in June. The
      study tour, which involved 35 people from 15 countries, spent ten days studying
      Swedish health care with the particular brief--'Co-ordinating health services
      within a region". Here David Hands, assistant director, Kings Fund Centre,
      describes the tour which was organised by the Swedish Hospital Association and
      the Swedish Planning and Rationalisation Institute in conjunction with the
      National Board for Health and Welfare, and the Federation of Swedish County
      Councils.

PMID- 10247948
TI  - Safety in hospitals: our Nordic neighbours.

PMID- 10247949
TI  - HSSJ guide to managerial salaries and conditions in the NHS: explanation of
      grading of ex-special grade officers.

PMID- 10247950
TI  - Recipe for cleaner kitchens.
AB  - The replacement of much old equipment and improvements in the maintenance of such
      items as heated trolleys were prominent among the recommendations of two food
      hygiene surveys carried out in Oxfordshire AHA(T). The surveys and the
      circumstances that led up to them, are described by Dr Nicholas Black of the
      AHA(T)'s department of community medicine.

PMID- 10247951
TI  - Consensus management: giving up a little of the "I' and thinking of the "we'.
AB  - According to the Minister of Health, consensus management to some people, is like
      a red rag to a bull. At least that's what he intimated at a conference earlier
      this year to an audience of senior nurses. One is tempted to picture the scene
      with the matador administering the coup de grace to the applause of a crowded
      arena. But John Pealing, district nursing officer, South East Staffs HD, asks who
      is the matador and is the sacred bull really dead?

PMID- 10247952
TI  - Health authorities: obsessed by structures.
AB  - Last January, Brian Watkin suggested (Journal, January 25) that the constitution
      of health authorities as essentially lay bodies required further consideration.
      He concluded that it would be far better for an authority to consist of a
      chairman, a group of executive directors (the area management team or area team
      of officers) and a group of nonexecutive directors who might be appointed or
      elected in a variety of different ways. Frank Pethybridge, regional
      administrator, North Western RHA, begs to differ

PMID- 10247953
TI  - Health education for Asians: cultural bridge building.
AB  - Judith Gray, a specialist in community medicine, and Waltrant Browning, who
      visited Britain in 1979 to study health education of ethnic minorities, examine a
      scheme in Blackburn which set out to overcome the language problem. Dr Gray is
      area specialist in community medicine (social services) Manchester AHA(T)

PMID- 10247954
TI  - Safety in hospitals: philosophy of fire defence.
AB  - The idea that whole blocks should be warned immediately a fire is discovered, is
      not generally favoured in Sweden and Denmark. This is one of many fifferences of
      approach which David White, area education and training officer, Coventry AHA
      found on his Council of Europe Fellowship study tour. Here he concludes his
      report begun last week

PMID- 10247955
TI  - Trends in developing effective inservice education for HSOs.

PMID- 10247956
TI  - Marketing volunteer skills.

PMID- 10247957
TI  - The health care market: can hospitals survive?
AB  - Does it sound familiar? Resources are scarce, competition is tough, and
      government regulations and a balanced budget are increasingly hard to meet at the
      same time. This is not the automobile or oil industry but the health care
      industry, and hospital managers are facing the same problems. And, maintains the
      author of this article, they must borrow some proven marketing techniques from
      business to survive in the new health care market. He first describes the
      features of the new market (the increasing economic power of physicians, new
      forms of health care delivery, prepaid health plans, and the changing regulatory
      environment) and then the possible marketing strategies for dealing with them
      (competing hard for physicians who control the patient flow and diversifying and
      promoting the mix of services). He also describes various planning solutions that
      make the most of a community's hospital facilities and affiliations.

PMID- 10247958
TI  - Management men and women: closed vs. open doors.

PMID- 10247959
TI  - How much stress is too much?
AB  - "There is no question that a certain amount of stress is good," says one of the
      chief executives quoted in this article. "If I have a particularly easy week, I
      can feel an ache or pain, but if I get really busy, I feel really much better."
      But when managers feel themselves under too much stress, the executive adds
      pessimistically, then "not only will they burn out in time, but they get erratic
      and their judgment goes all to hell." These insights reflect one of the authors'
      main themes: medical research finds stress productive up to a point (which of
      course varies with the manager), but beyond that point it can be disastrous. The
      trouble in corporate life seems to be that leaders appreciate the first part of
      the relationship but not the second. As a consequence, both individiuals and
      organizations suffer--and suffer greatly. This penalty is unnecessary, the
      authors believe, because a newly tested, proved, and relatively simple approach
      to managing stress is available to any corporation that wants to use it.

PMID- 10247960
TI  - Liability: hospital vs. contractor.

PMID- 10247961
TI  - Purchasing a CT scanner through the quotation process.

PMID- 10247962
TI  - Hospitals urged to review mercury disposal procedures.

PMID- 10247964
TI  - Disposables: utopian dream or dissolute dilettantism.

PMID- 10247963
TI  - The million-dollar question: why pay employees' social security taxes?

PMID- 10247965
TI  - Quality assurance: who? where? why?

PMID- 10247966
TI  - Israel's medical equipment industry: a look ahead.

PMID- 10247967
TI  - Kitchen hygiene--Crown immunity.

PMID- 10247969
TI  - Selling to France.

PMID- 10247968
TI  - An experiment in semi-automatic order production.

PMID- 10247970
TI  - Records--the hospital's nervous system. Part 1: functions.

PMID- 10247971
TI  - State of the National Health Service.

PMID- 10247972
TI  - The decline of the National Health Service.

PMID- 10247973
TI  - Records management. Part 2: systems.

PMID- 10247974
TI  - The Cardington experiment.

PMID- 10247975
TI  - Records management: Part 3.

PMID- 10247976
TI  - General practice and the consumer.

PMID- 10247977
TI  - Time for change in supply organisation.

PMID- 10247978
TI  - Do-it-yourself training in supplies.

PMID- 10247979
TI  - Variation in perinatal mortality by region and area.

PMID- 10247980
TI  - An administrator's view of childbirth: a tribute to Bellshill Maternity Hospital
      and its staff.

PMID- 10247981
TI  - Community participation in health care--how it has worked out in practice.

PMID- 10247982
TI  - Closures of hospitals: procedures and problems.

PMID- 10247983
TI  - The health economist and NHS planning.

PMID- 10247984
TI  - Who complains? An inconclusive study.

PMID- 10247985
TI  - Specialty costs: an aid to planning and control.

PMID- 10247986
TI  - Halt: who goes there? An account of clinical access in Durham.

PMID- 10247987
TI  - Presidential address 1980.

PMID- 10247988
TI  - Positive discrimination in the health and social services.

PMID- 10247989
TI  - NHS planning: an assessment.

PMID- 10247990
TI  - Waiting lists: some problems of definition and a relative measure of waiting
      time.

PMID- 10247991
TI  - Waiting lists: a step towards representation, clarification and solving of
      information problems.

PMID- 10247992
TI  - Commissioning hospital projects--management or mismanagement.

PMID- 10247993
TI  - Nosocomial infections found to be major cause of death after trauma.

PMID- 10247994
TI  - Study cites needle disposal as risk for hospital employees.

PMID- 10247995
TI  - Handwashing fails to improve with building design changes.

PMID- 10247996
TI  - Multiple strategies control staph infections in nursery.

PMID- 10247997
TI  - Finding the perfect person for integrated QA program.

PMID- 10247998
TI  - Two hospitals cope successfully with Mount St. Helens fallout.

PMID- 10247999
TI  - New Jersey hospitals experiment with cost-per-case reimbursement.

PMID- 10248000
TI  - An interview with Sr. Mary Lucy Power, RSM.

PMID- 10248001
TI  - Contraceptive sterilization: no panacea for human problems.

PMID- 10248002
TI  - Restatement on tubal ligation confuses policy with normative ethics.

PMID- 10248003
TI  - Bishops' statement reaffirms Church's reverence for spousal love.

PMID- 10248004
TI  - Court's guidelines on incompetent patients compromise their rights.
AB  - All patients have the right to request or to forego extraordinary means. Who
      shall make this decision for incompetent patients? A Massachusetts court, ruling
      that only a court is competent to decide such requests, contradicts theologians'
      recommendations. These decisions should be left to the patients' closest
      relatives with the help of the physician.

PMID- 10248005
TI  - Terminating treatment: asking the right questions.
AB  - The sole question to ask in considering curtailing treatment of incompetent,
      terminally ill patients is not, Who shall decide? Other philosophical and ethical
      considerations should be addressed before requesting a judicial ruling which
      might set dangerous precedents.

PMID- 10248006
TI  - The inability to judge: the malaise of our time.
AB  - A certain Alice in Wonderland mentality pervades the current times as society
      cautions us not to be judgmental. But when virtue and vice are indistinguishable,
      Christian living and growth are precluded.

PMID- 10248008
TI  - Mercy Center for Health Care Services, Aurora, IL. Healthful living program
      focuses on wellness.

PMID- 10248007
TI  - Health care services for homebound aged maintain independence, limit costs.
AB  - Aged, homebound people suffer from a complex of problems too diverse for one
      health worker to handle successfully. Comprehensive programs using hospital-based
      health care teams to provide services for these people in their own homes can
      forestall enforced transfer to a long-term care facility or unattended death.

PMID- 10248009
TI  - Forecast for health service executives: rapidly rising compensation.
AB  - Total cash compensation for health service executives should increase at an
      annual rate of 9 to 10 percent in the next few years. Retirement income, life
      insurance, long-term disability coverage, and general perquisites will likewise
      improve. Health service executives receive proportionately lower cash
      compensation (salary plus bonuses), judged by their institutions' operating
      budgets, than executives in the for-profit sector.

PMID- 10248010
TI  - NLRB ignores congressional mandate, allows bargaining units to multiply.
AB  - The NLRB has studiously ignored a congressional mandate that large numbers of
      bargaining units should not be allowed in hospitals. Health care institutions may
      force negotiations with eight or nine unions unless the courts take a hard look
      at bargaining unit determinations.

PMID- 10248011
TI  - Patient files malpractice suit five years after hip surgery.

PMID- 10248012
TI  - Patient suffers stroke after physicians perform angiogram.

PMID- 10248013
TI  - Three hospitals consolidate services to regionalize burn treatment.

PMID- 10248014
TI  - Community Corp: a partnership in mental health.

PMID- 10248015
TI  - Getting to the core of the problem.

PMID- 10248016
TI  - Emergency services: a model in cooperation.

PMID- 10248017
TI  - Community support program update--1980.

PMID- 10248018
TI  - Creative approaches to chronic crisis.

PMID- 10248019
TI  - HCFA redefines special care units; AHA maintains objection to undue stringency
      and inadequate reimbursement.

PMID- 10248020
TI  - California Courts lay groundwork for new areas of liability.

PMID- 10248021
TI  - Six to eight hospitals may benefit from aid to financially distressed hospitals;
      AHA urges long-term solution for all.

PMID- 10248022
TI  - Report confirms AHA recommendations to hospitals on chemical waste; EPA-AHA
      discussions on infectious waste held.

PMID- 10248023
TI  - National Health Service Corps/AHA develop private practice option program for
      corps MDs; interested hospitals must apply immediately.

PMID- 10248024
TI  - Natural gas curtailment proposed regulations would apply to hospitals that
      purchase interstate natural gas.

PMID- 10248025
TI  - Home health care and national health policy.

PMID- 10248026
TI  - Restrained in Canada--free in Britain.

PMID- 10248027
TI  - A systems approach to planning hospital-based patient education programs.

PMID- 10248028
TI  - Biocommunications in developing nations: roles and problems for specialists from
      developed countries.

PMID- 10248029
TI  - On health care and users: patients as users of health care.

PMID- 10248030
TI  - A university information center as a potential unit of a network.

PMID- 10248031
TI  - Communication for research in biomedicine in Canada.

PMID- 10248032
TI  - BioSciences Information Service: information resources for biomedicine.

PMID- 10248033
TI  - CANCERNET: a European network for cancer literature data bank.

PMID- 10248034
TI  - Information service activities of Japan Information Center of Science and
      Technology in the fields of biological science, medical science and agriculture.

PMID- 10248036
TI  - It's operation germfree: Schoitz Memorial Hospital O.R. suite.

PMID- 10248035
TI  - Colorful recoveries: Baptist Memorial Hospital-East.

PMID- 10248037
TI  - Good planning pays off: Cleveland Metropolitan General Hospital and Mercy South
      Hospital.

PMID- 10248038
TI  - Equal access to health care: health planning agencies' obligations.

PMID- 10248039
TI  - Conditions: a tool for effective certificate-of-need regulation.

PMID- 10248040
TI  - The Pennsylvania Health Department's proposed changes in the patient's bill of
      rights--and in other hospital regulations.

PMID- 10248041
TI  - Community health in a Chicago slum.

PMID- 10248043
TI  - March articles should have mentioned error rate in medical records.

PMID- 10248042
TI  - The San Francisco Health Care Coalition.

PMID- 10248044
TI  - Borrowing for capital: will it empty our pockets?

PMID- 10248045
TI  - Ten issues to consider when evaluating case-mix reimbursement.

PMID- 10248046
TI  - Improving inventory records now becoming more important.

PMID- 10248048
TI  - The ODIS project: a home-grown data information system.

PMID- 10248047
TI  - Condensed control reporting for better departmental management.

PMID- 10248049
TI  - Inside HFMA: Secretary notes Board responsibility.

PMID- 10248050
TI  - Payment patterns: management of receivables.

PMID- 10248051
TI  - The pink slip blues.

PMID- 10248053
TI  - Sampling: how to fix the odds--Part 2.

PMID- 10248052
TI  - Managing the underperformer.

PMID- 10248054
TI  - Sampling: how to fix the odds--Part 3.

PMID- 10248055
TI  - Traditional insurance package may not credit good RM.

PMID- 10248056
TI  - Why mandate malpractice insurance for medical staff?

PMID- 10248057
TI  - JCAH reviews ambulatory care standards.

PMID- 10248058
TI  - Physician concerns aired at hospital medical staff forum.
AB  - When physicians and administrators at Sinai Hospital of Detroit convened at a
      medical staff forum, the physicians became more familiar with administrators,
      operational problems were identified, and a monthly newletter on health care
      issues for physicians was born.

PMID- 10248059
TI  - Maximizing reimbursement for physician services.
AB  - Both hospital and physician can benefit from the increased reimbursement revenue
      that can be derived by carefully structuring the hospital-physician relationship.

PMID- 10248060
TI  - Medicalization and social control in the workplace: prospects for the 1980s.

PMID- 10248061
TI  - A computerized data management system.
AB  - A low-cost, computerized data management system has been developed on a Digital
      Equipment Corporation PDP11V03 computer system with dual floppy discs using BASIC
      in a time-shared configuration. The system collects, updates, and stores patient
      information on floppy discs for later retrieval and statistical analysis. All
      application software is written in BASIC to simplify changes or expansion, and to
      reduce the software labor costs for transferring the system to other low-cost
      microprocessor systems currently on the market. This system has been used by
      several hospital departments for data management and has proven to be a useful
      tool.

PMID- 10248062
TI  - Clinical engineering services at the VA Medical Center, Los Angeles.
AB  - A large, modern Medical Center requires clinical engineering services to account
      for all medical equipment utilized in the treatment of the short-visit clinic
      patient, as well as the critically ill, who require extensive hospital, surgical
      or medical health care. The clinics act as multiphasic screening systems,
      providing simple treatment and referral for more extensive medical treatment. The
      hospital provides the necessary medical systems to accommodate the extensive
      daily patient flow. Few of the clinics can provide the facilities or machines to
      handle the expense of newer diagnostic and therapy requirements. Manpower and
      funding for maintenance today is concentrated in the fast-growing Radiology,
      Radiation Therapy/Nuclear Medicine, and Laboratory areas of the Medical Center.
      These departments require service specialists, and large amounts of dedicated
      funding to balance and insure reasonable maintenance of the newer, high
      technology equipment. Growth of such technology in the hospital must be matched
      by the growth of service professionals in biomedical engineering departments.

PMID- 10248063
TI  - Mechanical hazards in clinical equipment.
AB  - A wide variety of mechanical hazards are associated with clinical instrumentation
      containing mechanical components. Therefore, safety considerations for clinical
      equipment must be extended to include mechanical safety standards, maintenance
      programs, and operating procedures. Mechanical risk classes have been developed
      from the study of mechanical-mode failures of medical devices. To facilitate the
      development of priorities for clinical engineering involvement in mechanical
      safety programs, most mechanical devices which are commonly used in clinical
      practice have been assigned an appropriate risk classification. General
      recommendations for the development of such programs are also presented.

PMID- 10248064
TI  - Contract versus shared services.
AB  - Contract service and shared service organizations are the two primary
      alternatives to in-house maintenance of medical equipment. The emphasis on
      manufacturer-based service has been decreasing lately for all but the most
      specialized equipment. This development is due to a variety of influences,
      chiefly related to the economy, and the need of the hospital to access broad
      based technologists to service the equipment, and provide rapid technical
      support. The factors which must be weighed by the hospital in considering these
      two approaches are examined.

PMID- 10248065
TI  - The BMET and the need for esteem.
AB  - In the hospital organization, the status and esteem accorded an individual is
      based primarily on his profession and position. As a relatively new
      specialization, the professional status of the BMET has not been established, and
      those individual BMEts who seek increased esteem must work toward improving the
      status and professionalism of BMETs as a group. To achieve this goal, the BMET
      should present an image of professionalism; support and participate in activities
      of local and national BMET societies; involve himself in continuing education;
      establish supportive relationships with hospital equipment users; and become an
      effective member of multi-disciplinary hospital committees.

PMID- 10248066
TI  - An improved image display for early E.M.I. scanners.
AB  - First generation EMI head scanners have a poor image display and photography
      system. This paper describes how an image converter is interfaced to the EMI
      viewer console to produce a standard television image. The design also
      incorporates a multi-image photography unit to allow photographing of up to nine
      images on one standard X-ray film. The converted system's advantages are: a
      bright and stable display, reduced operator time, and significant material
      savings.

PMID- 10248067
TI  - The symbiosis between engineering and medicine.
AB  - This paper discusses the contribution of engineering to medicine, and the
      relationships that exist between the two disciplines. Engineers have followed a
      rational approach to analyse the physician's needs and have begun to bridge the
      gap between engineering and medicine. As a result, there has been a proliferation
      of life-saving products made by the industrial sector of society. The author
      offers suggestions for engineers and doctors to help them improve communications
      and better understand each other's problems.

PMID- 10248069
TI  - Night of terror.

PMID- 10248068
TI  - Planning for nursing home construction.

PMID- 10248070
TI  - Products liability and the health care provider.

PMID- 10248071
TI  - A week of celebrations: National Nursing Home Week, May 11-18, 1980.

PMID- 10248072
TI  - Care for the elderly in rural areas.

PMID- 10248073
TI  - Visiting: a positive approach.

PMID- 10248074
TI  - Health planning law--background: from 1954 to 1980.

PMID- 10248075
TI  - What is quality care in a nursing home?

PMID- 10248077
TI  - Fear of the invisible.

PMID- 10248076
TI  - Decertification of a union: to what extent can employers assist in this process?

PMID- 10248078
TI  - Spotlight on staff development.

PMID- 10248079
TI  - Thoughts on our health care system.

PMID- 10248080
TI  - Successful aging: the possible dream--successful nursing homes: the not
      impossible dream.
AB  - "Telling it like it is" has never been a problem for Dr. Pfeiffer, which accounts
      partly for his wide acceptance by people in both the mental health and long term
      care fields. As a result of personal impressions and professional observations of
      the author, the reader sees the aged in a different light.

PMID- 10248081
TI  - The geriatric crisis in Canada: real or imagined?
AB  - Reviewing Canadian policy and planning for old people, Dr. Cope Schwenger reminds
      us of our own "geriatric crisis" and governmental intervention, and its effect in
      the provision of services. Several issues are examined demonstrating mutual
      problems in each of our countries, and the considerations given to planning for
      access and distribution of services in long term care are germane in the United
      States.

PMID- 10248082
TI  - Sexual practices and administrative policies in long term care institutions.
AB  - Long an activist in the long term care field, Dulcy Miller again provides us with
      well grounded advice: "Sexual behavior of the intact aged," Miller states,
      "presents significant administrative problems. Sexual behavior of the impaired
      and the resulting sequelae present moral dilemmas worthy of microscopic
      analysis."

PMID- 10248083
TI  - Social rehearsal for death and dying.
AB  - Dr. Koff, an articulate spokesman of the care system in nursing homes, answers an
      oft repeated question: "What are sensible and sensitive steps to be dealt with on
      the subject of death and dying in the institutional setting?" He argues for a
      "system"in the home which transcends a piecemeal approach to policy making on an
      important event--death--for the nursing home resident.

PMID- 10248084
TI  - Conversations with a gerontologist.
AB  - Simon Bergman's observations combine his deep personal experiences with a sharp
      edged insight into the practitioner's role in the provision of health care
      services to the aging. While he projects needs into the future, he also has
      strong feelings for both what has been achieved and what is missing now in care
      systems the world over.

PMID- 10248085
TI  - State-funded mental health research: 3. Building support for state mental health
      research.

PMID- 10248086
TI  - State-funded mental health research: 4. Organization and funding of state mental
      health research and development.

PMID- 10248087
TI  - Budgeting and the management power equation.

PMID- 10248088
TI  - The marketing of mental health services.

PMID- 10248089
TI  - Due process and the institutionalization of mentally disabled persons.

PMID- 10248090
TI  - State-funded mental health research: 1. The state's unique contribution to mental
      health research.

PMID- 10248091
TI  - State-funded mental health research: 2. Coordinating state research programs:
      accountability, information exchange, and duplication.

PMID- 10248092
TI  - Professionals, administrators, and hospitals: moral conflicts.

PMID- 10248093
TI  - A hospital cost model for policy analysis.

PMID- 10248094
TI  - Unionism in the health care industry: an overview.
AB  - Block profiles the two unions that are the most active in organizing non-nurse
      health care employees: the National Hospital Union (NHU) and the Service
      Employees International Union (SEIU). The two international unions present a
      contrast in structure and ideology. The SEIU is a truly international,
      decentralized union, whereas NHU is a far more centralized affiliate.  As an
      international union, SEIU characterizes, taxes, and disciplines locals. Its
      decentralized strategy has been to permit locals to do the bulk of the organizing
      and collective bargaining, while the national union merely coordinates and offers
      financial and technical support. Conversely, NHU is an affiliate of the retail,
      wholesale, and department store union, deriving authority from, paying tax to,
      and subject to discipline by the parent organization. Its centralized approach
      has been for national officers to determine when a district will be created and
      what its jurisdiction will be. The structural differences of the two unions can
      be traced to their respective histories. As an old-line AFL union, SEIU had an
      existing structure of independent local unions that operated in health care as
      they did in other industries. NHU, however, originated as a union of drug store
      employees and its structure evolved over time. Membership growth and geographic
      expansion elevated it beyond the status of a local into a division with its own
      districts. The unions also diverge in their ideology; SEIU takes a more
      traditional business union approach to collective bargaining and unionism, while
      NHU is oriented to social welfare, involving itself in more than the work aspect
      of members' lives. These differences again can be attributed to contrasting
      histories of the old-line SEIU and the more radical NHU. The authors emphasize
      that unions are not homogeneous entities but organizations that respond to a
      similar environment as a result of their respective structures and histories.

PMID- 10248095
TI  - The nurse practitioner: development of a new role in medical care.

PMID- 10248096
TI  - Liberalism, politics, and health planning.

PMID- 10248097
TI  - Alternative federal revenue sources: human resource possibilities.

PMID- 10248098
TI  - Two courts deny tax-exempt status to hospital owned laundry services.

PMID- 10248099
TI  - Scrupulous housekeeping is crucial to infection control, says consultant.

PMID- 10248100
TI  - Nurse says basics are essential for infection control in laundry.

PMID- 10248102
TI  - Linen control yields big savings says material management director.

PMID- 10248101
TI  - Laundry manager plays key role in infection control, nurse says.

PMID- 10248103
TI  - Florida Hospital runs central laundry on former commercial laundry site.

PMID- 10248104
TI  - Multiple objective planning for regional blood centers.

PMID- 10248105
TI  - Patient representatives: sometimes they even help doctors.

PMID- 10248106
TI  - The prescription decline: sense or nonsense?

PMID- 10248107
TI  - The untapped segment of the pharmaceutical marketplace.

PMID- 10248109
TI  - Getting those monkeys off your back.

PMID- 10248108
TI  - Physicians' competitors: upstaging the star.

PMID- 10248110
TI  - The fallacy of job enrichment.

PMID- 10248111
TI  - 'Friesen' hospitals discover highly automated systems aren't fail-safe.

PMID- 10248112
TI  - Speculation equals expert testimony.

PMID- 10248113
TI  - Administrators find technological forecasts critical financial tools.

PMID- 10248115
TI  - Did Cleveland hospitals fix prices?

PMID- 10248114
TI  - New technology forces hospitals to recognize need for radiology nurse.

PMID- 10248116
TI  - Shared services and purchasing groups rapidly expand programs.

PMID- 10248117
TI  - Senate eyes widespread problems in purchasing by federal hospitals.

PMID- 10248118
TI  - Expect Congress to ignore hospital construction limits pushed by OMB.

PMID- 10248119
TI  - Regs aren't as burdensome as hospitals claim.

PMID- 10248120
TI  - City, county contracts lead to hospital sales.

PMID- 10248121
TI  - Hospitals urge BCA to revise cost reviews.

PMID- 10248122
TI  - Fierce competition for building funds.

PMID- 10248123
TI  - Unions rush hospital defense; tackle nurses.

PMID- 10248124
TI  - Schizophrenia makes ANA prime target for other unions' attacks.

PMID- 10248125
TI  - Union busters, out-of-touch organizers slow healthcare unionization.

PMID- 10248126
TI  - Computer system will combine all radiology modalities in five years.

PMID- 10248127
TI  - Digital radiography will replace current modes.

PMID- 10248129
TI  - Real-time scanners will take over hospital ultrasound departments.

PMID- 10248128
TI  - CTs replace more costly techniques.

PMID- 10248130
TI  - Nuclear medicine departments will add data processing capacity.

PMID- 10248131
TI  - Hospitals can improve productivity in their CT scanning departments.

PMID- 10248132
TI  - Use of mobile scanner, ultrasound, nuclear medicine accelerates in '80s.

PMID- 10248133
TI  - Voluntary sector's evaluations will outlive government assessment fad.

PMID- 10248134
TI  - Why employees want unions.

PMID- 10248135
TI  - Human relations effects on safety.

PMID- 10248136
TI  - Health cover loss ratios: meaning and uses.

PMID- 10248137
TI  - It pays to stay healthy under new plan.

PMID- 10248138
TI  - Group dental plans in the 1980s.

PMID- 10248139
TI  - Energy master planning.

PMID- 10248140
TI  - Parking garage opens at KU Medical Center.

PMID- 10248141
TI  - Holistic health care: its promise, its problems.

PMID- 10248142
TI  - Holistic health...scientific principles.

PMID- 10248143
TI  - The military way.

PMID- 10248144
TI  - The solution to the challenge--CAP clinical standard solutions program.
AB  - Quality assurance is a major concern and goal of clinical laboratories, the scope
      of which extends to all phases of clinical laboratory operation. The CAP Clinical
      Standard Solutions are an integral component of the quality assurance system.
      These primary volumetric working standards assist the laboratory in assuring the
      reliability of individual clinical laboratory results. This article reviews the
      rationale, content, and application of the CAP Clinical Standard Solutions
      Program.

PMID- 10248145
TI  - Critical decisions in the clinical laboratory.
AB  - Described here is a system for dealing with unexpected or exceptional results
      which, like other laboratory data, must be transmitted appropriately to the
      primary physician, but which require a departure from the ordinary communication
      channels. To illustrate the principles under discussion, the author offers three
      case examples.

PMID- 10248146
TI  - The current status of laboratory data processing.
AB  - The CAP Laboratory Computer Applications and Data Processing Committee surveyed
      recently a random sample of participants in the CAP Survey Program to determine
      the current status of data processing in clinical laboratories. The results of
      the study, which confirm that laboratory computerization is a still new but
      growing movement, are presented in the following pages.

PMID- 10248147
TI  - Patients in the dark about pathologist functions.
AB  - Pathologists are little known to the public. In a day when each dollar for health
      care is so closely scrutinized, such a lack of understanding may lead to lack of
      support for our profession. Early this year, outpatients at the Milwaukee County
      Medical Complex in Wisconsin answered questions concerning laboratory tests,
      medical laboratories, and pathologists. The results revealed a severe lack of
      knowledge about pathologist functions, and, according to the authors, illustrates
      well the need for patient and public education about medical laboratory services.
      The results of the survey presented here were used in creating an educational
      videofilm, prepared within the Department of Pathology of the Medical College of
      Wisconsin, which was shown during the recent National Medical Laboratory Week in
      the same outpatient laboratory where the polling occurred.

PMID- 10248148
TI  - Rhode Island bids for fewer doctors.

PMID- 10248149
TI  - An economist assesses physician supply and demand.

PMID- 10248150
TI  - Counselling for vasectomy.

PMID- 10248151
TI  - Effects of an information booklet on well-being of hospital patients.
AB  - Although informational booklets are being used increasingly in Dutch hospitals,
      little is known of their effects and the conditions for optimal use. Various
      aspects of the use and effects of a specially developed information booklet were
      investigated in two surgical wards of a general hospital. The booklet gave
      information about ward procedures, operative routines, narcosis, and psychosocial
      care possibilities. Both before and after introduction of the booklet we gathered
      data on the satisfaction, knowledge, and emotional state of patients on the two
      wards and their perception of the care climate. Patients on the control ward
      received just the booklet. On the experimental ward staff nurses were trained in
      nondirective therapeutic skills, and measurements were repeated on both wards
      after this intervention. In a third manipulation on the experimental ward, some
      of the patients had a supportive and informative talk with a trained nurse.
      Although patients appreciated and read the booklet better than a general hospital
      leaflet, the results show that the booklet and other supporting measures had no
      effect on the patients' perception of their well-being.

PMID- 10248152
TI  - Promoting the management of weight reduction.
AB  - Many people try to lose weight. Health providers who try to help these people
      often feel frustrated, as do the patients, because long-term success is rarely
      experienced, especially for those patients whose weight is a serious medical
      problem. A new approach is offered in which the client assumes responsibility for
      weight loss, and the role of the health provider is to help the client become an
      increasingly independent manager of his or her own weight reduction. An
      instrument is offered that guides the clients through the planning, conducting,
      and assessing of their own actions.

PMID- 10248153
TI  - A study of the interviewing skills of trainee assistants in general pactice.
AB  - The effect of specific teaching of interviewing techniques, measured by a rating
      scale, was compared in experimental and control groups of trainee general
      practitioners. The subjects were given the opportunity to observe their own
      consultations on audio-visual recordings. No significant overall effect was
      demonstrated, but more detailed analysis revealed trends that suggested that the
      effect of the teaching only occurred in the latter half of the training year and
      was accompanied by an increase in the time of the consultation. It is our
      conclusion that the study should be repeated with larger numbers. It is possible
      that the absence of any effect of teaching interviewing techniques in the early
      part of the training period could be due to the traumatic experience of moving
      from hospital practice to primary care.

PMID- 10248154
TI  - How the terminal patient accepts dying.
AB  - This article identifies six parallel but related problem-solving tasks on which
      the dying patient must work in order to master the terminal crisis. While engaged
      in these tasks the patient experiences many emotions. Once an individual has
      accepted death, feelings of preparedness, peace, and achievement accompany the
      fulfillment of the problem-solving task, and the crisis is over. The patient is
      then ready to die with dignity.

PMID- 10248155
TI  - Counselling in a hospital-based newborn screening service.
AB  - The newborn screening and parent counselling service at Howard University
      Hospital is an integral component of services to newborn infants. The
      organization of this service presents a model that appears appropriately suited
      to the general organization of health-care delivery in the United States.
      Significant features of this service are: hospital-based planning and management
      of the service; integration of multiscreening components into a unified service;
      tight integration between screening, education, and counselling; a hospital-based
      team that provides coherent and in-depth counselling for all screening-related
      needs; a forum for orienting parents to the benefits of preventive health care;
      and a context in which to teach students the applied aspects of preventive health
      care based on early detection of disorders. If we are to have high quality
      newborn services in this area it may be incumbent on hospital-based health
      professionals to designate this as a required component of adequate hospital
      based services for newborn infants rather than relinquishing the initiative to
      centralized health planners and legislators.

PMID- 10248156
TI  - Teaching parents with high-risk infants in the home.
AB  - Forty families evaluated the effectiveness of the newborn intensive care
      coordinator's teaching in helping them to adjust to caring for their high-risk
      infants after discharge from a newborn intensive care center. The families
      described the coordinator as an effective teacher and a trusted person who was
      available, gave emotional support, and made them feel competent as parents. The
      families recommended that the newborn intensive care coordinator work with other
      families with similar problems.

PMID- 10248157
TI  - Teaching children self-care for chronic disease prevention: obesity reduction and
      smoking prevention.
AB  - A general health education program was developed for 1,252 students in six New
      York city area school districts. The purpose of the three-year project was to
      reduce the prevalence of risk factors associated with increased cardiovascular
      and cancer risk in adults. The curriculum included nutrition, antitobacco, and
      hypertension-control materials. A smaller, experimental intensive health behavior
      program was also developed for obese children (weight greater than or equal to
      120% ideal for height, age, and sex). A smoking prevention program was offered to
      children with the aim of discouraging new smokers. Findings show that: 1) such a
      school-based primary disease prevention program is feasible and highly
      acceptable; and 2) reduction of obesity and new cigarette smoking occurred with
      intensive intervention involving small groups of students. On the other hand, a
      general health education itself had little effect in the total population in
      reducing the incidence of extreme clinical values (such as physical inactivity,
      high blood pressure, as well as smoking and obesity) for their age and sex. It is
      recommended that future programs for higher risk children concentrate on
      behavioral change rather than on general education.

PMID- 10248158
TI  - Taking action to contain health care costs---Part II.
AB  - Last month, Mr. Larson explained some large corporations' methods of saving
      health care dollars within existing corporate roles. This month, he outlines what
      companies are capable of doing, once certain organizational barriers are removed.

PMID- 10248159
TI  - Why performance appraisals fail.
AB  - Our faith in the effectiveness of performance appraisal derives in part from its
      planned redundancy, in the interplay of employee, appraiser and reviewer. But
      this very safeguard, as Dr. McGuire points out, means that each party is trying
      too hard to satisfy the others' needs and expectations, both real and imagined.

PMID- 10248160
TI  - How accurate are performance appraisals?

PMID- 10248161
TI  - Absenteeism--there's no absenteeism in a love affair.

PMID- 10248162
TI  - How to audit the personnel function.

PMID- 10248163
TI  - Selection interviewing and the new uniform federal guidelines.

PMID- 10248164
TI  - Managers' perceptions of personnel: a case study.
AB  - This ASPA Student Research Award winner explores the reasons managers find
      personnel a roadblock to progress.

PMID- 10248165
TI  - Do positive reinforcement programs reduce employee absenteeism?
AB  - This second of two articles explores various incentive programs aimed at reducing
      work absence--with the authors urging caution when employing these programs.

PMID- 10248166
TI  - How proper planning helped us greatly in moving our pharmacy twice.

PMID- 10248167
TI  - Teaching people to change: two experts offer their advice.

PMID- 10248169
TI  - Doctors who "go bare" without malpractice insurance.

PMID- 10248168
TI  - UCLA center studying why, how people change health behavior.

PMID- 10248170
TI  - Health management needs: the global perspective.

PMID- 10248171
TI  - Management education in the future: perspectives.

PMID- 10248172
TI  - Patients' assaults on staff more frequent than thought.

PMID- 10248173
TI  - Emergency psychiatry is growing as subspeciality.

PMID- 10248174
TI  - Hispanic maternity care: a study of deficiencies and recommended policies.

PMID- 10248175
TI  - Computers help provide better care.

PMID- 10248176
TI  - Using computer time-sharing programs for pulmonary care.

PMID- 10248177
TI  - "New' Legionnaires' disease? It may predate us on earth.

PMID- 10248178
TI  - Government intervention and innovation in industry: a policy framework.
AB  - The authors build on recent studies to derive a framework for analyzing the
      effects of basic forms of government intervention on technological innovation.
      Relying on a recent Rand Corporation study of federally funded demonstration
      projects, the authors classify 10 projects on the basis of types of government
      intervention. The authors explain that the government can try to induce change in
      two basic ways--directly or indirectly. The direct method includes support for
      the development of new technology and the creation of market mechanisms to
      provide incentives for change. The indirect approach can range from persuasion to
      regulating product standards or direct government purchases. The authors set up
      four categories to encompass the joint effects of direct and indirect
      intervention, and offer tentative generalizations about the application of
      intervention. Direct intervention, such as R&D programs, is not likely to produce
      products of technological significance unless it is complemented by regulatory
      action. This type of joint action yields a high payoff when successful; many
      major post-World War II innovations such as the computer, the jet engine, and
      advanced semiconductor devices resulted from this mix of interventions.
      Conversely, regulatory measures alone entrench existing technologies and limit
      the payoff to incremental intervention. The emphasis in this category is on
      perfecting and redefining established technologies rather than innovating new
      ones. The findings of this study reinforce the notion that regulatory
      interventions play a vital role in shaping technological progress, although the
      process is seen as one that defies simple generalizations.

PMID- 10248179
TI  - Help seeking among addicted and nonaddicted women of low socioeconomic status.
AB  - Concern with the provision of health and welfare services to underserved or
      inappropriately served groups has led to numerous studies of patterns of service
      utilization. This article focuses on the help-seeking patterns of heroin-addicted
      and nonaddicted women of lower socioeconomic status. The results suggest addicts
      generally experience more problems than nonaddicts; those with few problems are
      less likely to use formal support systems; and black respondents, both addicts
      and nonaddicts, are less likely to use formal support systems. The evidence
      indicates that while addicts tend to use natural support systems less frequently
      than nonaddicts, addiction per se does not explain help seeking when race and
      number of problems are taken into account. The heavy reliance of both addicts and
      nonaddicts on informal helpers supports the value of professional efforts
      designed to facilitate or enhance these networks.

PMID- 10248180
TI  - Health care facility planning: some developmental considerations.

PMID- 10248181
TI  - Central air conditioning.

PMID- 10248183
TI  - Hermann Hospital computerizes medical information system.

PMID- 10248182
TI  - Louisiana hospital selling EDP services to defray costs of on-line charge system.

PMID- 10248184
TI  - Washington Hospital Center selects computer system.

PMID- 10248185
TI  - Model system resulted from close cooperation.
AB  - How to get the best possible comprehensive information system for your particular
      needs? Try working with an enterprising supplier who would welcome the
      opportunity to use your facility as a development site. That's what Roanoke (VA)
      Memorial Hospital did, and the supplier, also based in Roanoke, continues to
      manage the system.

PMID- 10248186
TI  - Hospital data center delivers computing services via network of printers.
AB  - A group of 23 Virginia health care organizations has pooled their resources with
      a not-for-profit, shared-service organization that provides them with an
      extensive series of business and clinical data processing systems. This article
      is followed by a series of brief reports on other installations.

PMID- 10248187
TI  - Eight fires in two months: Touro's encounter with arson.
AB  - Eight fires in two months at this major New Orleans hospital attracted the
      attention of the news media and arson investigators. The author provides an
      interesting look into the way this awkward situation can be handled by a hospital
      that has been stricken by an arsonist.

PMID- 10248188
TI  - Selecting a hospital information system.
AB  - The need for a hospital information system is relatively easy to establish. The
      process of selecting the system that is right for a particular hospital is
      another matter entirely. The author takes you through the selection process that
      led Fairfax Hospital Association to a choice that satisfied the Association's
      needs.

PMID- 10248189
TI  - After 41 years, for the second time, a name change for HEW.

PMID- 10248190
TI  - Good news in court cases.

PMID- 10248191
TI  - The marketing audit.

PMID- 10248192
TI  - Selection of a planning consultant.

PMID- 10248193
TI  - Hospitals, consumers and advertising.

PMID- 10248194
TI  - They're playing games in education.

PMID- 10248195
TI  - Conference on Health Planning and Development.

PMID- 10248196
TI  - Federal regulations of labor-management relations.

PMID- 10248197
TI  - A penny saved: hard water can be one of our costly enemies.

PMID- 10248198
TI  - The role of UR coordinators in risk management.

PMID- 10248199
TI  - Quality assurance anecdotes: quality accountability at Flow Memorial Hospital.

PMID- 10248200
TI  - Stress management for hospital employees.

PMID- 10248201
TI  - Effective communication: 10 steps to a happier, more productive staff.

PMID- 10248202
TI  - A penny saved: cross-training of personnel.

PMID- 10248204
TI  - Advancing health employment in the 80s.

PMID- 10248205
TI  - Energy conservation in new hospital construction--Part I.

PMID- 10248203
TI  - Stress in the health-care industry.

PMID- 10248206
TI  - E.A.R.S.--a counseling service that does more than just listen.

PMID- 10248207
TI  - An alternative to social security: one hospital's answer to government's fiasco.

PMID- 10248208
TI  - Application blanks: employers' score cards.

PMID- 10248209
TI  - As I see it: the shortage of personnel needed to carry out our primary
      responsibility of nursing.

PMID- 10248210
TI  - What makes a board innovative?
AB  - A study of 20 community hospital boards suggests that boards of trustees whose
      members represent a wide variety of occupational backgrounds are more likely to
      be innovative and to initiate new programs and services than are more homogeneous
      boards. The innovative hospital boards also had more women and minority group
      members, more members under 50, and moe members who lived in their hospital's
      primary service area.

PMID- 10248211
TI  - New data on hospital governing boards.
AB  - This article, the first of three, presents data from the 1979 AHA Survey of
      Hospital Governing Boards, the AHA's first comprehensive collection of data on
      hospital governing board structures, procedures, and composition. Data are
      presented on size of boards, number of trustees, frequency of meetings, length of
      service and other aspects of terms of service, committees, title of top board
      officer, quorum, and age, education, and sex of board members.

PMID- 10248213
TI  - Minnesota's new mascots.

PMID- 10248212
TI  - Trustee development program: issues in nursing.

PMID- 10248214
TI  - Purchasing group attracts large following in Michigan.

PMID- 10248215
TI  - Nutrition: responding to the needs of the geriatric patient.

PMID- 10248216
TI  - Hospice concept tested at Texas nursing home.

PMID- 10248217
TI  - Five-meals-a-day plan benefits residents, facility.

PMID- 10248218
TI  - Mass. facility cares for both young and old.

PMID- 10248219
TI  - Triage: a central source for a variety of services.

PMID- 10248220
TI  - Drug destruction.

PMID- 10248221
TI  - Connecticut survey says residents need facilities to survive.

PMID- 10248222
TI  - Council of Elders promotes 'regenerative community'.

PMID- 10248224
TI  - Behind worries over a glut of doctors.

PMID- 10248223
TI  - Is modern medicine worth its price?

PMID- 10248225
TI  - Army medical mission in Canal Zone 'unique'.

PMID- 10248226
TI  - Women and volunteering: perceptions, motivations and effects.

PMID- 10248227
TI  - Primary nursing at Rush-Presbyterian-St. Luke's Hospital.

PMID- 10248228
TI  - The unlimited potential of nursing in the eighties.

PMID- 10248229
TI  - Strategies for safe home visits.

PMID- 10248230
TI  - Financing a nursing home through tax-exempt bonds.

PMID- 10248231
TI  - Issues in the creation of organizations: initiation, innovation, and
      institutionalization.
AB  - Kimberly presents a case study of the birth and early development of an
      innovative medical school. When the school opened in 1971, the existing 86
      medical schools all offered similar programs: two years of basic science training
      in lecture halls and laboratories, followed by two years of direct contact with
      patients in clinical settings. In the new school, students were taught
      didactically only during the first year. During the second year, each student was
      assigned to a community physician who acted as an advisor and who discussed with
      students those patients afflicted with the diseases the student was currently
      studying. Available evidence indicated that the school's innovative curriculum
      was favorably received by the students and that they performed as well as their
      peers on standardized year-end exams. The author found the case of this medical
      school to be of particular interest from an organizational viewpoint in that: (1)
      the early development of the school was shaped by the first dean's
      entrepreneurial activity, ambitions, visions, strengths, and weaknesses; (2) the
      uncertainty resulting from the school's novelty forced individuals to assume new
      roles and face unclear performance criteria; and (3) the transition of an
      innovative school to an institutionalized one was problematic because it modified
      the decision-making process. The author suggests that those things which lead to
      an organization's success during its early years are not the same as those that
      lead to longer-run success. He says that a new organization creates new norms,
      values, and procedures whereas the elements of an existing organization interact
      within an established culture. He concludes that organizational birth is a
      phenomenon about which relatively little is known, but which may be an important
      constraint on later development. A comparative analysis of the birth, life, and
      death of organization is advocated.

PMID- 10248232
TI  - The effects of group decision-making process and problem-situation complexity on
      implementation attempts.
AB  - The effects of group problem-solving method and problem-situation complexity on
      attempts at implementing group solutions were investigated in a laboratory-field
      setting. Group members were supervisory nurses from various organizations, who
      were randomly assigned to three groups in a balanced research design which
      included three group decision-making processes and three levels of problem
      situation complexity in implementation. The dependent variable was the number of
      attempts at implementing group-derived solutions in home organizations. The
      results showed that structure in group decision-making processes led to increased
      rates of implementation attempts at all levels of problem-situation complexity.
      There was a significant complexity-by-process interaction effect among the
      decision-making processes, which supports the conclusion that the type of group
      decision-making process and the problem-situation complexity should be considered
      in order to optimize the number of implementation attempts.g

PMID- 10248233
TI  - The effects of environmental characteristics on the structure of hospital
      clusters.
AB  - The population ecology view that variation in sets or clusters of organizations
      should be isomorphic with variation in cluster environment was used here to
      explain structural variation among hospital clusters. The structural
      characteristics studied were range of services offered within the cluster,
      average size of hospitals in the cluster, and cluster differentiation. In the
      causal model that was developed and evaluated, variation in the patient
      environment and variation in the supplier environment were compared. Four lagged
      panels of data on a national sample of fifteen hospital clusters demonstrated the
      relative superiority of supplier variables over patient variables. Supplier group
      preferences were more powerful than patient needs in determining the range of
      services offered by the cluster. Furthermore, increasing the range of services in
      the cluster had a positive, significant effect on average hospital size, whereas
      size apparently exerted no effect on range of cluster facilities. Cluster
      differentiation seems to be causally affected by range of services, average
      hospital size, and by the periodic closing of hospitals over time.

PMID- 10248234
TI  - Health rights of the elderly fizzle as management fiddles.

PMID- 10248235
TI  - Community action stirs senior potential.

PMID- 10248236
TI  - Senior volunteers bring experience and expertise to ACTION.

PMID- 10248237
TI  - Tele-care: a telephone reassurance success story.

PMID- 10248238
TI  - The older "indigenous" worker: assets and problems.

PMID- 10248239
TI  - Working with the elderly ex-mental patient.

PMID- 10248240
TI  - Widowhood peer counseling.

PMID- 10248241
TI  - Services for families of the institutionalized aged.

PMID- 10248242
TI  - Preparing chaplains to meet the needs of older adults.

PMID- 10248243
TI  - Community support system program--comprehensive rehabilitation for chronic
      mentally disabled.

PMID- 10248244
TI  - Rehabilitation through education: educational therapy used in a neuropsychiatric
      setting.

PMID- 10248245
TI  - Analysis of licensure examination performance in relation to prior internship
      experience.

PMID- 10248246
TI  - Lack of good managers called biggest problem facing HMO industry.

PMID- 10248248
TI  - HMO study assesses cost, quality, access to care.

PMID- 10248247
TI  - Delegates reaffirm NHI policy.

PMID- 10248249
TI  - HMO for senior citizens draws fire from MDs.

PMID- 10248250
TI  - In Maryland, physicians fight state commission ruling.

PMID- 10248251
TI  - Company helps hospitals recover 'lost charges'.

PMID- 10248252
TI  - Chicago physicians are invited to advertise in 'yellow pages'.

PMID- 10248253
TI  - Proposed VA hospital generates planning controversy in Baltimore.

PMID- 10248254
TI  - Controversy simmers over new OSHA rule.

PMID- 10248255
TI  - Laundries taking smaller share of total hospital expenses.

PMID- 10248257
TI  - Working four days a week works.

PMID- 10248256
TI  - Getting to the roots of linen loss problems.

PMID- 10248258
TI  - Sound textile management needed to reduce costs.

PMID- 10248259
TI  - Health promotion--an idea whose time has come.
AB  - The sharpening focus on positive lifestyle habits is one signal of the growing
      emphasis on health promotion. Lately the priority of communities, businesses,
      government agencies and lung associations has been to nurture the concept that
      disease prevention is as vital as effective treatment.

PMID- 10248260
TI  - Sound catering management a necessity.

PMID- 10248261
TI  - Russia: health care integral part of the system.

PMID- 10248262
TI  - How to reduce turnover by creating a positive work climate.
AB  - Despite company attempts to reduce employee turnover by offering attractive
      salaries and benefits, Kushell notes that attrition continues at an alarming
      rate. He states that more than one of every three employees will change jobs over
      the next five years, a transition that will take its toll on company morale and
      productivity. The underlying factor, according to the author, is the quality of
      the working environment. A 1969 University of Michigan survey of 1,533 workers,
      at every occupation level, reported that all respondents ranked interesting work
      and authority to get the job done far ahead of good pay and job security. Sources
      of employee frustration include a stifling bureaucracy, excessive job
      expectations, and unsuitable jobs. The author suggests that top managers ask
      themselves whether they are missing out on or losing talented employees. If this
      is the case, there are several guidelines management should follow: improve
      communication between employees and top management; define expectations of the
      employee; and promote candor in the job interview. Kushell concludes that top
      executives can have an impact on turnover by paying attention to what employees
      really want rather than what management thinks they want.

PMID- 10248263
TI  - Physicians and administrators can work together.
AB  - This article describes the working relationship between the administration and
      medical staff of the Mid-Maine Medical Center which is comprised of two separate
      modern hospitals. The authors advocate the philosophy that "a hospital which
      harnesses the medical staff's considerable talent and expertise through sound
      organizational input will be a stronger institution." They explain that patient
      care is becoming increasingly complex and that management decisions impact
      heavily on the care provided. In 1973, the Medical Center changed from its
      traditional organizational form of having a full-time medical director and an
      administrator report to the board of directors, to a modified corporate model
      designed to increase physician involvement. In the new organization, the vice
      president of finance and a part-time chief of staff (acting as vice president for
      medical affairs) report to the president (former medical director) who, in turn,
      is responsible to the board of trustees. The authors attribute the success of the
      reorganization to the CEO's willingness to delegate and share authority, not to
      the CEO's physician background. Planning at the institution involves a committee
      of six physicians, four administrators, and one full-time planner. A budgeting
      committee of three physicians and three administrators is responsible for the
      review of the budget as well as for making recommendations for the executive
      board for the expected volume of services. It is concluded that there is no
      perfect way to run a hospital, but the involvement of doctors in hospital
      decisions is necessary.

PMID- 10248264
TI  - Survey shows budgeting art improved in hospitals.

PMID- 10248265
TI  - Sizing free-standing ambulatory care facilities.
AB  - This guide, written by an administrator and an industrial engineer, identifies
      and discusses the factors that should be considered when planning space
      requirements for ambulatory care facilities. The authors view sizing the
      ambulatory care facility as a complicated sequential task where trade-offs are
      made with regard to several factors: philosophy of patient care; cost; expansion
      requirements; patient comfort and waiting time; patient privacy; staff
      preferences; utilization patterns; and scurity of the faculty. It is suggested
      that the weight assigned to each factor when making trade-offs will be largely
      affected by the philosophy of patient care. The authors divide ambulatory care
      facilities into five functional groups: (1) basic medical services; (2)
      supporting medical services; (3) administrations; (4) support and service
      facilities; and (5) community and secondary support facilities. There are tables
      summarizing recommended space requirements for each of the functional groups
      based on mathematical models of the number and type of people using them (i.e., a
      typical physician is expected to see 24 patients per day). Space requirements for
      the whole clinic can be determined by adding together those required for each
      functional component. Provisions for growth and technological advances are
      discussed. An extensive bibliography is included.

PMID- 10248266
TI  - Exposing a lady killer: the American Cancer Society launches a media blitz on
      breast cancer.

PMID- 10248267
TI  - CME standoff: no new legislation in sight.

PMID- 10248268
TI  - We've come a long way, baby, in improving trauma care.

PMID- 10248269
TI  - Comments on verfication program.

PMID- 10248270
TI  - Verification program for hospitals developed by the American College of Surgeons
      Committee on Trauma.

PMID- 10248271
TI  - The Gallup survey on surgeons and surgical care.

PMID- 10248272
TI  - The hospital cancer program: its benefit to patients.

PMID- 10248273
TI  - Cancer: guidelines for the eighties. Update on the American Joint Committee.

PMID- 10248274
TI  - Cancer: guidelines for the eighties. Is the approvals program relevant to the
      university center?

PMID- 10248275
TI  - Cancer: guidelines for the eighties. The role of the field liaison program.

PMID- 10248276
TI  - Cancer: guidelines for the eighties. Patterns-of-care studies: results and
      consequences.

PMID- 10248277
TI  - Tasks for the community cancer center.

PMID- 10248278
TI  - Challenges for the medical oncologist.

PMID- 10248279
TI  - The Commission on Cancer.

PMID- 10248280
TI  - Cancer: guidelines for the eighties. Goals for a new decade.

PMID- 10248281
TI  - How a Texas hospital copes with dictation processing.

PMID- 10248282
TI  - Hospital pharmacy's objectives show visually on magnetic board.

PMID- 10248283
TI  - Too many Caesareans?

PMID- 10248284
TI  - Public Health Service--Grants for training in emergency medical services. Final
      regulations.
AB  - These regulations set forth requirements for grants for training programs in
      emergency medical services, under section 789 of the Public Health Service Act.
      These grants would go to schools of medicine, dentistry, osteopathy, and nursing;
      training centers for allied health professions; hospitals; and other appropriate
      educational and public entities.

PMID- 10248285
TI  - Food and Drug Administration--Prescription drug products; patient package inserts
      requirements. Final rule.
AB  - The Food and Drug Administration [FDA] adopts final regulations establishing
      requirements and procedures for the preparation and distribution of patient
      package inserts for prescription drugs for human use. The package inserts will
      inform the patient about the drug product. This action is intended to promote the
      safe and effective use of prescription drug products by patients and to ensure
      that patients have the opportunity to be informed of the benefits and risks
      involved in the use of prescription drug products. The agency intends to apply
      the regulations to 10 drugs or drug classes during an initial implementation
      program. Further evaluation of the costs and benefits of the program will guide
      the agency in deciding whether to extend, revise, or defer these requirements.

PMID- 10248287
TI  - Cost monitoring helps restore bankrupt HMO.

PMID- 10248286
TI  - For doctors, Washington has become one of the burdens of doing business.

PMID- 10248288
TI  - Society has no right to modify behavior without consent.

PMID- 10248289
TI  - The art of medical illustration.

PMID- 10248290
TI  - Radiographic education at the crossroads.

PMID- 10248291
TI  - Selection of screen-film combination.

PMID- 10248292
TI  - Twenty-ninth annual Welch Memorial Lecture.

PMID- 10248294
TI  - Small hospitals move to private telephone systems.

PMID- 10248293
TI  - The sealed bid--a matter of confidence.

PMID- 10248295
TI  - Purchasing and the antitrust laws.

PMID- 10248296
TI  - Co-op laundries not tax-exempt.

PMID- 10248297
TI  - Product evaluation-standardization-value analysis.

PMID- 10248299
TI  - CS' commitment to continuity.

PMID- 10248298
TI  - Controlling rental equipment.

PMID- 10248301
TI  - Organization: move over, Obi-Wan Kenobi.

PMID- 10248300
TI  - Captive supply house charting new courses.

PMID- 10248302
TI  - VA examines disposables use; switch to reusables unlikely.

PMID- 10248303
TI  - Linen loss prevention: ring around the pocketbook.

PMID- 10248304
TI  - The pharmacy service of Memorial Hospital Medical Center.
AB  - This article identifies the scope of activities, needs and subjects of a clinical
      pharmacy service program in a progressive community hospital. Even after ten
      years of constant effort, a comprehensive hospital clinical pharmacy program
      still requires continual review, changes, and improvements.

PMID- 10248305
TI  - Freedom of speech and freedom of the press in medical and pharmacy practice.

PMID- 10248307
TI  - Connecticut Health Plan looks to successful future under financial and management
      reorganization.

PMID- 10248306
TI  - Evolution and trends in major medical plan design.

PMID- 10248308
TI  - The structure of competence in health professions.
AB  - The past decade has seen widespread research on systematic evaluation of the
      competence of health professionals. Such activity usually has been carried out in
      accordance with the prevailing psychological paradigms, in which competence is
      represented as a trait, or as an intrapsychic factor. However, even when
      competence has been delimited as problem-solving, the research generally
      identified a strong situational influence on performance. In this article are
      assembled a set of diverse but complementary arguments for dispensing with the
      conventional representations of professional competence. In their place is
      proposed a relational model in which competence in health professions is seen as
      the aggregated adaptations of practitioners to the set of special social
      circumstances that obtain within the situational boundaries of their profession.
      It is argued that a thorough understanding of the content of professional
      situations is a necessary prerequisite for successful evaluation of professional
      competence, since competent behavior is lodged in a network of probabilistic
      relationships with the surroundings. Also discussed are selected procedural
      implications of this new model for the conduct of investigations of professional
      situations.

PMID- 10248309
TI  - Standard-setting in written and interactive (oral) specialty certification
      examinations: issues, models, methods, challenges.
AB  - This article addresses standard-setting for written and interactive (oral)
      examinations in the health professions. The currently used methods are explained
      and classified, and their strengths and weaknesses are discussed. We argue that
      standard-setting must be understood as an interactive system involving decision
      maker(s), subject area, and methods. Thus, standard-setting is a
      psychological/social psychological process as well as a psychometric one. It
      rests upon a foundation of judgment. For written examinations, normative and
      content-referenced (absolute) methods are discussed. In interactive examinations,
      judges' standards are inherently absolute; design considerations are presented to
      systematize the context for these judgments.

PMID- 10248310
TI  - The medical confidentiality sham.

PMID- 10248311
TI  - Building organization effectiveness through retreats: Kaiser Permanente works its
      plan system-wide.

PMID- 10248312
TI  - Group practice management: eight challenges for the eighties.

PMID- 10248313
TI  - Licensure by specialty.

PMID- 10248314
TI  - Forum for the future.

PMID- 10248315
TI  - ECFMG announces program of grants-in-aid.

PMID- 10248316
TI  - The child visitor: a hospital hazard?

PMID- 10248317
TI  - Visions of the future.

PMID- 10248319
TI  - The physician-patient relationship--a shift in understanding.

PMID- 10248318
TI  - The patient comes first.

PMID- 10248320
TI  - The fresh air of ethics on Molokai.

PMID- 10248321
TI  - Computerizing patients' histories cuts costs plus improves quality of care.

PMID- 10248322
TI  - A proven approach to in-house technical training.

PMID- 10248323
TI  - Computer-based collection effort increases income by 9 percent.

PMID- 10248324
TI  - Medical costs contained through computerized appointment scheduling.

PMID- 10248325
TI  - In-house versus service bureau: an economic analysis.

PMID- 10248326
TI  - Hospital-HMO relations: the health alliance experience.

PMID- 10248327
TI  - Organisation of nursing services 1: fine tuning is called for--not a new
      instrument.
AB  - These are critical times for the nursing profession. Morale is sagging in the
      wake of changes and attacks. In the first of three articles L.C. Howell, area
      nurse (information service planning), Cambridgeshire AHA (T), looks at management
      structure.

PMID- 10248329
TI  - Public property--let the seller beware.
AB  - The greatest lesson to be learnt from the sale of Robroyston Hospital, Glasgow is
      the growing need to develop commercial awareness in the public sector. Stephen
      Halpern reports on how costly failure to apply this lesson may be.

PMID- 10248328
TI  - Hospital radio: advertisements get an airing.
AB  - As a DHSS circular opens the door to advertising on hospital radio, someone who
      describes himself mysteriously as a "senior health service administrator in North
      London with a special interest in radio communication and allied subjects'
      reports how one station has risen to the challenge.

PMID- 10248330
TI  - Cottage hospitals: a place in the country that is not entirely countrified.
AB  - They built a monument to the venerable Dr William Irvine, and they called it
      Irvine Memorial Hospital. Eighty years on, it lives up to his good name. There is
      no call to rusticate at this haven of healing in Scotland's tourist belt. Life is
      not all a summer idyll, as Nick Davidson discovered.

PMID- 10248331
TI  - Organisation of nursing services 2: strength in integration.
AB  - 'The concept of the nursing officer has much to command it and we commend it and
      we recommend that her clinical role should be developed...'declared the Royal
      commission on the NHS. L.C. Howell, area nurse (information service planning),
      Cambridgeshire AHA (T), in the second of three articles, suggests how this
      development might take place.

PMID- 10248332
TI  - Trauma--the way to cope?
AB  - A 140-year-old accident hospital in the South Birmingham Health District offers a
      much praised service to the injured patient. Yet conditions are cramped. Old
      operating theatres are under repair, and operations are carried out in a tent.
      Why then are there some objections to the planned resiting of the hospital?
      Pauline Drummond reports.

PMID- 10248333
TI  - Flying squad to the rescue.
AB  - Set up following a serious train crash at Sutton Coldfield in January 1955, the
      accident and emergency department at the Derbyshire Royal Infirmary was the first
      such department to organise and operate an accident flying squad. On its 25th
      anniversary Tim Brett, deputy administrator at the hospital, looks at its
      development and the role it plays today.

PMID- 10248334
TI  - Accident and emergency: testing the prototypes.
AB  - The Dorset ambulance service is currently carrying out trials on modular
      prototype ambulances. Joyce Galley joined a high speed test run over a rough
      course and reports on a ride which was made quite tolerable.

PMID- 10248335
TI  - Accident and emergency: patients don't--staff do.
AB  - Who is responsible for the misuse of the ambulance service and what can be done
      about it? This question is raised by Terry Ball, planning officer for West
      Yorkshire Metropolitan Ambulance Service, who believes that the guilty parties
      are the ambulance service itself, doctors, nurses administrators and support
      service staff. Here he explores ways in which the misuse can be rectified.

PMID- 10248336
TI  - Accident and emergency: Raynet--the helping hams.
AB  - Without an efficient communication system through which to co-ordinate and
      control, even the most comprehensive accident and emergency procedure is useless.
      Here, George Forfai sings the praises of those generally unsung heroes, the radio
      amateurs who, working with the professionals, ensure that the message gets
      through...

PMID- 10248337
TI  - Staff influence on design and purchase of technical equipment.

PMID- 10248338
TI  - The hospital engineer's role in health care delivery.

PMID- 10248339
TI  - Hospital maintenance: consequences of cost and safety aspects.

PMID- 10248340
TI  - Defending illusions: the institution's struggle for survival.
AB  - Based on participant observation and other qualitative data collected at 15
      institutions for the mentally retarded, this study is directed to determining how
      institutional officials deal with outside criticism of their facilities. Over the
      past decade and a half, the legitimacy of institutions for the retarded has been
      challenged by professionals, courts, parent groups, and the media. Officials have
      reacted to outside criticism by developing new legitimating myths, increasingly
      sophisticated impression-management techniques, and detailed rationales for the
      all-too-visible discrepancy between goals and practices. Thus, this paper is
      concerned with the symbolic nature of the institution's struggle for survival.

PMID- 10248341
TI  - Alternate roles for the elderly: an example from a Midwestern retirement
      community.
AB  - Increasing numbers of individuals are surviving to retirement age in relatively
      good health. With the loss of the work role and other roles typically associated
      with middle age, they are faced with the dilemma of the "roleless role," an
      absence of well-articulated, age-appropriate expectations and standards of
      behavior by which to structure everyday life. Recent anthropological,
      sociological, and psychological studies indicate the possibility of the
      development of alternate roles and age-appropriate normative systems in age
      homogeneous environments. An example of one such alternate behavioral system is
      provided from data collected on a small retirement community in the Midwest. A
      normative system seems to have developed in which personal qualities such as
      trust, friendliness, and concern for others are more highly valued than former
      achievements or occupational status. Residents most frequently cited as having
      made a good adjustment to aging were not necessarily those who were most active,
      but rather those individuals who showed a determination to "keep going," lacked
      self-pity, kept mentally alert and aware, were willing to help others, and showed
      a sense of responsibility to the community. Various roles were developed and were
      expected to be assumed by incoming residents: alternate "work roles," represented
      by committee memberships and volunteer activity; "family roles," represented by
      the supportive or helping relations adopted toward other residents; and leisure
      type roles. These behavioral standards and expectations helped to structure the
      relationships and everyday life of residents within the community.

PMID- 10248342
TI  - AHA continues to oppose HCFA malpractice regulation but offered constructive
      criticism to proposed manual revision; advises hospitals to file protective cost
      reports.

PMID- 10248343
TI  - Religious discrimination guidelines to be published by EEOC.

PMID- 10248344
TI  - GAO report explores impact of hospital prospective rate-setting programs; AHA
      states report neglects increased hospital costs due to excessive regulations.

PMID- 10248345
TI  - HHS publishes priorities for investigating Hill-Burton complaints.

PMID- 10248346
TI  - AHA submits group purchasing position paper to HHS, seeks endorsement of
      operating principles.

PMID- 10248347
TI  - HCFA proposes dialysis reimbursement regulations with separate hospital-based
      rate: comments due Nov. 25.

PMID- 10248348
TI  - Delaware rules on termination of treatment for comatose patient.

PMID- 10248349
TI  - Labour arbitration: when somebody lies on the application.

PMID- 10248350
TI  - Paramedical team assures recovery.

PMID- 10248351
TI  - Physicians can treat cost control ills.

PMID- 10248352
TI  - How to improve meals while cutting costs.

PMID- 10248353
TI  - Make politics work for you.

PMID- 10248354
TI  - Professional formation as a tool for change: rethinking the education of health
      workers.

PMID- 10248355
TI  - The epidemiology of malignant disease: a basis for public policy.

PMID- 10248356
TI  - Health laboratory manpower and services: a proposed model for developing areas.

PMID- 10248357
TI  - An approach to regulating cephalosporin use and costs.

PMID- 10248358
TI  - Oral syringe use survey.
AB  - Use of oral syringes at children's and ASHP-accredited residency hospitals in the
      United States was surveyed. Questionnaires were mailed to 131 hospitals; 117
      (89.3%) were returned. Of the responding hospitals, 54.5% of children's hospitals
      and 67.1% of residency hospitals used oral syringes. There was no definite
      preference for a particular brand or type (glass vs. plastic) of syringe.
      Patients who often required liquid dosage forms, including pediatric and
      geriatric patients and patients with nasogastric tubes, were most frequently
      included in oral syringe distribution systems. Twenty-six of the 73 hospitals
      utilizing oral syringes used them for most unit dose liquids in all drug
      distribution systems. The remainder reported use for specific medications or
      circumstances. Expiration dating policies varied from 24 hours to one year to the
      manufacturer's expiration dating. The survey indicates widespread use of oral
      syringes and identifies a need for evaluation of medication stability in these
      devices.

PMID- 10248359
TI  - Implementation and operation of a hospital pediatric satellite pharmacy.
AB  - The planning, implementation, operation, and evaluation of a hospital pediatric
      satellite pharmacy are described. An initial three-month project involving
      establishment of a pediatric satellite pharmacy that provided unit dose drug
      distribution, intravenous admixtures, and a few clinical services was completed
      and evaluated. Positive evaluations by the medical and nursing staffs resulted in
      continuation of the satellite as a permanent program. Clinical services initially
      provided by the pediatric pharmacist were expanded to include acquisition of
      admission drug histories, instruction on discharge medication, participation on
      pediatric medical rounds and on the pediatric cardiopulmonary arrest team,
      operation of the poison control center, distribution of pediatric drug
      information, preparation of chemotherapy and monitoring of investigational
      protocols, and provision of pediatric nursing inservice education and community
      education. A five-year evaluation of the services provided by the pediatric
      satellite pharmacy was completed by 71 pediatric nurses and 27 Mayo Clinic
      physicians, all of whom had worked with the system regularly. The tabulated
      results are presented. Responses to overall services of the pediatric pharmacy
      were designated good to excellent by 100% of the physicians and by 98.6% of the
      nurses, indicating that the pediatric satellite pharmacy is a successful and
      beneficial program at this institution.

PMID- 10248360
TI  - Turning complaints into cash.

PMID- 10248361
TI  - Collection forms, an analysis: what is illegal, objectionable under P.L. 95-109?

PMID- 10248362
TI  - The most effective "form letter".

PMID- 10248363
TI  - Problem: how to involve the employer in collection problems with insurance
      companies which are slow to pay.

PMID- 10248364
TI  - The group practice management game 2. Lessons and strategies of medical group
      management.

PMID- 10248365
TI  - Flextime: flexible work schedules may improve employee relations.

PMID- 10248366
TI  - Management in a trilingual setting: accommodating the non-English-speaking
      patient.

PMID- 10248367
TI  - Management peer review.
AB  - By implementing a management audit program, you can not only improve your
      clinic's operation, but also demonstrate a forward-thinking management style and
      strengthen your public image.

PMID- 10248368
TI  - The buying and selling of group assets.

PMID- 10248369
TI  - The concept of self-insurance.

PMID- 10248370
TI  - Questions physicians should ask about HMOs and IPAs.

PMID- 10248371
TI  - The future of the healthcare system and the new realities of today.

PMID- 10248373
TI  - The Little Rock Orthopedic Clinic.

PMID- 10248372
TI  - Where is group practice headed?
AB  - A CRAHCA educational program was held recently to determine the changes in the
      health service environment that are most likely to occur in the near future, and
      how these changes will affect medical group practice.

PMID- 10248374
TI  - Time to work.

PMID- 10248375
TI  - The unqualified profession: a problem oriented study.

PMID- 10248376
TI  - Painting with numbers.

PMID- 10248377
TI  - Patient attitudes to PPIs: a pilot survey of three demographically distinct
      areas.

PMID- 10248378
TI  - Maslow, motivation and the manager.

PMID- 10248379
TI  - The case of Brother Fox: immunity procedures in the treatment of terminally ill
      incompetent patients.

PMID- 10248380
TI  - The pregnant minor: contraception and abortion under Canadian law.

PMID- 10248381
TI  - Legislative efforts to reform medical malpractice: unconstitutional in practice?

PMID- 10248382
TI  - Patient well-being is designers' first concern.

PMID- 10248384
TI  - Physicians proud of physical plant.

PMID- 10248383
TI  - Regulations: it's a jungle out there.

PMID- 10248385
TI  - Seaway influences design.

PMID- 10248386
TI  - Management systems engineering.

PMID- 10248388
TI  - Hospitals split between praise, distrust of DRGs.

PMID- 10248387
TI  - Form must follow function.

PMID- 10248389
TI  - Administrators take command, leading hospitals into new DP growth stage.

PMID- 10248390
TI  - Complex systems manage energy as costs rise and resources dwindle.

PMID- 10248391
TI  - AHA position on standards awaited.

PMID- 10248392
TI  - Blues have right to trim payments.

PMID- 10248393
TI  - Hospitals play into the hands of vendors who try to break group contracts.

PMID- 10248394
TI  - New tax-exempt bond program cuts interest cost for hospital equipment.

PMID- 10248395
TI  - Hospitals mobilize as volcano chokes Pacific Northwest, riots rock Miami.

PMID- 10248396
TI  - Employers wary, but hospitals welcome bill.

PMID- 10248397
TI  - Collective bargaining given funding, priority boost by ANA delegates.

PMID- 10248398
TI  - ANA rebukes opposition, reaffirms support of entry-into-practice stand.

PMID- 10248399
TI  - Syark urges HSAs to concentrate on top priorities; HHS wants results.

PMID- 10248400
TI  - Few materials managers are given responsibilities matching their titles.

PMID- 10248401
TI  - Bond tax threat spooks hospitals.

PMID- 10248402
TI  - CHA strategy: aid Catholic systems to compete with management chains.

PMID- 10248403
TI  - Competition, catastrophic insurance, financing will spur convention debate.

PMID- 10248404
TI  - Summary of pending healthcare regulations.

PMID- 10248405
TI  - Abuse, poor image causes shortage.

PMID- 10248406
TI  - Solve nurse shortage with dual attack.

PMID- 10248407
TI  - Inflation and devices, 1979.

PMID- 10248408
TI  - Disposable insulin syringe makers wary of "safe' multiple use claims.

PMID- 10248409
TI  - "Branching out' in Denver.

PMID- 10248410
TI  - CT scanners prove worth the cost.

PMID- 10248411
TI  - Performance appraisal: match the tool to the task.
AB  - Performance appraisals can be vital tools in administering an effective human
      resources program if they're used properly, although they're particularly useful
      in salary administration, incentive award determination, and promotability
      assessment, selecting the method or methods that best meet your needs may not be
      easy. John D. McMillan, director of compensation services, and Hout W. Doyel,
      consultant, of A.S. Hansen, Inc., explain the key features, advantages, and
      disadvantages of four major types of performance appraisal methods: the trait
      checklist, the management by objectives approach, the free-form approach, and the
      responsibility rating system. The authors note, for instance, that the most
      frequently used method, the trait checklist, has these major disadvantages:
      Traits that are rated tend to be general and don't relate specifically to job
      performance. The tendency of raters is to focus on personal characteristics
      rather than job performance results. And the method makes no sense where
      different levels in a job family are rated on the same form.

PMID- 10248412
TI  - Stage three in personnel administration: strategic human resources management.
AB  - The traditional view of the personnel manager-a glorified record keeper who
      processes forms, monitors the suggestion box, and administers employee benefits
      is fast fading. Top management's notion that the personnel department is merely a
      cost center-overly concerned with humanistic ideals and with little impact on the
      bottom line-is giving way under the impact of several changes. Beginning in the
      late 1970s, a series of major upheavals in the world of work-increasing
      government regulation, declining productivity, rising concern with the quality of
      worklife, and the entrance of the post-World War II baby boom population into an
      already highly competitive job market-have changed the personnel department's
      status from that of organizational stepchild to a potentially premier force in
      the organization's ability to survive and grow. Stella A. Nkomo, human resource
      research associate at the University of Massachusetts at Amherst, traces the
      evolution of the personnel function and discusses how personnel executives can
      meet the challenge of strategic human resources planning.

PMID- 10248413
TI  - Our pharmacy department offers 8 services in a lithium clinic for manic
      depressives.

PMID- 10248414
TI  - How we specialize in serving long-term care facilities.

PMID- 10248415
TI  - Legal aspects of cardiac pacemakers.

PMID- 10248416
TI  - When a woman wants to deliver outside the hospital.

PMID- 10248417
TI  - Standards for humidifiers and nebulizers; an important first step.

PMID- 10248418
TI  - Facility report : Lynn hospital, Lynn, Massachusetts.

PMID- 10248420
TI  - New medical malpractice crisis: pricing, politics, problems.

PMID- 10248419
TI  - Credentialed in college: NBRT's entry-level examination proposal.

PMID- 10248421
TI  - Advocacy and the mentally ill.

PMID- 10248422
TI  - Screening for high social risk: principles and problems.
AB  - Sound use of hospital social work services is not achieved when workers rely on
      other health personnel for referrals. The authors propose a screening mechanism
      to identify patients at what they term high levels of social risk and to restore
      the initiative to social work staff. Relevant principles and problems are also
      discussed.

PMID- 10248423
TI  - A goal programming model for the siting of multilevel EMS systems.

PMID- 10248424
TI  - Fixed proportion production models for hospitals.

PMID- 10248425
TI  - Patient power: complex issues need complex answers.

PMID- 10248426
TI  - Hospital management industry update.

PMID- 10248428
TI  - The new PACs.

PMID- 10248427
TI  - Watching Washington. Interview by David Cassak.

PMID- 10248429
TI  - The harbinger of home healthcare.

PMID- 10248430
TI  - Rural health: policies, progress and challenges.

PMID- 10248431
TI  - Tuskegee area program attempts to link 'Black Belt' health services.

PMID- 10248432
TI  - Folk medicine or physicians? What happens when Appalachia goes urban?

PMID- 10248433
TI  - Hypertension in rural America.

PMID- 10248434
TI  - Practitioners find health problems 'no different from other places' at Oregon
      Indian reservation.

PMID- 10248435
TI  - 'Involvement' and 'unhurried pace' caused doctor's decision to stay in small
      town.

PMID- 10248436
TI  - Who cares for the Indians?

PMID- 10248437
TI  - Turnaround at Valley View.

PMID- 10248438
TI  - Trouble at Eagle Butte.

PMID- 10248439
TI  - The ambulance was an old panel truck.

PMID- 10248440
TI  - Reviving an ancient healing art.

PMID- 10248441
TI  - Controlling medical technology. Can we? Should we?

PMID- 10248442
TI  - Big changes in store as HMO industry enters 'adolescence'.

PMID- 10248444
TI  - Better controls cut linen costs.

PMID- 10248443
TI  - Influx of refugees causes overcrowding at big Miami hospital.

PMID- 10248445
TI  - A bright prognosis for the once-frail HMOs.

PMID- 10248446
TI  - High technology: wave of the future or a market flash in the pan?

PMID- 10248447
TI  - How to tell when a good employee is job hunting.

PMID- 10248448
TI  - Let's talk: discussing job performance.

PMID- 10248449
TI  - Immigration and Naturalization Service--documentary requirements: derivative
      third and sixth preference and nonpreference immigrants; reference to form 1-551.
      Final rule.
AB  - This rule limits the exclusion provision contained in section 212(a)(32) of the
      Immigration and Nationality Act (8 U.S.C. 1182(a)(32) to aliens who are coming to
      the United States principally to perform services as members of the medical
      profession and not to their derivative beneficiaries.

PMID- 10248450
TI  - Health Resources Administration--Hill-Burton "uncompensated services" assurance;
      priorities for handling complaints. Notice.
AB  - This notice announces the establishment of priorities for handling complaints of
      noncompliance by assisted medical facilities with their "uncompensated services"
      assurances under Titles VI and XVI of the Public Health Service Act. The
      priorities will determine the allocation of the Department's investigative and
      decision-making resources to certain complaints where the resources available are
      insufficient to handle all complaints.

PMID- 10248451
TI  - Food and Drug Administration--General hospital and personal use devices; general
      provisions. Final rule.
AB  - Food and Drug Administration [FDA] is issuing a final rule regarding general
      provisions applicable to the classification of general hospital and personal use
      devices. The preamble to this rule responds to general comments received on the
      proposals regarding classification of general hospital and personal use devices.
      This action is being taken under the Medical Device Amendments of 1976.

PMID- 10248452
TI  - Public Health Service--Health systems agency and state health planning and
      development agency reviews: certificate of need programs. Final regulation.
AB  - These rules amend the Public Health Service regulations on health systems agency
      and State health planning and Development agency (State Agency) certificate of
      need reviews.  These final regulations implement changes to Title XV of the
      Public Health Service Act made by the Health Planning and Resources Development
      Amendments of 1979 (Pub L. 96-79).  Under the amended provisions of the Public
      Health Service Act, the planning agencies are required to review and determine
      the need for proposed capital expenditures, institutional health services and
      major medical equipment.  These regulations set forth the minimum requirements
      for satisfactory certificate of need programs.

PMID- 10248453
TI  - Hospices seek insurer, buyer support.

PMID- 10248454
TI  - HMOs need employer support; study.

PMID- 10248455
TI  - Benefits getting too costly: consultant.

PMID- 10248456
TI  - Health care expansion helps INA turn a profit.

PMID- 10248457
TI  - Sanctity and quality of life recognized by physicians.

PMID- 10248458
TI  - Patient rights and the Dutch Clientenbond.

PMID- 10248459
TI  - Toward safer medical x-ray exams.

PMID- 10248460
TI  - New Jersey's project energy: the garden state's hospitals offer a blueprint for
      slashing fuel costs.

PMID- 10248461
TI  - Caught in the credit crunch? Paying higher rates may be smarter than scrapping
      plans.

PMID- 10248462
TI  - Pamphlets involve staff in patient education.
AB  - Hospital staff involvement in a patient education program is critical to the
      program's success. Unfortunately, prepackaged programs, although attractive,
      ignore this important component. Pamphlet construction can be a convenient way to
      include various staff members in the development of a patient education program.

PMID- 10248463
TI  - Built-in career ladder alleviates staffing problems.
AB  - The central service department of Saint Marys Hospital, Rochester, MN, was faced
      with a high employee turnover rate and low priority within the hospital
      structure. An impending expansion of the department's facility forced the
      managers to reassess staffing needs and develop an action plan to build stability
      into the department.

PMID- 10248464
TI  - In my opinion...education and training functions of hospitals.

PMID- 10248465
TI  - 1980 Lilly lecture: the pharmacist as manager.

PMID- 10248466
TI  - Ethnic differences in death anxiety among the elderly.
AB  - The Dickstein Death Concern Scale was used to examine the death anxieties of a
      sample of elderly people in north and central Florida consisting of whites and
      blacks, males and females. Analysis of the data revealed that black elderly males
      display the greatest death anxiety, followed in decreasing order by black
      females, white females, and white males. Analysis of variance yielded a
      statistically significant main effect attributable to race. The overall effects
      attributed to sex were not significant, nor were there any significant
      interactions. The implications of these findings for practicing counselors were
      considered.

PMID- 10248467
TI  - The effects of a course on death and grief on nurses' attitudes toward dying
      patients and death.
AB  - The purpose of this study was to measure the effects of a course on death and
      grief on the attitudes toward death and toward dying patients of nurses who work
      in high-risk death areas of hospitals. This quasi-experimental design used four
      groups of subjects. One group experienced the treatment. Another group served as
      a waiting-list control group and then experienced the treatment. Two groups were
      control groups. The treatment consisted of attendance at a 6-week continuing
      education course entitled "Coping with Death and Dying in High-risk Areas of
      Hospitals." The Death Anxiety Semantic Differential, Parts I and II, was used as
      the dependent variable. The results indicate that the small-group counseling and
      education experience did have an impact on attitudes toward death and dying
      patients of nurses who attended. The discussion of the findings and
      recommendations for further study are presented.

PMID- 10248468
TI  - The short of it: survey examines sick leave, accident and sickness, short term
      disability plans.

PMID- 10248469
TI  - Kaiser-Permanente assumes HMO management: Georgetown University health plan is
      bailed out.

PMID- 10248470
TI  - Prepaid mental health succeeds in California.

PMID- 10248471
TI  - The practical labor lawyer: an employers' guide to strike contingency planning.
AB  - An employer's capacity successfully to survive a strike will depend largely on
      the extent to which it has anticipated the strike and taken the steps necessary
      to defend against it. It is the purpose of this article to catalog the factors
      employers should consider in approaching an imminent strike and devising
      contingency plans. It attempts to focus on the types of problems, legal and
      practical, that frequently arise in strike situations, and suggests certain
      measures that employers may adopt in preparing for, and defending against, the
      economic impact of a strike.

PMID- 10248472
TI  - High-risk retirement for paramedics: an urgent need.

PMID- 10248473
TI  - Responding to a scheduled disaster.

PMID- 10248474
TI  - Inservice paramedic training: the emergency department as a teaching institution.

PMID- 10248475
TI  - Wakulla ambulance service.

PMID- 10248477
TI  - Mobile intensive care continuing education.

PMID- 10248476
TI  - Rescue, sea rescue and EMS at the University of California.

PMID- 10248478
TI  - The Mid-Atlantic Emergency Medical Services Council, Inc.

PMID- 10248479
TI  - Assessing emergency medical preparedness for hostage-taking and terrorism.

PMID- 10248480
TI  - Responding with alacrity.

PMID- 10248481
TI  - The EMT and infectious disease.

PMID- 10248482
TI  - Management of the emergency scene.

PMID- 10248483
TI  - Response of a regional emergency medical system to a local disaster: derailment
      of the Southern Crescent.

PMID- 10248484
TI  - Patient interviewing.

PMID- 10248485
TI  - Introduction to EKG interpretation.

PMID- 10248486
TI  - Humanistic education for the EMT.

PMID- 10248487
TI  - Utilizing the media to improve public relations.

PMID- 10248488
TI  - Clinical evaluation of EMT-P's: taking the guesswork out of grading.

PMID- 10248489
TI  - Death and the dying, trauma, critical illness, and the EMT: management aspects.

PMID- 10248491
TI  - National Registry of Emergency Medical Technicians: new certification gains
      approval.

PMID- 10248490
TI  - The prehospital care system in behavioral emergencies.

PMID- 10248492
TI  - Medical technology of the future: will regulatory jungle trap bionic man?

PMID- 10248493
TI  - National Technology Center is not a regulatory agency, director says.

PMID- 10248495
TI  - Revolution in diagnostic imaging technology is expected to continue unabated in
      1980s.

PMID- 10248494
TI  - Corporate executive says era of the "bionic" man is now a scientific fact.

PMID- 10248496
TI  - Technological progress, regulation here to stay; management will be the key to
      the future.

PMID- 10248497
TI  - Cost containment plan of Du Pont Division is tied to effectiveness of its
      technology.

PMID- 10248498
TI  - Expansion of dialysis technology to other disease areas now under study.

PMID- 10248499
TI  - Delays in California CON process add $25 million to costs.

PMID- 10248500
TI  - Medical technology--the role of Congress.

PMID- 10248502
TI  - Survival of the fittest in hospital food service 1980-81.

PMID- 10248501
TI  - Have HMOs finally come of age?

PMID- 10248503
TI  - The art of 'prudent' buying.

PMID- 10248504
TI  - The art of feeding the aged.

PMID- 10248505
TI  - Guess who's coming to breakfast?!

PMID- 10248506
TI  - Problem: how to reduce stress & increase productivity.

PMID- 10248507
TI  - Problem: how to control beverage consumption.

PMID- 10248508
TI  - Make giving meaningful: key to development success. Interview by Larry Kofsky.
AB  - Starting virtually from scratch in 1975, Berkshire Medical Center has built a
      fund raising success story. Its multi-faceted development program centers around
      the philosophy that donors must feel their gifts have purpose and are
      appreciated.

PMID- 10248510
TI  - An S.D.I. for drug information.

PMID- 10248509
TI  - A practical approach to selecting and implementing a clinical information system.

PMID- 10248511
TI  - Humana's hard-sell hospitals.

PMID- 10248512
TI  - A right to health?

PMID- 10248513
TI  - Energy conservation in plumbing.

PMID- 10248514
TI  - Collective bargaining: when is a supervisor a manager?

PMID- 10248515
TI  - Making meetings effective: it's a matter of control.

PMID- 10248516
TI  - Where does you day go?

PMID- 10248517
TI  - The truth about intergration--horizontal versus vertical.

PMID- 10248518
TI  - Using results to rate performance.

PMID- 10248519
TI  - Mastering the techniques of two-way communication.

PMID- 10248520
TI  - Black mark for health care priorities.
AB  - Social class and health are inextricably linked, so it will take more than
      improvements in direct health care to reduce inequalities, says the report of Sir
      Douglas Black's working party. Its recommendations, therefore, go beyond health
      and social service provision and have given the report broader political
      implications than had been expected. Here, Stephen Halpern looks in detail to the
      Black report's findings and proposals and the reactions to it.

PMID- 10248521
TI  - Shetland's strategic plan: looking ten years ahead.
AB  - High employment, a rising resident population, the rapid growth of the oil
      industry and the need to cater for tourists are just some of the factors which
      affect health planning in Shetland. David March, secretary, Shetland Health
      Board, describes the background to and recommendations of a draft strategic plan
      which sets out the changes proposed for the coming decade.

PMID- 10248522
TI  - Supplies and services: little fish and large pools.
AB  - Centralisation of stores and services does not always work smoothly in the NHS
      and, even when it does, can we be sure that the expected cost advantages will be
      reaped? Hazel Grayson, senior research officer at the Medical Architecture
      Research Unit, Polytechnic of North London, discusses some of the questions
      raised in research carried out by the unit.

PMID- 10248523
TI  - Medical records: a PET computer of your own.
AB  - The prospect of computerising medical records might seem a daunting one for many
      hospitals. However, when the patient services manager at North Tees General
      Hospital, Brian Lund, and his colleagues, looked closely at the current
      technology, they found they did not need vast machines nor vast outlay.

PMID- 10248524
TI  - Medical records: disclosing what law permits.
AB  - Confidentiality and medical records is an issue which gives rise to real problems
      for staff who are called upon to reveal or disclose information. Here A.P.
      Andrews, principal law lecturer, SW Thames RHA, shows that while it is not
      possible to foresee every eventuality a clear understanding of the legal
      principles involved will help staff resolve some, if not all, their dilemmas.

PMID- 10248525
TI  - Medical records: new approach to training records staff.
AB  - One of the primary objects of the Association of Health Care Information and
      Medical Records Officers is to ensure the supply of qualified personnel. Frank
      Sargeant, the association's chairman describes how it fulfils that role.

PMID- 10248526
TI  - Medical records: speeding up the system.
AB  - Two years ago, Norwich and Norfolk Hospital was given the go-ahead to develop a
      computer-based radiology system. Mike Prees, chief systems designer, East Anglian
      Regional Health Authority, describes in detail how the system works.

PMID- 10248527
TI  - Ordering by telephone: convenience or confusion?

PMID- 10248528
TI  - How to avoid unused stock: two views. Hospital policy or committee rule?

PMID- 10248529
TI  - How to avoid unused stock: two views. Preventing obsolete inventory.

PMID- 10248530
TI  - Vendor evaluation systems for hospitals.

PMID- 10248531
TI  - Materials management: alive and growing.

PMID- 10248532
TI  - A clue for improved reference service.

PMID- 10248533
TI  - Lending & routing current serials.

PMID- 10248535
TI  - Author! Author! Day: a National Library Week success story.

PMID- 10248534
TI  - Survey of New England hospital libraries.

PMID- 10248536
TI  - Induction training at the Royal Edinburgh Hospital.

PMID- 10248537
TI  - The Netherlands experience.

PMID- 10248538
TI  - Do-it-yourself evaluation.

PMID- 10248539
TI  - NHS planning: an assessment concluded.

PMID- 10248540
TI  - Motivation and the manager in the NHS.

PMID- 10248541
TI  - The approaching revolution in health care technology.

PMID- 10248542
TI  - How GPs are paid.

PMID- 10248543
TI  - Keep that nurse.

PMID- 10248544
TI  - The nurse and the union.

PMID- 10248545
TI  - Nursing shortage: a solution--a comprehensive program of practical, cost
      effective remedies.

PMID- 10248546
TI  - A nursing resource: news and tips.

PMID- 10248547
TI  - Foreign nurses help fill gaps.

PMID- 10248549
TI  - Nurses are talking...

PMID- 10248548
TI  - What do trustees think about their board membership and board functioning?

PMID- 10248550
TI  - Conference reviews mechanisms of antibiotic audits.

PMID- 10248551
TI  - Arkansas adds PPD tests as nursing home entrance requirement.

PMID- 10248552
TI  - Developments in the production of sterile goods--appropriate technology.

PMID- 10248554
TI  - Economic thickness of pipework insulation.

PMID- 10248553
TI  - Advances in x-ray equipment design.

PMID- 10248555
TI  - The inter-relationship between engineering plant replacement and energy
      conservation.

PMID- 10248556
TI  - Characteristics of clients referred for post-hospital health care.

PMID- 10248557
TI  - Projecting demand for home health care in one health service area.

PMID- 10248559
TI  - Auditing antibiotics in the '80s.

PMID- 10248558
TI  - A model for the development of an extended service unit.

PMID- 10248560
TI  - St. Joseph's Hospital and St. Mary Hospital, Philadelphia -- joint venture
      supports OB care.

PMID- 10248561
TI  - St. Mary's Hospital, Troy, NY -- cherub corner helps change fear to
      understanding.

PMID- 10248562
TI  - Cabrini Medical Center, New York City -- terminally ill pastoral care director
      founds hospice.

PMID- 10248563
TI  - Mercy Hospital, Cedar Rapids, IA -- family orientation: a criterion of programs,
      policies.
AB  - When a family member is hospitalized, family dynamics change. One hospital seeks
      to help a family better cope with one member's illness through educational
      programs and hospital policies that seek to strengthen the family unit and to
      involve the family in patient care.

PMID- 10248564
TI  - Canadian Catholic health care leaders face the issues: government relations,
      sponsorship, Catholic identity, medical-moral problems, health insurance
      programs.

PMID- 10248565
TI  - Risk-free society avoids real issue of improved public health.
AB  - National health policy, confusing the distribution of medicine with health,
      supports a risk-free society with a right to health. Self-help, rather than new
      medical technologies, is responsible for improved public health. Individuals must
      take their health into their own hands and reform their behavior.

PMID- 10248566
TI  - Cardinal Glennon Memorial Hospital for Children, St. Louis -- genetic unit offers
      diagnosis, counseling.
AB  - A prenatal history, complete family pedigree, physical examination, and
      laboratory studies help to determine whether patients' traits and diseases are
      hereditary or environmental. The geneticist offers genetic counseling to inform
      couples of the risks entailed in their bearing a child.

PMID- 10248567
TI  - Some moral dimensions in genetic counseling.
AB  - Diagnostic techniques such as fetoscopy and amniocentesis raise moral questions
      about the propriety of genetic testing and the content of genetic counseling. A
      Christian genetic counselor must make ethical decisions about what information to
      convey to clients.

PMID- 10248568
TI  - NFP programs provide consumer choice, benefit hospital.
AB  - Now that principles of NFP have been established specific programs are necessary
      to disperse information and to teach techniques. The hospital-based NFP program
      offers the community a needed service and benefits the hospital.

PMID- 10248569
TI  - St. Vincent Wellness Center, Carmel, IN -- hospital-affiliated wellness center
      stresses wholistic approach.
AB  - Wellness--physical, mental, and spiritual well-being--requires self
      responsibility and a focus on maintaining health rather than treating disease. A
      hospital-affiliated wellness center helps participants to manage stress, improve
      physical fitness, follow good nutrition, and learn environmental sensitivity.

PMID- 10248570
TI  - Hospitals and unions: places for evangelization.

PMID- 10248571
TI  - Catholic health care delivery in Germany: less technology, more regulation.

PMID- 10248572
TI  - Patient with embedded object sues surgeon, hospital.

PMID- 10248573
TI  - Contract surgeon sued by hospital patient.

PMID- 10248575
TI  - Catherine McAuley Health Center, Ann Arbor, MI--pastoral care in psychiatric unit
      emphasizes team approach.

PMID- 10248574
TI  - HHS construction approval: a costly new layer of federal control.

PMID- 10248576
TI  - Bringing old and young together and improving life for both.

PMID- 10248577
TI  - IRS vow of poverty rulings: inconsistent, confused.
AB  - The determinant in taxing the income that members of religious congregations
      receive for services should not be whether the member is an employee, but rather
      the congregation's direction and control of the member. On the basis of the
      current IRS focus on the member's employment status, logic suggests that
      employers are taxable on the wages they pay their employees. On the following
      pages attorney Albert Feuer analyzes the problem's legal history and highlights
      the ambiguity flowing from recent revenue rulings.

PMID- 10248578
TI  - Strong Catholic identity key to effective health care apostolate.
AB  - Catholic health care facilities must define what it means to be human and what it
      means to be Catholic before confronting current moral and ethical issues.

PMID- 10248579
TI  - Pluralism, loss of identity: critical issues in Catholic health care.
AB  - Trustees, administrators, and staff members must keep in mind the obligations of
      their Catholic institutions to bear prophetic witness to Christian principles.
      The Catholic health care facility presents a counterculture in a depersonalized
      world.

PMID- 10248580
TI  - Consolidating medical staff and administrative requirements eliminates potential
      problems.
AB  - If policies and procedures relative to a single function are scattered among
      hospital documents, the potential for conflict and inconsistency between
      administration and medical staff is enhanced. Incorporation in one reference
      source can help clarify responsibilities and facilitate conformity.

PMID- 10248581
TI  - Hospital-industry partnership essential commitment in controlling costs.
AB  - Industry and other third party payers need hospitals' help to encourage cost
      containment. Subjects for joint reveiw are monitoring hospital utilization,
      seeking alternatives to inpatient care, eliminating excess beds, and encouraging
      increased productivity within viable institutions.

PMID- 10248582
TI  - Hospital closings, conversions: where do employees go?
AB  - Rising hospital costs in New York have mandated closing or converting excess
      hospital beds. An evaluation of two state-subsidized programs for displaced
      employees shows a successful adaptation to the changes, despite personnel
      problems relating to salary, benefits, and work schedules.

PMID- 10248583
TI  - Hospital drops Social Security, adopts alternative.
AB  - Social Security coverage faces economic hard times with a changing proportion of
      workers and elderly. An alternative plan can provide better retirement,
      survivorship, and disability benefits at reasonable cost.

PMID- 10248584
TI  - Widow appeals decision prohibiting attending physician's testimony.

PMID- 10248585
TI  - Patient charges negligence in diagnosing spinal injury.

PMID- 10248586
TI  - Malpractice suit follows death of discharged patient.

PMID- 10248587
TI  - Exchange carts really work.

PMID- 10248588
TI  - Case carts in surgery can bring about cost containment.

PMID- 10248589
TI  - But my hospital is too old...

PMID- 10248590
TI  - Automation and computerization: milestones or millstones for the vendor?

PMID- 10248591
TI  - Design considerations for work simplification.

PMID- 10248592
TI  - Effective control and establishment of patient charges.

PMID- 10248593
TI  - A simple approach to controlling inventory dollars.

PMID- 10248594
TI  - Supply distribution options--a new perspective.

PMID- 10248595
TI  - What's new in skin banking?

PMID- 10248596
TI  - President's report: the need to focus on patient care.

PMID- 10248597
TI  - A county wide disaster drill--team work between two hospitals.

PMID- 10248598
TI  - Decentralized, departmental library collections, in health care systems.

PMID- 10248599
TI  - Impacting the product: staff involvement in a health care marketing strategy.

PMID- 10248600
TI  - Renovation--a feasible alternative to physical obsolescence!

PMID- 10248602
TI  - "Clarification of nursing activities and the nurse shortage".

PMID- 10248601
TI  - This type of Employee Benefits Week creates informed participants--not uninformed
      guests!

PMID- 10248603
TI  - Materiel management Q's & A's: management audit.

PMID- 10248604
TI  - A comparison of skin pressures produced by three different brands of stretchable
      tape.

PMID- 10248605
TI  - Nursing station inventory analysis.

PMID- 10248606
TI  - San Diego hospital builds $80,000 walking/jogging track for cardiac
      rehabilitation.

PMID- 10248607
TI  - Short-term cash management for hospitals.

PMID- 10248608
TI  - Final CON rules hold to tight deadline for state compliance.

PMID- 10248609
TI  - FCC rejects DOT petition; cites AHA comments.

PMID- 10248610
TI  - Equal Access to Justice Act evidences Congressional intent to improve
      responsiveness of federal regulatory process.

PMID- 10248611
TI  - Application of Good Samaritan laws to in-hospital emergencies.

PMID- 10248612
TI  - AHA supports health manufacturers' request for FCC waiver of warning label for
      hospital digital equipment.

PMID- 10248613
TI  - Prepaying Hill-Burton loans reduces compliance burden.

PMID- 10248614
TI  - Favorable shared services laundry decision reversed by court appeals.

PMID- 10248615
TI  - The reliability of medical records.

PMID- 10248616
TI  - Patient care computer in 68-bed hospital.

PMID- 10248617
TI  - How long should you keep your patients' medical records?

PMID- 10248618
TI  - The development of a quality control program: activity reporting and performance
      standards.

PMID- 10248619
TI  - Effective time management.

PMID- 10248620
TI  - 'Sterile' is now a dirty word.

PMID- 10248621
TI  - Mutual benefits in hospital-based clinical education for the allied health
      professions: a position.
AB  - Hospitals are traditionally centers for health care as well as institutions for
      health education. This latter function has been changing during the last few
      decades and continues to change with regard to both type and form of education
      offered. By providing clinical training sites, an increasingly involved
      association with higher education institutes has emerged. In this paper, it is
      argued that student, college, hospital and society all benefit from this
      cooperation.

PMID- 10248622
TI  - Cost containment: is it unjustly cutting therapeutic mental health services? The
      plight of neighborhood organizations.
AB  - A national emphasis on cost containment has resulted in the reduction of a host
      of activities at settlement houses and community centers that were formerly
      funded by mental health agencies. It is contended that this is penny wise and
      pound foolish because the neighborhood organizations provide preventive and
      therapeutic services. A rationale is developed to support this contention with an
      eleven point chart showing settlement--mental health links, a discussion of the
      urban condition and population disturbances, a foundation of medical and social
      models that support the value of settlement house activities, a review of current
      community mental health concepts that echo the goals of neighborhood
      organizations and a discussion of the roles of settlements in mental health
      programs. It is concluded that strong evidence exists to support the continued
      funding of the preventive and therapeutic mental health activities of
      neighborhood organizations such as settlement houses and community centers.

PMID- 10248624
TI  - Medical care prices.

PMID- 10248623
TI  - Community medicine: the "first-born" of a marriage between medical education and
      medical care.
AB  - In Southern Israel, rapid development and industrialization have generated
      strains affecting both the population (ca. 0.5 million immigrants and ca. 50,000
      Bedouin) and the medical care agencies (of the General Labour Federation and
      other Sick funds, the Health and other Ministries, etc.). In Beer-Sheva, the
      Center of Health Sciences (CHS) of the Ben-Gurion University of the Negev (BGUN)
      is the scene of a concerted effort to change the orientation of health care. The
      direction of change is away from the impersonal (the hospital and the disease)
      and towards that demanded by the public (the community and the person). It is
      being accomplished by fundamentally changing the education of health personnel.
      Change is being implemented and mediated by a coordinating consortium of in
      region and BGUN care and/or welfare agencies, that plans and evaluates the
      process and progress of change for which each agency is responsible.
      Infrastructural innovation, somewhat hampered by the inertias of tradition,
      consists of making the university hospital effectively serve the regional network
      of hospital-affiliated, community-oriented primary care clinics. Curricular
      innovation, enthusiastically accepted and flourishing, uses the concept of "the
      natural history of disease" in basic-science and clinical teaching. Teaching
      takes place not only in the wards, but also in outpatient and primary care
      clinics, and in the facilities for occupational health, rehabilitation and public
      health.

PMID- 10248625
TI  - Employment, hours, and earnings in the health care sector.

PMID- 10248626
TI  - A call for moral leadership in health service administration.

PMID- 10248627
TI  - The realities of Medicare.

PMID- 10248628
TI  - Canada's role in health care in developing nations.

PMID- 10248629
TI  - Health care in the 1980s: consumer contamination or purposeful planning?

PMID- 10248631
TI  - Accountability in the nursing profession.

PMID- 10248630
TI  - Worldwide health: quality, availability, resources and opportunities for
      international collaboration.

PMID- 10248632
TI  - Health care issues in the 1980s.

PMID- 10248633
TI  - Management education--an essential priority for health care?

PMID- 10248634
TI  - Technology and human choices in health care.

PMID- 10248635
TI  - Innovation in a time of restraint.

PMID- 10248637
TI  - Who should review your programs?

PMID- 10248636
TI  - Women in health administration in Canada.

PMID- 10248638
TI  - Organizational leadership and the development of dynamic organizations.

PMID- 10248639
TI  - Will the real director of education please stand up!

PMID- 10248640
TI  - Managing the health system: Quebec style.

PMID- 10248641
TI  - DRGs--a poor prognosis?

PMID- 10248642
TI  - Tax-exempt hospital revenue bonds: a database.

PMID- 10248643
TI  - Preventing "job burnout" at the University of Wisconsin-Madison.

PMID- 10248645
TI  - Payment patterns: contractual allowances as a percent of total revenue.

PMID- 10248644
TI  - Flexible budgeting for small hospitals.

PMID- 10248647
TI  - ROI: a diagnostic tool for a healthy bottom line.

PMID- 10248646
TI  - Does your public know the facts?

PMID- 10248648
TI  - A new organizational model: breaking the three-legged stool.

PMID- 10248649
TI  - An alternate approach--capital budgeting and financial planning.

PMID- 10248650
TI  - HFMEF, universities help financial managers prepare for the 80s.

PMID- 10248652
TI  - Payment patterns: image being presented to patients through credit and collection
      activities.

PMID- 10248651
TI  - Hospital Financial Management Association: constitution/by laws.

PMID- 10248653
TI  - AHR: an ominous intrusion.

PMID- 10248654
TI  - A delicate balance: quality care, cost efficiency, growth programs.

PMID- 10248655
TI  - The contractual flexibility between physicians and hospitals.

PMID- 10248656
TI  - Using the matrix method to allocate service department overhead.

PMID- 10248657
TI  - A new dimension: on-line, real-time, direct communication.

PMID- 10248658
TI  - Centralized purchasing and materials management--an aid to cost containment.

PMID- 10248659
TI  - University of South Carolina offers healthcare graduate degrees.

PMID- 10248660
TI  - Payment patterns: the management of patient accounts begins with "policies".

PMID- 10248661
TI  - Is there equity in preferential pricing?

PMID- 10248662
TI  - Marketing--a tool for survival.

PMID- 10248663
TI  - Physicians' office condos--a unique approach to capital development.

PMID- 10248664
TI  - In the radiology department trim costs with two management tools.

PMID- 10248665
TI  - Hospital internal auditing--the extent and state of the art.

PMID- 10248666
TI  - Write your own insurance reference book.

PMID- 10248667
TI  - Management cost analyses--keeping the goals in view.

PMID- 10248669
TI  - Ohio State offers nontraditional education for healthcare executives.

PMID- 10248668
TI  - Cost containment through better materials management.

PMID- 10248670
TI  - Health care's future--will you help shape it?

PMID- 10248671
TI  - Payment patterns: time for the training of their employees.

PMID- 10248672
TI  - Accreditation may hinge on QA, experts maintain.

PMID- 10248673
TI  - Infection control program essential to quality assurance.

PMID- 10248674
TI  - Programs educate physicians on costs, use of blood.
AB  - Excessive preoperative ordering of cross-matched blood that is not transfused has
      been shown to increase outdating of blood; several programs, including blood
      ordering guidelines, "type and screen" procedures, and direct physician education
      are achieving some success in reducing unnecessary ordering and cross-matching.

PMID- 10248675
TI  - What is the current status of the law concerning the right of parents who are
      Jehovah's Witnesses to refuse blood transfusions for their minor children?

PMID- 10248676
TI  - Building blocks to comprehensive quality assurance.
AB  - As a result of the new quality assurance standard recently introduced by the
      Joint Commission on Accreditation of Hospitals (JCAH), a new emphasis has been
      placed on the development of comprehensive studies in quality assurance programs.
      Considerable planning is necessary to establish an overall institutional quality
      assurance program, but equally important is the need to delineate suitable
      techniques for individual studies within a program.

PMID- 10248677
TI  - Providers learn hard lessons from major court decisions.
AB  - Several major court decisions in medical malpractice suits have affected the
      practices of hospitals and individual health care providers. These decisions have
      prompted hospitals, physicians, nurses, and other health care providers to
      reassess the way health care services are delivered in the light of the potential
      for liability.

PMID- 10248678
TI  - Good Samaritan laws: do state statutes protect your EMS staff?
AB  - Most state Good Samaritan laws are vague on the question of whether or not Good
      Samaritan immunities apply to emergencies that occur within a hospital or other
      medical facility. In general, such laws are broadly interpreted by state courts
      because their purpose is to encourage medical professionals to respond in
      emergencies. However, some state laws may need to be updated to meet the
      conditions of modern emergency medical care systems.

PMID- 10248679
TI  - New medical staff leadership roles emerging.
AB  - The forces that have come to bear on the health care industry in the '80s have
      had a marked effect on the dynamics and dimensions of hospital administrative
      board-medical staff relationships. Although sometimes the source of conflict,
      these forces have been an impetus for medical staff strengthening and leadership.

PMID- 10248680
TI  - Care of the dying: a challenge to physicians.

PMID- 10248681
TI  - Guidelines for reviewing applications for privileges.
AB  - Although final authority for granting medical staff membership lies with a
      hospital's governing body, the medical staff plays a major role in such decision
      making. Medical staff reviewers need to examine each medical staff application
      with a critical eye in order to keep performance standards high.

PMID- 10248682
TI  - Physicians plan for change with clearly defined goals.
AB  - A goal-setting approach to medical staff activity has helped the medical staff at
      San Jose Hospital to define their relationships with hospital administrators,
      patients, hospital personnel, and with the community. For the first time, the
      medical staff has a clear set of standards against which to measure their
      performance.

PMID- 10248683
TI  - Aging America: new responses needed urgently.

PMID- 10248684
TI  - A comparison of formulated liquid diets.
AB  - A wide variety of formulated liquid diets are currently available on the Canadian
      market. Used for oral and tube feedings, they are nutritionally complete diets
      when offered as the sole source of nourishment for patients who are unable or
      unwilling to take solid food. To assist dietitians in identifying formulas most
      suited to patients' requirements, products are listed according to nutrient
      composition, caloric density, osmolality and packaging.

PMID- 10248685
TI  - Utility of an on-line computer system in a clinical setting for nutrient intake
      analyses.
AB  - The present report describes a four-week trial at the Victoria General Hospital,
      Halifax, to determine the effect of access to a computer system on nutrient
      intake analyses, the problems in implementation of the system, and the response
      of the staff dietitians. An on-line system was obtained from the Ohio State
      University Hospitals and modified to reflect Canadian food and nutrient content,
      and to include some additional program features. Twelve hundred and eighty-six
      foods were characterized according to 15 food components, the system was
      responsive to nine interactive commands, and there were nine possible print-out
      formats of calculations. The results of the trial reinforced the expectation of
      greatly increased work efficiency, however, the system was not utilized to its
      potential. Some technical problems were largely overcome within the first week of
      operation. However, needs relating to the extensiveness of the food and nutrient
      data base, and the methodologies and time for obtaining and evaluating individual
      dietary intake information prevented maximum efficiency. The dietitians liked the
      comprehensiveness and detail of the system, however, routine dietary intake
      collections were too time-consuming for their present work schedules.

PMID- 10248686
TI  - Trying out the competency profile for entry-level nutrition/dietetics practice.
AB  - The Ontario Regional Dietetic Internship Committee sponsored a workshop on "The
      Competency Based Profile", for Internship Directors and other dietitians involved
      with interns. The objectives of the workshop were: 1. to define the effects of
      implementation of some aspects of the competency profile into existing internship
      programs, 2. to exchange ideas regarding implementation, and 3. to give
      Internship Directors a further insight into the pros and cons of competency based
      education. Nine internship programs implemented some aspects of the profile. From
      one to seven dietetic interns and one to eleven dietitians were involved per
      program. Their findings were that the profile took on the average more time to
      complete than the regular CDA Dietetic Interns' Evaluation Forms. The profile
      could not be used as the sole evaluation tool. It was however an effective
      diagnostic tool. The rating scale is not well worded nor is its numerical system
      an effective way to evaluate dietetic interns. The competency profile is not
      suitable for all types of internship programs. Specialized internships have to
      expand on the profile to meet their own needs.

PMID- 10248687
TI  - The evolution of an in house biomedical department.
AB  - The Biomedical Instrumentation Services Department (BIS) at City of Hope Medical
      Center has been in a continuous process of development since its beginning in
      1969. Its initial formation was based on a need for consolidation of repair
      services, the necessity of a strong engineering program to support clinical
      activities, and the need for instrumentation planning support. With the advent of
      cost containment, the department has been required to become more business
      oriented by streamlining organization, providing technician training, and
      developing income alternatives to reduce net operating cost. All of this was to
      be accomplished in a high-technology, rapidly-changing, competitive industry. The
      demands upon the department parallel the demands upon the entire health care
      industry today.

PMID- 10248688
TI  - Professional development of the BMET.
AB  - Acceptance of the BMET into the patient care picture, and recognition of the BMET
      as an equal contributor to quality patient care are central to the advancement of
      this relatively new career field. One factor in gaining this acceptance is the
      overall image presented by those who call themselves BMET's. An understanding of
      emerging professions and the effect of dress on image enhancement can provide
      useful insight into the phenomena of professional recognition. A second aspect of
      development important to any professional is continuing educational growth. A
      performance-evaluation scheme, stressing and promoting continuing education, is
      described in this paper.

PMID- 10248689
TI  - A data base management system for clinical records of renal failure.
AB  - This paper describes a computerized data-base management system (DBMS) for
      keeping medical records of kidney failure patients. The system allows simple data
      entry by untrained medical personnel as well as automatic feeding of data from
      computer generated data files. The system allows easy retrieval which is enhanced
      by graphic displays and statistical analyses of the data. The DBMS uses a
      relational model of data representation and is based on an existing system which
      was developed to run under the UNIX operating system on DEC PDP 11's. Previous
      attempts by the authors and others to create such a medical record system are
      described. A description of the hardware and software environment of the medical
      record system is provided. The system is then described, and examples of data
      manipulations are given.

PMID- 10248690
TI  - The need for technology assessment in voluntary cost containment.
AB  - Health care cost containment is a national concern. This concern is displayed
      through extensive regulations controlling hospital operations. Regulation has
      spread to include the purchase and usage of technology. Unfortunately, the
      extensive regulations are costly, with questionable effectiveness. The
      environmental influences on health care must be considered. In addition, better
      management and planning by individual institutions must be encouraged. Since the
      development and utilization of technology play a critical role, the Voluntary
      Effort to cost containment by hospitals must include provisions for the
      assessment of technology.

PMID- 10248691
TI  - Health care engineering management.
AB  - Today, health care engineering management is merely a concept of dreamers, with
      most engineering decisions in health care being made by nonengineers. It is the
      purpose of this paper to present a rationale for an integrated hospital
      engineering group, and to acquaint the clinical engineer with some of the salient
      features of management concepts. Included are general management concepts,
      organization, personnel management, and hospital engineering systems.

PMID- 10248692
TI  - Psychological impact of medical equipment on patients.
AB  - This study involves the analysis of interviews with patients who are using
      complex medical machines. In particular, personal interviews were conducted with
      twenty-six patients who have undergone cardiac catheterization, ten patients
      utilizing a cardiac monitor, and ten people currently receiving renal dialysis
      treatments. The variables selected for this study fit into five general
      categories: 1) environment; 2) patient's personal anxiety; 3) staff interaction;
      4) approach to machine; and 5) machine's function. The results of the study
      indicate that medical equipment does have a psychological impact on patients. The
      more modern and clean looking the hospital and its equipment are, the more at
      ease the patients will be. The staff is also very important. A method for keeping
      the patient's mind occupied with a portion of the particular procedure may relax
      him.

PMID- 10248693
TI  - Health insurance in the public sector.
AB  - As the development of collective bargaining in the public sector continues,
      concern mounts over the problem of providing public employees with high quality
      medical care without skyrocketing costs. A recent survey reflects a trend away
      from traditional Blue Cross/Blue Shield plans toward employer-funded
      comprehensive benefits.

PMID- 10248694
TI  - Environmental health and safety at the University of Michigan medical campus.
AB  - The Nation's acute care hospitals represent a significant source of employment.
      Like other communities, most traditional environmental concerns require
      attention, but because of the unique combination of an evolving and increasingly
      complex technology with an at-risk resident population, special environmental
      services are also required. Recognizing these facts, various agencies with the
      responsibility of overseeing the health and safety of the total population have
      developed rigorous standards to assure the safety of hospital employees, patients
      and visitors. There is need for improved organization of environmental services
      to reduce the inefficiencies so often present where responsibilities for
      environmental management are fragmented. The University of Michigan Hospital
      organizational system illustrates an attempt to comprehensively address
      environmental health issues, including the management of regulatory liaison
      functions.

PMID- 10248695
TI  - Nursing homes as a training site for LPNs/LVNs.
AB  - It is evident that a maldistribution of nursing personnel exists. Varying factors
      have influenced the failure to attract nurses into the long-term care field. The
      only solution to alleviating the shortage lies in the expanding of school
      curriculum to include more courses in gerontology and in requiring that part of
      the clinical training to be done in nursing homes. Results of the modest survey
      recently initiated are reasonably conclusive as to the lack of involvement of the
      schools and the lack of understanding and knowledge of long-term care on the part
      of the school staff. It is also evident that even brief exposure to long-term
      care is helpful in relieving the shortage of nurses and results in a change in
      attitude toward the aging process and the care of the aged. The future of long
      term care depends on how well we do our job in attracting and training nurses in
      this very vital aspect of the health care delivery system.

PMID- 10248696
TI  - Research brief: training geriatric nursing assistants--a solution.

PMID- 10248697
TI  - Survey of duties and responsibilities of current music therapy positions.
AB  - Survey questionnaires examining the duties and responsibilities of current music
      therapy positions were mailed to 200 active registered and nonregistered music
      therapists randomly selected from the 1978-70 NAMT membership directory. The
      information was sought to: (a) enrich communication among active music therapists
      and persons interested in the field; (b) act as a possible reference basis for
      curriculum development; and (c) examine the potential of a classification plan
      for music therapy positions entailing similar duties and responsibilities.
      Surveys completed as directed were received from 127 (63.5%) of those music
      therapists sampled. Analysis of these surveys identified several practical skill
      areas common to many of the respondents. Certain position responsibilities were
      identified as significantly related to existing levels of music therapy
      positions, as implied by official job titles. These findings warrant further
      discussion of a national classification plan for music therapy positions.

PMID- 10248698
TI  - A structural analysis of performance deviations: a time series perspective.

PMID- 10248699
TI  - Documenting the value of supervised play in a pediatric ambulatory care clinic.
AB  - This study tested the hypothesis that supervision of play in a pediatric
      ambulatory clinic would increase positive resonses and decrease negative
      responses in outpatients. During the control week, children played unsupervised
      in the unaltered clinic waiting area; selected behaviors were recorded then and
      during the experimental week, in which changes introduced in the clinical
      environment facilitated supervised play. Significant increases in positive
      responses and significant decreases in negative responses were noted during the
      experimental week (X2=474.4; p. <. 001.). A second study demonstrated that
      significant changes were not caused by environment alteration alone. The
      resultant outpatient program and its benefits are described.

PMID- 10248700
TI  - Association for the Care of Children's Health: position statement on the care of
      adolescents and families in health care settings.

PMID- 10248701
TI  - Preparation for elective surgery: does it make a difference.
AB  - This study postulated that children prepared for elective surgery would show less
      stress in physiological terms while in the hospital and fewer postdischarge
      behavior changes than children in a control group not being systematically
      prepared for pending surgery. It was also postulated that younger children would
      be more anxious than older children. Actual findings supported only a few of the
      original hypotheses, but the study itself raises major questions for those
      interested in the overall impact of hospitalization and the reduction of
      psychological trauma for children who may be particularly vulnerable to stress.

PMID- 10248702
TI  - The use of behavioral observation in rating short-term adjustment in three
      nursing home settings.

PMID- 10248703
TI  - One more time: how do we motivate nursing home employees?

PMID- 10248704
TI  - A visit to St. Christopher's Hospice.

PMID- 10248705
TI  - Nebraska laundry supervisor designs services center for hospital complex.

PMID- 10248706
TI  - Milwaukee hospital ups production, reduces staff through renovation.

PMID- 10248707
TI  - Is there a future for social forecasting?

PMID- 10248708
TI  - Doctor surplus: what 1990 will look like.

PMID- 10248709
TI  - Doctor surplus: where things stand now.

PMID- 10248710
TI  - Doctor surplus: close-up of a town that's feeling the crunch.

PMID- 10248711
TI  - Fees: where they stand in 11 specialties.

PMID- 10248712
TI  - Telemedicine: the Ontario Project.

PMID- 10248713
TI  - 'Magic walk': hospital's half-mile exercise stretch.

PMID- 10248714
TI  - Nurses wanted: STAT.

PMID- 10248715
TI  - Compensation of nurses in Michigan.

PMID- 10248716
TI  - Interdisciplinary teams.

PMID- 10248717
TI  - Nursing educators and nursing service administrators should be partners.

PMID- 10248718
TI  - Auxilians influential in state's legislative process.

PMID- 10248719
TI  - Where have all the nurses gone?

PMID- 10248720
TI  - Many hospitals use independent auditors for management consulting.

PMID- 10248721
TI  - Management: make room for aggression, conflict.

PMID- 10248722
TI  - Healthcare law: good motive isn't always welcome.

PMID- 10248723
TI  - Are nurses' objectives achievable--at what costs, and who will pay?

PMID- 10248724
TI  - Management fees vary widely, GAO reports.

PMID- 10248725
TI  - Best drug prices won nationally.

PMID- 10248726
TI  - Group members' prices vary widely.

PMID- 10248727
TI  - Nursing home conditions will cost seven times HHS' estimate: study.

PMID- 10248728
TI  - Unions increasingly target hospitals' use of consultants in election battles.

PMID- 10248729
TI  - Adventist hospital groups get the urge to merge.

PMID- 10248730
TI  - Computer time-sharing: 73 groups provide full financial functions.

PMID- 10248731
TI  - Regional services: more processing shifts in-house.

PMID- 10248732
TI  - Vendors promote hospitals' HIS sharing with regional data centers.

PMID- 10248733
TI  - Abstracting: technology boosts accuracy, speed.

PMID- 10248734
TI  - Hospital chain slices business office costs with shared financial system.

PMID- 10248735
TI  - Hospital bonds make cyclical slide.

PMID- 10248737
TI  - Carter NHI: $6.9 M from employers, $17.6 B from gov't.

PMID- 10248736
TI  - FDA and the small manufacturer.

PMID- 10248738
TI  - Direct mail: reaching your market.

PMID- 10248739
TI  - Conserving energy without patient discomfort.

PMID- 10248740
TI  - Hot vs cool systems.

PMID- 10248741
TI  - Contemporary home childbirth.

PMID- 10248742
TI  - The stalled hospice movement.

PMID- 10248743
TI  - Regional associations: recent changes in blood services.
AB  - In this article, the authors describe the American Blood Commission's
      organizational and operational model of blood service regionalization, applied
      through the ABC's Regionalization Program. Explained are the criteria by which
      regional associations can obtain ABC "recognition," which acknowledges status as
      an approved regional association of blood service units.

PMID- 10248745
TI  - The impact of legislation on the personnel function.

PMID- 10248744
TI  - How to interview supervisory candidates from the ranks.

PMID- 10248746
TI  - An employee motivational system that leads to excellent performance.

PMID- 10248747
TI  - The pre-employment inquiry guide.
AB  - In recent years, government regulation of both EEO and affirmative action has
      grown rapidly. As a result, the road to hiring an employee is strewn with
      pitfalls for the unaware and the uninitiated. This practical guide, written for
      the practicing personnel manager, takes account of the latest government
      directives in the field and should prove a valuable tool for anyone involved in
      the business of hiring.

PMID- 10248748
TI  - The annual human resource review (a career-planning system).
AB  - The success of an organization depends, to some extent, on a satisfied,
      challenged workforce. Career planning is a key element in personnel's efforts to
      reach this goal, and in this article, Vosburgh presents a strategy for developing
      a career-planning system which takes account of the individual employee's needs
      within the corporate structure.

PMID- 10248749
TI  - Safety and OSHA.

PMID- 10248750
TI  - 4 publications constitute the core of a hospital-wide information program.

PMID- 10248751
TI  - Hospital harnesses computers' capabilities to spot, solve problems in patient
      education programs.

PMID- 10248752
TI  - A lot of planning, a little luck help launch employee health promotion program.

PMID- 10248753
TI  - Avoid CME ripoffs.

PMID- 10248755
TI  - Advisory panel projects need for 50,000 psychiatrists in 1990.

PMID- 10248754
TI  - IRS eyes physicians' arrangements with hospitals.

PMID- 10248756
TI  - Cable TV as a teach-in tool.

PMID- 10248757
TI  - The school-age traction patient: toward better behavior patterns.
AB  - Being confined to bed in traction is a decidedly frustrating experience for the
      pediatric patient. Following the initial adjustment of the trauma of the accident
      that precipitated the present limited environment, the patient assumes a behavior
      pattern that he thinks will enable him to cope with the predicament. One of the
      following three roles is usually exhibited: 1) reasonable independence, 2)
      problem dependency, 3) manipulation. The awareness and understanding of these
      patterns and their variations with a practical response from the hospital staff
      will help the patient to project his natural personality and to develop an
      acceptable level of self-sufficiency even during this time of physical
      restriction.

PMID- 10248758
TI  - Federal union-management relations: a longitudinal study.

PMID- 10248759
TI  - A stochastic model for predicting discharges: applications for achieving
      occupancy goals in hospitals.

PMID- 10248760
TI  - Effects of governmental health policies in determining the size of a hospital at
      Chinle in the Navajo Indian Reservation.

PMID- 10248761
TI  - Solar heating/cooling systems.

PMID- 10248762
TI  - Personal health care or preventive care: distributing scarce medical resources.

PMID- 10248763
TI  - Convincing a hospital that rental is best.

PMID- 10248764
TI  - Hospital service guidelines.

PMID- 10248765
TI  - The devastating costs of professional burnout.

PMID- 10248766
TI  - Simulations in therapeutic recreation training programs.

PMID- 10248767
TI  - Emergency care of the future: trauma centers.

PMID- 10248768
TI  - Educators in action: two-day health fair.

PMID- 10248769
TI  - Buggin' around TSICP: departmental infection control policies.

PMID- 10248770
TI  - Emergency medical services.

PMID- 10248771
TI  - Tips for dealing with the radiation accident victim.

PMID- 10248772
TI  - Is there life after high school? Tracking system helps to guide students' career
      paths.

PMID- 10248773
TI  - Psychiatric emergencies: a new demand on the hospital.

PMID- 10248774
TI  - A penny saved: emergency room personnel--a referral network.

PMID- 10248775
TI  - Conference on health planning and development.

PMID- 10248776
TI  - Designing the ideal emergency room.

PMID- 10248777
TI  - Providing emergency services in the small or rural hospital.

PMID- 10248778
TI  - Hurricane watch: how Spohn Hospital prepared for the big one.

PMID- 10248779
TI  - Heat wave.

PMID- 10248780
TI  - Emergency rooms: duty to render emergency care.

PMID- 10248781
TI  - Coping with the capital shortage.
AB  - A growing capital shortage problem is affecting the long-range financial
      viability of hospitals. Trustees can ensure their hospital's future financial
      viability by asking key questions and by participating in the development of a
      long-range financial plan.

PMID- 10248782
TI  - Government moves to tighten capital investment.
AB  - In recent years, programs designed to control hospital capital investment have
      become a highly visible aspect of federal health policy. This article describes
      federal efforts to limit capital expenditures; describes the effect on hospitals
      of such capital limitation policies; and suggests how hospitals can deal with
      them.

PMID- 10248783
TI  - Capital financing in an uncertain future.
AB  - A critical test of the hospital's ability to survive will be its ability to raise
      capital in private debt markets as traditional funding sources (philanthropy and
      government) continue to shrink. This article assesses the impact of inflation and
      recession on hospital capital financing and investment, describes what a
      commercial banker looks for in evaluating a hospital's ability to borrow, and
      suggests a role for trustees in meeting the hospital's capital needs.

PMID- 10248784
TI  - How the rating agencies size up your hospital.
AB  - Analysts from Standard & Poor's Corporation and Moody's Investors Service, Inc.,
      discuss some of the factors they consider in rating hospital bonds.

PMID- 10248785
TI  - Maximize your fund-raising potential.
AB  - Of all the capital financing alternatives, fund raising is the most profitable.
      To be successful fund raisers, hospital trustees should adopt a corporate
      orientation, recognizing that donors, like stockholders, expect a return on their
      investment. Trustees also need to be aware of three aspects of donor psychology
      that are representative of the new emphasis on "return" accountability.

PMID- 10248787
TI  - Who dies of what, where--and why?

PMID- 10248786
TI  - The legal obligations of nurses an R.N- lawyer analyzes ethical dilemma.

PMID- 10248788
TI  - Doctors as entrepreneurs: let the patient beware.

PMID- 10248789
TI  - Major issues in national health policy.

PMID- 10248790
TI  - Study tour of the German Federal Republic: a medical view.

PMID- 10248791
TI  - Study tour of the German Federal Republic--psychiatric institutions: an
      impression.

PMID- 10248792
TI  - Study tour of the German Federal Republic: a nursing view.

PMID- 10248793
TI  - Study tour of the German Federal Republic: an architect's view.

PMID- 10248795
TI  - Study tour of the German Federal Republic: an administrator's diary.

PMID- 10248794
TI  - Study tour of the German Federal Republic financial aspects and the use of EDP in
      hospitals.

PMID- 10248796
TI  - The organisation of hospitals in the People's Republic of China.

PMID- 10248797
TI  - From foundry to medical centre: a new venture in community health.

PMID- 10248798
TI  - Study tour of the German Federal Republic.

PMID- 10248799
TI  - Study tour of the German Federal Republic: general report.

PMID- 10248800
TI  - Some methodological issues concerning comparative hospital-organization studies.
AB  - There are methodological issues associated with using hospital ownership and size
      as determinants of the structure and behaviors of hospitals. Theoretical and
      empirical inconsistencies reported in the literature prompted me to examine the
      relationships between ownership and size for a large sample of general hospitals
      (i.e., hospitals in one domain). The results of my investigation point to the
      advisability of including hospitals with religious affiliations in studies of
      this type. Some of the methodological issues pertinent to hospital-organization
      studies are relevant to other organization research.

PMID- 10248801
TI  - Equal pay for equal work? Of course. But how about equal pay for comparable work?
      Should housepainters make more than nurses?

PMID- 10248802
TI  - Ageism.

PMID- 10248803
TI  - A mini-college for the aging.

PMID- 10248804
TI  - Employee relations for the '80s.

PMID- 10248805
TI  - Systematic measures of ideal nursing homes: planning and research prospects.

PMID- 10248806
TI  - Armenian Women's Welfare Association Nursing Home.

PMID- 10248807
TI  - The nursing manpower issue--an initial inquiry.

PMID- 10248808
TI  - Mental wellness programs in industry: a survey report.

PMID- 10248809
TI  - Altruism and economic behavior: II--private charity and public policy.
AB  - The relative advantages of private charitable organizations as against government
      agencies in achieving efficient redistribution of income and supply of services
      are examined. Central to this discussion is the elasticity of private giving to
      tax concessions and the proportion of donor dollars being absorbed in overhead.
      Recent estimates of these magnitudes are summarized. Of parallel concern is to
      what extent can reliance on altruism by sellers of goods and services serve as a
      substitute for government regulations to enforce standards, prices or product
      disclosures. Finally, the ways in which government can use and encourage private
      charitable impulse to maximize social welfare are examined; of particular
      interest here is the literature surrounding Richard Titmuss' work on blood
      donorship which raises the issue of whether or not extension of markets reduces,
      rather than extends, individual choice. The growing technological complexities of
      society, it is concluded, render the altruistic virtues of trust and
      consideration increasingly valuable-if increasingly rare.

PMID- 10248811
TI  - Hospital chiefs' pay averages $63,058.

PMID- 10248810
TI  - Nation's radiologists at the front in battle between technology and cost
      controls.

PMID- 10248812
TI  - Hospitals should get involved in primary health care.

PMID- 10248813
TI  - The challenge of cost containment.

PMID- 10248814
TI  - The general surgeon's role in an age of specialization.

PMID- 10248816
TI  - Good news and bad about the Federal Trade Commission.

PMID- 10248815
TI  - The changing role of HSAs in surgical practice.

PMID- 10248817
TI  - Report of the Chairman of the Board of Governors.

PMID- 10248818
TI  - The President's reflections on the American College of Surgeons.

PMID- 10248819
TI  - Annual reports from nine surgical specialty boards.

PMID- 10248820
TI  - Report of the Chairman of the Board of Regents.

PMID- 10248821
TI  - Apples and oranges: salary review and performance review.

PMID- 10248822
TI  - Medical devices; procedures for investigational device exemptions--Food and Drug
      Administration. Final rule.
AB  - This rule sets forth the procedures and conditions under which investigations of
      medical devices involving human subjects may be exempt from certain requirements
      of the Federal Food, Drug, and Cosmetic Act, in accordance with the Medical
      Device Amendments of 1976. The rule sets out the procedures to obtain an
      investigational device exemption (IDE); it delineates the responsibilities of
      sponsors, institutional review boards, and clinical investigators with respect to
      clinical investigations of medical devices; and the rule also prescribes informed
      consent requirements and specifies recordkeeping and reporting requirements.

PMID- 10248823
TI  - Department of Health and Human Services Public Health Services. Notification of a
      new system of records: Three Mile Island mental health survey, respondent
      records.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new system of records
      entitled "Three Mile Island Mental Health Survey, Respondent Records,
      HHS/ADAMHA/NIMH." The Disaster Assistance and Emergency Mental Health Section,
      Division of Special Mental Health Programs, National Institute of Mental Health,
      is responsible for the system. The purpose of the system is to enable the
      Government to arrange followup study to the currently-funded research project
      entitled "The Mental Health of Residents Near the Three Mile Island Reactor: A
      Comparative Study of Selected Groups." PHS invites interested persons to submit
      comments on the proposed routine uses on or before November 3, 1980.

PMID- 10248824
TI  - Public Health Service; National Institutes of Health; statement of organization,
      functions, and delegations of authority.

PMID- 10248825
TI  - Public Health Service--Health maintenance organizations; employees' health
      benefits plans. Final regulations.
AB  - This rule amends the Public Health Service regulations by setting forth revised
      requirements for certain employers, States, and political subdivisions of States
      to include in any health benefits plans offered to their employees the option of
      membership in qualified health maintenance organizations (HMOs). These changes
      are made as a result of public comments received on the notice of proposed
      rulemaking (NPRM) published on July 18, 1979. Certain minor technical and
      editorial changes have also been made.

PMID- 10248826
TI  - Public Health Service--Health maintenance organizations; requirements for a
      health maintenance organization. Final regulations.
AB  - This rule amends the Public Health Service regulations by setting forth revised
      requirements for the organization and operation of federally qualified health
      maintenance organizations (HMOs). These amendments are made as a result of (1)
      public comments on the interim regulations published on July 18, 1979, and (2)
      public comments on the notice of proposed rulemaking (NPRM) governing
      relationships between federally qualified HMOs and other parties, also published
      on July 18, 1979.

PMID- 10248827
TI  - Public Health Service--Grants for traineeships in health administration, hospital
      administration, or health policy analysis and planning at public or nonprofit
      private educational institutions other than schools of public health. Final rule.
AB  - This rule sets forth requirements for programs for Grants for Traineeships in
      Health Administration, Hospital Administration, or Health Policy Analysis and
      Planning at Public or Nonprofit Private Educational Institutions Other Than
      Schools of Public Health under Section 749 of the Public Health Service Act (42
      U.S.C 294s).

PMID- 10248828
TI  - Public Health Service-Criteria for designation of health manpower shortage areas.
      Final regulations.
AB  - These regulations set forth the criteria for designation of health manpower
      shortage areas under section 332 of the Public Health Services Act. Entities in
      these areas are eligible to apply for assignment of National Health Service Corps
      Personnel. These areas are also eligible areas for certain loan repayment,
      scholarship, and other Public Health Service programs.

PMID- 10248829
TI  - National guidelines for health planning: Public Health Service, HHS. Notice of
      proposed rulemaking.
AB  - This Notice proposes to add national health planning goals to the National
      Guidelines for Health Planning under section 1501 of the Public Health Service
      Act. These goals concern health status outcomes, disease prevention and health
      promotion and personnel resources and systems of care. They supplement Subparts A
      and C of the Guidelines published as final regulations on March 28, 1978, which
      addressed standards for nine types of health services and facilities. Later
      issuances will provide additional goals and standards.

PMID- 10248830
TI  - Protection of human subjects--Department of Energy. Proposed rule.
AB  - Executive Order 12044 sets forth a program of regulatory reform to be followed by
      all executive departments. One element of that program is periodic review of
      existing regulations. The Department of Energy is committed to review all of its
      existing regulations within five years, on schedule set forth in the Federal
      Register for May 8, 1980, 45 FR 30448. As part of that commitment, the Department
      has reexmained the regulations contained in 10 CFR Part 745. These regulations
      deal with the protection of human subjects in research activities supported by
      the Department. In this notice, we are proposing regulations that will supersede
      the existing requirements. These proposed regulations are intended substantially
      to duplicate the policies and procedures proposed by the Department of Health and
      Human Services on August 14, 1979 (44 FR 47688). The primary responsibility for
      adequate review and approval to protect human subjects of research activities
      sponsored by the Department of Energy is placed on the institution that receives,
      or is accountable to the Department, for the funds awarded.

PMID- 10248831
TI  - Government's nursing home rules--better care or more bureaucracy?
AB  - The government has proposed revised regulations for nursing homes that receive
      medicaid and medicare funds, and the nursing home industry is howling. The new
      rules, they say, are impractical and will cost at least seven times as much as
      the government estimates.

PMID- 10248832
TI  - Reagan's cure for health care ills--keep the government's hands off.
AB  - The trouble with the medical care system, Republicans complain, is too much
      government interference. Beginning next month, the GOP will have a chance to put
      its ideas into practice--to remove "the straitjacket of federal programs," as the
      party's platform put it. That means, among other things, attempts to cut back on
      federal spending, dismantle some programs and encourage competition as a way of
      controlling costs.

PMID- 10248833
TI  - Hospital chains continue to gain strength, but some see significant pullback
      shaping up.

PMID- 10248834
TI  - Workers get cash for high deductible.

PMID- 10248835
TI  - Employers balk at HMO debts.

PMID- 10248836
TI  - Forgiving our debts.

PMID- 10248837
TI  - Pullout threatens N.Y. plan.

PMID- 10248838
TI  - Conversion to SI units in a regional 300 bed hospital and ten associated
      hospitals.

PMID- 10248839
TI  - Safety in electron microscopy and protective glove hazards.

PMID- 10248840
TI  - Muriel Driver Memorial Lecture 1980--Directions for the decade.
AB  - Following an introductory summary of role theory, this paper examines one element
      of professional development -- that of ROLE NEGOTIATION. Research findings as
      outlined which provide evidence of the need for developing role negotiation
      skills within the occupational therapy profession in Canada. The paper describes
      four role strategies which can be used to professional advantage, as therapists
      negotiate their roles. The final emphasis is on the positive professional
      implications of effective role negotiations in the 80's.

PMID- 10248841
TI  - Pastoral health care in Canada: some issues.

PMID- 10248842
TI  - Continuing education for employed clinical engineers: skills required for
      clinical engineering practice.

PMID- 10248843
TI  - Traffic control in central service.

PMID- 10248844
TI  - OR/CS supervisor: a new breed.

PMID- 10248845
TI  - New X-ray machine: the CAT scanner's successor?

PMID- 10248846
TI  - Shared purchasing: 'demand and supply.'.

PMID- 10248847
TI  - An update: training CS workers.

PMID- 10248849
TI  - A multifarious hospital board.

PMID- 10248848
TI  - Medical care insurance vs a national health service: impact on the patterns of
      medical practice.

PMID- 10248850
TI  - Foothills Hospital special services: 20 years of planning.

PMID- 10248851
TI  - Submission to the Health Services Review '79.

PMID- 10248852
TI  - Politics and patient care.

PMID- 10248853
TI  - An effective method for health-care decision making.

PMID- 10248854
TI  - The dilemma of professional associations.

PMID- 10248855
TI  - Project management, construction management and the consultant.

PMID- 10248856
TI  - Protecting the hospital with risk management.

PMID- 10248857
TI  - The St. Thomas solarium: a unique approach to relieving hospital stress.

PMID- 10248858
TI  - Confidentiality: a comparison of state statues.

PMID- 10248859
TI  - Quality assurance for the small hospital.

PMID- 10248860
TI  - Hospital nurse pool: a three-year analysis.

PMID- 10248861
TI  - The 10 commandments: a prescription for progress in 1981.

PMID- 10248862
TI  - So, who cares? Pre-testing hospital brochures.

PMID- 10248863
TI  - BAD news...for hospital costs.

PMID- 10248864
TI  - Medical staff impact on cost containment.

PMID- 10248865
TI  - Use of PRN medications in skilled nursing facilities.
AB  - Many elderly individuals in skilled nursing facilities (SNFs), afflicted with an
      array of acute and chronic diseases, may have as many as 20 different prescribed
      medications administered on a pro re nata (PRN) basis. In this study, 20 SNFs in
      Indiana were inspected. Data on PRN medications were taken from medical charts to
      determine the extent of PRN medication use by the patients. From one to 10 PRN
      medication were prescribed per patient; 47% of the patients had not used any of
      their PRN medications. Further data are needed to justify PRN medication
      prescribing and usage and to decrease the potential for hidden medical costs,
      adverse drug effects, and drug interactions.

PMID- 10248866
TI  - Patient behaviors that promote high blood pressure control.
AB  - The most important issue in hypertension control currently is treatment
      maintenance. This is important to the pharmacist since he or she may have the
      most patient contact. The decision to adhere to a drug regimen ultimately must be
      made by the patient. The patient must make the decision to control blood
      pressure, take the medication as prescribed, monitor his or her progress toward
      blood pressure control, and resolve the problems that block blood pressure
      control. The pharmacist can supply information about high blood pressure and
      emphasize the need for continuing treatment.

PMID- 10248867
TI  - Clinical pharmacy services in a hospital-based home care program.
AB  - The Hospital-Based Home Care (HBHC) Program at the Veterans Administration
      Medical Center in San Francisco, California, is a specialized medical service
      designed to provide comprehensive continuity of care to the veteran patient in
      his or her own home through the use of a multidisciplinary team approach.
      Professional health care services are provided by nurses, dieticians, physical
      therapists, pharmacists, physicians, and social workers. Professional services
      provided by the clinical pharmacists include: the evaluation of prescribed
      medication regimen; product identification; patient counseling and education;
      drug therapy consultant to the HBHC team; and liaison between the HBHC team and
      outpatient pharmacy services.

PMID- 10248868
TI  - Identification of potentially noncompliant patients with a mailed medication
      refill reminder system.
AB  - A medication refill reminder system was evaluated as a tool for identifying
      noncompliant patients. The system anticipates the date that a fully compliant
      patient would be expected to exhaust his or her medication supply and sends
      postcard reminders to all who have not obtained refills by the anticipated date.
      This refill reminder system has been in operation at the Pioneer Medical Center
      since 1973. During a 1-month study period, responses to the postcard reminders
      were monitored closely. Patients failing to respond within 5 days were contacted
      by telephone. The status of each patient's medication supply at the time of the
      pharmacy visit or telephone call was determined. Of 121 anticipated medication
      refill visits, 49 patients were found to have refilled their medications on or
      before the anticipated date. Reminder postcards were mailed to 72 patients.
      Within 5 days, 46 patients responded. Telephone calls were placed to 24 out of 25
      patients. Two types of noncompliant behavior were identified; 34 out of 70
      patients exhausted their medication supply before returning for a refill and 25
      out of 70 patients accumulated a 1- to 30-day excess medication supply because of
      omitted doses. The postcard medication refill reminder system was found to be an
      effective tool for identifying patients who may benefit from compliance
      counseling with the pharmacist.

PMID- 10248870
TI  - ECG system's remote access capability is added step toward technology sharing.

PMID- 10248869
TI  - The pharmacist in the HMO environment.
AB  - Community pharmacists can provide pharmaceutical services to the health
      maintenance organization (HMO) patient on a cost-effective, competitive basis.
      Reimbursement based on usual and customary fees has proven to be an attractive
      method of payment not only to the participating pharmacists, but to the HMO
      administration as well. State pharmaceutical associations can play an integral
      role in developing, administering, and monitoring the pharmaceutical component of
      an HMO. A sharing of the financial risk encourages pharmacists to act as prudent
      purchasers of the drug product to be dispensed to HMO patients.

PMID- 10248871
TI  - Twin cities HMO offers three different plans.

PMID- 10248872
TI  - Government and private groups compromise to control cost of French health care
      benefits.

PMID- 10248873
TI  - Cal. EMs drilling against earthquake day.

PMID- 10248874
TI  - "Free-standing emergency clinics"--is there a responsibility?

PMID- 10248875
TI  - Flying ED ready for any kind of disaster.

PMID- 10248876
TI  - Proven: the value of an emergency preplan.

PMID- 10248877
TI  - Managing the aftermath of rapid EMS growth: what happens when the federal funds
      dry up?

PMID- 10248878
TI  - The 16th EMSS component--money: where and how to raise nongovernmental funding.

PMID- 10248880
TI  - New Britain Emergency Medical Services Foundation, Inc.

PMID- 10248879
TI  - Sources of funding for EMS in rural settings.

PMID- 10248881
TI  - Texas Panhandle EMS system.

PMID- 10248882
TI  - Immediate care of patients after a radiation accident.

PMID- 10248883
TI  - Controlling the trauma scene.

PMID- 10248884
TI  - Stress as related to EMT-P.

PMID- 10248885
TI  - Aspects of paramedic education sties in postsecondary institutions.

PMID- 10248886
TI  - Basic life support skills and a cardiopulmonary resuscitation control system.

PMID- 10248887
TI  - Organizing medical services for large groups in field situations.

PMID- 10248888
TI  - Emergency medical services in industry.

PMID- 10248889
TI  - EMT training: roles, responsibilities, and performance outcomes.

PMID- 10248890
TI  - EMS systems, records, and protocols: keeping score.

PMID- 10248891
TI  - Mental health needs assessment of children and adolescents.

PMID- 10248892
TI  - Evaluating a private foundation's health program.

PMID- 10248893
TI  - Fundamental issues in the practice of dental public health.

PMID- 10248894
TI  - Challenges to the adoption of community water fluoridation.

PMID- 10248895
TI  - Consumer influence on the quality of dental care.

PMID- 10248896
TI  - Alternative oral health service delivery systems.

PMID- 10248897
TI  - Influencing federal, state, and local oral health policies.

PMID- 10248898
TI  - Effective public education for achieving oral health.

PMID- 10248899
TI  - Marketing research in a competitive health care environment.

PMID- 10248900
TI  - Marketing goes to work: how a group leads its program development with
      occupational health.

PMID- 10248901
TI  - Cash management.

PMID- 10248902
TI  - 500 safely evacuated in Montreal hospital fire.

PMID- 10248903
TI  - The 1980-81 contract foodservice report: hospitals and nursing homes.

PMID- 10248904
TI  - Health care.

PMID- 10248905
TI  - Make giving meaningful: key to development success. Interview by Larry Kofsky.
AB  - Starting virtually from scratch in 1975, Berkshire Medical Center has built a
      fund raising success story. In this, the second part of a two-part interview, Mr.
      Davis discusses the hospital's employee giving program, planned gifts, foundation
      and corporate grants and special events.

PMID- 10248906
TI  - The Student Wellness Resource Center: a holistic approach to student health.

PMID- 10248907
TI  - The health activation program: encouraging self care in college students.

PMID- 10248908
TI  - Educational outreach: an experimental evaluation of wellness center involvement
      in classes.

PMID- 10248909
TI  - The lifestyling program: moving toward high level wellness.

PMID- 10248911
TI  - Interview: Renee Fox.

PMID- 10248910
TI  - Perspectives on patients' rights.

PMID- 10248912
TI  - Fallacies and pitfalls of hospital cost containment.

PMID- 10248913
TI  - Controversy still reigns over USFMGs.

PMID- 10248914
TI  - Medical ethics: assessing the dialogue between medicine and philosophy.

PMID- 10248915
TI  - How Mount Sinai saved $7.5 million in manpower costs.

PMID- 10248916
TI  - Management training for nurses: will we ever have it?

PMID- 10248917
TI  - Training the supervisor as systems analyst is easy.

PMID- 10248918
TI  - Product standardization--or how to save nearly $500,000.

PMID- 10248919
TI  - Healthful health management.

PMID- 10248920
TI  - Dealing with nurse dissatisfaction: a management tool that works.

PMID- 10248921
TI  - Making doctors cost-conscious.

PMID- 10248922
TI  - Hospital building: throwing bricks at design.
AB  - It's no comfort to patients and staff at the Dukeries Centre in Central
      Nottinghamshire to know that the spring and early summer of 1980 were the wettest
      for 30 years. The roof of this seven year old maternity unit leaked and the local
      CHC said in its 1980 annual report: 'Rain water started to leak slowly into
      patient areas and has gradually increased into what can only be described as a
      flood. In nursing areas within the unit plastic dustbins and other large
      containers have had to be used to collect large amounts of water coming through
      the roof during rainy weather. This has obviously caused considerable
      inconvenience to both staff and patients and has made the unit more difficult to
      keep clean.' Repairs to the roof, totalling 150,000 pounds, are being carried out
      by the district but not soon enough to stop the water causing deterioration to
      the fabric of wards. The report says: 'It seems to the CHC that something has
      gone wrong with either the design or construction of the roof.' To find out how
      often this sort of problem has occurred in new hospitals over recent years, the
      Journal's Pauline Drummond conducted a survey of structural defects.

PMID- 10248923
TI  - Toilet hygiene: clean round the bend.
AB  - Toilet cleaning is now so complex, writes Geoff Farrell, that it seems a graduate
      in chemistry and biology is the only person likely to make an efficient toilet
      cleaner. Mr. Farrell stresses the need to get in to all the nooks and crannies
      and discusses the dangers of mixing cleaning compounds as though you were pouring
      a Bacardi and Coke.

PMID- 10248924
TI  - Goods handling: tugs, trailers and tractors.
AB  - Ease of handling ought to be a priority in any supply and disposal system. Hazel
      Grayson, senior research officer at the Medical Architecture Research Unit,
      Polytechnic of North London, suggests that even where driver-operated electric
      tow tractors cannot be used, other types of electric pulling device should be
      considered.

PMID- 10248925
TI  - Personnel management: commissioning in Oxford.
AB  - In July this year, the closure of Cowley Road Hospital marked the completion of
      the biggest organisational change in Oxford's hospitals since the Radcliffe
      Infirmary first opened 200 years ago on St Luke's Day in 1770. The staff and
      geriatric patients from Cowley Road moved to the partly vacated infirmary and the
      Churchill Hospital for the purposes of rehabilitation and continuing care. Some
      of the acute beds had already moved to the John Radcliffe for the integration of
      general medicine and geriatric admissions, writes David Charles-Edwards,
      personnel officer, Oxford AHA.

PMID- 10248926
TI  - Health and safety--3: Hazards on hospital roads.
AB  - Problems of road transport in hospitals and health premises are discussed by Mr
      A. Smith, safety liaison officer, Haringey HD, in his continuing series on health
      and safety problems.

PMID- 10248927
TI  - Lewisham bereavement project: death and the life that's left.
AB  - Coping with bereaved relatives is a problem, both emotional and practical, for
      nursing staff. At Lewisham Hospital a scheme was set up bringing in the existing
      volunteer system to support the bereaved. Here, Janet Keyte, sector
      administrator; Bette Meade, voluntary services organiser; and Philip Nye, senior
      nursing officer, give the history of the Lewisham Volunteer Bereavement Project.

PMID- 10248928
TI  - Health and safety--4: don't play with fire.
AB  - Continuing his autumn series of health and safety Mr A. Smith turns his attention
      to fire precautions. He talks about organisation and arrangements which exist in
      hospitals to ensure that all precautions are taken, that staff are trained and
      that the Health and Safety at work Act is observed.

PMID- 10248929
TI  - Management: carrying their own cans.
AB  - The NHS is being urged to collaborate with the private health sector. In spite of
      the presence of many ex-NHS administrators, the approach to management is rather
      different, as Stanley Hill found when he talked to the people concerned with the
      embryonic Cromwell Hospital in London. This brings to a close this first series
      of three articles, but in a few months' time Stanley Hill will be looking at
      three more organizations outside the NHS, and how they are managed.

PMID- 10248930
TI  - Health and safety--8: offices--new laws for old.
AB  - Who actually remembers anything about the Offices, Shops and Railway Premises
      Act? It came into operation in 1964 and was introduced to the NHS by Circular
      HM(64)46. The Health and Safety at Work Act is intended eventually to replace the
      OSRPA together with other earlier safety legislation. A. Smith jogs our memories.

PMID- 10248931
TI  - Prestel: flaws in the indexing tree.
AB  - Viewdata is a generic name for a system that links people to computer-based data
      through an adapted TV set and the telephone. It is expensive; information
      providers can spend hundreds of thousands of pounds a year on information frames
      that still have limited use. In Britain the main system is called Prestel.
      Pauline Drummond examines its relevance for the health service, particularly in
      the light of recent experiments.

PMID- 10248932
TI  - Joint finance--1: ripping the Lambeth canvas.
AB  - Jef Smith, director of social services for Kingston-upon-Thames, has been
      visiting various parts of the country to talk about joint finance with a range of
      local authority and health service practitioners. In the first of three articles
      he reports on issues posed in the London Borough of Lewisham.

PMID- 10248933
TI  - Health and safety--9. foam--the critical two minutes.
AB  - The recently published Home Office report on the Woolworth's fire in Manchester,
      in May 1979, which involved furniture containing polyurethane (PU) foam, must
      inevitably re-open the debate on whether this material should be used for
      hospital mattresses. A. Smith outlines the arguments.

PMID- 10248934
TI  - Companion animals: patients' best friends.

PMID- 10248935
TI  - Hospitals upgrade management training program after they merge.

PMID- 10248936
TI  - Regional group purchasing helps Maine hospitals save food dollars.

PMID- 10248937
TI  - Light bulbs: list price doesn't really count.

PMID- 10248938
TI  - Clinics for occupational medicine help Sweden work safely.

PMID- 10248939
TI  - Training; the key to an effective risk management program.

PMID- 10248940
TI  - Developing a hospital malpractice fund.

PMID- 10248941
TI  - Community health care in the USA: some aspects in South Western Ohio.

PMID- 10248942
TI  - Sharing fairly in the NHS: the effect of imperfect cost data on RAWP.

PMID- 10248943
TI  - Cross boundary flows of patients.

PMID- 10248944
TI  - RAWP: the need for further discussion.

PMID- 10248945
TI  - National and political aspects of closures: can we manage things better?

PMID- 10248946
TI  - How GPs are paid.

PMID- 10248947
TI  - Finding alternatives to regulation.

PMID- 10248948
TI  - Model for a successful governmental affairs program.

PMID- 10248949
TI  - Deregulation update: Colorado launches initiative program.

PMID- 10248950
TI  - Annual report 1979-80: Association of Western Hospitals and AWH Educational &
      Research Foundation.

PMID- 10248951
TI  - Futurism in health care.

PMID- 10248952
TI  - Health care manager's notebook: effective presentations.

PMID- 10248953
TI  - Regulation vs. competition.

PMID- 10248954
TI  - Whittingham Hospital power house scheme.

PMID- 10248955
TI  - A new role for the hospital engineer: the technical administrator.

PMID- 10248956
TI  - Microprocessor techniques in energy conservation.

PMID- 10248957
TI  - Heating control systems for small buildings.

PMID- 10248958
TI  - Medico-technical devices--reporting of accidents.

PMID- 10248959
TI  - Acoustic power measurement of medical ultrasonic probes using a strain gauge
      technique.

PMID- 10248960
TI  - Access to engineering services for maintenance.

PMID- 10248961
TI  - The Institute of Hospital Engineering: Code and rules of conduct and disciplinary
      regulations.

PMID- 10248962
TI  - Air filtration.

PMID- 10248963
TI  - How to overhaul your physician credentialing process.

PMID- 10248964
TI  - Patient-based audit relates condition and drug.

PMID- 10248965
TI  - Limited criteria, follow-up common to successful audits.

PMID- 10248966
TI  - Improved hospital productivity dependent on revised incentives.

PMID- 10248967
TI  - Pope John Paul II: On medical ethics.

PMID- 10248968
TI  - Casa de los Ninos, Tuscon, AZ. Crisis nursery treats abuse victims.

PMID- 10248969
TI  - The sleeping giant stirs: growth in multihospital systems.
AB  - Because their future is interwoven with the Church's broader role, Catholic
      multihospital systems must not grow solely for efficiency's sake. On the
      following pages the authors analyze data showing a direct shift toward a new form
      of health care delivery and suggest that system types, organization structures,
      and objectives should reflect and enhance Gospel values.

PMID- 10248970
TI  - Trustees called to reexamine governance, sponsorship roles.
AB  - The role of Catholic health care trustees includes certain responsibilities that
      arise from the sponsor's nature and relationship to the Church. Sponsors, boards,
      and management must clarify and communicate their expectations of trusteeship.

PMID- 10248971
TI  - Competency and commitment: key to lay CEO's success.
AB  - Because lay administrators will either strengthen or weaken how the sponsoring
      group's philosophy is interpreted, careful recruitment is essential. The
      effective lay CEO is a competent administrator and committed to the sponsoring
      group's goals and objectives.

PMID- 10248972
TI  - Survey indicates increased shared services in Ohio Catholic hospitals.
AB  - Short-term, general hospitals in Ohio report an increase in shared services and
      multiinstitutional arrangements. Cost-saving agreements for shared administrative
      services tend to be more popular than those for clinical services.

PMID- 10248973
TI  - Commitment to family-oriented care demands innovation, sensitivity.
AB  - During the Decade of the Family, Catholic health care facilities should reexamine
      their commitment to family-oriented care. Do admission, treatment, and discharge
      procedures take into account that the patient is one member of a unit? Or do they
      focus solely on the patient as a physically sick individual?

PMID- 10248974
TI  - St. Margaret's Hospital for Women and St. Mary's Home, Boston. Maternity
      hospital's care supports parents, child.
AB  - Family-centered maternity and perinatal care for high-risk mothers and infants is
      a special mission demanding firm commitment from health care personnel. Support
      services in the form of education, social service, psychiatric consultation,
      recreation, and nutrition supplement the full range of maternity-cycle care.

PMID- 10248975
TI  - St. Joseph's Hospital, Milwaukee, WI. Four-day work week improves purchasing
      efficiency.

PMID- 10248976
TI  - Hospital suspends physician in patients' interests.

PMID- 10248977
TI  - Proceedings instituted to withdraw respirator.

PMID- 10248979
TI  - St. Joseph Medical Center, Wichita, KS. Hospital's alternative to Social Security
      boosts employees' pay, local economy.

PMID- 10248978
TI  - Patient alleged lack of informed consent.

PMID- 10248980
TI  - Current trends in nutritional care of inpatients.

PMID- 10248981
TI  - Cost savings in hospital planning using computer simulation.

PMID- 10248982
TI  - Personnel practices and human rights commissions.

PMID- 10248983
TI  - When is a leader also a follower?

PMID- 10248984
TI  - Formulating meaningful standards: a contemporary approach.

PMID- 10248985
TI  - What games do people play in your hospital?

PMID- 10248986
TI  - Expiration dates, sterile or unsterile? That is the question.

PMID- 10248988
TI  - Hospital planning: the contemporary challenge.

PMID- 10248989
TI  - Pharmacy Q's and A's: effective programs for adverse drug reaction and medication
      error reporting.

PMID- 10248987
TI  - Ethylene oxide environmental monitoring--an evaluation of a new and novel ETO
      monitor.

PMID- 10248990
TI  - A hospital-wide qualimetry program.

PMID- 10248991
TI  - Auditing nutritional services for hospitalized patients--an example of peer
      review.

PMID- 10248992
TI  - The role of human service professionals in executive decision making in third
      party organizations.

PMID- 10248993
TI  - Changing expectations for third sector executives.

PMID- 10248994
TI  - New Jersey high court rules attorney retained by malpractice insurer breached
      duty to client physician by settling suit: inherent conflict of interest.

PMID- 10248995
TI  - FDA NPRM would standardize blood labeling to permit inventory automation.

PMID- 10248996
TI  - NRC's new enforcement policy could cost hospitals up to $100,000 for non
      compliance: medical community criticizes regulations' lack of clarity.

PMID- 10248997
TI  - Transfer of Hill-Burton facilities subject to right of recovery: HHS developing
      interim procedures manual.

PMID- 10248998
TI  - Strict employer liability for sex harassment affirmed in final EEOC guidelines.

PMID- 10249000
TI  - ART to RRA: a career path.

PMID- 10248999
TI  - Special feature: Hospitals can diminish potential liability by clarifying
      patients' rights vis-a-vis house staff and students.

PMID- 10249001
TI  - Dual challenge: medical record continuity and availability.

PMID- 10249002
TI  - On the homogeneity of diagnostic related groups (DRGs).

PMID- 10249003
TI  - A research methodology course for senior medical record administration students
      at St. Louis University.

PMID- 10249004
TI  - Word processing eliminates use of outside transcription service.

PMID- 10249005
TI  - Contract transcription services--cost containment decision.

PMID- 10249006
TI  - MRA graduates respond to survey: careers and college preparation.

PMID- 10249007
TI  - Psychiatric records: confidentiality as it relates to release of health
      information.

PMID- 10249008
TI  - The radiation therapy chart: a clinical chart for a radiation therapy center.

PMID- 10249009
TI  - About nurses--some fantasies laid to rest.

PMID- 10249010
TI  - I quit--your rights.

PMID- 10249011
TI  - New DHC to dispel local skepticism.

PMID- 10249012
TI  - Join nursing homes to hospitals?

PMID- 10249013
TI  - OR technicians--who, what, where?

PMID- 10249014
TI  - Emergency care--the state of the art.

PMID- 10249015
TI  - Sharing cuts foodservice costs.

PMID- 10249016
TI  - How and why to use consultants.

PMID- 10249017
TI  - Team care: behavioral science meets medicine.

PMID- 10249018
TI  - Team care: learning to pull together.

PMID- 10249020
TI  - FCIM defines the internist.

PMID- 10249019
TI  - Let's not carry team care too far.

PMID- 10249021
TI  - Recall of health education display materials.

PMID- 10249022
TI  - The emergence of self-help groups.

PMID- 10249023
TI  - Hospice and health policy.
AB  - This article gives a review of the hospice concept of care. The importance of
      caring for the patient and family as one unit for the purpose of addressing needs
      of each, and the specific needs of the dying patient and of his/her family are
      discussed. The alleviation of symptoms and control of pain are of primary
      importance in terminal cases. Throughout the dying process the patient should be
      treated as a unique individual and his fear of isolation and abandonment must be
      overcome by the availability of personal attention. Although the patient receives
      a great deal of attention it is of vital importance to him/her that he/she is
      just as involved in giving as receiving. The family is both an agency and a
      recipient of care. It is the task of hospice care to allow the family to go on
      living. Feelings of anticipatory grief--of which a definition is given--have to
      be reduced; the most difficult time for the family is however when the patient is
      very close to death. It is stressed that real exchange of feelings between family
      and the dying person is of utmost importance for both, and should be encouraged
      by hospice care. The hospice staff should maintain contact with the family and
      close friends after the death of their loved one, to allow them ventilation of
      their feelings.

PMID- 10249024
TI  - Influences of a future corporate health system on medical education.
AB  - Corporate attention to problems in health care delivery has grown over the last
      decade. As this focus by the "purchasers" of medical care increases business and
      industry influence on health policy decisions, significant changes may come about
      in the delivery system, and eventually in medical education. Whether the evolving
      corporate design for health care best serves consumer interests is less clear
      than how the medical profession and medical educators will fare in the next
      twenty years.

PMID- 10249025
TI  - Regional physician supply and graduate medical education.
AB  - This paper examines the relationship between medical students' practice plans and
      residency plans. The paper concludes that most students surveyed knew where they
      wanted to practice and that, unless otherwise constrained, students who knew
      where they wanted to practice tended to apply to programs there. This finding
      suggests that the Weiskotten literature and its apparent policy implications
      should be evaluated critically. In particular, the results call into question the
      rationale for unrestricted subsidies of undergraduate and graduate medical
      education by the states.

PMID- 10249026
TI  - Consumer agendas and health planning priorities: one consumer's perspective.

PMID- 10249027
TI  - Hospital x-ray film: a higher priority for thievery.

PMID- 10249028
TI  - Hospital security and nursing--a cooperative relationship.

PMID- 10249029
TI  - Getting things done--in a simple way.

PMID- 10249030
TI  - Part I--hospital security: a joint endeavor.

PMID- 10249031
TI  - Part II--hospital security: a joint endeavor.

PMID- 10249032
TI  - Is consumer choice and competition in health care the wave of the future?

PMID- 10249033
TI  - Tax-exempt hospital revenue bonds--first-half financing up despite high interest
      rates.

PMID- 10249034
TI  - An approach to cost containment: short-term patient census forecasting models.

PMID- 10249035
TI  - Five misconceptions about hospital finance.

PMID- 10249037
TI  - Touch endorsement protects patients' money, valuables.

PMID- 10249036
TI  - Developing patient charge structures--an eight-step formula.

PMID- 10249038
TI  - Colorado develops innovative master's degree.

PMID- 10249039
TI  - Meeting the challenges involves some risks.

PMID- 10249040
TI  - Payment patterns: charging patients for a late discharge.

PMID- 10249041
TI  - Cooperative planning.

PMID- 10249042
TI  - Answers to questions about management development programs.

PMID- 10249043
TI  - Regionalization among children's hospitals.

PMID- 10249045
TI  - How to keep up with the literature.

PMID- 10249044
TI  - Sharing services: the dynamics of institutional and administrative behavior.

PMID- 10249046
TI  - Use liability experience to focus RM, QA efforts.

PMID- 10249047
TI  - Biohazards control: tips from consultants.

PMID- 10249048
TI  - A blueprint for hospitalwide quality assurance.
AB  - Hospital medical staffs currently are faced with the task of writing a quality
      assurance plan that will meet the requirements of JCAH's new standard for
      integrating quality assurance activities on a hospitalwide basis. The following
      article details the essential components of a written quality assurance plan and
      the special procedural requirements that must be spelled out in the written
      statement.

PMID- 10249049
TI  - Point of law: fathers in the delivery room.

PMID- 10249050
TI  - How self-insurance can offer more for the money.
AB  - The author examines the three services that conventional liability insurance
      carriers offer to hospitals and shows how self-insurance combined with a good
      risk management program may provide these services better and more cost
      effectively.

PMID- 10249051
TI  - Evaluation of antibiotic usage in a pediatric hospital.

PMID- 10249052
TI  - Development of competency standards for quality assurance in clinical
      pharmacokinetics.
AB  - In response to an editorial in Hospital Pharmacy which called for "in-house
      credentialling" of pharmacists engaged in the application of clinical
      pharmacokinetics, a method of introducing quality assurance in pharmacokinetics
      is presented. The evolution of a pharmacokinetic dosing service in which each
      pharmacist is responsible for the provision of dosage recommendations on his/her
      patient care area is discussed, along with the difficulties which had to be
      overcome in order to establish uniform guidelines for our clinical pharmacy staff
      to follow when providing this service. Finally, the establishment of acceptable
      levels of competence, means of obtaining those levels, and methods for the
      determination of competence are presented.

PMID- 10249053
TI  - Comprehensive pharmacy services and their impact on nursing services in a 40-bed
      hospital.

PMID- 10249054
TI  - An automated graphics system.

PMID- 10249055
TI  - 'Heartifacts': a pilot project in nutrition and cardiovascular disease education.

PMID- 10249056
TI  - A regional evaluation of citizen mental health boards.
AB  - This is a report of an evaluation of citizen board functioning in an eighty
      county region. Included in the study were seven county mental health boards, four
      state hospital boards, one community mental health center and four metropolitan
      catchment area boards. Board effectiveness criteria (knowledge of mental health
      legislation, policy-making effectiveness, knowledge of the community and agency
      procedures, organizational effectiveness) are related to demographic and
      ideological profiles for each board. Board effectiveness was measured by the Self
      Diagnosis Guidelines (Institute for Voluntary Organizations, 1977). Board
      ideology was assessed with the Community Mental Health Ideology Scale (Baker &
      Schulberg, 1969). Results indicated that: (1) boards were generally not
      representative of their communities; (2) most boards saw themselves as only
      marginally effective; (3) the low self-ratings of boards were due to deficiencies
      in crucial areas of board responsibility; (4) there were significant differences
      in effectiveness among boards; and (5) board members reported less support for
      community mental health philosophy than some professional groups. Implications of
      the findings for mental health policy and legislation were drawn.

PMID- 10249057
TI  - A statewide assessment of mental health governing board training needs.
AB  - This paper describes a statewide survey assessment of the training needs of
      governing board members and presents a demographic profile of governing board
      presidents. Presidents of the 55 governing boards in a consortium of state
      funded, community-based mental health agencies were mailed questionnaires. They
      were asked to respond in terms of board rather than individual priorities. Forty
      four questionnaires were returned representing 80% of the sample and 57% of all
      governing boards in the state. Seventy-one percent of the respondents were male
      and 55% were executives or managers. Their mean age was 45. Of the 10 needs
      assessment items, the two highest rated pertained to the financing of centers and
      knowledge of mental health legislation. Three areas of need emerged from a factor
      analysis: a board mandate factor, a board organization factor, and a planning and
      evaluation factor. The perceived training needs of the Chicago Metropolitan Area
      and Downstate Illinois were similar. The issue of effective citizen involvement
      vis-a-vis valid representation and appropriate training was discussed.

PMID- 10249058
TI  - Use of consumer feedback in planned change and evaluation activities.
AB  - Consumer feedback about services can be used to reward staff, stimulate improved
      performance, and make the service organization more responsive to consumer needs.
      Carefully collected consumer feedback can be used in a process of organizational
      planned change involving a cycle of problem perception and documentation,
      followed by the choice, implementation, and evaluation of solutions to these
      problems. Presently, consumer feedback is often poorly collected or inadequately
      utilized. Through preparation of concrete items related to manipulable aspects of
      service delivery, use of precoded response categories for items, and use of
      computers for data analysis, high quality consumer feedback can be obtained and
      used to pinpoint service delivery problems, evaluate solutions to problems, and
      evaluate the impact of other service changes and innovations.

PMID- 10249059
TI  - Social implications of deinstitutionalization.
AB  - Attacks on custodialism offered the hope of more humane treatment approaches.
      Mental health planners thought that the costs of state hospital care could be
      reduced by discharging patients into the community. For state governments, this
      involved a shift of costs and responsibility to the federal government. This
      shift was accompanied by an increase in cost-effective planning at both state and
      federal levels. Cost-effective planning uses corporate-style standardization
      techniques to provide precise, measured types of treatment to certain categories
      of patients. Such planning is primarily oriented to balanced ledgers of the
      government budget, rather than meeting specific human needs. The shift in costs
      also increases profits in the private sector. This is most noticeable in the
      nursing and boarding home industry where entrepreneurs derive large returns from
      a newly custodialism mainly funded by government reimbursements. The
      institutional overuse of psychiatric drugs is continued in community programs.
      Cost-effective approaches also involve firing mental health staff and increasing
      the workload of those remaining. Community mental health centers and state
      hospital deinstitutionalization programs have largely failed to meet most of
      their promises such as noninstitutional treatment, more humane care, prevention,
      and rehabilitation. These failures have produced the beginning of a
      delegitimation of the new mental health approaches. This delegitimation is also
      used as part of more general attacks on social services so prevalent in this
      period of economic crisis. This reinforces the reliance on cost-effective plans
      which do not benefit clients. It also poses the danger of increasing the number
      of persons classified as psychological misfit among the marginal underclass. Even
      though this is an unintended effect, it can then be used to deflect onto these
      victims popular resentment against big business and the government. Further, the
      growth of such a misfit group, along with other types of social decay, may prompt
      an increase in the already growing forms of social control psychotechnology such
      as psychosurgery.

PMID- 10249060
TI  - Adolescents in transition: a look at a transitional treatment center.
AB  - This article describes the structure, philosophy, and goals of a high
      expectations halfway house program for adolescents. The Transitional Treatment
      Center (TTC) is a residential treatment program for emotionally disturbed
      adolescents making the transition from institutionalization to independent
      community life. Topics covered are specification of the TTC program objectives,
      methods for monitoring residents' progress towards resocialization and plans for
      future programming.

PMID- 10249061
TI  - Managing executive stress and other related subjects.

PMID- 10249062
TI  - Community approaches to developing health care services.

PMID- 10249063
TI  - Quality of working life in a health maintenance organization: comparison of
      medical and ancillary personnel.

PMID- 10249064
TI  - Managing the ambulatory facility: setting up the information system.

PMID- 10249065
TI  - Development of a comprehensive pediatric ambulatory care program in a community
      hospital.

PMID- 10249066
TI  - Organizing among RNs: has labor found a fertile source?

PMID- 10249067
TI  - Help you. Help us.

PMID- 10249068
TI  - State health planning law.

PMID- 10249069
TI  - Rate of return for nursing homes employing the market method.

PMID- 10249070
TI  - A bridge between nursery school and nursing home.

PMID- 10249071
TI  - Conflict and frustration.

PMID- 10249072
TI  - Evaluation of adult training materials.

PMID- 10249073
TI  - Mechanisms for limiting liability.

PMID- 10249074
TI  - National environmental health planning at the crossroads.

PMID- 10249075
TI  - Wheelchair management: developing a system for long-term care facilities.

PMID- 10249077
TI  - A new campaign of caring for the aging: perspectives and prescriptions.

PMID- 10249076
TI  - Hospice as part of the care continuum in a comprehensive geriatric center.

PMID- 10249078
TI  - Multivariate analysis of health care services utilization among older Texans.

PMID- 10249079
TI  - Community based health care: a model for the institutionalization of social
      change.

PMID- 10249081
TI  - Managers of professional departments in teaching hospitals: a study of
      satisfaction.

PMID- 10249080
TI  - Human service delivery policy-making in American cities. The case of genetic
      disease trait-testing programs.

PMID- 10249082
TI  - The EEOC's foray into sexual harassment: interpreting the new guidelines for
      employer liability.

PMID- 10249083
TI  - Business office productivity: a practical program for improvement.

PMID- 10249084
TI  - Business office productivity: a practical program for improvement.

PMID- 10249085
TI  - Age and you.

PMID- 10249086
TI  - How do you handle patient billing disputes or patients questioning why your
      charges are so high?

PMID- 10249087
TI  - The nursing home visitor: who, when, where and for how long?

PMID- 10249089
TI  - When grandma moves in.

PMID- 10249088
TI  - Life satisfaction among middle-aged adults: a research note.

PMID- 10249090
TI  - A study of the alienation of male and female nursing home patients.

PMID- 10249091
TI  - Empathic understanding: an important skill for those who work with older adults.

PMID- 10249092
TI  - The elderly: a holistic glimpse.

PMID- 10249093
TI  - Employee termination: proceed with care.

PMID- 10249094
TI  - Health care coverage and costs: a major challenge for innovative managers.

PMID- 10249095
TI  - Medical malpractice in Canada.

PMID- 10249096
TI  - Jehovah's Witnesses and child protection legislation: the right to refuse medical
      consent.

PMID- 10249097
TI  - Consent of incompetents (minors and the mentally ill) to medical treatment.

PMID- 10249098
TI  - Liability of custodial institutions for torts of patient-inmates.

PMID- 10249099
TI  - Negligence and the pharmacist.

PMID- 10249100
TI  - The case of Tim Crawford: mental health legislation five years later.

PMID- 10249101
TI  - Family physician: for whom the legal bells toll.

PMID- 10249102
TI  - Abortion.

PMID- 10249104
TI  - Vice-president brings financial stability to once-foundering laundry operation.

PMID- 10249103
TI  - Merger of Milwaukee hospitals yields linen processing savings.

PMID- 10249105
TI  - Dallas hospital linen director resigns due to lack of concern over theft.

PMID- 10249106
TI  - Role of executive housekeeper will keep growing, says Chavis.

PMID- 10249107
TI  - First independent central laundry in British Columbia, Canada opens.

PMID- 10249108
TI  - Employee performance problems: what a laundry manager can do.

PMID- 10249110
TI  - Group practice: a concept in crisis.

PMID- 10249109
TI  - Health for all by the year 2000.

PMID- 10249111
TI  - What should you do when a union knocks on your door?

PMID- 10249112
TI  - Dynamic changes in medical group organizational structure.

PMID- 10249113
TI  - The Tucson Clinic, P.C.

PMID- 10249114
TI  - Group practice accounting principles.

PMID- 10249115
TI  - Doctor/manager relations.

PMID- 10249116
TI  - Here's the malpractice hit list for the'80s.

PMID- 10249117
TI  - "Convenience clinics": your newest rival for patients?

PMID- 10249118
TI  - When primary doctors run the whole show.

PMID- 10249119
TI  - Capitation for pharmacy services: rationale, findings, and future plans.

PMID- 10249120
TI  - Capitation payment for pharmacy services: are we ready?

PMID- 10249121
TI  - Pharmacy services: achieving equitable reimbursement.

PMID- 10249122
TI  - Capitation reimbursement for pharmacy services: a dissenting view.

PMID- 10249123
TI  - Third-party reimbursement: new concepts and contemporary issues.

PMID- 10249125
TI  - The case against medical licensing.

PMID- 10249124
TI  - Hospitals in trouble. Crisis for doctors?

PMID- 10249126
TI  - Hospital corporate liability: the trend continues.

PMID- 10249127
TI  - The open society and its enemies: growing professional secrecy in Massachusetts.

PMID- 10249128
TI  - The case for medical licensure.

PMID- 10249129
TI  - Reproductive freedom and the prevention of birth defects: a new and developing
      standard of medical care.

PMID- 10249130
TI  - Patients' rights to confidentiality.

PMID- 10249131
TI  - Let's keep caring, curing, quality, cost in proper perspective.

PMID- 10249132
TI  - Home care furthers oncology patient rights.

PMID- 10249133
TI  - Patient-centered care facilitates more personal contact.

PMID- 10249134
TI  - The right of the patient to the best of caring.

PMID- 10249135
TI  - Diving chamber treatment saves boy's life.

PMID- 10249136
TI  - Access into mainstream health care: a ten-year retrospective.

PMID- 10249137
TI  - Patient representatives assure hospital accountability.

PMID- 10249138
TI  - Hospitals must improve professional communication between M.D., nurse.

PMID- 10249139
TI  - Medical graduate cutbacks could spur resident, physician services.

PMID- 10249140
TI  - Housekeeping supply costs rise 25%.

PMID- 10249141
TI  - Committed volume purchasing saves Texas group 7% to 39% on food costs.

PMID- 10249142
TI  - Hospitals often underestimate HIS costs, overestimate system savings.

PMID- 10249143
TI  - Shaky lifecare center put up for sale.

PMID- 10249144
TI  - Hospital bond issue design ensures corporate restructuring freedom.

PMID- 10249145
TI  - Reputation as well as cost figure in choosing a feasibility study firm.

PMID- 10249146
TI  - Hospitals use industrial warehouse techniques to process supplies.

PMID- 10249147
TI  - Survival strategy: play the acquisition game.

PMID- 10249148
TI  - Nonprofit hospital groups make a move on investor-owned systems.

PMID- 10249149
TI  - Planning: OMB rule delay allows time to apply for aid.

PMID- 10249150
TI  - New leadership needed to mesh regulatory, planning strategies.

PMID- 10249151
TI  - Hospitals mildly optimistic about wins by Reagan and conservatives.

PMID- 10249152
TI  - Purchase groups leave Hospital Bureau Inc.

PMID- 10249154
TI  - Old GOP names and faces hitch back to Washington with Reagan.

PMID- 10249153
TI  - Revenue shortfall forces AHA to trim staff 11%.

PMID- 10249155
TI  - CON regs hand HSAs a 'loaded gun'.

PMID- 10249156
TI  - M.D. surplus--a dream, or letdown?

PMID- 10249157
TI  - Mexico's national healthcare system growing: may soon cover all citizens.

PMID- 10249158
TI  - Hospitals emphasize guest relations.

PMID- 10249159
TI  - Interest rates surge to new highs.

PMID- 10249160
TI  - Authorities welcome more senior manager proposals.

PMID- 10249161
TI  - Snowed under by regs, hospitals unbundle services.

PMID- 10249162
TI  - Malpractice rates will rise sharply in '81, risk control execs believe.

PMID- 10249163
TI  - 4% of professional liability claims involve electromedical equipment.

PMID- 10249164
TI  - Quality assurance pressures may spur use of epidemiology systems.

PMID- 10249165
TI  - 15% premium cut provides incentives to adhere to risk control program.

PMID- 10249166
TI  - Nursing 'worth' key to shortage.

PMID- 10249167
TI  - Manager education hard to grade.

PMID- 10249168
TI  - For the well-dressed trend-setter: a surgical scrub suit.

PMID- 10249169
TI  - Location and capital spurring proprietary hospital growth.

PMID- 10249170
TI  - One dealer's dilemma: the disappearing doctor.

PMID- 10249171
TI  - British lack purchasing guidelines, says survey.

PMID- 10249172
TI  - For better or worse: hospital costs and health insurance.

PMID- 10249173
TI  - Ensuring adequate rewards for risk.

PMID- 10249174
TI  - Chains lean to specialized outlets in home care market.

PMID- 10249175
TI  - Plaintiffs to Court: 'A very simple case;' AHSC: No VHA member 'obligation' to
      buy.

PMID- 10249176
TI  - Management development secrets.

PMID- 10249177
TI  - Forms management solves problems: saves money.

PMID- 10249178
TI  - The leadership matrix.

PMID- 10249179
TI  - Cyclic scheduling via integer programs with circular ones.
AB  - A fundamental problem of cyclic staffing is to size and schedule a minimum-cost
      workforce so that sufficient workers are on duty during each time period. This
      may be modeled as an integer linear program with a cyclically structured 0-1
      constraint matrix. We identify a large class of such problems for which special
      structure permits the ILP to be solved parametrically as a bounded series of
      network flow problems. Moreover, an alternative solution technique is shown in
      which the continuous-valued LP is solved and the result rounded in a special way
      to yield an optimum solution to the ILP.

PMID- 10249181
TI  - The med ed numbers game: the "GMENAC" panel recommends severe cutbacks.

PMID- 10249180
TI  - Waiting time in a multi-server cutoff-priority gueue, and its application to an
      urban ambulance service.
AB  - We consider a priority queue in steady state with N servers, two classes of
      customers, and a cutoff service discipline. Low priority arrivals are "cut off"
      (refused immediate service) and placed in a queue whenever N1 or more servers are
      busy, in order to keep N-N1 servers free for high priority arrivals. A Poisson
      arrival process for each class, and a common exponential service rate, are
      assumed. Two models are considered: one where high priority customers queue for
      service and one where they are lost if all servers are busy at an arrival epoch.
      Results are obtained for the probability of n servers busy, the expected low
      priority waiting time, and (in the case where high priority customers do not
      queue) the complete low priority waiting time distribution. The results are
      applied to determine the number of ambulances required in an urban fleet which
      serves both emergency calls and low priority patients transfers.

PMID- 10249182
TI  - Life support: a three-way conflict.

PMID- 10249183
TI  - SI: past, present, and future.

PMID- 10249184
TI  - Shortage of pathologists in Canada: crisis or just a serious problem?

PMID- 10249185
TI  - Patient comprehension profiles: recent findings and strategies.
AB  - Poor comprehension of instructions is a major cause of failure to achieve desired
      results in patient education. Tests to measure comprehension levels of patients
      and formulas to predict readability levels of materials can effectively determine
      gaps between instruction and comprehension. Strategies, many of which require a
      minimum amount of additional effort, can be applied to eliminate gaps and thereby
      achieve a better quality of care through educational programs.

PMID- 10249186
TI  - A perinatal group in family practice.
AB  - Pregnancy is a time of natural stress that can have a marked effect on the
      relationship of the expectant parents and, subsequently, on the child. A group
      was formed to provide emotional support for the women and to involve the husbands
      in the process. By offering this service in a family practice residency program,
      it not only has a beneficial effect on the outcome of the pregnancy but also
      gives family practice residents a valuable learning experience.

PMID- 10249187
TI  - Expected and actual knowledge of hospital patients.

PMID- 10249188
TI  - Counselling needs of women with a maternal history of breast cancer.
AB  - Thirty-nine women with a maternal history of breast cancer were interviewed to
      determine their needs, concerns, and health practices pertaining to breast
      cancer. Each said they had been profoundly affected by their mother's illness.
      Many had feelings of guilt and anxiety, which had arisen after the diagnosis of
      their mother's breast cancer. Although most subjects (79%) practiced breast self
      examination (BSE), both examiners and nonexaminers felt that their emotional
      reactions to breast cancer might keep them from performing an adequate
      examination. Subjects sought frequent breast examinations from a health
      professional--59% had two or more examinations a year--and found they helped to
      relieve anxiety. Most of the subjects (82%) though their risk of breast cancer
      was increased because of their maternal history of breast cancer. They were also
      concerned about the effects of birth control pills, radiation, and other factors
      on their breast cancer risk. Although subjects were concerned about risk, they
      had only vague, and sometimes incorrect, information about the magnitude of the
      risk. Based on these findings, we suggest that, beginning at the time of their
      mother's diagnosis, women whose mothers have breast cancer would benefit from
      ongoing counseling on emotional issues from a service that provides information
      and counselling about breast cancer risk, from receiving instruction in BSE and
      from having regularly scheduled examinations from a health care professional.

PMID- 10249189
TI  - Long-term effects of empathy training on the interview skills of medical
      students.
AB  - A study examining the effects of empathy training, three years after completion
      of the program, is reported. The results indicate that, while the students'
      ability to empathize declines significantly with time, their level of skill is
      still higher than that of students who receives no training and are at a
      comparable stage in their medical education. The findings provide further support
      for requiring a continuing emphasis on training undergraduates in communication
      skills throughout their medical curriculum.

PMID- 10249190
TI  - Reducing preoperative anxiety in children: information versus emotional support.
AB  - Many different programs are now being used to help children cope with the
      emotional trauma of hospitalization. This paper presents the results of a study
      that explored the relative effectiveness of the major components in these
      programs. Comprehensive intervention, which incorporates both emotional support
      and information about hospitalization, was found to be the most effective program
      in reducing preoperative anxiety. An intervention that consists only of emotional
      support was also found to be capable of reducing anxiety. Application of these
      findings to the care of hospitalized children and the design of future research
      methodologies are examined.

PMID- 10249191
TI  - Intervention to improve compliance with pediatric anticonvulsant therapy.
AB  - Daily anticonvulsant drug therapy is the major treatment of seizure disorders.
      Compliance with the prescribed therapy is essential but not always achieved.
      Among 201 pediatric seizure clinic patients taking phenobarbital and phenytoin,
      70 (35%) were judged noncompliant on at least one medication. The mothers of
      these patients were randomly assigned to experimental or control groups. An
      educational intervention in the form of a mothers' group discussion led by the
      clinic social worker was tested. On follow-up, medication compliance in the
      intervention group was judged significantly greater than that of the control
      group.

PMID- 10249192
TI  - Parents' evaluations of genetic counselling.
AB  - Genetic counseling represents a new and important health service, but little is
      known about how the clients of genetic clinics actually experience and view the
      genetic counseling process. This paper reports on the evaluations made by clients
      of a genetics clinic and their recommendations for ways to improve and expand
      this service. In their comments, clients stressed the need for more time and
      individual attention from genetic counsellors, additional follow-up and
      supportive counselling, and increased efforts to educate the general public about
      birth defects. Their recommendations are discussed in terms of the implications
      for developing and improving genetic counselling services.

PMID- 10249193
TI  - Structured interviewing: avoiding selection problems.
AB  - In place of the old-fashioned, casual interview, which is unreliable and
      occasionally invalid in the context of EEO and affirmative action developments,
      the authors propose the adoption of structured interviewing for job selection.
      They contend that objective testing--oral, written and physical--would be more
      reliable, avoid the labyrinth of EEO, and ultimately yield better candidates for
      the jobs offered.

PMID- 10249194
TI  - Interpreting the new sexual harassment guidelines.

PMID- 10249195
TI  - Career development: some questions and tentative answers--a future-oriented look
      at our methods of job enrichment.
AB  - More and more employees are determining their own future within their work--a
      trend likely to pick up during the '80s.

PMID- 10249196
TI  - Developing a career guidance program through the job family concept.
AB  - This addition to career pathing helps employees better understand themselves by
      probing the psychological characteristics of jobs and matching them to employee
      expectations.

PMID- 10249197
TI  - An account of the proceedings in a Title VII pay discrimination case: Lemons
      versus the City and County of Denver.

PMID- 10249198
TI  - A 25-year trend: what chief pharmacists think about detailmen.

PMID- 10249199
TI  - Employment patterns and related opinions: a survey of physical therapists.
AB  - Physical therapy educators require specific information about the number of
      graduates who remain in the profession and about their opinions related to
      undergraduate training and their postgraduate requirements. A mail questionnaire
      survey of physical therapists who graduated from an Ontario university's physical
      therapy program between 1969 and 1978 was conducted to determine: occupational
      patterns, satisfaction with undergraduate preparation for employment, interest in
      graduate studies and, if the graduate was unemployed at that time, the need for
      re-entry preparation for employment. With one follow-up mailing to non
      respondents, a response rate of 93.4 per cent was obtained. Of the 141
      respondents, 110 were working full-time and 15 were working part-time in physical
      therapy. Eighty-eight per cent of employed physical therapy graduates agreed that
      their education had prepared them sufficiently for employment. Fifty-three per
      cent of the graduates indicated that they would like to pursue an area of
      clinical specialization through graduate study. It is concluded that the
      graduates of the program under study believe that they have been well prepared
      for employment; not only do they maintain a clinical interest in the profession,
      but they aspire to personal and professional advancement through graduate
      studies.

PMID- 10249200
TI  - Functional value analysis of a physiotherapy department.
AB  - In these days of rising health care expenditures and public demand for
      physiotherapy services, physiotherapy managers are faced with many decisions
      regarding demands for services which run counter to budgetary limitations. This
      paper presents a new methodology -- Functional Value Analysis (FVA) -- which the
      physiotherapy department manager can use as one solution to his problem of
      continuing the provision of services while under financial constraints.
      Functional Value Analysis is a process that can be used to analyze and determine
      the cost of various activities that occur in a physiotherapy department. This
      process can also be used to generate cost-saving ideas and to priorize them. The
      Task Force Committee of a Manitoban hospital wanted cost-saving ideas, for 30 per
      cent of its budget, documented. Therefore, the physiotherapy department, along
      with other professional service departments at the hospital, undertook such an
      FVA study in October of 1978. Out of the physiotherapy departments annual budget
      of $615,960, the department was able to document cost-saving ideas of $267,346.
      Functional Value Analysis is one tool for a department manager's use which can
      reduce costs in an organized logical manner.

PMID- 10249201
TI  - Physiotherapy into the 80's.
AB  - During the 80's, physiotherapists will have to deal with many important issues
      such as effective legislation; the basic educational requirement for CPA
      membership; changes in the code of ethics; accreditation of educational and
      clinical programs; and standards for quality of care. The greatest challenge for
      physiotherapists may, however, lie in provision of cost-effective treatment. As
      governments shift from bedded to non-bedded services, the opportunities for
      physiotherapists to provide outpatient services may lie in increased private
      practice operations and the expanded services of community health centres, home
      care unit, and mobile clinics traveling to remote rural communities. Increasing
      demands by government and consumer groups for quality control of services
      provided will create a need for clinical research, to make certain that
      treatments are effective. Physiotherapists must continue to ensure that increases
      in the profession's basic educational requirement, body of knowledge, level of
      specialization, leadership development, resources, and status in the health team
      are adequate to meet the future expectations of the public sector. The problems
      facing physiotherapists in the '80s revolve around their credibility--as a
      professional groups, as clinicians and researchers in a specific field, and as
      members of a helping profession.

PMID- 10249202
TI  - The doctor-physiotherapist relationship: the physiotherapists' perspective.
AB  - A study of the professional relationship between physicians and physiotherapists,
      as perceived by physiotherapists, was undertaken. An analysis of the replies of a
      sample of physiotherapists to 20 closed-ended questions is presented in the
      context of the controversy about the proper relationship between medicine and
      physiotherapy. The data reveal that physiotherapists wish to strengthen their
      bond with physicians, but are not satisfied with the performance of doctors as
      team leaders, consultants, and resource personnel. It is possible, the data
      suggest, that the physician may not be the best qualified to act as team leader
      in every situation, for every aspect of medical treatment, for the care of every
      patient.

PMID- 10249203
TI  - New approach to finances at mental health center.

PMID- 10249204
TI  - Ethnicity and clinical care: Indians.

PMID- 10249205
TI  - HMO in Congress' backyard is bailed out.

PMID- 10249206
TI  - The ambulatory care survey at the University of Washington.

PMID- 10249207
TI  - Training middle management in cost containment techniques: a federally funded
      program.

PMID- 10249208
TI  - The graduate program in health administration at Duke University: financial
      alternatives.

PMID- 10249209
TI  - The master of health administration program at Loma Linda University.

PMID- 10249210
TI  - The health services administration program at Quinnipiac College.

PMID- 10249211
TI  - The Center for Health Services Research at the University of Washington.

PMID- 10249212
TI  - A systems approach to administrative preceptorship for undergraduate health
      administration students.

PMID- 10249213
TI  - "Blues" cut federal employees' benefits.

PMID- 10249214
TI  - Objective equipment selection and performance evaluation.

PMID- 10249215
TI  - Radiology management in the 1980's: are you prepared?

PMID- 10249216
TI  - Equipment specifications and performance standards: Education Committee, Midwest
      Region--AHRA.

PMID- 10249217
TI  - Format for comparing equipment specifications.

PMID- 10249218
TI  - Equipment specifications and performance standards for equipment pertaining to
      the nuclear medicine department.

PMID- 10249219
TI  - How long has it been since you reviewed your silver recovery contract?

PMID- 10249220
TI  - A radiology management information system designed to assist a new management
      team.

PMID- 10249221
TI  - A sample radiology administration job description.

PMID- 10249222
TI  - Legal forum: our radiology department is considering purchasing some new
      equipment.

PMID- 10249223
TI  - The impact of regimentation on radiology departments.

PMID- 10249224
TI  - Big government and hospital care: prescription for disaster.

PMID- 10249225
TI  - The hospital industry's new vulnerability to antitrust.

PMID- 10249226
TI  - Coping with the 1980s.

PMID- 10249227
TI  - Utilization of alternate staff patterns as a cost-effective measure.

PMID- 10249228
TI  - Variable staffing.

PMID- 10249229
TI  - Working meetings that work.

PMID- 10249230
TI  - Interviewing: maximizing results.

PMID- 10249231
TI  - Competency by any other name: external degree programs.

PMID- 10249232
TI  - Blues aid in hospital energy conservation.

PMID- 10249233
TI  - Hospital addicts: fakers who fool doctors.

PMID- 10249234
TI  - Formal and informal care: discontinuities in a continuum.
AB  - Informal caregiving by family, friends, neighbors, and self-help groups is being
      given greater attention as human-service policy seeks to establish a continuum of
      care knitting together professional efforts and informal helping. However, there
      are many contradictions in assumptions and perspectives about who should handle
      problems and in what way. Alternative modes of interaction are outlined to
      indicate the variety of relationships that have developed in response to
      differences in assumptions about care. Collaboration between formal and informal
      helping efforts requires that the informal sector be able to influence
      professional and organizational expectations regarding responsibility, authority,
      and credibility.

PMID- 10249235
TI  - The perfect hospital...meeting M/E design parameters.

PMID- 10249236
TI  - Volunteer chaplains: a spiritual resource for Southlake patients.

PMID- 10249237
TI  - Mental health center strives for quick return to community.

PMID- 10249238
TI  - Don't overlook profit when you're considering cost containment.

PMID- 10249239
TI  - Bringing medical care to underserved and boosting patient occupancy rate.

PMID- 10249240
TI  - LIFE: putting physicians in touch with physicians.

PMID- 10249241
TI  - Hospital risk management coming into its own.

PMID- 10249242
TI  - SAVE in the Carolinas: new system helps contain supply costs.

PMID- 10249243
TI  - Helping ourselves: the limits and potential of self-help.

PMID- 10249244
TI  - Hospital laundries should pay tax.

PMID- 10249245
TI  - The voluntary effort: facing a decade of decision.

PMID- 10249246
TI  - Beyond cost containment.

PMID- 10249247
TI  - Remedies for curing the "convenience shopper".

PMID- 10249248
TI  - Improved cash flow: a cost containment tool.

PMID- 10249249
TI  - Peer review...a part of the solution?

PMID- 10249250
TI  - MONITREND: a management tool to contain costs.

PMID- 10249251
TI  - Federal influence on medical technology.

PMID- 10249253
TI  - Can the consumer control health care costs?

PMID- 10249252
TI  - Product evaluation: a must for the cost-effective hospital.

PMID- 10249254
TI  - Emergency room: hospital liability for physician negligence.

PMID- 10249255
TI  - Recruitment and placement service working to fill manpower needs in Texas.

PMID- 10249256
TI  - Opportunities for energy conservation.

PMID- 10249257
TI  - Alternatives to new construction.

PMID- 10249258
TI  - Flexible phasing: a must for long-term construction projects.

PMID- 10249259
TI  - The role of the investment banker in construction financing.

PMID- 10249260
TI  - Planning an approach for Q.A. evaluation.

PMID- 10249261
TI  - Managing contractors and construction projects.

PMID- 10249262
TI  - Definition of death: an emerging consensus.

PMID- 10249263
TI  - Informed consent in human experimentation: the scientist's responsibility--the
      subject's right.

PMID- 10249264
TI  - Nursing 1980: new responsibility, new liability.

PMID- 10249266
TI  - Trustee development program: productivity and the hospital board.

PMID- 10249265
TI  - Massachusetts hospitals use trustees to defeat rate rules.

PMID- 10249267
TI  - Tax decisions bring good and bad news for hospitals.
AB  - Three recent court decisions denying tax exemptions to shared hospital laundry
      service organizations should dispel the belief that tax exemptions will
      automatically be granted to shared service organizations. Two other decisions on
      the sale of goods and services to persons other than hospitals suggest that the
      IRS is moving toward a position that accepts certain services as indigenous to
      the exempt functions of a modern community hospital.

PMID- 10249268
TI  - Managing your hospital's investments.
AB  - If the board exercises control in investment management, trustees can balance
      conflicting demands between current cash needs and their fiduciary obligation to
      preserve capital. Appropriate organization, establishment of investment goals,
      and implementation of procedures to monitor investment performance all are
      necessary elements of control.

PMID- 10249269
TI  - Restructuring: a responsible alternative to hospital closure.
AB  - For hospital boards faced with falling occupancy, restructuring the hospital and
      the health services system in which it functions may be the best way to ensure
      that the community continues to have access to needed services. This article
      outlines the more important aspects to be considered in any restructuring of
      health care services.

PMID- 10249270
TI  - Leadership is the trustee's first duty.
AB  - The essence of leadership is in keeping alive that spirit in an organization that
      spurs it to uncommon accomplishment. Four attributes of leadership--competence,
      concern, spokesmanship, and character--are most important to the successful
      management of institutions.

PMID- 10249271
TI  - How to meet the new demands in ambulatory care.
AB  - Faced with increasing pressures to become more competitive, many hospitals are
      rethinking their ambulatory care services. This article suggests considerations
      that should be addressed in the organization and design of ambulatory care
      services and outlines a plan of action for boards and administrations wishing to
      expand their involvement in ambulatory care.

PMID- 10249272
TI  - Sanitizing: an important job for nursing homes.

PMID- 10249273
TI  - 'Friend to Friend' brings non-family visitors to nursing home patients.

PMID- 10249274
TI  - St. Joseph's Manor: a self-contained community for the elderly.

PMID- 10249275
TI  - Child care succeeds among the elderly.

PMID- 10249277
TI  - DoD selects former liner as hospital for new 'RDF'.

PMID- 10249276
TI  - Greenwich Village spirit embodied in the village nursing home.

PMID- 10249278
TI  - For some New York elderly, volunteers fill gaps in service.

PMID- 10249279
TI  - They also serve who hold a hand and wait.

PMID- 10249280
TI  - Fresh air, sunshine, flowers combat doldrums, aid in rehab.

PMID- 10249281
TI  - Student volunteers in mental health: their presence teaches.

PMID- 10249282
TI  - Are subsidized employees volunteers? Certainly not!

PMID- 10249283
TI  - Involvement of 3-5 year old children as volunteers.

PMID- 10249284
TI  - "The crisis in health care for the poor.

PMID- 10249285
TI  - Community support systems and urban mental health.
AB  - The many social systems of which individuals are members have an important role
      in promoting and restoring mental health. Pilot projects have shown that
      "natural" support systems in communities can collaborate with mental health
      professionals in programs designed to promote mental health in communities.
      Government plans for community support systems for deinstitutionalized
      psychiatric patients have been very inadequate and have largely ignored natural
      support systems. Planners and providers should take advantage of the considerable
      resources for support which already exist in urban communities.

PMID- 10249287
TI  - Student insights into a home health service.

PMID- 10249286
TI  - The nursing home: a base for alternates of care programs.

PMID- 10249288
TI  - Cardiac rehabilitation techniques in an educational therapy program.

PMID- 10249289
TI  - Manual arts therapy in cardiac rehabilitation.

PMID- 10249290
TI  - A corrective therapy program in cardiac rehabilitation.

PMID- 10249291
TI  - Occupational therapy in cardiac rehabilitation.

PMID- 10249292
TI  - Physical therapy in cardiac rehabilitation.

PMID- 10249293
TI  - Emergicenters' challenge traditional paths of care.

PMID- 10249295
TI  - What's happening to American integrity?

PMID- 10249294
TI  - Experts discuss investment potential.

PMID- 10249296
TI  - Q. Can physicians and businessmen work together on problems of health care
      delivery? A. In Birmingham, Alabama, the answer is yes.

PMID- 10249297
TI  - Design crucial to Canadian central.

PMID- 10249298
TI  - Why health care is a costly disgrace.

PMID- 10249299
TI  - The mysteries of employee pricing solved.

PMID- 10249300
TI  - How breakable is the chain of command?

PMID- 10249301
TI  - A primer on implementing job redesign.

PMID- 10249302
TI  - A plea for our doctors.

PMID- 10249303
TI  - Public Health Service--Privacy Act of 1974. Notification of new system of
      records: "clinical research; records of subjects in intramural research,
      epidemiology, demography, and biometry studies on aging.".
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to adopt a new system of records.
      "Clinical Research: Records of Subjects in Intramural Research, Epidemiology,
      Demography, and Biometry Studies on Aging." DHHS/NIH/NIA, 09-25-0142. These
      records will be used to accomplish scientific research conducted by intramural
      scientists employed by the National Institute on Aging (NIA), and by hospitals,
      universities, research centers and research foundation under contract with NIA.
      These research activities aim at determining the health status of individuals and
      changes in health status over time, the incidence and prevalence of certain
      diseases and problems of the aged in certain populations, and changes that take
      place as the individuals age who are under study.

PMID- 10249304
TI  - Additional standards for human blood and blood products, source plasma (human);
      amendment of storage temperature requirements: Food and Drug Administration,
      Final rule.
AB  - The Food and Drug Administration (FDA) is amending the storage temperature
      requirements for Source Plasma ((Human) intended for manufacture into injectable
      products. This change permits an inadvertent exposure of the product to an
      episode of storage temperature fluctuation between -20 degrees and -5 degrees C
      for no more than 72 hours without requiring relabeling of the frozen product from
      "Source Plasma (Human)" to "Source Plasma (Human) Salvaged." Data submitted to
      the agency demonstrate the satisfactory recovery of clotting factor concentrates
      from the plasma despite the temporary elevation of storage temperature.

PMID- 10249305
TI  - More medical specialists are setting up practice in smaller towns, study shows.

PMID- 10249306
TI  - More public hospitals are sold to firms despite objections from poor and aged.

PMID- 10249307
TI  - Law reform survey--Part 7. Explaining the risks.

PMID- 10249308
TI  - How much to tell the patient.

PMID- 10249309
TI  - An occupational therapy program with the chronic care patient.
AB  - The following is an example of what the occupational therapists at the Allan
      Memorial Institute in Montreal have done to accommodate the changing psychiatric
      population at the hospital. Over the past few years it seemed that certain of our
      programmes, being too high level, were no longer suitable for the more chronic
      type patient, being admitted. Thus, a re-examination of attitudes towards
      treatment was necessary as was the establishment of programmes with a different
      orientation. In doing this, the focus changed from former techniques such as
      projective art to a concentration on more reality oriented programmes for this
      group. The two programmes described are examples of this.

PMID- 10249310
TI  - The alternate program; an alternative for chronic care.
AB  - This paper describes a 2 1/2 year pilot project for long term schizophrenic
      patients. It describes the kind of patients involved, the program itself, the
      role of the staff, the results and finally the therapist's reflections working
      with chronic patients for long periods of time.

PMID- 10249312
TI  - Identification of infection problems in intensive care units.

PMID- 10249311
TI  - Medical imaging: the nature of technological change and its impact on the cost
      effectiveness of image recording.

PMID- 10249313
TI  - Isolation techniques in critical care units.

PMID- 10249314
TI  - Prevention and control of infections in specialized areas--viral hepatitis.

PMID- 10249315
TI  - Lower respiratory tract infections.

PMID- 10249316
TI  - Urinary tract infections.

PMID- 10249317
TI  - Infection control considerations in the care of the immunosuppressed patient.

PMID- 10249318
TI  - Coming: help in finding a medigap policy that makes sense.

PMID- 10249319
TI  - Runaway hospital bills: what we can do.

PMID- 10249320
TI  - AHSC denies VHA agreement violates antitrust laws.

PMID- 10249321
TI  - Your best supplier in town: your community hospital.

PMID- 10249322
TI  - 70-bed hospital cuts forms down to size.

PMID- 10249323
TI  - Don't forget the patient!

PMID- 10249324
TI  - What's ahead in the 80's?

PMID- 10249325
TI  - Quality assurance and patient consent.

PMID- 10249326
TI  - Public relations and nurse recruiting.

PMID- 10249327
TI  - CAI tackles health care costs. Interview by Ned Barnett.

PMID- 10249328
TI  - Metamorphosis of a medical center.

PMID- 10249329
TI  - International surgical centers: surgery in Lund, Sweden.

PMID- 10249330
TI  - The 'problem' employee: helping workers cope with personal crises can cut costs.

PMID- 10249331
TI  - Training and education function faces critical choices.
AB  - This article sets forth a framework within which the hospital training and
      education function can assess its current philosophy and subsequent actions. The
      choices that the function makes will determine whether its future orientation
      will be a dynamic or a static one.

PMID- 10249332
TI  - Stress management improves quality of work life.
AB  - The multimodal stress management program discussed in this article was developed
      in a hospital setting. Refined during the past five years, this intensive six
      week course helps employees handle tension on and off the job by teaching them a
      variety of stress reduction techniques.

PMID- 10249333
TI  - Health care educators assume new roles.
AB  - The creation of a health care marketplace in the next few years will force
      hospital-based educators to redefine their responsibilities to the institution as
      a whole. Several experts in the field share their ideas on how educators can
      adapt their function to encompass the new challenge of competition facing
      hospitals today.

PMID- 10249334
TI  - Developing an adverse drug reaction program in nursing homes.
AB  - The study of 826 geriatric nursing home patients was undertaken by a pharmacist
      to determine the incidence of adverse reactions to drugs. A formalized adverse
      drug reaction reporting program was used as the basis for the detection of
      unwanted drug effects. Approximately 27% of patients experienced a moderate to
      severe adverse effect. Five groups of drugs accounted for three-quarters of the
      reactions detected. The majority of these reactions were predictable and
      preventable. Females over the age of 70 on large quantities of drugs were
      significantly more susceptible to experiencing an adverse reaction. Physicians
      implemented 76% of pharmacist initiated recommendations for the treatment of
      adverse effects and were appreciative of increased pharmacy involvement. The
      implementation of such recommendations was felt to have substantially reduced the
      incidence of drug-induced acute hospitalizations. Although the information was
      generated in nursing homes, it may be generalized to other geriatric specialty
      areas such as medical wards and extended care units. Several recommendations are
      provided on how other pharmacists can implement similar clinical services in
      their areas of professional practice.

PMID- 10249335
TI  - California HMO offers optional dental plan.

PMID- 10249336
TI  - Rock concert disaster tests emergency plan.

PMID- 10249337
TI  - Emergency care advertising pays for Nevada unit.

PMID- 10249338
TI  - "Emergency med-phone"--call-in diagnosis cuts hospital patient load.

PMID- 10249339
TI  - University of Nebraska: aircraft fleet enables far-reaching critical care.

PMID- 10249340
TI  - Rooftop heliport aids critical care access.

PMID- 10249341
TI  - Disaster plans set in motion by collision off Florida coast.

PMID- 10249342
TI  - Mercy Hospital ED communicates directly with deaf persons via TTY.

PMID- 10249344
TI  - Oregon nurse designs latest in ED fashions.

PMID- 10249343
TI  - Although Vegas EMS is OK at fire, doubt remains.

PMID- 10249345
TI  - Health care in jails: an evaluation of the American Medical Association's pilot
      projects.
AB  - In 1975 the American Medical Association was awarded a grant by the Law
      Enforcement Assistance Administration to conduct pilot projects to improve the
      quality of health care in jails. The medical societies of six states were
      selected as subgrantees and projects were initiated in thirty jails. The
      evaluation of these projects involved both process and impact components. The
      principle criterion for the process evaluation was the success of jails in
      meeting the standard of health care for jails that were established by the AMA as
      part of the project. The principle criterion employed in the impact assessment
      was the extent of improvement in the early detection of inmates' health problems.
      The project was determined to be successful in both the process and the impact
      evaluation, although notable improvements in jail health care are still to be
      made.

PMID- 10249346
TI  - The shock fighters.

PMID- 10249347
TI  - Assessing your group's public image: start from your patient's perspective.

PMID- 10249348
TI  - Forming a rural satellite network.
AB  - Group practices enter into a satellite program for many different reasons, the
      most frequent probably being an effort to expand their referral base. But
      establishing a successful satellite system is always difficult; either the
      satellite service area overlaps and intrudes into someone else's "territory" or
      the area in which the satellite is located has no other pre-existing medical
      support services of any kind, in which case a group's attempt to "fill the void"
      often feels like stepping into it. This latter case could have been the fate for
      the Tarboro Clinic had we not been fortunate enough to become involved in a
      unique partnership alliance to bring quality health care services to eastern
      North Carolina.

PMID- 10249349
TI  - The provider, the regulator, the researcher: a look at multi-institutional
      systems.

PMID- 10249350
TI  - Renal dialysis: new regulations graft efficiencies onto ESRD program.

PMID- 10249351
TI  - Developing a budget.

PMID- 10249352
TI  - The physician in group practice.

PMID- 10249353
TI  - 25 die in nursing home.
AB  - On July 14, 1980, at approximately 9:30 pm, a fire in the Extendicare Skilled
      Nursing Facility in Mississauga, Ontario, resulted in the deaths of 25 patients,
      most of them elderly. The area of origin of the accidental fire was a patient
      room on the top floor of the three-story, fire-resistive building. Significant
      factors that contributed to the fatalities in this fire were rapid fire
      development, the failure to extinguish the fire in its incipient stage, failure
      to keep the door to the room of origin closed, improper staff actions, and
      delayed alarm to the fire department.

PMID- 10249354
TI  - Howard University Hospital fire, Washington, D.C.--successful construction and
      reactions prevent fatalities.
AB  - If the arsonist who set fire to the fourth floor of this hospital intended to
      destroy the whole hospital, his plans were foiled by the hospital's lifesafety
      systems and the quick action of the hospital staff. Corridor smoke detectors
      activated the building fire alarm system, notified the hospital fire brigade and
      staff, notified the fire department, and closed the corridor smokestop doors.
      Members of the staff immediately closed the doors to all patient rooms in the
      area of the fire that were exposed to smoke and heat, and then began evacuating
      patients from the area. There were no fatalities in this fire. Although this fire
      is four years old, we think it is worth studying for its contrasts with
      Mississauga.

PMID- 10249355
TI  - Public relations entails more than press agentry.
AB  - Citing both current and early contributors to the field of fund raising and
      public relations, the author asserts in this paper that the need for effective
      communication is just as great in the non-profit sector as it is in business.
      Attempts must be made to gain public support and to educate the community of the
      function, obstacles, achievements, and goals of a nonprofit agency.

PMID- 10249356
TI  - Future of development rests with fund raisers.
AB  - Coordinated efforts in the '80s will make this the "golden age of philanthropy,"
      the author believes. The going will not be easy, however. He outlines here the
      problems facing philanthropy and offers some poignant solutions and
      encouragement.

PMID- 10249357
TI  - Drug monitoring and adverse drug reactions: a basic program for prescription
      summation.

PMID- 10249358
TI  - Activities of a college based drug information center.

PMID- 10249359
TI  - The impact of video technology on the use of drug information resources.

PMID- 10249360
TI  - The illusory partitions between school, community and hospital health education.

PMID- 10249361
TI  - Curbing costs? Consult your computer.

PMID- 10249362
TI  - Plan, then expand.

PMID- 10249363
TI  - Systems planning smooths the way for primary nursing in a new facility.

PMID- 10249364
TI  - Holistic care for the 60+: volunteers and a community make it happen.

PMID- 10249365
TI  - Mental health: progress but in slow tempo.
AB  - The stigma of 'certification as a lunatic' was much reduced by the Mental Health
      Act of 1930 but, despite enlightenment on psychiatric problems particularly since
      the last war, progress towards a better form of care for the mentally ill has
      been slow. Hospital care has improved over the past 50 years, but once in the
      community patients still suffer from isolation. In this article Professor Sir
      Denis Hill traces the advances made since 1930 and poses the question, 'How far
      have we come since'.

PMID- 10249366
TI  - Priorities: the art of upsetting the patient.
AB  - Management is about achieving objectives, and one of the main objects of the
      health service is to provide a high standard of care to patients. So when they
      are unnecessarily upset, inconvenienced or annoyed, it is reasonable to ask what
      is wrong with management, at ward level or above. Ann Gabell, a midwife with
      recent experience as a patient, poses questions for managers of several
      disciplines and functions.

PMID- 10249367
TI  - Work for minds on the mend.
AB  - People suffering from mental illness need the opportunity to regain their self
      esteem and find an identity. 'Restore', a pioneer scheme in Oxford, provides a
      new approach to the provision of sheltered work for the mentally ill. Here Paul
      Fletcher describes how the scheme has brought a new dimension to the psychiatric
      services.

PMID- 10249368
TI  - Voluntary services: cause rather than concept.
AB  - Voluntary enterprise is deeply rooted in British social life. There is no reason
      to assume it will be any less crucial in the remaining thousand weeks of the
      twentieth century than it has in the past. This was the burden of a talk given by
      David Hobman, director, Age Concern England, to an NCSS seminar.

PMID- 10249369
TI  - Energy conservation: when the bill is in millions.
AB  - Current energy economy measures are estimated to be saving the NHS 30 m pounds a
      year. It is believed that at least another 30 m pounds at today's prices can be
      saved without affecting direct patient care or general comfort levels in
      hospitals. This article by V.E. Skegg, superintending engineer, DHSS, outlines
      the nature of the problem and the steps being taken. It also emphasises the need
      for the active co-operation of all staff, both administrative and other
      disciplines, particularly in the use of electricity, if the amount and cost of
      energy is to be contained.

PMID- 10249370
TI  - Health and safety--6: wise words from a friend.

PMID- 10249372
TI  - Competition slows inflation rate for medical-surgical supplies.

PMID- 10249371
TI  - Inventory transfer receipts.

PMID- 10249373
TI  - Price monitor: trash can liners.

PMID- 10249374
TI  - ABC inventory control: an analysis.

PMID- 10249375
TI  - Spreading the word on materials management.

PMID- 10249377
TI  - Color-coded dot system reduces inventory headaches.

PMID- 10249376
TI  - Oversupply due to back-order shipment.

PMID- 10249378
TI  - Revisiting the solution market.

PMID- 10249379
TI  - Purchasing agent extraordinaire--do you see yourself here?

PMID- 10249380
TI  - Unsuspected hepatitis A case spreads infections to hospital employees.

PMID- 10249381
TI  - What will quality assurance mean to infection control practitioners?

PMID- 10249382
TI  - Study examines policy; how well is it followed?

PMID- 10249383
TI  - Reagan's prescription for health industry: cut federal costs.

PMID- 10249384
TI  - Proposed nursing home regulations no assurance of improved care.

PMID- 10249385
TI  - St. Francis Hospital, Honolulu. Comprehensive renal disease program crosses
      geographic boundaries.
AB  - Six satellite facilities affiliated with one hospital enable distant residents
      and visitors to receive dialysis treatment. Patients may opt for self-care,
      assisted care, or transplantation, and receive psychological, pastoral,
      nutrition, and rehabilitation services.

PMID- 10249386
TI  - DRG reimbursement in New Jersey: some initial results.
AB  - New Jersey hospitals' experience with the DRG method of case mix reimbursement
      leads to the following conclusions: (1) the number of DRGs should be reduced; (2)
      all patients should not be charged the same payment rate; (3) a method is needed
      to adjust for intra-DRG shifts; and (4) hospitals need more information to manage
      efficiently.

PMID- 10249387
TI  - DRGs: optional in Maryland's GIR system.
AB  - Maryland hospitals prefer the guaranteed inpatient revenue system to the DRG
      method of case mix reimbursement for its flexibility of administration and ease
      of use in refining case groups.

PMID- 10249388
TI  - DRGs: a management control tool in hospitals and multiinstitutional systems.
AB  - DRGs can be the basis of an effective system of management control because they
      facilitate comparisons of indicators within and among hospitals.

PMID- 10249389
TI  - Automated DRG systems: unanswered questions.
AB  - Health care facilities seeking to prepare for a DRG-based or a similar case mix
      system may consider a range of options: microcomputers, shared computer services,
      a generalized data base management system.

PMID- 10249390
TI  - Effective ministry unifies spiritual, professional life.
AB  - Effective pastoral care departments are organized and periodically evaluated.
      Goals and objectives contribute to the department's effectiveness; they do not in
      themselves, however, transform the department into a religious community.

PMID- 10249391
TI  - Court upholds hospital's exclusive contract service.

PMID- 10249392
TI  - St. Mary's Hospital, Decatur, IL. Office nurse program enhances continuity of
      care.

PMID- 10249393
TI  - Managing the health care estate.

PMID- 10249394
TI  - Decoration as a maintenance problem.

PMID- 10249395
TI  - Energy conservation: potential for savings.

PMID- 10249397
TI  - President signs Paperwork Reduction Act; replaces and goes beyond Federal Reports
      Act.

PMID- 10249396
TI  - Indirect rates: what they are to universities, hospital, and other nonprofit
      institutions.

PMID- 10249398
TI  - OMB publishes memorandum on limiting federal support for hospital construction.

PMID- 10249399
TI  - EEOC to expand national origin discrimination guidelines.

PMID- 10249400
TI  - Congress passes Health Science Promotion Act; clarifies and amends health
      planning law.

PMID- 10249401
TI  - Proposed grass roots lobbying rules would impact primarily on proprietary
      hospitals: allieds and hospitals encouraged to comment to avoid inconveniences.

PMID- 10249402
TI  - Specs can protect you and cut costs.

PMID- 10249403
TI  - You can make a big cut or a big mistake.

PMID- 10249405
TI  - Chart your needs for the 80s.

PMID- 10249404
TI  - ICU nurses--the shortage question.

PMID- 10249406
TI  - New manpower policy adopted: American Society of Internal Medicine.

PMID- 10249407
TI  - Productivity measurement: improving practice efficiency.

PMID- 10249408
TI  - Let's leave well enough alone.

PMID- 10249409
TI  - A shift from specialty to primary care.

PMID- 10249410
TI  - Strategies in medical manpower: balancing geographic distribution.

PMID- 10249411
TI  - The hospital security professional: an approach to managing aggression.

PMID- 10249412
TI  - Legal authority and liability of hospital security officers.

PMID- 10249413
TI  - Medical technology: status quo or more regulation?

PMID- 10249414
TI  - Post-graduate medical trainees must be a joint responsibility.

PMID- 10249415
TI  - The role of the community hospital in addressing horizontal problems.

PMID- 10249417
TI  - Patient advocates: how managers can work with them.

PMID- 10249416
TI  - An alternative approach to career-oriented health administration education.

PMID- 10249418
TI  - Small hospitals will have to redefine their role.

PMID- 10249419
TI  - Volunteer board members and continuing education: issues, realities, and
      questions.

PMID- 10249420
TI  - Motivational theory applied to hospital pharmacy practice.
AB  - In recent years a great deal of attention has been paid to motivation and job
      satisfaction among hospital pharmacy practitioners. Institutional pharmacy
      managers should become more aware of ways in which they can motivate members of
      their staff. Specifically, Frederick Herzberg's Two-Factor Theory is discussed in
      reference to its origination, major tenets, and practical applications in
      institutional pharmacy practice settings. Principally, Herzberg's theory explains
      needs of workers in terms of extrinsic factors called "hygienes" and intrinsic
      factors called "motivators." The theory suggests that job satisfaction and
      dissatisfaction are not opposites but two separate dimensions. According to this
      theory, an employee will be motivated if the task allows for the following:
      1)actual achievement, 2) recognition for achievement, 3) increased
      responsibility, 4) opportunity for growth (professionally), and 5) chance for
      advancement. It is concluded that some of these suggested applications can be
      useful to managers who are faced with low morale among the members of their
      staff.

PMID- 10249421
TI  - A comparison of the pump syringe method with other methods for adding potassium
      chloride to Travenol large-volume parenterals.

PMID- 10249422
TI  - Laundry managers should lead the way in controlling linen.

PMID- 10249423
TI  - Laundry, service employees stage walkout at 2 Baltimore hospitals.

PMID- 10249424
TI  - Scientists must open a public dialogue about why we cannot survive in a no-risk
      society.

PMID- 10249425
TI  - "Doctor, I'm one of Jehovah's Witnesses...".

PMID- 10249426
TI  - A small hospital's approach to CME: teach one another.

PMID- 10249427
TI  - Statistics for 4.33 day wards?

PMID- 10249429
TI  - Construction managers improve accuracy of building cost estimates.

PMID- 10249428
TI  - Report and success rates in obtaining out-patient case notes.

PMID- 10249430
TI  - Trustee group organizes to ensure stronger voice for board members.

PMID- 10249431
TI  - SS alternative can save hospitals millions, improve retirement benefits.

PMID- 10249432
TI  - Homes must provide indigent beds.

PMID- 10249433
TI  - Tragic hotel fires trigger disaster plans: fire forces hospital evacuation.

PMID- 10249434
TI  - No startling regs, but competition bills, payment experiments in wings.

PMID- 10249435
TI  - Congress will transfer policy reins.

PMID- 10249436
TI  - Bleak future for child health benefits.

PMID- 10249437
TI  - Groups devise creative pay plans.

PMID- 10249438
TI  - More competition, increasing capital needs spur hospitals to restructure.

PMID- 10249439
TI  - Hospital tax-exempt market almost shut down by high rates, bond glut.

PMID- 10249440
TI  - If you can wait, hold bond issues; '81 tax-exempt market will improve.

PMID- 10249441
TI  - Gloomy economic prospects will spur hospital acquisition market.

PMID- 10249442
TI  - Must accelerate raises for CEO, nursing director to stay competitive.

PMID- 10249443
TI  - Hospitals feel recessionary twinges from prolonged, high umemployment.

PMID- 10249444
TI  - Hospitals will spend 25% more for heating oil in 1981--if they're lucky.

PMID- 10249445
TI  - Profit margin squeeze shoots supply costs up.

PMID- 10249446
TI  - New patient monitors reduce nurse fatigue, simplify infection control.

PMID- 10249448
TI  - Manufacturers strongly promote vertical integration of ECG services.

PMID- 10249447
TI  - FFT Doppler technology processes blood velocity information rapidly.

PMID- 10249449
TI  - Boston City Hospital installs first digital multi-modality imaging unit.

PMID- 10249450
TI  - First digital radiography equipment makes splash in imaging market.

PMID- 10249451
TI  - Optimizing human resources: a case for preventive health and stress management.
AB  - Traditionally, medical treatment in this country has focused on treatment of
      problems and illness after they've reached the point of crisis and pain. But now,
      managers are beginning to realize that preventive health and stree management can
      save money for the organization while improving the quality of worklife for
      employees.

PMID- 10249452
TI  - The other guy's shoes.

PMID- 10249453
TI  - Managing financial crisis in the laboratory.
AB  - Recently the Department of Pathology, Cooper Medical Center, suffered a sudden
      reduction in its operating budget. Here the author explains the cause of the
      crisis and he outlines, for those whose laboratories may experience a similar cut
      in funds, the steps his department took to meet the reduction without decreasing
      significantly the laboratory services provided.

PMID- 10249454
TI  - Patient case mix: it's not too early to become involved.
AB  - The number and types of patients treated by a hospital is referred to as the
      patient case mix. One classification approach--Diagnosis Related Groups--is being
      used in New Jersey and Maryland to determine hospital reimbursement rates. In
      this article, the authors define the concept of the patient case mix, describe
      DRGs, and forecast the impact they may have on hospital laboratory operations.

PMID- 10249455
TI  - Medical economics: lab fees and the office visit.
AB  - Laboratory fees constitute a significantly greater part of the usual cost for an
      office visit than they do of the total hospital bill for inpatients. The author
      of this article shows how much greater, and how the laboratory share of the bill
      depends on where the testing is performed.

PMID- 10249456
TI  - Education and counselling for cancer patients--lifting the shroud of silence.
AB  - A demonstration education and counselling project for cancer patients was
      developed in a community hospital. A team comprising a psychologist and a nurse
      patient educator were added to existing hospital staff. Based on this experience,
      we have defined the primary educational and emotional needs of the cancer patient
      and delineated the related functions and activities of project staff. The
      organization, nature, and volume of the education and counselling services are
      presented to provide a framework for others interested in embarking on similar
      efforts.

PMID- 10249457
TI  - Continuity of care and poisoning prevention education.

PMID- 10249458
TI  - Effects of crisis intervention in road-injury patients.
AB  - A study of crisis intervention in men hospitalized for road injuries and followed
      up three to four months later is described. Results show considerable psychiatric
      morbidity and potentially health-damaging behavior in a control group of 30
      patients. Two other groups receiving different intensities of intervention had
      significant reductions in symptoms of mental distress and some reduction in
      physical complaints and work problems. They reported better social support and
      fewer financial problems and tended to have a shorter stay in the hospital. No
      differences in initial distress, injuries, or demographic characteristics were
      found that could account for the differences between the groups. Within groups,
      better support and fewer stress areas after injury were related to better
      outcome. These findings confirm the benefit of active crisis intervention,
      demonstrate the patients' needs for support, and highlight the possibly crucial
      role of social support. Directions for further research to overcome some
      limitations of the study are proposed.

PMID- 10249459
TI  - Relationship of physician behavior to patient compliance.
AB  - The authors investigated patients' perception of two aspects of physician
      behavior during patient-physician interaction, namely, explanation given to the
      patient and concern for the patient. The relationship between these factors and
      patient compliance with the therapeutic regimen was then determined. Results
      showed a statistically significant relationship between these two aspects of
      physician behavior and patient compliance: the more patients perceived the
      physician as giving explanations and showing concern, the better was patient
      compliance.

PMID- 10249461
TI  - Management principles to make employees feel like somebodys.

PMID- 10249460
TI  - Efficacy of health education efforts in hospitalized patients with serious
      cardiovascular illness: can teaching succeed?
AB  - This investigation was designed to assess the effectiveness of a team approach to
      education for hospitalized patients with serious cardiovascular illnesses. No
      significant immediate increases in knowledge resulted from the educational
      program regardless of the patient's previous educational achievements. Modest,
      late posthospital gains were seen. The investigators question whether the anxiety
      associated with hospitalization for cardiac surgery or other acute life
      threatening events may render ineffective educational efforts undertaken at times
      of physical and psychological stress.

PMID- 10249462
TI  - Cautions about cafeteria-style benefit plans.

PMID- 10249463
TI  - Selecting the consultant.

PMID- 10249464
TI  - Accreditation of personnel administrators: an alternative interpretation.
AB  - As accreditation is a fairly new procedure to the field, it still continues to
      generate controversy. In this the first of two articles on accreditation, the
      author presents reasons for not taking the accreditation test.

PMID- 10249465
TI  - Accreditation of personnel administrators: theory and reality.
AB  - As the second article in our series on accreditation, the author discusses the
      need for becoming accredited in personnel.

PMID- 10249467
TI  - Effective employee recognition: concepts and considerations.
AB  - Employee rewards are an established method of recognizing good work--and are
      still extremely effective in maintaining a happy, productive workforce.

PMID- 10249466
TI  - How performance appraisal can tie communication to productivity.

PMID- 10249468
TI  - National health insurance: another alternative.
AB  - The author proposes a national health insurance plan that would encourage the use
      of preventive medicine and involve a graduated voucher arrangement. The program
      would provide a limited amount of free care, copayment beyond the amount covered
      by vouchers, and catastrophic coverage beyond the copayment level. The maximum
      price of medical procedures would be set by the government, and would be varied
      to encourage provider relocation and innovative provider arrangements such as
      health maintenance organizations.

PMID- 10249469
TI  - State hospitals--facing extinction?

PMID- 10249470
TI  - Guidelines for record-keeping under privacy and open-access laws.

PMID- 10249471
TI  - Professionalization and unionization: compatible after all?

PMID- 10249472
TI  - SLA 1980 salary survey update.

PMID- 10249474
TI  - Hospitals, HSA's and patient education: an opportunity for cooperation?

PMID- 10249473
TI  - Regulation and the health care industry.

PMID- 10249475
TI  - Emerging from yesterday: a story of survival.

PMID- 10249476
TI  - Recipe for a new image in food services.

PMID- 10249477
TI  - Marketing yourself in health care.

PMID- 10249478
TI  - It's a manager's job.

PMID- 10249479
TI  - Providing that extra touch...

PMID- 10249480
TI  - Quality nutrition education for patients.

PMID- 10249481
TI  - Cost containment in the food services department.

PMID- 10249482
TI  - Educators in action: control of quality with respect to educational programming
      in hospitals.

PMID- 10249483
TI  - What trustees can do to maintain nonunion status.
AB  - Key issues causing hospital employees to seek unionization include wages and
      benefits, job security, supervision, staffing, and interprofessional
      relationships. The board should address these issues through board policy, and it
      should monitor the implementation of that policy in several key areas.

PMID- 10249484
TI  - How to choose the right multihospital system.
AB  - By asking questions that probe into seven important areas--system flexibility,
      governance, ownership of assets, support services, service area compatibility,
      financial performance, and political influence--trustees and CEOs can pick a
      multihospital system that best meets their hospital's needs.

PMID- 10249485
TI  - How much is a hospital worth?
AB  - In addition to their primary role of providing needed health care services,
      hospitals make an important economic contribution to their communities in jobs,
      payroll, and institutional purchases. The Wisconsin Hospital Association's
      economic value project sought to determine the extent to which Wisconsin
      hospitals contribute economically to their communities and to communicate the
      findings to opinion leaders throughout the state.

PMID- 10249487
TI  - Horticulture therapy: flora for the nursing home.

PMID- 10249486
TI  - Upjohn's interim care to ease nursing home wait list problems.

PMID- 10249488
TI  - Corporate responsibilities of the consultant pharmacist.

PMID- 10249489
TI  - Health care for "forgotten patients"--from colds to cancer therapy: tending
      migrant workers.

PMID- 10249490
TI  - Health care for "forgotten patients"--burn treatment: space-age technology.

PMID- 10249491
TI  - Health care for "forgotten patients"--at home or in hospital: help for the
      elderly.

PMID- 10249492
TI  - Standardized CPR kit follows 7-year effort.

PMID- 10249493
TI  - NIH adopts ethics sanction.

PMID- 10249494
TI  - Good practices in mental health.

PMID- 10249495
TI  - Participation in a GPMH local project study: the Oxfordshire experience.

PMID- 10249496
TI  - European workshop on alternatives to mental hospitals: personal interpretation of
      the workshop.

PMID- 10249497
TI  - Alternatives to mental hospitals: why do we need alternatives?

PMID- 10249498
TI  - Alternatives to psychiatric hospitals in Belgium.

PMID- 10249499
TI  - Developments in intra-mural and extra-mural alternatives to the mental hospital.

PMID- 10249500
TI  - Crisis intervention, treatment and rehabilitation.

PMID- 10249502
TI  - Alternatives to mental hospitals: closing comments.

PMID- 10249501
TI  - District psychiatric rehabilitation.

PMID- 10249503
TI  - Planning health care for the elderly mentally infirm.

PMID- 10249504
TI  - The Worcester development project.

PMID- 10249505
TI  - The American Hospital Association and the American Medical Association have
      developed a close relationship.

PMID- 10249506
TI  - Las Vegas MDs meet fire's challenge.

PMID- 10249507
TI  - Consulting the consultant.

PMID- 10249508
TI  - Computer at work.

PMID- 10249509
TI  - Productivity boosted in renovated laundry.

PMID- 10249510
TI  - Spot check: in-service training programs.

PMID- 10249512
TI  - Cheap shots: quality medical TV on a tight budget.

PMID- 10249511
TI  - Search for contemporary use of traditional language: the Medical Center in Mopti,
      Mali.

PMID- 10249513
TI  - Rural surgeons of Colorado: the scope of their practice.

PMID- 10249514
TI  - Tapping into the power of informal groups.

PMID- 10249515
TI  - How to nourish the creative employee.

PMID- 10249516
TI  - Projects grants for community health services; proposed rulemaking--Public Health
      Service. Notice of proposed rulemaking.
AB  - The Assistant Secretary for Health with the approval of the Secretary of Health
      and Human Services proposes to revise the regulations governing the Community
      Health Centers grant program. The Health Services and Centers Amendments of 1978
      made a number of changes in the statutory requirements governing the operation of
      the centers. The Amendments, among other things, change pharmacy services from
      supplemental to primary health services, establish priority for certain
      supplemental health services, provide an incentive for maximized collection of
      fees, permit conversion of certain centers from fee for service to prepaid
      operations, and change the governing board requirements or public centers. The
      proposed revisions are intended to revise the present regulations consistent with
      the revised statutory provisions.

PMID- 10249517
TI  - Project grants for migrant health; proposed rulemaking--Public Health Service.
      Notice of proposed rulemaking.
AB  - The Assistant Secretary for Health with the approval of the Secretary of Health
      and Human Services proposes to revise the regulations governing the Migrant
      Health Centers grant program. The Health Services and Centers Amendments of 1978
      made a number of changes in the statutory requirements governing the operation of
      the centers. The Amendments, among other things, change pharmacy services from
      supplemental to primary health services, make former migratory agricultural
      workers who are disabled eligible for services, establish priority for certain
      supplemental health services, provide an incentive for maximized collection of
      fees, permit conversion for certain centers from fee for service to prepaid
      operations and change the governing board requirements for public centers. The
      proposed revisions are intended to revise the present regulations consistent with
      the revised statutory provisions.

PMID- 10249518
TI  - Federal support for hospital construction in overbedded areas.
AB  - This memorandum established policies and procedures to limit Federal financial
      support for the construction of hospitals in overbedded areas. The policy for
      Federal hospitals is that no new or replacement hospitals will be built in an
      overbedded area unless suitable, existing, non-Federal facilities cannot
      reasonably be acquired through purchase or lease. The policy for non-Federal
      facilities is that no Federal grants, loans, loan subsidies, or loan guarantees
      will be provided for hospital construction or renovation in an overbedded area,
      unless the proposed project is consistent with an approved local hospital
      facility plan or the Secretary of Health and Human Services (HHS) determines that
      it is necessary. In addition, legislation and regulations will be proposed to
      revise the current Medicare and Medicaid reimbursement policies for costs related
      to hospital construction or renovation. Finally, legislation will be proposed to
      revise Federal tax exempt bond financing for hospital construction and renovation
      in overbedded areas. This memorandum also prescribes agency responsibilities and
      procedures for implementing these policies.

PMID- 10249519
TI  - Grant programs for schools and hospitals and for buildings owned by units of
      local government and public care institutions--Department of Energy. Notice of
      proposed rulemaking and public hearings.
AB  - The Department of Energy proposes to issue revised regulations for administration
      of the grant programs providing financial assistance for schools, hospitals,
      buildings owned by units of local government, and public care institutions for
      the purpose of reducing energy consumption through technical assistance and
      energy conservation measure projects. In so doing, the Department proposes to
      amend 10 CFR 455 by making revisions to regulations published in the Federal
      Register on April 2, 1979 (44 FR 19340) and April 17, 1979 (44 FR 22940). Written
      comments are requested with respect to these proposed regulations, and public
      hearings will be held on the dates and in the locations specified below.

PMID- 10249520
TI  - Prescription drug products that require patient package inserts; ampicillin and
      phenytoin--Food and Drug Administration. Final rule.
AB  - The Food and Drug Administration (FDA) amends its patient package insert
      regulations to list ampicillin and phenytoin as drugs that must be dispensed with
      patient package inserts. The ampicillin patient package insert applies to drug
      products containing amoxicillin, ampicillin, or hetacillin. Elsewhere in this
      issue of the Federal Register, FDA announces the availability of final guideline
      patient package inserts for ampicillin and phenytoin and applies the agency's
      patient package insert regulations to them.

PMID- 10249521
TI  - Income and employment taxes; self-insured medical reimbursement plans--Internal
      Revenue Service. Final regulations.
AB  - This document contains final regulations relating to self-insured medical
      reimbursement plans and the withholding of income tax under these plans. Changes
      to the applicable law were made by the Revenue Act of 1978 and the Technical
      Corrections Act of 1979. These regulations provide necessary guidance to the
      public for compliance with the law and affect both employers who maintain self
      insured medical reimbursement plans and certain employees who receive medical
      benefits under these plans.

PMID- 10249522
TI  - Electrical standards: Occupational Safety and Health Administration. Final
      standard.
AB  - In this final standard, the Occupational Safety and Health Administration (OSHA)
      establishes "Design Safety Standards for Electrical Systems." This standard
      revises Subpart S of 29 CFR Part 1910 and is intended to simplify and update the
      former standard. OSHA has determined that electrical hazards in the workplace
      pose a significant risk of injury or death to employees, and that these
      regulations which draw heavily on the experience of the National Electrical Code
      are reasonably necessary to provide protection from these hazards. The final rule
      places relevant requirements of the National Electrical Code (NEC) into the text
      of the regulations, making it unnecessary for employers to refer to the NEC to
      determine their obligations and unnecessary for OSHA to continue to incorporate
      the NEC by reference. Additionally, the final rule clarifies certain provisions
      which were misunderstood by certain interested parties.

PMID- 10249523
TI  - Requirements applicable to sterilizations (hysterectomies)--Health Care Financing
      Administration. Proposed rule.
AB  - Current Department regulations for the Medicaid and Public Health Service
      programs provide that no Federal funds are available for hysterectomies unless
      the woman or her representative has signed an acknowledgment that she was
      informed that the operation would make her sterile. These amended rules would
      eliminate the "acknowledgment requirement" in certain situations where the
      patient is already sterile or an emergency situation exists. We will also
      clarifying certain ambiguities. The purpose of the proposed regulations is to
      remove an unnecessary administrative burden created by the current requirements.

PMID- 10249524
TI  - Requirements for a health maintenance organization--Public Health Service. Final
      regulations.
AB  - These regulations amend the requirements for the operation of federally qualified
      health maintenance organizations (HMOs) regarding the disclosure of information
      by HMOs to members, potential members, and employers. These amendments are made
      to coordinate the requirements of the Employee Retirement Income Security Act of
      1974 (ERISA) and Title XIII of the Public Health Service Act (the Act) so as to
      avoid any duplicative or otherwise unnecessary requirements that might result
      from the interaction of these laws.

PMID- 10249525
TI  - Governing body requirements for health systems agencies: Public Health Service.
      Notice of proposed rulemaking.
AB  - These regulations set forth proposed amendments to the regulations governing the
      selection, composition and responsibility of health systems agency (HSA)
      governing bodies. They are intended to implement section 1512(b)(3) of the Public
      Health Service Act, as amended. The proposed regulations have been developed
      because some of the statutory provisions concerning body composition and
      selection require elaboration and regulation to ensure that they will be
      interpreted consistently with Congressional intent.

PMID- 10249526
TI  - Content and format for labeling for human prescription drugs; amendment of
      effective date for certain biological products--Food and Drug Administration.
      Final rule.
AB  - The Food and Drug Administration (FDA) amends the effective date of its
      regulations designating a required content and format for the professional
      labeling of certain biological products for human use. FDA is taking this action
      to reduce the burden of the regulations on manufacturers of certain biological
      products licensed after July 1, 1972.

PMID- 10249527
TI  - Health education assistance loan program: Public Health Service. Final
      regulations.
AB  - This rule amends regulations for the Health Education Assistance Loan (HEAL)
      Program, authorized by the PHS Act, by: (1) removing the prohibition against
      receipt of a HEAL loan during the same school year in which a student receives
      loans from other federally provided or assisted loan programs under part B of
      Title IV of the Higher Education Act of 1965, (2) establishing a more flexible
      definition of academic year, (3) raising the maximum amount which may be
      borrowed, (4) changing the maximum interest rate, and (5) redesignating the
      location of the regulations in the code of Federal Regulations (CFR).

PMID- 10249528
TI  - Protection of human subjects; informed consent--Food and Drug Administration.
      Final rule.
AB  - The Food and Drug Administration (FDA) is issuing regulations to provide
      protection for human subjects of clinical investigations conducted pursuant to
      requirements for prior submission to FDA or conducted in support of applications
      for permission to conduct further research or to market regulated products. The
      regulations clarify existing FDA requirements governing informed consent and
      provide protection of the rights and welfare of human subjects involved in
      research activities that fall within FDA's jurisdiction.

PMID- 10249529
TI  - Protection of human subjects; standards for institutional review boards for
      clinical investigations--Food and Drug Administration. Final rule.
AB  - The Food and Drug Administration (FDA or agency) is establishing standards
      governing the composition, operation, and responsibility of institutional review
      boards (IRBs) that review clinical investigations, involving human subjects,
      conducted pursuant to requirements for prior submission to FDA or conducted in
      support of applications for permission to conduct further research or to market
      regulated products. These regulations and the protection of human research
      subjects regulations adopted by the Department of Health and Human Services (HHS
      or Department) published in the January 26, 1981 issue of the Federal Register,
      establish a common framework for the operation of IRBs that review research
      funded by HHS and research conducted under FDA regulatory requirements.
      Compliance with these regulations is intended to provide protection of the rights
      and welfare of human subjects involved in clinical investigations.

PMID- 10249530
TI  - Funding of health-related facilities and other projects under the Public Works
      and Development Facilities Program--Economic Development Administration. Interim
      rule.
AB  - This interim rule modifies two regulations setting forth requirements for funding
      certain types of projects under the Public Works and Development Facilities
      Program. One regulation is amended to clarify its scope by noting that its
      requirements apply to Public Works Impact Program projects. The other regulation
      is amended to tighten its standards relating to economic impact and to specify
      that projects involving health-related facilities must be reviewed and approved
      by the Department of Health and Human Services and, if appropriate, the State
      Health Planning and Development Agency. In addition, a third regulation regarding
      project modification is amended to clarify the scope of one provision.

PMID- 10249531
TI  - Multiple-address radio systems, allocation of forty-eight 25 kHz channels in the
      900 MHz range; and establishment of a new standard for frequency tolerance in the
      952-960 MHz band: Federal Communications Commission. Third notice of proposed
      rulemaking.
AB  - In response to a petition, the Commission proposes the reallocation of forty
      eight 25 kHz channels in the 928-929 and 952-960 MHz band segments to the Private
      Operational-Fixed Microwave Service and the Domestic Public Land Mobile Radio
      Service for distribution automation and wide-area control and repeater
      operations, respectively. The spectrum from 928 to 929 MHz is presently reserved
      for Land Mobile. The 952-950 MHz band is currently allocated to the Private
      Operational-Fixed Microwave Service and the International Control Services.

PMID- 10249533
TI  - Requirements and procedures applicable to appeals before the Departmental Grant
      Appeals Board--Department of Health and Human Services. Notice of proposed
      rulemaking.
AB  - The Department of Health and Human Services (HHS) proposes to delete the material
      currently set forth in 45 CFR Part 16, and substitute new requirements and
      procedures applicable to disputes arising under certain HHS grants and other
      programs. HHS also proposes to add certain related provisions to 45 CFA Part 74,
      which contains general requirements applicable to all HHS grants and cooperative
      agreements. These proposed provisions are intended to improve the Department's
      capability to provide a fair, quick and flexible process for appeal from final
      written decisions.

PMID- 10249532
TI  - Implementation of state assistance program for training and education in
      emergency management--Federal Emergency Management Agency. Final rule.
AB  - This rule sets forth a description of the FEMA training and education assistance
      program to the States. The program functions through State Cooperative Agreements
      and is designed to further comprehensive emergency management training including
      emergency preparedness planning, hazard mitigation, and disaster response and
      recovery. In response to State and local expressed needs, FEMA was formed to
      coordinate and manage all disaster planning and response in one Agency. The
      combined training responsibilities of predecessor agencies are now being
      administered by the Training and Education Office of FEMA using the State
      Cooperative Agreements and Regional Support Contracts as the vehicle to meet
      individual State training needs. This rule defines the objectives and elements of
      the program, the funding approach, and the State application/proposal.

PMID- 10249534
TI  - Privacy Act of 1974; new system of records--Department of Health and Human
      Services. Notification of new system of records. Mental Health Epidemiologic and
      Biometric Research Data.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing a notice of a proposal to initiate a new system of records in
      the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), National
      Institute of Mental Health (NIMH), entitled, "Mental Health Epidemiologic and
      Biometric Research Data, HHS/ADAMHA/NIMH." The purpose of the new system will be
      to maintain a data base for biometric and epidemiologic research in the area of
      mental health and mental illness. This system will allow the statistical analysis
      of research data to test hypotheses about relationships among the various items
      of information and generate new hypotheses to guide future research.

PMID- 10249535
TI  - Graduate and professional study fellowships--Department of Education. Final
      regulations with invitation to comment.
AB  - The Secretary issues final regulations for the Graduate and Professional Study
      Fellowships Program. The regulations, which implement Title IX, Part B of the
      Higher Education Act of 1965, have been amended to reflect the statutory changes
      in the Education Amendments of 1980 and to reflect changes required by the
      Education Department General Administrative Regulations (EDGAR). These
      regulations specify the selection criteria the Secretary uses in evaluating
      applications for fellowships for graduate and professional study, public service
      education, and studies in domestic mining and mineral and mineral fuel
      conservation. These regulations also describe application procedures, eligibility
      requirements, and the terms and conditions of an award.

PMID- 10249536
TI  - If Reagan wants to trump the regulators, here's OMB's target list for openers.

PMID- 10249537
TI  - When it goes to the bargaining table, labor looks to control health costs.

PMID- 10249538
TI  - Codes questioned after rest home fire.

PMID- 10249539
TI  - Medical claim fever sends rates soaring.

PMID- 10249540
TI  - Firms drop Blue Shield for wraparound plans.

PMID- 10249541
TI  - HMO hopes to deliver maternity cost savings.

PMID- 10249542
TI  - An emergency department team--cooperation and control at their best.

PMID- 10249543
TI  - The pharmacist and the health care team in a hospital setting.

PMID- 10249544
TI  - Hospital administrators have a wide sphere of influence.

PMID- 10249545
TI  - One Canadian Field Hospital: a MUST in an emergency.

PMID- 10249546
TI  - How Canada's health professionals have been dragged into politics.

PMID- 10249547
TI  - Health care of the elderly.

PMID- 10249548
TI  - Reduced prescription size: a question of health care or money? The answer is
      health care, says pharmacy.

PMID- 10249549
TI  - Reduced prescription size: a question of health care or money? The answer is
      money, say drug plans.

PMID- 10249550
TI  - The pharmacist as an information provider to the patient.

PMID- 10249551
TI  - Principles and guidelines for distribution of narcotic and other psychoactive
      drugs.

PMID- 10249552
TI  - BC's Pharmacare speaks out.

PMID- 10249553
TI  - The University of Toronto plans a drug information center. Interview by Sharon
      Jessup-Petticrew.

PMID- 10249554
TI  - A retail day in the life of a hospital pharmacist.

PMID- 10249555
TI  - Must doctor's fees be so high?

PMID- 10249556
TI  - Ministering to children and youth during illness.

PMID- 10249557
TI  - Issues in psychiatric day-care programs in non-urban areas: a case study.
AB  - As community mental health continues to grow in credibility, it has expanded, not
      only into new areas of treatment (e.g., child abuse), but also into new
      geographical areas, such as rural Canada. However, transplantation of urban-based
      community mental health models into the rural community poses major problems. To
      illustrate such problems as well as possible solutions, this paper describes a
      day-care program in a non-urban area, the overall settings of the program, a
      description of its structure and the issues facing it, as well as some of the
      ways we have dealt with them. We then discuss some recent changes we made in the
      program and how we evaluated these, to illustrate how such a program can
      institute an ongoing program evaluation. Finally, some data on the outcome of the
      program is presented.

PMID- 10249558
TI  - Dropping out of treatment: an evaluative index for a community mental health
      centre.

PMID- 10249559
TI  - Mental health service priorities in a time of restraint.

PMID- 10249560
TI  - A clinical model for use in mental health centres.
AB  - The model presented is an attempt to provide a way of viewing and organizing the
      clinical process. Major factors involved in the process, ranging from the common
      characteristics of the setting to basic treatment guidelines, are identified.
      Although the original purpose of the model was to provide order and direction for
      those directing inpatient units, it can, with minor modifications, be used in a
      variety of settings by various professionals. For example, it has been used for
      staff development purposes in educational and mental health facilities. The model
      is not intended to be a delineation to the nth detail but is to be suggestive. It
      is sufficiently flexible to accomodate different theoretical approaches and thus
      serve as the basis for ongoing staff development and direction. How the model is
      specifically used and/or adapted is left to the reader's discretion, although
      some suggestions for its use will be presented.

PMID- 10249561
TI  - The development of Holter electrocardiography.

PMID- 10249562
TI  - Value analysis concepts set for Pa. pilot test.

PMID- 10249563
TI  - Virginia nursing home adopts hospital-style MM.

PMID- 10249564
TI  - Automated delivery: a case history.

PMID- 10249565
TI  - Standardization nets savings.

PMID- 10249566
TI  - A few facts about consignment buying.

PMID- 10249567
TI  - Long days, short weeks work for MM staff.

PMID- 10249568
TI  - New device approval system speeds product availability.

PMID- 10249569
TI  - Value analysis: an innovation appears.

PMID- 10249570
TI  - Conceptual issues relating to the representation of consumer interests on health
      systems agency boards.

PMID- 10249571
TI  - Blind injustice and socially descriptive representatives, or, the cart without a
      horse.

PMID- 10249572
TI  - Women in pharmacy.
AB  - The incomes, current positions, and work status of pharmacists were examined to
      assess whether the situation differs for males and females. Data on sex, region,
      age, marital status, education, and income were collected from a random sample of
      practicing pharmacists in six major urban centers in Canada. Women were more
      likely to earn less than +20,000 per year and to be employees rather than owners.
      Both men and women were just as likely to be managers. There is no sex difference
      in administrative positions for those under 30 years of age. It is at this age,
      when one starts moving up the professional ladder, that the sex differences
      emerge. It was also found that women are more likely than men to be part-time
      pharmacists. It is suggested that women's socialization and/or attitudinal or
      structural barriers at the work level account for the sex differences.

PMID- 10249573
TI  - Intelligent noncompliance with special emphasis on the elderly.
AB  - Intelligently noncompliant patients alter their prescribed therapy on a rational
      basis that often represents advanced therapeutic principles. The literature
      contains many examples of patients who alter their medication but still have good
      treatment outcome. Doses are altered to avoid adverse effects or because the dose
      was excessive or inconvenient. When compliance studies are done in a large
      heterogeneous group, the rates for different age groups are almost always
      similar. Health professionals have devised compliance-ensuring strategies such as
      educational programs and modification of the regimen. Use of compliance-ensuring
      strategies, however, opposes the current trend which advocates a more direct,
      active patient participation in treatment decisions.

PMID- 10249574
TI  - Dollars down the drain: silver recovery programs at many hospitals can stand more
      polishing.

PMID- 10249575
TI  - Are we wasting nursepower? More efficient use of RNs could help stem the
      shortage.

PMID- 10249576
TI  - Cost containment, regional style: Northwest Ohio is setting standards for local
      programs.

PMID- 10249578
TI  - Channelling pharmacy manpower in the 80s.

PMID- 10249577
TI  - The development of a hospital pharmacy policy and procedure manual.
AB  - The value of a complete and comprehensive departmental manual for a hospital
      pharmacy is well recognized as an important factor in establishing written
      acceptable policies and procedures by which the department operates. Other
      purposes include its use as an orientation guide for new employees and its
      fulfillment as a guide to the department's scope of service for hospital
      accreditation. The Department of Pharmacy at Sunnybrook Medical Centre formed a
      Policy and Procedure Committee with members representing each departmental
      division to develop such a manual. This paper outlines the establishment of the
      format, organization and writing style of the manual and the actual writing and
      review of chapters.

PMID- 10249579
TI  - Satellite pharmacists throughout the hospital have been able to establish more
      credible working relationships with other health care team members.

PMID- 10249580
TI  - Death counseling and human development: issues and intricacies.
AB  - Death counseling as a specialized service appeared in the 20th century in
      response to new needs for assistance with death-related crises and transitions.
      Significant experiences with death and dying can be viewed as maturational crises
      through which people learn to cope with themselves during adversity and change.
      Because these experiences have a significant impact on developmental tasks in
      childhood and adult life, the death counselor needs to be knowledgeable about
      human development across the lifespan and sensitive to the problems of
      communication across differences in age, sex, culture, and cohort experiences.
      Knowledge about the impact of different death-related experiences on individuals,
      families, and providers is also essential for understanding the disruptive
      effects of these events on persons and groups. Yet helping others by death
      counseling requires more than knowledge alone. It must be based on goals
      reflecting the integrity of those involved.

PMID- 10249581
TI  - Impediments to communication in transition to terminal illness.
AB  - Viewing themselves in two hypothetical roles-as terminal patients and as family
      members related to a terminal patient-48 adults were surveyed on their
      expectations and preferences about how information should be communicated when a
      terminal illness is first diagnosed. Identifying with the patient role,
      respondents believed patients should be told the truth immediately and
      unconditionally. In contrast, respondents indentifying with family members
      perceived conditions under which the rights of patients should be abridged. In
      this latter role, male respondents were significantly less likely than males to
      imagine themselves as able to inform a loved one about a terminal illness.
      Nevertheless, for both sexes, early childhood experiences communicating about
      death and dying were found to be a better predictor of the case with which
      respondents can imagine communicating with a terminally ill loved one than are
      current adult attitudes and experiences. Regardless of personal ease in
      discussing death, however, most respondents thought the physician, not family
      members or other health care professionals, should decide when and how the
      terminally ill adult should be informed--a noteworthy finding in light of the
      fact that 83 percent of all respondents consider physicians poorly equipped for
      this role.

PMID- 10249582
TI  - The mourning of the health care professional: an important element in education
      about death and loss.
AB  - This article explores the centrality of the mourning process in the education of
      developing health care professionals who are the survivors of complex and
      manifold losses. This was discussed in an elective seminar for senior medical
      students and graduate nurses. Learning about clinical responsibility often
      occurred in the context of loss and mourning. The outcome of mourning included
      for some a greater sensitivity to the impact of clinical interventions and a more
      accurate empathy for losses incurred by patients as a result of illness. Old and
      unresolved loss and mourning experiences were reawakened as a result of the
      seminar, which led to a sorting and mastering of these experiences. This is felt
      to be a common result of discussions about encounters with death and loss.
      Courses on death and dying for the health care professional, although important,
      are not sufficient by themselves for mastery of these topics. Clinical teachers
      must be aware of the student's response to loss and provide an atmosphere that
      legitimizes learning about these issues. The principles of awareness and open
      acknowledgement of loss and mourning are applicable to all health care settings.

PMID- 10249584
TI  - Satellites and public service organizations.

PMID- 10249583
TI  - Anticompetitive data dissemination in the medical profession: the conflict
      between the Sherman act and the First Amendment.

PMID- 10249585
TI  - Washington struggle mirrors contention elsewhere.

PMID- 10249586
TI  - Scribe system works like a charm in sarasota ED.

PMID- 10249587
TI  - Quality assessment of emergency department activities.

PMID- 10249588
TI  - Hospital categorization revisited.

PMID- 10249589
TI  - The media and the emergency department.

PMID- 10249590
TI  - Negotiating the emergency department contract, Part I: from the hospital's
      perspective.

PMID- 10249591
TI  - Negotiating the emergency department contract, Part II: from the emergency
      physician's perspective.

PMID- 10249592
TI  - The logistics of a disaster drill: Medex-78.

PMID- 10249593
TI  - Rural advanced EMT training--Part III.

PMID- 10249594
TI  - Emergency reaction driving--a total awareness program.

PMID- 10249595
TI  - EMS in the hospital setting.

PMID- 10249596
TI  - Who should testify?

PMID- 10249597
TI  - Administrative outlook: medical education in the emergency department.

PMID- 10249598
TI  - Nonverbal communication.

PMID- 10249599
TI  - King's Daughters' contract sets pace for Kentucky hospitals.

PMID- 10249600
TI  - Connecticut: big gains for 2,000 nursing home 1199ers.

PMID- 10249601
TI  - Unions in group practice.

PMID- 10249603
TI  - Minicomputers for medical groups.

PMID- 10249602
TI  - Group practice mergers.

PMID- 10249604
TI  - FAH establishes nursing panel, asks changes in Planning, HMO Acts.

PMID- 10249605
TI  - The next four years: budget crunch to affect health industry but hospitals not
      expected to be singled out.

PMID- 10249606
TI  - Election results bring dramatic changes to leadership, makeup of 97th Congress.

PMID- 10249608
TI  - Budgetary restrictions, more state regs, anticipated in 1981.

PMID- 10249607
TI  - New Administration, Congress must deal with PRRB, AHR.

PMID- 10249609
TI  - New IRS hospital adult guidelines will increase tax disputes.

PMID- 10249610
TI  - Disaster training pays off for Las Vegas hospitals.

PMID- 10249611
TI  - The next four years.

PMID- 10249612
TI  - HAI, Missouri hospital mark 10th year of management contract.

PMID- 10249613
TI  - The days ahead for Bert Card, ASHFSA.

PMID- 10249614
TI  - How to solve ten great problems for fund raisers.
AB  - Ten problems unique to fund raisers are quite easy to solve, according to this
      author, once they are diagnosed. But the solutions require more than program
      changes. Attitude plays a paramount role in fund raising success.

PMID- 10249615
TI  - New trend: fund raisers on board of trustees.

PMID- 10249616
TI  - Marketing attains new respect in health care.

PMID- 10249617
TI  - Raise 'friendships' first, dollars second.
AB  - Fund raising by itself is not enough in the development game. What a non-profit
      must learn is the art of "friend raising," says this author. By building
      effective relationships among donor, development director and ceo, a non-profit
      is guaranteed a lasting and profitable future.

PMID- 10249618
TI  - Modern day fund raising: a whole new ball game.
AB  - Modern technology and fierce competition for the philanthropic dollar have
      revolutionized fund raising. Some special approaches are now required. One
      approach this author recommends is the development of a symbolic theme appeal.

PMID- 10249619
TI  - Dibase: a unique online real-time system for storage and retrieval of data from
      drug information requests.

PMID- 10249620
TI  - The impact of on-line information retrieval in a college based drug information
      center.

PMID- 10249621
TI  - The physician glut is not around the corner--it's here now.

PMID- 10249622
TI  - Phase out health planning by 1983, OMB recommends.

PMID- 10249623
TI  - Cottage hospitals: the charm has gone but the loyalties remain.
AB  - 'You can't have a resort like this without a hospital,' argued a consultant at
      Tenby Cottage Hospital when Nick Davidson visited recently. But some staff
      members hold ambiguous attitudes to the building itself. Indeed, one would like
      to pull it down and replace it with a modern, purpose-built building.

PMID- 10249624
TI  - Professional activity study: crunching the numbers across the Atlantic.
AB  - It is particularly appropriate in 'International Health Record Year' that Dr
      Brian Moores, of Manchester University Institute of Science, should examine what
      professional activity studies have to offer. Here he looks at this American
      system of monitoring and compares it with HAA, which in contrast he describes as
      'clinically impoverished'

PMID- 10249625
TI  - Community hospitals: cornerstone of care for the future health service.
AB  - What is the impact of the changing pattern of care in community hospitals and
      what are the implications for staff? Dr Alex Gatherer, Oxfordshire AHA(T) area
      medical officer, with the help of Katrina Bishop and Alexandre Kalache, a
      clinical lecturer in community medicine at Oxford University, tried to answer
      these and other questions.

PMID- 10249626
TI  - Health centres: does small mean success?
AB  - On May 16 this year the Journal published a special issue entitled 'Sixty years
      after the Dawson Report' in which Dr J. Gerald Beale wrote that a study of health
      centres proved that in many respects they had done more harm than good. Here Dr
      J. Ivory, GP; Mr F. H. Kirton, area works officer; and Mr. C. A. Clark, planning
      administrator, Northumberland AHA put an alternative view.

PMID- 10249627
TI  - HSSJ guide to managerial salaries and conditions in the NHS.

PMID- 10249628
TI  - Unit management: grass roots--land of opportunity.
AB  - In the restructured NHS the unit administrator's job will be bigger and better,
      but less protected, than that of many sector administrators today. But Graham
      Millard, district administrator, Harrow HD, foresees opportunities for
      administrators to turn their backs on bureaucracy and concern themselves with the
      things that brought them into the health service in the first place. This paper
      is based on one given by him to a recent conference of the Association of Health
      Sector and Unit Administrators.

PMID- 10249629
TI  - Joint finance--3: hope for the dark years.
AB  - For this concluding article on joint finance, Jef Smith, director of social
      services, Kingston-upon-Thames, gathered impressions from Newcastle, regional
      centre for the North-East, a city with a teaching hospital and many problems.

PMID- 10249631
TI  - Beginning a materials management program.

PMID- 10249630
TI  - Bringing sales experience to materials management.

PMID- 10249632
TI  - Syringe prices in 1980--hospitals get a shot in the arm... and in the purse.

PMID- 10249633
TI  - What is materials management? A MM's view.

PMID- 10249634
TI  - What happened to the bond markets?

PMID- 10249636
TI  - A guide for calculating tax-exempt bond issue financing costs.

PMID- 10249635
TI  - What is a hospital's debt capacity?

PMID- 10249637
TI  - The woman as manager.

PMID- 10249638
TI  - Attitude survey on women.

PMID- 10249639
TI  - Executive roundtable: diverse routes to success for 12 women on the way up.

PMID- 10249640
TI  - Health care manager's notebook: conflict management.

PMID- 10249641
TI  - An overview: women in health administration.

PMID- 10249642
TI  - Implement control measures with process surveillance.

PMID- 10249643
TI  - Birthing centers receive infection control reviews.

PMID- 10249644
TI  - Maley invents wheelchair fender; describes cleaning policies.

PMID- 10249645
TI  - The case for a distinct energy conservation policy and a sample document.

PMID- 10249646
TI  - Insulation of mechanical services.

PMID- 10249647
TI  - Use of land water for low grade heating/cooling source at Bristol Royal
      Infirmary.

PMID- 10249648
TI  - Building management systems in the hospital environment.

PMID- 10249649
TI  - QA program wins results by 'looking for trouble'.

PMID- 10249650
TI  - Officials spot inequities in DRG cost control program.

PMID- 10249651
TI  - Study pinpoints consequences of poor discharge planning.

PMID- 10249652
TI  - St. Mary's Health Center, St. Louis. Retreat gives employees time to relax,
      reflect.

PMID- 10249653
TI  - St. Mary's Hospital of Richmond (VA), Inc. Hospital-museum agreement brings
      exhibits to patients, staff.

PMID- 10249654
TI  - St. Ansgar Hospital, Moorhead, MN. Volunteer-staffed center supervises visitors',
      outpatients' children.

PMID- 10249655
TI  - The oversupply of physicians: implications for hospital planning.
AB  - In the next ten years, hospitals will have to contend with the impact of group
      practice, which often competes with hospital-based services. How will a new
      interdependence between hospitals and group practices affect hospitals' strategic
      planning?

PMID- 10249656
TI  - St. Mary's Hospital, Rochester, NY. Medical group practice: community service,
      teaching resources.
AB  - To improve its outpatient services, one hospital created a medical group practice
      that functions as an outpatient department extension in two locations. The
      program meets the health needs of the community's children and the elderly and
      serves as an important resource for medical education.

PMID- 10249657
TI  - Good Samaritan Hospital and Nursing Home, Inc., Selma, Al. Hospital-affiliated
      clinics meet health needs of rural poor.
AB  - How can a hospital meet the health needs of citizens unable to pay for services?
      One southern hospital founded two rural clinics that are operated by a nurse
      practitioners and a preceptor-physician. Fees are figured on a sliding scale, and
      van service is available for patients.

PMID- 10249658
TI  - Suffering and healing: the process of growth.
AB  - Professionalism and faith are essential elements in the Christian mission of
      healing. It is precisely the integration of research and diagnosis with faith in
      God that constitutes the basic responsibility of the Catholic health care
      facility.

PMID- 10249659
TI  - Eucharistic health care facility transcends professionalism.
AB  - The members of a Catholic health care facility individually and corporately
      celebrate Christ's presence in the fullness of eucharistic faith. To be in a
      Catholic hospital is to have a Gospel experience among Gospel people.

PMID- 10249660
TI  - Saint Vincent Health Center, Erie, PA. Employee assistance program conserves
      human resources.
AB  - Hospitals, like industry, seek to alleviate employee distress that results in
      tardiness, absenteeism, and low productivity. With CEO support, employee
      assistance programs can promote employee effectiveness.

PMID- 10249661
TI  - Mercy Hospital and Medical Center, Chicago. Marketing physical exams -- a source
      of new clients.
AB  - Commitment to care of the medically indigent requires that an institution be
      financially viable. To ensure this, one health care facility has inaugurated a
      health appraisal program to attract privately insured patients.

PMID- 10249662
TI  - Excessive noise levels detrimental to patients, staff.
AB  - Health care institutions create noise levels high enough to cause adverse effects
      on patients and to reduce employee productivity. Remedial steps to reduce noise
      are available at moderate cost.

PMID- 10249663
TI  - Can state review programs curb costs without harming quality?

PMID- 10249664
TI  - Court affirms burden of proof rests with patient.

PMID- 10249665
TI  - Psychiatric facility must meet safety standards.

PMID- 10249666
TI  - St. Joseph Hospital, St. Charles, MO. Well-planned power shutdown good training
      for emergency.

PMID- 10249667
TI  - Effective hospital purchasing.

PMID- 10249668
TI  - Procurement of major equipment.

PMID- 10249669
TI  - Buying diagnostic imaging equipment: points to ponder, pitfalls to avoid.

PMID- 10249671
TI  - Effects of the 1980 GAO study on hospital purchasing.

PMID- 10249672
TI  - Purchase on your terms, not theirs.

PMID- 10249670
TI  - A hospital's application of the debit memo.

PMID- 10249673
TI  - Overcoming economic order quantity limitations.

PMID- 10249674
TI  - Approved products lists are imperative to effective purchasing.

PMID- 10249675
TI  - Mere purchasing versus effective negotiation.

PMID- 10249676
TI  - Cost containment, customer service liaison are two keys to shared hospital
      laundry success.

PMID- 10249677
TI  - Insuring that role differentiation and performance expectation are understood-
      how to avoid misunderstandings, and loss of good people.

PMID- 10249678
TI  - Nurse and aide; a nursing assistant's point of view.

PMID- 10249679
TI  - Water filters solve hospital's maintenance problems--provide quality water.

PMID- 10249680
TI  - Microfilm provides vital access, eases space problems for medical records and
      radiologic services.

PMID- 10249681
TI  - An alternate route to quality assurance: a holistic professionally autonomous
      approach.

PMID- 10249682
TI  - Design dramatically decreases hospital energy needs.

PMID- 10249683
TI  - Laundry linen cost containment study: linen loss prevention=ring around the
      pocket.

PMID- 10249684
TI  - A quality assurance program for central supply.

PMID- 10249685
TI  - How Richmond Memorial's computer eases controls and outside reporting demands.

PMID- 10249686
TI  - Material management Q's & A's: unit dosing supplies other than drugs.

PMID- 10249688
TI  - Interaction: key to effective consultation.

PMID- 10249689
TI  - Case history: U. of Texas Medical Branch's new security system.

PMID- 10249687
TI  - So you don't like your boss...!

PMID- 10249690
TI  - Coping with security for V.I.P. patients.

PMID- 10249692
TI  - Case history: NYU Medical Center's "cost-avoidance" security system.

PMID- 10249691
TI  - Murders, shootings attract press to five hospitals.

PMID- 10249693
TI  - "Operation I.D." becomes "Operation Can't Lose" for Pennsylvania hospital.

PMID- 10249694
TI  - Coping with fire and arson.

PMID- 10249695
TI  - Combined security/safety department brings mixed benefits.

PMID- 10249696
TI  - Preventing violent crimes.

PMID- 10249697
TI  - The growing scrub suit theft boom and what can be done to stop it.

PMID- 10249698
TI  - Selling the security budget.

PMID- 10249699
TI  - Women arrive on security scene, and prove to be effective officers.

PMID- 10249700
TI  - Effective security planning for new or remodeled facilities.

PMID- 10249701
TI  - Discouraging break-ins: think like a criminal.

PMID- 10249702
TI  - Risk management: threat or opportunity?

PMID- 10249704
TI  - Reviewing your disaster plans.

PMID- 10249703
TI  - Hospital survives nurses' strike with minimal disruption and no violence.

PMID- 10249705
TI  - Hospital malpractice liability increased by Arizona High Court's "negligent
      supervision" ruling.

PMID- 10249706
TI  - Proposed planning rule's granting of controversial "consumer" status to trustees
      would result in more trustees on HSA.

PMID- 10249707
TI  - Stockman's "black book" proposes options for major federal budget cuts.

PMID- 10249708
TI  - FCC's deregulation of telecommunication systems could affect 75% of all
      hospitals.

PMID- 10249709
TI  - HCFA withdraws proposed rules on "related organization" status of shared service
      organizations.

PMID- 10249710
TI  - Fifth Circuit rules government's right of recovery under Hill-Burton not barred
      by statute of limitations.

PMID- 10249712
TI  - Is emergency abuse a problem?

PMID- 10249711
TI  - Sixth Circuit rules that indigents lack standing to challenge IRS ruling on
      hospitals' tax exemption.

PMID- 10249713
TI  - Buy Canadian? You may have to.

PMID- 10249714
TI  - Hospital services all under one roof.

PMID- 10249715
TI  - Hospice care--it's not too expensive.

PMID- 10249716
TI  - How fair is your judgement?

PMID- 10249718
TI  - The art of long range planning.

PMID- 10249717
TI  - Practical solutions for funding crisis.

PMID- 10249719
TI  - Interiors awards: Detroit Receiving Hospital/Wayne State University Health Care
      Institute.

PMID- 10249720
TI  - Health Planning for--or against--innovative and improved maternity care: the case
      of the closing of obstetrical services at Presbyterian Medical Center in
      Philadelphia.

PMID- 10249721
TI  - The use of nurse-midwives to reduce the atrocious infant morbidity and mortality
      rates of the poor.

PMID- 10249722
TI  - The challenge to primary care nursing.

PMID- 10249723
TI  - Health planning goals.

PMID- 10249724
TI  - Setting up a hospital community resource committee for family-centered maternity
      care.

PMID- 10249725
TI  - Monthly breast self-examination now practiced by 40 percent of women: more
      education needed.

PMID- 10249726
TI  - Health care prices.

PMID- 10249727
TI  - Employment, hours, and earning in the health care sector.

PMID- 10249728
TI  - Selected national economic indicators.

PMID- 10249729
TI  - The CHC experience.

PMID- 10249730
TI  - The unkindest cut of all.

PMID- 10249731
TI  - Fighting for our hospitals.

PMID- 10249732
TI  - Consumers union grows in the Bronx.

PMID- 10249733
TI  - Community health centers after fifteen years.

PMID- 10249734
TI  - The professionalization of neighborhood health centers.

PMID- 10249735
TI  - The neighborhood health center: model and federal policy.

PMID- 10249736
TI  - Murder in the hospital.

PMID- 10249737
TI  - Fever chart.

PMID- 10249738
TI  - Expanding Sutton's Law.

PMID- 10249739
TI  - The professionalization of neighborhood centers: the view from the community.

PMID- 10249740
TI  - Saving the rural community hospital: an endangered species.

PMID- 10249741
TI  - The ultimate shared service for hospitals: political synergy.

PMID- 10249743
TI  - Management of resources under a CAP reimbursement structure.

PMID- 10249742
TI  - What motivates people to work effectively?

PMID- 10249744
TI  - Applying strategic marketing.

PMID- 10249745
TI  - Legal question: effectively handling reference requests regarding former
      employees who were terminated.

PMID- 10249746
TI  - How to deal with the disruptive physician.
AB  - Hospital medical staffs are beginning to deal with the sensitive problem of the
      disruptive physician. Courts in 11 states already have allowed hospitals to
      dismiss physicians who display unprofessional behavior. Hospitals and medical
      staffs, however, must be careful to document a correlation between a physician's
      disruptive behavior and interference with patient care.

PMID- 10249747
TI  - Physicians pivotal to successful cost containment efforts.
AB  - Medical staffs are involved in a variety of activities to lower health care costs
      in their institutions and communities. The various mechanisms for medical staff
      participation in and accountability for cost-effective management of hospital
      resources are explored in the following report on the National Symposium on the
      Role of the Medical Staff in Controlling Costs.

PMID- 10249748
TI  - NY court issues 'right-to-die' guidelines.
AB  - The Eichner case may be as important as the Quinlan case for physicians who deal
      with irreversibly comatose patients. Physicians in New York state must now follow
      the guidelines set down by the court in the Eichner case, and physicians in other
      states should be concerned that these kinds of guidelines could be imposed in
      their states.

PMID- 10249749
TI  - Guidelines for safe handling of cytotoxic drugs in pharmacy departments and
      hospital wards.
AB  - The Specialty Practice Committee on Parenteral Services is one of a number of
      subcommittees of the Federal Council of The Society of Hospital Pharmacists of
      Australia (SHPA) having responsibility for development of professional practice
      in particular areas, such as drug distribution, drug information, clinical
      pharmacy, radiopharmaceuticals, and a number of others. Parenteral Services has
      been, perhaps, the major area of growth in Australian hospital pharmacy over the
      last three years. The pattern of growth of Australia has deviated somewhat from
      that which has emerged in the United States. Whereas the typical I.V. admixture
      service is relatively uncommon in Australian hospitals, the emphasis is towards
      specialization into Parenteral Nutrition and Oncology Support Services.
      Developments in Oncology Support have been particularly rapid, with many
      pharmacists becoming exclusively involved in this specialty. Concern is felt that
      operators intensively reconstituting and preparing cytotoxic drugs may be at risk
      from a variety of factors. Australian hospital pharmacists share the growing
      international opinion that this work is potentially hazardous and that safety
      guidelines governing every aspect of handling these substances are urgently
      required. The Specialty Practice Committee on Parenteral Services has conducted a
      study of safety aspects of this work as its major project for 1980 and has
      produced the document presented below. This is an official statement of the
      Society of Hospital Pharmacists of Australia.

PMID- 10249751
TI  - A clinical responsibility: maintaining the confidentiality of patient
      information.
AB  - A program to insure the confidentiality of patient information is described along
      with suggested policies and procedures. Two categories of patient information are
      discussed. Departmental policies should reflect the institution's policy and
      specify which employees may have access to the information in a patient's medical
      record. These policies should relate to professional staff, faculty members,
      pharmacy students, and supportive personnel. Employees must be made aware that a
      patient's medical record is confidential and cannot be disclosed without the
      patient's authorization. The need for maintaining the confidentiality of
      information on drug usage is also discussed. Specific guidelines are suggested
      regarding the availability, storage, release, and disposal of records of drug
      usage. Pharmacy administrators are encouraged to study institutional policies, to
      develop departmental guidelines for protecting the confidentiality of patient
      information, and to familiarize employees with established policies.

PMID- 10249750
TI  - Evaluation of a computerized digoxin pharmacokinetic consultation service.
AB  - A pharmacy-conducted digoxin pharmacokinetic consultation service was implemented
      to determine the influence of the service on patient serum digoxin
      concentrations. Changes in digoxin dosages and serum levels during a three-week
      period were compared with a three-week control period in which the consultation
      was not offered. Of 47 patients evaluated, there was no statistically significant
      (P > 0.05) difference between the control and the study group in terms of
      population variables. The study group receiving pharmacokinetic consultations
      showed a significantly greater (P > 0.05) number of dosage changes resulting in
      therapeutic serum drug levels than did the control group whose physicians
      received a report of serum drug level by itself. The number of patients with
      steady-state serum digoxin levels in the therapeutic range of 1-2 ng/ml increased
      from 45.5% to 80% as a result of the clinical pharmacokinetic consultations. This
      study demonstrated that a pharmacy-based clinical pharmacokinetic consultation
      service can provide potential benefits to the patient by aiding clinicians in
      optimizing serum drug concentrations.

PMID- 10249752
TI  - The pharmacist and disaster planning.

PMID- 10249753
TI  - Reduced cost of health care through improved use of technology.

PMID- 10249754
TI  - Guidelines for clinical engineering programs--Part I: guidelines for electrical
      isolation; Part II: performance evaluation of clinical engineering programs.
AB  - This series presents guidelines for: electrically isolated inputs and outputs;
      measuring the performance of hospital biomedical engineering programs; evaluating
      the risk of electric shock in hospitals; and for isolated power in anesthetizing
      locations. In Part I, specific recommendations are given for the use of insulated
      approach, battery-powered monitors in surgery, and for isolation requirements for
      devices connected to cardiac leads. In Part II, checklists are provided for the
      self-evaluation of an in-house, biomedical engineering staff. Parts III and IV,
      in future issues of this Journal, will include discussion of the theoretical
      electrical hazard potential in reference to the use of isolated power systems.
      The question of whether isolated power should be required in all anesthetizing
      locations will be discussed in Part IV.

PMID- 10249755
TI  - The professional development degree for biomedical engineers.
AB  - This paper examines the role of biomedical engineers in terms of their influence
      on the quality of health care delivery, and their need to continue their
      education in an effort to keep pace with technological advancements and prepare
      for career changes. This paper also examines the role of the Professional
      Development Degree for Engineers as one alternative to traditional degree
      programs, and describes one biomedical engineer's experience with a PDD program.

PMID- 10249756
TI  - Analyze of hospital computer networks.
AB  - Methods for the analysis of hospital computer networks have been developed
      without the need for a large-scale computer simulation of the queueing events in
      the problem. A table-driven methodology and a simple computer program are
      provided for an analysis of the computer utilization and channel utilization for
      a network of computers supporting hospital tasks. An example, using a DEC 11/780
      VAX and six DEC 11/44's is given. The example network is also analyzed by large
      scale computer simulation techniques, and the results are compared.

PMID- 10249758
TI  - The Canada health survey.

PMID- 10249757
TI  - Does the in-hospital BMET face obsolescence?
AB  - Changes in electronic technology, increased BMET manpower costs, and changes in
      hospital purchasing procedures are reducing the hospital's need for an in
      hospital, bench technician. A new technologist will probably evolve. As repairs
      decline, greater emphasis will be placed on device-operator education, the device
      patient interface, performance assurance and safety inspections, and coordination
      of device safety and functional problems. In-hospital BMET's should recognize
      these changes and prepare themselves for this new role. Certification commissions
      must establish curriculum and procedural requirements that are responsive to
      rapid technological change.

PMID- 10249759
TI  - Automated information retrieval system for drug and poison information centres.

PMID- 10249760
TI  - SPARCS: the New York State health care data system.

PMID- 10249761
TI  - Remarks on the issue of privacy and confidentiality as it would pertain to the
      contemplated computerization of all hospital discharges in the State of New York.

PMID- 10249762
TI  - A model for the ethical protection of medical data.

PMID- 10249763
TI  - The present state of automated follow-up in Canada--Part I: methodology and
      files.

PMID- 10249764
TI  - The present state of automated follow-up in Canada--Part II: the products.

PMID- 10249765
TI  - Use of services for the mentally retarded in the African-American community.
AB  - Mentally retarded individuals, their families, and professionals in the service
      delivery system in the African-American community were interviewed concerning the
      use of services for the mentally retarded. It was found that African-Americans
      underutilized available services. Reasons for this included aspects of the
      service delivery system and features of African-American Culture. Recommendations
      were made for increasing the use of services.

PMID- 10249766
TI  - A note on choosing a service provider from telephone listings: focus on community
      mental health centers.
AB  - 178 college students searched telephone directories with instruction to find help
      for a friend with a serious emotional problem. There were no significant
      differences between white and yellow pages or between fine or bold print in the
      relative frequency with which CMHCs were found. The most important listing in the
      white pages was "Mental Health Center" and in the yellow pages was under
      "Clinics." More than two listings did not increase the relative frequency with
      which CMHCs were found and listed by a proper name was effective only in the
      absence of generic names.

PMID- 10249767
TI  - Testimony to the House Select Committee on Aging -- drugs in nursing homes.

PMID- 10249768
TI  - AHCA members charged with neglect: Who is responsible?

PMID- 10249769
TI  - Communication disorders.

PMID- 10249770
TI  - The humorous side.

PMID- 10249771
TI  - Mouth-to-mouth resuscitation.

PMID- 10249772
TI  - Heimlich maneuver.

PMID- 10249773
TI  - Improving services in the long term care facility.

PMID- 10249774
TI  - Federal financing programs for nursing homes.

PMID- 10249775
TI  - National Nursing Home Week -- your guide to a successful week.

PMID- 10249776
TI  - Staff development: counseling/criticism.

PMID- 10249777
TI  - Interest free loan from your cooperation.

PMID- 10249778
TI  - Is interest your goal?

PMID- 10249779
TI  - Health and safety at the 1980 Winter Olympics, Lake Placid, New York.
AB  - The 1980 Winter Olympics in Lake Placid, New York, were a spectacular
      demonstration of athletic ability and cooperative international competition. The
      spectators, athletes and officials were able to participate in the event without
      incident of preventable illness, injury or death because of extensive planning
      and work both before and during the games by the New York State Department of
      Health, other state agencies, and the Lake Placid Olympic Organizing Committee to
      provide a safe and healthful Olympics.

PMID- 10249780
TI  - Nursing home care and the minority elderly.

PMID- 10249781
TI  - An administrator's viewpoint of long-term care for the minority elderly: an
      interview with Houston Baker.

PMID- 10249782
TI  - Research in music therapy: a survey of music therapists' attitudes and knowledge.
AB  - To examine attitudes toward and knowledge of research in music therapy, a three
      part survey was administered to 150 randomly selected music therapists, with
      complete surveys returned by 66 respondents. The survey consisted of a cover page
      gathering background information, a series of 20 statements assessing attitudes
      toward music therapy research, and 25 true-false questions examining subjects'
      knowledge of research terminology and methodology. Analysis of survey responses
      indicated a generally positive attitude toward research, but dissatisfaction with
      the current status of research in the field. No relationship was found between
      research attitudes and research knowledge, and no significant effects on research
      knowledge were discerned for education, present position, or research background.
      Results of this study are discussed in terms of implications and issues to be
      addressed by academicians, clinicians, and researchers in music therapy.

PMID- 10249783
TI  - Are you in control?
AB  - Overcramped conditions and lack of available storage space are usually the
      instigating factors for implementation of a micrographics system, but there are
      many other benefits to be gained, It is critical that a system be well planned
      and carefully researched to assure that you are indeed in control. If your only
      goal is to microfilm records to make more space, this space will also be "jammed"
      within a short period of time and you will have accomplished nothing. A good
      micrographics system can, and should, improve the integrity of the records, in
      addition to saving space. It should and will provide control of the records,
      while at the same time making the information readily available to all users. The
      system can be combined with an existing computer system within the facility
      and/or be shared with other departments. An ill-planned micrographics system will
      ultimately lead to one that is neither cost-effective nor efficient.

PMID- 10249784
TI  - FPO--for parents only.

PMID- 10249785
TI  - Emergency social services in a pediatric hospital.

PMID- 10249786
TI  - Pillow play with hospitalized children: three case studies.

PMID- 10249787
TI  - Negative feelings toward children: their impact on pediatric care.

PMID- 10249788
TI  - Advocacy and the professional.

PMID- 10249789
TI  - Trends in NLRB health care industry decisions.

PMID- 10249790
TI  - Equal pay for work of comparable value: a new concept.

PMID- 10249791
TI  - Are your managers really managing?

PMID- 10249792
TI  - Fear and productivity: more closely related than we think?

PMID- 10249793
TI  - Linen reclamation is the key to reducing replacement costs.

PMID- 10249795
TI  - Medical illustration: fusing art and science.

PMID- 10249794
TI  - Greenville hospital laundry staff produces record linen poundage.

PMID- 10249796
TI  - Those high-earning surgeons: who's faring best?

PMID- 10249797
TI  - National health insurance: the debacle Down Under.

PMID- 10249798
TI  - Why FMGs are earning less.

PMID- 10249799
TI  - Non-surgical practice: what's the key to higher earnings?

PMID- 10249800
TI  - Can doctors rescue this malpractice reform?

PMID- 10249801
TI  - Substitution--the New York State experience.

PMID- 10249802
TI  - Patient education and informed consent: a roundtable.

PMID- 10249803
TI  - Doctor advertising: here to stay.

PMID- 10249804
TI  - A joint effort for improving patient education in Michigan.

PMID- 10249805
TI  - Patient education -- health promotion in Michigan's hospitals. Part I.

PMID- 10249806
TI  - The stage is set for us to achieve health through new lifestyles.

PMID- 10249807
TI  - Education can effect community appreciation of hospital capability.

PMID- 10249809
TI  - Evaluation of patient education.

PMID- 10249808
TI  - The physician's role in health education and promotion.

PMID- 10249810
TI  - Dealers, economists take the stand in AHSC trial.

PMID- 10249811
TI  - 1970-80: a decade that transformed an industry.

PMID- 10249812
TI  - Electronic sales aids will jolt old habits in the eighties.

PMID- 10249813
TI  - Industry real growth 'substantial,' report says.

PMID- 10249814
TI  - Health care policy: winds of competition could lead to major changes.

PMID- 10249815
TI  - Hospitals 1980-1990: expanding services?

PMID- 10249817
TI  - HMOs: another surge in growth ahead.

PMID- 10249816
TI  - Fertile ground awaits in clinical lab field.

PMID- 10249818
TI  - Hospital management market shows growth, strength.

PMID- 10249819
TI  - New studies revive doctor glut debate.

PMID- 10249820
TI  - Home care: solid logic and many advocates spell boom.

PMID- 10249821
TI  - A chance to hone health ins. regulation to a fine point.

PMID- 10249822
TI  - A predictive study of voting behavior in a representation election using union
      instrumentality and work perceptions.
AB  - A literature-based model of the unionization process is presented. The process is
      defined in terms of instrumentality perceptions, behavioral intent, and actual
      behavior components. The primary determinant of the process is shown to be the
      instrumentality perceptions of the potential members. The model is tested via
      discriminant analysis and step-wise regression in a sample of hospital nurses.
      The results suggest the overriding importance of instrumentality perceptions in
      the determination of voting behavior. In excess of 75% of the votes were
      accurately predicted from knowledge of the respondent's instrumentality
      perceptions alone. Several avenues for future research were suggested, including
      an expanded view of personal characteristics and extension of expectancy theory
      to employee voting behavior.

PMID- 10249824
TI  - Brain death--what does that mean?

PMID- 10249823
TI  - British Columbia laboratory test cost study--a follow-up.

PMID- 10249825
TI  - The LCADP classification of clinical lab data processing--an update.
AB  - The authors of this article review briefly their original classification for
      clinical laboratory data (February 1979), which they proposed as an aid in
      analyzing and solving data processing problems, and recommend some extensions
      based on recent experience.

PMID- 10249826
TI  - A proposal for a department of pathology improvement program.
AB  - A quality assurance program for Departments of Pathology was first proposed by
      William Beautyman, MD, while he was a member of the Board of Governors of the
      College of American Pathologists. Subsequently, this proposal has been reviewed
      in detail by the CAP Clinical Pathology Committee under the chairmanship of
      William Cole, MD, and more recently Mario Werner, MD. At this time, the Clinical
      Pathology Committee believes a thorough discussion of the merits, format, and
      content of the program is desirable to bring the concept to maturation. Only
      after being subjected to widespread scrutiny will it be ready for more formal
      consideration and possible implementation by the College. It is published at this
      time with such intent.

PMID- 10249827
TI  - What's the prognosis for American medicine?

PMID- 10249828
TI  - MD choices: political activism or obsolescence.

PMID- 10249829
TI  - Bracing the system to care for the elderly.

PMID- 10249830
TI  - Employee recognition: a key to motivation.
AB  - Productivity--why it's low and how to enhance it--is on everyone's mind these
      days. A major component of productivity is employee satisfaction. If an employee
      is dissatisfied, feels unappreciated or under-compensated, that employee will not
      perform to the best of his or her ability. How is the personnel administrator to
      address this pressing problem? One answer that emerges is employee recognition
      programs. In many cases, properly run recognition programs can boost awareness of
      the organization, build employee pride, raise morale and, ultimately, increase
      productivity. As some of our respondents observed, higher salary is not the best
      answer. While a larger paycheck is always appreciated, everyone's pride is
      boosted by a public demonstration of appreciation.

PMID- 10249831
TI  - Labor disputes and strikes: be prepared.

PMID- 10249832
TI  - A critique of performance appraisal systems.

PMID- 10249833
TI  - The use of broadcast advertising for recruitment.

PMID- 10249834
TI  - The ineffective subordinate: a management survey.

PMID- 10249835
TI  - Charting your staff's potential.

PMID- 10249836
TI  - Who will dominate health markets in the decade of the 80s?

PMID- 10249837
TI  - How 34 pharmacists handle pharmacy services at Walter Reed Army Medical Center.

PMID- 10249838
TI  - Hospital-sponsored parties bring health education into neighborhood homes.

PMID- 10249839
TI  - Health promotion efforts strike at diseases of poverty, neighborhood blight.

PMID- 10249840
TI  - Recent malpractice decisions on adequate disclosure.

PMID- 10249841
TI  - A defense of the physician's position in the spiral of health care costs.

PMID- 10249843
TI  - CIT Corporation fourth annual survey, 1980: capital equipment spending by
      hospitals.

PMID- 10249842
TI  - How much future competition from HMOs?

PMID- 10249844
TI  - AHRA statistical survey: March, 1980.

PMID- 10249845
TI  - Cost containment in radiology.

PMID- 10249846
TI  - Effective crisis management.

PMID- 10249847
TI  - Emotional support in a pulmonary rehabilitation program.

PMID- 10249848
TI  - Make room for emergicenters.

PMID- 10249849
TI  - Appraising the performance of performance appraisal.
AB  - This article provides a critical examination of formal performance appraisal
      systems in organizations. It argues that the role, effectiveness, and validity of
      appraisal data are limited by a number of organizational factors: the purposes of
      the appraisal (both avowed and covert), the characteristics of the tasks for
      which the appraisal is performed, and the location in the structure of the
      organization of both appraisers and appraisees. The authors conclude that data
      from formal performance appraisal systems should never be utilized alone and
      uncritically, without full consideration of the context in which the appraisal is
      being performed and used.

PMID- 10249850
TI  - Social work practice in community mental health.

PMID- 10249851
TI  - Person-environment fit as the focus in health care.

PMID- 10249852
TI  - Hospital fund usage cut drastically by solar systems.

PMID- 10249853
TI  - Solar energy for the hospital?
AB  - You can't scrap your boiler and expect solar panels to provide steam for process
      and heating, but solar systems are cost-effective now for domestic hot water
      generation, according to a leading solar energy engineering/design/build firm.

PMID- 10249854
TI  - Energy contingency planning: a coordinated effort.
AB  - The Greensboro/Guildford, NC Emergency Management Assistance Agency, recognized
      for its planning in severe weather situations, set out to incorporate energy
      contingency planning into its portfolio some 2 1/2 years ago. From severe weather
      planning, the agency has branched out to include energy emergencies and peacetime
      radiation accidents. This article outlines the agency's efforts with the
      hospitals in its area.

PMID- 10249855
TI  - Roanoke Memorial dedicates cancer center.
AB  - The Cancer Center of Southwest Virginia in Roanoke, dedicated last September,
      represents an attempt to "humanize" a cancer treatment facility. The facility is
      described in this article.

PMID- 10249856
TI  - The way to energy efficiency: not so simple, but profitable.
AB  - For the average residential, commercial and industrial consumer of energy,
      adjustments are made very simply to boost energy efficiency. In the hospital,
      those steps are not so obvious. But you can find possibilities if you dig for
      them. This article suggests some ways to trim the energy diet, and offers other
      possibilities for further investigation.

PMID- 10249857
TI  - On lying to the dying.

PMID- 10249858
TI  - The selling of the hospital 1980.

PMID- 10249859
TI  - Special-report--Part III: international medical equipment/Germany.

PMID- 10249860
TI  - So your hospital is using disposables!

PMID- 10249861
TI  - How to handle nursing home business.

PMID- 10249862
TI  - How to communicate with your hospital customer.

PMID- 10249863
TI  - Social work in the emergency room.

PMID- 10249864
TI  - Providing social services in the rural community.

PMID- 10249865
TI  - Buggin' around TSICP: getting the job done.

PMID- 10249866
TI  - Community resources: expand labor, not cost.

PMID- 10249868
TI  - Social work in the multi-hospital setting.

PMID- 10249867
TI  - The social worker's importance on the health care team.

PMID- 10249869
TI  - Nurses' duties in carrying out doctors' orders.

PMID- 10249870
TI  - Needed: local control over local problems.

PMID- 10249871
TI  - SLC: new patient care classification system.

PMID- 10249872
TI  - Va. home achieves savings through group contracts.

PMID- 10249873
TI  - PHS sees dawn of 2d 'revolution'.

PMID- 10249874
TI  - Significant strides recorded by Army.

PMID- 10249875
TI  - Private-public roles important to AMA.

PMID- 10249876
TI  - Navy will expand ongoing programs.

PMID- 10249878
TI  - NIH tackles cost accounting issues.

PMID- 10249877
TI  - Air Force holding optimistic outlook.

PMID- 10249879
TI  - Military medicine programs progress.

PMID- 10249880
TI  - Calling all former patients.

PMID- 10249881
TI  - Rewarding hospital volunteers.

PMID- 10249882
TI  - It pays to volunteer.

PMID- 10249884
TI  - Nurse-managed chronic disease clinic opened by Ford Hospital.

PMID- 10249883
TI  - New Jersey auxilians promote health: a report on the state of the state.

PMID- 10249885
TI  - Diet and folk remedies: the influence of cultural patterns on medical management.

PMID- 10249886
TI  - HMOs: past, present, future.

PMID- 10249887
TI  - The making of an HMO city....a case study on the development of HMOs in Detroit.
AB  - As the option of participating in an HMO is extended in more and more cities,
      this case study of Detroit, prepared for the Office of Health Maintenance
      Organizations of the U.S. Public Health Service by ICF, Inc. of Washington, D.C.
      will provide many useful insights into the wide spectrum of HMO operational
      activity.

PMID- 10249888
TI  - Perspectives on medical service at an urban HMO.

PMID- 10249889
TI  - A new electronic sphygmomanometer: testing observer reliability and instrument
      comparability.
AB  - A new electronic sphygmomanometer, Visomat II, featuring a new microphone sound
      chamber and signal light as a substitute for stethoscope use, was tested in two
      experiments. The study first measured the degree to which two persons observing
      the same instrument would have similar readings. Standard aneroid and mercury
      instruments were also tested. This was done to compare readability of the three
      scales. There were no statistically significant differences in the readings of
      the three types of units. In the second experiment, pairs of different
      sphygmomanometers were connected with Y fittings. Technicians compared in random
      order the similarity of readings of the three possible pairs of units. There were
      no statistically significant differences in the three pairings. The authors
      conclude that the new electronic instruments is comparable to the standard
      aneroid and mercury units.

PMID- 10249890
TI  - Is management really generic?
AB  - Four classes of organizations can be identified along the continuum between
      classical private profit-making firms and strictly governmental agencies: private
      for-profit, private non-profit, private quasi-public, and public. These four
      organization prototypes have different management functions because they receive
      their support from different subsectors of the society. Dependence on different
      individuals, groups, and organizations in the external environment creates
      different values, incentives, and constraints for management. The resulting
      differences in how the basic managerial processes are implemented may be more
      significant than the generic theory of management had acknowledged.

PMID- 10249892
TI  - Quick quiz for choosing a home for the elderly.

PMID- 10249891
TI  - The compressed work week as organizational change: behavioral and attitudinal
      outcomes.
AB  - The results from recent studies on the compressed work week have been compiled
      and categorized in order to provide some basis for generalizing the effects of
      the work schedule on employee attitudes and behavior. It appears that attitudes
      toward the compressed week are favorable, with some generalization to job
      attitudes. Performance outcomes are ambiguous, although there are no reported
      decreases; fatigue seems to be the only negative aspect of the longer day. An
      examination of mediating variables suggests more complex relationships between
      the implementation of the compressed work week and potential outcomes. These
      relationships are described and directions are indicated for future research.

PMID- 10249893
TI  - Quick quiz on the elderly planning to enter an old age facility.

PMID- 10249894
TI  - Special days for special people.

PMID- 10249895
TI  - Use of consultants.

PMID- 10249896
TI  - One economist's "pro-competitive" plan for health care.

PMID- 10249897
TI  - Controlling medical costs: now, patients have to pitch in.

PMID- 10249898
TI  - Jury rules for AMA in suit by chiropractors.

PMID- 10249899
TI  - What the jurors heard as chiropractic trial concluded.

PMID- 10249900
TI  - Public hospitals form association.

PMID- 10249902
TI  - The human factor.

PMID- 10249901
TI  - Automated laundry has increased productivity.

PMID- 10249903
TI  - Caveat emptor (let the buyer beware).

PMID- 10249904
TI  - Quality of life for the chronic lung disease patient.
AB  - For more than 14 years, Dr. Thomas Petty and Louise Nett have set up
      rehabilitation programs for people with emphysema and chronic bronchitis. "An
      organized rehabilitation program dealing with shortness of breath, disability,
      and despair clearly improves the quality of life," they state. The authors
      outline the basics of a self-care program which can make the patient more self
      sufficient.

PMID- 10249905
TI  - Accreditation survey findings.

PMID- 10249906
TI  - Criteria auditing--early experience & evaluation.

PMID- 10249907
TI  - Medical manpower--a cause for celebration or alarm?

PMID- 10249908
TI  - Hospital attitudes to accreditation.

PMID- 10249909
TI  - Integration of private and public hospital sectors--an exploratory programme.

PMID- 10249910
TI  - The Australian Hospital Association Reference Centre.

PMID- 10249911
TI  - Corporate planning--key to practical rationalisation.

PMID- 10249913
TI  - Relatives' accommodation scheme a huge success.

PMID- 10249912
TI  - A profile of medical care provision in Australia: whose interest does it mainly
      serve?

PMID- 10249914
TI  - Joint care: promoting the generalist.
AB  - A new model of personal social service based on primary care and covering every
      citizen, with or without problems, is suggested by author. This, he feels, would
      make up for the inadequacies of the present service.

PMID- 10249915
TI  - Economics: a triple whammy on charities.

PMID- 10249916
TI  - The economics of risks to life.

PMID- 10249917
TI  - A $500.00 dream comes true.

PMID- 10249918
TI  - Corporate restructuring: a special concern for the church hospital.

PMID- 10249919
TI  - Regulation and the health care industry.

PMID- 10249920
TI  - Genetic counseling: new opportunities.

PMID- 10249921
TI  - Tenth Annual Russell L. Dicks Memorial Lecture: selfhood in health and sickness.

PMID- 10249922
TI  - Baptist Medical Center builds office condominiums to attract and retain medical
      staff.

PMID- 10249923
TI  - 20/20 retrospection.

PMID- 10249925
TI  - FMGs: the training opportunities are few.

PMID- 10249924
TI  - GMENAC, the numbers game.

PMID- 10249926
TI  - Assessing the quality of postdoctoral education.

PMID- 10249927
TI  - Predoctoral education: disinterest is the diagnosis.

PMID- 10249928
TI  - Management guidelines: the right perspective.

PMID- 10249929
TI  - Organizational independence: taking charge.

PMID- 10249930
TI  - Childbirth sitting up.

PMID- 10249931
TI  - Hospital employee protection program: procedures and guidelines--Labor Management
      Services Administration, Labor. Notice of proposed rulemaking.
AB  - This proposed rule prescribes guidelines and procedures relating to the
      Department of Labor's responsibility for reviewing applications for grants filed
      with the Secretary of Health and Human Services. The purpose of such
      responsibility is to assure that fair and equitable arrangements have been made
      to protect the interests of hospital employees against a worsening of their
      positions with respect to their employment when such employees are affected by
      the discontinuance of services.

PMID- 10249932
TI  - Final regulations amending basic HHS policy for the protection of human research
      subjects--Department of Health and Human Services. Final rule.
AB  - The Department of Health and Human Services (HHS or Department) is amending the
      HHS policy for the protection of human research subjects and responding to the
      recommendations of the National Commission for the Protection of Human Subjects
      of Biomedical and Behavioral Research (National Commission) and the President's
      Commission for the Study of Ethical Problems in Medicine and Biomedical and
      Behavioral Research (President's Commission) concerning institutional review
      boards (IRBs).

PMID- 10249934
TI  - Proposed procedural regulations--Equal Employment Opportunity Commission.
      Proposed regulations; request for comments.
AB  - The Equal Employment Opportunity Commission is publishing for comment proposed
      procedural regulations (29 CFR Part 1626). These regulations advise the public as
      to the procedures the Commission proposes to follow in processing charges and
      issuing interpretations and opinions under the Age Discrimination in Employment
      Act. These regulations will complement the Commission's existing procedural
      regulations under Title VII of the Civil Rights Act of 1964.

PMID- 10249933
TI  - Research activities which may be reviewed through expedited review procedures set
      forth in HHS regulations for protection of human research subjects--Department of
      Health and Human Services. Notice.
AB  - This notice contains a list of research activities which Institutional Review
      Boards may review through the expedited review procedures set forth in HHS
      regulations for the protection of human subjects.

PMID- 10249935
TI  - Study pegs rates for hospital room around country.

PMID- 10249936
TI  - Hospital liability rates will rise.

PMID- 10249937
TI  - Hospital computers ward off lawsuits.

PMID- 10249939
TI  - Check HMO's health before signing up.

PMID- 10249938
TI  - Survey can win hospitals 15% savings.

PMID- 10249940
TI  - Reducing plans trim bulky health care costs.

PMID- 10249942
TI  - Hospital policy wards off risks of contamination.

PMID- 10249941
TI  - Health tactics slow rate hikes.

PMID- 10249943
TI  - Getting better in the Bahamas.

PMID- 10249944
TI  - Can you write a "no code" order?

PMID- 10249945
TI  - Records, privacy and computer security--a doctor's view.

PMID- 10249946
TI  - Frobisher Bay's hospital serves huge area.

PMID- 10249947
TI  - Electric wheelchair steering aid.

PMID- 10249948
TI  - Low dose, low cost fluoroscopy, with a multi-image camera, and pulsed fluoroscopy
      with intermittent storage.

PMID- 10249949
TI  - The pharmacist's role in controlling hypertension.

PMID- 10249950
TI  - The stresses and the satisfiers of the intensive care unit: a survey.

PMID- 10249951
TI  - A hospital-sponsored intensive care nursing course: one perspective.

PMID- 10249952
TI  - Infection control in burn care facilities.

PMID- 10249953
TI  - In-house quality assurance.

PMID- 10249954
TI  - Should THA help hospitals share nurses?

PMID- 10249955
TI  - Keeping staff on the job.

PMID- 10249956
TI  - How much is a life worth?

PMID- 10249957
TI  - Tennessee hospitals energize savings.

PMID- 10249958
TI  - Some thoughts on . . . public relations, fund raising, and the fine art of saying
      "thanks".

PMID- 10249959
TI  - Special interests vs. free enterprise health care.

PMID- 10249960
TI  - New pharmacy emphasizes efficiency.

PMID- 10249961
TI  - A study we can take pride in.

PMID- 10249962
TI  - Carter County involves the community.

PMID- 10249963
TI  - Making Hospital Week work.

PMID- 10249964
TI  - To cut casual absenteeism: tie benefits to hours worked.

PMID- 10249965
TI  - Medical malpractice panels and federal diversity jurisdiction: preserving access
      to federal courts by analyzing the nature of the panel.

PMID- 10249966
TI  - Special program helps reduce cost of 'red bag' waste disposal.

PMID- 10249967
TI  - Controlling supply costs: 'best price' doesn't always lead to savings.

PMID- 10249968
TI  - 'Weekend nursing staff' concept reduces RN vacancies at Baylor.

PMID- 10249969
TI  - Doctor's actions that increase costs.

PMID- 10249970
TI  - Assessing the hospital education and training department.

PMID- 10249971
TI  - In my opinion ... training administrators and staff development directors.

PMID- 10249972
TI  - Rape prevention course teaches self-defense.

PMID- 10249973
TI  - Teaching the part-time student in the health professions.

PMID- 10249974
TI  - Graphics enhance group medics' understanding.

PMID- 10249975
TI  - Hexagonal Sinatra Patient Tower maximizes space, improves operations.

PMID- 10249976
TI  - Hospital upgrades blighted urban area.

PMID- 10249977
TI  - Medical-facility colors reduce patient stress.

PMID- 10249978
TI  - Revamping the hospital menu for nutrition and selection.

PMID- 10249980
TI  - The values of a hospital CCTV system.

PMID- 10249979
TI  - Wage incentives and married professional nurses: a case of backward-bending
      supply?

PMID- 10249981
TI  - Six health centers provide care in Arizona plan.

PMID- 10249982
TI  - Financial concerns for employers offering HMOs.

PMID- 10249983
TI  - How federal discrimination laws affect health/welfare and pension benefit plans.

PMID- 10249984
TI  - Aspects of prepaid dental plans--cost containment and quality of care.

PMID- 10249985
TI  - Employee benefits in the eighties.

PMID- 10249987
TI  - 'Lifeline' connects isolated patients to emergency dept. help.

PMID- 10249986
TI  - How to get hospital categorized explained.

PMID- 10249988
TI  - Developing medical control in a rural EMS system.

PMID- 10249989
TI  - Overcoming the Peter Principle in EMS Management.

PMID- 10249990
TI  - Miami Fire Department's SWAT/Medic Program.

PMID- 10249991
TI  - Adjunct to airway management: the esophageal obturator airway.

PMID- 10249992
TI  - A formal approach to planning for a county-level EMS system.

PMID- 10249993
TI  - Job satisfaction survey of EMS personnel.

PMID- 10249994
TI  - The need for an improved ambulance design.

PMID- 10249995
TI  - Established rural health systems.

PMID- 10249996
TI  - Instructional design: the format for performance.

PMID- 10249997
TI  - EMS law forum: Title VII provisions and the Equal Employment Opportunity
      Commission.

PMID- 10249998
TI  - National registry of emergency medical technicians.

PMID- 10249999
TI  - What the future holds for the housekeeper as manager.

PMID- 10250000
TI  - "An organized department means motivation".

PMID- 10250001
TI  - Simulated game show encourages cost awareness: a winning idea at St. Thomas!

PMID- 10250002
TI  - Implementing change effectively.

PMID- 10250003
TI  - Changes through the ages: the advancement of housekeeping over the years.

PMID- 10250004
TI  - Lowering energy consumption.

PMID- 10250005
TI  - Work sampling procedures.

PMID- 10250006
TI  - High absenteeism.

PMID- 10250007
TI  - A glowing radioactive waste program.

PMID- 10250008
TI  - Management techniques for housekeeping.

PMID- 10250009
TI  - Is health education for the middle-aged and elderly a waste of time?

PMID- 10250010
TI  - Meeting human needs of elderly patients.

PMID- 10250011
TI  - Adult Health Conference: community-oriented health maintenance for the elderly.

PMID- 10250012
TI  - Health care maintenance for the elderly.

PMID- 10250013
TI  - Is health promotion affordable for the elderly?

PMID- 10250014
TI  - Family support of the elderly.

PMID- 10250016
TI  - Inadequate nutrition in the elderly: a stumbling block to good health.

PMID- 10250015
TI  - Health care for older women: toward a more humanistic approach.

PMID- 10250017
TI  - Preventive group interventions for elderly clients: are they effective?

PMID- 10250018
TI  - Lifestyle change in elderly hypertensive persons: a multifaceted treatment
      program.

PMID- 10250019
TI  - Contract management.

PMID- 10250020
TI  - Wellness: the new employee benefit.

PMID- 10250021
TI  - Medicine's next decade.
AB  - One often hears that the future of medicine is uncertain. Not true, according to
      Denver consultant Tom Zirkle, whose firm monitors and analyzes trends in medical
      care delivery. "The future of medicine-group practice in particular-is quite
      certain," says Zirkle. "Physician incomes will not keep pace with inflation;
      competition among doctors, delivery systems and with allied health personnel will
      become far more intense; increasing fees to cover higher overhead costs will not
      be possible; taxes will continue to rise; and, government regulation is likely to
      expand into the ambulatory care sector. "These certainties are based not only on
      intuitive judgments but also on hard facts; things are going to get rough. Unless
      group practices begin to adopt an operational philosophy oriented toward
      preservation of their institutional well-being, they simply won't survive."

PMID- 10250023
TI  - The aging of America: economic woes may dim the elderly's golden years.

PMID- 10250022
TI  - Contract management: does grafting this hospital concept onto group practice
      work?
AB  - Dramatic changes in the health industry during the past two decades should give
      physicians cause to look at where they are heading in the 1980s. External
      factors, such as competition, legislation and regulation, cost and expectations
      by the public urge serious review of whether group practices are planning
      effectively for the future and providing essential leadership to meet the
      challenges ahead. This article presents an innovation for group practices
      expecting to control rather than to be victims of, change.

PMID- 10250024
TI  - 1981 looms as a year of changes in government programs for health care.

PMID- 10250025
TI  - The 97th Congress: health care and the budget.

PMID- 10250026
TI  - Alabama prisons using contract services to fulfill court order.

PMID- 10250027
TI  - Bromberg predicts between political climate for hospital industry.

PMID- 10250028
TI  - Sexual harassment: the most sensitive subject in foodservice.

PMID- 10250029
TI  - Malpractice: your day in court.

PMID- 10250030
TI  - The client is more than a patient.

PMID- 10250031
TI  - The search is on productivity in foodservice.

PMID- 10250032
TI  - Comrades in crisis.

PMID- 10250033
TI  - Problem: how to eliminate long lines in two eating areas. Solution: build a
      central fast food system.

PMID- 10250034
TI  - New marketing tool: the patient handbook.

PMID- 10250035
TI  - Dean Ammer on group purchasing.

PMID- 10250036
TI  - Antitrust and nonprofit entities.

PMID- 10250037
TI  - How Elscint profits from inside information.

PMID- 10250038
TI  - Rochester area hospitals launch major cost-containment program.

PMID- 10250039
TI  - Putting incentive in physicians' pay.

PMID- 10250040
TI  - Giving our nurses the responsibility they want.

PMID- 10250041
TI  - FSES cuts fire-safety costs in half.

PMID- 10250042
TI  - Art project: painting a picture of care.
AB  - What has art got to do with treating patients? is a question often asked by
      administrators. Pauline Drummond has visited Manchester Hospitals Art Project
      where she found an enthusiastic team which aims to bring to patients the
      therapeutic quality of art.

PMID- 10250043
TI  - Major pressure of sores.
AB  - A survey of 999 patients within the Borders Health Board area showed that 9.4 per
      cent had at least one pressure sore. J.C. Barbenel, M.M. Jordan and S.M. Nicol of
      the bioengineering unit, University of Strathclyde, describe how they assessed
      the extent and distribution of the condition, estimated to cost the NHS pound
      150m a year.

PMID- 10250044
TI  - Health and safety--5: fire risk and PU mattresses.

PMID- 10250045
TI  - A short time for an old hospital in Wales.
AB  - When a hospital is continually evolving one year brings no dramatic changes but
      evolution goes on. Stephen Halpern visited a long established hospital in Wales.

PMID- 10250046
TI  - Private protection: a year at the Wellington Hospital, London.
AB  - Outside the financial restrictions and the restructuring changes of the NHS
      private medicine has had another quiet year. Caroline Howie reports on a year at
      the Wellington Hospital, London.

PMID- 10250047
TI  - Meals on wheels: when the face behind the food is needed more.

PMID- 10250048
TI  - Hidden treasure: from the days of Wellington, Wesley, and William Prowting.
AB  - The staff were sure the chairs in the boardroom were Chippendale. And they took
      it for granted that they were surrounded by antiques and fine paintings. When a
      team from Bonhams visited St Luke's-Woodside Hospital in north London there was
      some good news and some bad news. Brian Watkin tells the story of an enjoyable
      morning, when he learned from the experts.

PMID- 10250049
TI  - Working overseas: a bargain from which all sides gain.
AB  - The advantages of obtaining experience outside one's own health care system are
      not always fully appreciated. Some employers and senior officers tend to be
      discouraging. Paul Cooper, district administrator, East Roding HD, and consultant
      adviser on health planning to the Crown Agents, follows up Pauline Drummond's
      recent article on working outside the NHS, with a look at the advantages to the
      individual and the system of a spell of work overseas.

PMID- 10250050
TI  - Computer-assisted manpower planning.
AB  - In the next year or two Newham Health District in London is to open phase I of
      its new nucleus development and close three existing hospitals. Robert Sloane,
      commissioning officer, describes how the IBM AS system was used to plan the
      manpower requirements and check the revenue consequences.

PMID- 10250051
TI  - Oxygen and suction in hospital wards: how many outlets?
AB  - Current DHSS guidance assumes a close link between patient dependency and the
      number of oxygen and suction outlets required. Research now puts a question mark
      against this assumption, reports Dr Carole Rawlinson, of the Medical Architecture
      Research Unit, Polytechnic of North London.

PMID- 10250052
TI  - Health service computing: putting the patient on line.
AB  - The potential of computers for speeding up communications and routine decision
      making in hospitals is still not being fully exploited. S. E. Harrison, formerly
      regional management services officer, SW Thames RHA, considers what hospitals
      need from a patient administration system and how it might be achieved.

PMID- 10250053
TI  - World health: grappling with big-city problems.
AB  - London's big-city health problems are shared by 26 other cities of similar size
      throughout the world. By the year 2000 there will be many more of them. Miles
      Hardie, director-general of the International Hospital Federation, reflects on a
      recent UNFPA conference.

PMID- 10250054
TI  - Children in hospital: games to take the strangeness away.
AB  - 'Despite skilled and dedicated care by hospital staff, many children are bitterly
      unhappy in hospital, frightened, lonely and homesick.' Pauline Drummond draws on
      personal experience to corroborate this statement by NAWCH, and describes some
      developments designed to prepare young children better for the possibility of a
      stay in hospital.

PMID- 10250055
TI  - Children in hospital: class of its own.
AB  - Children in hospital must by statute have two hours' education a day. Pauline
      Drummond visited the schoolroom at the Brook Hospital, London, to meet Margaret
      Pemberton, ILEA tutor-in-charge, and some of her pupils.

PMID- 10250056
TI  - Hospitals overseas: keeping costs down.
AB  - Britain is far from alone in its attempts to curb the capital costs of new
      hospitals. David Cowan, leader of the hospitals research group in the South
      African National Building Research Institute at Pretoria, describes in this
      paper, based on one originally presented to an IHF congress, how his country has
      tried to meet the problem.

PMID- 10250057
TI  - Administration: steps that need to be taken before a VIP visit.
AB  - When a public figure decides to visit, the honoured community has the dubious
      privilege of arranging a programme for the VIP. History was made recently when
      the Prime Minister announced her intention to visit the Gilbert Bain Hospital,
      Shetland, the first time a PM in office had been to any of the islands'
      hospitals. David March, secretary of the Shetland Health Board, describes the
      preparations and problems of such an event.

PMID- 10250058
TI  - Art in hospitals: they're the real thing!
AB  - Reproductions are all very well, but there is an added excitement about an
      original painting by a contemporary artist.

PMID- 10250060
TI  - Liability for used or borrowed equipment.

PMID- 10250059
TI  - Sexual harassment . . . some see it . . . some won't.
AB  - Is sexual harassment a serious issue for managers, and does it occur as much in
      business as the popular press would have us believe? How difficult will it be to
      implement the newly issued EEOC guidelines? Out of a joint survey with Redbook
      magazine, HBR takes a look at these and other questions. Eliza Collins and
      Timothy Blodgett explore definitions of harassment, analyze respondents' replies,
      and suggest ways to counter the problem.

PMID- 10250061
TI  - Medical-surgical supplies prices now rising at 8-percent annual rate.

PMID- 10250062
TI  - How effective are small-hospital PA's?

PMID- 10250063
TI  - Ethicon sutures continue on . . . '77, '78, '79, '80...

PMID- 10250064
TI  - In praise of the debt memo: purchasing's invoice to the supplier.

PMID- 10250065
TI  - Humanizing the pediatric hospital environment.

PMID- 10250066
TI  - Sterilization -- it has a role in quality care.

PMID- 10250067
TI  - Central sterile supply department.

PMID- 10250068
TI  - Hospital -- a behavioral perspective.

PMID- 10250069
TI  - Reorganisation of the existing health structure in India.

PMID- 10250070
TI  - Medical care services of Chittaranjan Mobile Hospital Medical College, Srinagar.

PMID- 10250071
TI  - Industrial Disputes Act: An appraisal.

PMID- 10250073
TI  - "Conflicts in hospital".

PMID- 10250072
TI  - A blue-print for hospital instrument maintenance.

PMID- 10250074
TI  - An exploratory study on cost analysis of an urban maternal and child health and
      family welfare centre.

PMID- 10250075
TI  - Some aspects of hospital management requiring personal attention of a hospital
      administrator.

PMID- 10250076
TI  - Health care in tea grades -- utilization of services of para-medical personnel in
      community health work.

PMID- 10250077
TI  - Six challenges -- for the nursing profession.

PMID- 10250078
TI  - Hospital for common man.

PMID- 10250079
TI  - Principles of organisation and management.

PMID- 10250080
TI  - The nursing component of health care delivery system.

PMID- 10250081
TI  - Personnel management.

PMID- 10250082
TI  - Hospital for rural common man.

PMID- 10250084
TI  - Strategies for rural health.

PMID- 10250083
TI  - Role of voluntary organization in rural health.

PMID- 10250085
TI  - "Marketing to hospital".

PMID- 10250086
TI  - Development of blood bank services in India.

PMID- 10250087
TI  - Hospital infection control machinery.

PMID- 10250089
TI  - Principles of dry heat sterilization.

PMID- 10250088
TI  - The International Hospital Federation (IHF) and health services management
      training.

PMID- 10250090
TI  - Riverside Methodist Hospital Library Resource Center.

PMID- 10250091
TI  - The librarian who has wings.

PMID- 10250092
TI  - Library services for those who serve Native Americans: Navajo, Hopi, Pima,
      Maricopa, Papago, Uintah and Ouray.

PMID- 10250093
TI  - Journal usage in a children's hospital library.

PMID- 10250094
TI  - Medical Library Association exchange: a hospital vantagepoint.

PMID- 10250095
TI  - Major accident procedure: theory and practice in the Shetlands.

PMID- 10250096
TI  - Liability and status in the National Health Service.

PMID- 10250097
TI  - Computers in in-patient information systems--an alternative, local approach.

PMID- 10250098
TI  - The use of computers in patient administration systems.

PMID- 10250099
TI  - View from the East.

PMID- 10250100
TI  - NICU: intensive education and infant transport capabilities optimize service of
      Boise's St. Luke's Hospital neonatal IC unit.

PMID- 10250101
TI  - Health care manager's notebook: art of negotiating.

PMID- 10250102
TI  - Developing a hospital real estate acquisition program.

PMID- 10250103
TI  - The West -- is it really different?

PMID- 10250104
TI  - JCAH most often cites lack of written infection control policies.

PMID- 10250105
TI  - What components constitute an effective IC program?

PMID- 10250106
TI  - State TV helps educate hospital employees on IC.

PMID- 10250107
TI  - Progress in laundry heat recovery.

PMID- 10250108
TI  - The biomedical engineering department.

PMID- 10250110
TI  - Microprocessor-based temperature control.

PMID- 10250109
TI  - Wide area paging at East Birmingham Hospital.

PMID- 10250111
TI  - Preventing immature dependence in the community health delivery system.

PMID- 10250112
TI  - The Visiting Nurse Association's role in mental health.

PMID- 10250113
TI  - Developing home health care services in rural areas--a case study of decision
      points.
AB  - Although Illinois is considered an urban industrial state it has many rural areas
      with scant medical, social and public health services. The need to improve these
      services has been recognized as a priority by the Health Systems Agency and by
      citizens of those areas. One method of beginning to meet those needs is to extend
      Home Health Services from a nearby county where Medicare-certified services are
      already well developed. This article is to share the methodology used by Peoria
      City/County Health Department in developing a plan to meet the Home Health Care
      needs of Marshall and Putnam Counties. The presentation will be made in a case
      study format with identification of decision points within the process. The
      objective in identifying decision points is to assist home health agencies
      contemplating expansion into adjoining counties with the process of program
      development. The goal of the process is to provide Home Health Services to an
      underserved area.

PMID- 10250114
TI  - Credentialing cited as major issue in quality assurance.

PMID- 10250115
TI  - Perspectives: quality assurance and risk management.

PMID- 10250116
TI  - PIER program solves internal problems.

PMID- 10250117
TI  - St. Joseph's Hospital, Huntingburg, IN. Rural clinics expand hospital's service
      area.

PMID- 10250118
TI  - Cooperation, competition, regulation: health care system's balancing act.
AB  - Three strategies--cooperation, competition, and regulation--affect health care
      delivery in the United States. Incentive systems must be developed and
      implemented if the three strategies are to achieve synergistic balance.

PMID- 10250119
TI  - Voluntary planning forestalls excessive competition, regulation.
AB  - Overemphasizing competition or regulation to control health care costs
      jeopardizes improved medical technology, continued specialized medical education,
      and care for indigent patients. Voluntary planning can help institutions to
      achieve cost containment without undermining long-range goals.

PMID- 10250120
TI  - Georgetown University/Providence Hospital Family Practice Program, Washington,
      DC. Project test ways to coordinate medical, community services.
AB  - Fragmented medical care is especially harmful for chronically ill elderly
      patients. Intervention designed to educate them about their diseases and
      available resources may result in increased self-care and decreased rates of
      institutionalization.

PMID- 10250121
TI  - The Maria-Joseph Living Care Center, Dayton, OH. Geriatric rehabilitation: using
      an interdisciplinary approach.
AB  - Long term care facilities have the personnel and physical resources to implement
      geriatric rehabilitation units without making major adjustments. A team approach
      enables patients to achieve personal goals of independent living.

PMID- 10250122
TI  - Toward a useful definition of adult day care.
AB  - Adult day care is one alternative to unnecessary institutionalization of the
      impaired aged. The service needs to be defined, however, in order to become
      accepted, effective, and better funded.

PMID- 10250123
TI  - McAuley Bergan Center, Omaha, NE. Hospital-affiliated adult day program
      individualizes care.

PMID- 10250125
TI  - Trusteeship: shared mission for religious and laity.
AB  - Serving as a trustee requires commitment to a particular congregation's spirit or
      charism and to the health care apostolate. Vatican Council II urges that
      laypersons take the responsibility to share with religious as partners in
      furthering the Church's mission.

PMID- 10250124
TI  - Supporting institutional change: guidelines for the CEO.
AB  - The CEO's support for change within the health care organization is desirable,
      yet sometimes difficult to achieve. Pinpointing specific problems in
      communicating such support to employees is the CEO's first step toward accepting
      and implementing change.

PMID- 10250126
TI  - Seton Medical Center, Austin, TX. Community groups supplement hospital's
      auxiliary.

PMID- 10250127
TI  - Free care not required of voluntary hospital.

PMID- 10250128
TI  - Negligence, errors in judgment upheld as distinct.

PMID- 10250129
TI  - St. Francis Hospital, Inc., Memphis, TN. Integrated departments promote efficient
      staffing.

PMID- 10250130
TI  - Manor Hospital, Nuneaton.

PMID- 10250132
TI  - Improving your incident reporting system.

PMID- 10250131
TI  - Nine arrested in hospital food thefts: top administrator forced to resign.

PMID- 10250133
TI  - Supreme Court denies HCSC-Laundry shared service tax exemption.

PMID- 10250134
TI  - Ohio Probate Court authorized termination of treatment--follows precedent in
      Eichner.

PMID- 10250135
TI  - Office of Health Regulation final report recommends more analysis before
      regulation.

PMID- 10250136
TI  - New Hampshire High Court voids Malpractice Act.

PMID- 10250137
TI  - Administration's revised HHS budget elaborates on previously announced cuts, adds
      new ones.

PMID- 10250138
TI  - Special state hospital association dues assessment for capitalization of
      insurance company held reimbursable by federal appeals court.

PMID- 10250139
TI  - Attorney-client privilege in corporate context broadened by Supreme Court:
      corporate hospitals may benefit from greater protection of privileged
      communication.

PMID- 10250140
TI  - EPA decides not to publish infectious waste regulations but publishes other
      hazardous waste rules.

PMID- 10250141
TI  - Florida hospitals successfully challenge electrical code "voluntary" standard as
      applied to critical care unit.

PMID- 10250142
TI  - FY '82 budget item foretells change in hospital-based physician reimbursement.

PMID- 10250143
TI  - Why be certified--who needs it?

PMID- 10250144
TI  - Perfect attendance: a program to motivate, maintain and reward.

PMID- 10250145
TI  - An Olympic Gold Medal for medical record practitioners.

PMID- 10250146
TI  - Medical record administration program: Florida International University.

PMID- 10250147
TI  - Internal quality control as a function of the tumor registry.

PMID- 10250148
TI  - World Health Organization programs.

PMID- 10250149
TI  - AMRA bylaws and code of ethics.

PMID- 10250150
TI  - Health information: to tell or not to tell.

PMID- 10250151
TI  - Labour arbitration: assumptions aren't good enough.

PMID- 10250152
TI  - Infection control--get a handle on it.

PMID- 10250153
TI  - PR isn't just a game of inches.

PMID- 10250154
TI  - Dietary service gets new image.

PMID- 10250156
TI  - Patient's room--let's be reasonable.

PMID- 10250155
TI  - Is value analysis worthwhile?

PMID- 10250157
TI  - Ancillary services: pathologist best providers of lab services.

PMID- 10250158
TI  - Ancillary services: radiology by radiologists.

PMID- 10250159
TI  - Ancillary services: no valid evidence against self-referral.

PMID- 10250161
TI  - Accountability: let me count the ways.

PMID- 10250160
TI  - Reimbursement for physicians' cognitive and procedural services: a white paper-
      American Society of Internal Medicine, January 1981.

PMID- 10250162
TI  - Accountability: a two-edged sword.

PMID- 10250163
TI  - Accountability: not all it's cracked up to be.

PMID- 10250164
TI  - Accountability: are patients in the dark about physician competence?

PMID- 10250165
TI  - An analysis of knowledge, beliefs and behaviour relating to the development of
      coronary heart disease.

PMID- 10250167
TI  - Salary survey: security directors--hospitals.

PMID- 10250166
TI  - Executive pay: deciding how much is enough.

PMID- 10250168
TI  - Policy issues in healthcare capital management.

PMID- 10250169
TI  - Reorganization can revitalize hospital finances.

PMID- 10250170
TI  - Budgeting for contractual allowances.

PMID- 10250171
TI  - Boston University offers program in health financial management.

PMID- 10250173
TI  - Leadership has a logic all its own.

PMID- 10250172
TI  - Payment patterns: auditors will be reviewing records.

PMID- 10250174
TI  - Multihospital arrangements--some advantages and disadvantages.

PMID- 10250175
TI  - Standard costs for healthcare providers.

PMID- 10250176
TI  - Changes in the sources of capital.

PMID- 10250177
TI  - Supplementary reporting: a new challenge.

PMID- 10250178
TI  - HFMEF and universities--linking to meet graduate education needs.

PMID- 10250179
TI  - Payment patterns: interest on overdue accounts.

PMID- 10250180
TI  - Can hospitals succeed at self-insuring employees?

PMID- 10250181
TI  - Tax deferred annuities for nonprofit hospital employees.

PMID- 10250182
TI  - Using wholistic principles, promoting employee growth and improving performance.

PMID- 10250183
TI  - Preparing your case for small claims court.

PMID- 10250184
TI  - Determining costs of employee hours.

PMID- 10250185
TI  - Social security and nonprofits.

PMID- 10250186
TI  - Hospital Financial Management Association code of ethics.

PMID- 10250187
TI  - Who's under the safety umbrella?

PMID- 10250188
TI  - Fill the job opening with the right applicant.

PMID- 10250190
TI  - Be 'objective' about progress.

PMID- 10250189
TI  - Create a new department with the same employees.

PMID- 10250191
TI  - Loss prevention: an inside job.

PMID- 10250192
TI  - Restore dignity to the workplace.

PMID- 10250193
TI  - Patient education: a new responsibility?

PMID- 10250194
TI  - Personalize infection control.

PMID- 10250195
TI  - Chart your way to an effective staff.

PMID- 10250197
TI  - Hospitals not just for the sick.

PMID- 10250196
TI  - Supervising during a disaster.

PMID- 10250198
TI  - The eagle has landed: in Vermont.

PMID- 10250199
TI  - Promotion from within.

PMID- 10250200
TI  - PERT: a simplified version that you can use.

PMID- 10250202
TI  - Work measurement in the hospital.

PMID- 10250201
TI  - Some games subordinates play.

PMID- 10250203
TI  - Value analysis: something of value.

PMID- 10250204
TI  - Expert reveals tactics to take high risk out of ER.

PMID- 10250205
TI  - Power failure: incident of the month.

PMID- 10250206
TI  - Revised discharge form improves continuity of care.
AB  - A well-devised patient discharge form can help to alleviate chart retrieval
      problems at hospital clinics and can get patients involved in their own health
      care. The discharge form developed at The Mount Sinai Hospital, New York City,
      has been especially helpful to physicians because the form contains essential
      information about patients that can be used when a chart is unavailable.

PMID- 10250207
TI  - Point of law: legal implications of granting patients leaves of absence from
      hospitals.

PMID- 10250208
TI  - Point of law: inform patients of the role that medical students and house staff
      play in their treatment.

PMID- 10250209
TI  - Establishing the collaborative practice committee.
AB  - One of the first steps in implementing collaborative practice in the hospital is
      forming a collaborative practice committee to establish goals, to determine how
      to attain those goals, and to address any problems that may be encountered. This
      article offers some suggestions for getting the committee off to a good start.

PMID- 10250210
TI  - Implementing the basic elements of collaborative practice.
AB  - Five activities are essential for effective collaborative practice in the
      hospital setting--primary nursing, integrated charting, expanded nurses' decision
      making, joint patient care review, and a collaborative practice committee. This
      article relates the experience of a large, urban teaching hospital in
      implementing these activities.

PMID- 10250211
TI  - Collaborative practice: new concept has promise and problems.

PMID- 10250212
TI  - Using an integrated physician-nurse medical record.
AB  - Of all the issues surrounding collaborative practice, the integrated medical
      record perhaps is the most controversial one for physicians. This article
      explains how a patient record system that integrates the observations,
      judgements, and actions of both nurses and physicians can facilitate nurse
      physician communication and contribute to the care of the patient. It also
      explains some problems encountered with implementation and some ongoing concerns.

PMID- 10250213
TI  - Fostering collaborative relationships.
AB  - Increasing patient care demands call for more productive working relationships
      between physicians and nurses. In hospitals where effective collaborative
      relationships are fostered, patient care is improved and the professional lives
      of both physicians and nurses are enhanced.

PMID- 10250214
TI  - Development and implementation of a P&T committee for state institutions.

PMID- 10250215
TI  - Physician and pharmacist perspectives on drug utilization.

PMID- 10250216
TI  - A satellite pharmacy program in a community hospital.
AB  - A satellite (decentralized) pharmacy program in a medium-size community hospital
      is described. The hospital is a private institution consisting of three
      divisions: an acute-care division, a psychiatric division, and a long-term care
      division. Pharmacy services are provided on an around-the-clock basis, and the
      satellites are operational 16 hours daily. Pharmacy services include unit dose
      distribution, I.V. admixture services, and clinical pharmacy programs.
      Structurally, the department is divided into four satellite units and a central
      pharmacy unit to provide care to all areas of the health center. The professional
      staff is divided into several categories as a means to overcome the difficulties
      and take full advantage of all of the benefits of the satellite system. The
      Associate Director and the Assistant Director perform primarily administrative
      functions in order to maintain overall control, coordination, and quality
      assurance of the department. The Education Coordinator helps maintain the level
      of basic competence of the staff and coordinates the development and
      implementation of new departmental programs. Staff Pharmacists II provide both
      administrative and professional functions in their roles as team leaders of
      individual satellite units. Staff Pharmacists I serve the traditional staff
      functions in a satellite unit or in the central pharmacy.

PMID- 10250217
TI  - Working with a new hospital administrator.

PMID- 10250218
TI  - A computerized on-line key word indexing system for drug information retrieval.
AB  - The Idaho Drug Information Service has been in operation since 1972. During this
      time, five different files and manual methods of filing have evolved. As a result
      of confusion over indexing terms, information became lost within the filing
      systems, and the files fell into disuse. A reorganization of the files was
      undertaken in an attempt to develop a filing system that would be functional and
      efficient. Methods of manual filing are briefly reviewed. A computerized on-line
      key word indexing system for information storage and retrieval was initiated. The
      development and operation of the Drug Information Retrieval Terminal System
      (DIRTS) is described completely. At this time, DIRTS is fully operational. The
      system has eliminated the previous problems encountered with the manual filing
      systems, and user response has been good.

PMID- 10250219
TI  - Clinical role expectations and performance of dietitians employed in British
      Columbia hospitals.
AB  - A mail survey was conducted among a sample of 232 dietitians employed in British
      Columbia hospitals to investigate their clinical role. An inventory of 40 typical
      clinical activities was developed, validated and administered to determine role
      expectations, role performance and role disparity. Questionnaires were returned
      by 181 (78%) of the dietitians but results are based on the responses of 140 as
      the others did not meet criteria for inclusion in the study. The majority of
      respondents were under 33 years of age and employed full time in hospitals with
      200 or more beds. Nearly half were generalists and one-third were clinical
      specialists. Although their role expectations agree with the inventory for 92.5%
      of the activities, only 62.5% of the activities were actually performed. A
      moderate or high disparity, indicating a discrepancy between role expectation and
      role performance, was registered for 60% of the activities. Deterrents cited most
      frequently as responsible for role disparity were 'opportunity has never
      occurred' and 'lack of time'. Implications inferred from these results may be of
      value to dietetic educators and practitioners in British Columbia and elsewhere
      in Canada.

PMID- 10250220
TI  - Results-oriented ambulatory care management.

PMID- 10250221
TI  - The primary care initiative. Interview by Thomas R. O'Donovan..

PMID- 10250222
TI  - Ambulatory care in the cities: a shift to the hospitals.

PMID- 10250223
TI  - Seven principles of organization in ambulatory health care settings.

PMID- 10250224
TI  - Patient perceptions of health care at a university-based ambulatory care clinic.

PMID- 10250225
TI  - Health hazard appraisal: a tool for health maintenance.

PMID- 10250226
TI  - Local organization dedicated to ambulatory care.

PMID- 10250227
TI  - Aids to application of the fire safety evaluation system.

PMID- 10250228
TI  - Silver threads among the gold.

PMID- 10250229
TI  - More National Nursing Home Week tips.

PMID- 10250230
TI  - Accounting for the owner's sake.

PMID- 10250231
TI  - Health planning law plan development.

PMID- 10250232
TI  - Nursing home legislation reform.

PMID- 10250233
TI  - Are your charge nurses supervisors?

PMID- 10250234
TI  - Education in the 1980s.

PMID- 10250235
TI  - Organizational influences on social worker's approaches to self-evaluation.

PMID- 10250236
TI  - Paraprofessionals in mental health delivery services.

PMID- 10250237
TI  - Transforming data for use in management decisions.

PMID- 10250238
TI  - Hospital advocacy programs: an essential exercise in good citizenship.

PMID- 10250239
TI  - Performance appraisal challenges in mental health services.

PMID- 10250240
TI  - A consumer-designed model of continuing education for administrators.

PMID- 10250241
TI  - Accountability in the case management of critical incidents.

PMID- 10250242
TI  - Work and nonwork satisfaction, intention to leave and turnover of mental health
      administrators.

PMID- 10250243
TI  - Informant perceptions of rural community mental health program.

PMID- 10250244
TI  - Political dynamics and influence upon organizational change.

PMID- 10250245
TI  - Motivating the service worker.

PMID- 10250247
TI  - Management information systems.

PMID- 10250246
TI  - Purchase of mental health services.

PMID- 10250248
TI  - C.E.T.A. personnel as a manpower resource for mental health agencies.

PMID- 10250249
TI  - Managerial credentials: the comfort of familiar traps.

PMID- 10250250
TI  - Program evaluation data: who needs it? Assessing the need for evaluation.

PMID- 10250251
TI  - Adaptive skill training for survival in the community.

PMID- 10250252
TI  - Community care and human service responsiveness.

PMID- 10250253
TI  - Factors influencing the success of a policy of community care for the chronically
      ill.

PMID- 10250254
TI  - Community response to the deinstitutionalized population.

PMID- 10250255
TI  - A community support system using multisource funding.

PMID- 10250256
TI  - What is new and different in the treatment and care of the chronic mentally ill?

PMID- 10250257
TI  - Informal support for the chronic mental patient.

PMID- 10250258
TI  - Community organization, planning, and the chronic mental patient.

PMID- 10250259
TI  - The traveling psychiatrist in outlying areas.

PMID- 10250261
TI  - The chronic mental patient: the patient's point of view.

PMID- 10250260
TI  - Medical education and the chronic mentally ill.

PMID- 10250262
TI  - Psychiatric treatment and rehabilitation: what's in a name?

PMID- 10250263
TI  - The junior hospital doctors' pay dispute 1975-1976: an analysis of events, issues
      and conflicts.
AB  - In late 1975, for the first time in the history of the National Health Service,
      junior hospital doctors in the United Kingdom took industrial action. Their pay
      and working conditions were basic issues, but the dispute was complex. The first
      part of this article describes these complexities - the significant events, and
      the grievances and their resolution. In the second part the dispute is analysed
      in terms of its causes, effects and implications, particularly for the medical
      profession. The ambivalence, confusion and ignorance about the new contract and
      the question of breaking government pay policy, problems of representation, and
      conflicts of interests within the profession are highlighted. It is suggested
      that the significant economic gains of the junior doctors were not achieved by
      industrial action.

PMID- 10250264
TI  - Continuity in social policy behaviours: the case of voluntary blood donorship.
AB  - Using voluntary blood donation as a case example, the study on which this article
      is based explored not only the extent, or breadth, of community involvement in
      social policy behaviours, but also the continuity, or depth, of this commitment.
      Demographic and motivational data were collected through a postal questionnaire
      returned by 1,784 persons who had voluntary donated blood at least once in
      metropolitan Toronto between 1974 and 1978. An empirical distinction was also
      drawn between the 'active' and the 'lapsed' donor. The study found that while
      certain sectors of society were probably disproportionately represented among
      those who close to undertake voluntary social behaviours, the continuity of these
      actions could not be statistically associated with demographic or socio-economic
      variables. However, it did find that donors initially motivated by 'external'
      considerations such as convenience of location were more likely to lapse, while
      those for whom moral considerations and a sense of community were most important
      were more likely to continue as active donors. The general conclusion suggests
      that manipulating the context may be useful to broaden the initial participatory
      base in voluntary actions, but to produce continuity in this involvement the
      challenge must be phrased in moral language.

PMID- 10250265
TI  - Management's right to loyalty of supervisors.

PMID- 10250266
TI  - Pioneers in the fishbowl.
AB  - Emergency physician groups are offering unique lifesaving services to hospitals.
      Who are these emergency physician groups, why are they necessary, and how are
      they structured?

PMID- 10250268
TI  - The Danish Health Service.

PMID- 10250267
TI  - The Muscatine Health Center.

PMID- 10250269
TI  - Self-care education.
AB  - Is your clinic looking for a way to recruit new patients, reduce clinician's
      burnout, and receive fewer complaints and more "thanks yous"? Is there a way to
      improve patient loyalty to your clinic and public trust in the medical
      profession, and also receive fewer unwarranted malpractice claims? The solution
      may be found in a self-care education program at your clinic.

PMID- 10250270
TI  - A community health education program.
AB  - Physicians, health educators, businessmen, and concerned citizens of Minnesota
      have developed a program for increasing community awareness of various aspects of
      healthy living. This program, based on collaborative effort, has been well
      received and well attended in the three rural communities in which it already has
      been presented. Most important of all, it has proven to be valuable for promoting
      individual responsibility for health.

PMID- 10250271
TI  - Women at the top.
AB  - Management has long been male dominated, but recently women have been entering
      the field in increasing numbers. This influx has required the management
      establishment to think and behave in new ways.

PMID- 10250272
TI  - The relationship of clinic managers to consultants.
AB  - Should a medical group employ the resources of an outside consultant to help
      solve its problems, and if so, how is the appropriate consultant selected? A
      practicing consultant gives his opinions.

PMID- 10250273
TI  - Questions to ask when engaging a management consultant.

PMID- 10250274
TI  - Communication climate.
AB  - Group practice managers can become more effective communicators through conscious
      awareness of the verbal and nonverbal messages thay they send and receive.

PMID- 10250275
TI  - Should fee-for-service group practices develop a prepaid component?
AB  - Many fee-for-service group practices are considering the advantages of developing
      activities using health maintenance organization concepts. In some cases, the
      decision to become involved with an HMO as an addition to current fee-for-service
      activities may become essential because of competition with other medical groups
      who are also considering an HMO alternative. There are a number of different ways
      or models for fee-for-service groups to become involved with an HMO.

PMID- 10250276
TI  - Is this peer review or revenge?

PMID- 10250277
TI  - Microcomputer medical data acquisition.

PMID- 10250278
TI  - Performance testing in the clinical environment.

PMID- 10250279
TI  - Right to health.

PMID- 10250281
TI  - Medical supplies.

PMID- 10250282
TI  - 'And now a word from our hospital'.

PMID- 10250283
TI  - Some hospitals offer services with a money-back guarantee.

PMID- 10250280
TI  - Health as a human right: a challenge.

PMID- 10250284
TI  - Diagnostic imaging.

PMID- 10250285
TI  - Nurses blame their vanishing act on overwork, low pay--and doctors.

PMID- 10250286
TI  - A nationwide business opportunity for hospitals.

PMID- 10250287
TI  - Corporate structures for health promotion activities.

PMID- 10250288
TI  - Auxilian programs that reflect concern for well-being.

PMID- 10250289
TI  - Patient education -- health promotion in Michigan's hospitals. Part II.

PMID- 10250290
TI  - Wellness care.

PMID- 10250291
TI  - Standing room only.

PMID- 10250292
TI  - Cooperation more productive than competition.

PMID- 10250293
TI  - Summary of the National Healthcare Reform Act.

PMID- 10250294
TI  - Michigan's cost experience compared to rate-regulated states.

PMID- 10250295
TI  - Planning and competition in healthcare delivery.

PMID- 10250296
TI  - Putting time, effort into resume ensures swift search for new job.

PMID- 10250297
TI  - Innovative background triggered trustees' interest in conglomerate.

PMID- 10250298
TI  - Beward of pitfalls of restructuring.

PMID- 10250299
TI  - 'Retention,' 'recruitment' buzzwords trap hospitals into narrow thinking.

PMID- 10250300
TI  - Patient privacy vs. law enforcement demand for info squeezes managers.

PMID- 10250302
TI  - Federal HMO funds may run out.

PMID- 10250301
TI  - Austere Carter health budget may require supplemental appropriations.

PMID- 10250303
TI  - Durenburger's finance subcommittee will foster more health competition.

PMID- 10250304
TI  - Infrequent nurse tests slow foreign recruiting.

PMID- 10250305
TI  - Large hospitals drop out of buying groups that lack committed volume.

PMID- 10250306
TI  - Hospital costs highest in 3 states.

PMID- 10250307
TI  - Consortium wins entree to groups.

PMID- 10250308
TI  - Systems growth, new technologies demand new management strategies.

PMID- 10250309
TI  - Investment bankers 'wait and see' about future of tax-exempt bonds.

PMID- 10250311
TI  - Architect makes mark in healthcare design.

PMID- 10250310
TI  - Soften impact of high money cost with short-term construction financing.

PMID- 10250312
TI  - HCA hospitals: separate business buildings, more private rooms.

PMID- 10250313
TI  - Designs produce competitive boost.

PMID- 10250314
TI  - Hospitals build nursing homes.

PMID- 10250315
TI  - Design/construction giants squeeze smaller firms out of healthcare field.

PMID- 10250316
TI  - 75% of hospital administrators hire architects, not design-builders, CMs.

PMID- 10250317
TI  - Carter's OMB constrains tax-free financing; Reagan may rescind.

PMID- 10250318
TI  - Designer-construction manager team needs hard coaching from hospitals.

PMID- 10250319
TI  - Are providers losing NFPA clout?

PMID- 10250320
TI  - Hospitals monitor energy plans to get conservation on target.

PMID- 10250321
TI  - Memorial Hospital's 'aggressive' trustees keep facility competitive.

PMID- 10250322
TI  - Wrestling with pay equity? Design your own merit pay delivery system.

PMID- 10250323
TI  - Schweiker inventories pending regs to weed out overzealous measures.

PMID- 10250324
TI  - AHA gets jump on Reagan agenda.

PMID- 10250325
TI  - New faces debate crucial health issues on House subcommittees.

PMID- 10250326
TI  - Proposed phaseout of federal funds puts planning regulators in turmoil.

PMID- 10250328
TI  - Unions not inevitable; hospitals still hold controls, consultants maintain.

PMID- 10250327
TI  - Michigan law treats Blues plan like public agency, not private institution.

PMID- 10250330
TI  - Rival union fights CNA expulsions.

PMID- 10250331
TI  - Competition intense as investors bid up prices of prime hospitals.

PMID- 10250329
TI  - Shortage spurs flurry of flextime experiments.

PMID- 10250332
TI  - Should federal government share in capital gains on Hill-Burton units?

PMID- 10250333
TI  - Insurers cover dread disease contamination.

PMID- 10250334
TI  - DP duties, attitudes must change.

PMID- 10250335
TI  - Leading hospitals restructure, even though benefits may be short-lived.

PMID- 10250336
TI  - Are hospitals getting bad fire info?

PMID- 10250337
TI  - Near-term rate outlook still bleak, hospitals can't wait for price rally.

PMID- 10250338
TI  - Shortages decentralize healthcare.

PMID- 10250339
TI  - Conversion cuts utility costs 50%.

PMID- 10250340
TI  - Expanding hospitals shrink costs by recovering, recycling heat.

PMID- 10250341
TI  - MECs offer new access to health care system.

PMID- 10250342
TI  - Are dealers maximizing the advantages of leasing?

PMID- 10250344
TI  - For dealers selling hospital-based home care programs, training is the key.

PMID- 10250343
TI  - Judge weighs AHSC's motion to dismiss case.

PMID- 10250345
TI  - Performance appraisal: dilemmas and possibilities.
AB  - Citing avoidance by the supervisor and defensiveness from the subordinate as the
      two main barriers to effective performance appraisal, the author suggests ways to
      minimize both. The emphasis is on discussing performance evaluation in a
      nonevaluative manner.

PMID- 10250346
TI  - Preventing disease and promoting health: strategies for the '80s.

PMID- 10250347
TI  - Selecting and evaluating trustees: effective boardsmanship includes peer review.

PMID- 10250349
TI  - Internship: a year can be a very long time.

PMID- 10250348
TI  - A stochastic service network model with application to hospital facilities.
AB  - This paper presents a methodology for estimating expected utilization and service
      level for a class of capacity constrained service network facilities operating in
      a stochastic environment. A semi-Markov process describes the flows of customers
      (patients) through a network of service units. We model the case where one of the
      units has finite capacity and no queues are allowed to form. We show that the
      expected level of utilization and service can be computed from a simple linear
      relationship based on (a) the equilibrium arrival rates at each unit which are
      associated with the case of infinite capacity, (b) mean holding times for each
      unit, and (c) the probability that the finite capacity unit is at full capacity.
      We use Erlang's loss formula to calculate the probability of full capacity, show
      this calculation to be exact for two cases, and recommend its use as an
      approximation in the general case. We test the accuracy of the approximation on a
      set of published data. In the discussion, we present a technique for analyzing
      collected patient flow data using the results of this methodology.

PMID- 10250350
TI  - Relocating the department of laboratory medicine--decision making at Union
      Memorial Hospital.
AB  - Recently the Department of Laboratory Medicine at Union Memorial Hospital,
      Baltimore, Md., was relocated. Active in the planning and design of his new
      facility, the author recounts the experience, explaining what decisions were made
      and how they were made.

PMID- 10250351
TI  - An IPA organizer tells why and how.

PMID- 10250352
TI  - Cancer hot line to second opinions.

PMID- 10250353
TI  - Three cheers for conflict!
AB  - Conflict is pervasive and an inevitable part of life--at work and elsewhere. But
      author Dennis King, organizational consultant for The Procter & Gamble
      Manufacturing Company, adds that it is also a functional part of the social
      process. Managing conflict on the job involves the ability to identify, seek out,
      and utilize the functions of conflict and its outcomes. He identifies fifteen
      functions of conflict in three major categories: maintaining or reinforcing
      identity and innate strength, increasing operational effectiveness, and dealing
      with others. For example, conflict can lead to minor clashes that actually
      strengthen a relationship because they function as safety valves--preventing the
      buildup of tension to the stage of explosion. (Note, however, that a conflict
      over the basic foundation of a relationship spells trouble.) Similarly, in the
      union-management relationship, both negotiations and grievance handling focus on
      adjusting or eliminating problem elements so that the employer-employee
      relationship can exist satisfactorily. Recognizing and exploiting the functions
      of a conflict situation--that is, functional conflict management--can work to our
      benefit. If we develop a "functional mind-set," looking for the positive aspects
      of conflict will become natural.

PMID- 10250354
TI  - Perquisites: the intrinsic form of pay.
AB  - Compensation packages, particularly for executives, are made up of five elements-
      salary, employee benefits, short-term incentives, long-term incentives, and
      perquisites. Of these, perquisites are probably the most misunderstood, according
      to author Bruce Ellig, vice-president of Corporate Compensation and Benefits for
      Pfizer Inc. The value of perquisites, or "perks," is their degree of exclusivity-
      that is, their worth as status symbols or "membership benefits" for those
      employees at or above a certain level in the company's hierarchy. And their value
      is enhanced when they (as some do) qualify for favorable tax treatment. True
      perks fall into six categories--time off with pay, executive services,
      nonperformance awards, health-care, survivor protection, and retirement coverage.
      Within these categories, perks take many forms. Time off with pay, for example,
      might include employment contracts, liberalized vacations, the privilege of
      working at home, disability benefits, sabbaticals, severance pay, or outplacement
      assistance. The use of perks varies among companies, but is more popular among
      small companies.

PMID- 10250355
TI  - The morale-productivity relationship: how close?
AB  - Is there a direct relationship between morale and productivity? According to
      Robert H. Garin, professor of secondary and higher education at East Texas State
      University and John F. Cooper, dean of instruction at Patrick Henry Community
      College, the traditional view that the individual whose morale is high will be
      highly productive, or vice versa, is not a necessarily valid one. The authors
      analyzed the historical development of the major representative research studies
      and concepts concerning the morale-productivity relationship and found that the
      relationship evolved from one of simple direct correlation to the present
      viewpoint that a variety of factors--such as the environment, motivation, job
      levels, and so on--must be taken into consideration before any positive
      conclusion can be drawn. Because of the national concern over the decline in
      American productivity standards, Garin and Cooper believe that the morale
      productivity relationship is an area ripe for further experimental research.

PMID- 10250356
TI  - Developing leadership potential.

PMID- 10250357
TI  - Collective bargaining: warnings for the novice negotiator.

PMID- 10250358
TI  - Responding to employment discrimination charges.

PMID- 10250359
TI  - Win, loss, draw: the grievance process in practice.
AB  - The grievance procedure can be a very expensive proposition. Here's a listing of
      the most commonly filed grievances and what to expect when you're confronted by
      them.

PMID- 10250360
TI  - How to handle discipline within the new National Labor Relations Board
      requirements.

PMID- 10250361
TI  - A strategy for managing the selection interview process.

PMID- 10250362
TI  - 5 minutes with pharmacy law: proximate cause--a necessary element.

PMID- 10250364
TI  - Vacation from the machine.

PMID- 10250363
TI  - Renal dialysis: two views.

PMID- 10250365
TI  - Hispanic culture is basis of hospital program.

PMID- 10250366
TI  - Closed-circuit television: the promise and the problems.

PMID- 10250367
TI  - Making TV work: some lessons learned by Cleveland's hospital network.

PMID- 10250368
TI  - Survey of hospitals suggests solutions to some common CCTV problems.

PMID- 10250370
TI  - Effective grounding: the key to personnel protection.

PMID- 10250369
TI  - Occupational health hazards in hospitals.

PMID- 10250371
TI  - Substance vs. symbol in administrative reform: the case of human services
      coordination.
AB  - In recent years the most popular strategy of reform in the human services arena
      has been to foster coordination among agencies serving the same populations. The
      certainty of difficulties in implementing coordination programs and the
      uncertainty of achieving improvements in service delivery have not dimmed the
      enthusiasm among policymakers for these programs. This persistent popularity
      seems to be rooted in the strong symbolic appeal of "coordination," which has
      overridden attention to evidence about performance.

PMID- 10250372
TI  - In the image of the CEO.

PMID- 10250373
TI  - The interpersonal side of internal communications.

PMID- 10250374
TI  - Community education as a communications tool.

PMID- 10250375
TI  - Ideology and performance: service delivery in a community mental health center.
AB  - This study examines the relationships between ideology and service delivery
      performance in an established community mental health center which is beginning
      major structural changes. Ideological pluralism among several separate and
      internally-cohesive units within one organization led to diversity in staff
      productivity. The implications of ideological pluralism for planned
      organizational change, policy implementation and administration are explored.

PMID- 10250376
TI  - Too many Caesarean births?

PMID- 10250377
TI  - Competition in kidney dialysis.

PMID- 10250378
TI  - A 'ready' food system that works.

PMID- 10250379
TI  - On the job--health care: worried about wages and advancement.

PMID- 10250381
TI  - Perks: benefit package increases.

PMID- 10250380
TI  - Perks: food service sweetens its benefits to keep its executive talent.

PMID- 10250382
TI  - 1981 annual report: health care.

PMID- 10250383
TI  - Employee benefits; risk managers should grab the reins!

PMID- 10250384
TI  - Dental plan fees vary widely across U.S.

PMID- 10250385
TI  - The paradox of managing a project-oriented matrix: establishing coherence within
      chaos.
AB  - Projects that require the flexible coordination of multidisciplinary teams have
      tended to adopt a matrix structure to accomplish complex tasks. Yet these project
      oriented matrix structures themselves require careful coordination if they are to
      realize the objectives set for them. The authors identify the basic
      organizational questions that project-oriented matrix organizations must face.
      They examine the relationship between responsibility and authority; the tradeoffs
      between economic efficiency and the technical quality of the work produced; and
      the sensitive issues of managing individualistic, highly trained professionals
      while also maintaining group cohesiveness.

PMID- 10250386
TI  - SMR forum: improving face-to-face relationships.
AB  - In this paper, the author suggests that the key element to successful
      implementation of solutions to managerial problems lies in the improvement of
      face-to-face relationships. He goes on to articulate the factors involved in
      building and maintaining effective interpersonal communication. Particular
      attention is given to the repair strategies and skills needed to mend damaged
      relationships. Ed.

PMID- 10250387
TI  - Politics of interprofessional collaboration: challenge to advocacy.
AB  - Both interprofessional collaboration and advocacy for clients are highly valued
      social work activities; yet, when pursued jointly, they pose political dilemmas.
      An exploration of these activities reveals the potential for ethical dissonance
      and highlights the need for clear guides to professional behavior.

PMID- 10250389
TI  - Types of medical social control.

PMID- 10250390
TI  - Socioeconomic class, classification of 'abnormal' behavior and perceptions of
      mental health care.

PMID- 10250388
TI  - Malpractice: future shock of the 1980s.
AB  - Once the therapeutic relationship is established, a client acquires certain
      rights and the social worker certain duties. If these duties are breached due to
      negligence, and the client is damaged in any way, the social worker may be
      financially liable, and this may lead to the cause of action called malpractice.

PMID- 10250391
TI  - Fragmentation and integration in health care: the referral process and social
      brokerage.

PMID- 10250392
TI  - Coping with uncertainty: decisions and resources within health authorities.

PMID- 10250393
TI  - Boundary encroachment: pharmacists in the clinical setting.

PMID- 10250395
TI  - Alienation in the patient role: source of ambivalence and humor in comic get well
      cards.

PMID- 10250394
TI  - Normal rubbish: deviant patients in casualty departments.

PMID- 10250396
TI  - Anticipatory problem solving: models for clinical practice and research.

PMID- 10250397
TI  - Coping and social action: theoretical reconstruction of the life-event approach.

PMID- 10250398
TI  - Trajectories, biographies and the evolving medical technology scene: labor and
      delivery and the intense care nursery.

PMID- 10250399
TI  - The relationship between qualified and unqualified workers in health care: the
      case of the remedial therapy professions.

PMID- 10250400
TI  - Emergency room use and access to alternative sources of care.

PMID- 10250401
TI  - Doctors and dirty work--the case of alcoholism.

PMID- 10250402
TI  - The ambulance journey as an information generating process.

PMID- 10250403
TI  - Migration, health status and utilization of health services.

PMID- 10250405
TI  - The role of proximity in the use of hospital emergency departments.

PMID- 10250404
TI  - Ethnic minorities and psychiatric services.

PMID- 10250407
TI  - A comparative analysis of physician estimates and levels of medical knowledge
      among patients.

PMID- 10250406
TI  - Paradoxical consequences of excess in structural complexity: a study of a state
      children's psychiatric hospital.

PMID- 10250408
TI  - The perils, legal and otherwise, if hospitals do not implement quality
      appraisal/action plans.

PMID- 10250409
TI  - How do you work with doctors and get doctors to work with you? Part II.

PMID- 10250410
TI  - Understanding the problems which hospital administrators face.

PMID- 10250412
TI  - "Problem-focused" vs. "program-focused"--the light dawns!

PMID- 10250411
TI  - Not for nurses only: how to communicate with doctors.

PMID- 10250413
TI  - Forecast 1981: our annual analysis and survey of healthcare supply and
      distribution.

PMID- 10250414
TI  - Linen cost management.

PMID- 10250415
TI  - Clinical assessment in mental health settings.

PMID- 10250417
TI  - Volunteer recruitment.

PMID- 10250416
TI  - Social work: why it's needed in intensive care units.

PMID- 10250418
TI  - A penny saved: efficient blood bank services.

PMID- 10250419
TI  - Inside Russian hospitals.

PMID- 10250420
TI  - Burnout! in the health care system.

PMID- 10250421
TI  - Employer-sponsored child care: a service that benefits the hospital, employee and
      child.

PMID- 10250422
TI  - The role of the multi-hospital system in the survival of the smaller hospital.

PMID- 10250423
TI  - Financing America's health care.

PMID- 10250424
TI  - Tips on preventing or minimizing construction claims.
AB  - With proper planning and use of successful techniques of claims avoidance,
      recognition, and resolution from the initial stages of the project, a hospital
      can prevent or minimize construction delays and claims and can complete its new
      construction in a reasonable atmosphere with a minimum of cost.

PMID- 10250425
TI  - Getting your money's worth from your consultant.
AB  - The relationship between hospital and consultant can be productive only if the
      expectations of both parties are clearly understood at the outset. This article
      presents guidelines on getting the most from a consultant, from developing the
      objectives of the project, through drafting a request for proposal and
      interviewing candidates, to follow-up once the project has been completed.

PMID- 10250426
TI  - The case for arbitrating hospital-physician disputes.
AB  - An arbitral process that provides independent fact-finding and recommendation to
      hospital trustees in accordance with rules and regulations of the hospital is
      proposed as an alternative to internal peer review for resolving hospital
      physician disputes. This approach should prove acceptable as a fair and impartial
      method to both parties, who may design appropriate rules for such disputes.

PMID- 10250427
TI  - Diversifying a rural hospital: 'a lot of work--and very rewarding'.

PMID- 10250428
TI  - A hospital that takes care of well people.
AB  - Swedish Medical Center's pioneering wellness program grew out of a long-standing
      commitment by its trustees to improving the health of their community. This
      article describes the genesis of the program and offers advice to boards
      considering such a move.

PMID- 10250429
TI  - Meeting the special care needs of the elderly.
AB  - Hospitals increasingly are recognizing the elderly as a growing portion of their
      patient population and are developing hospital-based services and programs as a
      response. To realize the hospital's potential for promoting the health of the
      elderly, hospital leadership can recognize the elderly as a major segment of the
      hospital's patient service population and can ensure effective health care for
      the elderly, not only as a provider but also as an innovator and coordinator.

PMID- 10250431
TI  - How board committees are responding to change: the planning and development
      committee.

PMID- 10250430
TI  - How board committees are responding to change: the planning committee.

PMID- 10250432
TI  - How board committees are responding to change: the corporate relations committee.

PMID- 10250433
TI  - Compensation for hospital trustees.

PMID- 10250434
TI  - Microsurgery: latest medical revolution.

PMID- 10250436
TI  - Public facilities face rough financial seas.

PMID- 10250435
TI  - Behind the scandals in science labs.

PMID- 10250437
TI  - When manpower is man power.

PMID- 10250438
TI  - Zero based budgeting offers survival strategies for the '80s.

PMID- 10250439
TI  - Spend money to contain costs: offer free meals to volunteers.

PMID- 10250440
TI  - Corporate volunteerism: the Helping Hands approach.

PMID- 10250441
TI  - Volunteers in Britain today.

PMID- 10250442
TI  - Understanding transitional volunteers.

PMID- 10250443
TI  - Pre-med summer volunteer program: a rotation concept.

PMID- 10250444
TI  - Volunteerism, volunteer coordinators and continuing education.

PMID- 10250446
TI  - Problems and programs in high risk pregnancy.

PMID- 10250445
TI  - A case study on the competitive impact of HMOs in Detroit.

PMID- 10250447
TI  - Combatting child health problems in the public health sector.

PMID- 10250448
TI  - Pharmacy education and health planning.

PMID- 10250449
TI  - The house that hernias built: Shouldice Hospital specializes in only one kind of
      surgery.

PMID- 10250450
TI  - Clinical policy analysis: the mathematical approach. Interview by Dianne Hales.

PMID- 10250451
TI  - Health care funding: are the states able to take over?

PMID- 10250452
TI  - On making decisions.

PMID- 10250453
TI  - The computer in your future.

PMID- 10250454
TI  - Are you ready to automate?. Interview by Joe Breu.

PMID- 10250455
TI  - The things you hear about computers!

PMID- 10250457
TI  - Migrant farmworkers, northerners put Texas medical care to the test.

PMID- 10250456
TI  - NLRB coverage denied: Supreme Court rejects housestaff plea.

PMID- 10250458
TI  - Cost comparisons--are they possible?

PMID- 10250459
TI  - Old myths--new myths.

PMID- 10250460
TI  - Good laundries may come in small packages.

PMID- 10250461
TI  - Linen purchasing.

PMID- 10250462
TI  - Teaching C.O.P.D. patients to live more comfortably.
AB  - In Florida, programs to help chronic pulmonary disease patients cope better with
      their illness are now operating in 20 areas. Catalysts for the programs are the
      Florida Lung Association and local affiliates. The basic resource for this
      patient education effort is the Staff Manual for Teaching Patients about COPD,
      developed by the ALA and the American Hospital Association.

PMID- 10250463
TI  - Updated TB care means patients get well.
AB  - In many parts of the U.S., old-fashioned methods of TB care are imposed on
      patients. Some health professionals still think in terms of isolation and
      lifelong followup of TB patients. This causes serious interruption of patients'
      lives and is an inefficient use of scarce and ever-shrinking health resources.
      The reorganization of two clinic systems in New Jersey shows what can be done.

PMID- 10250464
TI  - Experiments in dental coverage: no longer pulling teeth.

PMID- 10250465
TI  - How to pick a good hospital.

PMID- 10250466
TI  - The dark side of GMENAC.

PMID- 10250468
TI  - How far can a rule bend?

PMID- 10250467
TI  - The doctors' dilemmas.

PMID- 10250469
TI  - How to write a good job description.

PMID- 10250470
TI  - Biomedical waste disposal--Nuclear Regulatory Commission. Final rule.
AB  - The NRC is amending its regulations to permit licensees greater leeway in
      disposing of liquid scintillation media and animal carcasses containing tracer
      levels of hydrogen-3 (tritium) or carbon-14. These rule changes will primarily
      affect NRC licensed hospitals and medical research institutions. Most licensees
      presently dispose of these items by sending them to a radioactive waste burial
      ground or by obtaining special authorization from NRC for incineration or onsite
      burial. Under the new regulations, the licensee may dispose of specified
      concentrations of these materials without regard to their radioactivity. The NRC
      is also amending its regulations to raise the annual limits for disposal of
      hydrogen-3 and carbon-14 by release to the sanitary sewerage systems. The rule
      changes will conserve waste burial capacity that is already in short supply.

PMID- 10250471
TI  - Privacy Act of 1974; new system of records--Department of Health and Human
      Services; Public Health Service. Notification of a new system of records: 09-25
      0143.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new system of records, 09
      25-0143, Biomedical Research: Records of Subjects in Clinical, Epidemiologic and
      Biometric Studies of the National Institute of Allergy and Infectious Diseases,
      HHS/NIH/NIAID. We are also proposing routine uses for this system. This system
      will be used to support (1) epidemiologic, clinical and biometric investigations
      into the causes, nature (morbidity and mortality), outcome, therapy and cost of
      infectious, immunologic and related diseases; (2) review and evaluation of the
      progress of these research projects, and identification and planning for
      improvements or for additional research. The population and statistical studies
      supported by this system may be conducted or managed by Institute staff as well
      as others outside the Institute. This system comprises records maintained in a
      number of distinct research projects. The number and specific nature of projects
      will change over time as new ones are started and as work on existing projects is
      completed.

PMID- 10250472
TI  - Hospital system backers lose influential allies.

PMID- 10250473
TI  - Internes and residents: "new breed of cat" knows exactly what it wants.

PMID- 10250474
TI  - C/T scanning--what's it all about?

PMID- 10250475
TI  - Self-help groups and mental health: a promising avenue.

PMID- 10250476
TI  - Social atmosphere in self-help groups: a case study.

PMID- 10250477
TI  - Ten steps towards establishing a self-help group: a report from Montreal.

PMID- 10250478
TI  - Living with schizophrenia: a group approach with relatives.

PMID- 10250479
TI  - A model for alcohol clinics working with industry.

PMID- 10250480
TI  - A power struggle in the department of surgery.

PMID- 10250481
TI  - Management professionals vs. medical professionals.

PMID- 10250482
TI  - Equalizing power within the medical staff.

PMID- 10250483
TI  - Unifying the medical staff, full-time chiefs, and administration in a teaching
      hospital.

PMID- 10250484
TI  - Administration-medical staff communication.

PMID- 10250485
TI  - Formulating medical staff budgets.

PMID- 10250487
TI  - Establishing a mechanism for implementing a medical staff moratorium.

PMID- 10250486
TI  - Obtaining a discharge diagnosis in a medical center.

PMID- 10250488
TI  - Hospital clinical computers: a Canadian experience.

PMID- 10250489
TI  - Delineation of privileges in a university teaching hospital.

PMID- 10250490
TI  - A nonphysician permitted to practice medicine.

PMID- 10250491
TI  - Suspension of a physician's hospital medical staff privileges in a Canadian
      hospital.

PMID- 10250493
TI  - Medical audit policy and procedure.

PMID- 10250492
TI  - Quality assurance in a university teaching hospital.

PMID- 10250494
TI  - The impaired physician.

PMID- 10250495
TI  - Removal of medical staff privileges.

PMID- 10250496
TI  - Removal of a department head--abdicate or execute?

PMID- 10250497
TI  - Administrative decision in medical staff ethics.

PMID- 10250499
TI  - Physician recruiting in a small hospital.

PMID- 10250498
TI  - Court-ordered hospital integration.

PMID- 10250500
TI  - Physician recruitment for a rural hospital.

PMID- 10250501
TI  - Success and failure in physician recruitment.

PMID- 10250502
TI  - Medical staff expansion with a new suburban satellite hospital.

PMID- 10250504
TI  - Medical school affiliation brings full-time physician chiefs to a community
      hospital.

PMID- 10250503
TI  - A search procedure for full-time physicians.

PMID- 10250505
TI  - A physician's group gives their office building to a hospital.

PMID- 10250506
TI  - A financial plan for a hospital's professional office building and parking
      facility.

PMID- 10250507
TI  - A hospital medical office building attracts physicians.

PMID- 10250508
TI  - Two physician groups construct their own buildings through a hospital land lease
      arrangement.

PMID- 10250510
TI  - Professional office building--why and how.

PMID- 10250509
TI  - Steps in negotiating for a hospital-based physicians' office building.

PMID- 10250511
TI  - Maintaining cost-saving incentives in physician contracts.

PMID- 10250512
TI  - The United States Supreme Court legalizes abortion.

PMID- 10250513
TI  - Cost savings result from a salary arrangement for radiologists and pathologists.

PMID- 10250514
TI  - Implementation of New York State Department of Health mandate: eliminate
      percentage of gross revenues financial agreement with hospital-based
      radiologists.

PMID- 10250515
TI  - A hospital-based anesthesiology service.

PMID- 10250516
TI  - Conflict rationality in hospital management.

PMID- 10250518
TI  - Administrator and pathologist conflict in contract negotiations.

PMID- 10250517
TI  - Anesthesiologist vs. administrator: a classic power struggle.

PMID- 10250519
TI  - The pathologist fee crisis--Rx for relief.

PMID- 10250520
TI  - Controlling compensation for hospital-based pathologists.

PMID- 10250521
TI  - Full-time emergency physician service in a small hospital.

PMID- 10250522
TI  - Creation of a patient terminal care review procedure.

PMID- 10250524
TI  - Full-time emergency physician service in a 600-bed hospital.

PMID- 10250523
TI  - A medical staff's reaction for a contract emergency service physician group.

PMID- 10250525
TI  - Problems with a contract emergency physician services group.

PMID- 10250526
TI  - Community-based medical service.

PMID- 10250527
TI  - Development of an ambulatory service department--a management failure.

PMID- 10250528
TI  - Reorganization of ambulatory care programs in a university medical center
      hospital and clinics.

PMID- 10250529
TI  - Establishing a free-standing ambulatory surgical facility.

PMID- 10250530
TI  - Survival of an inner-city hospital through medical staff integration.

PMID- 10250531
TI  - The development of a primary care group practice.

PMID- 10250532
TI  - Development of a clinical department practice plan.

PMID- 10250533
TI  - Medical center outpatient clinic generated fees--a physician payment plan.

PMID- 10250534
TI  - Malpractice insurance premium increase causes a physician work stoppage.

PMID- 10250535
TI  - One response to the Joint Commission on Accreditation of Hospitals.

PMID- 10250536
TI  - Physicians as hospital trustees.

PMID- 10250537
TI  - Involvement of the medical staff in management.

PMID- 10250538
TI  - Medical staff bylaws: a developing process.

PMID- 10250540
TI  - Medical staff organization for a four-hospital merger.

PMID- 10250539
TI  - Hospital dental staff organization.

PMID- 10250541
TI  - Reorganization of the medical staff in a Canadian hospital.

PMID- 10250542
TI  - AHSC seeks dismissal of antitrust charges.

PMID- 10250543
TI  - Getting the most out of group purchasing.

PMID- 10250544
TI  - Group director stresses need for good vendor evaluation.

PMID- 10250545
TI  - Legal guides outlined by purchaser, lawyer.

PMID- 10250546
TI  - In-service route to CS training.

PMID- 10250547
TI  - Private health care fraud unit formed.

PMID- 10250548
TI  - Defining PA's role in capital acquisition.

PMID- 10250549
TI  - Inventory management: establishing control.

PMID- 10250551
TI  - High technology equipment needs.

PMID- 10250550
TI  - Clarifying the concepts of research ethics: a second filtration.

PMID- 10250552
TI  - Research and development needs.

PMID- 10250553
TI  - The corporate viewpoint.

PMID- 10250554
TI  - Multi-facility management in Canadian health care: what are the incentives?

PMID- 10250555
TI  - Government policy--the present context of financial support.

PMID- 10250557
TI  - The qualities and responsibilities of a trustee.

PMID- 10250558
TI  - CHA reports on accreditation.

PMID- 10250556
TI  - Capital needs.

PMID- 10250559
TI  - CCHA reports on accreditation.

PMID- 10250560
TI  - Safeguarding health rights of inmates.

PMID- 10250562
TI  - A school and a hospital join forces.

PMID- 10250561
TI  - Legal responsibility of individual hospital trustees.

PMID- 10250564
TI  - Volunteers and hospital libraries.

PMID- 10250563
TI  - Trustees in the Canadian health service: opportunities and problems.

PMID- 10250565
TI  - Turning media relations around.

PMID- 10250566
TI  - Rx for success: shared power is a positive force.

PMID- 10250568
TI  - Hospital boards: public trust in private hands.

PMID- 10250567
TI  - Volunteers: Vanderbilt's "tour de force".

PMID- 10250569
TI  - HSA boards: how representation works in health planning.

PMID- 10250570
TI  - After successful start, 'patient rep' system falters, is abandoned by Tucson
      hospital.

PMID- 10250571
TI  - Breaking productivity barriers: 'participative management' may hold key to
      American worker output.

PMID- 10250573
TI  - Pharmacy technicians establish an independent national organization.

PMID- 10250572
TI  - Housing patients in nearby hotel cuts two thirds off per diem costs.

PMID- 10250574
TI  - Attitudes about death in the nursing home: a research note.
AB  - An increasing percentage of the U.S. population dies in nursing homes. Despite
      the increased attention given to the topic of death, most nursing homes practice
      a covert approach. A total of 86 residents and staff members from 2 nursing homes
      support this finding; yet many expressed an interest in modifying the policy. A
      majority believed that others should be told about the death of a resident.
      Respondents reported the interview process to be satisfying.

PMID- 10250575
TI  - Perinatal mortality counseling program for families who experience a stillbirth.
AB  - The emotional impact of a stillbirth on a family has only recently begun to be
      appreciated. Literature regarding the grieving process in these families has been
      relatively scant and does not often facilitate applied approaches. The Perinatal
      Mortality Counseling Program (PMCP) at Shands Teaching Hospital, Gainesville,
      Florida, provides crisis intervention and support for these families as well as
      serving a research function. This article outlines the program, including its
      history, composition, procedures, and research.

PMID- 10250576
TI  - Support system of health professionals as observed in the project of home care
      for the child with cancer.
AB  - Crucial questions for health professionals include what constitutes social
      support, the sources of social support, and the parameters of social support. The
      preliminary findings from a research project that focused on the care of children
      dying of cancer indicate that these questions have concerned primary care nurses
      and physicians. Data acquired in personal interviews administered to 27
      physicians and 32 nurses who participated in the first year of the Home Care for
      the Child with Cancer project provided descriptions of individual sources of
      social support. The results reveal a range of supportive mechanisms and networks
      within varied institutional contexts. While there were some within-group
      similarities in the forms of social support used by nurses and those used by
      physicians, numerous individual differences were evident. This is an area for
      extensive further study.

PMID- 10250577
TI  - CME programming from the AMA--an update.

PMID- 10250578
TI  - 1st-rate EMS in Virgin Islands loses staff to higher U.S. pay.

PMID- 10250579
TI  - 'Balloon' hospital definite success.

PMID- 10250580
TI  - Making your workplace OSHA-safe.

PMID- 10250581
TI  - Convenience, personal attention crucial to program success.

PMID- 10250582
TI  - Good facility design should integrate aesthetics, program aspects.

PMID- 10250583
TI  - The saints come marching in: victories at St. Clare's in New York are latest in
      series of 1199 wins at Catholic hospitals.

PMID- 10250584
TI  - Long struggle brings 1199 contract for nurses in New Mexico.

PMID- 10250585
TI  - Why nurses leave nursing.

PMID- 10250586
TI  - Research approaches in health professions education: problems and prospects.
AB  - Research in health professions education has been dominated by a research
      paradigm emphasizing controlled experimentation. Widespread criticism has been
      voiced by leaders in the research community concerning the adequacy of the
      paradigm to deal with complex human behavior occurring in complex social
      environments. This article is concerned with exploring the implications of
      controlled studies for health professions education and proposing an alternative
      research strategy.

PMID- 10250587
TI  - The Woodhaven short-term model reconsidered: a study of developmental growth and
      criteria for discharge.
AB  - This article concerns the issues surrounding discharge of mentally retarded
      clients from a short-term, intensive residential service setting. The Temple
      University Woodhaven Center is designed as a two-year setting for about 270
      clients. They require intensive assistance in acquiring behaviors necessary for
      independent functioning and in learning appropriate social behavior, so that they
      can adapt to and thrive in a less restrictive, more integrated setting.
      Woodhaven, however, serves clients at all levels of retardation. The question
      arises: How is it decided who is to be discharged and when? Upon entry to
      Woodhaven, a contract is written with the family and client, specifying what
      behavioral changes are expected as preconditions for discharge. In this approach,
      a client should be discharged upon attainment of contract goals. A second
      approach uses adaptive behavior skills as a criterion of progress, and attempts
      to determine the level of skills displayed by other, similar clients who are
      already living in the community. This second, criterion-referenced approach is
      important not only for discharge decisions from one facility, but for broad
      service system planning as well. The results of the present study supported the
      notion of a two-year intensive residential program.

PMID- 10250588
TI  - Utilizing nonparametric statistical techniques: evaluating management
      effectiveness of an alcoholic treatment center.
AB  - A system of measures was designed to evaluate the effect of a change in
      management of an alcoholic treatment center. The measures also were used to
      indicate the causes for the changes in performance. Because the treatment
      center's physical plant is to be replaced in the near future, regression
      techniques, using one of the evaluation measures, were used to predict the size
      of the replacement facility and when it should become operational. The evaluation
      was made approximately a year after the management change occurred. Because only
      a limited amount of data was available, it was necessary to use nonparametric
      statistical techniques.

PMID- 10250589
TI  - Who should abstract medical records? A study of accuracy and cost.
AB  - The accuracy of patient record data depends not only on the quality of medical
      record keeping but also on the accuracy of the process of abstracting patient
      records to produce data suitable for analysis. This article reports results
      comparing record abstracts produced by four classes of abstracter: physicians,
      tumor registrars, nurses, and fourth-year medical students. The purpose of the
      comparison was to determine whether or not there were differences in accuracy
      among the four groups and, if accuracy was approximately equal, whether there
      were substantial differences among the costs of employing the four groups.

PMID- 10250590
TI  - A residential continuum for the chronically mentally ill: a Markov probability
      model.
AB  - The movement of a group of chronically mentally ill clients among various
      facilities for residential care was described with a Markov probability model.
      The results of a goodness-of-fit test indicated that the model accurately
      captured the flow of clients among the state psychiatric hospital, the in-patient
      units, the community, and three types of group homes. The model was then used to
      answer several policy-relevant questions about the functioning of the continuum
      of residential care, such as how often vacancies can be expected to arise and how
      efficiently clients are progressing along the continuum.

PMID- 10250591
TI  - Problem characteristics, decision processes and evaluation activity: a
      preliminary study of mental health center directors.

PMID- 10250592
TI  - Group practice dissolutions: a tale of two clinics.

PMID- 10250593
TI  - Establishing a satellite clinic.

PMID- 10250594
TI  - Community foundations rally 'round a mental health project.

PMID- 10250596
TI  - A logic tree approach to the Fairfield Home fire.
AB  - In this paper, a logic-tree analysis model has been applied, though in a
      relatively simple and crude fashion, to the fire that occurred at the Fairfield
      Home, Nottinghamshire, in 1974.

PMID- 10250595
TI  - A new look at an old report.

PMID- 10250597
TI  - Paging Dr. Adam Smith.

PMID- 10250598
TI  - Education, training creates effective board of trustees.
AB  - The problems facing today's hospitals are not new - except in magnitude. To keep
      our institutions funded, the selection of the trustee development committee
      should receive the first priority of the board, according to this author.

PMID- 10250599
TI  - Case statement: blueprint for fund raising success.
AB  - The case statement is the primary document upon which an organization bases its
      appeal for financial and philosophical support. This author points out how a well
      constructed case statement can impact on fund raising success.

PMID- 10250600
TI  - Health non-profits face shift in foundation grants.

PMID- 10250601
TI  - Giving USA qualifies bank study projections of giving.
AB  - Giving USA, perhaps the most respected annual report of philanthropy, takes
      exception to some of the conclusions drawn by the Chemical Bank study. All non
      profits are winners in their eyes.

PMID- 10250603
TI  - Analysis of the drug information needs in a 550 bed university hospital.

PMID- 10250602
TI  - Medical device regulations 1981: do they dare to be different.

PMID- 10250604
TI  - North Dakota pharmacists' use of drug information.

PMID- 10250605
TI  - Effects of removing the waiting period for maternity benefits in an HMO: the
      Harvard Community Health Plan experience.

PMID- 10250606
TI  - Selectivity among large employer group members of a prepaid group practice model
      HMO: the relationship between employee premium contribution, medical care
      utilization and market penetration.

PMID- 10250608
TI  - Geriatric day care--filling the service gap between home and nursing home.

PMID- 10250609
TI  - Achieving higher level wellness in the older population.

PMID- 10250607
TI  - A measure of health status in an elderly population.

PMID- 10250610
TI  - Gamma rays have a glowing future.

PMID- 10250611
TI  - Relocating? Keep costs down and efficiency high.

PMID- 10250612
TI  - What every head nurse should know about management.

PMID- 10250613
TI  - How PAR can save $100,000 annually.

PMID- 10250614
TI  - Hospital at home: yesterday Bayonne, today Peterborough.
AB  - A family crisis can loom up when a supportive adult is taken into hospital. It
      affects the elderly and the young especially. Peterborough district has taken
      steps towards resolving this problem by bringing the hospital to the patient.
      Pauline Drummond reports on phase II of 'Hospital at Home'.

PMID- 10250615
TI  - Management of nursing services: financial control of establishments.
AB  - After restructuring budgetary responsibility for nursing services will be pushed
      down to unit level. Peter Creighton, area nurse (service and capital planning),
      Redbridge and Waltham Forest AHA, draws attention to the problems created by
      special duty payments.

PMID- 10250616
TI  - Ambulance services: to Birmingham, by way of Beachy Head.
AB  - Co-ordination of ambulance journeys on a country-wide basis is one of the
      possibilities opened up by the use of computers in ambulance control. Frederick
      Thornley, chief ambulance officer, Oxfordshire AHA(T) and Barry J. Lewis,
      assistant divisional officer and chief control officer, discuss the advantages
      and limitations of computer assistance.

PMID- 10250617
TI  - Citizens Advice Bureau: advice on a trolley.
AB  - To a hospital administrator, the way in which a Citizens Advice Bureau (CAB) and
      the hospital's social work department can complement each other is not
      immediately obvious. So when the social work department invited the Brent Mobile
      CAB to assess the possibilities of a bedside service to inpatients, the idea was
      greeted with some uncertainty. Graham Coomber, hospital administrator, Central
      Middlesex Hospital, and Denise Fears, organiser of the Brent Mobile CAB, describe
      the first three months.

PMID- 10250618
TI  - Notes from the USA: fighting for survival.
AB  - Hospitals in the US face competition for patients. The hospitals are responding
      to this pressure by expanding into new primary care services and organisations.
      First in a new monthly series.

PMID- 10250619
TI  - Improving maternity services: useful research--and the other kind.
AB  - 'There is no room in the health service for impractical research,' says Elizabeth
      Perkins, research and development officer, Nottinghamshire Area Health Education
      Unit, and honorary research fellow, Department of Adult Education, Nottingham
      University. Her book 'Education for childbirth and parenthood' was reviewed in
      last week's 'Journal'.

PMID- 10250620
TI  - Improved training for the Russian nurse.
AB  - The Russians seem to be giving more attention to the training of nurses and to
      the quality of nursing services. Dr Michael Ryan, lecturer in social policy at
      the University College of Swansea, describes changes in system where hitherto the
      only path of advancement for the nurse was to become a doctor.

PMID- 10250621
TI  - Clothing for staff: garments that guard.
AB  - Much of the clothing worn in hospitals is designed for protection, either of the
      staff themselves, or of their everyday clothes, or their patients and the
      community generally. A. Smith, safety liaison officer, Haringey HD, reviews the
      requirements of legislation and good practice.

PMID- 10250623
TI  - Health care and remedial professionalisation.

PMID- 10250622
TI  - Computing to control the drug bill.
AB  - The Derbyshire pharmaceutical computer system has been developed in collaboration
      with UniChem to give better stock control and thus make savings in the total drug
      bill. It is described by Mike Cullen, area pharmaceutical officer, and David
      Thomas, finance officer, South Derbyshire HD.

PMID- 10250624
TI  - Ingredients for a catering dispute.

PMID- 10250626
TI  - Residential management and the personnel function.

PMID- 10250625
TI  - The work done by doctors in the NHS.

PMID- 10250627
TI  - Reorganisation: opportunity or impediment?

PMID- 10250628
TI  - Evaluating glass and electronic thermometers.

PMID- 10250629
TI  - Measuring purchasing performance: cost reduction/cost avoidance.

PMID- 10250630
TI  - Establishing productivity goals.

PMID- 10250631
TI  - Using value analysis to increase savings.

PMID- 10250632
TI  - A look at an "Iron Curtain" hospital and its purchasing department.

PMID- 10250633
TI  - The new health authorities: sandcastles below the tideline?

PMID- 10250634
TI  - Training in the management of hospital supplies for overseas students.

PMID- 10250635
TI  - Defending the Simpson.

PMID- 10250636
TI  - Financial information for management.

PMID- 10250637
TI  - The health service commissioner.

PMID- 10250638
TI  - Peritoneal dialysis poses risk of hepatitis B transmission.

PMID- 10250640
TI  - Behavorial modification program cuts asthmatic children's hospitalization.

PMID- 10250639
TI  - What qualities do ICC chairmen and epidemiologists need?

PMID- 10250641
TI  - Credentialing ER physicians; priority for QA in hospitals.

PMID- 10250642
TI  - Using epidemiological tools to compare QA and RM.

PMID- 10250643
TI  - St. Joseph Hospital, Inc., Towson, MD. Outreach and visitation programs enlarge
      hospital's service population.

PMID- 10250644
TI  - Social values, health care practices focus of China trip.

PMID- 10250645
TI  - Health care 2000 AD: the impact of conglomerates.
AB  - Revamped organizational structures, revitalized lobbying strategies, expanded
      overseas developments, and new criteria for measuring hospitals' effectiveness
      will characterize the industry in 2000 AD.

PMID- 10250646
TI  - Alienation, reconciliation, and unity: dynamics in effective pastoral care.
AB  - Alienation from one another, self, the environment, and God impedes the pastoral
      care team's effectiveness. Changing attitudes and implementing techniques to
      achieve reconciliation can bring about growth toward a more dynamic ministry.

PMID- 10250647
TI  - Nurse staffing dilemma: analyzing objectives, recognizing constraints.
AB  - Before designing and implementing a staffing methodology, health care
      institutions need to develop specifications and define needs. Without clear
      objectives, administrators may end up tackling symptoms instead of issues.

PMID- 10250648
TI  - Discovery rule requires plaintiff to prove facts.

PMID- 10250649
TI  - Extraordinary care definition is individual determination.

PMID- 10250650
TI  - Taking care in Mexico.

PMID- 10250651
TI  - Mexico's doctors.

PMID- 10250652
TI  - How to develop a complete nursing management program.

PMID- 10250653
TI  - A practical approach to an absentee problem.

PMID- 10250654
TI  - A brief and concise on-going reporting system.

PMID- 10250655
TI  - Procedures for location and charge control of small rental equipment, which meets
      JCAH insurance carrier requirements.

PMID- 10250656
TI  - Tighter control of medical gas handling saves money, improves patient care.

PMID- 10250657
TI  - Materiel management: what does the administrator expect of the materiel manager?

PMID- 10250658
TI  - How to "talk" with vendors--place orders--avoid back orders--and save thousands!

PMID- 10250660
TI  - How to control your time: personal time management (Part II--controlling time
      wasters).

PMID- 10250659
TI  - Consultant's corner: are there any criteria for determining intensive care and
      coronary bed needs for individual hospitals?

PMID- 10250661
TI  - Hospital renovation and maintenance operations: questionable companions.

PMID- 10250662
TI  - Paper work can be at the heart of some of radiology's problems!

PMID- 10250663
TI  - How a center for coordinating services to the elderly functions.

PMID- 10250664
TI  - Hospital infection control committees--are they effective?: problems and possible
      solutions.

PMID- 10250665
TI  - Management science applied to nurse recruitment, or how to hire 66 nurses in 42
      days.

PMID- 10250666
TI  - Hospital classes for couples adopting newborns.

PMID- 10250667
TI  - Choosing a telecommunications consultant.

PMID- 10250668
TI  - Dealing with the problem of employee turnover.

PMID- 10250669
TI  - Paring down losses in food service.

PMID- 10250671
TI  - HCSC-Laundry has tax implications beyond laundries: shared service organizations
      should understand exemption revocation possibilities.

PMID- 10250670
TI  - Oklahoma court approves City of Faith certification: cite "national
      constituency".

PMID- 10250672
TI  - New York Court of Appeals reviews Eichner and companion termination of treatment
      case.

PMID- 10250673
TI  - PPI regulations put on hold; HHS is sued by consumer groups.

PMID- 10250674
TI  - The pressure is on for outpatient services.

PMID- 10250675
TI  - Public relations: next 10 years could come as a surprise.

PMID- 10250676
TI  - Action for the nursing shortage.

PMID- 10250677
TI  - Do we need IV guidelines?

PMID- 10250678
TI  - Control materials and you control costs.

PMID- 10250679
TI  - Ontario's hospital workers strike out.

PMID- 10250680
TI  - Lavatories--as part of patient room.

PMID- 10250681
TI  - Changing roles and mental health in women.

PMID- 10250682
TI  - Special needs of women in health examinations.

PMID- 10250683
TI  - A legal perspective on pregnancy leave and benefits.

PMID- 10250685
TI  - Overview: the health of working women.

PMID- 10250684
TI  - Challenges to corporate policy.

PMID- 10250686
TI  - Ethics in industrial mental health programs.

PMID- 10250687
TI  - The staffing requirements of employee assistance programs.

PMID- 10250688
TI  - Insurance and insurability for mental health services.

PMID- 10250689
TI  - Trends in corporate mental health insurance.

PMID- 10250690
TI  - Industry's response: a survey of employee assistance programs.

PMID- 10250691
TI  - The cost of private-practice psychiatry under national health insurance.

PMID- 10250692
TI  - Mental wellness and the cost of health care.

PMID- 10250693
TI  - Case studies in mental wellness programming.

PMID- 10250694
TI  - Some guidelines for employee assistance program development.

PMID- 10250695
TI  - Promoting an employee assistance program in an HMO.

PMID- 10250696
TI  - Last rights: the psychological needs of patients and physicians.

PMID- 10250697
TI  - Last rights: are physicians failing the dying?

PMID- 10250699
TI  - Hospice: caring when curing fails.

PMID- 10250698
TI  - Last rights: internist, physician, friend.

PMID- 10250700
TI  - Provider and consumer control: interpersonal power relations at board meetings.

PMID- 10250701
TI  - Pilferage control--a package pass policy.

PMID- 10250702
TI  - Security in the rural hospital.

PMID- 10250703
TI  - Unionized professionals and the scope of bargaining: a study of nurses.

PMID- 10250704
TI  - Medical staff role in the 1980s.

PMID- 10250705
TI  - Duties and responsibilities of trustees.

PMID- 10250706
TI  - Thoughts on motivation in a nursing department.

PMID- 10250707
TI  - Managing human resources in the 1980s.

PMID- 10250708
TI  - Newfoundland study proposes new kind of partnership between government,
      hospitals.

PMID- 10250709
TI  - Canadian health services administration in the 1980s.

PMID- 10250710
TI  - Interaction management training.

PMID- 10250711
TI  - Establish ethics committee to minimize liability, authority advises.

PMID- 10250712
TI  - Reassuring trustees about liability.

PMID- 10250713
TI  - Reduce drug diversion with strict controls, expert advises.

PMID- 10250714
TI  - Coping with direct apportionment reimbursement from feds.

PMID- 10250715
TI  - Chemical hazards: focus on safety.

PMID- 10250716
TI  - The physician's stake in health care marketing.
AB  - Better health care services will result when physicians become involved in
      hospital marketing plans, especially in selecting appropriate marketing targets
      and in improving patient care services. Once physicians recognize that marketing
      is an appropriate professional activity that may help them and their institutions
      care for their patients, their next responsibility is to ensure that the
      marketing activities are responsible and ethical.

PMID- 10250717
TI  - Accreditation clinic: standard for Level I emergency services revised.

PMID- 10250718
TI  - Cephalosporin cost reduction.

PMID- 10250719
TI  - Psychotropic usage in long-term care facility geriatric patients.

PMID- 10250720
TI  - Wash water temperature and sanitation in the hospital laundry.
AB  - In view of energy shortages and high costs for heating water in hospitals for
      laundering, the advantages and disadvantages of using lower temperature water are
      explored. Including are discussions of cleaning power of water, detergents and
      bleaches, and microbial removal using a temperature range of 38 to 74 degrees C.

PMID- 10250722
TI  - Patient consent.

PMID- 10250721
TI  - Occupational exposure to ethylene oxide: effects and control.
AB  - Ethylene oxide (EO) is widely used in the health care industry as a gas sterilant
      for medical products that cannot withstand the high temperature and humidity
      associated with conventional steam sterilization. As a consequence, approximately
      100,000 health care workers are exposed to residual EO each year. The acute
      toxicity of exposure to EO has been well documented, and recent concern about the
      mutagenic potential of occupational exposure to EO has resulted in an effort to
      further reduce workplace exposure levels to EO. The Environmental Protection
      Agency has issued a rebuttal presumption against registration of EO as a
      pesticide and the American Conference of Governmental Industrial Hygienists
      (ACGIH) has proposed a sharp reduction in the threshold limit value permitted for
      EO. Recognizing the need for environmental health personnel to become more
      familiar with this workplace hazard, it is appropriate to briefly review the
      toxic effects of acute and chronic exposure to EO residuals. The authors describe
      a gas sterilization system successfully utilized at the U.S. Public Health
      Service Hospital in New Orleans, La., which has demonstrated exposure
      concentrations well below the EO threshold limit value recently proposed by the
      ACGIH, while preserving the principal goal of assuring the sterility of reusable
      medical products which cannot be subjected to steam sterilization.

PMID- 10250723
TI  - Survey: EMS in America's most populous 100 cities.

PMID- 10250725
TI  - Editorial: emergicenters--good or bad?

PMID- 10250724
TI  - Lightning strikes twice in Vegas.

PMID- 10250726
TI  - Fringe benefits . . . the hidden payroll!

PMID- 10250727
TI  - Trade winds: good or bad?

PMID- 10250728
TI  - The private psychiatric hospital: a matter of perspective.

PMID- 10250729
TI  - The effects of societal and legislative pressures on inpatient treatment.

PMID- 10250730
TI  - Public policy and national health insurance options in the 1980s.

PMID- 10250731
TI  - The performance, problems, and prospects of health systems agencies.

PMID- 10250732
TI  - Deinstitutionalization in Florida.

PMID- 10250733
TI  - Hospitalized latency-age children: implications for psychosocial care.
AB  - Hospitalized latency-age children (ages 5-12) are often forced to deal with
      emotional feelings surrounding their illness or hospitalization that can be
      psychologically damaging. Factors which interfere with a latency-age child's
      psychological growth are enumerated. Potential benefits of hospitalization and
      guidelines for working with this age child are provided.

PMID- 10250734
TI  - Influencing attitudes toward children's emotional care.
AB  - The development of play therapy programs and the passage of laws to support the
      psychosocial care of children in hospitals in Sweden is outlined in this article.

PMID- 10250735
TI  - "Is this the liberry?".
AB  - The importance of a library in the hospital setting is discussed. Suggestions on
      how to start a library, build library holdings, develop a story hour, and promote
      a library are provided.

PMID- 10250736
TI  - Nursing rehabilitation of the quadriplegic adolescent.
AB  - The unique needs and problems of the adolescent with quadriplegia are discussed.
      Emphasis is placed on how the nurse and health care team can work together with
      the patient and the family in meeting these needs by establishing trusting
      relationships and by providing individualized, accountable care.

PMID- 10250737
TI  - Health planning for deregulation: implementing the 1979 amendments.

PMID- 10250738
TI  - Osteopathic Hospital of Maine: outpatient department-policies and procedures.

PMID- 10250739
TI  - Efficient billing organization.

PMID- 10250741
TI  - Collection receivable management.

PMID- 10250740
TI  - The computer--friend or foe of the credit manager.

PMID- 10250742
TI  - The impact of inflation on journal costs.

PMID- 10250743
TI  - Institutional cleaning and maintenance: program at Rhode Island hospital unites
      quality assurance, training.

PMID- 10250744
TI  - Role of housekeeping is essential to health-care infection control.

PMID- 10250746
TI  - New regulations and responsibilities to challenge housekeepers in 1980s.

PMID- 10250745
TI  - How you can decrease expenditures on housekeeping, maintenance products.

PMID- 10250747
TI  - Health care in Saudi Arabia.

PMID- 10250748
TI  - Malpractice in the 80s: what lawyers are saying.

PMID- 10250749
TI  - Hospices: a new way of caring.

PMID- 10250750
TI  - Accrual accounting: recognize the pitfalls.

PMID- 10250751
TI  - Management engineering: techniques to keep your operations trim.
AB  - Are you considering the employment of additional staff in an attempt to help
      manage heavy work loads? By applying management engineering techniques, you may
      simplify and improve clinic operations that can then be handled by existing
      personnel, while at the same time demonstrate your commitment to cutting costs.

PMID- 10250752
TI  - Management engineers help design center.
AB  - Drawing on the valuable knowledge and skills at its management engineering
      department (the Section of Systems and Procedures), the Mayo Clinic recently
      designed, built, and occupied a highly efficient primary care center for local
      residents.

PMID- 10250753
TI  - American attitudes toward health maintenance organizations.
AB  - The growth of the health maintenance organization movement (HMO) in recent years
      is evidence of continuing interest by the American public in prepaid health care.
      The trustees and officers of the Henry J. Kaiser Family Foundation believe that
      up-to-date knowledge about consumer attitudes helps to address issues pertinent
      to HMOs as a viable, alternative healthcare delivery system. It was with this
      idea in mind that the foundation commissioned Louis Harris and Associates to
      conduct a national survey of consumer attitudes and opinions about HMOs. The
      survey findings were published in July 1980, in a report entitled "American
      Attitudes Toward Health Maintenance Organizations." MGMA received permission from
      the Henry J. Kaiser Family Foundation to reprint the introduction and
      summary/overview of the survey results. This information should prove to be of
      value to members, particularly those involved in an existing HMO or those still
      in the planning stages.

PMID- 10250754
TI  - The Susquehanna Valley Health Care Consortium.
AB  - Multihospital "systems" and "consortiums" are gaining widespread interest for a
      number of reasons. One such program involves the Geisinger Medical Center. Are
      there lessons to be learned and opportunities to be pursued for group practices
      in applying this new organizational concept?

PMID- 10250755
TI  - Management by objectives.
AB  - Are you interested in a system to facilitate the planning and control functions
      involved in directing the future of your organization? If so, you might find the
      management by objectives (MBO) approach to be a very useful management tool.

PMID- 10250756
TI  - Towards a better understanding of healthcare economics.
AB  - Is the healthcare market governed by the classical laws of supply and demand?
      Healthcare experts, in general, say no. This author, however, argues that
      traditional economic principles are relevant and capable of explaining the
      current nature of the healthcare market.

PMID- 10250757
TI  - Can advocates of competition make their health plans fly?

PMID- 10250758
TI  - Medicine 1, chiropractic 0. But the war goes on.

PMID- 10250759
TI  - The final help we can offer a dying patient.

PMID- 10250760
TI  - Health care information review.

PMID- 10250761
TI  - Paediatric disease classification.

PMID- 10250763
TI  - Tracing the evolution of leadership styles.

PMID- 10250762
TI  - 25th annual prescription survey: Albany College of Pharmacy of Union University.

PMID- 10250764
TI  - The physician's right to due process in public and private hospitals: is there a
      difference?

PMID- 10250765
TI  - Professional dietetic education: a consortium approach.

PMID- 10250766
TI  - Everyone wants nutrition on the team.

PMID- 10250767
TI  - Dietetic rehabilitation for people who place a high value on time.

PMID- 10250768
TI  - Betty Ford shares alcoholism experience at dedication.

PMID- 10250770
TI  - Multihospital system survey: hospitals adapt industries' financing techniques to
      expand their flexibility.

PMID- 10250769
TI  - Volunteers bring lunch and kind attention.

PMID- 10250771
TI  - Multihospital system survey: must liberalize covenants to ease hospital corporate
      restructuring.

PMID- 10250772
TI  - Proposed FmHA loan program cuts frighten small and rural hospitals.

PMID- 10250773
TI  - Humana dollars seek acquisitions.

PMID- 10250774
TI  - Integration and systematism are key to effective cost containment.

PMID- 10250775
TI  - Trustees sacrifice other civic roles to serve on multi system's board.

PMID- 10250776
TI  - Courts weigh local, U.S. standards.

PMID- 10250778
TI  - Vendors hold out for more money, threaten to cancel agreements.

PMID- 10250777
TI  - Nonprofit hospitals can finance taxable start-ups by selling stock.

PMID- 10250779
TI  - Cuts would dismantle Health Services Admin.

PMID- 10250780
TI  - Schweiker erases doubts about his support for competition bills.

PMID- 10250781
TI  - HCFA chief opposes cost control program.

PMID- 10250782
TI  - Too late to change planning mood?

PMID- 10250784
TI  - Crisis ensures impact of nursing commission.

PMID- 10250783
TI  - Agencies experiment with contracts.

PMID- 10250785
TI  - I.V. prices under new agreements jump 20%.

PMID- 10250786
TI  - More abstracting planned on minis.

PMID- 10250787
TI  - Acquisition enhances Fairview and Brim's growth potential.

PMID- 10250788
TI  - Architect emphasized teaching with university hospital's modular design.

PMID- 10250789
TI  - Multihospital system survey: +1.7 million Kaiser on top.

PMID- 10250790
TI  - Multihospital system survey: nonprofits compete effectively with investor-owned
      contract firms.

PMID- 10250791
TI  - Multihospital system survey: religious systems' local boards have more decision
      making power.

PMID- 10250792
TI  - Multihospital system survey: hospital chains grab psychiatric business from
      government facilities.

PMID- 10250793
TI  - Keep 'em healthy,' and cut health care costs.

PMID- 10250795
TI  - Management support vital to health cost control.

PMID- 10250794
TI  - Consider corporate health care cost containment programs.

PMID- 10250796
TI  - Insurers expanding efforts to curb health costs.

PMID- 10250797
TI  - Management evaluation: is your system effective?

PMID- 10250798
TI  - Energy plan battles hospital costs.

PMID- 10250799
TI  - Rural hospitals can thrive through out-reach centers.

PMID- 10250800
TI  - Choose a consultant as carefully as you plan your project.

PMID- 10250801
TI  - Energy needs will define future health care system.

PMID- 10250802
TI  - The Committee of Interns and Residents: New York's big, brash union.

PMID- 10250803
TI  - Pipeline politics: the flow of corps scholarships and services could be shut off.

PMID- 10250804
TI  - Precision performance standards: medical care and peer review criteria.

PMID- 10250805
TI  - What to look for in a quality laboratory.
AB  - Judging the quality of a laboratory is not easy, but that does not mean it should
      not be done. The author of this article sets forth criteria--subjective and
      objective--for judging a quality laboratory, and for evaluating your own image as
      others might perceive it. The discussion presented here is vital to residents and
      junior members.

PMID- 10250806
TI  - Why manage behavior? Supervisors need feedback, but are they prepared?
AB  - In 1979, a study was conducted at a 400-bed acute care hospital (name withheld)
      in an attempt to uncover potential employee problems and provide managers with
      feedback that could be used to remedy such problems. The author of this article
      explains the format of the hospital-wide study, and examines specifically how
      employees and supervisors in the Department of Laboratory Medicine reacted to the
      project.

PMID- 10250807
TI  - The making of a pathologist.
AB  - Numerous skills are required of pathologists today, skills so diverse that the
      traditional formats of residency programs no longer are functional. The author of
      this article explains what practice in pathology entails, the knowledge of which
      is essential if residents are to receive the proper training for practice in the
      field.

PMID- 10250808
TI  - "I left private practice for an HMO".

PMID- 10250809
TI  - "I left an HMO for private practice".

PMID- 10250810
TI  - The case for patient education: an update on recent court decisions affecting
      physicians and hospitals.
AB  - Recent court decisions directly affect providers of patient education. Legal
      precedents emerging in the 1980s place increased emphasis on the individual
      patient in terms of the adequacy of information provided, the patient's level of
      understanding of that information, and the duty to inform patients of the risks
      of their refusal to undergo any form of treatment. Specific cases are cited, and
      the implications of the courts' decisions for providers are delineated. Key legal
      concepts of American law are reviewed as they relate to patient education,
      offering a framework for providers of patient education to evaluate their
      programs and activities with respect to assuring quality and reducing the
      incidence of litigation.

PMID- 10250811
TI  - Use of nonprofessional volunteers with pregnant teenagers.
AB  - The future funding needs of perinatal programs for teenagers should motivate
      adolescent clinics to make creative use of nonprofessional volunteers. When
      adequately trained and supervised, volunteers can perform meaningful tasks with
      high-risk teenage patients. In this program, volunteer involvement not only has
      extended the staff's capacity to counsel effectively and to educate pregnant
      adolescents but also has augmented the program's effectiveness by providing
      rewards to reinforce patient compliance with nutrition and weight control. This
      paper provides some guidelines to medical professional who want to improve the
      volunteer efforts of other adolescent pregnancy programs. Such perinatal services
      must begin to capitalize on the resources of the volunteer sector if such
      programs are to continue and eventually expand to meet the needs of the pregnant
      teenager.

PMID- 10250812
TI  - Improving patient-education assessment skills of hospital staff: a case study in
      diabetes.
AB  - While the importance of collecting patient education data of high quality is well
      established, few studies have examined the quality of patient educational
      assessment procedures. Utilizing a standardized instrument and assessment
      protocol, an observational trial of nine insulin-controlled adult diabetics was
      conducted using pairs of trained patient assessors. Although the overall mean
      percent agreement for the first trial was very good (90%), lack of agreement was
      noted for several important subcategories. A training program was conducted to
      improve accuracy, addressing the assessment problems found in the first trial. A
      second rater trial found an overall level of rater agreement of 99%. This study
      confirmed that routine assessment of patients should be periodically monitored
      using the quality control methods described to ensure program data of high
      quality.

PMID- 10250813
TI  - Initial knowledge and attitudes as predictors of intervention effects: the
      individual management plan.
AB  - This paper addresses questions concerning the effects of patient education
      strategies to increase adherence to antihypertensive medical regimens. It
      endeavors to fill gaps in our knowledge about intervention effects that may link
      research findings with health care applications. Data from a community
      intervention study of 432 hypertensives are used to address two broad questions
      relating research on patient education to health care practice: Do interventions
      have different effects on individuals who differ with respect to initial
      attitudes or knowledge, and to what extent do interventions produce changes in
      the factors thought to mediate their effects on behavior? This investigation
      tests a client-oriented approach to the delivery of interventions, the Individual
      Management Plan (IMP). The IMP approach is based on the hypothesis that
      interventions will be differentially effective for individuals with varying
      levels of initial attitudes and knowledge thought to mediate the effects of the
      interventions on behavior. Analysis of variance, correlational analyses, and
      analysis of covariance models are used to test various aspects of this
      hypothesis. Analyses are performed for adherence to medication regimens, dietary
      sodium restrictions, and weight-loss recommendations. The results of analyses
      offer only minimal support for the IMP hypothesis. The state of the art and
      constraining factors in the study are examined to guide future applications of
      the IMP approach.

PMID- 10250814
TI  - Educational support groups of patients with ankylosing spondylitis: a preliminary
      report.
AB  - Educational support groups (ESGs) for patients with ankylosing spondylitis were
      found to significantly (P less than 0.01) increase knowledge about the disease
      and its treatment. Compliance of participants with their prescribed exercise
      programs was improved, although the improvement did not achieve statistical
      significance. Compliance with prescribed application of heat to joints was not
      changed. Control patients showed no substantial changes in knowledge or
      compliance. Although analysis of pretest and posttest responses on a
      questionnaire did not indicate that the ESGs enhanced the patients' ability to
      cope with ankylosing spondylitis or their perception of the adequacy of family
      relationships with regard to the disease, verbal feedback concerning these areas
      was positive in most cases. Patients did not express negative feelings about the
      thought of meeting another person with ankylosing spondylitis whose disease was
      less severe or whose coping ability was greater or less than their own. Two
      patients who initially believed that they would feel threatened if they were to
      meet a more severely ill patient relinquished that concern after ESG
      participation.

PMID- 10250815
TI  - Job selection using task analysis.
AB  - Finding the right person for the right job is personnel's greatest challenge. In
      this article, Malinowski outlines a four-step technique that can help you meet
      this challenge.

PMID- 10250816
TI  - Communicating company objectives.
AB  - Knowing and understanding company objectives will not help employees solve every
      work-related problem, but, in the long run, such knowledge will contribute to
      more efficient and productive operations.

PMID- 10250817
TI  - Performance appraisal: whose function?
AB  - Two of the major purposes of performance appraisal are to improve overall job
      performance and encourage career growth. According to our author, the training
      and development section of the personnel department can best fulfill these goals.

PMID- 10250818
TI  - Employee attitude surveys: perception vs. reality.
AB  - In order to correctly interpret employee perceptions, analysts must understand
      the organization's past, present, and future goals and policies, its performance
      and success, and its place in the business environment.

PMID- 10250819
TI  - QA standard adopted for ambulatory health care.

PMID- 10250820
TI  - The personnel professional in the small organization.

PMID- 10250822
TI  - How nursing chiefs view Rx services.

PMID- 10250821
TI  - Professional certification programs.

PMID- 10250823
TI  - Exactly to what extent do hospitals handle inpatient education activities?

PMID- 10250824
TI  - Unions and hospitals--a bad mix?

PMID- 10250825
TI  - Legal forum: implementing dress and grooming codes.

PMID- 10250826
TI  - PR: a positive program, not professional rhetoric.
AB  - A great deal of literature dealing with holistic medicine has been published in
      recent years. The proponents of holistic care seem concerned with treating the
      whole patient. Influencing factors such as environment, social background,
      individualism, etc. are all considered in establishing the patient's treatment.
      Traditional medicine appears to be more directly involved with the discovery and
      eradication of organic disease. It is proposed that one facet of the holistic
      concept be applied to our current system of health care delivery. A patient
      relations program takes manpower, time, money and a genuine interest in the
      patient. But the rewards far outweigh the costs. The patient, it is felt, is
      treated with greater understanding and concern. This elicits a positive comment
      from them to the attending technologist. The technologist is gratified that his
      efforts are noticed, and he continues to work at improving the professional
      services offered to a caring patient. It works! You can be justifiable proud of
      the radiology aides, secretaries, registered technologists and radiologists that
      continually strive to provide this personalized service to the "Whole Patient."

PMID- 10250827
TI  - Are health maintenance organizations a viable solution to the health care cost
      crisis?

PMID- 10250828
TI  - Coping with burnout in respiratory therapists.

PMID- 10250829
TI  - The sting of death in American society.
AB  - A collective interest in death and dying has progressively developed in American
      society since the 1960s. Among the factors associated with it are demographic
      shifts; medical, scientific, and technological advances; changes in the statuses,
      roles, and outlook of medical professionals, patients, and women; and the
      affirmation and broadening of individual rights. Life-and-death issues have moved
      increasingly from private to public spheres of the society and are appearing more
      frequently in the courts, the media, and the arts. They are also principal foci
      of several social movements. This pervasive preoccupation with death seems
      related to deep cultural changes occurring in our society and in its world view.

PMID- 10250830
TI  - Defining hospital clusters and associated service communities in metropolitan
      areas.

PMID- 10250831
TI  - Rx for community: hospital fitness trail.

PMID- 10250832
TI  - What is quality in patient education and how do we assess it?

PMID- 10250834
TI  - The course of activated patients.

PMID- 10250833
TI  - Working through the territorial imperative in a hospital setting.

PMID- 10250835
TI  - Self-management strategies.

PMID- 10250836
TI  - Women's self-help programs.

PMID- 10250837
TI  - Active patient participation and dental health education.

PMID- 10250838
TI  - Patient compliance an patient education: some fundamental issues.

PMID- 10250839
TI  - The (already) activated patient: an alternative to medicocentrism.

PMID- 10250840
TI  - Inquiry into action: what are the next steps?

PMID- 10250841
TI  - The rationale and application of a needs assessment in patient education.

PMID- 10250842
TI  - Writing and evaluating educational protocols.

PMID- 10250843
TI  - Hospitals and public relations.

PMID- 10250844
TI  - Is low temperature washing safe and effective?

PMID- 10250845
TI  - IRS gets tough with hospitals.

PMID- 10250846
TI  - Hypertension-related mortality by health service area 1968-72.

PMID- 10250847
TI  - Common sense and the board of directors.

PMID- 10250848
TI  - Is the hospital beyond our understanding?
AB  - For the modern hospital to operate effectively, it is becoming increasingly
      necessary for trustees, administrators, and clinical staff members to earn how
      they can function better in unison. Educational programs to help them understand
      how the unique organizational characteristics of the hospital affect their
      attitudes and behavior are becoming increasingly important to hospitals' future
      viability.

PMID- 10250849
TI  - How to tell if your hospital is well run.
AB  - Like their corporate counterparts, hospital board members need measurable
      assurance from management that their institutions are being well run. This
      article contains a partial listing of reports the board should see and issues it
      should address in its evaluation of institutional performance.

PMID- 10250850
TI  - Focus on . . . consumer choice health plans.

PMID- 10250851
TI  - Life skills program reacquaints patients with their environment.

PMID- 10250852
TI  - Neighborhoods embrace local nursing homes.

PMID- 10250853
TI  - Dining in style at the Daughters of Israel Home.

PMID- 10250854
TI  - Volunteer record-keeping.

PMID- 10250856
TI  - Nonprofit board basics--Part II. The preoccupation of boards--healthy or
      pathological?

PMID- 10250855
TI  - Nonprofit board basics--Part I. Diverse roles and broader involvement.

PMID- 10250857
TI  - The physician and torture.

PMID- 10250859
TI  - A case study on the development of HMOs in Detroit: Chapter III-history of HMO
      development.

PMID- 10250858
TI  - Human rights and torture: the medical profession's responsibility.

PMID- 10250860
TI  - Grady Hospital reports ten-year success for inner-city diabetes clinic.

PMID- 10250861
TI  - The John Hopkins diabetes clinics.

PMID- 10250862
TI  - Community health education and screening resources for older American expand in
      spite of tight times.

PMID- 10250863
TI  - Hawaii's leprosy patients struggle to keep their home.

PMID- 10250864
TI  - The use of poetry therapy with older people.

PMID- 10250865
TI  - Nursing home residents join RSVP.

PMID- 10250866
TI  - The new professional--the human services worker--a survey of training needs.

PMID- 10250867
TI  - An analysis of the managerial roles of the chief of physical therapy services.

PMID- 10250868
TI  - Advocacy: an added dimension to treatment.

PMID- 10250869
TI  - The role of educational therapy in rehabilitation.

PMID- 10250870
TI  - Rubicon Programs, Inc.--Independent living programs.

PMID- 10250872
TI  - The residential treatment program.

PMID- 10250871
TI  - Community interaction program: a vocational rehabilitation training model.

PMID- 10250873
TI  - Progress Foundation--La Posada--acute treatment programs.

PMID- 10250874
TI  - Progress Foundation--La Amistad--long term residential programs.

PMID- 10250875
TI  - Creative arts for older people in the community.

PMID- 10250876
TI  - Health care out of chaos.

PMID- 10250877
TI  - Medicine teams up with business to cut health costs.

PMID- 10250878
TI  - Purchasing considerations.

PMID- 10250879
TI  - Health care in Napa, California: accommodation and integration.

PMID- 10250880
TI  - Association profile: American Association of Blood Banks.

PMID- 10250881
TI  - Why INA is unloading Hospital Affiliates.

PMID- 10250882
TI  - Whittaker: whittled back, it grows with a new emphasis on health care.

PMID- 10250883
TI  - Cutting hospital costs through mandatory prior authorization.

PMID- 10250884
TI  - Surgical public relations.

PMID- 10250885
TI  - Operating room illumination: the current state of the art.

PMID- 10250886
TI  - When to refer a patient to a specialist.

PMID- 10250887
TI  - The art and the science of OR management.

PMID- 10250888
TI  - The new gene doctors.

PMID- 10250889
TI  - Employment discrimination: procedures for handling complaints--Equal Employment
      Opportunity Commission. Proposed rule.
AB  - This proposed rule sets forth procedures for the handling of complaints of
      employment discrimination which are filed with Federal fund granting agencies
      under Title VI of the Civil Rights Act of 1964, Title IX of the Education
      Amendments of 1972 and other provisions of Federal law which prohibit
      discrimination on grounds of race, color, religion, age, sex or national origin
      in programs or activities receiving Federal financial assistance. The regulations
      allow the fund granting agency to refer complaints to the Equal Employment
      Opportunity Commission (EEOC). For complaints covered both by Title VII of the
      Civil Rights Act of 1964, as amended, or other statutes within EEOC's
      jurisdiction and by Title VI of the Civil Rights Act or Title IX, the regulations
      contemplate that most complaints of individual acts of discrimination will be
      referred to EEOC for investigation and conciliation, while most complaints of
      systemic discrimination will be retained by the fund granting agency. Employment
      discrimination complaints which are not covered by Title VI or Title IX will be
      transferred to EEOC. This proposed rule is not a "major rule" as defined by
      Section 1(b) of Executive Order 12291.

PMID- 10250890
TI  - Private land mobile radio services; bio-medical telemetry operations--Federal
      Communications Commission. Final rule.
AB  - This action changes rules in the Special Emergency Radio Service to permit the
      limited use of bio-medical telemetry systems on certain medical services VHF
      frequencies. The operation is to be allowed only beyond fifty miles from the
      center of urbanized areas of 600,000 or more population (U.S. Census of 1970).
      The bio-medical telemetry system is used to send electrocardiograms from patients
      to hospitals.

PMID- 10250891
TI  - Designation of medically underserved areas--Health Services Administration.
      Notice.
AB  - This notice is intended to clarify, for purposes of certain Federal health
      programs, the distinction between designation of an area as a Health Manpower
      Shortage Area (HMSA) and designation of an area as a Medically Underserved Area
      (MUA). Although it is possible for an area to be designated as both an HMSA and
      an MUA, the two designation processes are independent, each having its own
      established criteria and procedures. An area designated as an HMSA will be
      considered as an MUA only if it has been formally designated as an MUA under the
      criteria and procedures published in the Federal Register. The latest such
      publication is that of October 15, 1976 (41 FR 45718--45777), "Designation of
      Medically Underserved Areas."

PMID- 10250892
TI  - Health Resources Administration: list of health manpower shortage areas
      designated under Section 332 of the Public Health Service Act.

PMID- 10250893
TI  - Blue Cross warns the administration: move cautiously on health care changes.
      Interview by Linda E. Demkovich.

PMID- 10250894
TI  - Personnel, payment, and technology: integrating our approach to the control of
      health care costs.

PMID- 10250895
TI  - The nurses shortage--do we need to train more or just put them to work?

PMID- 10250897
TI  - Clinic's founder turns philosophy into caring.

PMID- 10250896
TI  - Capital formation for hospitals: why more difficulty ahead?

PMID- 10250898
TI  - When residents are mothers, too.

PMID- 10250900
TI  - Physician, suffer thyself.

PMID- 10250899
TI  - The medical man as administrator: another opinion.

PMID- 10250901
TI  - The five Rs of patient education.

PMID- 10250902
TI  - What do they think we do? O.T. functions as perceived by administrators and
      allied health professionals.
AB  - Prior to preparing written material about the profession, hospital administrators
      in Alberta were surveyed by questionnaires in an attempt to ascertain the level
      of knowledge about occupational therapy roles and functions. Fifty-four
      respondents (administrators and other health professionals) replied to all
      sections of the questionnaire. Their responses have been analysed and compared to
      those of occupational therapists within the following areas: occupational
      therapists as prime agents in specific service areas, the occupational
      therapist's role in tasks relating specifically to physical medicine, tasks
      relating primarily to evaluation and treatment, tasks relating to consultation
      and teaching and tasks relating to administrative aspects of program management.
      There appears to be a lack of knowledge about the entire occupational therapy
      process; treatment techniques and media can be identified but how the client is
      assessed, goals set and the evaluation of the client's progress is not
      understood. Findings indicate that it is not advisable to publish and distribute
      information without first surveying the level of existing knowledge of the
      intended reader.

PMID- 10250903
TI  - Academic performance and job satisfaction.
AB  - This paper investigates the possible relationship between job satisfaction and
      academic performance of occupational therapists who have graduated from the
      University of Western Ontario in the years 1975 to 1978. Fifty-four percent of
      the graduates of this time period filled out questionnaires eliciting information
      on their satisfaction with their jobs as occupational therapists and with the
      profession of occupational therapy. This information was analyzed with the
      therapists' academic performance of Grade XIII and their four years in the
      Occupational Therapy Program. The results indicated that although job
      satisfaction related significantly to three individual academic courses it did
      not relate to overall performance as measured by grade average.

PMID- 10250904
TI  - AHSC trial to continue: judge dismisses four counts.

PMID- 10250905
TI  - Maintenance contracts: the biggest fix for the buck.

PMID- 10250907
TI  - Analyst predicts communications equipment purchasing binge.

PMID- 10250906
TI  - Computers terminate mail order buying.

PMID- 10250908
TI  - Preventative medicine for the EtO problem.

PMID- 10250909
TI  - Establishing a prime supplier.

PMID- 10250910
TI  - CS communication via newsletter.

PMID- 10250911
TI  - Practice patterns of male and female pharmacists.
AB  - A survey was undertaken using sample alumni of the University of South Carolina
      College of Pharmacy and the Philadelphia College of Pharmacy and Science to
      attempt to determine practice parameters of male and female pharmacists. The
      study included male and female graduates during an 18-year period from 1961
      through 1978. Data are presented relating sex to practice interruptions and the
      characteristics exhibited thereof. The results disclosed that 126 (34.7%) of the
      female and 21 (8.4%) of the male practitioners had interrupted their practices at
      one time or another following graduation. Furthermore, 88.8% of all practice
      interruptions among females was found to be linked to familial obligations.

PMID- 10250912
TI  - A patient-oriented diabetes education program.
AB  - Successful control of diabetes mellitus requires that the patient assume primary
      responsibility for treatment of his or her disease. The University of Southern
      California Schools of Medicine and Pharmacy, using the Pico Rivera Health Center
      as a teaching site, instituted an educational program for diabetic members of the
      community. Pretests and posttests showed that there was an increase in knowledge
      for those who participated in the classes. The pharmacist and physician interns
      also gained experience in providing community education.

PMID- 10250913
TI  - Automatic stop-order policy for PRN medications in skilled nursing facilities.
AB  - From the data collected during this 4-month investigation of 37 skilled nursing
      facility (SNF) patients, one may conclude that using automatic stop-order
      policies for PRN medications is effective in controlling and eliminating
      unnecessary medications that are not being used by nursing home patients. PRN
      medications were reduced significantly from 4.1 to 2.1 per patient (p less than
      0.01). Also, a significant amount of savings to these patients or their third
      party payers, potentially $1500 per year in this SNF, resulted from the credit
      issued for discontinued unit-of-use medications. The reported potential cost
      savings could not have been obtained from medication being dispensed in
      traditional prescription packaging. Therefore, this study's data should influence
      state and governmental agencies to begin considering reimbursing vendor
      pharmacies for implementing unit-of-use packaging in their nursing homes. The
      data illustrate and support another method in which pharmacy consultants can
      prove cost-effectiveness when they are used properly in SNFs.

PMID- 10250914
TI  - Understanding drug product selection legislation.
AB  - While drug product selection legislation offers many opportunities for consumers
      to save money and pharmacists to use more professional prerogatives, it is
      possible that confusion in much of the legislation may create problems for the
      profession and consumers. Understanding the intent of the legislation may be a
      key to the pharmacist's decision to practice drug product selection.

PMID- 10250915
TI  - Hospital steals a march on thieves by initiating ID program for equipment.

PMID- 10250916
TI  - Improving hospital training programs.

PMID- 10250917
TI  - Educational program provides cross-cultural health care.

PMID- 10250918
TI  - A systems approach to management development.

PMID- 10250919
TI  - Disposal of hazardous pharmaceuticals.
AB  - The literature contains very little information regarding the disposal of
      pharmaceuticals. This article examines this topic from the viewpoint of hospital
      pharmacists. Environmental, safety and legal factors are discussed. Of the three
      most common disposal methods available (i.e. sewer, landfill, and incineration),
      incineration is the preferred method of destruction. If this method is
      unavailable, discriminate disposal via the sewer or garbage (landfill) systems is
      acceptable. Special disposal precautions are discussed for biologicals
      (autoclaving and then incineration), antineoplastics (incineration or
      neutralization before disposal via sewer or landfill systems), and
      radiopharmaceuticals (disposal according to the recommendations of the Atomic
      Energy Control Board).

PMID- 10250920
TI  - Interviewing techniques.
AB  - The purpose of this paper is to summarize the numerous articles on interviewing
      techniques available in the literature. The interviewer will be able to conduct
      an interview in a consistent, fair and productive manner. The applicant will be
      able to anticipate the types of questions a good interviewer may ask and as a
      result be better prepared for the interview.

PMID- 10250921
TI  - The pharmacist in emergency medicine: poison information.

PMID- 10250922
TI  - "Totality"--right or wrong: the totality trilogy.
AB  - Totality, or the concept that all evidence that may bear on a given case should
      be considered together in issuing a decision, has been applied inconsistently by
      the National Labor Relations Board, particularly with regard to three types of
      cases: "good faith doubt" cases, those involving employer statements made during
      a union election campaign, and employee discharge cases. In the following
      article, the author examines cases that demonstrate how the Board has vacillated
      in its application of the totality principle.

PMID- 10250923
TI  - Some thoughts on the future of health services in the United States.

PMID- 10250924
TI  - Steps to take preparing for radioactive patients.

PMID- 10250925
TI  - Michigan EMS plan links 15 hospitals in Wayne County.

PMID- 10250926
TI  - Preparing pre-hospital medical coverage for a Papal visit.

PMID- 10250927
TI  - The development of emergency medicine residency programs: an overview.

PMID- 10250929
TI  - Development of the first emergency medicine residency.

PMID- 10250930
TI  - The evolution of an emergency medicine residency at a new medical school.

PMID- 10250928
TI  - Professional career characteristics of residency trained emergency physicians.

PMID- 10250931
TI  - Residency development at Charity Hospital: an organizational viewpoint.

PMID- 10250932
TI  - An emergency medicine residency program in a semi-rural setting.

PMID- 10250933
TI  - The demise of an emergency medicine residency at a community hospital.

PMID- 10250934
TI  - Development of an emergency medicine residency program by an emergency medicine
      residency graduate.

PMID- 10250935
TI  - General remarks on emergency residency development.

PMID- 10250936
TI  - A consideration of emergency medicine manpower needs: past lessons and future
      challenges.

PMID- 10250937
TI  - The bases of emergency medicine residency curriculum development.

PMID- 10250938
TI  - The 23rd specialty.

PMID- 10250940
TI  - Advanced driving maneuvers.

PMID- 10250939
TI  - A policy perspective on research in emergency medical services systems.

PMID- 10250941
TI  - Emergency policy, fire, and medical services for the deaf.

PMID- 10250942
TI  - EMT diagnostic accuracy and treatment protocol compliance.

PMID- 10250943
TI  - Characteristics of a competent EMT instructor.

PMID- 10250944
TI  - Who is responsible for the patient?

PMID- 10250945
TI  - Your community and you.

PMID- 10250947
TI  - Selecting floor care equipment.

PMID- 10250946
TI  - Current indications for medical antishock trousers.

PMID- 10250948
TI  - Flooring variables.

PMID- 10250949
TI  - Institutional wet mops.

PMID- 10250950
TI  - Maintenance: the key to beautiful floors.

PMID- 10250951
TI  - The family physician's role in detection and control of hypertension.

PMID- 10250952
TI  - The nurse's role in hypertension control.

PMID- 10250953
TI  - A rational approach to dietary control of hypertension: the role of the
      dietitian.

PMID- 10250954
TI  - A model for the pharmacist's involvement in high blood pressure control.

PMID- 10250955
TI  - Social sciences in hypertension control.

PMID- 10250956
TI  - The role of health education in hypertension control.

PMID- 10250957
TI  - Planning for community high blood pressure control.

PMID- 10250958
TI  - Hypertension education: a federal perspective.

PMID- 10250960
TI  - The selling of a foodservice: Bob Underwood beats the competition.

PMID- 10250959
TI  - The selling of a foodservice: the body speaks.

PMID- 10250961
TI  - Healthcare marketing: maximizing your competitive position.

PMID- 10250962
TI  - The Texas pool of big ideas.

PMID- 10250963
TI  - Activity measurement program promotes productivity.

PMID- 10250964
TI  - A general service contract? Three checklists worth considering.

PMID- 10250965
TI  - Hospital philanthropy: the need is greater than ever.

PMID- 10250966
TI  - Centralization or decentralization? In patient care, both can work together.

PMID- 10250968
TI  - Cottage hospital: 110 years of care.

PMID- 10250967
TI  - Flexible budgets: the next step in healthcare financial control.

PMID- 10250969
TI  - Social work in a health centre.
AB  - For the last six years social workers have been attached to a health centre in
      Croydon, Surrey, from the General Practice Research Unit of the Institute of
      Psychiatry, University of London. Jennifer Winny and Andree Rushton, research
      social workers, describe the pattern of relationships that has developed.

PMID- 10250970
TI  - Where volunteers wear uniform.
AB  - With increasing emphasis on the role that the voluntary services can play in our
      hospitals and social services Jo Jackson, voluntary services co-ordinator at
      Whittington Hospital, thought it was time to look at and perhaps learn from the
      American system.

PMID- 10250971
TI  - Mental health: into the community.
AB  - Ten years ago the Worcester Development Project was launched as a model
      reorganisation of mental illness services. Charles Barker, senior nursing
      officer, department of psychiatry, Worcester Royal Infirmary, looks at the
      progress of the project.

PMID- 10250972
TI  - Hospital management teams--the proof of the pudding.
AB  - The management arrangements at unit level proposed in HC(80)8 have given rise to
      widespread debate. Sixteen months ago the Journal published an account of
      devolution to a hospital management team at Claybury Hospital, in the West Roding
      HD. Now Gordon Davy, the district administrator, describes how the same approach
      has been adopted at Whipps Cross, a large general hospital.

PMID- 10250973
TI  - Hospital energy management.
AB  - US hospitals are learning to deal with rising energy costs and uncertainties in
      the availability of energy supplies. Management responses to the challenge are
      affecting all aspects of design and operation.

PMID- 10250974
TI  - Domestic services: a disease of our time.
AB  - Brent Cross Shopping Centre and the Royal Free Hospital in Hampstead were both
      opened in the mid 70s. While the centre has remained almost vandal free, the
      hospital is showing signs of its age. Could this be a case of cutting building
      costs? Pauline Drummond investigates.

PMID- 10250975
TI  - Domestic management: a case for contract.
AB  - contracting out is not new to the NHS and is now frequently used when a special
      but infrequent job needs to be tackled. Frances Campbell, a domestic services
      adviser, looks at the advantages and disadvantages of going out to contract.

PMID- 10250976
TI  - Scottish restructuring: Scots' mystification.

PMID- 10250977
TI  - Health care information: is PAS the answer to the problems of HAA?
AB  - PAS--Professional Activity Study--is a patient care information system for short
      stay patients, based in the USA, which is 'clinically rich'. By contrast the
      British, DHSS-sponsored system, HAA (Hospital ACtivity Analysis) is 'clinically
      impoverished'. This was the comparison drawn by Dr Brain Moores, of the
      University of Manchester Institute of Science and Technology, in an article which
      followed a visit he made last year to the headquarters of the Commission on
      Professional and Hospital Activities (CPHA) at Ann Arbor, Michigan (Journal, 5
      December, 1980). Recently, senior officials of CPHA flew to Britain to discuss
      PAS with an invited audience of British statisticians, administrators, doctors
      and other information specialists at a two-day seminar in Manchester. It now
      seems likely that some British health authorities may want to experiment with the
      PAS approach as an alternative, or a supplement, to HAA. On the other hand, some
      participants felt that HAA could, potentially, do anything PAS can do.

PMID- 10250978
TI  - Capital works: designing for today and tomorrow.
AB  - A recent (26 September 1980) Journal article by Pauline Drummond drew attention
      to some relatively new hospital buildings which developed structural and other
      faults which had to be put right at great cost. Now G.D. Kelly, area works
      officer, Bolton, explains the part that professional works staff play in the
      provision of new, and the improvement of old, buildings and underlines their
      responsibility to resist short-term economies which will lead to increased costs
      in the longer term.

PMID- 10250979
TI  - The Russian solution.

PMID- 10250980
TI  - Laundries of yesterday: a home for ancient irons...
AB  - Eyhorne Manor, a 15th century yeoman's house at Hollingbourne in Kent, houses one
      of the largest collections of antique laundry equipment in the country. Joyce
      Galley visited the museum and describes part of the 'remarkable collection of
      laundry impedimenta' open to the public from Easter.

PMID- 10250981
TI  - Health service administration: district-based training.

PMID- 10250982
TI  - Hospital design: making the same mistakes twice.

PMID- 10250983
TI  - Paramedical services: low cost efficiency.

PMID- 10250984
TI  - Fund raising: charity begins at home.

PMID- 10250985
TI  - Upgrading emergency training.

PMID- 10250986
TI  - Memorial General expands staff development department.

PMID- 10250987
TI  - When executives burn out.
AB  - The military knows about burn-out--but calls it battle fatigue. To offset its
      devastating effects, the military routinely schedules its personnel for
      recreation and relaxation retreats, sends soldiers into combat in groups so they
      can support and help each other, and limits the number of flights that pilots
      fly. Managers are not soldiers but, according to this author and others who have
      researched the subject, they are prone to a similar exhaustion and sense of
      futility. Like other professionals, mental health workers, and policemen who work
      under severe pressure in people-oriented jobs for long periods of time--with
      little support and limited gains--managers are among the prime victims of burn
      out. The author describes what burn-out is, discusses why he thinks that modern
      organizations are good breeding grounds for situations that lead to it, and
      offers some helpful ways top managers can combat it.

PMID- 10250988
TI  - The UCC and the "battle of the forms".

PMID- 10250989
TI  - The high cost of returns due to vendor error.

PMID- 10250990
TI  - Adopting forms of management.

PMID- 10250991
TI  - Part-time forms consultant can mean big-time savings.

PMID- 10250992
TI  - Price-cutting in antibiotics causes HPM indexes to drift.

PMID- 10250993
TI  - Marketing: letting the community's needs dictate a hospital's mission.

PMID- 10250994
TI  - Commission studies nurse shortage: job satisfaction is big issue.

PMID- 10250995
TI  - The nursing staff shortage.

PMID- 10250996
TI  - Salary survey of hospital librarians in the Midcontinental Regional Library
      Group.

PMID- 10250998
TI  - Size and span of control in district health authorities.

PMID- 10250997
TI  - Service is the bottom line! One library's experience with a personal book order
      service and responsibility for operating a medical bookstore.

PMID- 10250999
TI  - Disputes procedure--success or failure?

PMID- 10251001
TI  - Torrington Park Health Centre.

PMID- 10251000
TI  - Support services at the crossroads?

PMID- 10251003
TI  - Some aspects of hospital management.

PMID- 10251002
TI  - Planning inaction?

PMID- 10251004
TI  - The recruitment and career development of administrators: progress report.

PMID- 10251005
TI  - Supplies information in the national health service.

PMID- 10251006
TI  - From burn-out to turn-on: improving the quality of hospital work life.

PMID- 10251007
TI  - Managing through values.

PMID- 10251008
TI  - Health care manager's notebook: catalytic management.

PMID- 10251009
TI  - A conversation with Tom Underriner.

PMID- 10251010
TI  - Stamp out risk taking and creativity.

PMID- 10251011
TI  - Futurism--Part III: Application (continued).

PMID- 10251012
TI  - Children's hospital responds to changing times.

PMID- 10251013
TI  - Eickhoff describes methods for evaluating infection control programs.

PMID- 10251015
TI  - Discharge planners provided with an alternative program.

PMID- 10251014
TI  - Hepatitis B infections account for multi-million dollar loss.

PMID- 10251016
TI  - Questionnaires determine patient satisfaction.

PMID- 10251017
TI  - Evaluating medical records provides effective QA.

PMID- 10251018
TI  - Holding company maintains strong central control of 12-hospital system.

PMID- 10251020
TI  - Models of church, models of health apostolate.

PMID- 10251019
TI  - An analysis of H.L. v. Matheson. Court upholds Utah law requiring preabortion
      notice of minors' parents.

PMID- 10251021
TI  - Lay-religious collaboration essential in health ministry.

PMID- 10251022
TI  - Legal and management options for struggling church-sponsored hospitals.

PMID- 10251023
TI  - Sisters of Mercy of the Union. Sponsorship study reflects changing attitudes,
      ministries.

PMID- 10251024
TI  - St. Francis Hospital and Medical Center, Hartford, CT. Children's psychosocial
      problems: a holistic approach.

PMID- 10251025
TI  - Reflections on human suffering.

PMID- 10251026
TI  - Court affirms viable fetus has legal rights.

PMID- 10251027
TI  - Broader coverage at lower cost: the case for Social Security.

PMID- 10251028
TI  - Avoiding conflict-of-interest and related organization problems.

PMID- 10251029
TI  - Group purchasing--the great debate.

PMID- 10251030
TI  - Supply, processing, and distribution: an overview.

PMID- 10251031
TI  - Determination of use cost: a statistical approach.

PMID- 10251032
TI  - How to negotiate a prime vendor contract.

PMID- 10251034
TI  - How to conduct a physical inventory.

PMID- 10251033
TI  - Purchasing for the small hospital.

PMID- 10251035
TI  - Linen distribution can be controlled.

PMID- 10251036
TI  - Centralizing product recall notification and documentation.

PMID- 10251037
TI  - A procedure for controlling hospital equipment.

PMID- 10251038
TI  - New certificate of need rules increase regulatory pressures.

PMID- 10251039
TI  - A case against malpractice self-insurance.

PMID- 10251040
TI  - Putting together an applicable patient categorization system for a hospital and
      nursing home.

PMID- 10251041
TI  - How to control linen costs, tips on linen conservation.

PMID- 10251042
TI  - How to expand your volunteer program profitably: role growth for volunteers and
      patient representatives.

PMID- 10251043
TI  - If you haven't yet done something about your hospitals' utility rates, here's
      another hospitals' successful experience.

PMID- 10251044
TI  - Steam sterilization of cordless surgical instruments.

PMID- 10251045
TI  - How to combine successfully a patient classification point system in a patient
      care plan.

PMID- 10251048
TI  - How to evaluate the finance function--a do it yourself hospital audit.

PMID- 10251047
TI  - On managing music.

PMID- 10251046
TI  - How to take a physical inventory.

PMID- 10251049
TI  - School of Nursing: Broomfield.

PMID- 10251050
TI  - The lecture theatre--Manchester Royal Infirmary.

PMID- 10251051
TI  - Energy management: developments and trends: Part 2.

PMID- 10251053
TI  - Managing the public relations function.

PMID- 10251052
TI  - Job description: vice president--marketing.

PMID- 10251054
TI  - Preventing theft and loss of drugs.

PMID- 10251055
TI  - Comparable worth theory endorsed by federal court.

PMID- 10251056
TI  - Male nurse denied obstetrical employment on account of gender.

PMID- 10251057
TI  - NJ Supreme Court drafts strict guidelines for sterilization of mental
      incompetents: hospitals should require court authorization.

PMID- 10251058
TI  - Employee health record systems: personnel, components, function and interaction.

PMID- 10251059
TI  - The development of a profile of the medical record administrator.

PMID- 10251060
TI  - Planning and evaluation of clinical learning experiences.

PMID- 10251061
TI  - Data retrieval in the new quality assurance program.

PMID- 10251062
TI  - Quantitative records review in an outpatient mental health center.

PMID- 10251063
TI  - Educational philosophies in medical record administration programs.

PMID- 10251064
TI  - What do they have that we don't?

PMID- 10251066
TI  - What are you doing on May 12? What are hospitals doing to celebrate Canada
      Hospital Day?

PMID- 10251065
TI  - Food for PR thought.

PMID- 10251067
TI  - Housekeeping--to contract or not?

PMID- 10251068
TI  - Fund raising--it's not manna from heaven.

PMID- 10251069
TI  - The basics for a system of computers.

PMID- 10251070
TI  - competition: no cause for alarm.

PMID- 10251071
TI  - The competition alternative: the coming debate.

PMID- 10251072
TI  - Competition: a new candidate for allocating resources to health care.

PMID- 10251073
TI  - Health planning--impact standards: who is measured?

PMID- 10251074
TI  - Health planning: taking stock of the system.

PMID- 10251075
TI  - Developing health resources: enough to go around?

PMID- 10251077
TI  - Periodic health evaluations: the multiphasic approach.

PMID- 10251076
TI  - Certificate of need: a failed instrument.

PMID- 10251078
TI  - PIQuA program to field test.

PMID- 10251079
TI  - Health manpower migration in the Americas.
AB  - This paper discusses the international migration of physicians and nurses in the
      Americas in terms of dimensions, directions, salient characteristics of migrants,
      and possible consequences of migratory flow. The paper is based on information
      from a previous multinational study on the international migration of physicians
      and nurses, carried out by the World Health Organization; the study is both
      descriptive of this phenomenon and prescriptive of the type of measures that may
      be needed to control it. There is sufficient evidence to substantiate the order
      of magnitude of the outflow of medical and nursing manpower from Central and
      South American countries to provide a guide to policy and action. The information
      for most countries is, however, incomplete and inaccurate and, consequently, the
      net flow remains to be determined. A large part of the migration appears to be
      due to the imbalance between the supply of, and the effective economic demand
      for, physicians' and nurses' services. Perhaps the most important finding is that
      countries which produce far more physicians and nurses than they can economically
      afford to employ become donors of such manpower, and those which produce fewer
      than they can afford become recipients. Almost all other factors either derive
      from or are secondary to the economic factor. The paper suggests some alternative
      policy issues that countries having excessive migration of medical and nursing
      manpower may consider to control the flows. Among these, the most important is
      the formulation of realistic health manpower and educational policies and plans.

PMID- 10251081
TI  - Health education: structural vs. behavioral perspectives.
AB  - A study of alternative definitions and interpretations of health education in
      public policy resulted in the identification of a typology of differing
      perspectives. The two perspectives, behavioral and structural, are described in
      this paper, along with the three levels of health education programs. The study
      found: (1) an over-emphasis of public health education policies on individual
      behavioral changes and (2) a lack of focus in health education programs at the
      federal level. An analysis was done of the National Consumer Health Information
      and Health Promotion Act of 1976 to demonstrate these findings. The paper
      concludes that a balance between the two perspectives is needed, and it offers
      policy direction to support this conclusion.

PMID- 10251080
TI  - A comparison of the professional values and career orientations of male and
      female medical students: some unintended consequences of U.S. public policy.
AB  - During the 1970s, partly as a response to U.S. public policy which promoted the
      objective of equal opportunity for women, there was a dramatic increase in the
      proportion of women entering careers in medicine. Some observers have expressed
      the expectation that these women physicians will promote progressive changes in
      health care and that they will be more likely to emphasize "humanistic" aspects
      of treating patients. This paper presents data from a national survey of U.S.
      medical students which provides a comparison of several relevant characteristics
      of these male and female students. There are several important areas where
      significant differences are apparent. Women students are more likely to place
      greater importance on the desire to help people as a career motivation, for
      example, and are less likely to express satisfaction with the status quo in
      American health care. There are also significant male-female differences in
      career plans with respect to areas such as specialty choice and preference for
      practice setting. These findings are used to consider the question of the
      probable impact of increased numbers of women physicians on the future of
      American health care. Projections for the future are made more difficult because
      of important changes within the medical profession and in the context of health
      care organization, but it is clear that women physicians do represent some
      potential for progressive change in American medicine.

PMID- 10251082
TI  - Planning a medical school teaching hospital in an era of cost containment. The
      CMDNJ-Rutgers Medical School experience.
AB  - Rutgers Medical School was started in 1962 as a two year medical school. By 1976
      its basic science enrollment had grown to 108 and it retained 56 students each
      year for clinical instruction. During the early 1970's the medical school had
      been frustrated on three different occasions in its attempts to build an on
      campus teaching hospital. This paper describes the school's successful post-1976
      planning efforts to provides its faculty and students with the appropriate
      clinical facilities by a model which would generate support among external
      constituencies. The history of the medical school prior to 1976 is presented
      briefly. The paper then develops the rationale for the new planning model and
      shows the relationship of the model to the educational bases of the institution.
      It then tracks the planning process from program development through approvals by
      the external constituencies and brings the school's experience to the present
      where ? million dollars of construction is under contract for health care
      delivery and medical education facilities.

PMID- 10251083
TI  - From Ottawa, Uppsala, and Alma-Ata to Canberra, Australia: a rationale for a
      degree in health.
AB  - The paper describes the principles of curriculum design applied in establishing
      the Degree of Bachelor of Applied Science in Health Education in Canberra,
      Australia in 1979. The design was based explicitly on three major initiatives in
      health planning and policy in the last decade: (i) the recommendations to the
      Canadian Government proposed by Lalonde in 1974, commonly called the Health Field
      Concept; (ii) the World Health Organization definition of Health, first stated in
      1948, and reissued at Uppsala in 1977; and (iii) the World Health Organization
      policy statement from the Alma-Ata Seminar in 1978, which included social
      planning and legislative action among the legitimate concerns of health services.
      The authors, who are at present teaching the integrated units of the degree,
      describe the principal components, namely content, theoretical principles,
      professional skills and methods of knowledge integration which they are using to
      develop graduates who may be considered wither health educated or health
      educators. In either case, the program is intended to produce people who can
      provide a health development arm for, on the one hand, social planning and social
      change, and on the other, health-care services.

PMID- 10251084
TI  - The private (mis-)management of public hospitals: feeding at the public trough.

PMID- 10251085
TI  - The private (mis-)management of public hospitals: the case of Highland Hospital.

PMID- 10251086
TI  - Nurse shortage--do national surveys reveal fact or fiction?

PMID- 10251087
TI  - Avoiding the pitfalls--new revenue sources and tax-exempt status.

PMID- 10251088
TI  - Operational auditing--staying on top of hospital revenues.

PMID- 10251089
TI  - Paperless processing: Part 2.

PMID- 10251090
TI  - Travel and expense reports--keep them simple.

PMID- 10251091
TI  - Stay current with HFMA's new certification maintenance program.

PMID- 10251092
TI  - Hospitals: economic contributors.

PMID- 10251093
TI  - Oklahoma Chapter uses phone network to present program.

PMID- 10251094
TI  - Payment patterns: Monitrend medians.

PMID- 10251095
TI  - Nurse staffing changes benefit hospitals and employees.

PMID- 10251096
TI  - Involve your staff in plans for change.

PMID- 10251097
TI  - Hospital-medical staff collaboration key to survival.
AB  - Too often, an "us verus them" theme seems to dominate the relationship between
      hospital administration and the hospital medical staff. It is time to put aside
      differences, according to the physician-administrator who wrote this article, and
      to work collaboratively for the mutual benefit of each other as well as for the
      benefit of the institution. Indeed, he says, collaboration is the only
      alternative if hospitals are to survive in these troubled times.

PMID- 10251098
TI  - A blueprint for antibiotic utilization review.
AB  - Antibiotic usage recently has come under careful scrutiny because of its impact
      upon hospital costs and its effect upon patient care. This article describes the
      antibiotic utilization review program developed at Norton-Children's Hospitals,
      Louisville, to improve antibiotic prescribing and to meet the requirements of the
      Joint Commission on Accreditation of Hospitals.

PMID- 10251099
TI  - Update on emergency department staffing requirements.
AB  - This article outlines the various legal responsibilities attendant to a
      hospital's provision of emergency medical services. Specifically, the article
      focuses on various issues relating to emergency department staffing, including
      the hospital's duty to provide emergency medical services and the liability of
      various parties for patient injuries sustained during the course of emergency
      treatment.

PMID- 10251100
TI  - Print, prepare, check, and deliver a 24-hour supply of unit dose medication for
      600 patients in one hour.
AB  - The development of a new drug delivery system featuring cost containment,
      increased accuracy, and savings of time was the goal of the hospital. Using an
      assembly line approach and preparing 24-hour medication supplies just prior to
      delivery, we are able to fill and check 600 patients' medications in one hour.
      Personnel requirements have been reduced and accuracy increased, resulting in
      cost effectiveness and improved patient care. The annual cost savings in a 600
      bed hospital are $110,000, and time for clinical pharmacy projects has been
      created.

PMID- 10251101
TI  - Developing a unit-of-use drug distribution system for the hospital emergency
      room.
AB  - The development of a unit-of-use drug distribution system for hospital emergency
      rooms (ERs) is described. Initially, each emergency room physician was requested
      to compile a list of medications for an emergency room formulary. These lists
      were edited into a single list and presented to the ER Committee for review. This
      committee was to recommend the least number of medications possible per
      therapeutic category. During this time, the support of the ER staff was gained,
      policies and procedures were established, and a unit dose cart system was chosen.
      The final step was to present the recommended emergency room drug formulary to
      the Pharmacy and Therapeutics Committee for their review and approval. The
      advantages of this system are: establishment of pharmacy drug control in the ER;
      reduction of ER inventory; greatly improved drug security; proper drug labeling;
      and automatic restocking of medications in the ER, resulting in time savings for
      ER personnel.

PMID- 10251102
TI  - Color in medical facilities.

PMID- 10251103
TI  - Update in Neuilly: an addition to the American Hospital in Paris maintains a
      celebrated international reputation.

PMID- 10251104
TI  - Regulation of medical devices in the U.S.: a disquisition for clinical engineers.

PMID- 10251105
TI  - Guidelines for clinical engineering programs--Part III: the risk of electrical
      shock in hospitals; Part IV: isolated power in anesthetizing locations? History
      of an appeal.
AB  - This four-part series presents guidelines for: electrically isolated inputs and
      outputs; measuring the performance of hospital biomedical engineering programs;
      evaluation the risk of electric shock in hospitals; and for isolated power in
      anesthetizing locations. Parts I and II, covering the first two topics above,
      were published in the Oct.-Dec. 1980 issue of this Journal. Part III constitutes
      an attempt to place the risk of electric shock in hospitals in a quantitative
      perspective. Arguments are presented that indicate that electrical safety
      precautions usually take up a larger share of the hospital's biomedical equipment
      safety budget than is justified by the actual hazard levels. Part IV reviews the
      need for isolated power in anesthetizing locations. Three independently proposed
      revisions to the 1973 edition of NFPA Standard 56A would have significantly
      simplified the safety requirements for hospital anesthetizing locations (a) by
      reducing the area in flammable locations classified as hazardous to the
      internationally accepted "zone of risk," and (b) by permitting the use of
      conventional electrical power rather than isolated power in locations where the
      risk of electrical accidents can be shown to be no greater than it is in other
      areas of the hospital. Despite extensive technical testimony supported with
      substantial supporting documentation, the revisions were vetoed by the Technical
      Committee after they were voted into the document by a floor vote of the general
      membership attending the NFPA Annual Meeting in Anaheim in 1978. The chronology
      of the major events surrounding the subsequent appeal of this veto is traced back
      to 1974, and an analysis is presented of what are considered to be shortcomings
      in the NFPA appeals process revealed by this particular case history.

PMID- 10251106
TI  - Problems in ground integrity testing.
AB  - This paper discusses the present Standards requirements and techniques for the
      testing of ground circuitry. The authors have found problems in the accepted
      standards and offer observations and testing protocols substantiating their
      claims. An alternate testing procedure is suggested for determining the integrity
      of grounding circuits.

PMID- 10251107
TI  - The impact of the IRB on medical centers.
AB  - The role of the IRB in a Medical Center is presented with respect to
      investigations of medical device safety and effectiveness involving human
      subjects. The prime points presented and discussed are: the reasons
      (governmental, social, economic, legal-liability, scientific and moral) for the
      existence of an IRB; the analytical and descriptive documentation which should
      always precede experimentation; the concepts governing an application to a
      "typical" IRB; a practical, detailed outline of some special facts and
      circumstances typically most important to an IRB; and, the question of
      confidentiality of trade secrets.

PMID- 10251108
TI  - Police-referred psychiatric emergencies: advantages of community treatment.
AB  - Police traditionally have brought persons they define to be in need of
      psychiatric intervention to state hospitals. However, as large state facilities
      decline, community mental health centers must be prepared to receive these
      individuals. The present study defines the client population that police bring to
      a large, urban community mental health center. In addition, a two-year follow-up
      compares the dispositions of those persons brought by police to the community
      mental health center with the outcomes for patients treated at a state facility.
      Treatment benefits inherent in such a community-based program are discussed.

PMID- 10251109
TI  - A needs assessment of perceived life quality and life stressors among medical
      hospital employees.
AB  - This study was designed to assist an employee-counseling program in a medical
      hospital by assessing the life quality and life stressors of its employees. 246
      employees completed a written questionnaire which included a life events
      inventory and the Perceived Quality of Life (PQOL) Inventory (Andrews & Withey,
      1976). Items on both inventories covered the areas of job, family/support, and
      financial affairs. Items measuring self-efficacy from the PQOL scale served as
      the criterion for potential counseling service utilization. Results indicated
      that family-support concerns were the most predictive of perceptions of self
      efficacy. In addition, negatively perceived life changes were more powerful
      predictors of life quality than were life changes per se. Finally, employees who
      were identified as less satisfied in the various quality of life areas were
      separated from their spouses, over 55 years of age, and had lower education
      levels, large families, and low incomes.

PMID- 10251110
TI  - Quality assurance for a small planet.

PMID- 10251111
TI  - Needs assessment of parents in pediatric ambulatory care.

PMID- 10251112
TI  - Market research in ambulatory care.

PMID- 10251113
TI  - Total medical record: an automated system for ancillary services.

PMID- 10251114
TI  - A new role for municipal hospitals in the delivery of primary care.

PMID- 10251115
TI  - Drug use review in ambulatory care centers.

PMID- 10251116
TI  - Providing psychiatric care in an ambulatory care setting.

PMID- 10251117
TI  - Disaster planning: planning a first response.

PMID- 10251118
TI  - The value of music for hospitalized infants.
AB  - Infants are very responsive to stimuli and may be even more vulnerable to the
      adverse effects of hospitalization than older children. Play techniques are
      effective in helping older children cope with the emotional effects of
      hospitalization; however their potential may be limited with small infants. Music
      therapy could offer a more direct and effective means of constructive interaction
      with this easily overlooked and underestimated age group. This paper reviews the
      results of a three-month trial of music therapy in an infant ward at the Izaak
      Walton Killam Hospital for Children, Halifax, Nova Scotia.

PMID- 10251119
TI  - Therapeutic play: effects on hospitalized children.
AB  - In an attempt to demonstrate therapeutic play as a potential treatment of
      hospital-induced anxiety in 5- to 11-year-old children, the following research
      study was conducted in two different hospital settings over a four-year period. A
      two-group experimental design was developed that included therapeutic play for
      the experimental children and pre and post measures of anxiety for all children.
      Results of this study demonstrate that therapeutic play is a valuable
      intervention with hospitalized children.

PMID- 10251120
TI  - An unpopular patient--the mentally retarded child.
AB  - To better evaluate the health care provided mentally retarded children, a study
      was conducted to determine the attitudes and behavior of nursing personnel toward
      these children. Since inconsistencies between expressed attitudes and subsequent
      behavioral descriptions are common, this study utilized unobtrusive behavioral
      observations followed by the administration of a questionnaire. The instrument
      elicited expressions of attitudes and behaviors of nursing personnel. The results
      demonstrated that nursing personnel expressed more neutral or negative attitudes
      and behavior toward mentally retarded children than toward "normal" children, and
      that their observed behavior was very different from their expressed behavior.

PMID- 10251121
TI  - The effects of a preoperational puppet show on anxiety levels of hospitalized
      children.
AB  - This study investigated effects of a preoperative puppet show on anxiety levels
      of hospitalized children as measured by the Palmar Sweat Index (PSI). Subjects
      were 28 children, ages 2-7 years inclusive, randomly assigned to treatment and
      nontreatment groups. Treatment consisted of a puppet show designed to familiarize
      patients with hospital routines and operational procedures. Two PSI measures were
      collected for each subject. Analyses of variance were used to test mean
      differences with data categorized by treatment, by sex, and by interaction of sex
      and treatment. No interaction was found between treatment and sex. Treatment was
      associated with a significant reduction in anxiety from the time of admission to
      the period immediately following the puppet show.

PMID- 10251122
TI  - Hospitalization of profoundly and severely mentally retarded children.

PMID- 10251123
TI  - Are you a professional patient account manager?

PMID- 10251125
TI  - Hospitals have a gun at their heads.

PMID- 10251124
TI  - Evaluating a credit risk.

PMID- 10251126
TI  - Patient information brochures.

PMID- 10251127
TI  - The management of people not paper.

PMID- 10251129
TI  - Business office...not just business as usual!

PMID- 10251128
TI  - The patient account managers role.

PMID- 10251130
TI  - Hospital credit and collections.

PMID- 10251132
TI  - Don't sit on your credits.

PMID- 10251131
TI  - Improving collections.

PMID- 10251133
TI  - The living will: the final expression.

PMID- 10251134
TI  - A prolegomenon to the allocation of responsibility in hierarchical organizations:
      the hospital context.

PMID- 10251135
TI  - Health planning is down--but far from out.

PMID- 10251136
TI  - Cuba's refugee doctors: "Here we can hope".

PMID- 10251137
TI  - Prospective reporting: growing hospitals need to elaborate forecasts.

PMID- 10251138
TI  - Hospital corporate liability: the walls continue to tumble.

PMID- 10251139
TI  - Medical care for prisoners: the evolution of a civil right.

PMID- 10251140
TI  - The continuing clinicolegal conundrum of the Boston State Hospital case.

PMID- 10251141
TI  - The trustee as planner.

PMID- 10251142
TI  - Politics: trustee involvement in the political process is a matter of survival.

PMID- 10251143
TI  - Trustee responsibility.

PMID- 10251144
TI  - National efforts educate, involve trustees.

PMID- 10251145
TI  - Trustees work closely with hospital assembly.

PMID- 10251146
TI  - Trustee perspective in the policy-making process.

PMID- 10251148
TI  - Colloquy--the community hospital: its uniqueness, concerns, and future in CME.

PMID- 10251147
TI  - Regulation through the looking glass: hospitals, Blue Cross, and certificate-of
      need.

PMID- 10251149
TI  - Vendor selection studied at Hospital Purchasing Expo.

PMID- 10251150
TI  - Pediatrics: a specialty in flux.

PMID- 10251151
TI  - Physician office sterilization: the next dealer opportunity?

PMID- 10251153
TI  - Self-help groups support families of the aged.

PMID- 10251152
TI  - Medical trademart backers inch closer to reality.

PMID- 10251154
TI  - Self-care trends and public policy.

PMID- 10251155
TI  - Finances, federal regs forcing shakeout of 'sick' HMOs.

PMID- 10251156
TI  - A new challenge for health insurers.

PMID- 10251157
TI  - 11 insurers form health clearinghouse.

PMID- 10251158
TI  - Legal considerations in pathologists' contracting-recent developments.

PMID- 10251159
TI  - Pre-employment investigations: the key to security in hiring.

PMID- 10251160
TI  - No fault: a new strategy for absenteeism control.

PMID- 10251161
TI  - Developing and auditing a merit pay system.
AB  - Employers who use subjective appraisal ratings can be charged with unlawful
      discrimination. The best defense, say the authors, is designing and using an
      equitable performance appraisal system.

PMID- 10251162
TI  - Symposia supports philosophy of QA standard.

PMID- 10251163
TI  - Employee benefits: beyond the fringe?

PMID- 10251164
TI  - Parkinson's law and absenteeism: a program to rein in sick leave costs.

PMID- 10251165
TI  - Can you afford to hire smokers?

PMID- 10251166
TI  - Opportunity knocks, suburban hospital answers by producing health education
      series for cable TV.

PMID- 10251167
TI  - Free nutrition counseling attracts shoppers to health education 'boutique'.

PMID- 10251168
TI  - One hospital learns how to keep people healthy--'even though they work'.

PMID- 10251169
TI  - Are large corporations getting behind HMOs?

PMID- 10251170
TI  - Federal funding formulas and the 1980 census.
AB  - Distribution of federal funds has achieved equal status with Congressional
      reapportionment as a motivation and justification for the Census of Population
      and Housing. This article describes the effects that U.S. population
      redistribution during the 1970s, as measured by the 1980 Census, will have on the
      spatial distribution of federal grants-in-aid provided to state and local
      governments through programs with formula-based funding systems. The conclusion
      is that funding changes will not match population changes. The overall
      redistribution of federal grants-in-aid to state and local governments occurring
      in response to incorporation of 1980 Census population counts into federal
      funding formulas will be far less than the level of population redistribution
      since 1970. Use of intercensal data, formula specifications, limited geographic
      specificity in many formula allocations, and nonformula determinants of formula
      based grants all weaken the relationship between Census-measured population
      change and the receipt of federal funds at the local level. Despite all the
      intervening factors, it is probably that in many programs there will be some
      redistribution of funds when the 1980 Census counts are incorporated into the
      allocation formulas. But the importance of measurement errors and threshold and
      reclassification effects may equal that of true population change in determining
      the funds received by local communities.

PMID- 10251171
TI  - Health-care chains: big business' niche in a $billion industry.

PMID- 10251172
TI  - Equipment buying trends.

PMID- 10251174
TI  - Epidemic of enthusiasm hits medical center.

PMID- 10251173
TI  - How well has Walter Reed's "revolutionary" food system worked?

PMID- 10251175
TI  - 1981 Ivy Awards--the inland empire: Spokane V.A. Hospital keeps law, order and
      patients happy.

PMID- 10251176
TI  - Social work with family caregivers to the aged.

PMID- 10251177
TI  - Privileged communication: does it really exist?

PMID- 10251178
TI  - Practitioner to administrator.

PMID- 10251179
TI  - Aggregate nursing requirement planning in a public health care delivery system.

PMID- 10251180
TI  - Security systems.
AB  - The trend today is toward integration of all building functions such as life
      safety, security, and energy monitoring. Combination into one computerized
      centrally-controlled system can reduce costs and maximize system performance. In
      regard to building security, the seriousness and pervasiveness of crime is hardly
      news. For specifying engineers it means that security must be considered in every
      new building design and that clients will inquire about security systems for
      their facilities. Security-meaning protection against loss-takes three forms: the
      physical, involving tangible items such as fences, alarms, and annunciators;
      personnel, or the selection of trustworthy employees; and information, comprising
      the procedures employed to safeguard confidential data, correspondence, and
      ideas.

PMID- 10251181
TI  - Improve emergency light design with lumens/sq ft method.
AB  - In summary, the "Lumens/sq ft Method" outlined here is proposed as a guideline
      for designing emergency lighting systems such as in the accompanying examples.
      With this method, the total lumens delivered by the emergency lighting units in
      the area is divided by the floor area (in sq ft) to yield a figure of merit. The
      author proposes that a range from 0.25 to 1.0 lumens/sq ft be specified for
      emergency lighting. The lower value may be used for non-critical areas (for
      example, warehouses), while the higher value would be used for areas such as
      school corridors and hospitals.

PMID- 10251182
TI  - Pulling the plug: reevaluating the medical enterprise.

PMID- 10251183
TI  - United States Supreme Court denies tax-exempt status to cooperative hospital
      laundry facilities.

PMID- 10251184
TI  - Microbial penetration of surgical gown materials.

PMID- 10251185
TI  - More energy savings through organized and monitored systems.

PMID- 10251186
TI  - Death rates from ischemic heart disease and other related diseases by health
      service area, 1968-72.

PMID- 10251187
TI  - Breast cancer death rates by health service area, 1968-72.

PMID- 10251188
TI  - Cost containment is good management.

PMID- 10251189
TI  - Outreach: an organizational strategy for results.

PMID- 10251190
TI  - Methodology for personnel assessment.

PMID- 10251191
TI  - Legal review: the dilemma of access versus confidentiality.

PMID- 10251192
TI  - Hospital-wide education in a small community hospital.

PMID- 10251194
TI  - Interim study committees.

PMID- 10251193
TI  - THA's role in government relations.

PMID- 10251195
TI  - Health planning law.

PMID- 10251196
TI  - "Reaganomics": proposed budget cuts.

PMID- 10251197
TI  - How you can become more effective in government relations activities.

PMID- 10251198
TI  - Compensation for resident physicians.

PMID- 10251199
TI  - As I see it: ministrations of volunteers and auxilians.

PMID- 10251200
TI  - Getting ready for the next malpractice insurance crisis.
AB  - In light of indications that another malpractice insurance crisis may be just
      around the corner, hospital managements should be analyzing the available
      insurance options. This article reviews the advantages and disadvantages of
      commercial insurance, self-insurance, and captive insurance and suggests when
      each is appropriate.

PMID- 10251201
TI  - What to look for in a directors and officers liability policy.
AB  - In today's litigious climate, hospitals and their trustees are vulnerable to
      claims in a number of areas. Most hospitals indemnify their trustees through a
      general liability insurance policy or a separate directors and officers policy.
      This article discusses what a directors and officers liability policy covers and
      what hospital boards should look for in such coverage.

PMID- 10251202
TI  - The case for self-insurance.
AB  - Faced with escalating costs for primary professional liability insurance, many
      hospitals are considering self-insuring at least part of their professional
      liability risk. Self-insurance offers advantages over commercial insurance in
      several areas. The most important corollary of self-insurance from the
      perspective of the board is the need for more intimate involvement in the quality
      of medical practice in the institution.

PMID- 10251203
TI  - Self-insure? This may help you decide.

PMID- 10251204
TI  - How free is the 'free market' going to be?

PMID- 10251205
TI  - A systematic plan for medical staff analysis.
AB  - A well-organized, periodic examination of the makeup of the medical staff,
      coupled with plans for implementing changes in an orderly manner, can minimize or
      eliminate sudden disruptions and deterioration while fostering greater hospital
      stability and better quality of performance.

PMID- 10251206
TI  - The undernourished and the health care facility.

PMID- 10251207
TI  - Tailoring to the garment needs of the institutionalized.

PMID- 10251208
TI  - Military hospitals care for fewer, but technology demand seen up.

PMID- 10251209
TI  - Quality assurance in USA.

PMID- 10251210
TI  - Quality assurance in health care.

PMID- 10251211
TI  - Measuring the quality of medical care: a general report.

PMID- 10251212
TI  - Quality of care assessment and medical care programmes.

PMID- 10251213
TI  - The quality of medical care: only a medical problem of measurement?

PMID- 10251215
TI  - Measuring the quality of primary care.

PMID- 10251214
TI  - Measuring the quality of care in general practice.

PMID- 10251216
TI  - Cost of nosocomial infection in general surgery.

PMID- 10251217
TI  - Measuring the quality of medical care: a report from Hungary.

PMID- 10251219
TI  - New approaches to U.S. medical care assessment.

PMID- 10251218
TI  - Measuring the quality of medical care: a report from the German Federal Republic.

PMID- 10251220
TI  - The role of the hospital in promoting and providing primary health care.

PMID- 10251221
TI  - Lambarene is not enough any more.

PMID- 10251222
TI  - Medical records: visible proof of quality care.

PMID- 10251223
TI  - Perspectives of the aged in the world demography: comparative review with Mexico
      and Latin America.

PMID- 10251224
TI  - A graduate program in institutional pharmacy management leading to an MS in
      hospital pharmacy, MBA and residency.

PMID- 10251225
TI  - Pharmacy curriculum and health care needs in Saudi Arabia.

PMID- 10251226
TI  - Elder-Ed: consumer drug education to older persons.

PMID- 10251228
TI  - What's happening to housestaff incomes?

PMID- 10251227
TI  - The patient package insert--an ethical dilemma.

PMID- 10251229
TI  - Bay Area hospital takes Madison Avenue approach.

PMID- 10251230
TI  - Thieves steal fashion scene from physicians.

PMID- 10251231
TI  - Is it worth dying for?

PMID- 10251232
TI  - Financial woes close Idaho HMO.

PMID- 10251233
TI  - ALA's new self-help program for kids with asthma is "Superstuff".

PMID- 10251234
TI  - Emerging options in health care.

PMID- 10251235
TI  - Funding mechanisms: "from state to hospital and associated institutions".

PMID- 10251236
TI  - Control of spending by hospitals and associated institutions.

PMID- 10251237
TI  - Hospital funding and management efficiency.

PMID- 10251238
TI  - Keeping people out of hospitals and associated institutions.

PMID- 10251239
TI  - The bed--who pays?

PMID- 10251240
TI  - The alternative: changing the hospital's role.

PMID- 10251241
TI  - Gold and silver; an observation on the British Health Service inquiry.

PMID- 10251242
TI  - Acute hospital care: "the major commitment.".

PMID- 10251243
TI  - Prevention or intervention. The emerging role of hospitals in health promotion: a
      response to a changing environment.

PMID- 10251244
TI  - The hospital as the centre of the health system.

PMID- 10251245
TI  - Nutritional neglect in hospitals: the challenge of the eighties.

PMID- 10251246
TI  - Quality assurance programmes for nurses.

PMID- 10251247
TI  - Local area organisation: a practical solution to the problem of fragmented health
      services.

PMID- 10251248
TI  - Quality control programmes: the Australian Council of Community Nursing.

PMID- 10251249
TI  - TV production--training for future bio-communicators.

PMID- 10251250
TI  - The EEG as confirmatory evidence of brain death: previous and current approaches.

PMID- 10251251
TI  - Doctors and patients: partners or adversaries?

PMID- 10251252
TI  - Recommendations on experimentation with children: some differences in Canadian
      and American approaches.

PMID- 10251253
TI  - An ethical dilemma: information control in cancer care.

PMID- 10251255
TI  - Essential equipment for ambulances. Committee on Trauma, American College of
      Surgeons.

PMID- 10251256
TI  - Cost awareness.

PMID- 10251254
TI  - Potential for personhood: a measure of life. The severely defective newborn,
      legal implications of a social-medical dilemma.

PMID- 10251257
TI  - Chest x-ray referral criteria panel draft report; availability--Food and Drug
      Administration.
AB  - The Food and Drug Administration (FDA) announces the availability of a draft
      report. "Chest X-Ray Referral Criteria Panel Draft Report No. 1: Selected
      Screening Uses of the Chest X-Ray Examination" developed by a panel of physicians
      on the utility of selected chest x-ray screening examinations. This notice also
      describes FDA's planned procedures to facilitate the development and testing of
      referral criteria for medical radiological examinations.

PMID- 10251258
TI  - Department of Justice, Antitrust Division. United States v. Halifax Hospital
      Medical Center, et al.; proposed final judgment and competitive impact statement.

PMID- 10251259
TI  - Physician agreements to control medical prepayment plans: Federal Trade
      Commission. Notice of initiation of case-by-case law enforcement program.

PMID- 10251260
TI  - Grant programs for schools and hospitals and for buildings owned by units of
      local government and public care institutions, amendment of regulations:
      Department of Energy. Final rule.
AB  - The Department of Energy (DOE) today issues a final rulemaking amending existing
      regulations for the administration of the grant programs providing schools,
      hospitals, units of local government, and public care institutions with financial
      assistance for the purpose of reducing energy consumption. The revisions are made
      as a result of experience obtained during the operation of two grant cycles, and
      are made for the purpose of reducing the administrative burdens on institutions
      and States participating in these programs and providing greater flexibility to
      States and institutions in their implementation of the program.

PMID- 10251261
TI  - The national nurse shortage.

PMID- 10251262
TI  - Alternative futures for health care: emerging issues and society's future.

PMID- 10251263
TI  - Paying for prescription drugs.

PMID- 10251264
TI  - Cost shifting in hospital reimbursement.

PMID- 10251265
TI  - If the health planning lid is removed, will a hospital building boom erupt?

PMID- 10251266
TI  - Design sensitivity: the partially sighted.

PMID- 10251268
TI  - Harnessing health costs: cost-containment steps save benefit plan budgets.

PMID- 10251267
TI  - Medical malpractice crisis: Part 2.

PMID- 10251269
TI  - Nurses wanted: hospitals boost benefits, perks to attract hard-to-find recruits.

PMID- 10251270
TI  - HMO to open its doors after a 6 1/2 year wait.

PMID- 10251271
TI  - Ontario's opted-out doctors state their case.

PMID- 10251272
TI  - Increasing patient compliance and pharmacy's stature through patient education.

PMID- 10251273
TI  - The history of patient package inserts in the United States.

PMID- 10251274
TI  - The pharmaceutical industry's responsibilities in the prescription process.

PMID- 10251275
TI  - Care of the family of the critically ill neonate.

PMID- 10251276
TI  - Your medical records: not so private anymore.

PMID- 10251277
TI  - Southern centers share energy saving passion.

PMID- 10251279
TI  - Good employee management key to successful materials management.

PMID- 10251278
TI  - Forms management handled by "specialist' at LeBonheur.

PMID- 10251280
TI  - Market forces put waterbeds in many purchasers' futures.

PMID- 10251281
TI  - Ambulatory books or out-of-reach books?

PMID- 10251282
TI  - Hospice in Tennessee.

PMID- 10251283
TI  - Team inpatient hospice care--the St. Thomas approach.

PMID- 10251284
TI  - Evening triage clinic improves patient care.

PMID- 10251286
TI  - Quality assurance in the ambulatory care setting.

PMID- 10251285
TI  - Rural hospital care goes home--the apnea monitor.

PMID- 10251287
TI  - Building toward the future with outpatient services.

PMID- 10251289
TI  - Nebraska Hospital Association to expand shared biomedical repair service.

PMID- 10251288
TI  - Hospital crisis.

PMID- 10251290
TI  - Monitoring care by computer: a new system helps medical staffs keep tabs on
      costs.

PMID- 10251291
TI  - Four-day work week for respiratory therapists pays off in higher productivity,
      lower turnover.

PMID- 10251292
TI  - Introduction to legislation and regulations governing discharge planning.

PMID- 10251293
TI  - Discharge planning models: Rhode Island model.

PMID- 10251294
TI  - Interdisciplinary discharge planning: a professional challenge and
      responsibility.

PMID- 10251295
TI  - Nursing home pre-admission screening programs.

PMID- 10251296
TI  - Discharge planning models: Bon Secours Hospital, Grosse Pointe, Michigan.

PMID- 10251298
TI  - Comprehensive assessment: the heart of discharge planning--a social work
      perspective.

PMID- 10251297
TI  - Comprehensive assessment: the heart of discharge planning--a nursing perspective.

PMID- 10251299
TI  - Discharge planning models: Claremont General Hospital, Claremont, NH.

PMID- 10251300
TI  - Discharge planning individualized: the nursing process.

PMID- 10251301
TI  - Discharge planning as a decision-making process.

PMID- 10251302
TI  - The hospice: an educational-service model providing counseling opportunities and
      indirect benefits for older widows.
AB  - The article focuses on the large and increasing number of older widows who are
      available for human service work within the hospice movement caring for the dying
      and the bereaved. The need for preparation for widowhood is cited as one major
      reason why widows should assist potential widows to prepare more adequately for
      this eventuality. Widows are portrayed as effective lay counselors in hospice
      because they have experienced the reality of death and possess an empathetic
      readiness for work in this human service field. The hospice training program for
      widows is appealing because it presents learning experiences that are satisfying
      for the older learner. Numerous therapeutic and educational benefits are
      available to the older widows who participate in hospice work and training.
      Widows, therefore, become both the beneficiaries and the benefactors of their
      service efforts.

PMID- 10251303
TI  - Avoiding the humanistic aspect of death: an outcome from the implicit elements of
      health professions education.
AB  - There is a basic incompatibility between contemporary death education and the
      fundamental education of health care professionals. Programs on death and dying
      explicitly require learners to focus on the affectual and experiential aspects of
      their patients and of themselves; yet there are implicit elements of health
      professions education that keep the attention of the student and clinician
      centered on technological factors. As a result, reactions to death become
      inadvertently linked to the models and actions prescribed for health care. Thus,
      humanistic aspects of death and dying are avoided because of the need to fulfill
      the technological expectations of the profession. These covert influences arise
      from the use of the medical model, the language of the health professional, and
      the expectations of the medicalized patient.

PMID- 10251304
TI  - Judicial review of state health plans after the Health Planning and Resources
      Development Amendments of 1979.

PMID- 10251305
TI  - Hospital CCTV--more than patient education.

PMID- 10251306
TI  - Copyright considerations for institutional TV.

PMID- 10251307
TI  - Training for institutional housekeeping.

PMID- 10251308
TI  - To change or not change.

PMID- 10251309
TI  - Housekeeping via computer.

PMID- 10251310
TI  - Quality of work life programs give employees a voice.

PMID- 10251311
TI  - These Southern hospital workers have left the plantation forever.

PMID- 10251312
TI  - RWDSU and SEIU agree to merge.

PMID- 10251313
TI  - The service employees: a sister union that's a lot like us.

PMID- 10251314
TI  - The hospital professional who's on your side.

PMID- 10251315
TI  - Building a new facility: considerations for the selection of an architect.

PMID- 10251316
TI  - Health promotion and wellness: a marketing strategy.

PMID- 10251317
TI  - Bringing the campus to the clinic: Michigan's family practice center.

PMID- 10251318
TI  - Antitrust law may be the new regulator of the nation's health industry in the
      1980s.

PMID- 10251319
TI  - Justice, FTC ponder future strategy for antitrust moves in health care.

PMID- 10251320
TI  - Enforcement of state antitrust laws gains momentum; Ohio sets pace in suits.

PMID- 10251321
TI  - Removal of traditional barriers exposes health care industry to antitrust
      barrage.

PMID- 10251322
TI  - Competition advocate says antitrust laws apply, no boost needed in bills.

PMID- 10251324
TI  - Georgia Legislature takes no action on rate setting bill.

PMID- 10251323
TI  - Quality health care and the antitrust laws: can they really coexist peacefully?

PMID- 10251325
TI  - Hospitals may improve reimbursement by advance planning.

PMID- 10251326
TI  - Shared service groups and the battle for the tax relief: an overview.

PMID- 10251327
TI  - Earle Le Van's management for nutrition.

PMID- 10251328
TI  - Randy Breslin's irresistible creations for nutrition.

PMID- 10251329
TI  - Hospitals are a great niche for Shared Medical Systems to grow in. But it's
      hardly a secret anymore to sharp-eyed competitors.

PMID- 10251330
TI  - Non-profit CEOs agree:  communicate or perish.

PMID- 10251331
TI  - New venture: satellites impact on fund raising.

PMID- 10251332
TI  - Donor's perspectives on giving open some eyes.

PMID- 10251333
TI  - From a trustee committee--a managing group for managers.

PMID- 10251335
TI  - Non-profits note victory in postal rate controversy.

PMID- 10251334
TI  - Competition prompts marketing orientation.

PMID- 10251336
TI  - Mandatory continuing education--is it affordable?

PMID- 10251337
TI  - Actions of the New York State Board of Regents with respect to hospital
      clerkships and medical licensure.

PMID- 10251338
TI  - Evaluation of foreign medical schools.

PMID- 10251339
TI  - Harvard teaching hospital gets $50 million for genetics lab.

PMID- 10251340
TI  - Does your shared-service organization need an entrepreneur or an administrator?

PMID- 10251341
TI  - How to negotiate a successful hospital-HMO contract.

PMID- 10251342
TI  - Beyond the standard shift: staffing geared for today.

PMID- 10251343
TI  - Where productivity begins.

PMID- 10251344
TI  - Fight the high cost of healthcare: the staff shows how.

PMID- 10251345
TI  - Working outside the NHS: a hell of an adventure.

PMID- 10251346
TI  - Supplies systems: taking the top off storage.

PMID- 10251347
TI  - Effect of scientific obstetrics on perinatal mortality.

PMID- 10251349
TI  - Health service women want more than ties.

PMID- 10251348
TI  - Elderly in Canada: integrated care.
AB  - Care of the elderly is perhaps one of the more acute areas of need in the health
      service in the United Kingdom. By comparison, Canada does not have such a high
      proportion of elderly people, but John Watson found a more positive approach to
      "keeping people at their highest level of function" during a visit to the
      Baycrest Centre for Geriatric Care in Toronto. He found that the centre, which
      was set up in the last ten to 20 years, has some facilities which are not
      generally offered in this country.

PMID- 10251350
TI  - The cost of old age.

PMID- 10251351
TI  - Cottage hospital: a local prize.

PMID- 10251352
TI  - Health education: a breath of fresh air.

PMID- 10251353
TI  - Clearing up a complaint.

PMID- 10251354
TI  - Medical education: a building to be proud of.

PMID- 10251355
TI  - Health education: promotion and prevention.

PMID- 10251356
TI  - Foot care for the diabetic patient.

PMID- 10251357
TI  - Clarifying the role of a department.

PMID- 10251358
TI  - Client centred consulting (Part I).

PMID- 10251359
TI  - Industrial relations and the personnel role in the NHS.

PMID- 10251360
TI  - The individual role and the importance of shared expectations.

PMID- 10251361
TI  - The computer: its time has come.

PMID- 10251362
TI  - 7% inflation in medical-surgical supplies in 1980: 8% in 1981?

PMID- 10251363
TI  - The growing use of computers in materials management.

PMID- 10251364
TI  - The minicomputer as a tool for hospital materials management.

PMID- 10251365
TI  - Hospitals need an integrated approach to materials management.

PMID- 10251366
TI  - When hospitals guarantee their services: what happens when the patient is always
      right?

PMID- 10251367
TI  - Pilferage: it's costing hospitals big dollars.

PMID- 10251368
TI  - Planning for people--a hospital's most important resource.

PMID- 10251369
TI  - Marketing research for better planning: focus groups.

PMID- 10251370
TI  - Midnight magic?

PMID- 10251371
TI  - A great idea to save money: suggestion scheme competition.

PMID- 10251372
TI  - The provision of hospital radio services.

PMID- 10251373
TI  - Devolution in action: the development of Monklands District General Hospital.

PMID- 10251374
TI  - Peterborough thinks electric.

PMID- 10251375
TI  - A Canadian approach to computer development.

PMID- 10251376
TI  - NHS reorganisation.

PMID- 10251377
TI  - Incomes policy and pay determination in the NHS under Whitleyism.

PMID- 10251379
TI  - Respiratory equipment serves as reservoir for Acinetobacter.

PMID- 10251378
TI  - Investigation raises questions about povidone-iodine.

PMID- 10251380
TI  - Tips offered on ways to direct IC committee.

PMID- 10251381
TI  - Supply of steam to the Manor Hospital from a new source.

PMID- 10251382
TI  - Food trolley bay and records storage.

PMID- 10251383
TI  - Management training and the works staff: the Falfield/Keele courses.

PMID- 10251384
TI  - Individual system control.

PMID- 10251385
TI  - Traditional controls.

PMID- 10251386
TI  - Works incentive schemes: are they worth it?

PMID- 10251387
TI  - Hospital ventilation systems: a review of the progress of heat recovery.

PMID- 10251388
TI  - The energy economics of hospital refuse disposal.

PMID- 10251389
TI  - Blofield Hall--effective implementation of management techniques.

PMID- 10251390
TI  - Programmable clocks and optimiser simulation.

PMID- 10251391
TI  - The new NHS: value for money?

PMID- 10251392
TI  - Developing the works structure.

PMID- 10251393
TI  - Quality control maintained in community hospitals.

PMID- 10251395
TI  - Techniques for establishing quality assurance priorities.

PMID- 10251394
TI  - New rehabilitation program decreases hospital costs.

PMID- 10251396
TI  - Alternatives to Social Security: what are the total costs?

PMID- 10251397
TI  - Tau Home Health Agency, Milwaukee, WI. Varied services assist older Americans.

PMID- 10251398
TI  - An interview with Theodore J. Druhot, Chairman, CHA Board of Trustees.

PMID- 10251399
TI  - Interview with Bishops Mark J. Hurley and Daniel E. Pilarczyk.

PMID- 10251400
TI  - DRGs broaden hospitals' accountability, responsibility.

PMID- 10251402
TI  - Regional peer review: mixed results in Massachusetts.

PMID- 10251401
TI  - Avoiding burnout: joint employer-employee responsibility.

PMID- 10251403
TI  - Regional hospice network assessed after first year's operation.

PMID- 10251404
TI  - Courts obliged to judge for incompetent patients.

PMID- 10251405
TI  - Plaintiff must substantiate malpractice allegations.

PMID- 10251406
TI  - Dialyzing for dollars.

PMID- 10251407
TI  - Emergency department medical history: principles and techniques.

PMID- 10251408
TI  - How to manage violent patients.

PMID- 10251409
TI  - PPIs stayed indefinitely; administration officials candidly discuss PPI status.

PMID- 10251410
TI  - Hospital wins important issues in Hill-Burton charity obligations appeal.

PMID- 10251411
TI  - Shared savings financing: let the borrower beware.

PMID- 10251412
TI  - NLRB's most recent solicitation and distribution ruling reaffirms case-by-case
      approach.

PMID- 10251413
TI  - Swing-bed grant program announced for small or rural hospitals.

PMID- 10251414
TI  - Should we pay managerial ability?

PMID- 10251416
TI  - Recruiting and retaining physicians.

PMID- 10251415
TI  - Rural health--better service, bigger demands.

PMID- 10251417
TI  - Are we communicating?

PMID- 10251418
TI  - Don't ignore social issues of aged.

PMID- 10251419
TI  - Your first line of defense against fire.

PMID- 10251421
TI  - Infection control--back to basics.

PMID- 10251420
TI  - A computer is only as good as its managers.

PMID- 10251422
TI  - Public relations: an explanation seems in order.

PMID- 10251423
TI  - Labour arbitration: wording plays a big part in some cases.

PMID- 10251424
TI  - Informed consent isn't a routine matter.

PMID- 10251425
TI  - A new practitioner is emerging.

PMID- 10251426
TI  - In-service education of professionals as health educators: it's not the same as
      just running courses.

PMID- 10251428
TI  - Johnson & Johnson offers employees healthy product: live for life.

PMID- 10251427
TI  - Do patients read breast self-examination booklets?
AB  - If a campaign to encourage women to examine their breasts for lumps is to
      succeed, it is necessary for women to read the literature produced. An attempt
      was made to estimate whether such literature was read, and in a group of women
      90.6 per cent read the booklet, and 15.9 per cent altered their behaviour. There
      were several other non-numerical indicators which strongly suggested that women
      read the literature. A large-scale study is now under way.

PMID- 10251429
TI  - Aggression in the healthcare environment: response & responsibility--Part One: I
      had to defend myself.

PMID- 10251430
TI  - "Inhouse or contract--it's your choice.".

PMID- 10251431
TI  - Sharing the eighties.

PMID- 10251433
TI  - Communication as they like it.

PMID- 10251432
TI  - You can stop meeting like this.

PMID- 10251434
TI  - Get involved to get the best.

PMID- 10251435
TI  - The potential for outside influence on federal health care research and policy
      making.

PMID- 10251436
TI  - Health planning and regulation by A.D. 2008; or, the gingham dog and the calico
      cat.

PMID- 10251437
TI  - A financial evaluation of the policy of consolidation/closure of obstetrics
      services.

PMID- 10251438
TI  - Development and use of a method of assessing patient perception of care.

PMID- 10251439
TI  - Used integrated QA systems to identify problem physicians.

PMID- 10251440
TI  - What legal requirements must be met concerning the medical records?

PMID- 10251441
TI  - Drug utilization reviews--a major responsibility of the P&T committee: an
      administrative overview.

PMID- 10251442
TI  - P&T committee: an approach to formulary consideration of antimicrobial agents-
      introduction.

PMID- 10251443
TI  - Drug distribution systems in Oregon's long term care facilities.

PMID- 10251444
TI  - Some abbreviations found in medical records.

PMID- 10251445
TI  - Writing recommendations.

PMID- 10251446
TI  - Intravenous administration sets--an overview.
AB  - Intravenous administration sets continue to become more sophisticated in response
      to advances in medical therapy. A number of design options are available to meet
      specialized needs. It behooves the pharmacist to become familiar with them in
      order to insure that sets compatible with and optimal for their intended
      application are selected in his or her institution. Doing so will fully execute
      his or her increasing responsibilities in I.V. therapy.

PMID- 10251447
TI  - Documentation of drug substitution in the medical record.
AB  - Although generic drugs have been well accepted by many pharmacists, physicians,
      nurses, and patients, some pharmacists are reluctant to use them because of
      difficulties in communicating these substitutions to other health care
      practitioners in the facility. This article present one method of communicating
      this information, thereby making the use of generic drug more acceptable and
      safer.

PMID- 10251448
TI  - Changes in the legal status of mental patients and hospital management.

PMID- 10251449
TI  - Corporate Health Examiners:  a New York-based business/health facility designed
      by Fitting Interiors.

PMID- 10251450
TI  - "PRAKTICE"--a clinical information system.

PMID- 10251451
TI  - Technical implementation of PRAKTICE.

PMID- 10251452
TI  - The effects of computerization on medical records at the Mason Clinic and
      Virginia Mason Hospital.

PMID- 10251453
TI  - Tracking and requesting medical records with the help of the computer.

PMID- 10251454
TI  - Computerized records in the intensive care unit.

PMID- 10251455
TI  - University of Wisconsin Hospital and Clinics medical record department
      computerized systems.

PMID- 10251456
TI  - The village concept.

PMID- 10251457
TI  - Residents/volunteers: some words go together.

PMID- 10251458
TI  - Parade!

PMID- 10251459
TI  - Hospital social workers become 'decision makers' in nursing home placement.

PMID- 10251460
TI  - Deciding on innovations.

PMID- 10251461
TI  - Spotlight on staff development: efforts are appreciated by management.

PMID- 10251462
TI  - Fragile -- handle with care.

PMID- 10251463
TI  - Supreme Court and IRS tighten inventory noose.

PMID- 10251464
TI  - Financial capital improvements for small facilities.

PMID- 10251465
TI  - Nursing shortage problem being resolved.

PMID- 10251466
TI  - The Wisconsin system: quality of care in nursing homes.

PMID- 10251467
TI  - A communication guide for nursing home professionals. American Health Care
      Association.

PMID- 10251468
TI  - Health systems agencies.

PMID- 10251469
TI  - Spotlight on staff development: employing the right person to do the job.

PMID- 10251470
TI  - Looking for nurses.

PMID- 10251471
TI  - Curing medical inflation.

PMID- 10251473
TI  - Roadblocks to hospital marketing.

PMID- 10251472
TI  - AHCA comments on survey and certification.

PMID- 10251475
TI  - Marketing strategies in health education.

PMID- 10251474
TI  - The market for health services: is there a non-traditional consumer?

PMID- 10251476
TI  - Multi-institutional arrangements in health care: some marketing implications.

PMID- 10251477
TI  - Reducing cigarette smoking: an opportunity for social marketing?

PMID- 10251478
TI  - A determinant attribute approach for developing primary care marketing
      strategies.

PMID- 10251479
TI  - Establishing a marketing organization for hospitals.

PMID- 10251481
TI  - Health care marketing: progress and prospects--a panel discussion.

PMID- 10251480
TI  - Marketing applications for hospital laboratory services.

PMID- 10251482
TI  - Marketing position and promotion for the medical nurse practitioner.

PMID- 10251483
TI  - Good Samaritan laws.

PMID- 10251484
TI  - Meetings: how to plan and execute the perfect event.

PMID- 10251485
TI  - North Carolina's mobile intensive care nurse.

PMID- 10251486
TI  - Southeast Asians: a cross-cultural medical challenge.

PMID- 10251487
TI  - Personal computers in medial data acquisition.

PMID- 10251488
TI  - Fiji's health care.

PMID- 10251489
TI  - Emergency care in Chicago: an ill wind blows.

PMID- 10251491
TI  - Video CPR: the largest promotional campaign ever plays over national TV.

PMID- 10251490
TI  - A study of abuse: the Tribune investigations.

PMID- 10251492
TI  - Therapeutic alliance versus "conversion" in hospital psychiatry.

PMID- 10251493
TI  - Building an alliance between the families of patients and the hospital: model and
      process.

PMID- 10251494
TI  - The manager-therapist team approach.

PMID- 10251495
TI  - Psychoanalytic concepts applied to the therapeutic management of hospitalized
      patients.

PMID- 10251496
TI  - A model to assist planning the provision of hospital services.

PMID- 10251497
TI  - The public finance of medical and dental care in Newfoundland--some historical
      and economic considerations.
AB  - The article discusses the evolution of Newfoundland's health care system from the
      turn of the century to the present. During this time there were considerable
      changes in social conditions, political arrangements and the availability of
      public monies, all of which influenced the structure of the health care sector.
      In general terms, Newfoundland's health care system shifted from one involving
      low expenditures and many British type institutions to one involving high
      expenditures and American type institutions. The evidence suggests that the
      changes have been particularly beneficial for Newfoundland's merchant class,
      including the doctors and dentists, although some benefits have also accrued to
      patients and fishermen.

PMID- 10251498
TI  - Wrongful discharge claims raised by at will employees: a new legal concern for
      employers.

PMID- 10251499
TI  - Abuse of rights in Title VII cases: the emerging doctrine.

PMID- 10251500
TI  - The hospital credit manager.

PMID- 10251501
TI  - Is a production schedule a useful management tool?

PMID- 10251502
TI  - Writing--its influence on collections.

PMID- 10251503
TI  - Outpatient policy essential.

PMID- 10251504
TI  - Cash in hand is worth....

PMID- 10251505
TI  - Merit pay: fact or fiction?

PMID- 10251506
TI  - High-temperature laundering serves no purpose today, says columnist.

PMID- 10251507
TI  - How you can market yourself and your department more effectively.

PMID- 10251508
TI  - Cleancraft Linen Supply will design and manage central-laundry plants.

PMID- 10251509
TI  - St. Joseph Hospital laundry soon to handle linen for Silver Cross.

PMID- 10251511
TI  - Mental health in China today.

PMID- 10251510
TI  - How to organize most effectively a hospital linen-distribution system.

PMID- 10251512
TI  - War of the words: will books survive?

PMID- 10251513
TI  - Creative art therapies: another language.

PMID- 10251515
TI  - Personal requirements for survival.

PMID- 10251514
TI  - MGMA: an organization that is changing to meet tomorrow's needs today.

PMID- 10251516
TI  - Burn your medical records!

PMID- 10251517
TI  - Consider microfilm.

PMID- 10251518
TI  - The ABCs of clinic management.

PMID- 10251519
TI  - Put some direction in your sign program.

PMID- 10251520
TI  - The budget: your financial road map.

PMID- 10251521
TI  - Patient advocacy for the 1980s.

PMID- 10251522
TI  - The nation's bitterest health-planning battle.

PMID- 10251524
TI  - Where your specialty is needed most--and least.

PMID- 10251523
TI  - What we have to do to help solve the nursing crisis.

PMID- 10251525
TI  - Is care by non-doctors cheaper? Not in my area.

PMID- 10251526
TI  - Nader's successor sets his sights on you. Interview by Howard Eisenberg.

PMID- 10251527
TI  - How to crack the $2 billion hospital market for pharmaceuticals.

PMID- 10251528
TI  - Hospital pharmacists play a key role in drug product selection.

PMID- 10251529
TI  - Substitution: expectations and realization.

PMID- 10251530
TI  - New blood-washing therapy.

PMID- 10251531
TI  - The group process: key to more productive management.

PMID- 10251532
TI  - Are you "humoring" your employees?

PMID- 10251533
TI  - Too much technology, not enough control.

PMID- 10251534
TI  - Integrate word, data processing.

PMID- 10251535
TI  - NCR, H-P kick off new HIS plans.

PMID- 10251536
TI  - Fully detailed contracts limiting misunderstanding.

PMID- 10251537
TI  - IBM unveils HIS for small hospitals.

PMID- 10251538
TI  - Nursing curricula fuel shortage.

PMID- 10251539
TI  - Trustees appealed to the public and government to save Bronx-Lebanon.

PMID- 10251541
TI  - 'Privacy' right cuts off life support.

PMID- 10251540
TI  - Affiliates bought by Hosp. Corp.

PMID- 10251542
TI  - Congress gives top priority to bills designed to slash federal spending.

PMID- 10251543
TI  - Groups debate future of planning.

PMID- 10251544
TI  - Physicians lack economic incentive to get along with hospital nurses.

PMID- 10251545
TI  - Buying groups tell drug prices.

PMID- 10251547
TI  - AHS may be guilty of conspiracy, judge rules.

PMID- 10251546
TI  - Reimbursement hurts financing plan.

PMID- 10251548
TI  - Hyatt target large public hospitals.

PMID- 10251549
TI  - Nonprofits will merge, add services in 1980s.

PMID- 10251550
TI  - Wellness, free standing services spur growth.

PMID- 10251551
TI  - Record bond sale in first quarter.

PMID- 10251552
TI  - Women execs blaze trails to top management.

PMID- 10251553
TI  - Pioneers' paths vary, but all coverage at hospital's top slot.

PMID- 10251554
TI  - Information systems: 1980 increase in in-house finance systems signals trend.

PMID- 10251555
TI  - Hospitals speed up use of micros.

PMID- 10251556
TI  - Innovators explore alternative financing.

PMID- 10251557
TI  - Venture capital firms seek good investments.

PMID- 10251558
TI  - 25 of HMOs could die of thirst if Congress turns off funding spigot.

PMID- 10251559
TI  - Nursing home chains sell stock for capital.

PMID- 10251560
TI  - Integrate hospital operations with electronic information environment.

PMID- 10251562
TI  - Deregulated healthcare industry must cover virtually all Americans.

PMID- 10251561
TI  - A county's best option might be to sell its hospital to a multiunit chain.

PMID- 10251563
TI  - U.S. Supreme Court could immunize planning from antitrust examination.

PMID- 10251564
TI  - Expand personnel unit's jurisdiction to address workers' changing values.

PMID- 10251565
TI  - Patient has right to unedited copy of her medical record, court rules.

PMID- 10251566
TI  - Panel whittles differential to 4.5%.

PMID- 10251567
TI  - Managers need political savvy to survive '80s.

PMID- 10251568
TI  - Funding doesn't affect nurse supply.

PMID- 10251569
TI  - Hospital suppliers increase prices more than underlying inflation rate.

PMID- 10251570
TI  - Housekeeping supply prices up 13%.

PMID- 10251571
TI  - Hospitals wipe out recruiting costs by training LPNs for R.N. positions.

PMID- 10251572
TI  - Humana alumni defy predictions.

PMID- 10251574
TI  - Two large multiunit systems account for half of hospital chains' growth.

PMID- 10251573
TI  - Hospitals need tight credentialing policy.

PMID- 10251575
TI  - Young system races into growth program.

PMID- 10251576
TI  - Nursing home chains buy up smaller groups.

PMID- 10251577
TI  - Retirement apartments promise big business for nursing home chains.

PMID- 10251578
TI  - Financing healthcare: Ernst & Whinney leads in feasibility study volume.

PMID- 10251579
TI  - Work with bondholders on restructuring plans.

PMID- 10251580
TI  - Nonprofit's taxed unit can sell stock.

PMID- 10251581
TI  - Hospitals turn to money center banks as bond interest rates soar.

PMID- 10251582
TI  - Planning law's demise could help multiunits.

PMID- 10251583
TI  - Hospitals target interim financing.

PMID- 10251584
TI  - Health and disease in the community.

PMID- 10251585
TI  - Developing a valid data base for continuing education in the health sciences.

PMID- 10251586
TI  - Issues in health promotion.

PMID- 10251587
TI  - Judge dismisses three counts; asks AHSC defense on three others.

PMID- 10251588
TI  - Interest in neonatal waterbeds crests after donation program.

PMID- 10251589
TI  - A quality assurance program.

PMID- 10251590
TI  - Master planning: key to survival.

PMID- 10251591
TI  - We must be concerned with public relations in the credit office.

PMID- 10251592
TI  - Knowledge of state support laws can increase collections legally.

PMID- 10251593
TI  - Cash forecasting and management--an alternative to financial disaster.

PMID- 10251594
TI  - Forecasting and resolving inpatient collection problems. Part 1.

PMID- 10251595
TI  - Performance standards form the basis of management control.

PMID- 10251596
TI  - Collection gamesmanship--making the debtor want to pay.

PMID- 10251597
TI  - A pathologist as a media doc--a true story.

PMID- 10251598
TI  - Exploring byroads in medical ethics.

PMID- 10251599
TI  - Getting good care into the outreaches.

PMID- 10251601
TI  - The computer as tool: forecasting salary costs.

PMID- 10251600
TI  - Performance appraisal: one company's experience.
AB  - In many corporations the installation of a performance appraisal program is a
      necessary step to opening the door to other key human resource development
      activities. Implementing a performance appraisal program that works and
      convincing managers to use the program are essential if other human resource
      development programs are to succeed. This article describes the characteristics
      of the performance appraisal process used at Glendale Federal Savings and Loan
      Association, Glendale, California, and how data generated by the program was used
      to facilitate other employee development programs.

PMID- 10251602
TI  - The grievance procedure and organizational health.

PMID- 10251603
TI  - Effective staff selection.
AB  - Management needs to ensure successful selection procedures throughout the company
      because selection is a critically important management function that ultimately
      influences the success or failure of the enterprise. Poor decisions in staff
      selection can reverberate throughout the organization by dampening staff morale,
      wasting valuable time, and reducing productivity. Staff selection consists of
      several identifiable stages of activities. Although selection can be broken into
      specific steps, the complexity of human behavior limits the usefulness of the
      cookbook approach. An emphasis solely on procedural stages provides the form
      without considering the substance. Nor is it possible to identify all the problem
      areas possible. With these limitations in mind, this article examines common and
      critically important problem areas in staff selection and suggests ways of
      handling or correcting them.

PMID- 10251604
TI  - A program guide for preventing sexual harassment in the workplace.

PMID- 10251605
TI  - A basic introduction to the health hazards appraisal.

PMID- 10251606
TI  - Issues: other views -- health educators.

PMID- 10251607
TI  - Reducing the risk of risk appraisals.

PMID- 10251609
TI  - Who really runs the hospital?

PMID- 10251608
TI  - Psychosocial responses to chronic hemodialysis.

PMID- 10251610
TI  - Utilization drops in psychiatric services.

PMID- 10251611
TI  - 35 hours with a transplant surgery team.

PMID- 10251612
TI  - Auditing medical claims: new approach to cost.

PMID- 10251613
TI  - How can insurers influence the cost of health care and reduce its rate of
      increase?

PMID- 10251614
TI  - How can industry expand its role from payor to initiator of change in the health
      care delivery system?

PMID- 10251615
TI  - Telemedicine.

PMID- 10251616
TI  - Clinicians as social policymakers.

PMID- 10251617
TI  - Plumbing design has major impact on energy consumption.

PMID- 10251618
TI  - Staffing primary care in 1990: an overview.

PMID- 10251619
TI  - Don't get "one-year" by making the mistake of thinking that JCAH has "backed
      off.".

PMID- 10251620
TI  - Let's get practical: not another bylaws revision.

PMID- 10251621
TI  - Rewriting the myth.

PMID- 10251622
TI  - Hospital inventory: a qualitative analysis.

PMID- 10251623
TI  - Registration of therapeutic recreators: standards from 1956 to present.

PMID- 10251624
TI  - Professional standards: improving the quality of services.

PMID- 10251625
TI  - Therapeutic recreation accreditation: its problems and future.

PMID- 10251626
TI  - Professional preparation in therapeutic recreation.

PMID- 10251627
TI  - Status report: continuing professional development program for therapeutic
      recreators.

PMID- 10251628
TI  - A study of the professionalization of therapeutic recreation in the state of
      Michigan.

PMID- 10251629
TI  - Changes in infant mortality and related rates by health service area: 1969-73 to
      1974-77.

PMID- 10251630
TI  - The quality assurance administrator: who will it be?

PMID- 10251632
TI  - Innovation in medical care evaluation.

PMID- 10251631
TI  - Medical record redesign: the impact of ambulatory care quality assurance.

PMID- 10251633
TI  - Quality assessment by the criteria mapping method.

PMID- 10251634
TI  - Sample selection, sample size, and reliability of results.

PMID- 10251635
TI  - Managing quality assurance information: organizational and staffing
      consideration.

PMID- 10251636
TI  - Use of generic outcome screening criteria for problem identification.

PMID- 10251637
TI  - Data collection--new tools for quality assurance.

PMID- 10251638
TI  - Designing a computer-assisted medical record to meet quality assurance standards
      in a mental health setting.

PMID- 10251639
TI  - Managing legal process.

PMID- 10251641
TI  - Patient protection: the product of timely and accurate completion and preparation
      of medical records.

PMID- 10251640
TI  - Access to medical records, part 1: Who may review a patient's medical record.

PMID- 10251642
TI  - Privacy protection of medical records.

PMID- 10251643
TI  - Influencing legislation through lobbying.

PMID- 10251644
TI  - The medical record in today's world.

PMID- 10251645
TI  - Documenting death and dying.

PMID- 10251646
TI  - Professional patients: they seldom even say goodbye.

PMID- 10251647
TI  - Quality assurance: documentation.

PMID- 10251648
TI  - White-collar crime: a disease that even our health care system may have
      problemscuring.

PMID- 10251649
TI  - Avoiding the rip-off.

PMID- 10251650
TI  - Employee pilferage: a costly trend for hospitals.

PMID- 10251651
TI  - The big business of silver theft.

PMID- 10251652
TI  - Prescription mania.

PMID- 10251653
TI  - In the maze of philanthropy, P.R. and development make good traveling companions.

PMID- 10251655
TI  - Why development for hospitals?

PMID- 10251654
TI  - Prospecting--for gold: knowing where the money is and how to get it.

PMID- 10251656
TI  - The facts and the myths about planned giving.

PMID- 10251657
TI  - Discharge planning.

PMID- 10251658
TI  - National Association for Hospital Development: NAHD answers need for development
      professionalism.

PMID- 10251659
TI  - Forecast for development: sunny and warm.

PMID- 10251661
TI  - Sizing up your hospital's financial performance.

PMID- 10251662
TI  - When corporate executives serve as hospital trustees.

PMID- 10251660
TI  - Legal aspects of risk management.

PMID- 10251663
TI  - A prescription for ailing rural hospitals.

PMID- 10251664
TI  - Sound View sets the stage for dance and drama therapy.

PMID- 10251665
TI  - A song in their hearts--music therapy combines fun, rehabilitation with good
      results.

PMID- 10251667
TI  - The making of an HMO city...a case study on the development of HMOs in Detroit.

PMID- 10251666
TI  - Volunteer/staff relations:  what goes wrong and what can we do about it?

PMID- 10251668
TI  - Henry Ford Hospital clinics manage physician-referred chronic disease patients.

PMID- 10251669
TI  - Community programs expand assault on hypertension.

PMID- 10251670
TI  - Intraorganizational conflict in the hospital purchasing decision making process.

PMID- 10251671
TI  - A path-analytic study of the consequences of role conflict and ambiguity.

PMID- 10251672
TI  - Nursing subunit technology: a replication.
AB  - Overton, Schneck, and Hazlett's (1977) measurement of nursing subunit technology
      was replicated using 157 subunits of 9 types located in 24 hospitals in Alberta.
      A 21-item questionnaire was given to nurses, and the answers were subjected to
      factor analyses. Results indicated three dimensions of technology: instability,
      uncertainty, and variability. Because of the similarity of these variables to
      those in the Overton, Schneck, and Hazlett study, the results suggested a high
      degree of construct validity for the measure. The technological dimensions also
      differentiated among the types of subunits in the same pattern as in the original
      study. A relatively quick method of obtaining measures of instability,
      uncertainty, and variability by using composite scores was tested and found
      reliable.

PMID- 10251673
TI  - Environment, strategy, and power within top management teams.
AB  - This study distinguishes two sources of critical contingencies for organizations:
      environment and strategy. In turn, it explores how coping with each type of
      contingency is related to power within top management teams. Executives had high
      power if, by virtue either of their functional area of scanning behavior, they
      coped with the dominant requirement imposed by their industry's environment.
      Power patterns within each industry were further affected by the extent to which
      executives coped with the contingencies posed by their organizations' particular
      strategies. A temporal critical contingencies model of power is proposed.

PMID- 10251675
TI  - The 1981 AIA honor awards: residence hotel made into housing for the elderly.

PMID- 10251674
TI  - The 1981 AIA honor awards: community and identity in a retirement housing
      complex.

PMID- 10251676
TI  - Treatment and rehabilitation.

PMID- 10251677
TI  - Fiscal and human resources.

PMID- 10251678
TI  - Alcohol education for nurses.

PMID- 10251679
TI  - Establishing civil service job classifications for creative arts therapists in
      New York State.

PMID- 10251680
TI  - Art therapy with a terminally ill patient.

PMID- 10251681
TI  - Hospitals in upheaval.

PMID- 10251682
TI  - Caring is what counts: in pursuit of excellence.

PMID- 10251683
TI  - Coping with change.

PMID- 10251684
TI  - Investor-owned hospital chains are flourishing.

PMID- 10251685
TI  - Hospitals vs. physicians: will they ever see eye to eye?

PMID- 10251687
TI  - Good news for new doctors: plenty of practice openings still available.

PMID- 10251686
TI  - How industry is curbing health care costs.

PMID- 10251688
TI  - Best career opener: a professional resume' that sells.

PMID- 10251689
TI  - This old laundry: the rebirth of a laundry.

PMID- 10251691
TI  - The regionalisation of health services: objectives, models and recent NSW
      experience.

PMID- 10251692
TI  - The hospital medical record.

PMID- 10251690
TI  - The need for & requirements of patient education centres in hospitals.

PMID- 10251693
TI  - Myths in health administration.

PMID- 10251695
TI  - A data-oriented approach to controlling health care costs.

PMID- 10251694
TI  - Double indemnity: the poverty of affirmative action.

PMID- 10251696
TI  - The effects of the Reach to Recovery Program on the quality of life and
      rehabilitation of mastectomy patients.

PMID- 10251697
TI  - Claiming our responsibility in a changing society.

PMID- 10251698
TI  - Positive thinking creates unique Baptist-Catholic hospital sharing plan.

PMID- 10251700
TI  - Left right, left right, forward march.

PMID- 10251699
TI  - Responsible ministry in a changing society.

PMID- 10251701
TI  - A wholeness program for congregate living--a model for caring.

PMID- 10251702
TI  - APHA-College of Chaplains publish guidelines for evaluating pastoral services.

PMID- 10251703
TI  - Informing the public about surgery.

PMID- 10251705
TI  - Legal aspects of patient confidentiality.

PMID- 10251704
TI  - What to expect from the plaintiff's lawyer.

PMID- 10251706
TI  - The federal focus on competition in health care.

PMID- 10251708
TI  - Estimating risk in human research.

PMID- 10251707
TI  - Hospital predicts captive profits.

PMID- 10251709
TI  - Why are medical expenses so high?

PMID- 10251711
TI  - Nursing homes--another look.

PMID- 10251710
TI  - Transfer agreements for survival.

PMID- 10251712
TI  - Oakville's approach to health care.

PMID- 10251713
TI  - Home grown marketing.

PMID- 10251714
TI  - 7 in 1--the manor approach to aging.

PMID- 10251716
TI  - Scanning the 'CAT' scene.

PMID- 10251715
TI  - Quality care: a fact of life.

PMID- 10251717
TI  - Hospital-based management development program succeeds.

PMID- 10251718
TI  - Improving health care productivity: a different approach.

PMID- 10251720
TI  - EMS insurance in central Missouri: a myth debunked.

PMID- 10251719
TI  - Coordinating affiliated programs in a hospital setting.

PMID- 10251721
TI  - Statistical analysis of emergency ambulance service in a suburban community.

PMID- 10251722
TI  - Task analysis: road maps to skill performance.

PMID- 10251723
TI  - Must EMTs risk their lives?

PMID- 10251724
TI  - Link health promotion, safety for maximum impact, doctor advises.

PMID- 10251725
TI  - Corporate medical experts describe employee stress-reduction programs.

PMID- 10251726
TI  - Evaluating reasons for nursing turnover: comparison of exit interview and panel
      data.
AB  - Data from a study of nursing turnover are used to compare findings based on two
      techniques for evaluating the reasons for resignations within the same population
      of hospital nurses during one year. The techniques are: (1) exit interviews, in
      which resigning nurses were asked to report in an open-ended format their major
      reasons for leaving their jobs; and (2) a prospective panel study, in which
      nurses who resigned are compared with nurses who remained, and actual turnover is
      predicted. Results show that due to the absence of a comparison group of
      remaining nurses and of baseline data, causal inferences based on exit interview
      data alone are overly simplistic and misleading for management purposes. Results
      of the panel study are more informative, although implications for hospital
      management are more complex. Use of the prospective panel design is recommended
      for hospitals concerned with evaluating nursing job conditions during a period of
      high turnover and staff nurse shortages.

PMID- 10251727
TI  - Health care providers' attitudes toward nutrition.
AB  - A survey questionnaire, assessing general attitudes toward the importance of
      nutrition in the prevention of disease and the maintenance of good health, was
      administered to physicians, nurses, dentists, and technicians at five U.S. Army
      medical centers. The various groups of health care specialists differed
      significantly on many items concerning the importance of good nutrition and
      eating habits for maintenance of good health and for recovery from illness, as
      well as on items concerning the importance of nutrition knowledge and training in
      their health care professions. More agreement was found among the groups on items
      concerned with the relationship between disease states and dietary factors and
      the effectiveness of health education programs in the prevention of various
      diseases. Self-reports of personal health habits did not correlate with scores on
      survey items concerned with the importance of good nutrition, suggesting that
      personal attitudes toward nutrition may be unrelated to other health practices.

PMID- 10251728
TI  - Psychotherapy in a community mental health facility: a practical and inexpensive
      approach to outcome assessment.
AB  - The paper demonstrates how one community mental health facility has engaged in
      outcome evaluation on a very limited budget. The evaluation model employs quasi
      experimental research methodology. Clerical workers were trained to collect the
      data. Statistical analyses suggested that the treatment was beneficial, a finding
      further supported by a high level of client satisfaction. A group personality
      profile of clients seeking treatment from an outpatient center is presented, and
      the results of the study are discussed in relation to the psychotherapy research
      literature. The article concludes with a discussion of the ways in which the
      results of the study were utilized.

PMID- 10251729
TI  - Giving grows 10% as religious causes lead way.

PMID- 10251730
TI  - Annual funds allow for expression of gratitude.

PMID- 10251731
TI  - Long range planning: its role in marketing strategy.

PMID- 10251732
TI  - An efficient labeling system speeds drugs to the clinic.

PMID- 10251734
TI  - A survey and evaluation of the availability and use of drug information resources
      of West Virginia hospital pharmacies.

PMID- 10251733
TI  - Drug information requests received by pharmacy students during clinical
      rotations: analysis and reference recommendations.

PMID- 10251735
TI  - Availability and use of pharmacy and medical journals by hospital pharmacists in
      West Virginia.

PMID- 10251736
TI  - The NLRB and supervisory status: an explanation of inconsistent results.

PMID- 10251737
TI  - Role of the ward sister.

PMID- 10251738
TI  - Accommodation for the elderly--people: patients or residents.

PMID- 10251740
TI  - Public relations: paving the way for change.

PMID- 10251741
TI  - Private care: filling a void.

PMID- 10251739
TI  - Patient services: clinical manager at large.

PMID- 10251742
TI  - Catering: controlling costs.

PMID- 10251744
TI  - Press relations: handling bad news.

PMID- 10251743
TI  - Patient services: getting feedback.

PMID- 10251745
TI  - Health care in Quebec: in the hands of the community.

PMID- 10251746
TI  - Play therapy: alleviating fear of the hospital.

PMID- 10251747
TI  - Recover silver and save $.

PMID- 10251748
TI  - First annual salary and fringe survey.

PMID- 10251749
TI  - When is a dollar not a dollar?

PMID- 10251750
TI  - Laboratory safety practices reduce hospital biohazards.

PMID- 10251751
TI  - Labs warned of contamination from automated equipment.

PMID- 10251752
TI  - Employee health needs IC for illness identification.

PMID- 10251753
TI  - Innovative QA program improves care and decreases cost.

PMID- 10251754
TI  - Maternity day-care incentive program produces savings for hospital, BC/BS.

PMID- 10251755
TI  - Outpatient hospice program decreases cost, maintains quality.

PMID- 10251756
TI  - Problems and solutions spotted in medical records evaluation.

PMID- 10251757
TI  - QA program audits nurses at community hospital.

PMID- 10251758
TI  - Strategies to achieve change in QA/RM programs identified.

PMID- 10251759
TI  - Marymount Hospital, Garfield Heights, OH. Worry clinic teaches effective coping
      methods.

PMID- 10251760
TI  - Santa Rosa Medical Center, San Antonio, TX. Care corps alleviates medical
      center's nurse shortage.

PMID- 10251761
TI  - Franciscan Sisters of St. Paul, MN. Corporate management sponsorship renews
      commitment, assures survival.

PMID- 10251762
TI  - Holy Cross Hospital, Salt Lake City, Ut. In-house documentor ensures efficient
      case cart system.

PMID- 10251763
TI  - Physicians responsible for effective communications.

PMID- 10251764
TI  - It is time for a change.

PMID- 10251765
TI  - Competition and marketing: wave of the future in health care.

PMID- 10251766
TI  - Medical rationalization, cultural lag, and the malpractice crisis.
AB  - The theses of this paper are that (1) the practice of medicine has become more
      formally rationalized in the past century; (2) this rationalization process has
      been retarded by the professional aspects of medical practice, e.g., the service
      ethic and the medical profession's exclusive jurisdiction over medicine; (3) this
      retardation is evident in cultural lag between the development of medical
      knowledge and how medicine is practiced; and (4) the "malpractice crisis" is a
      particular force which is accelerating the rationalization process and is
      overcoming lag. Data from physician surveys and interviews are presented which
      show the utility of a rationalization-cultural lag model in generating a number
      of substantive questions pertinent to the quality of rationalized medical care.

PMID- 10251767
TI  - Sexual harassment in employment.

PMID- 10251768
TI  - A proposed method for analyzing employee benefit preferences: conjoint
      measurement.

PMID- 10251769
TI  - Narrow ruling on blanket antitrust exemption substantially preserves health
      planning status quo.

PMID- 10251770
TI  - Pooled equipment financing: an attractive alternative.

PMID- 10251771
TI  - AICPA's final SOP on reporting practices concerning hospital-related
      organizations improves on earlier drafts.

PMID- 10251772
TI  - Georgia Hospital Association intervenes with Public Service Commission against
      implementation of measured service.

PMID- 10251773
TI  - Short-term construction financing options: savings may not justify risks.

PMID- 10251774
TI  - AHA alert gives preliminary analysis of FCC's deregulation of telephones--a major
      impact on hospitals' telephone costs, equipment, and contracts.

PMID- 10251775
TI  - The human element in organizational effectiveness.

PMID- 10251776
TI  - The word processor--a transcription quality assurance mechanism.

PMID- 10251777
TI  - UHDDS: principal diagnosis.

PMID- 10251778
TI  - The workshop: a strategy for adult education.

PMID- 10251779
TI  - Streamlining the incomplete record process.

PMID- 10251780
TI  - Medical records in Barbados.

PMID- 10251781
TI  - The competitive prescription for health cost inflation.

PMID- 10251782
TI  - The competitive prescription for health care: survival of the fittest?

PMID- 10251783
TI  - How to hire the right person for the job.

PMID- 10251784
TI  - A warning regarding 'Power of Attorney'.

PMID- 10251785
TI  - Hospital information systems: providing the right data to the right person at the
      right time.

PMID- 10251786
TI  - Minis, micros and software groups: shared data processing--a new approach.

PMID- 10251787
TI  - Quality assurance program: a method to improve software management.

PMID- 10251788
TI  - Capital management: estimating the return on equity capital.

PMID- 10251789
TI  - Tax-exempt revenue bonds--first quarter: little relief from record-high rates.

PMID- 10251790
TI  - Hospital bonds a likely target: will hospital financing survive Congressional
      scrutiny?

PMID- 10251791
TI  - An efficient form of federal assistance: the case for hospital tax-exempt bonds.

PMID- 10251792
TI  - Can we handle competition?

PMID- 10251793
TI  - Difficult transition ahead: capital formation under the Reagan administration.

PMID- 10251794
TI  - Competition is no panacea.

PMID- 10251795
TI  - Payment patterns: formula used to calculate days in accounts receivable.

PMID- 10251796
TI  - Antitrust cases increase: health planning activities test Sherman Act.

PMID- 10251797
TI  - Capital management: accounting return on equity in the nonprofit hospital.

PMID- 10251798
TI  - Audit committees: a new concept of responsibility in health care.

PMID- 10251800
TI  - Is it corporate restructuring or management awakening?

PMID- 10251799
TI  - Physician group practice: long-term care financial management and patient care.

PMID- 10251801
TI  - Return on equity is justifiable!

PMID- 10251802
TI  - Presorting mail cuts first-class postage.

PMID- 10251803
TI  - Payment patterns: another record--unfortunately!

PMID- 10251804
TI  - Curb OB/GYN risk with experts' preventive techniques.

PMID- 10251806
TI  - Apply epidemiology to RM/QA.

PMID- 10251805
TI  - Foodborne illnesses: focus on safety.

PMID- 10251807
TI  - The delivery of mental health services in community disasters: an outline of
      research findings.

PMID- 10251808
TI  - Mental health center versus community perceptions of mental health services.
AB  - A list of 53 mental health programs and services was presented to community
      samples of county commissioners and mental health board members, mental health
      program administrators, mental health clinicians, mental health clerical staff,
      clients, general public, staff of agencies related to mental health, and staff of
      community agencies not so related with a request to (a) indicate which programs
      and services were being offered by the mental health agencies of the catchment
      area, (b) indicate the relative importance of each offered service, and (c)
      indicate the relative importance for future program development of those not
      currently offered. Accuracy of program identification is noted and intergroup
      perceptions of mental health programs and services are compared.

PMID- 10251809
TI  - Changing models of community mental health services.
AB  - The various comprehensive community mental health centers developed at the same
      time as the free clinics intended to provide an alternative form of service. The
      origins and contributions of each of these directions of service are compared on
      such matters as funding, political orientation, relation to local government, the
      composition and functions of their boards, and their models of service delivery.
      The case is made that the two forms have shown a degree of convergence that
      shapes the present reality of what is or is not a legitimate part of mental
      health services.

PMID- 10251810
TI  - Partial hospitalization: an overview.
AB  - Partial hospitalization is the generic term for a broad and amorphous treatment
      modality. This paper describes and delineates the spectrum of partial
      hospitalization services and programs, presents a brief history of the
      theoretical and practical development of partial hospitalization programming, and
      reviews the literature on partial hospitalization with respect to its efficacy,
      cost, and future trends.

PMID- 10251811
TI  - Community relations: getting to know you.

PMID- 10251812
TI  - Rate your APE (activity-producing environment).

PMID- 10251813
TI  - Rational dental care in the long term care facility.

PMID- 10251814
TI  - Accommodating an employee's religious beliefs: what does the law require?

PMID- 10251815
TI  - Autonomy for successful survival.

PMID- 10251816
TI  - How to prepare for an IRS audit.

PMID- 10251817
TI  - Evaluation of your staff's training programs.

PMID- 10251818
TI  - DRG--a patients accounts perspective.

PMID- 10251819
TI  - Medical information authorization.

PMID- 10251820
TI  - It's time we put surgeons on straight salary.

PMID- 10251821
TI  - Health planners are killing their own agencies.

PMID- 10251822
TI  - NHI may be dying but what about state health insurance?

PMID- 10251823
TI  - Will deregulation help doctors? Don't bet on it.

PMID- 10251824
TI  - Manmade internal organs: behind the media hype there's remarkable progress.

PMID- 10251825
TI  - Behind Soviet medicine's startling decline.

PMID- 10251826
TI  - Medical records: patients winning more access--and some control.

PMID- 10251828
TI  - A guide to developing a policies and procedures manual.

PMID- 10251827
TI  - Absenteeism.

PMID- 10251829
TI  - Selecting employees: how to make a gamble a better bet.

PMID- 10251830
TI  - Health care delivery in the big apple.

PMID- 10251831
TI  - Flint takes care of its elderly.

PMID- 10251832
TI  - The emerging role of the community hospital.

PMID- 10251833
TI  - New primary care system.

PMID- 10251834
TI  - HMO update: the Detroit experience.

PMID- 10251835
TI  - HFH reaches out to urban neighbors.

PMID- 10251836
TI  - Urban public health.

PMID- 10251837
TI  - Contract management: Supreme Court tax ruling impedes forming of hospital shared
      services.

PMID- 10251838
TI  - Chiropractors and podiatrists can be held to physicians' standards.

PMID- 10251839
TI  - Trustees leading redevelopment of both hospital and its neighborhood.

PMID- 10251840
TI  - Reimbursement changes will set off restructuring scramble.

PMID- 10251841
TI  - Hospitals may sour on competition, find that regulation keeps them afloat.

PMID- 10251842
TI  - Reagan administration reviews HIMA 'hit list' of inflationary regulations.

PMID- 10251843
TI  - Hatch softens stance on pro-competition bill, plans summer meetings.

PMID- 10251844
TI  - Future of product-by-product sales on trial in AHSC antitrust lawsuit.

PMID- 10251845
TI  - Use of information systems gives physicians incentive to join hospital.

PMID- 10251846
TI  - Hospitals rush debt, equity markets.

PMID- 10251847
TI  - Hospital profits by marketing to community needs.

PMID- 10251848
TI  - Contract management survey: department management rose 12.7% during 1980.

PMID- 10251849
TI  - Contract management: investor-owned threat accelerates CHA plan.

PMID- 10251851
TI  - Contract management: buying execs fear Service Master.

PMID- 10251850
TI  - Contract management: VHA systems aim to add 100 units.

PMID- 10251852
TI  - Contract management: facilities managers' roles change as hospitals aim for more
      control.

PMID- 10251853
TI  - Contract management: hospitals need comparative data to keep ahead of new
      regulations.

PMID- 10251854
TI  - Home care market: exercising options in the fitness market.

PMID- 10251855
TI  - HIMA answers Bush call for regulatory relief targets.

PMID- 10251856
TI  - A strong vote against cancer coverage.

PMID- 10251857
TI  - Managing dissatisfaction.

PMID- 10251858
TI  - Which pay delivery system is best for your organization?

PMID- 10251859
TI  - Found: the key to excellent performance.

PMID- 10251860
TI  - Supervisory and managerial training through communication by objectives.
AB  - Our dissatisfaction with classroom learning as an organization's only training
      vehicle, combined with our determination to conduct training which produces
      changes in employees' knowledge, attitudes and behaviors, led us to develop the
      communication by objectives approach to individualized instruction. Although this
      process requires the investment of a considerable amount of time by the trainer
      and, to a lesser degree, the participants' immediate superiors, we have found
      that the process is unequalled in the changes which it brings about. Properly
      instituted, it is the most effective training procedure of which we are aware.

PMID- 10251861
TI  - The impact of a selected provision in the federal guidelines on job analysis and
      training.

PMID- 10251862
TI  - These requirements will improve the quality of health care.

PMID- 10251863
TI  - Is preventive medicine really possible?

PMID- 10251865
TI  - Human service reorganization and its effects: a preliminary assessment of
      Florida's services integration 'experiment.'.
AB  - The present discussion reports on some of the first statewide data gathering and
      analysis to assess the consequences of the 1975 reorganization of the Florida
      Department of Health and Rehabilitative Services. Two major concepts guiding the
      reorganization were: (1) integration of services in order to cover more
      adequately the needs of clients, including "multi-problem" clients, and (2)
      decentralization of administrative authority of all programs under a single,
      district-wide management structure. Despite widespread interest in the Florida
      system, and two previous studies, no systematic, detailed study of the impact of
      reorganization at the service delivery level has been conducted until now. The
      results of this study indicate that departmental employees perceive substantial
      decentralization of authority and progress toward integration of services since
      the 1975 reorganization. Perceived improvement in client services is also
      indicated. Major factors cited as influential in the change are the move toward
      collocation of services, the establishment of administratively interlinked
      service networks, and to a lesser extent, the development of generalist managers.

PMID- 10251864
TI  - Health planners fight federal support phaseout.

PMID- 10251866
TI  - Performance appraisal: if only people were not involved.
AB  - While performance appraisal systems which emphasize work objectives and
      behavioral rating scales hold considerable promise for improving the evaluation
      process, an incomplete understanding of the human dynamics underlying the
      appraisal process blunts their attraction. For a technically sound appraisal
      system to work, four behavioral elements are necessary: trust, acceptance of the
      appraisal function by those who must do the evaluation, sensitivity to the inner
      world of performance evaluation, and training designs which recognize the human
      dynamics of appraisal.

PMID- 10251867
TI  - U.S. hospitals: corporate concentration vs. local community control.

PMID- 10251868
TI  - Lasers bring new frontiers to outpatient plastic surgery.

PMID- 10251869
TI  - Experienced manager shares tips on outpatient facility design.

PMID- 10251870
TI  - Therapeutic stations and the chronically treated mentally ill.
AB  - Readmissions to mental hospitals are often cited as evidence of the failure of
      the contemporary mental health system. This essay proposes a different
      interpretation of readmission. Building on fieldwork and participant observation
      methods, the authors argue that the "veteran" patient is less a victim of poor
      psychiatric care and misdirected reform than he is a citizen with few personal
      resources, using public services to cope with the exigencies of life. Lacking
      family, job, and income, the ex-patient incorporates the hospital and other
      "therapeutic stations" into a resource pool upon which he or she can call when
      the need arises. The essay also discusses the implications of these findings for
      assessments of the community mental health movement.

PMID- 10251871
TI  - Location of community-based treatment centers.
AB  - Neighborhood opposition to community-based treatment centers (CBTCs) has prompted
      fears that these centers will become concentrated in inner city, "transitional
      neighborhoods." These neighborhoods are thought to lack the willingness and/or
      resources to oppose CBTCs. This paper examines the distribution of CBTCs in a
      northern metropolitan county. The findings suggests that the fears of
      "ghettoization" may be real only for certain types of centers. Most centers were
      located in higher-status city and suburban neighborhoods. However, these centers
      were physically or visually isolated from the surrounding housing, making them
      less likely to attract attention and therefore less likely to arouse neighborhood
      opposition.

PMID- 10251872
TI  - Physical therapist shortage creating boom in physical therapy contracting.

PMID- 10251873
TI  - Newsletter improvement via quantitative communications goals.

PMID- 10251875
TI  - Healthcare in the eighties: distributors and multi-hospital systems.

PMID- 10251874
TI  - The games people play--the future of hospital purchasing in post-industrial
      society.

PMID- 10251876
TI  - The Frost and Sullivan Report: the medical and shared contract services market.

PMID- 10251877
TI  - Reagan's impact on the healthcare industry: Part  III--the industry impact.

PMID- 10251878
TI  - CAT fever: a questionable prognosis.

PMID- 10251879
TI  - Trusteeship: the view after the first year.

PMID- 10251880
TI  - Forging an alliance between hospitals and business.

PMID- 10251881
TI  - Should your hospital affiliate with an HMO?
AB  - Affiliation with a health maintenance organization (HMO) can offer significant
      advantages for a hospital, including new sources of patients and revenue. When
      considering HMO affiliation, the board and the administration should consider
      such issues as the compatibility of the affiliation with the hospital's mission
      and programs, the effect of the affiliation on the hospital's relationships with
      other parties, the implications of negotiating a contractual relationship with a
      payer, and the degree to which the hospital wishes to accommodate the HMO.

PMID- 10251882
TI  - Teleconference networks in hospitals also viable for nursing home use.

PMID- 10251884
TI  - Chorus of complaints on veterans' medical care.

PMID- 10251883
TI  - Tax-exempt bonds may help nursing home supply buying.

PMID- 10251885
TI  - When disaster strikes, volunteers are mobilized.

PMID- 10251886
TI  - Working with transitional volunteers.

PMID- 10251887
TI  - These volunteers serve more than food.

PMID- 10251888
TI  - OVCPs serve as advocates of voluntarism.

PMID- 10251889
TI  - Future organisation of medical research facilities.

PMID- 10251890
TI  - The need for research laboratories in university hospitals.

PMID- 10251891
TI  - Basic problems of medical and health research: a social science perspective.

PMID- 10251892
TI  - Laboratories for medical research.

PMID- 10251893
TI  - Standardisation and rationalisation of scientific research buildings and
      laboratory facilities.

PMID- 10251894
TI  - Cost of health research facilities in Canada.

PMID- 10251895
TI  - Life cycle use of medical research buildings.

PMID- 10251896
TI  - The new laboratory building, Ullevaal Hospital, Oslo, Norway.

PMID- 10251897
TI  - The Japan bioassay laboratory.

PMID- 10251898
TI  - Planning and building pharmaceutical research facilities.

PMID- 10251899
TI  - Planning, building and organisation of medical research facilities: the situation
      in Nigeria.

PMID- 10251900
TI  - Medical research facilities in France.

PMID- 10251901
TI  - How shall we control animal room temperatures?

PMID- 10251902
TI  - Planning, building and organisation of medical research facilities: three
      developments in Israel.

PMID- 10251904
TI  - Planning, building and organization of medical research facilities: medical
      aspects.

PMID- 10251903
TI  - The programming of medical research facilities.

PMID- 10251905
TI  - Standardisation and rationalisation of research buildings and laboratories.

PMID- 10251906
TI  - Animal research centre, University of Vienna, Allgemeines Krankenhaus.

PMID- 10251907
TI  - Medical research institutions in the perspective of WHO's health development
      policies.

PMID- 10251908
TI  - Physicians worry about effects of closing PHS hospitals.

PMID- 10251909
TI  - Linen management: Part 1.

PMID- 10251910
TI  - Us vs. them: don't lose your clout now!

PMID- 10251912
TI  - Fine tuning a laundry.

PMID- 10251911
TI  - New England plant becomes energy conscious.

PMID- 10251913
TI  - Marketing nonprofits.

PMID- 10251915
TI  - The neglected art of interviewing.

PMID- 10251914
TI  - How to make a better decision.

PMID- 10251916
TI  - What can managers learn from leadership theories?

PMID- 10251917
TI  - Medicine to go: clinics for impatient patients.

PMID- 10251918
TI  - Protection of human subjects; prisoners used as subjects in research; stay of
      effective date--Food and Drug Administration. Final rule; stay of effective date.
AB  - The Food and Drug Administration (FDA) is staying the effective date of its
      regulations establishing conditions under which biomedical research o prisoners
      will be accepted in satisfaction of FDA's regulatory requirements. All provisions
      of Subpart C of Part 50 of the final regulations are stayed pending reproposal of
      the subpart, including 50.44 (21 CFR 50.44). The stay will remain in effect until
      final action taken on the reproposal in effective.

PMID- 10251919
TI  - Income tax; definition of a private foundation--Internal Revenue Service. Final
      regulations.
AB  - This document contains final regulations relating to the definition of a private
      foundation. Changes to the applicable tax law were made by Pub. L. 94-81, enacted
      August 9, 1975. The regulations affect certain tax-exempt organizations seeking
      to qualify as other than private foundations which acquire unrelated trades or
      businesses after June 30, 1975. The regulations provide such organizations with
      guidance necessary to determine whether they qualify as other than private
      foundations.

PMID- 10251920
TI  - Minimum guidelines and requirements for accessible design--Architectural and
      Transportation Barriers Compliance Board. Proposed rule.
AB  - The Architectural and Transportation Barriers Compliance Board proposes to
      rescind the minimum guidelines and requirements for standards for accessibility
      and usability of federal and federally-funded buildings and facilities by
      physically handicapped persons, adopted on January 6, 1981. The Board seeks
      public comments on which parts of the January 6 rule should be retained, which
      parts should be deleted, and which should be modified to formulate alternative
      ways for the Board to carry out its responsibility to establish such guidelines
      and requirements.

PMID- 10251921
TI  - Obligated service for mental health traineeships; interim rule--Public Health
      Service. Interim rule with request for comments.
AB  - This rule adds a new Part 64a to Title 42 of the Code of Federal Regulations
      which: (1) governs the length and type of service payback required of individuals
      who have received clinical traineeships in psychology, psychiatry, social work,
      or nursing section 303 of the Public Health Service Act. as amended by section
      803 of the Mental Health Systems Act; and (2) in connection with this payback
      obligation, imposes certain notice and other requirements upon institutions
      receiving training grants under section 303 of the Public Health Service Act.

PMID- 10251922
TI  - The foundation fad: good or bad?

PMID- 10251923
TI  - Popularity of word processing spreads from medical records to other units.

PMID- 10251925
TI  - The "common system" approach to EMS communications.

PMID- 10251924
TI  - Building a rural "dream system.".

PMID- 10251926
TI  - Florida's telecommunicator project.

PMID- 10251927
TI  - Psychological variables and EMS--a systems approach.

PMID- 10251928
TI  - Death and dying in the emergency setting.

PMID- 10251930
TI  - The Idaho statewide EMS communications center.

PMID- 10251929
TI  - Advanced life support for North Central Pennsylvania.

PMID- 10251931
TI  - Limiting losses on linens.

PMID- 10251932
TI  - Strengths, uses and problems of global scales as an evaluation instrument.

PMID- 10251933
TI  - A survey of mental health district structure and effectiveness.

PMID- 10251934
TI  - Corporate retirement plans.

PMID- 10251935
TI  - Telephone machines answer for you.

PMID- 10251937
TI  - Business coalition on health costs.

PMID- 10251936
TI  - Recruiting another physician.

PMID- 10251938
TI  - Future of physician recruiting.
AB  - Group practices need to be wary of assuming that the anticipated surplus of
      physicians will make recruiting any easier. Problems previously associated with
      candidate identification will give way to how to best manage the screening,
      interviewing and evaluation of prospective candidates. Furthermore, increasing
      numbers of physicians competing for patients in the medical care marketplace will
      pose a direct threat to established groups. This is already occurring in many
      areas of the country. A recent example of this is occurring with an 85-person
      multispecialty group in a city of 120,000 with a service of 220,000. A nearby
      town of 50,000 with a 200-bed hospital is actively recruiting its own physicians.
      The result will be a steadily eroding referral base for the large multispecialty
      group over the next five years.

PMID- 10251939
TI  - Freedom and choice in constitutional law.
AB  - The constitutional rights of children, the mentally ill, and other legally
      incompetent persons have been the subject of much litigation in the past twenty
      years. In this Article, Professor Garvey develops a general theory to explain the
      different ways in which persons of diminished capacity can be said to enjoy
      constitutional protections. He first notes that, of the various constitutional
      provisions, only one kind - freedom, which protect the right to make choices -
      pose serious difficulties when applied to persons of diminished capacity. He then
      proposes a hierarchy of ways in which we can attribute freedoms to such persons:
      the laissez-faire notion that all persons (including incompetents) are to be
      treated identically, the instrumental idea that granting freedoms to incompetents
      achieves extrinsic goals such as training, and the surrogate notion that persons
      who cannot make choices for themselves should be able to have those closest to
      them choose on their behalf. Professor Garvey concludes that, when these options
      fail and the state takes an incompetent person under its control, the state owes
      to the incompetent the full package of duties owed by other guardians to those
      under their control, including treatment in the case of the mentally ill or
      education in the case of children.

PMID- 10251940
TI  - Rethinking regulation: negotiation as an alternative to traditional rulemaking.

PMID- 10251941
TI  - United States students in foreign medical schools.

PMID- 10251942
TI  - Why government works dumb.

PMID- 10251944
TI  - A mirror of objectivity: one hospital's market survey.

PMID- 10251943
TI  - Extending the healthcare mission: hospital-based wellness centers.

PMID- 10251945
TI  - Predicting employee turnover.

PMID- 10251946
TI  - Questions of cost in auditor's report.

PMID- 10251947
TI  - NHS finance: fund raising by health authorities.

PMID- 10251948
TI  - Dentist in the house.

PMID- 10251949
TI  - NHS priorities: what the public wants.

PMID- 10251950
TI  - Management psychology: towards working together.

PMID- 10251951
TI  - Clinic attendance patterns.

PMID- 10251953
TI  - Residential accommodation: the cost of bed and board.

PMID- 10251952
TI  - Hospital development: controlling capital costs.

PMID- 10251954
TI  - Private health care: first in a line of new hospitals.

PMID- 10251955
TI  - Nurse management: from blueprint to reality.

PMID- 10251956
TI  - Hospital management: all ship shape.

PMID- 10251957
TI  - Ward furniture: less strain by design.

PMID- 10251958
TI  - Beds made to sleep on.

PMID- 10251959
TI  - Step by step through a union campaign.
AB  - At the first sign of union organizing, company management often decides to do
      "whatever is necessary to defeat the union," as one corporate vice president put
      it. Without advance thought or preparation, the company launches a policy of
      resistance and often winds up before the National Labor Relations Board charged
      with unfair labor practices. Sometimes the company even finds itself burdened
      with multimillion dollar lawsuits. Its hasty decisions to deal with the short run
      become strategic errors in the long run. But responding to a union campaign need
      not end up this way. Being prepared for each stage of the process of campaigning
      and negotiating, argues the author of this article, is the best way for both
      labor and management to avoid serious mistakes and to present employees with the
      information they need to cast an informed vote.

PMID- 10251960
TI  - Performance measurement: first and last step in innovation.

PMID- 10251961
TI  - Random warehousing: a simple answer to complicated storage problems.

PMID- 10251962
TI  - Key indicators for hospital materiel management.

PMID- 10251963
TI  - Competitive bidding: an effective purchasing tool.

PMID- 10251965
TI  - Pharmacy purchases can be systematized.

PMID- 10251964
TI  - Designs for functional work stations in central processing departments.

PMID- 10251966
TI  - Interdisciplinary collaboration on advanced materiel systems.

PMID- 10251967
TI  - A closer look at equipment leasing.

PMID- 10251968
TI  - Silver recovery: a new source of revenue.

PMID- 10251969
TI  - A simplified patient supply charge system.

PMID- 10251970
TI  - Nurse practitioners in the emergency department: a case study of the Washington
      Hospital Center, Washington, D.C.

PMID- 10251971
TI  - Implementation of a materials system in a new hospital.

PMID- 10251973
TI  - Re-positioning the mal-positioned employee.

PMID- 10251972
TI  - Staffing the admissions testing laboratory.

PMID- 10251974
TI  - Infection control in the operating room: separating fact from fantasy.

PMID- 10251975
TI  - A human resources development program for the small and rural hospital.

PMID- 10251976
TI  - Budgeting a community hospital library.

PMID- 10251977
TI  - The how's and why's of preparing renovation specifications.

PMID- 10251978
TI  - Rate setting--how to maximize cash flow: tips from an expert.

PMID- 10251979
TI  - Hospital fire protection: using the unit concept.

PMID- 10251980
TI  - The human relations imperative.

PMID- 10251981
TI  - The marketing of obstetrics.

PMID- 10251982
TI  - Health facilities' conversion: innovative community planning to reduce excess bed
      capacity.

PMID- 10251983
TI  - Evaluative research and health policy: utility, issues, and trends.

PMID- 10251984
TI  - Qualitative and quantitative information in health policy decision making.

PMID- 10251985
TI  - Translating evaluation research findings into health policy.

PMID- 10251986
TI  - Mental health service policy and program evaluation: living in sin?

PMID- 10251987
TI  - Does good health services research produce good health policy?

PMID- 10251988
TI  - Hospital corporate reorganizations: adapting to regulations and the marketplace.

PMID- 10251989
TI  - A tool for predicting the future: good forecasting builds good budgets.

PMID- 10251990
TI  - Hospital capital formation: why more difficulty ahead?

PMID- 10251991
TI  - Coping with changes--patient accounts manager: skilled director of cash flow.

PMID- 10251992
TI  - Healthcare survey: the chief fiscal officer--a national profile.

PMID- 10251993
TI  - Steps to adoption: does your institution need a conflict of interest policy?

PMID- 10251994
TI  - Searching for revenue to survive and grow.

PMID- 10251995
TI  - Being an effective manager.

PMID- 10251997
TI  - Organizational linkages: management issues and implications.

PMID- 10251996
TI  - Preparing hospital department heads for financial uncertainties ahead.

PMID- 10251998
TI  - Where is hospital planning headed?

PMID- 10251999
TI  - An external dependence perspective of organizational strategy and structure: the
      community hospital case.

PMID- 10252000
TI  - Training pharmacists for pediatric I.V. medication administration.
AB  - As the result of a shortage of nursing personnel, satellite pharmacists at
      University Hospital have assumed the responsibility of administering intravenous
      medications on selected pediatric nursing units. This article describes a program
      developed to train pediatric pharmacists to administer intravenous (I.V.)
      medications and provide decentralized clinical services. The Department of
      Pharmacy Services and Nursing Staff Development cooperated in defining the duties
      and responsibilities of I.V. medication pharmacists and developing the training
      program. Each pharmacist is required to successfully complete two weeks of
      classroom instruction and four weeks of clinical training conducted on pediatric
      nursing units. Comprehensive checklists were designed to document all training
      efforts. The program of I.V. medication administration by satellite pharmacists
      has been well received by physicians, nurses, and pharmacists. The Department of
      Pharmacy Services feels that the I.V. medication administration training program
      played an instrumental role in insuring the success of its pediatric service.

PMID- 10252001
TI  - A survey of selective administration procedures in formulary maintenance.
AB  - The survey attempts to examine various Pharmacy and Therapeutics (P & T)
      Committees' activities for indications of a rational and objective approach to
      drugs and the hospital formulary. The objectives were: 1) to gain insight as to
      how drug products attain formulary listing by examining select P & T Committee's
      reasons for adding and deleting drugs; 2) to determine whether P & T Committees
      are attempting to follow generally accepted guidelines for the operation of the
      formulary system; and 3) to determine how the hospital pharmacist is responding
      to the rational and/or irrational drug selection by the P & T Committee. The
      results showed that the hospitals studied appeared to be acting in agreement with
      the guidelines presented. Definitive statements concerning the activities of the
      pharmacist and the rational approach of the P & T Committee to the hospital
      formulary could not be made. The author recommends that P & T Committees begin
      documenting the methods they utilize to promote and maintain the formulary system
      in hospitals. This information should be used as an educational tool by the P & T
      Committee.

PMID- 10252002
TI  - Achieving the promise of clinical engineering.
AB  - Clinical engineering has failed to make the impact expected of it in the early
      1970's. This failure has occurred because clinical engineering has not matured as
      any discipline must to achieve professional status. It does not embody a clearly
      understood set of capabilities. It is not based on a well-defined body of
      knowledge. It does not have a professional society directly representing it. This
      condition can be remedied by the establishment of a professional society for
      clinical engineering that can educate consumers about the capabilities of
      clinical engineers, guide providers in designing clinical engineering curricula,
      and promote increased involvement of clinical engineers in all high-technology
      areas of hospitals and in the decision-making process at their institutions.

PMID- 10252003
TI  - Management concepts in clinical engineering.
AB  - The social and economic environment surrounding health care delivery is forcing
      improved financial management. The resulting responsibilities within health care
      institutions create the need for Clinical Engineers to develop improved
      management skills. Along with more traditional evaluation of technologies, these
      skills must be developed in the areas of Personnel and Data Management. The
      primary tool is a P.M./Repair Documentation System that can provide the data
      necessary for adequate manpower management, especially such factors as
      productivity and effectiveness. In addition, concepts previously foreign to
      engineers, such as group and human behavior, policy and program analysis, and
      organizational structure, must become part of the Clinical Engineers' working
      knowledge.

PMID- 10252004
TI  - Energy conservation in large hospitals & medical centers.
AB  - Energy conservation programs can save money for medical centers. The necessary
      engineering capability to evaluate these methods can be provided by Clinical
      Engineering staffs since the analytical ability of the Clinical Engineer is
      directly transferable to energy conservation programs. Several conservation
      methods are applicable to hospitals and deserve consideration. Cogeneration can
      provide significant energy conservation without any sacrifice in comfort. Solar
      energy is well suited to hospitals and can provide good publicity as well as
      energy savings. Finally, better electronic and pneumatic controls for heating,
      air conditioning and ventilation can provide large energy savings at moderate
      cost.

PMID- 10252005
TI  - A low-cost environmental control system for quadriplegics.
AB  - This paper describes a low-cost environmental control system for quadriplegics.
      With a single custom designed input switch, a disabled patient can turn up to
      three electrical devices on or off. The design could easily be extended to handle
      additional devices. The system can be constructed in one day for approximately
      $40.00 in parts cost, plus the cost of labor.

PMID- 10252006
TI  - Design of a burn treatment unit.
AB  - While operating a temporary, four-bed burn treatment unit, the State University
      Hospital of the Upstate Medical Center took on the challenge of building a modern
      Burn Treatment Center to serve a fifteen county area of upstate New York. A
      primary consideration in the design of the unit was infection control. Since
      "cost containment" is a phase on all of our minds these days, costs were
      carefully considered by our planning groups during the design stages. At the same
      time, we knew that we could ill afford to "cut any corners" that might ultimately
      endanger the well being of burn victims entrusted to our care. The design and
      construction of the Central New York Regional Burn Treatment Center took over two
      years. A number of more elaborate systems were not incorporated in the unit; but,
      operation of the unit has shown that the trade-offs that we did make, in order to
      keep the overall cost as low as possible, have not adversely affected our
      patients or patient care.

PMID- 10252007
TI  - Computer assisted transcutaneous oxygen monitoring.
AB  - A computerized system for acquisition of data from a transcutaneous PO2 (PtcO2)
      monitor is presented. A North Star Computer, Inc., "Horizon" microcomputer was
      used in this system. The PtcO2 monitor was a Radiometer TCM-1 equipped with an
      external printer interface. The system had a custom interface module to accept
      binary-coded decimal data from the PtcO2 monitor. In addition, a 16-channel, 12
      bit A/D module, a real-time clock module with interrupt capability, and a high
      resolution graphics module were incorporated.

PMID- 10252008
TI  - New Zealand in a nutshell.

PMID- 10252009
TI  - The whistle blows: how goes EMS in America?

PMID- 10252010
TI  - The case for a smoother ride: a cinematographer develops an air suspension system
      for ambulances.

PMID- 10252011
TI  - Assessing the quality of care in skilled nursing homes.

PMID- 10252012
TI  - Values of long-term care facility administrators.
AB  - This study compares values of long-term care (LTC) facility administrators to
      those of a national sample, representative of the general population. Values were
      measured using the Rokeach Value Survey, and some striking differences were found
      between administrators and the general population. These differences indicate a
      dichotomy in the values of LTC administrators; individuals with markedly
      different value orientations may make the same occupational choice to become a
      long-term care facility administrator.

PMID- 10252013
TI  - Monitoring departmental performance in the long-term care facility.

PMID- 10252014
TI  - Quality of care in nursing homes: the new Wisconsin evaluation system.

PMID- 10252015
TI  - Achievement of desired effects among nursing homes.

PMID- 10252016
TI  - Application of organization development interventions in mental health.

PMID- 10252017
TI  - Increasing complexities of personnel management in the '80's.

PMID- 10252018
TI  - The executive director's contract and evaluation: its role in board governance
      and quality management.

PMID- 10252019
TI  - Mental health systems and services in the United States.

PMID- 10252020
TI  - Rehospitalization rates and function levels of patients discharged to a
      comprehensive community support system.

PMID- 10252021
TI  - The integration of the delivery of mental health and general medical services.

PMID- 10252022
TI  - Integration of physical and mental health services: can we meet the challenge?

PMID- 10252023
TI  - Administrative approach to the problem of violence.

PMID- 10252024
TI  - The market surrogate obligation of the public sector boards.

PMID- 10252025
TI  - A review of legal challenges to personnel testing.

PMID- 10252026
TI  - Level of functioning: a behaviorally-oriented approach to client assessment,
      treatment, systems planning, and research.

PMID- 10252027
TI  - Influence tree model for the purchase of mental health services.

PMID- 10252028
TI  - Need assessment for organizational development and systems change within mental
      health organizations.

PMID- 10252029
TI  - Employee health and safety rights under the LMRA and federal safety laws.

PMID- 10252031
TI  - Linen management: is everything under control in your hospital?

PMID- 10252030
TI  - Calculating cost figures: a vital part of a linen manager's responsibilities.

PMID- 10252032
TI  - Senior retirees run the machines at Gaston Memorial Hospital plant.

PMID- 10252033
TI  - Contour sheets boost handling costs of institutional laundries, says expert.

PMID- 10252034
TI  - Funding cuts and the nation's health--an interview with the government's top
      doctor.

PMID- 10252035
TI  - Personal scorecards for the overloaded financial officer.

PMID- 10252036
TI  - What you should know about stress.

PMID- 10252037
TI  - Construction picketing notices to health care institutions: the National Labor
      Relations Board alters its approach.

PMID- 10252038
TI  - Antitrust and health planning.

PMID- 10252039
TI  - Nursing management must be strengthened.

PMID- 10252040
TI  - Businesses may be steady buyers of hospitals' wellness programs.

PMID- 10252041
TI  - Retirement centers are in strong demand; require careful planning.

PMID- 10252042
TI  - Urge trustees to lead coalitions.

PMID- 10252043
TI  - Extravagant atrium cuts energy use yet costs nothing more.

PMID- 10252044
TI  - Famous, rich, powerful people play major role in facility's development.

PMID- 10252045
TI  - Court shares burden with doctors of making life-and-death decisions.

PMID- 10252046
TI  - It's no joke--health care exec needs sense of humor to be good manager.

PMID- 10252047
TI  - Hospital Bureau drops many shared services.

PMID- 10252048
TI  - Competition woes await successor to retiring BC-BS chief McNerney.

PMID- 10252049
TI  - HMOs will be high risk investments through '80s; need 7% profit margins.

PMID- 10252051
TI  - United Healthcare Systems build 'All-Star team' of large hospitals.

PMID- 10252050
TI  - Health costs don't concern business.

PMID- 10252052
TI  - Union hits facility with public relations bomb during violent strike.

PMID- 10252053
TI  - California hospitals tackle working conditions causing nurse turnover.

PMID- 10252054
TI  - Healthcare industry fights to keep industrial development bonds alive.

PMID- 10252055
TI  - Reagan's 'New Federalism' divides hospital industry.

PMID- 10252057
TI  - Health planners search for jobs as feds prod local HSAs to wind down.

PMID- 10252056
TI  - Decision suggests High Court will scrutinize repeal of antitrust laws.

PMID- 10252058
TI  - The future and healthy people: political and social implications.

PMID- 10252059
TI  - Toward a new national health policy for the elderly.

PMID- 10252060
TI  - The "periodic physical examination" as a strategy for prevention in clinical
      practice.

PMID- 10252061
TI  - Myths about continuing education.

PMID- 10252062
TI  - Teleconferences save time, money; expand inservice opportunities.

PMID- 10252063
TI  - American Medical Supply bought by Glasrock.

PMID- 10252064
TI  - Voluntary x-ray guidelines could change demand.

PMID- 10252065
TI  - Establishing target levels for hospital accounts receivable.

PMID- 10252066
TI  - A BASIC data management program for clinical laboratory audits.
AB  - Presented in this article is a simple computer program written in BASIC for audit
      purposes. Although it is developed with a DEC PDP-11 microcomputer, the program
      can be modified for other microcomputers. Shorter and less versatile than most
      commercially available data management programs, it is suitable for the type of
      audit functions likely to be encountered in clinical laboratories.

PMID- 10252067
TI  - Business coalitions for health.

PMID- 10252068
TI  - How to manage employee job performance.

PMID- 10252069
TI  - Do they really work? Formal grievance procedures in non-union plants.

PMID- 10252070
TI  - Toward a continuum of care for the elderly: a note of caution.
AB  - The search for better ways to care for the chronically ill elderly has led to
      "alternatives to institutional care." A study fo geriatric day care and homemaker
      services finds that they were used as an add-on to existing care, few patients
      benefited, and costs were 60-71% higher than costs of a control group. Four more
      studies have confirmed the lack of substitution effects. Services could be
      targeted on those who need them even though it is very difficult to do so, and
      efficacy should be demonstrated before benefits are expended to new services.

PMID- 10252071
TI  - Discipline: a management tool.
AB  - An effective discipline system is both a management tool and a learning
      experience for our employees. The system defines and protects the rights of 95
      percent of our employees, who will never require disciplinary action. At the same
      time, the system must provide appropriate constructive action on penalties for
      the 5 percent of our employees who do not comply with the rules. In essence, a
      good discipline system administered uniformly and consistently can be a learning
      experience, resulting in a mutual benefit to both the employee and
      administration.

PMID- 10252073
TI  - Why have an employee rating system?

PMID- 10252072
TI  - Overview of word processing.

PMID- 10252074
TI  - Digital radiography: a look inside and down the road.

PMID- 10252075
TI  - The management process.

PMID- 10252077
TI  - Performance appraisals: a feasible and unbiased approach.

PMID- 10252076
TI  - The competitive scenario for health care reform.

PMID- 10252078
TI  - Wanted: respiratory therapists. Recruitment in a expanding field.

PMID- 10252079
TI  - Teaching self-care to COPD patients and families.

PMID- 10252080
TI  - 'Restaurants' in nursing homes liven up meals.

PMID- 10252081
TI  - Remodeled cafeteria eliminates hospital's food service headaches.

PMID- 10252082
TI  - The Hawaii Prepaid Health Care Act: legislating health insurance in the Islands.

PMID- 10252083
TI  - Shock trauma!

PMID- 10252085
TI  - Informed consent in critical and emergency care research.

PMID- 10252084
TI  - Resuscitation research and human rights.

PMID- 10252086
TI  - Regionalization of trauma care.

PMID- 10252087
TI  - Taking a dose of drug-free weekends.

PMID- 10252088
TI  - Seminars, classes emphasize holistic approach to aging.

PMID- 10252090
TI  - Staff sees life from patients' eyes during Fla. home's sensitivity day.

PMID- 10252089
TI  - Games people play.

PMID- 10252091
TI  - Garden project unites community, residents.

PMID- 10252092
TI  - The health care industry: facing the realities of the eighties.

PMID- 10252093
TI  - Quality assurance and cost containment in alcoholism services.

PMID- 10252094
TI  - Health insurance coverage for alcoholism: a review of costs and utilization.

PMID- 10252095
TI  - Health insurance coverage for alcoholism treatment: policy issues.

PMID- 10252097
TI  - The role of alcoholism services providers in health insurance coverage for
      alcoholism.

PMID- 10252096
TI  - The role of federal, state, local, and voluntary sectors in expanding health
      insurance coverage for alcoholism.

PMID- 10252098
TI  - Occupational programs and their relation to health insurance coverage for
      alcoholism.

PMID- 10252099
TI  - Health insurance coverage for underserved populations.

PMID- 10252100
TI  - Women, health insurance and alcoholism.

PMID- 10252101
TI  - Health insurance issues for the 1980s.

PMID- 10252102
TI  - A review of progress in development of health insurance coverage for alcoholism
      treatment.

PMID- 10252104
TI  - Nature and scope of benefit packages in health insurance coverage for alcoholism
      treatment.

PMID- 10252103
TI  - Alcoholism detoxification services in a rural community: a formal development
      approach.

PMID- 10252105
TI  - Psychiatric day treatment clerkship for undergraduate pharmacy students.

PMID- 10252106
TI  - LMs slightly favor cost per patient day.

PMID- 10252107
TI  - Us vs. them: Part II.

PMID- 10252109
TI  - The closed circuit connection: how to set up, operate and maintain a CCTV system
      in your hospital.

PMID- 10252108
TI  - Skillful interviewing: more than conversation.

PMID- 10252110
TI  - Winning administrative support: the department you save may be your own.

PMID- 10252111
TI  - Dental insurance: product for the 1980s.

PMID- 10252112
TI  - The role of federal legislation.

PMID- 10252113
TI  - CanSur: modern data management for improved cancer patient care.

PMID- 10252114
TI  - The College's Commission on Cancer: evolving to meet the needs of the times.

PMID- 10252115
TI  - An assessment of surgical training.

PMID- 10252116
TI  - Progress in cancer patient management in community hospitals.

PMID- 10252117
TI  - Quality circles in the service sector.

PMID- 10252118
TI  - Management guidelines: understanding needs.

PMID- 10252119
TI  - Taking the pain out of performance appraisal interviews.

PMID- 10252121
TI  - Florence Nightingale wants you! To recruit nurses, hospitals are boosting pay and
      perks.

PMID- 10252120
TI  - Making MBO work: matching management style to MBO program.

PMID- 10252122
TI  - The quaalude scam.

PMID- 10252123
TI  - When doctors play God.

PMID- 10252124
TI  - Veterans Administration: schedule of reviews for "contracting out"; initiative of
      Veterans Administration's Department and Surgery.

PMID- 10252125
TI  - Public Health Service--Privacy Act of 1974. Notification of establishment of a
      new Privacy Act System of Records 09-25-0148.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new Privacy Act System of
      Records 09-25-0148. Contracted and Contract-Related Research: Records of Subjects
      in Clinical, Epidemiological and Biomedical Studies of the National Institute of
      Neurological and Communicative Disorders and Stroke, HHS/NIH/NINCDS. We are also
      proposing routine uses for this system. This system will be used to support (1)
      epidemiological, clinical and biometric investigations into the causes, nature,
      outcome, therapy, prevention and cost of neurological and communicative disorders
      and stroke, and (2) review and evaluation of the progress of these research
      projects, and identification and planning for improvements or for additional
      research.

PMID- 10252126
TI  - Measurement of the activity of radiopharmaceutical dosages: Nuclear Regulatory
      Commission. Proposed rule.
AB  - The Nuclear Regulatory Commission (NRC) is proposing to amend its regulations on
      human uses of byproduct material, to require specific medical licensees to (1)
      Measure the total activity of each radiopharmaceutical dosage, except those
      containing less than 10 microcuries or a pure beta-emitting radionuclide, before
      it is administered to a patient; (2) verify that smaller dosages contain less
      than 10 microcuries; and (3) keep a record of the measurements. The assary of
      each radiopharmaceutical dosage before it is administered to a patient is
      currently required as a condition for a specific license. Measurement of the
      total activity of radiopharmaceutical dosage helps to protect patients from
      unnecessary radiation resulting from errors in labeling, calculating or
      dispensing dosages. The purpose of this rulemaking is: (1) To simplify licensing
      by replacing a condition that appears in all medical licenses with one
      regulation, and (2) To enhance patient radiation safety by minimizing potential
      misadministrations caused by not measuring the patient dosage.

PMID- 10252127
TI  - Hospital fire protection using the unit concept.

PMID- 10252128
TI  - Profile of an occupational therapist revisited.

PMID- 10252129
TI  - Career development related to radiography.

PMID- 10252130
TI  - Measurement and management of stress in health professionals working with
      advanced cancer patients.

PMID- 10252131
TI  - Spiritual care for the dying.

PMID- 10252132
TI  - Firefighters and hospital personnel join forces to treat burn patients.

PMID- 10252133
TI  - Could your community cope in an accident with 50 burn patients?

PMID- 10252134
TI  - Planning mental health services on the basis of need: a clinician's point of
      view.

PMID- 10252136
TI  - Adequate staffing.

PMID- 10252135
TI  - Teleconferences help maintain in-service training programs.

PMID- 10252137
TI  - Medical & Surgical Purchasing Guide proves a boon to purchasers.

PMID- 10252138
TI  - Computer bits ... in purchasing.

PMID- 10252139
TI  - Vending machines show profit at Greenwich Hospital.

PMID- 10252141
TI  - Buy back clause clinches van purchase agreement.

PMID- 10252140
TI  - A communication system for stockouts and backorders.

PMID- 10252142
TI  - Hospital-purchased physician supplies: a violation of antitrust statutes?

PMID- 10252143
TI  - New models in ambulatory care.

PMID- 10252145
TI  - A statement on the status of interns and residents.

PMID- 10252144
TI  - Humanizing hospital design.

PMID- 10252146
TI  - Hospital trusteeship: somebody has to do it.

PMID- 10252147
TI  - Continuing education: the pros and cons.

PMID- 10252148
TI  - The politics of health care in Canada.

PMID- 10252149
TI  - Drug therapy review in nursing homes: proposed standards and guidelines.
AB  - In 1974, the Department of Health, Education, and Welfare mandated monthly drug
      regimen reviews by pharmacists for all Medicaid-financed residents in skilled
      nursing facilities. In 1980, proposed federal regulations were developed to
      extend the benefit of that type of review to residents of intermediate care
      facilities. The Government Accounting Office, in the meantime, found that a
      definition of the scope of medication review is still lacking, as is a single
      source of information on drug monitoring. As the proposed regulations and the
      corresponding guidelines appear to have severe shortcomings, the authors
      developed new standards and guidelines for the Baltimore City PSRO. Foremost in
      these is the statement that drug regimen review is not complete until the
      physician has responded in writing in the patient's chart to any recommendation
      the pharmacist-consultant has made.

PMID- 10252150
TI  - Comparison of patient acceptance of pharmacists and physicians as measured by
      appointment compliance.

PMID- 10252151
TI  - Readability formulas: are they enough?
AB  - Because of FDA requirements concerning patient package inserts and growing
      awareness of the need for patient education, pharmacists and other health care
      practitioners have become interested in assessing the readability of written
      information intended for patients. Readability formulas have seemingly furnished
      a quick and easy answer. However, users of readability formulas should be aware
      of their limitations. Several of these limitations are presented, along with
      suggestions for overcoming them. This approach will enable pharmacists and other
      health care practitioners to become more sophisticated in assessing the
      readability of various documents and ultimately to produce readable documents.

PMID- 10252152
TI  - Effect of label format on information recall in patients receiving prescription
      medications.
AB  - Many patients receive their filled prescriptions without verbal instructions and
      must rely on the label as their only source of information. A two-phase study was
      designed to measure differences in recall information when two common variations
      in label format were employed. Phase I: Does the patient comprehend label
      directions better if numbers are typed as words or as numerals? Phase II: Does
      the addition of preprinted auxiliary labels affect recall of directions? In Phase
      I, 100 patients were asked to read a label expressing three numbers as words and
      an additional 100 read the same label using numerals. In Phase II, patients saw
      the label using numerals with either zero, one, two, or three auxiliary labels
      attached. Each label was seen by 50 patients. Patients were scored on a point
      system based on their ability to repeat label directions. There was no
      significant difference in information recall between label format groups (p
      greater than 0.05). Only 44% of the patients could remember all directions, 13%
      could remember no information, and 63% failed to read the auxiliary labels. These
      results suggest that pharmacists should place less reliance on label format and
      the use of auxiliary labels to communicate information and spend more time
      verbally counseling their patients on the proper use of their medications.

PMID- 10252153
TI  - Analysis of the change in work patterns following installation of an inpatient
      pharmacy computer system.
AB  - An experiment was designed to determine if the installation of a pharmacy
      computer produced a significant change in the distribution of routine inpatient
      dispensing activities for pharmacy personnel. Data were obtained using time lapse
      motion picture photography and work sampling procedures. Cameras were placed in
      three different locations for 6 days over a 2-week period before and after
      installation of the computer. A sample of approximately 2000 observations was
      reduced to machine readable format and analyzed using nonparametric statistical
      procedures. Results indicated a shift in work patterns of pharmacy personnel. It
      was concluded that the installation of a pharmacy computer had a significant
      effect on the distribution of routine inpatient dispensing activities. Pharmacy
      management should consider this information in anticipating efficient use of
      personnel and proper placement of computer hardware.

PMID- 10252154
TI  - Pharmacist involvement in emergency room services.
AB  - Emergency rooms providing primary health care services continue to expand,
      especially in community hospitals, where practicing hospital pharmacists are
      finding opportunities for growth such as administrative planning, provision of
      drug and poison information to the emergency room staff, and direct involvement
      in "codes". Coordination with the community pharmacist can assure proper
      dispensing of "emergency room take-home meds" and counseling of patients. Funding
      sources to expand pharmacy services may exist in traditional dispensing,
      administration of injectable drugs, qualitative drug screens, and grant or
      educational monies.

PMID- 10252155
TI  - Pharmacy manpower--a roundtable discussion.

PMID- 10252156
TI  - Let's program lab tests.

PMID- 10252157
TI  - A health care editor tells how it feels to be a patient.

PMID- 10252158
TI  - What happens when the patient goes home?

PMID- 10252159
TI  - Health care trends and issues in the 1980s.

PMID- 10252160
TI  - New roles for educators.

PMID- 10252161
TI  - The challenge of the '80's.

PMID- 10252162
TI  - The administrative costs of non-profit health insurers.
AB  - Interest in the efficiency or inefficiency of non-profit firms has spawned
      research on the administrative costs of Blue Cross and Blue Shield plans. Relying
      on plausible implications of the property rights theory of the firm, both Blair,
      Ginsburg, and Vogel (1975) and Vogel (1977) noted some evidence of inefficiency
      in these firms. Our analysis, however, utilizing their models and more recent
      data, reveals little convincing evidence for the view that Blue Shield plans are
      inefficient.

PMID- 10252163
TI  - Avoidance of copayment feature in dental plan subverts plan design and adds to
      premium costs.

PMID- 10252164
TI  - Employers work hard to promote HMOs but get poor employee response,
      administrative problems.

PMID- 10252165
TI  - Health premium increases due to utilization? History, corporate experience
      indicate otherwise.

PMID- 10252166
TI  - Cafeteria benefits: a commentary on process.

PMID- 10252167
TI  - Old myths and new realities: wide and sudden dissemination of radioactive
      materials.

PMID- 10252168
TI  - Cause of EP burnout: workplace and motivation.

PMID- 10252169
TI  - Hyatt carnage a shocker..even to veteran EP's.

PMID- 10252170
TI  - The concept of a total EMS system.

PMID- 10252171
TI  - Impact of the repeal of the Kansas Mandatory Motorcycle Helmet Law, 1975 to 1978:
      an executive summary.

PMID- 10252172
TI  - Radiation primer.

PMID- 10252173
TI  - Programmed patients: a method of improving field performance.

PMID- 10252174
TI  - Liability for the unsafe driver.

PMID- 10252175
TI  - Mental health and mental retardation institutional housekeeping.

PMID- 10252176
TI  - Doctors in government.

PMID- 10252177
TI  - Mobility and the family in hospital medicine.

PMID- 10252178
TI  - The timing of and reasons for doctor's career decisions.

PMID- 10252179
TI  - Specialty budgeting: a pilot study carried out in East Cumbria Health District.

PMID- 10252180
TI  - Trends in microbiology work-loads in the National Health Service: England and
      Wales (1968-79).

PMID- 10252182
TI  - Contract gains for 12,500 members.

PMID- 10252181
TI  - 2,000 Michigan LPNs affiliate with 1199.

PMID- 10252183
TI  - A hospital director recalls 22 years with 1199. Interview by Nancy Stiefel.

PMID- 10252184
TI  - An ecological orientation toward human abuse.

PMID- 10252185
TI  - Child neglect and abuse.

PMID- 10252186
TI  - Home is where the hell is.

PMID- 10252187
TI  - The battered elderly: physical and psychological abuse.

PMID- 10252188
TI  - Delivering human services for abused clients: a system and individual approach.

PMID- 10252189
TI  - Training counts: Scott & White educates support staff in patient relations.

PMID- 10252190
TI  - Group practice, now--and then.

PMID- 10252191
TI  - Foreign health market: expanding frontier for American hospital management firms.

PMID- 10252193
TI  - Export disincentives handicap U.S. business expansion in foreign market.

PMID- 10252192
TI  - U.S. trade official sees services as great opportunity for export growth.

PMID- 10252194
TI  - Eurodollar market is major source to borrow capital for projects abroad.

PMID- 10252195
TI  - Health care marketing in the Middle East: a mixture of challenges and
      opportunities.

PMID- 10252196
TI  - Budget reconciliation -- legislative speedwriting.

PMID- 10252197
TI  - Business of insurance and antitrust: some case history.

PMID- 10252199
TI  - Study indicates slower rise in costs in non-rate setting states.

PMID- 10252198
TI  - Multi-unit systems loom large in future of health care.

PMID- 10252200
TI  - Shift in mental health emphasis provides new opportunities for private sector.

PMID- 10252201
TI  - Third party coverage is a key obstacle facing U.S. psychiatry, APA chief says.

PMID- 10252202
TI  - NAPPH leader foresees continued growth of private psychiatric in '80s.

PMID- 10252203
TI  - Psychiatric hospitals beset by unusual problems in regulation and reimbursement.

PMID- 10252204
TI  - Dwindling public funds for psychiatric care pose challenges to private sector.

PMID- 10252205
TI  - Alcoholism and the increasing role of the hospital.

PMID- 10252206
TI  - Special legislative sessions likely on state fund crises.

PMID- 10252207
TI  - Antitrust developments and the planning process: an overview.

PMID- 10252208
TI  - Enterprise, planning help companies handle nurse shortage.

PMID- 10252210
TI  - The elders speak... Dorothy Killian, ASHFSA. Interview by B. Allen.

PMID- 10252209
TI  - A warning to hospitals.

PMID- 10252211
TI  - The choice: computers in foodservice.

PMID- 10252212
TI  - The test: computers in University of Kansas Medical Center.

PMID- 10252213
TI  - Band-Aids by the boxcar.

PMID- 10252215
TI  - Strategic plans increase capital campaign success.

PMID- 10252214
TI  - Why capital campaigns fail to achieve full potential.

PMID- 10252216
TI  - The library literature retrieval system.

PMID- 10252217
TI  - Utilization of selected drug information resources by nurses.

PMID- 10252218
TI  - Mobile health unit: nursing education brings health screening and health teaching
      to the community.

PMID- 10252219
TI  - Ethics for patient educators.

PMID- 10252220
TI  - The National Board of Medical Examiners--responding to the needs of the licensure
      community.

PMID- 10252221
TI  - Studies in energy management: institutional.

PMID- 10252222
TI  - What it means to make a merger.

PMID- 10252223
TI  - Doing something about boosting clerical productivity in hospitals.

PMID- 10252224
TI  - Patients in waiting.

PMID- 10252225
TI  - Safety hazards: figuring out fire facts.

PMID- 10252226
TI  - Organ donorship: all donations welcome.

PMID- 10252227
TI  - Medical photography: picture of health.

PMID- 10252228
TI  - Supplies service: ethics and inducements.

PMID- 10252229
TI  - Group purchasing trends in USA.

PMID- 10252230
TI  - Health and safety: pollution precautions.

PMID- 10252231
TI  - First aid fire fighting.

PMID- 10252232
TI  - Fund raising: support your local hospital.

PMID- 10252233
TI  - Computers in hospital: the first ten years.

PMID- 10252234
TI  - Patient education on videotape.

PMID- 10252235
TI  - Big hat, no cattle: managing human resources.
AB  - When faced with business problems, managers naturally make identifying the
      trouble their priority. Once that is done, at least half the job is over; finding
      solutions is just a matter of time. This hasn't been so, however, with the human
      resources problem: how to motivate employees. Sixty years ago, the Hawthorne
      experiments revealed the issue, and ever since, managers, researchers, and
      consultants have been searching for the answer to the human resources problem.
      Why aren't employees as productive, loyal, and dedicated to their companies as
      their managers know they can be? The author of this article proposes four reasons
      why actuality has fallen so far below expectation in personnel management,
      namely, that managers' expectations have been too high in the first place, that
      the concepts staff professionals offer managers are frequently contradictory,
      that the corporate role of personnel has always been problematic, and finally,
      that managers hold assumptions concerning their employees that undermine efforts
      to motivate them.

PMID- 10252236
TI  - Outlook for hospitals: systems are the solution. Interview by Jeff C. Goldsmith.
AB  - Like all industries, the health care industry undergoes change. A fragmented
      system of isolated, free-standing community hospitals is undergoing rapid
      consolidation into large multihospital corporations and systems. If the history
      of other industries is any guide, this consolidation will accelerate as the
      nation instills greater economic competition in the health marketplace. In the
      future, say the managers of two very different hospital networks, large
      multihospital systems will predominate. Two big questions, then, are: Should
      these systems be proprietary or voluntary? And how should they go about meeting
      people's changing health care needs? These interviews with the physician founders
      of two multihospital organizations, Hospital Corporation of America in Nashville
      and Rush-Presbyterian-St. Luke's Medical Center in Chicago, focus on these
      organizations' contrasting corporate strategies and on the mechanisms that will
      enable them to survive a shakeout in the industry. The differences between the
      two systems are linked to the philosophies of their founders, who disagree about
      how and where patients will get the best treatment.

PMID- 10252237
TI  - Controlling inventory with an automated ordering system.

PMID- 10252238
TI  - Should a registered pharmacist sign P.O. for a controlled drug?

PMID- 10252239
TI  - Materials control practices in the pharmacy.

PMID- 10252241
TI  - Cost-plus buying takes mystery out of pricing.

PMID- 10252240
TI  - Pharmacy/purchasing cooperation saves time and money.

PMID- 10252242
TI  - Estimating damages in requirements contract.

PMID- 10252243
TI  - Telephone sales of "distressed" merchandise: caveat emptor.

PMID- 10252244
TI  - Does your hospital have a purchasing manual?

PMID- 10252245
TI  - Joint Purchasing Corp. helps members buy food.

PMID- 10252246
TI  - Unit concept pulls together critical fire safety factors.

PMID- 10252247
TI  - Using an executive search consultant to find the right executives.

PMID- 10252248
TI  - Disciplining our procedures: an analysis of the disciplinary and grievance
      procedures in the NHS--1.

PMID- 10252249
TI  - Plop! There goes another decision.

PMID- 10252250
TI  - Can teams manage?

PMID- 10252251
TI  - Team development in the NHS.

PMID- 10252252
TI  - Suggestions and complaints procedure in Scotland.

PMID- 10252253
TI  - Disciplining our procedures: an analysis of the disciplinary and grievance
      procedures in the NHS--2.

PMID- 10252254
TI  - Job applications--the state of the art.

PMID- 10252255
TI  - Health services in the 1980s.

PMID- 10252256
TI  - DHSS and the NHS: can the elephant turn white?

PMID- 10252257
TI  - The management challenge after reorganisation.

PMID- 10252258
TI  - Future developments in the care of the mentally handicapped.

PMID- 10252259
TI  - Marketplace competition: California Hospital Association task force examines
      impact, makes recommendations.

PMID- 10252260
TI  - Business/Industry alliance: the untapped health market.

PMID- 10252261
TI  - U.S. hospitals: what does the public want?

PMID- 10252262
TI  - Health care in China: hospitals relegated to secondary role in People's Republic.

PMID- 10252263
TI  - Health care manager's notebook: utilizing support staff.

PMID- 10252264
TI  - John Bigelow. Interview by Al Dieffenbach.

PMID- 10252265
TI  - Options for America: international hospital literature offers insight, possible
      approaches to American problems.

PMID- 10252266
TI  - Special report: are biological indicators the 'ultimate' sterilizer test?

PMID- 10252267
TI  - Mallison describes methods of solid waste disposal.

PMID- 10252268
TI  - Chickenpox exposures cost hospital $20,000.

PMID- 10252270
TI  - A comparison of home health care for the elderly in the United States and Japan:
      report of a cross-national project.

PMID- 10252269
TI  - Productivity: "a dirty word in the voluntary non-profit agency"?

PMID- 10252271
TI  - Marketing to expand a home care service.

PMID- 10252272
TI  - Your present home health information system: is it in need of improvement?

PMID- 10252273
TI  - Comparing staff attitudes and patient satisfactions in a home health agency.
AB  - Patient and staff perceptions of Home Health care delivery were examined in the
      present study. Opinions from the two groups were surveyed then compared on five
      perceptual areas. The five areas rated were (a) feelings of ease at home, (b)
      learning and understanding self-care, (c) trust, (d) quality of care received,
      and (e) severity of illness. Staff characteristics and patient idiosyncracies
      were also considered. Overall, patient satisfaction with the Home Health care
      system was explored. The results indicated a high degree of satisfaction with the
      amount and appropriateness of Home Health care, confidence about self-care, and
      feelings of ease at home. All patients returning questionnaires would recommend
      Home Health services to a friend who may need them. Perhaps more importantly, the
      provider's opinions exhibited both accordance and discordance with those of the
      patients surveyed. Accordance was detected in ratings of ease, learning and
      understanding self-care, trust, and quality of care received at home. Discordance
      was noted regarding severity-of-illness ratings. As a whole, staff rated the
      severity of patients' illnesses or injuries as being less severe than did the
      patients themselves. Independent of primary diagnostic grouping, older patients'
      illnesses were rated by the staff less severe in nature than those of the younger
      patients. It was concluded that the Home Health practitioner must guard against
      legitimizing the illnesses of patients at any age.

PMID- 10252274
TI  - Hospital quality circles improve quality and productivity.

PMID- 10252275
TI  - A management-information system can assure a successful OA program.

PMID- 10252276
TI  - Communication encouraged to ensure quality in hospitals.

PMID- 10252277
TI  - Major superiors roundtable.

PMID- 10252278
TI  - Trustees: shepherds of wholeness.

PMID- 10252279
TI  - Adolescent health facilities: focus on wholistic care.

PMID- 10252280
TI  - Nurse retention, recruitment: opposite poles in staffing strategy.

PMID- 10252281
TI  - Board obligated to monitor quality of medical service.

PMID- 10252282
TI  - Pastoral care certification recognizes competent ministry.

PMID- 10252283
TI  - "Alternatives to Social Security".

PMID- 10252284
TI  - Congress slashes HMO support, administration's stance remains unclear.

PMID- 10252285
TI  - Home care program serves three hospitals' discharged patients.

PMID- 10252286
TI  - CHA survey report: selected data and issues of religious congregations'
      involvement in acute health care.

PMID- 10252287
TI  - Lay sponsorship: a right, a trust.

PMID- 10252288
TI  - Mission accountability: an agency for congregations.

PMID- 10252289
TI  - A congregation's ministry and multiinstitutional systems.

PMID- 10252290
TI  - St. Joseph Hospital of Kirkwood (MO). Congregation's charism: focus of an
      education program.

PMID- 10252291
TI  - The IRS, "family religious orders," and traditional congregations.

PMID- 10252293
TI  - Priorities for CHA research: survey report.

PMID- 10252292
TI  - Court ruling casts doubt on shared services' tax status.

PMID- 10252294
TI  - AMA guideline on defective newborns raises ethical, legal questions.

PMID- 10252295
TI  - Right to refuse extraordinary treatment upheld.

PMID- 10252296
TI  - Physical injury not necessary in emotional distress claim.

PMID- 10252297
TI  - Ethnicity and clinical care: selected issues in treating Puerto Rican patients.

PMID- 10252298
TI  - Clementine Churchill Hospital, Harrow.

PMID- 10252299
TI  - Energy management--developments and trends: Part 4.

PMID- 10252300
TI  - Atmospherics--an important element in the hospital promotion mix.

PMID- 10252301
TI  - The strategic use of information in health care management.

PMID- 10252302
TI  - FTC judge rules Michigan Medical Society conspired to restrain physician
      competition.

PMID- 10252303
TI  - Eight PHS hospitals threatened with early closure.

PMID- 10252304
TI  - Tax reform: another piece in the economic puzzle for hospitals.

PMID- 10252305
TI  - Budget reconciliation conference reaches final agreement.

PMID- 10252306
TI  - As Social Security reform debate continues, hospitals examine options.

PMID- 10252307
TI  - Executive Order 12291 -- questions of legality arise.

PMID- 10252308
TI  - Participation agreements between providers and third-party insurers withstand
      antitrust challenges in two recent federal district court cases.

PMID- 10252309
TI  - Omnibus Reconciliation Act requires HHS to set minimum standards for radiology
      technicians; rural hospitals will be most affected.

PMID- 10252310
TI  - Federal district court dismisses alleged antitrust and civil rights violations in
      Florida hospitals' denial of staff privileges.

PMID- 10252311
TI  - Allegheny General Hospital wins landmark staff privileges antitrust suit.

PMID- 10252312
TI  - Baylor "no solicitation" ruling lands before NLRB for third time: Board finds no
      distinction between working time and working hours.

PMID- 10252313
TI  - Public relations handbook.

PMID- 10252314
TI  - Code of ethics and a guide to the interpretation of the code.

PMID- 10252315
TI  - Strategic marketing and hospital medical record departments.

PMID- 10252316
TI  - Marketing the medical record indices.

PMID- 10252317
TI  - Getting involved in the legislative process.

PMID- 10252319
TI  - Pipeline to success.

PMID- 10252318
TI  - One state's experience with public relations and marketing the medical record
      profession.

PMID- 10252320
TI  - Who won the medical record marathon?

PMID- 10252321
TI  - The Western Domiciliary Care Service: a report on the development and activities
      of a home care scheme associated with a teaching hospital.
AB  - This article reports the development and first five years experience of the
      Western Domiciliary Care Service, Adelaide, South Australia. This service began
      accepting referrals in July 1971. Referrals are accepted without regard to age or
      degree of disability. Assessments are made in the patients' homes by social
      workers and therapists, who maintain close contact with the general
      practitioners. Liaison with The Queen Elizabeth Hospital has been a tremendous
      advantage. Of the 1,800 active patients, about 700 would be in nursing homes if
      this service did not exist, and many referrals to The Queen Elizabeth Hospital
      have been avoided. The scheme has proved very economical.

PMID- 10252323
TI  - Public relations: the used 'care' salesman.

PMID- 10252322
TI  - Hospital-at-home: the United Kingdom.

PMID- 10252324
TI  - The time has come for assessment.

PMID- 10252325
TI  - Health education after reorganisation in 1982: a model for the Oxford Region.

PMID- 10252326
TI  - Sickle cell anaemia: a challenge for health education.

PMID- 10252328
TI  - Putting nonprofits on the academic map.

PMID- 10252327
TI  - Evaluating a decision-oriented approach to smoking education.

PMID- 10252329
TI  - Diversification: a survival strategy for rural hospitals.

PMID- 10252330
TI  - The use of marketing for disease prevention and health promotion.

PMID- 10252331
TI  - Getting the most out of your facility.

PMID- 10252332
TI  - Estimating the market for physician services.

PMID- 10252334
TI  - Health care prices.

PMID- 10252333
TI  - HCPM interview: Joseph P. Peters--planning and marketing around the country.

PMID- 10252335
TI  - Employment, hours, and earnings in the health care sector.

PMID- 10252336
TI  - Community hospital statistics.

PMID- 10252337
TI  - Cesarean birth: the politics of consensus development.

PMID- 10252338
TI  - Move over Jack, here comes Doc-in-the-Box.

PMID- 10252339
TI  - The market as Messiah: the invisible hand strikes again.

PMID- 10252340
TI  - Survival of the fittest: the 'competition' model for health care.

PMID- 10252341
TI  - Is national health insurance the best we can do?

PMID- 10252342
TI  - An examination of the association of "shortage" and "medical access" indicators.

PMID- 10252343
TI  - The twenty years Kaiser-Permanente experience with psychotherapy and medical
      utilization: implications for national health policy and national health
      insurance.

PMID- 10252344
TI  - Contract management: a viable alternative.

PMID- 10252345
TI  - Health care providers face critical choices.

PMID- 10252346
TI  - The family and the health care system.

PMID- 10252347
TI  - Capital management: funding strategy among multi-hospital systems.

PMID- 10252348
TI  - Second quarter: record-high rates continue.

PMID- 10252349
TI  - Short- and intermediate-term funding in a volatile market.

PMID- 10252350
TI  - What's a hospital feasibility study and who needs it?

PMID- 10252351
TI  - Forecasting accuracy: a valuable key to financial feasibility studies for
      hospitals.

PMID- 10252352
TI  - Healthcare financial problems are international.

PMID- 10252353
TI  - Credit worthiness assessment: hospital revenue bonds--how they're rated.

PMID- 10252354
TI  - Charity care--who will pay?

PMID- 10252355
TI  - Forms management trims inventory and costs.

PMID- 10252356
TI  - Management techniques.

PMID- 10252357
TI  - How to participate in career promotion.

PMID- 10252359
TI  - Assertiveness training for hospital supervisors.

PMID- 10252358
TI  - Managing the 'big three' and other health hazards.

PMID- 10252360
TI  - Space age ailment.

PMID- 10252361
TI  - Quality in admitting.

PMID- 10252362
TI  - Police physicians' handwriting to cut medication errors.

PMID- 10252363
TI  - Insulating your hospital from asbestos risk.

PMID- 10252364
TI  - Corporate management model eroding physician influence in hospitals.

PMID- 10252365
TI  - Medicolegal review: nosocomial infections next target for malpractice suits.

PMID- 10252367
TI  - Physician input in technology acquisition proves invaluable.

PMID- 10252366
TI  - Peer group committee tackles physician behavior problems.

PMID- 10252368
TI  - Mock survey leads to more successful JCAH evaluation.

PMID- 10252369
TI  - Recommendations for control of rubella in hospitals.
AB  - The following recommendations for the control of rubella within hospitals have
      been prepared by members of the American Hospital Association (AHA) Advisory
      Committee on Infections in response to a need to reduce the risk of costly
      rubella (three-day or German measles) infections among hospital patients and
      personnel. Although this common childhood disease is often thought to be
      relatively harmless, serious consequences may result from it. The most important
      of these consequences are the fetal anomalies that may occur from infection in
      early pregnancy, especially in the first trimester.

PMID- 10252370
TI  - Evaluating a hospital quality assurance plan.

PMID- 10252371
TI  - The MAC program and advisors to the government.

PMID- 10252372
TI  - Measurement of formulary inclusion costs.

PMID- 10252373
TI  - Physicians' perceptions of clinical pharmacy service.

PMID- 10252374
TI  - Implementation of a modified decentralized drug distribution system with the use
      of master medication carts.
AB  - A decentralized drug distribution system with the use of master medication carts
      was implemented. This system was designed so that roving pharmacists could
      dispense new medication orders quickly and develop a more personal means of nurse
      pharmacist interaction for the benefit of better patient care. The key to the
      system using roving pharmacists is a master medication cart, a pharmacy
      dispensing unit on wheels, which travels to each nursing unit. The pharmacy
      medication profiles are kept with the cart, and at each nursing unit patient
      medication profiles are reviewed, new drug orders are filled, missing medications
      and discrepancies are resolved, and nurse-pharmacist consultations can take
      place. There are two roving pharmacists who make simultaneous rounds of all
      nursing units in the hospital with two similarly stocked master medication carts
      from 9 A.M. to 9 P.M., seven days a week. All unit dose drawers are filled in the
      central pharmacy and are exchanged once daily at 2 A.M. by the night pharmacy
      technician. Each master medication cart carries about 300 different medications,
      which comprise nearly 95% of the drug needs of the 340 patients served by the two
      medication carts. The pharmacy department has added 1.4 Full-Time Equivalent
      (FTE) registered pharmacists and eliminated 2.8 FTE pharmacy messengers in
      implementing the decentralized drug distribution system. Currently, three
      registered pharmacists per day are assigned to the inpatient unit dose drug
      distribution system (two roving pharmacists and one unit dose filling
      pharmacist). Our roving pharmacists play a vital role in improving patient care.
      The overwhelming support by the nursing and medical staff represents an attempt
      by the hospital to continue to provide an optimal health care delivery system.

PMID- 10252375
TI  - Unreported adverse drug reactions determined by screening physician orders for
      diphenhydramine.
AB  - According to the standards developed by the Joint Commission on the Accreditation
      of Hospitals, all adverse drug reactions should be reported following written
      procedures. An Adverse Drug Reaction Reporting Program is conducted by the
      Department of Pharmacy Services under the direction of the Pharmacy and
      Therapeutics Committee. However, many of the adverse drug reactions that occur go
      unreported. The purpose of the study was to determine whether patients can be
      screened for particular adverse drug reactions by reviewing the charts of
      patients having medication orders for diphenhydramine. While 48% of the patients
      included in the study had received diphenhydramine for treatment of an allergic
      reaction to a medication, none of the cases involving these reactions were
      reported according to the written procedures governing the Adverse Drug Reaction
      Reporting Program. The results of the study indicate that by auditing the
      prescribing of certain medications one can identify patients having complications
      due to their drug therapy. A more comprehensive study program could be developed
      which would screen for many types of adverse drug reactions and audit all of the
      drugs used to treat these drug-induced illnesses.

PMID- 10252376
TI  - Hospital pharmacy practice in the state of Kansas.

PMID- 10252377
TI  - Review of the justification for pharmacy parenteral admixture preparation.
AB  - Pharmacy-based intravenous admixture programs are still not present in many
      hospitals today, despite the length of time these programs have been advocated.
      This paper reviews the scientific, legal, and administrative basis for pharmacy
      based centralized intravenous admixture programs. Key elements in developing
      admixture programs based on these points are reviewed.

PMID- 10252378
TI  - The organization and use of information: contributions of information science,
      computational linguistics and artificial intelligence.

PMID- 10252379
TI  - Clinical applications of sociology in health care.

PMID- 10252380
TI  - The Wichita Minor Surgery Center: perspective of the independent, free-standing
      surgery center.

PMID- 10252381
TI  - Can nursing home personnel be taught how to "sell"?

PMID- 10252382
TI  - The role of profit in a reimbursement plan.

PMID- 10252383
TI  - Air lift to Washington.

PMID- 10252384
TI  - Bouquets from the President.

PMID- 10252385
TI  - Activity coordinator registration: route signs and recognition.

PMID- 10252386
TI  - Policy issues: AHCA's views.

PMID- 10252387
TI  - Staff's morale.

PMID- 10252388
TI  - Nutritional assessment and care.

PMID- 10252390
TI  - On being a smart activity coordinator.

PMID- 10252389
TI  - Elements of staff development.

PMID- 10252391
TI  - Long term care review in Iowa: a success story.

PMID- 10252392
TI  - Our nursing dilemma: "nurses are leaving the profession in great numbers and are
      heading into more lucrative fields.".

PMID- 10252393
TI  - ACHA policy paper: patients' rights.

PMID- 10252394
TI  - New Zealand's South Island.

PMID- 10252395
TI  - A lift for you: working with helicopters.

PMID- 10252396
TI  - Truth well told: public relations the Acadian way.

PMID- 10252397
TI  - A permanent cardiac life support center: an economical and efficient way to
      provide basic and advanced training.

PMID- 10252398
TI  - Australia's EMS.

PMID- 10252400
TI  - Guest editorial: professional burnout.

PMID- 10252399
TI  - Nightmare in Kansas City.

PMID- 10252401
TI  - A client-centered model of therapeutic intervention.

PMID- 10252402
TI  - The psychiatric hospital treatment of alcoholism: a multidisciplinary approach.

PMID- 10252403
TI  - Microfiche: an answer to a medical records paper problem.

PMID- 10252404
TI  - A method of determining production load and size of inventories when demand is
      variable.

PMID- 10252405
TI  - Implementation of computer simulation projects in health care.

PMID- 10252407
TI  - The structured use of music in pastoral psychotherapy.

PMID- 10252406
TI  - On asking the right question.

PMID- 10252408
TI  - Areawide planning and administration: overcoming conflicting frames of reference.

PMID- 10252409
TI  - Beyond annual planning in human services: the new situation in aging.

PMID- 10252410
TI  - Dilemmas of program implementation: California's pilot multipurpose senior
      services project.

PMID- 10252411
TI  - Working in aging services: job satisfaction, regulation, and turnover.

PMID- 10252412
TI  - The quest for human services integration as reflected in HEW.

PMID- 10252413
TI  - Child life workers: who are they and what are they doing?
AB  - The survey responses from 152 U.S. and Canadian Child Life Programs are presented
      to describe the backgrounds of Child Life workers and the services they are
      currently offering to pediatric patients and their families. The majority of
      Child Life workers tend to be females with training in Child Development,
      Education, or Recreation Therapy. Although there is variation between Child Life
      Programs versus those with other titles, the "core" activities of Child Life
      workers tend to be supervising the activity room, preparing patients/families for
      medical and surgical procedures, and attending interdisciplinary meetings. The
      survey findings are used to raise questions for consideration in the further
      development of the Child Life profession.

PMID- 10252414
TI  - Canadian child life/non-medical programs in hospitals.
AB  - Child Life, Play Therapy, and Recreational Therapy Programs in Canadian hospitals
      were surveyed to determine: (1) the nature of the programs (goals and
      philosophy), (2) the children involved, (3) the staff resources (roles and
      qualifications), and (4) perceived training needs. Results are discussed in terms
      of pertinent issues relating to the acceptance of the concept of Child Life and
      the need for structured educational programs in the field.

PMID- 10252415
TI  - Showing them what you can do: a practical guide for evaluating child life
      programming.
AB  - To successfully compete with other services for scarce hospital funds, Child Life
      professionals must be able to demonstrate accountability through competent
      program evaluation. In addition to the function of assessing the achievement of
      programs goals, evaluation offers an opportunity to educate supervisory personnel
      by indicating: (1) the value of the services offered, (2) the competence of Child
      Life personnel and their concern for quality, and (3) the need for additional
      hospital support. Guidelines for conducting and submitting an evaluation and the
      relationship between evaluation and the promotion of Child Life goals are
      discussed.

PMID- 10252416
TI  - A care-by-parent unit: its planning, implementation and patient satisfaction.
AB  - Influenced by a shortage of nurses, the high cost of hospitalization, and a
      belief that parents can give adequate care to certain hospitalized children, a
      care-by-parent unit (CBPU) was developed. Patient care is provided by parents. No
      nurses are on the unit; a unit coordinator is the only hospital personnel. A care
      by-parent committee composed of representatives from several disciplines gives
      direction to the unit. Unit success has been measured by several criteria. Cost
      per-patient day has been lowered, physicians have expressed satisfaction, and a
      survey of children and their parents indicates that both are highly supportive of
      the unit.

PMID- 10252417
TI  - A children's fair.
AB  - As outdoor, free, public Children's Fair for Multicultural Health Activities
      provided appropriate participatory exhibits, experiences, materials, and
      conversations for predominantly non-Anglo children and families. The purpose was
      to reduce fears, create greater understanding of the role of parents, and
      increase awareness of the family's emotional needs when the child is in health
      care.

PMID- 10252418
TI  - Photocopiers.

PMID- 10252419
TI  - Microfiche readers.

PMID- 10252420
TI  - Printer terminals for libraries.

PMID- 10252421
TI  - Word processing in libraries.

PMID- 10252422
TI  - Survey of word processing equipment.

PMID- 10252424
TI  - Portable microfiche readers.

PMID- 10252423
TI  - The library catalog: com and on-line options.

PMID- 10252425
TI  - Videodisc technology: equipment, software, and educational applications.

PMID- 10252427
TI  - Managing employee stress: reducing the costs, increasing the benefits.

PMID- 10252428
TI  - Hospital liability for professional negligence.

PMID- 10252426
TI  - Rehabilitation literature: a guide to selection materials.
AB  - The rehabilitation of physically disabled persons is an expanding and
      interdisciplinary field, and the literature on this topic has grown rapidly in
      recent years. Bibliographic control of rehabilitation literature is poor, and
      selection of materials about physically disabled persons can be a difficult
      undertaking. The present article describes and evaluates various selection tools
      on the basis of their coverage of rehabilitation literature and their usefulness
      to academic, public, and special librarians.

PMID- 10252429
TI  - Education: a vital tool in achieving the objectives of your department.

PMID- 10252430
TI  - Laundry plays a crucial role in efforts to combat infection.

PMID- 10252431
TI  - Expectations of administrators: demands continue to increase.

PMID- 10252432
TI  - New on-premise laundry facility opens at Ohio's Doctors Hospital.

PMID- 10252433
TI  - What is the payoff in computerized appointment scheduling?
AB  - Is your group experiencing difficulty in the area of patient appointment
      scheduling? By changing from a manual method to a system of on-line computerized
      appointment scheduling, you will not only realize the value of consistent
      scheduling, but also the benefits of credit control and a reduction of time
      consuming error correction. The process that this group went through in
      developing a computerized system to meet their specific needs is especially
      relevant to larger group practices. However, there are systems available that can
      fulfill the needs of any size group.

PMID- 10252434
TI  - Two clinics of New Orleans.

PMID- 10252436
TI  - Shared services: a viable concept for the 80s?

PMID- 10252435
TI  - Cost accounting--curse or cure-all?

PMID- 10252437
TI  - The administrator as teacher.
AB  - The medical group administrator plays more than just a single role. He is a
      leader, a financial advisor, a manager, a physician liaison, and a personnel
      manager. He is given many opportunities to reflect on and appreciate these roles
      and the complexity of them both in day-to-day life at the clinic and in
      management literature. The administrator also may serve as an educator, and in
      this role he provides a means for the clinic to actively participate in the
      professional enrichment of its employees, and a means for himself to become a
      more organized, effective manager.

PMID- 10252438
TI  - Employee recognition award--it pays.
AB  - Industrial psychologists agree that reasons for motivation are difficult to
      pinpoint. Two basic schools of thought prevail. One theory is that individuals
      must have built-in motivation factors, while another contends that people can be
      motivated by positive stimuli. Either way, both sides generally agree that an
      open, positive working environment encourages workers to fulfill their potential.
      It makes sense. Employees are apt to be more motivated and, therefore, more
      productive in a pleasant work environment where praise, encouragement, and
      support exists. By developing an employee recognition award program in your
      clinic, you will help create a work environment that is conductive to maximizing
      employee performance.

PMID- 10252439
TI  - The center for research.

PMID- 10252440
TI  - Santa Cruz Medical Clinic.

PMID- 10252441
TI  - Group/hospital affiliation: possible barriers to medical staff integration.
AB  - Group practice administrators are understandably concerned about the drawbacks
      and the benefits of formal affiliation of their groups with hospitals or other
      healthcare institutions. An administrator may wonder: "Should we align ourselves
      with this particular institution at this time?" or "What kinds of formal
      arrangements should we enter into?" A good administrator is also a good
      negotiator, and as such, will try to consider and include the opinions of the
      other participants in actions involving his group. When considering affiliation
      with an organization, the administrator will try to understand the drawbacks and
      the benefits as seen from the other side of the fence.

PMID- 10252442
TI  - How you can get burned taking HMO referrals.

PMID- 10252443
TI  - Doctor-owned malpractice insurers: growing pains or death throes?

PMID- 10252444
TI  - "Paying patients to stay well" gets a boost from doctors.

PMID- 10252445
TI  - Malpractice prevention that pays off immediately.

PMID- 10252446
TI  - My battle with the nursing home that barred me.

PMID- 10252447
TI  - One kind of cost-containment that everybody likes.

PMID- 10252448
TI  - The growing interest of hospital pharmacies in ambulatory care.

PMID- 10252449
TI  - Substitution--the relevant market.

PMID- 10252450
TI  - The role of the pharmaceutical industry in the health market.

PMID- 10252451
TI  - The smallest patients: technology's successes and failures heighten poignant
      medical dilemmas.

PMID- 10252452
TI  - Managing for placebo effects.

PMID- 10252453
TI  - Management by objectives: does it work for hospitals?

PMID- 10252454
TI  - Let's stop alienating prospective employees.

PMID- 10252455
TI  - The Myers-Briggs test: a role definition tool.

PMID- 10252456
TI  - Confronting problem performance: the art of preserving human resources.

PMID- 10252457
TI  - Starting a development program.

PMID- 10252458
TI  - The development officer from the CEO's point of view.

PMID- 10252459
TI  - Development and health promotion: a happy marriage.

PMID- 10252460
TI  - Health care in China -- a magnificent public effort.

PMID- 10252461
TI  - Positive staff/auxilian relationships keep hospital volunteers on board.

PMID- 10252462
TI  - Development: an effective institutional role.

PMID- 10252463
TI  - PROS and CONS of campaigns vs. fund programs.

PMID- 10252464
TI  - Professional may be held to higher advertising standards, court rules.

PMID- 10252465
TI  - Hospital execs may turn to hedging to better control bond sales timing.

PMID- 10252467
TI  - Nurse shortage spurs trend-setting contracts.

PMID- 10252466
TI  - Changes might cripple some small, rural HSAs.

PMID- 10252468
TI  - Make doctors aware of problems with R.N.s.

PMID- 10252469
TI  - For-profit and public hospitals get best I.V. prices.

PMID- 10252470
TI  - Hospitals and HMOs play hardball.

PMID- 10252471
TI  - Large firms will invest $250 million in HMOs during the next five years.

PMID- 10252472
TI  - Follow 'gut feelings' and interview protocol when hiring key manager.

PMID- 10252473
TI  - Tax cuts make fund raising harder.

PMID- 10252474
TI  - Quality circles put workers in charge of their productivity.

PMID- 10252475
TI  - Quality circles may substantially improve hospital employees' morale.

PMID- 10252476
TI  - Old loft feeling makes replacement psychiatric hospital seem spacious.

PMID- 10252477
TI  - Equipment will cut costs and close some hospitals.

PMID- 10252478
TI  - Look for 1 more CT generation.

PMID- 10252479
TI  - A new generation of patient monitors is coming to market.

PMID- 10252480
TI  - Computer assisted management of occupational health programs.

PMID- 10252481
TI  - Medical services for construction projects.

PMID- 10252482
TI  - Hospital fire safety program.

PMID- 10252483
TI  - Health vacuum being filled by nonmedical sector.

PMID- 10252484
TI  - 'Wellness' can save lives--and dollars.

PMID- 10252485
TI  - Pricing health policies in an uncertain time: Part I.

PMID- 10252486
TI  - Eliminating HSAs.

PMID- 10252487
TI  - Advantages and limitations of hospital foundations.

PMID- 10252488
TI  - Phone system cuts energy use, emergency response time.

PMID- 10252489
TI  - Operations planning with VERT.
AB  - The Venture Evaluation and Review Technique (VERT) is a computerized,
      mathematically oriented network-based simulation technique designed to analyze
      risk existing in three parameters of most concern to managers in new projects or
      ventures--time, cost, and performance. As such, the VERT technique is more
      powerful than techniques such as GERT, which are basically time and cost
      oriented. VERT has been successfully utilized to assess the risks involved in new
      ventures and projects, in the estimation of future capital requirements, in
      control monitoring, and in the overall evaluation of ongoing projects, programs,
      and systems. It has been helpful to management in cases where there is a
      requirement to make decisions with incomplete or inadequate information about the
      alternatives. An example describing the application of VERT to an operational
      planning problem--the evaluation of electric power generating methods--is
      illustrated.

PMID- 10252490
TI  - Selecting and evaluating a collection agency.

PMID- 10252491
TI  - Request for proposal for a laboratory computer system--a proposed outline.

PMID- 10252492
TI  - The retainer fee contract.

PMID- 10252493
TI  - Misguided surveillance: public actions and medical care assessment.
AB  - The public has accused physicians of overusing or misusing ancillary services and
      clinical laboratory tests, and government agencies have been entrusted to help
      eliminate performance of these so-called unnecessary services. Here, the author
      documents the confused and contrary evidence that became the basis of established
      public policies toward monitoring physician performance or behavior. In next
      month's issue, the author will examine physicians' roles in medical care
      assessment.

PMID- 10252494
TI  - Misguided surveillance: physicians' roles in medical care assessment. Part II.
AB  - In his article last month, Mr. Gliebe showed that no consensus has been reached
      on what the indicators of quality of medical care are actually measuring. In this
      article, he emphasizes that judgments of overuse or misuse of ancillary services
      and laboratory tests cannot be made without first judging quality of care, yet
      quality measurement capabilities are minimal. He maintains that since medical
      care review is mandated, it should be based on valid data obtained from the
      clinician involved in the patient's treatment. Thus, he suggests as a possible
      solution focusing on the individual clinical case.

PMID- 10252495
TI  - Informed consent: legal, behavioral, and educational issues.
AB  - The doctrine of informed consent is examined from legal, behavioral, and
      educational perspectives. A brief legal history of the doctrine is presented
      along with a discussion of contemporary standards of disclosure and the emerging
      right of the patient to understand informed consent disclosures. Behavioral and
      educational issues include the relationship between disclosure and patient
      anxiety, patient recall of disclosures, readability of consent forms, and
      alternatives to the traditional doctor-patient disclosure model. A role for the
      patient-health educator in strategies to improve both the consenting and
      informing processes of the informed consent requirement is suggested.

PMID- 10252496
TI  - Teaching the patient with ischemic heart disease: a systemic approach to
      instructional design.
AB  - Does a systematic approach to the design of instruction for patients with
      ischemic heart disease (IHD) produce an effective educational product? One
      hundred patients, 67 men and 33 women with an average age of 57 years, who were
      hospitalized with IHD (myocardial infarction or unstable angina), were randomly
      assigned to an experimental or control condition and pretested to determine their
      knowledge of the disease and its treatment. Experimental subjects received a
      linear self-instructional program on the nature and treatment of IHD. Control
      subjects did not receive the program. Two days later a posttest was administered
      to experimental and control subjects; an average of 14 days after discharge a
      retention test was given to both groups. Individual test scores revealed that
      (allowing for a subject effect) patients who completed the program achieved
      significantly (P less than 0.001) higher posttest and retention test scores than
      those who did not. Also, patients who completed the program retained the
      information during the two weeks between the posttest and the retention test.
      Results of this study indicate that the instructional framework that was
      effective in the design of a health-education program for pregnant women can be
      applied to the design of instruction for patients with IHD.

PMID- 10252497
TI  - The relationship of health locus of control to patients with end-stage renal
      disease.
AB  - Twenty-eight patients with end-stage renal disease receiving dialysis at the
      University of Utah Medical Center were the subjects of a nonequivalent control
      group study. This study was designed to measure the impact of a preventive
      aerobic exercise/educational intervention on the patients' locus of control. A
      creative incentive plan was utilized to motivate patients to accept
      responsibility for acquire cardiovascular fitness. There were no statistically
      significant differences before and after the intervention, as measured by the
      Multidimensional Locus of Control scale. The absence of change was partly
      attributed to an unusual internal orientation at the pretest level. Of the four
      factors examined that might account for this finding, the one that emerged with a
      statistically significantly high correlation was the duration on dialysis.

PMID- 10252498
TI  - Effect of counselling rejected blood donors to seek health care.
AB  - The appropriate public health role of a blood bank has not been completely
      defined. An evaluation of verbal counselling as an incentive for rejected blood
      donors to seek follow-up medical care was undertaken. Two groups, deferred from
      donating blood because of low hematocrits, were compared in terms of compliance
      rate (percentage seeking medical care). The first group, comprising 60
      individuals deferred in a traditional manner with either a brief written or
      verbal statement, had a compliance rate of 25%. In the second group, comprising
      61 individuals to whom additional counselling was offered, 79% requested such
      counselling. A compliance of 60% was found among those counselled, and an overall
      compliance rate of 54% was noted in the group as a whole. The more than doubling
      of the compliance rate indicates that a blood bank can effectively encourage
      deferred donors, most of whom are asymptomatic, to seek health care.

PMID- 10252499
TI  - Sources of information about cancer as perceived by adolescent patients, parents,
      and physicians.
AB  - As survival time has been extended for young cancer patients, their informational
      needs have also increased. Using written questionnaires, we surveyed 63
      adolescent patients, 60 parents, and 53 physicians to compare their perceptions
      of patient-communication patterns and current and preferred information sources.
      Physicians were the main current and preferred information sources noted by all
      three groups. Group discussions with patients the same age, films and television
      programs, and books were ranked as acceptable but less preferable sources by more
      than half of each group. More than 90% of the patients were usually accompanied
      by a parent. Patients most frequently sought their parents to discuss general
      concerns and cited parents as their second most frequently used source of disease
      related information. Adolescents qualified their parental discussions more than
      was perceived by their parents (P less than 0.01) and viewed themselves as
      discussion initiators more frequently than did their parents (P less than 0.05).
      Parents were more likely than patients to prefer physicians as their child's
      information source (P less than 0.05). Physicians consistently underestimated
      their own and the parents' importance, believing instead that the patients relied
      more on peers. Fewer physicians than patients or parents favored including
      parents in discussion with health professionals (P less than 0.001).

PMID- 10252500
TI  - Outpatient educational program for rheumatoid arthritis patients.
AB  - A patient-education program was designed to meet the expressed needs of clinic
      rheumatoid arthritis patients. This program consisted of six educational seminars
      involving various health professionals. A quasi-experimental control group design
      was employed to evaluate the patients' cognitive and behavioral responses to this
      program. Responses were assessed through the administration of pretests,
      posttests, and three-month follow-up tests to treatment and control groups. The
      treatment group increased its cognitive score 22.5% from initial pretest to long
      term follow-up, whereas the control group improved only 5.1% on these questions.
      The treatment group improved its behavioral score between the administration of
      the pretest and the posttest and maintained this improvement on the long-term
      follow-up. Although the control group initially scored somewhat higher on the
      behavioral measures, it reported a decrease in the performance of self-care
      activities on the posttest and follow-up.

PMID- 10252501
TI  - How to estimate employee turnover costs.

PMID- 10252502
TI  - Retaliation: a misunderstood form of employment discrimination.

PMID- 10252503
TI  - Quality control in employee selection.

PMID- 10252504
TI  - Incentive programs: pros and cons.

PMID- 10252505
TI  - HMOs: regulations, problems and outlook.

PMID- 10252506
TI  - Documentation: a tool for effective management.

PMID- 10252507
TI  - Contracting for EAP services.

PMID- 10252508
TI  - Modified abduction board for the adult burn patient.

PMID- 10252509
TI  - Developing an employee cardiovascular fitness program.
AB  - Employee fitness programs, which have become increasingly popular in industrial
      settings, particularly over the past decade, are now also gaining favour in the
      hospital environment. Whereas employers are interested in the positive
      relationships between physical fitness, absenteeism and work performance,
      employees, as a result of participation in fitness activities, enjoy a more
      positive outlook on life. This paper discusses several points which might be
      considered during the development of a fitness program for employees, such as:
      persuading administrators of the need; generating employee interest; pre-testing
      participants; and actual program planning. The organization of the program -- it
      frequency and duration, and the warm-up, training and cool-down periods -- is
      also outlined.

PMID- 10252510
TI  - A chest rehabilitation program that emphasizes the rural patient.
AB  - This paper describes the multifaceted chest rehabilitation program at a referral
      teaching hospital in Saskatchewan. The program was developed following
      recognition of the special needs of rural patients undergoing treatment for
      chronic obstructive pulmonary disease (COPD). It has evolved to include three
      aspects. The first is concerned with the rural patient as an inpatient who
      participates in chest, exercise and education classes, in conjunction with
      medical treatment, and whose discharge needs are recognized and acted upon while
      in hospital. The second aspect is that of the one-day educational workshop aimed
      at outpatients not yet requiring hospitalization. The third aspect pertains to
      the educational seminars organized to help the rural health professional in
      fulfilling a role in his or her community, whether assisting patients with COPD
      at home or in hospital. In the future, in order to assess the efficacy of this
      multifaceted program, a formal research study devised according to the data
      obtained through a preliminary survey of 101 of the program's inpatients should
      be undertaken.

PMID- 10252511
TI  - Functional staffing.

PMID- 10252512
TI  - Developing an effective housekeeping training program.

PMID- 10252514
TI  - Relative changes in medical care prices: the Consumer Price Index.

PMID- 10252513
TI  - Income differences between male and female physicians.

PMID- 10252515
TI  - Decade of the 1970s -- window on the 1980s: a review of health care policy.

PMID- 10252516
TI  - Trends in physicians' incomes, expenses, and fees: 1970-1979.

PMID- 10252517
TI  - Female physicians in the 1970s: their changing roles in medicine.

PMID- 10252518
TI  - Geographic mobility of physicians: 1971-1975.

PMID- 10252519
TI  - Regulation of hospital costs, volume and prices.

PMID- 10252520
TI  - Who's paying what for health promotion services -- and why.

PMID- 10252521
TI  - A look at how some hospitals are maximizing income, minimizing expenses in
      response to the financial dilemma.

PMID- 10252523
TI  - Competition in health care: cure or chaos?

PMID- 10252522
TI  - Third-party payment for health promotion? An insurance leader weighs the
      prospects.

PMID- 10252524
TI  - Recertification: what physicians think now.

PMID- 10252526
TI  - Refusal of consent: what the doctor must do.

PMID- 10252525
TI  - Home health care: cost cutter or another expense?

PMID- 10252527
TI  - Can accreditation serve health planning/policy programs? Report of the health
      planning/policy task force of ACEHSA.

PMID- 10252528
TI  - Voluntary accreditation and the public intent: implications for graduate
      education for health services administration.

PMID- 10252529
TI  - Competency-based education: implications for health administration education and
      accreditation.

PMID- 10252530
TI  - Communication training for undergraduate students in health planning and
      administration.

PMID- 10252531
TI  - Participant observation: some notes on the applicability of organization theory
      to the administrative residency process.

PMID- 10252532
TI  - Rational planning and responsiveness: the case of the HSAs.
AB  - American government in the twentieth century has been faced with a serious value
      conflict between the need for rational allocation of scarce resources through
      planning, and the need to be responsive to a diverse society. Two ideal types of
      planning correspond to these two values. Rational planning emphasizes the
      importance of the planner's expertise in achieving the "best" path to socially
      defined goals. Advocacy planning emphasizes the importance of responsiveness to
      group interests since all planning decisions are basically a matter of value
      choice. Citizen participation in planning often combines elements of these two
      models, embodying the value conflict in planning agency procedures. Health
      systems agencies are examined as a typical case of such planning. Their failure
      to build a constituency is viewed as a consequence of role conflict reduction
      strategies by representatives who did not know whether to play the planner or the
      advocate role, and how to play either.

PMID- 10252533
TI  - Facility report: Memorial Hospital, Sarasota, Fla.

PMID- 10252534
TI  - Cutting the cost of RT supplies: a group purchasing plan.

PMID- 10252536
TI  - "Taste' marketing rounds out hospital's image.

PMID- 10252535
TI  - A treatment bed for immobilized patients.

PMID- 10252537
TI  - Sunnybrook Hospital, American Cafe, lead the way with electronics to cut costs,
      ease workloads.

PMID- 10252538
TI  - Director offers step-by-step guide for independent units.

PMID- 10252539
TI  - Common staffing questions answered by manager.

PMID- 10252541
TI  - Abstractive and observational methods of educational evaluation in a dietetic
      clinic.

PMID- 10252540
TI  - How lasers save sight.

PMID- 10252542
TI  - Background, attitudinal and behavioural patterns of individuals occupying eight
      discrete health states.

PMID- 10252543
TI  - Towards a theory of perceived and medically defined need.

PMID- 10252544
TI  - The Buffalo System: an example of remediation as a method of social control.

PMID- 10252545
TI  - Viewpoint: resurrecting the arena.

PMID- 10252546
TI  - Intervention with the elderly in information and referral agencies.

PMID- 10252547
TI  - A reappraisal of confidentiality.

PMID- 10252548
TI  - Self-help groups for families of the mentally ill.

PMID- 10252549
TI  - The rural hospice: integrating formal and informal helping systems.

PMID- 10252550
TI  - Softball league for day treatment programs.

PMID- 10252551
TI  - A queueing network approach to health care planning with an application to burn
      care in New York State.

PMID- 10252552
TI  - Factors affecting variations in health services utilization in Quebec, Canada.

PMID- 10252553
TI  - Estimating the economic impacts of public spending in a sub-region: an
      econometric approach.

PMID- 10252554
TI  - Ronald McDonald houses--homes away from home.

PMID- 10252555
TI  - Data base system relieves hospital cost headaches.

PMID- 10252556
TI  - Self-funding for employee health plans.
AB  - In today's environment of increasing pressures to contain costs, hospital
      management is faced with the need to identify all potential areas of cost
      savings. Self-funding of employee health care benefits appears to be one such
      area: this approach should enable the hospital to control its health plan and
      allow cash flow to work to its advantage. Further advantages may accrue to the
      hospital which elects to self-fund its employee health plan should a group of
      hospitals purchase reinsurance together. SCHA members have enjoyed similar
      advantages through pooled arrangements in purchasing other employee benefit
      plans. A series of regional meetings conducted during the fall of 1980 provided a
      forum for discussion of self-funding alternatives by administrators, chief
      financial officers, and personnel directors. As a result of these meetings,
      hospital management is better equipped to monitor, evaluate, and consider
      alternatives to their present employee health plans. And SCHA, through its
      committee structure, is continuing to explore self-funding of employee health
      care benefits as a potential area of cost savings.

PMID- 10252557
TI  - Florida hospital develops a hurricane preparedness plan.

PMID- 10252558
TI  - Recreation therapy: a prescriptive approach.

PMID- 10252560
TI  - Attitudes of institutionalized, elderly Iowans toward physical activity.

PMID- 10252559
TI  - Recreational therapy: a model for consideration.

PMID- 10252561
TI  - The patient and the medical record.

PMID- 10252562
TI  - Issues and problems in ambulatory care medical record practice.

PMID- 10252563
TI  - Evaluation of ambulatory care delivery systems.

PMID- 10252564
TI  - Home health record systems: a challenge to the medical record profession.

PMID- 10252565
TI  - The uniform ambulatory medical care data set.

PMID- 10252566
TI  - Reorganization of the medical record department in an ambulatory care facility.

PMID- 10252567
TI  - Clinical information systems in small primary care settings.

PMID- 10252568
TI  - A controlled-decentralized file system for outpatient medical records.

PMID- 10252569
TI  - Discoverability and admissibility of medical staff committee records: a state-by
      state analysis.

PMID- 10252570
TI  - Retention of medical records: legal requirements and practical constraints.

PMID- 10252571
TI  - Access to medical records, Part 2: liability for improper disclosure of medical
      records.

PMID- 10252572
TI  - Hospital liability, risk management, and the medical record.

PMID- 10252573
TI  - Consent authorization--not a form.

PMID- 10252574
TI  - The importance of proper medical record entries.

PMID- 10252575
TI  - The case abstract: a legal reference tool for medical record practitioners.

PMID- 10252577
TI  - Right to die issues.

PMID- 10252576
TI  - Legal issues concerning peer review documents.

PMID- 10252578
TI  - Treating alcohol-related problems: a specialized service within social service.

PMID- 10252579
TI  - The hospital pharmacy: cost containment offers real challenges.

PMID- 10252580
TI  - Quality assurance: implementing a management information system for nursing.

PMID- 10252581
TI  - Quality assurance: patient care coordinators fill varied roles.

PMID- 10252582
TI  - The hospital's role in health promotion.

PMID- 10252583
TI  - Wellness: coming of age in hospitals.

PMID- 10252584
TI  - Professionalism and the smaller hospital administrator.

PMID- 10252585
TI  - So you want to start a wellness program.

PMID- 10252586
TI  - Education in infection control important in preventing illness.

PMID- 10252588
TI  - Health education: replacing myths with facts.

PMID- 10252587
TI  - TDH: an activist for health people.

PMID- 10252589
TI  - Health promotion: a personal and institutional investment.

PMID- 10252590
TI  - IRS softens position on taxability of lab services.

PMID- 10252591
TI  - The Chinese Hospital: a board faces tradition and change in an old community.

PMID- 10252592
TI  - What financial information should the board receive?

PMID- 10252593
TI  - Taking the mystery out of financial information.

PMID- 10252594
TI  - Blueprint for a successful building program.
AB  - The primary role of the board in developing a health care facility is to
      establish decisive policy regarding the building program. This article describes
      what is entailed in the development process; the makeup of the external
      consulting team; the hospital's internal review and decision-making process; and
      the issues and decisions the board must face.

PMID- 10252595
TI  - Do's and dont's for a successful construction project.

PMID- 10252596
TI  - Remodel or replace? Deciding what to do with an aging facility.
AB  - The decision whether to remodel or replace an aging facility turns on such
      factors as whether the existing building was designed for expansion and how well
      it has been maintained. The possibility of relocation should be considered with
      an expansion program even if a move isn't seriously contemplated. To avoid
      obsolescence, the goal of original hospital design should be a physical plant
      with built-in flexibility that is able systematically to accommodate changes in
      medical technology and patient care delivery.

PMID- 10252597
TI  - Seeing double: how multihospital systems develop their facilities.

PMID- 10252598
TI  - Coping with the codes explosion.

PMID- 10252599
TI  - Investment bankers advise on financing a construction project.

PMID- 10252600
TI  - GAO urges delaying VA care until eligibility claim verified.

PMID- 10252601
TI  - Leprosy report: hospital closures pose uncertain future for ambulatory patients.

PMID- 10252602
TI  - Quality control for volunteer services.

PMID- 10252603
TI  - Hospital and community set up parenting sessions.

PMID- 10252604
TI  - Pastoral associates contribute to patient care.

PMID- 10252605
TI  - The value of an internship in volunteer administration.

PMID- 10252606
TI  - Studies in linguistic ambiguity and insecurity.
AB  - This article focuses on problems of cross-culture communication between patients
      and psychiatrists of varying socio-linguistic and foreign language backgrounds,
      in an in-patient psychiatric community facility. Issues of diagnosis, integration
      into the ward treatment program, and progress in the course of treatment can in
      some cases be traced to specific socio-linguistic problems, which have previously
      gone undiagnosed. The clinical impact of three types of communication breakdowns
      are evaluated: (1) overt language differences; (2) linguistic ambiguity; and (3)
      linguistic insecurity. A need exists for further research in identification and
      assessment of language insecurity, and for modification of therapeutic procedures
      to deal with inter-dialectic communication difficulties.

PMID- 10252607
TI  - El asesino silencioso: a methodology for alerting the Spanish-speaking community.
AB  - Information describing the health status of the Spanish-speaking population, the
      nation's second largest minority, is extremely scarce. In particular, few studies
      have attempted to document the prevalence or ascertain the extent of treatment or
      the level of public awareness of hypertension or other cardiovascular diseases in
      this minority population. However, before any large scale effort to determine the
      prevalence or to determine the treatment and awareness needs related to
      hypertension is initiated, preliminary questions concerning how to reach and
      motivate the Spanish-speaking population to adopt cardiovascular health risk
      reducing behaviors must be answered.

PMID- 10252608
TI  - A causal model for turnover for nurses.
AB  - Longitudinal data on 1,091 registered nurses in seven hospitals were used to
      estimate a causal model of turnover in organizations. Total effects on turnover
      were found to be the greatest for four determinants: intent to stay, opportunity,
      general training, and job satisfaction. The relative importance of the
      determinants of turnover and the explanatory power of the model are presented and
      discussed.

PMID- 10252609
TI  - The influence of task and personality characteristics on employee turnover and
      absenteeism incidents.

PMID- 10252610
TI  - Problems with contingency theory: testing assumptions hidden within the language
      of contingency "theory.".
AB  - This paper suggests that there are five problems with contingency theory, ranging
      from a simple lack of clarity in its theoretical statements to more subtle issues
      such as the embedding of symmetrical and nonmonotonic assumptions in the
      theoretical arguments. Starting from Galbraith's (1973) contingency theory about
      organizing for effectiveness, several traditional contingency hypothesis were
      tested along with more precise hypotheses developed from knowledge of the five
      problems with contingency theory. Data were drawn from a study of organizational
      effectiveness in acute care hospital operating room suites. Although traditional
      contingency notions were not supported by the data, the more precise hypotheses
      received stronger empirical support. The study data suggest that relationships
      between technology, structure, and organizational effectiveness are more
      complicated than contingency theory now assumes. The paper concludes by
      suggesting formulation of a contingency theory of organizational effectiveness
      that includes interactive, nonmonotonic, and symmetrical arguments.

PMID- 10252611
TI  - On Lok Senior Health Services: community-based long term care.

PMID- 10252612
TI  - Hale Pulama Mau: meeting the needs of Hawaii's elderly.

PMID- 10252613
TI  - Treatment and research of the chronic schizophrenic patient.

PMID- 10252614
TI  - Physician burnout: when the healer is wounded.

PMID- 10252616
TI  - Nothing fails like success.

PMID- 10252615
TI  - Can arbitration work?

PMID- 10252617
TI  - How to deal with the fears of dying.

PMID- 10252618
TI  - Texas nurses take aim at profession's shortage.

PMID- 10252619
TI  - Costs worrying hospitals: Florida perinatal program a mixed success.

PMID- 10252620
TI  - Experiment in Texas: nursing home group practice results mixed.

PMID- 10252622
TI  - Hospital 'guarantee' plans spreading.

PMID- 10252621
TI  - Poison control battle erupts.

PMID- 10252623
TI  - Linen utilization: Part 1.

PMID- 10252624
TI  - In-service training for linen users.

PMID- 10252625
TI  - New linen system helps central cut poundage.

PMID- 10252626
TI  - Dyeing stained linen makes it usable again.

PMID- 10252627
TI  - A famous Army institution builds a technological showcase.

PMID- 10252628
TI  - Towards a more humane health care.

PMID- 10252629
TI  - A one-story medical complex blossoms in the desert.

PMID- 10252631
TI  - A hospital bridges a transitional urban site.

PMID- 10252630
TI  - A mental health center infills a tight urban site.

PMID- 10252632
TI  - Family services for an inner city neighborhood.

PMID- 10252633
TI  - It's not impossible to get free air time, just a lot of work.

PMID- 10252634
TI  - The politics of constraint: inequities in health policy.

PMID- 10252635
TI  - The biggest private hospital in Australia: St John of God enters a new era.

PMID- 10252636
TI  - Foreign ownership: is it really that bad after all?

PMID- 10252638
TI  - Energy conservation--hospital engineering services.

PMID- 10252637
TI  - Triage on the Big Thompson.

PMID- 10252639
TI  - In re Sharon Siebert: decision regarding a brain-damaged adult.

PMID- 10252640
TI  - Siebert commentary: medical-legal issues.

PMID- 10252641
TI  - Decision-making for the incompetent: exemplars and questions from Siebert.

PMID- 10252642
TI  - Spiritual needs of terminally ill patients.

PMID- 10252643
TI  - A pastoral walk with the fearful.

PMID- 10252644
TI  - The role of the chaplain in a changing institutional setting.

PMID- 10252645
TI  - Meditations from a hospital bed: making sense out of the nonsense of
      hospitalization.

PMID- 10252646
TI  - The employee stressor: violence on the job.

PMID- 10252647
TI  - Standards for wholistic health care.

PMID- 10252649
TI  - Your pastor--saint or schloop?

PMID- 10252648
TI  - Visiting on the pediatric unit.

PMID- 10252650
TI  - Reduction of standards and discontinuation of funding for chaplaincy in state
      institutions.

PMID- 10252651
TI  - Starting a community hospice: "holding an elephant by the tail".

PMID- 10252652
TI  - A healthy hospital (system) encourages health; the role of the chaplain as a
      management consultant.

PMID- 10252653
TI  - The recruitment, orientation, and involvement of volunteer chaplains in a non
      sectarian hospitals.

PMID- 10252654
TI  - Orchestrating patient care: a chaplain's involvement in a cancer adaptation team.

PMID- 10252656
TI  - Physician-clergy cooperation.

PMID- 10252655
TI  - The chaplain's role in stress management of hospice nurses.

PMID- 10252657
TI  - Closed circuit television as a religious ministry.

PMID- 10252658
TI  - Importance of being frank.

PMID- 10252659
TI  - New substitutes for skin.

PMID- 10252660
TI  - Guidelines for development and implementation of state solid waste management
      plans and criteria for classification of solid waste disposal facilities and
      practices--Environmental Protection Agency. Final rule.
AB  - This rule modifies the Environmental Protection Agency's Guidelines for the
      Development and Implementation of State Solid Waste Management Plans (40 CFR Part
      256) and the Criteria for the Classification of Solid Waste Disposal Facilities
      and Practices (40 CFR Part 257). The Guidelines are being amended to expand
      public participation opportunities in the planning process and provide for
      expedited approval of certain portions of the State plans. The Criteria are being
      amended to modify the groundwater, surface water and air protection criteria. EPA
      is taking this action as part of a settlement agreement reached with industrial
      groups which have challenged these regulations in Federal Court.

PMID- 10252661
TI  - Benefit programs for the elderly--off limits to federal budget cutters?

PMID- 10252662
TI  - Hospitals and houses are consuming America.

PMID- 10252663
TI  - Emergency room physicians and the law.

PMID- 10252664
TI  - Communal resources, community responsibilities.

PMID- 10252665
TI  - The impact of questionnaire research on clinical populations: a dilemma in review
      of human subjects research resolved by a study of a study.

PMID- 10252666
TI  - Position statement on federal funding of biomedical research training and
      investigator-initiated research grants: American Federation for Clinical
      Research.

PMID- 10252667
TI  - Auditing dietetic services in a psychiatric facility.

PMID- 10252668
TI  - Growing old: a developmental crisis for society.

PMID- 10252669
TI  - Fulfillment for the aged--a change in perspectives.

PMID- 10252670
TI  - The hospital's responsibility for the negligent actions of its doctors.

PMID- 10252671
TI  - The Lilly Lecture 1981: professional practice and managing a hospital service.

PMID- 10252672
TI  - The development of a Canadian hospital pharmacy workload measurement system.
AB  - The aim of the proposed study is to establish a national workload measurement
      system for hospital pharmacy in Canada. No reliable method presently exists to
      determine staffing requirements for hospital pharmacy. In order to establish
      staffing guidelines, a method of scientifically assessing and measuring hospital
      pharmacy workloads is needed. It is proposed to develop worlkload measurement
      data for hospital pharmacy according to the Canadian Workload Recording Method of
      Statistics Canada. The Canadian Workload Recording Method was developed to
      provide a scientific basis for measuring clinical laboratory workload, thus
      promoting effective laboratory management. This method is now being applied to
      other health professions. Data for hospital pharmacy will be collected from
      various hospital pharmacy departments across Canada based on standardized
      definitions of modern hospital pharmacy practice. The proposed study will be
      carried out over a period of two years by a research group located at the College
      of Pharmacy, University of Saskatchewan, Saskatoon, in cooperation with the
      Canadian Society of Hospital Pharmacists. Workload measurement data of pharmacy
      services in Canadian hospitals will serve as a valuable management tool for
      hospital pharmacy directors, hospital administrators and federal-provincial
      funding agencies in the determination of total manpower needs and resources for
      hospital pharmacy. Also, information obtained will be of administrative
      assistance in the areas of: (a) development of standardized methods of recording
      hospital pharmacy management information; (b) generation of valid and reliable
      data to allow comparative studies of hospital pharmacy departments in terms of
      productivity and utilization of manpower; (c) determination of the proper
      staffing ratio between pharmacists and supportive personnel; and (d) development
      of short and long-term planning goals for the hospital pharmacy department. The
      Canadian Workload Recording Method was designed to reflect current practice by a
      system of continuous monitoring and review by the user. As new pharmaceutical
      services develop, additional workload studies can be conducted to establish new
      standards demonstrating the impact of future programs on manpower requirements.

PMID- 10252673
TI  - Involvement--the bottom line for this hospital CCTV channel.

PMID- 10252674
TI  - Keys to cost containment: executive involvement, useful data, and a consistent
      health care policy.

PMID- 10252675
TI  - Health care labor relations law--understanding the issues.
AB  - The 1974 amendments to the Labor Management Relations Act have created new
      problems of statutory interpretation in the rapidly evolving area of health care
      labor law. By including nonprofit hospitals under the auspices of the Act, the
      amendments have opened up a new area for unionization and have given rise to
      questions concerning the types of bargaining units that are appropriate in health
      care facilities. In the following article, the authors discuss these questions
      and other current issues in health care labor relations law. The issues include
      the determination of relevant bargaining units, the status of state nursing
      associations as labor organizations, and the ten-day strike notice requirement of
      the Labor Management Relations Act.

PMID- 10252676
TI  - Limitations and legal implications of employers' security procedures.

PMID- 10252677
TI  - Professional liability coverage: is it necessary?

PMID- 10252678
TI  - Cooperative negotiations: the key to getting what you need in EMS management.

PMID- 10252679
TI  - Labor turnover in the ambulance service: a case study of the Sacramento Valley.

PMID- 10252680
TI  - Aiming for "detached concern"--how EMTs and paramedics cope.

PMID- 10252681
TI  - Communications: making a good thing better.

PMID- 10252682
TI  - Feedback to the ambulance team.

PMID- 10252683
TI  - Time management: a survival guide for EMS managers.

PMID- 10252684
TI  - Life after the fed: a user fee provides regional funding.

PMID- 10252686
TI  - Travel in good health.

PMID- 10252685
TI  - Protecting the EMT by law.

PMID- 10252687
TI  - Monitoring system lowers absenteeism, improves morale.

PMID- 10252688
TI  - An in-house uniform store.

PMID- 10252689
TI  - Client satisfaction in a health maintenance organization: providers' perceptions
      compared to clients' reports.
AB  - This study seeks to compare clients' reports of satisfaction/dissatisfaction with
      an HMO and its medical care program to providers' perceptions of client
      satisfaction. The main conclusion is that providers are fairly aware of medical
      care system attributes with which clients are highly satisfied and dissatisfied.
      Those with direct patient contact, especially physicians and nurses, are most
      accurate in their perceptions. Personnel without direct patient contact are about
      equally accurate in their perceptions of client satisfaction, though personnel
      without patient contact perceive relatively more dissatisfaction than clients
      report. Most approaches to medical care evaluation examine costs and efficiency
      and, more recently, the technical quality of care. Less attention has been given
      to the assessment of client satisfaction, and almost no attention has been given
      to what providers perceive as the assessment of clients. Clearly, HMOs' viability
      is determined largely by their ability to identify and correct major problems
      affecting their enrollments.

PMID- 10252690
TI  - Evaluation of a hospice program: effects on terminally ill patients and their
      families.
AB  - Hospice care in the United States has grown rapidly since its introduction here
      from England in the mid-1970s. Surprisingly little evaluation of services has
      been made public, particularly with regard not merely to demographics but also
      the actual effect of hospice caregiving on patients and families. This article
      describes an attempt to identify the life dimensions that hospice addresses and
      the levels of discomfort or well-being of patients and families achieved in a
      hospice home care program. After assessing the changes in medical, psychosocial,
      and spiritual status for each of a group of hospice home care patients, the trend
      toward greater wellbeing of patients in the program can be delineated.

PMID- 10252691
TI  - Handling problems of ecological fallacy in program planning and evaluation.

PMID- 10252692
TI  - Horizontal synthetic estimation: a strategy for estimating small area health
      related characteristics.

PMID- 10252693
TI  - The health demographic profile system: current and longitudinal data base for
      social area analysis.

PMID- 10252694
TI  - How do you measure up? Dietitians vs. nurses.

PMID- 10252695
TI  - Problem: how to reduce purchasing costs. Solution: implement a prime vending
      system.

PMID- 10252696
TI  - Marketing the prepaid group practice: an empirical assessment.

PMID- 10252698
TI  - Some issues in HMO private sector financing: approaches to generating development
      capital.

PMID- 10252697
TI  - Issues in the evaluation of an HMO media campaign: results of a case study.

PMID- 10252699
TI  - My brother and his keepers.

PMID- 10252700
TI  - Self-help groups provide cost-efficient image building.

PMID- 10252701
TI  - Burnout: everybody's problem.

PMID- 10252702
TI  - Management logo competition: management as a serpent in a bowler hat.

PMID- 10252703
TI  - Spinal injuries: collecting information to promote research in USA.

PMID- 10252704
TI  - Monitoring staff safety.

PMID- 10252705
TI  - Underwater health service: flying doctors and sea dogs.

PMID- 10252706
TI  - A little Irish rejig.

PMID- 10252708
TI  - Hong Kong health service: all for 50p a day.

PMID- 10252707
TI  - Setting safer standards.

PMID- 10252709
TI  - Reorganisation: doctors' perceptions.

PMID- 10252710
TI  - The district administrator's job: its demands, constraints and choices.

PMID- 10252711
TI  - Doctors in management--a missed opportunity.

PMID- 10252712
TI  - Buy your supplies in bulk and increase your savings.

PMID- 10252713
TI  - Who is liable for equipment failure?

PMID- 10252714
TI  - Price monitor: measuring up with mattresses and underpads.

PMID- 10252715
TI  - Computer system at U. of Minnesota makes possible total M. M.

PMID- 10252716
TI  - Toxic shock syndrome recognized as postoperative risk.

PMID- 10252717
TI  - Antibiotic usage review needed to control resistant organisms.

PMID- 10252718
TI  - What's available from the manufacturers? Educational resources for infection
      control--1981.

PMID- 10252719
TI  - Installation and use of clinical anaesthetics: safety precautions.

PMID- 10252720
TI  - Biomedical engineering department in a US 500-bed acute care hospital: staffing
      and operations.

PMID- 10252721
TI  - Legionnaires' disease.

PMID- 10252722
TI  - Boiler fuels: their applications.

PMID- 10252723
TI  - Equipment for the disabled: a works contribution.

PMID- 10252724
TI  - The technical department in a large hospital.

PMID- 10252725
TI  - Technology and health care.

PMID- 10252726
TI  - Sheppey General Hospital: boiler conversion from steam to MTHW.

PMID- 10252727
TI  - Inter-organizational survival strategies: options for the voluntary non-profit
      home health agency.

PMID- 10252728
TI  - Innovative home care programs: one alternative for nutrition services.

PMID- 10252730
TI  - Health care for the aging: United States.

PMID- 10252729
TI  - Selecting a home health care management information system: common pitfalls and
      how to avoid them.

PMID- 10252731
TI  - Hospital charges determined by level of nursing care.

PMID- 10252732
TI  - Audits ensure QA at three hospitals.

PMID- 10252733
TI  - Discharge program maintains quality in and out of hospital.

PMID- 10252734
TI  - Will competition affect quality in health care?

PMID- 10252735
TI  - Nurses use peer review to monitor quality care.

PMID- 10252736
TI  - Organizing an effective quality assurance program.

PMID- 10252737
TI  - Part-time nurse pool eases night, weekend staffing.

PMID- 10252738
TI  - Precompetition health care model contradicts antiregulation bias.

PMID- 10252739
TI  - Franciscans' understanding of sponorship: a movement.

PMID- 10252740
TI  - Christian values, the Catholic health ministry, and Vatican II's themes.

PMID- 10252742
TI  - Redefining professional nursing: solution to the chronic shortage?

PMID- 10252741
TI  - Social pressures, not legislation, prompt ambulatory services' growth.

PMID- 10252743
TI  - Discussion series sensitizes nurses to patients' spiritual needs.

PMID- 10252744
TI  - Urban voluntary hospitals: predictable closure/relocation pattern?

PMID- 10252745
TI  - Natural family planning study validates treatment's success.

PMID- 10252746
TI  - Physicians required to act responsibly in labor dispute.

PMID- 10252747
TI  - Consortium mortgage, capital campaign enable hospital to remain in inner city.

PMID- 10252748
TI  - Social Security financing problem: no reason to withdraw.

PMID- 10252749
TI  - Ethnicity and clinical care: Indians.

PMID- 10252750
TI  - An effective information system for ambulatory surgery centers.

PMID- 10252751
TI  - Hospital services in terms of the market mix.

PMID- 10252752
TI  - New operating room record system.

PMID- 10252753
TI  - How to evaluate the finance function--a do it yourself hospital audit.

PMID- 10252754
TI  - Negotiation: a tool for cost containment.

PMID- 10252755
TI  - Material management: product substitutes.

PMID- 10252757
TI  - Packaging.

PMID- 10252756
TI  - How to develop a CSR quality assurance program.

PMID- 10252758
TI  - A micro computer productivity management system. How the Johns Hopkins Hospital
      developed a systematic approach to setting staffing levels.

PMID- 10252759
TI  - A case for factory-built laboratory structures.

PMID- 10252760
TI  - Ipswich Hospital.

PMID- 10252761
TI  - Design standards: Part 2.

PMID- 10252762
TI  - Boiler replacement.

PMID- 10252763
TI  - Practices and beliefs of the traditional Dinka healer in relation to provision of
      modern medical and veterinary services for the Southern Sudan.
AB  - One class of traditional Dinka healers is a practical surgeon-bonesetter
      obstetrician who practices (all but obstetrics) on both people and animals. His
      anatomical, physiological, and pathological knowledge and surmises, derived
      almost entirely from observations on cattle, are in some respects remarkable,
      especially those on the function of the kidney and nature of the circulatory
      system. He shares with ancient Egyptian healers the belief that sperm originate
      in the spinal cord and brain and performs a unique surgical operation on the
      horns of bulls that has been known in the Nile valley since the Egyptian 5th
      dynasty. With minimum training he might function effectively within the
      governmental health and veterinary services of the southern Sudan, an area
      populated mostly by transhumant cattle-culture peoples not easily reached through
      conventional health services.

PMID- 10252765
TI  - Managing problem employees.

PMID- 10252764
TI  - Genetic screening: new challenge for human resource management?

PMID- 10252766
TI  - Will the next round of budget cuts affect hospital capital financing?

PMID- 10252767
TI  - U.S. Appellate Permian decision suggests caution in voluntarily releasing
      confidential attorney communications.

PMID- 10252768
TI  - It pays to control silver recovery.

PMID- 10252769
TI  - Teaching guidelines make learning easier.

PMID- 10252770
TI  - Volunteering as therapy.

PMID- 10252772
TI  - Solving the long term care puzzle.

PMID- 10252771
TI  - Work-related daycare has proven benefits.

PMID- 10252773
TI  - Simple disaster plan makes dietary sense.

PMID- 10252774
TI  - Gatekeeper: guard or guardian? An idea whose time has come?

PMID- 10252775
TI  - Gatekeeper: guard or guardian? Don't regulate--educate.

PMID- 10252776
TI  - New statement on geriatrics: American Society of Internal Medicine.

PMID- 10252777
TI  - Ethics and health planning: implications for education.
AB  - Over the past decade in this country, there has been a rekindling of interest in
      the ethical questions of public policy. Moreover, the concern for ethical issues
      is nowhere more evident than in the field of health care. However, the ethical
      problems of health planning, particularly as practiced at the regional level,
      have scarcely received attention. This article explores the ethical dimensions of
      health planning and argues that health planners have not been adequately
      prepared, neither through their education nor through socialization in the
      profession, to deal with the complex ethical issues facing them. However, health
      planning theory can be enriched and practice improved if the ethical issues are
      confronted. Health planning is viewed as one means of achieving social justice
      because the benefits and burdens associated with health care are distributed to
      the members of society by the decisions made in the health planning process.
      However, planning decisions are not meekly accepted by the persons affected. More
      often than not, health planning decisions produce substantial political
      controversy, which is due, in part, to the planning methods commonly used. The
      synoptic or comprehensive planning approach avoids ethical questions by ignoring
      them. The incremental planning approach deals with them but only in terms of
      political process. Neither of these approaches is particularly useful for
      resolving health planning's ethical questions. The implications of these findings
      for education in health planning are discussed. The merits of the case study as a
      means of ethical education are presented.

PMID- 10252778
TI  - Objectives of recertification.
AB  - Recertification of physician competency is a major topic of discussion and debate
      in the U.S.A. today. Nearly all graduates of U.S. medical schools are eventually
      certified by an approved American Medical Specialty Board. Since the mid-1970's
      all of these Specialty Boards have endorsed the concept of recertification. This
      paper defines what is meant by periodic assessment of physician competence, why
      such an assessment is becoming a reality, and the principles which should be
      followed in implementing a system for the periodic assessment of physician
      competency. The evaluation of physician competency is a task of enormous
      proportions when one recognizes the difficulty of reliably and validly measuring
      all aspects of the skill and abilities of the practicing physician. The
      evaluation of intellectual capabilities is feasible, but somewhat limited with
      regard to the spectrum of abilities expected of the physician. In the U.S.A.,
      both the public and the medical profession have placed pressure on physicians to
      implement programs of recertification. Unlike most of the other professions,
      medicine has taken upon itself to develop and implement programs for
      recertification of the medical specialist. To develop recertification programs of
      value, they should meet certain standards. These include: the need for clear
      specification of the criteria by which qualification for recertification will be
      judged or measured; the need to attempt to coordinate programs of recertification
      with programs of continuing medical education; the need to design evaluation
      tools that accurately reflect the skills and abilities needed by the physician in
      the practice of the medical specialties; and the need to be certain that all who
      participate in such a program have the opportunity to successfully complete the
      program (that standards for passing tests be absolute rather than normative).

PMID- 10252779
TI  - Institutionalization of programs in medical education.
AB  - Through the use of questionnaires and interview schedules during extended site
      visits, sixteen programs training residents in non-family medicine primary care
      were studied to determine what factors contributed to program success -- known as
      "institutionalization" -- or to program failure. The findings revealed that
      programs were initiated for either philosophic or pragmatic money reasons. For
      programs to begin, to continue, and to be institutionalized was due to several
      contributing key factors. These included the resolution of programmatic
      differences in regard to goals; development of a substantive quality program;
      presence of forceful and respected leadership; tangible support of the
      administration and key academic departments; commitment of the teaching staff;
      anticipation of potential conflicts; participation of the involved lay and
      professional community; and the availability of some continued funding. The study
      also revealed that one program was a complete failure and had to be aborted
      because none of the key factors were present. The study concluded that the best
      way for institutionalization to occur is to assure that sound and comprehensive
      planning takes place. With thorough and anticipatory planning, the conditions
      essential to program institutionalization can be met more easily.

PMID- 10252780
TI  - Voluntary certification and the uniform guidelines on selection procedures: a
      potential problem for personnel managers.
AB  - Employers in health care sometimes rely upon various standardized testing
      procedures in selecting, promoting, and training personnel. Within the health
      professions, voluntary certification programs have developed to permit
      individuals to demonstrate competence and become recognized as qualified
      practitioners. This article addresses the problems which can occur, but are not
      widely recognized, when employers use voluntary certification examinations in the
      selection process. The impact of the federal government's "Uniform Guidelines on
      Employee Selection Procedures" upon voluntary certification activities is
      uncertain at best, and frightening, at worst. While the Guidelines require
      employers to use only validated examinations where adverse impact upon protected
      minority groups exists, they do not effectively address the use of professional
      certifying examinations and fail to provide guidance for either certifying
      agencies or employers. This leaves great potential for conflict, since
      circumstances in which employment is terminated, an employee denied promotion, or
      even denied opportunities for entry into positions based on an employer's use of
      voluntary certifying examinations, are increasing daily. How does an employer
      validate a national certifying examination that he does not administer? How does
      the certifying agency protect itself from allegations of discrimination or anti
      trust violations based on actions of an employer with whom the agency has no
      contact? This article offers no answers to these troublesome questions. However,
      it may help eliminate another problem noted by the author--widespread ignorance
      of the seriousness of these circumstances for employers and certifying agencies.
      From first-hand experience and research into the development of the Uniform
      Guidelines, the author points out many of the difficulties which await those who
      rely on non-validated examinations or choose to ignore the government's edict
      that examinations used in selection must have a demonstrated relationship to the
      job. Finally, the article proposes solutions to the dilemma faced by certifying
      organizations and suggests that, by becoming more aware of the Uniform
      Guidelines, employers and testing groups have the opportunity to protect
      themselves before a problem occurs.

PMID- 10252781
TI  - Functional fiefdom, poverty model or individualism? Development of
      intergovernmental relations in health planning.
AB  - The United States national government has the power under the National Health
      Planning and Development Act of 1974 to establish and exercise legal control over
      a system of Health System Agencies, State Health Planning and Development
      Agencies, and State Health Coordinating Councils. Although the national
      government appears to have the legal powers necessary to direct and control the
      health planning process, a federal system has difficulties in the implementation
      of planning which has centralized goals or direction. The states and regions have
      the potential power to weaken the strength of the national government. Three
      trends in the developing relationship between the national, state, and regional
      units in health planning are discussed. The first, the functional fiefdom,
      consists of self-perpetuating, narrow purpose agencies which are not responsible
      to local or state-wide elected officials. These are professional bureaucracies
      which create and reinforce cozy relationships with supportive interest groups.
      The second trend, the poverty model, includes the lack of control by local
      elected officials, a large role to nongovernmental actors, and a direct
      relationship between Washington and the regional planning agencies. The last
      trend appears to be an individualistic one with every unit fending for itself. A
      case study of Massachusetts along with supplemental materials from other states
      is presented to illustrate the trends.

PMID- 10252782
TI  - The organization and management of medical education in Australia.
AB  - The review highlights the interdependence among the various subsystems involved
      in medical education and hence the need for coordination. Observations and
      perceptions derived from interviews and the review of the literature were
      reported to underline the existing difficulties and factors which impede the
      integration of efforts of the various subsystems. Problems of coordination seem
      to relate to the functioning of the existing mechanisms rather than to the
      absence of structural arrangements. Hence, it seems necessary to improve the
      skill of committees and other coordinating bodies in the processes of mutual
      adjustment and responsiveness to changing conditions.

PMID- 10252783
TI  - Selected national economic indicators.

PMID- 10252784
TI  - House calls.

PMID- 10252785
TI  - The health of the Hospitals Corporation: the strange case of Dr. Kauvar and of
      New York's municipal hospitals.

PMID- 10252786
TI  - The controller's role in cost containment.

PMID- 10252787
TI  - Can new capitation experiment cut hospitals costs?

PMID- 10252788
TI  - Accounts receivable: patient refunds and credits needn't be a pain.

PMID- 10252789
TI  - The mechanics of profit.

PMID- 10252790
TI  - HFMEF revises its budgeting process packaged program.

PMID- 10252791
TI  - HFMA Principles and Practices Board Statement 3: supplementary reporting of
      hospital financial requirements.

PMID- 10252792
TI  - Shaping healthcare financing and policy at Temple University.

PMID- 10252793
TI  - One hospital's plan to improve cash flow.

PMID- 10252794
TI  - Helping the dismissed executive: outplacement counseling advances in health care.

PMID- 10252795
TI  - Independent foundations: a source of innovation in healthcare delivery.

PMID- 10252796
TI  - Tax-exempt hospitals explore new ways to attract equity.

PMID- 10252797
TI  - Time to identify your costs.

PMID- 10252799
TI  - Flexible pricing--an essential tool.

PMID- 10252798
TI  - Floating interest rate bonds--for some hospitals, an attractive alternative.

PMID- 10252800
TI  - Payment patterns: attitude.

PMID- 10252801
TI  - How hospital finances affect the bottom line.

PMID- 10252802
TI  - Relevant performance appraisals.

PMID- 10252803
TI  - New liability stems from inappropriate drug therapy.

PMID- 10252804
TI  - Part 2: Insulating your hospital from asbestos risk.

PMID- 10252805
TI  - Resolving the conflict between duty to patient and duty to hospital.

PMID- 10252806
TI  - Point of law: what is the currently held definition of death?

PMID- 10252807
TI  - The role of consumer attitudes and preferences in the HMO planning process.

PMID- 10252808
TI  - The impact of preventive health education programs on beliefs, attitudes and
      behavioral intentions: experimental investigation of a breast self-examination
      program.

PMID- 10252810
TI  - Academy for Health Services Marketing.

PMID- 10252809
TI  - Changing role of hospital boards: analysis of a triad member's perceptions.

PMID- 10252811
TI  - Factors influencing physician referral and satisfaction.

PMID- 10252812
TI  - The impact of trauma centers: what's the fair way to designate?

PMID- 10252813
TI  - Without tears: the birth of a trauma center.

PMID- 10252814
TI  - The effect of music and desensitization on preoperative anxiety in children.
AB  - In this study, music was used as part of a comprehensive preoperative teaching
      session aimed at informing pediatric patients about events pertaining to surgery.
      The purpose of the study was to investigate whether music therapy can transmit
      adequate information about the surgical experience to the pediatric patient to
      help reduce his or her anxiety and fear behaviors during induction of
      preoperative medication. Subjects were 75 children ages 3 through 8 who were
      admitted for elective surgery. The experimental design incorporated a three
      sample method, with the control group receiving only verbal preoperative
      instruction the evening before surgery, Experimental 1 group receiving the
      previously mentioned verbal instruction with added music, and Experimental 2
      group receiving this treatment strategy plus music immediately prior to induction
      of preoperative medication on the morning of surgery. The group receiving music
      therapy just prior to induction of preoperative medication was consistently rated
      as indicating less anxiety before and during induction of preoperative
      medication.

PMID- 10252815
TI  - Music therapy-assisted labor and delivery.
AB  - This article describes a new clinical music therapy program for application in
      the labor and delivery setting, and presents results of a preliminary study to
      evaluate effectiveness of the treatment. Over 50 women participated in the
      project; however, inclusion of patients in the data collection portion of the
      project was limited by criteria designed to minimize the effects of spurious
      variables. An experimental group of 13 patients participated in six individual
      predelivery music therapy training sessions during the third trimester of
      pregnancy. Experimental patients listened to preselected musical works throughout
      labor and delivery, with the music therapist in attendance. A control group of
      seven subjects participated in labor and delivery according to regular hospital
      routines. Data consisted of patients' responses to questionnaire items reflecting
      subjective perceptions and recollections of the labor/delivery experience and
      reports of frequency and duration of home practice. Experimental subjects
      achieved significantly higher "success" scores than did control subjects on five
      of seven indices (p less than .05). A moderate correlation between music home
      practice and successful childbirth outcome was demonstrated, with
      frequency/length of music home practice revealed as a significant predictor of
      success in the childbirth experience.

PMID- 10252816
TI  - Managing safety and health.

PMID- 10252817
TI  - Movable compact shelving: a survey of U.S. suppliers and library users.

PMID- 10252818
TI  - On-line acquisitions systems for libraries.

PMID- 10252819
TI  - Microfilm readers.

PMID- 10252820
TI  - Placements & salaries 1980: holding the line.

PMID- 10252821
TI  - Controlling the costs of health care where it counts--from within the system.

PMID- 10252822
TI  - Tough talk about health care and its costs...from a corporate chairman who also
      serves as a hospital trustee.

PMID- 10252823
TI  - Geriatric, psychiatric, and legal aspects of the mental state of the aged.

PMID- 10252824
TI  - Child abuse and Ontario's new reporting register.

PMID- 10252825
TI  - High cost of renovating forces closing of two hospital laundries in Denver.

PMID- 10252826
TI  - Sexual harassment can cost you money, productivity and employees.

PMID- 10252827
TI  - Handicapped job trainees to work in hospital laundry for first time.

PMID- 10252828
TI  - Art in hospitals.

PMID- 10252829
TI  - Marketing medical groups.
AB  - Marketing has emerged in the literature of medical group management only
      recently, but to a significant degree. Typically, it is discussed in the context
      of developing new programs, such as industrial medicine services, or in terms of
      advertising and public relations. These are perfectly valid areas in which
      marketing applies, but by no means are they the limit of its potential
      contribution. Viewed in its broadest context, marketing may be employed to govern
      most, if not all, essential decisions and operations of the medical group--to
      plan and manage the group's overall success, prosperity, and survival.

PMID- 10252830
TI  - Effective advertising.

PMID- 10252831
TI  - Principles of HMO promotion and public relations: the CarleCare HMO experience.

PMID- 10252833
TI  - The physician meets the press.

PMID- 10252832
TI  - A sampling of marketing techniques.

PMID- 10252834
TI  - Marketing in an over-physicianed community.

PMID- 10252835
TI  - Marketing via extended hours.
AB  - Group practices that extend their hours of service have a competitive edge over
      hospital emergency rooms and commercial minor emergency clinics that
      traditionally are the only facilities to offer after-hours patient care. By
      answering the need in communities for extended-hours service, many groups are not
      only experiencing significant patient retention, but a generation of new patients
      as well.

PMID- 10252836
TI  - Turnaround for the Denver Clinic.
AB  - By renovating its facility, the Denver Clinic was able to meet the needs of its
      present patient population and attract new patients. Marketing techniques were
      employed to redesign the facility and to capitalize on the clinic's competitive
      edge in the Denver market. Useful information is offered to other clinics who are
      considering facility renovation and on the advantages group practices have in the
      medical market plan.

PMID- 10252837
TI  - Marketing occupational health care.
AB  - A very basic part of marketing success is determining areas of your business in
      which you have a competitive advantage. In drafting a marketing plan for the
      Denver Clinic, the competitive advantages group practices have in the area of
      occupational health were quickly realized. This competitive edge is presented
      along with the Denver Clinic's marketing strategies and plans to capitalize on
      occupational healthcare advantages.

PMID- 10252838
TI  - Launching a successful satellite clinic: a marketing approach.

PMID- 10252839
TI  - Two clinics of New Orleans.

PMID- 10252840
TI  - Will your hospital turn to "spouse care"?

PMID- 10252841
TI  - Mommy rooms in with the newborn--and daddy does too.

PMID- 10252842
TI  - Selection of instruments for clinical laboratories.

PMID- 10252843
TI  - Induction training--getting off to a good start.

PMID- 10252844
TI  - Rhode Island proposes rule requiring 'emergency' freestanders to act like ERs.

PMID- 10252845
TI  - Quality circles: a well-rounded approach to employee involvement.

PMID- 10252846
TI  - A theoretical framework for change.

PMID- 10252847
TI  - International association promotes hospital security.

PMID- 10252848
TI  - A checklist for developing an emergency plan.

PMID- 10252849
TI  - Debate: the CS sprayer.

PMID- 10252850
TI  - Debate: some hospital security personnel dress casually.

PMID- 10252851
TI  - Fire safety in hospitals: will the good record last?

PMID- 10252852
TI  - Unemployed get help.

PMID- 10252853
TI  - Art enriches hospital.

PMID- 10252854
TI  - Rx for security: "wellness".

PMID- 10252855
TI  - Pilot study reveals changing concepts in hospital security.

PMID- 10252856
TI  - Confusion, controversies stem from pre-trial screening panels.

PMID- 10252857
TI  - Self-insure to tackle high rates.

PMID- 10252858
TI  - North Carolina Memorial looks at moving into self-insurance.

PMID- 10252859
TI  - Phil Gramm predicts more radical health changes by 1983 or 1984. Interview by
      Sheila L. Simler.

PMID- 10252860
TI  - Court gives hospitals an important victory on union bargaining units.

PMID- 10252861
TI  - Administrators must share power with frustrated middle managers.

PMID- 10252862
TI  - Guard psychiatrists' patients' rights.

PMID- 10252863
TI  - Health insurer blasts pro-competition bill.

PMID- 10252864
TI  - Ex-Affiliates managers launch new companies.

PMID- 10252865
TI  - Lobbyists predict 1982's budget reconciliation will be less sweeping.

PMID- 10252866
TI  - Hospital groups spread risk of starting HMOs.

PMID- 10252867
TI  - Shared services business soars 31%.

PMID- 10252868
TI  - Pooled assets expand debt capacity.

PMID- 10252869
TI  - Construction financing woes block two hospitals until they're merged.

PMID- 10252871
TI  - Should everyone carry medical information? New card uses microfilm and built-in
      lens to provide detailed data.

PMID- 10252870
TI  - Risk management: hospitals' premiums are beginning to rise again.

PMID- 10252872
TI  - Pricing health policies in an uncertain time: Part 2.

PMID- 10252873
TI  - Inhouse program teaches management skills.

PMID- 10252874
TI  - The ethics and morality of leadership.

PMID- 10252875
TI  - Role perceptions, satisfaction, and performance: moderating effects of self
      esteem and organizational level.
AB  - The moderating effects of organizational level and self-esteem on the
      relationships between role perceptions (i.e., role ambiguity and role conflict)
      and employee satisfaction and performance were examined. Previous research
      suggested that self-esteem, as an indicator of perceived self-competence, should
      act as a buffering element contingent upon an individual's organizational level.
      To test this possibility, data were collected from a sample of 161 hospital
      professional and support personnel. It was hypothesized that the negative effects
      of role ambiguity and conflict on satisfaction and performance would be
      attenuated by high self-esteem at lower organizational levels. Two of the four
      predicted interactions (ambiguity-satisfaction and conflict-performance) were
      obtained. The importance of considering the combined effects of both situational
      and individual difference variables as potential buffers against aversive role
      perceptions was discussed.

PMID- 10252876
TI  - Patient accounts department plays a major role in public relations.

PMID- 10252877
TI  - Burnout: a real threat to human resources managers.
AB  - Burnout, the total depletion of one's physical and mental resources, was first
      recognized as a syndrome among professionals in the helping professions:
      teaching, nursing, and social work, for example. Small wonder, then, that human
      resources managers, whose jobs are concerned with people and their problems, are
      prime candidates for burnout. To help human resources managers combat burnout in
      themselves and those for whom they are responsible, Oliver L. Niehouse, head of
      Niehouse & Associates Inc., management and organization development consultants,
      shows how to recognize the symptoms of burnout and the stress that precedes it
      and explains what can be done to prevent or cure it. The Niehouse prescription
      for counteracting stress symptoms that lead to burnout involves building supports
      that displace or drain off the stress. To build such supports, one must first
      recognize the need for support, acknowledge the potential for burnout, and then
      set realistic, achievable goals.

PMID- 10252878
TI  - Time-off-with-pay practices.

PMID- 10252879
TI  - Compensation and benefits: vision care plans.

PMID- 10252880
TI  - A definition of human resources management.

PMID- 10252881
TI  - Delegation: the art of managing.

PMID- 10252882
TI  - Can alternatives to sick pay plans reduce absenteeism?

PMID- 10252883
TI  - Comparable worth: an idea whose time has come?

PMID- 10252884
TI  - Controversy over the issue of mandatory retirement.

PMID- 10252885
TI  - Reimbursement: how to separate consulting from dispensing.

PMID- 10252887
TI  - Former mental patients step back into the world.

PMID- 10252886
TI  - Heart attack victims--in the hospital & at home.

PMID- 10252888
TI  - Warning label design.

PMID- 10252889
TI  - A new national health program: "Fitness 3".

PMID- 10252890
TI  - Third-party payers: are they getting better, or...?

PMID- 10252892
TI  - Issues in the educational and professional development of the minority
      administrator.

PMID- 10252891
TI  - The leadership role of hospitals.

PMID- 10252893
TI  - Exploratory seminar on post-master's management development programs.

PMID- 10252894
TI  - Developing executive talent in health administration: the post-master's clinical
      practicum.

PMID- 10252895
TI  - The fellowship programme at St. Thomas' Hospital in London.

PMID- 10252896
TI  - Ethical issues in health administration.

PMID- 10252897
TI  - Fed employees' use of services stable.

PMID- 10252899
TI  - On the front line--the therapy aide.

PMID- 10252898
TI  - Art therapy seen as healing, not analytic.

PMID- 10252900
TI  - Public attitudes toward science and technology: what have the surveys told us?
AB  - Surveys of public attitudes toward science and technology over the last two
      decades show a very high level of favorable response. Public confidence in
      science sagged in the seventies and, though science suffered considerably less
      than most other major social institutions, a larger tiny minority now view it as
      harmful than in the fifties. The most striking aspect of public attitudes toward
      science, and scientists, however, is that they appear to be based on nebulous and
      distorted conceptions which are dominated by themes of applied technology.

PMID- 10252901
TI  - Between therapist and patient: the language of caring.
AB  - It is essential for respiratory therapists within health care settings to
      understand who and what they care about. Yet these issues are infrequently
      discussed in school of in in-service programs. The purposes of this article are
      (1) to identify different types of relationships that may exist in the
      therapists' personal and professional lives; (2) to analyze the caring feelings
      that may be stimulated as they interact with different relationships; (3) to
      describe behavior that emerges as a result of caring feelings; and (4) to explore
      steps that respiratory therapists may take in reaching congruence between their
      feelings and their behavior patterns.

PMID- 10252902
TI  - Letting them out one by one: using unit-dose systems to reduce drug
      administration errors.

PMID- 10252903
TI  - Facility report: Los Angeles County-University of Southern California Medical
      Center.

PMID- 10252904
TI  - Wellness program reaps healthy benefits for sponsoring employer.

PMID- 10252905
TI  - New York State blazes the trail to effective hospital cost containment.

PMID- 10252906
TI  - Practical accreditation process available to plastic surgery units.

PMID- 10252907
TI  - Ambulatory surgery protocol guides maternity program development.

PMID- 10252908
TI  - A model for working with the elderly in institutions.

PMID- 10252909
TI  - Maintenance anxiety.

PMID- 10252910
TI  - Labor relations and Texas hospitals.

PMID- 10252911
TI  - Quality assurance report form.

PMID- 10252912
TI  - No solicitation - no distribution rules in hospitals.

PMID- 10252913
TI  - The employees' right to engage in concerted activity.

PMID- 10252914
TI  - Notice to employees: you have a right to refrain from union activities.

PMID- 10252915
TI  - Solving employee concerns: an open and credible management style can erase the
      appeal of unions.

PMID- 10252916
TI  - Why hospitals must focus on capital formation.

PMID- 10252917
TI  - That's entertainment: California-style.

PMID- 10252918
TI  - Home care agencies specializing, growing.

PMID- 10252920
TI  - Patient abuse charged: VA hospital's affiliation at issue.

PMID- 10252919
TI  - Hospital ship 'solution' drawn up.

PMID- 10252921
TI  - Volunteer administration as a career.

PMID- 10252922
TI  - The context of country health programming. Prepared by the staff of the WHO
      Regional Office for the Eastern Mediterranean Region.

PMID- 10252923
TI  - Hospital management and management training in Bahrain.

PMID- 10252925
TI  - Preventive maintenance and repair of medical equipment and apparatus: an
      essential service.

PMID- 10252924
TI  - Maintenance and repair of medical equipment.

PMID- 10252926
TI  - Care programmes: straightjacket or panacea?

PMID- 10252927
TI  - Hospitals and primary health care.

PMID- 10252928
TI  - Hospitals and primary health care in the German Democratic Republic.

PMID- 10252929
TI  - Health care planning in urban areas: Nottingham and Stockholm.

PMID- 10252931
TI  - Developing medical services in Dubai.

PMID- 10252930
TI  - Hospital liability.

PMID- 10252932
TI  - The input-output approach to the analysis of delivery and allocation of health
      services.

PMID- 10252933
TI  - General practice in West Germany.

PMID- 10252934
TI  - Implications of the pro-competitive health service strategy.

PMID- 10252935
TI  - Control of hemorrhage by use of the MAST suit.

PMID- 10252936
TI  - Variables related to outcome of treatment for inpatient alcoholics.

PMID- 10252937
TI  - New Orleans physician challenges hospital's policy on MD contracts.

PMID- 10252938
TI  - Rural hospitals form new lobbying group.

PMID- 10252939
TI  - Latest HAS figures. In-house vs contract costs: a comparison of sorts.

PMID- 10252940
TI  - Laundry and linen manuals to be maintained (Part 2).

PMID- 10252941
TI  - New LM masters a high-technology plant.

PMID- 10252942
TI  - Linen utilization: Part II.

PMID- 10252943
TI  - Planning solved washer installation problems.

PMID- 10252944
TI  - Million-dollar laundry serves 21-building hospital.

PMID- 10252945
TI  - An exchange program for scrub suits that is working.

PMID- 10252946
TI  - Laundry and linen manuals to be maintained (Part 1).

PMID- 10252947
TI  - Certification programs: measuring excellence in the professions.

PMID- 10252948
TI  - Video studio management: the basics of staffing, budgeting, maintenance and
      quality control.

PMID- 10252950
TI  - Prehospital management of the seriously injured...by the Committee on Trauma of
      the American College of Surgeons.

PMID- 10252949
TI  - War and peace.

PMID- 10252951
TI  - 'Unprofessional conduct:' a dubious legal term.

PMID- 10252952
TI  - Wounds without cause.

PMID- 10252953
TI  - Patient abandonment: reality or myth?

PMID- 10252954
TI  - The pros and cons of consensus statements.

PMID- 10252955
TI  - Hospital privileges for gastrointestinal endoscopy.

PMID- 10252956
TI  - A history of the Committee on Pre-and Postoperative Care.

PMID- 10252957
TI  - Controlling professional fees.

PMID- 10252958
TI  - Recertification: is it worthwhile?

PMID- 10252959
TI  - Physician agreements to control medical prepayment plans: Federal Trade
      Commission. Adoption and publication of enforcement policy with respect to
      physician agreements to control medical prepayment plans.
AB  - The Federal Trade Commission has adopted, and is publishing with this notice, a
      statement of enforcement policy with respect to physician agreements to control
      medical prepayment plans. The statement sets forth the general approach the
      Commission intends to use in its case-by-case enforcement program for evaluating
      physician agreements to form, operate, or control such plans and for evaluating
      the practices of plans that are controlled by a group of physicians.

PMID- 10252960
TI  - Firms cite victories in battle over rising health care costs.

PMID- 10252961
TI  - Hospital risk manager to fight high rates with self-insurance.

PMID- 10252962
TI  - Pastoral services for the aged: an overlooked need?

PMID- 10252963
TI  - Catholic hospitals: different? Role of the trustees.

PMID- 10252964
TI  - Essential services during labour disputes.

PMID- 10252965
TI  - Caring for the terminally ill: further initiatives in Quebec.

PMID- 10252966
TI  - Ancient ways made new: health among the Chippewa of Rama.

PMID- 10252967
TI  - Administration and the board: how should they interact?

PMID- 10252968
TI  - Safeguarding your social responsibility--part 1.

PMID- 10252970
TI  - Serving the interests of the community.

PMID- 10252969
TI  - Health care and public policy: where do trustees fit in?

PMID- 10252971
TI  - Theory P--people management.

PMID- 10252972
TI  - More nukes--less kooks.

PMID- 10252973
TI  - Risk management: an evolving hospital tool.

PMID- 10252974
TI  - Pray for the prey on record relief day.

PMID- 10252976
TI  - Dollars and sense: effective negotiation.

PMID- 10252975
TI  - New opportunities for hospitals in health promotion.

PMID- 10252977
TI  - Micro mania and the instant expert syndrome.

PMID- 10252978
TI  - Harnessing computers to manage energy and contain costs.

PMID- 10252979
TI  - Assessing health care needs in the community.

PMID- 10252981
TI  - Is competition the answer?

PMID- 10252980
TI  - Women's health, Sexual assault: an epidemic health problem.

PMID- 10252982
TI  - Industry monitors health care.

PMID- 10252983
TI  - Career program for RNs.

PMID- 10252984
TI  - How do you decide what education programs to attend?
AB  - Increasingly, constraints on resources require that any decision to participate
      in a continuing education program be scrutinized to ensure the most effective and
      efficient use of time, money, and personnel. In addition to these constraints,
      and complicating the decision-making process, are professional pressures to keep
      abreast of developments in the field. But deciding whether to attend a seminar or
      workshop can be facilitated if the program is evaluated according to the
      suggestions in this article.

PMID- 10252985
TI  - Specialized training produces hospital wide benefits.

PMID- 10252986
TI  - Save your training programs from today's economy.

PMID- 10252987
TI  - Triangulation: a three-dimensional model for continuing education.
AB  - A variety of cultural phenomena have recently converged to create a demand for
      specialized adult education programs. One approach that can provide insights in
      adjusting traditional educational strategies is triangulation, a procedure that
      can help delineate both content and teaching approaches by assembling the
      perceptions of administrators, adult learners, and educators. This procedure can
      be especially helpful to educators in health care settings who must continually
      provide meaningful programs for adults.

PMID- 10252988
TI  - Patient education through patient counseling by pharmacists: a survival
      technique.

PMID- 10252989
TI  - Preparation of an intravenous infusion admixture nursing reference.
AB  - There has been a growing concern over the increasingly complex problem of
      incompatibility between intravenous drugs mixed extemporaneously by nursing
      staff. A considerable amount of data has been published although much of it has
      not included background on the criteria and conditions under which it was
      collected. The compatibility/incompatibility of a number of admixtures is known
      to depend on these conditions. The purpose of the present work was to compile and
      evaluate data on drugs which were most frequently requested to be mixed at the
      author's hospital. The results are presented in a chart with an accompanying
      guide to its use for the nursing staff. Use of the chart may require reference to
      more detailed information kept in the Pharmacy, although restrictions outlined in
      the guide minimize this.

PMID- 10252990
TI  - Canadian Society of Hospital Pharmacists guidelines for the handling of hazardous
      pharmaceuticals.

PMID- 10252991
TI  - Is life living? Defining death in a technological age.
AB  - Historically, humanity has assigned death to evil spirits, malevolent gods, and
      other supernatural agents; but by the eighteenth century, the scientific spirit
      began to manifest itself through more precise biologic definitions of death.
      Thanks to modern medical technology, these early scientific views, with their
      considerable margin for error, gave way in the twentieth century to criteria
      based on such diverse factors as total lack of response to external stimuli,
      absence of spontaneous muscular movements, absence of all reflexes, total
      collapse of the arterial blood pressure, flat electrocardiogram, and flat
      electroencephalograph tracings. Undoubtedly such difficult matters as organ
      transplants, wills, homicide, euthanasia, and abortion demand precise definitions
      of death; but modern medical advances have engendered visions of physical
      immortality with doctors as the arbiters who often define and determine death.
      Even so, such one-dimensional, scientific views fail to capture those nebulous
      social, religious, or spiritual definitions that pervade humanity's definition of
      death. Humanistic views of death resist the movement of death from the moral
      realm to a technological order that places people in a system, theory, or chart,
      where they are thus absolved from fear of freedom. Rather, humanistic definitions
      demand that humanity step beyond mechanistic definitions of death into a
      transcendent world of moral choices that guarantee human dignity and worth by
      ascribing meaning to life and death. These meanings counter the desiccating fear
      that something like biologic human might, through something called medical
      technology, defeat something called fate.

PMID- 10252992
TI  - Staff support group on a cancer ward: a pilot project.
AB  - Despite strong evidence of high stress among oncology nursing staffs, few
      empirical intervention studies have been attempted. This study involved a pilot
      project to combine two anxiety-reducing aids--group support and the provision of
      pertinent information--into a single format for maximum stress reduction. Weekly
      groups producing both support and information lasted 8 months and covered a wide
      range of topics. Both unstructured and didactic sessions were used. Pre- and
      postquestionnaires were distributed to each participant to assess ward
      atmosphere, attitudes about cancer, and level of stress. Participants expressed
      great satisfaction with the project, but their enthusiasm was not supported by
      statistical evaluation. Various methodological and programmatic aspects that may
      account for the discrepancy between anecdotal and statistical results are
      discussed.

PMID- 10252993
TI  - Video variety at the Kettering Medical Center.

PMID- 10252994
TI  - Where is the real priority in trauma?

PMID- 10252995
TI  - Copter use in trauma transporting is on the rise.

PMID- 10252996
TI  - Disaster planning at a Friesen concept hospital.
AB  - Disaster planning is a task which will probably never be "completed", since to be
      effective, a disaster plan must constantly be reviewed and modified. The Hospital
      Disaster Working Committee at the Ottawa General Hospital has so far been
      presented with both challenge and opportunity. The challenge is to make best use
      of our new facility, while coping with the changes which a new site predicates.
      The opportunity is to take advantage of the past experience of our own people and
      others who are involved in disaster planning, and make a strong beginning.

PMID- 10252998
TI  - Protective equipment for EMT's.

PMID- 10252997
TI  - EMT-P's attitudes toward emergency physicians: a case study.

PMID- 10252999
TI  - Proposal for uniform system of EMS rank insignia.

PMID- 10253000
TI  - Proposed format for collection of prehospital cardiac arrest data.

PMID- 10253001
TI  - EMS transport to hospitals only.

PMID- 10253002
TI  - Company fitness program a good investment, study shows.

PMID- 10253003
TI  - Connecticut Health Care Associates joins 1199.

PMID- 10253004
TI  - Implementing a community-based cancer control program.

PMID- 10253005
TI  - Community organization: a health education approach to cancer control.

PMID- 10253006
TI  - Patient management guidelines: a rational approach to improving community cancer
      care.

PMID- 10253007
TI  - Psychosocial support in screening and early detection programs.

PMID- 10253008
TI  - Maybe it will go away: the five most dangerous words in the English language.

PMID- 10253009
TI  - Education and communications for a community-based cancer control program.

PMID- 10253010
TI  - Community health centers: a vanguard in the community control of cancer.

PMID- 10253011
TI  - Administering cancer control programs in the community.

PMID- 10253012
TI  - Evaluating cancer control programs in the community.

PMID- 10253013
TI  - A crystal ball that demands application from today: a hospital system leader
      looks at what may develop.

PMID- 10253014
TI  - Health care in 2030 A.D.

PMID- 10253015
TI  - Competition and deregulation: an architect for change discusses their impact on
      group practice.

PMID- 10253016
TI  - Business involvement in health care cost containment efforts gaining momentum.

PMID- 10253017
TI  - Industry's health cost awareness programs range from cash bonuses to
      rehabilitation.

PMID- 10253018
TI  - Private sector solutions to problems urged by Business Roundtable health
      chairman.

PMID- 10253019
TI  - Cooperative efforts needed to find solutions to health cost problems.

PMID- 10253021
TI  - Business participation is a key to progress of the VE's program to contain costs.

PMID- 10253020
TI  - Corporate visitation program enables AMA to strengthen its ties with business.

PMID- 10253022
TI  - Study challenges excess bed theory as big contributor to cost rise.

PMID- 10253023
TI  - Fund reductions pose complex problems for the health industry.

PMID- 10253024
TI  - Hospital medical staff privileges and antitrust: an overview.

PMID- 10253025
TI  - Management company expansion spurs investor-owned growth.

PMID- 10253026
TI  - Why Bill Vomvoris won't take 'no' for an answer.

PMID- 10253027
TI  - Problem: how to handle the special demands of psychiatric hospitals. Solution:
      provide variety within individual diets.

PMID- 10253029
TI  - Gray gold.

PMID- 10253028
TI  - Blood and money.

PMID- 10253030
TI  - Charitable giving in trust: why the new interest?

PMID- 10253031
TI  - Some thoughts on reading the physician market.
AB  - Marketing to physicians is still the key to a hospital's well being. This is
      anything but an exact science, but it does have its roots in data collection and
      research. The best way to market to physicians is to meet their expectations of
      the hospital and seek the cooperation of the physicians in getting the word out
      on new programs and services to their patients. The more the hospital can promote
      the physician out front with his or her patients, the more likely it is that
      those physicians will support the promotional efforts of the hospital.

PMID- 10253032
TI  - The pediatrician and preventive medicine.

PMID- 10253034
TI  - Board reorganization, umbrella agencies, super boards: pro's and con's.

PMID- 10253033
TI  - Health information sources of the poorly informed: implications for health
      educators and communicators.

PMID- 10253035
TI  - Profit in helping those who help the sick.

PMID- 10253036
TI  - The flexibility of matrix management.

PMID- 10253037
TI  - Bringing quality assurance to the pharmacy.

PMID- 10253038
TI  - In search of better "boardsmanship": helping trustees assess their role.

PMID- 10253039
TI  - Plenty.

PMID- 10253040
TI  - Hospices: a living place.

PMID- 10253041
TI  - Accident and emergency: why patients choose A and E.

PMID- 10253042
TI  - Accident and emergency: patching up in Belfast.

PMID- 10253043
TI  - Manchester's second private hospital.

PMID- 10253044
TI  - Orthopaedic waiting lists: a smooth operation.

PMID- 10253045
TI  - Index is only way to get objective measure of price performance.

PMID- 10253046
TI  - Price deviations is supplier's invoice require quick action.

PMID- 10253047
TI  - Work effectiveness program works.

PMID- 10253049
TI  - New moves in M.M.: who reports to whom?

PMID- 10253048
TI  - Hospital uses survey form to measure departments' satisfaction with M.M.

PMID- 10253050
TI  - The future of the NHS.

PMID- 10253051
TI  - Personnel management tasklist: an index of basic personnel management tasks in
      district health authorities.

PMID- 10253053
TI  - The neglect of planning in health districts.

PMID- 10253052
TI  - Reflections on eight years as administrator of a rural Christian mission hospital
      in India.

PMID- 10253054
TI  - The French hospital system at local level.

PMID- 10253055
TI  - Executive compensation -- state of the art.

PMID- 10253056
TI  - The administrator's marketplace.

PMID- 10253057
TI  - Incentive compensation for health executives.

PMID- 10253059
TI  - Management incentive plans: a hospital executive's primer.

PMID- 10253058
TI  - Are you ready for a sabbatical?

PMID- 10253060
TI  - They gave us their best shot.

PMID- 10253061
TI  - Health care manager's notebook: creative problem-solving.

PMID- 10253062
TI  - Self-help for rural managers and trustees.

PMID- 10253063
TI  - Employee compensation in the hospital.

PMID- 10253065
TI  - Will your medical staff be trained in ethics?

PMID- 10253064
TI  - The ethics of terminal care.

PMID- 10253066
TI  - Developing a hospital advertising campaign.

PMID- 10253067
TI  - The ethical side of advertising.

PMID- 10253068
TI  - The CEO contract: how to assure the new CEO the authority he needs to be
      effective.

PMID- 10253069
TI  - Health care manager's notebook: performance appraisals.

PMID- 10253070
TI  - The certainty of ambiguity.

PMID- 10253071
TI  - Equipment acts as reservoir for urinary tract infections.

PMID- 10253072
TI  - Removal of pipework from vacuum plant installations: handling hazards.

PMID- 10253073
TI  - Underfloor heating using plastic pipes: a survey of principles and current
      European practice.

PMID- 10253074
TI  - Generic screening effective in problem identification.

PMID- 10253075
TI  - Setting accepted guidelines for antibiotic review.

PMID- 10253076
TI  - Nurses responsible for discharge planning.

PMID- 10253078
TI  - Hospital's rehabilitation mission meets community's changing needs.

PMID- 10253077
TI  - Medication errors noted as major source of incident reports.

PMID- 10253079
TI  - Tax-exempt hospital bonds, FHA loans: future legislation targets?

PMID- 10253080
TI  - Doing justice: an encounter for our times.

PMID- 10253081
TI  - Living and dying with less: an ethic for the 1980s.

PMID- 10253082
TI  - Economics and ethics: delicate balance for providers.

PMID- 10253083
TI  - Quality assurance council administers, evaluates hospital program.

PMID- 10253084
TI  - A strategy for integrating hospice, hospital care.

PMID- 10253085
TI  - Recovering legal expenses: implications of new federal law.

PMID- 10253086
TI  - Disruptive behavior grounds for physician's dismissal.

PMID- 10253087
TI  - Hospital's evidence supports denial of staff privileges.

PMID- 10253089
TI  - Group purchasing makes sense: an administrator's perspective.

PMID- 10253088
TI  - Suppliers liable for equipment defects.

PMID- 10253090
TI  - Group purchasing from the materiel manager's viewpoint...or what's wrong with
      group purchasing?

PMID- 10253091
TI  - A reexamination of group purchasing.

PMID- 10253092
TI  - Group purchasing: past, present and future.

PMID- 10253093
TI  - Measuring savings from group purchasing.

PMID- 10253094
TI  - Evaluation of group purchasing programs: a proposed methodology.

PMID- 10253095
TI  - Leadership: the key to group purchasing.

PMID- 10253096
TI  - Viewpoint: group purchasing--a bed of roses?

PMID- 10253097
TI  - Value analysis and standardization for group purchasing.

PMID- 10253098
TI  - Group purchasing: a vendor's perspective.

PMID- 10253099
TI  - Ideas for group purchasing in the eighties.

PMID- 10253100
TI  - Cheltenham General Hospital: redevelopment.

PMID- 10253101
TI  - Waste treatment and disposal.

PMID- 10253102
TI  - Incineration of wastes.

PMID- 10253104
TI  - Hospital PR--maybe it's time to shoot the messenger.

PMID- 10253103
TI  - What is the administrator's responsibility in management of the hospital new
      function?

PMID- 10253105
TI  - What an undercover operation in a nursing home discovered.

PMID- 10253106
TI  - How to effectively use undercover operations.

PMID- 10253107
TI  - Federal court refuses to honor state statutory privilege for proceedings of
      medical staff credentials committee.

PMID- 10253108
TI  - Home-medication monitoring among older adults: the breach in services.
AB  - Available studies reveal alarming rates of substance and medication abuse among
      older adults. Professionals addressing the substance and medication abuse
      problems of seniors have argued for a move to medication monitoring in the home.
      At present, however, there has been only scattered evidence to support the
      contention that adequate medication monitoring actually occurs. The present study
      reports two surveys of all home care agencies in the state of Michigan. The first
      study reports the medication monitoring practices of home care staff. The second
      study examines possible medication monitoring interventions that might be
      implemented in home care agencies. Those medication monitoring interventions with
      the highest likelihood of successful implementation among home care staff are
      discussed.

PMID- 10253109
TI  - Role strain in hospice nursing.
AB  - This paper utilizes role theory to explore the nursing role at a northern
      California hospice which is licensed as a home health agency. The writers
      hypothesize that the special burdens of caring for dying patients, the numerous
      relationships assumed by the nurse, and the expanded nature of the rapidly
      developing hospice nursing role may contribute to role strain. Options for
      managing role strain are presented.

PMID- 10253110
TI  - Hospice: staffing and cost implications for home health agencies.
AB  - The authors describe a study done to evaluate the implementation of a home health
      agency-based hospice program. Forty-one hospice patients were compared with a
      group of terminally  ill patients receiving standard home care treatment. The
      differences in the type, frequency, and intensity of services required by the two
      groups were evaluated. While hospice care was found to be slightly more staff
      intensive than standard home care treatment, the differences were minimal. The
      results suggest that a home health agency with a multidisciplinary staff could
      implement a hospice program without making dramatic organizational,
      administrative, or resource change.

PMID- 10253111
TI  - Put OR audits into operation.

PMID- 10253112
TI  - $105MM complex joins four hospitals.

PMID- 10253113
TI  - Test your PR skills.

PMID- 10253114
TI  - New telephone options prove more efficient.

PMID- 10253115
TI  - Shedding some light on lighting.

PMID- 10253116
TI  - Organizing the public relations function.

PMID- 10253117
TI  - Certificate of need: an approach to the process.

PMID- 10253118
TI  - Changing health care markets.

PMID- 10253119
TI  - Corporate restructuring of hospitals and multi-institutional arrangements.

PMID- 10253120
TI  - The academic health center--a vertical organization.

PMID- 10253121
TI  - The need for fundamental reform through competition and rational economic
      incentives.

PMID- 10253123
TI  - The validity of regulation.

PMID- 10253122
TI  - Reality of health care planning.

PMID- 10253124
TI  - The Hospital Commission of the State of Washington.

PMID- 10253125
TI  - Public planning and regulation.

PMID- 10253126
TI  - Antitrust aspects of the future health planning.

PMID- 10253127
TI  - A third force of equal importance: cooperation.

PMID- 10253128
TI  - Governance.

PMID- 10253129
TI  - Corporate restructuring of hospitals.

PMID- 10253130
TI  - Capital financing in the 1980s.

PMID- 10253131
TI  - Nursing homes--a future.

PMID- 10253132
TI  - Lifecare communities in the eighties.

PMID- 10253133
TI  - Zero-base budgeting--a management tool for the 1980s.

PMID- 10253134
TI  - Competition: prospects and challenges.

PMID- 10253135
TI  - Growth and financial pressures presage tough challenges for our health care
      system.

PMID- 10253137
TI  - The Canadian health administrator: a profile.

PMID- 10253136
TI  - Hospital risk management: a Canadian perspective.

PMID- 10253138
TI  - The challenge of being a health administrator in a developmental centre.

PMID- 10253139
TI  - Integrating institutional and medical staff goals.

PMID- 10253140
TI  - Community based health programs and the organized system.

PMID- 10253141
TI  - Strategic planning in non-profit organizations.

PMID- 10253142
TI  - Personal computers: affordable computing for financial managers.

PMID- 10253143
TI  - Capital management: funding aspects of construction in U.S. hospitals (1973
      1979).

PMID- 10253144
TI  - Inventory control: cost cutting through the EOQ.

PMID- 10253145
TI  - Trimming inevitable increases: a monetary incentive program could cut costs.

PMID- 10253146
TI  - Policy issues in healthcare capital management.

PMID- 10253147
TI  - Contracting for materials management--is it right for everyone?

PMID- 10253148
TI  - Payment patterns: midyear results.

PMID- 10253149
TI  - Growth and improvements in HFMA's Financial Analysis Service.

PMID- 10253150
TI  - Paperless processing: monitoring the growing wave.

PMID- 10253151
TI  - Capital management: the dilemma of debt.

PMID- 10253152
TI  - Tax-exempt revenue bonds--statistical trends by number of hospital beds.

PMID- 10253153
TI  - The Internal Revenue Service and the healthcare specialist.

PMID- 10253154
TI  - Short-term cash management: determining funds on a daily basis.

PMID- 10253155
TI  - Power of attorney -- tool for tightening receivables control.

PMID- 10253156
TI  - Hospital asset investment: some guidelines for picking the right advisor.

PMID- 10253157
TI  - Dealing with unfair insurance practices -- the NAIC approach.

PMID- 10253158
TI  - Ongoing education: obligation with opportunity.

PMID- 10253159
TI  - Payment patterns: value of your accounts receivable.

PMID- 10253160
TI  - Capital infusion: lifeline to the future.

PMID- 10253161
TI  - Managerial growth in an anxious age.

PMID- 10253162
TI  - Forecasting.

PMID- 10253163
TI  - Financial ratios: summary indicators for management decision-making.

PMID- 10253164
TI  - Factors influencing student selection of rural health service administration.

PMID- 10253165
TI  - Who uses the hospital emergency room: correcting a misconception.

PMID- 10253166
TI  - Marketing an occupational health service.

PMID- 10253167
TI  - A tripartite approach to hospital census management.

PMID- 10253168
TI  - 'Bare' physicians more likely to increase hospital liability.

PMID- 10253169
TI  - Focus on safety: Part 1.

PMID- 10253170
TI  - Hospitals receive premium credits for improved RM programs.

PMID- 10253171
TI  - Motivating physicians to make the new JCAH standard really work.

PMID- 10253172
TI  - Linking quality assurance with medical staff peer review.

PMID- 10253173
TI  - Softening the 'perverse' effects of quality assurance.
AB  - Interdisciplinary stress is a common, though unwelcome, by-product of quality
      assurance activities. The divergent lines of authority in a hospital are usually
      inadequate for dealing with interdisciplinary problems or with joint or contested
      matters, resulting in uneven treatment of those identified as having lapsed from
      accepted standards. If the purpose of quality assurance--improvement of patient
      care--is not to be perverted, current methods of dealing with identified problems
      must be revised.

PMID- 10253174
TI  - The use of outside consultants for QA--why, when, how.

PMID- 10253175
TI  - The pharmacists' role in clarifying medication orders.

PMID- 10253176
TI  - A multicenter survey of cefazolin usage.

PMID- 10253177
TI  - An American in a Parisian P&T committee.

PMID- 10253178
TI  - Career planning for the hospital pharmacist.

PMID- 10253179
TI  - Adverse reaction reviews (ARR).

PMID- 10253180
TI  - Aseptic technique as a safety precaution in the preparation of antineoplastic
      agents.
AB  - A subject of concern among personnel working in cancer chemotherapy treatment
      areas is the occupational hazard posed by the antineoplastic drugs. A review of
      the literature reveals a number of proposed safety precautions, including glove
      boxes, vertical air-flow hoods, masks, gloves, gowns, and routine medical
      examinations. The concept of using aseptic technique as a safety precaution is
      presented, with particular emphasis on the importance of maintaining negative
      pressure in vials. We also discuss the use of ultraviolet light to detect
      antineoplastic drug spills in a working environment and as a training and
      evaluation procedure.

PMID- 10253182
TI  - Computer-oriented coding of medical data.

PMID- 10253181
TI  - Drug utilization review: a practical approach.
AB  - Described is a method to perform drug utilization review retrospectively by using
      mutually exclusive categories. Drug use criteria were developed and structured in
      such a manner so that a patient's drug use experience could be readily and
      appropriately classified by medical records technicians during the routine
      medical record abstraction. Utilizing a contract abstracting service format, a
      summary by category of drug use experiences for the patients audited is provided
      monthly and used as the preliminary audit summary. The system represents an
      efficient and cost-conscious means of effectively monitoring selected portions of
      the drug utilization process.

PMID- 10253183
TI  - A proposal for a computer-based national medical information system.

PMID- 10253184
TI  - The human element in computer-generated patient management plans.

PMID- 10253185
TI  - Statistical confidentiality in microdata release.

PMID- 10253186
TI  - Helping community mental health work: a model for the professional role of
      liaison.
AB  - Community mental health centers were created to provide mental health services
      within the community. However, these centers have had difficulty delivering
      community-based services and have, all too often, become isolated from the
      communities they serve. A model for the role of professional liaison is
      presented. The liaison model is seen as providing a solution to service delivery
      problems by acting as an adjunctive agency providing broadly based referral and
      linking services between agencies in the community. Essential features of the
      liaison role include an ecological perspective, indirect service delivery, an
      emphasis on liaison role rather than technique, and the inappropriateness of
      advocacy.

PMID- 10253187
TI  - Self-designed continuing education for supervisors in community mental health.
AB  - This paper describes a continuing education program designed to meet the needs
      and interests of supervisors working in community mental health centers. As
      initial group of supervisors was recruited as consultants to design all aspects
      of their educational experience. The group used a modified nominal group
      technique to develop the curriculum. Subsequently 28 trainees in three separate
      groups participated in the training program; they represented 20 agencies and
      included directors, training coordinators, supervisory staff, and direct service
      workers. Methods employed were satisfaction measures, content retention measures,
      and interviews to evaluate program impact. Participants reported that they
      increased their knowledge and were satisfied with training, but that the program
      was only modestly effective in contributing to changes in their job and agency
      functioning. Training was most effective with agency directors, employees of
      private agencies, and workers with fewer years at a given work site.

PMID- 10253188
TI  - The healthy people blueprint for health promotion and disease prevention.

PMID- 10253189
TI  - Position statement: Hospital Toxic and Hazardous Waste Task Force, National
      Environmental Health Association, Institutional Section.

PMID- 10253190
TI  - Environmental health services in primary care centers.
AB  - Primary Health care centers supported by the Public Health Service through the
      Community Health Center and Migrant Health Centers programs are now required to
      provide environmental hazards directly related to clinical findings, but
      correcting community and occupational environmental problems may be pursued
      through appropriate agencies. State and local health departments will play key
      roles in the program in providing professional expertise in environmental health,
      assisting patients in taking corrective action, and assisting in the coordination
      with state, local, federal and voluntary agencies. Some primary care centers in
      areas of great need and limited resources will have their own environmental
      health professionals, but most will depend on local health departments for this
      specialty.

PMID- 10253191
TI  - The use of break-even analysis in long-term care facilities.
AB  - For the most part, long-term care facilities operate in a negotiated rate
      environment. Under Public Law 92-603, these facilities are compensated for
      rendering care to Medicaid patients on a "cost-related" reimbursement formula.
      Therefore, there is a limit on the ability of the owners of these facilities to
      pass increased costs for their services on to the consumer on a current basis, as
      is done in most other industries. The owners attempt to negotiate an annual rate
      based on anticipated increased costs of operation, and then normally have to live
      with the rate for the remainder of the year. In some cases the increased costs
      exceed the increase in the negotiated rate on an annual basis. Since there is, in
      effect, a lid on the revenue per patient, the opportunities to increase net
      income are limited either to reducing costs, or increasing the number of patients
      served in the facility. In this industrial setting, it would be particularly
      meaningful to the owner of a facility to be aware of the profitability of the
      operation at different occupancy levels. Also, the feasibility of expanding his
      facility should perhaps be explored to determine the impact of an expansion on
      net income retention. Break-even analysis can be employed to help address these
      issues. In this paper, the author briefly discusses break-even analysis as a
      management tool and develops a model to illustrate and apply the analysis of a
      long-term care facility.

PMID- 10253192
TI  - Capital maintenance and equity erosion in the nursing home industry: a study in
      one state.
AB  - Federal contingencies charge states to regulate the reimbursement of the nursing
      home industry such that government reimbursement is at a minimal cost that
      reflects efficient operations, yet at amounts great enough to allow viability and
      ability to attract and maintain the investment of capital. This study discusses
      the regulation of the nursing home industry in terms of the significance and
      costs of financial capital, and the constraints imposed upon states as regulators
      of capital reimbursement policies. Descriptive financial profiles of nursing
      homes are provided in one state where the industry alleges inadequacies in the
      capital reimbursement formula. These financial profiles suggest that the nursing
      homes investigated have not been able to provide for capital maintenance;
      instead, the industry may be suffering from equity erosion. Also, the descriptive
      profiles of capital structure in the nursing home industry differ across three
      major segments--county, not-for-profit and proprietary homes.

PMID- 10253193
TI  - Energy management in long-term care facilities: a hot or cold issue?
AB  - Conservation of energy resources through total energy management programs is
      receiving considerable attention in the health services sector. Although the
      total energy management concept has been favorably implemented in hospitals, the
      record is not entirely clear for other health care institutions. Thirty-one
      Arizona and 37 Minnesota long-term care facilities were surveyed to examine the
      attitudes, knowledge and practice of energy management in the nursing home
      context. Specific questions were directed toward average monthly energy costs,
      energy consumption, energy conservation methods implemented, energy conservation
      methods planned for future implementation, and administrator attitudes on the
      energy management problem. The results of this study indicate that energy is not
      perceived to be a major problem in long-term care facilities. Administrators
      generally lack basic knowledge about energy consumption and energy-related
      characteristics of their facilities. Few long-range plans and programs have been
      established to address energy problems. These results suggest the need for new
      energy policies in the health care system, particularly for institutions other
      than hospitals.

PMID- 10253194
TI  - Cost containment and terminal care: an essay into the ethics of
      'appropriateness.'.

PMID- 10253195
TI  - A hospital redefines its mission: a case study.

PMID- 10253196
TI  - Is there still a place for independent research into issues of public policy in
      England and Wales in the 1980's? A case study from the field of health care:
      modelling hospital costs.

PMID- 10253197
TI  - State-HSA relations: state-HSA cooperation on cost containment in rural areas.

PMID- 10253198
TI  - The politics of HSA cost-containment efforts: a symposium.

PMID- 10253199
TI  - On public sector options for reducing hospital capacity.

PMID- 10253200
TI  - Emergency medical services in a rural setting: attitudes of policy-makers and
      consumers.

PMID- 10253202
TI  - The business office and the on-line terminal system.

PMID- 10253201
TI  - Managing safety and health.

PMID- 10253203
TI  - Electronic insurance billing: a pilot project.

PMID- 10253204
TI  - Why have an R. N. in admitting?

PMID- 10253205
TI  - Patient service representative system.

PMID- 10253206
TI  - Skiptracing.

PMID- 10253207
TI  - An effective cash management program can improve your cash flow.

PMID- 10253208
TI  - The consultant: friend or foe? The fiscal director's view.

PMID- 10253209
TI  - The consultant: friend or foe? The consultant's view.

PMID- 10253210
TI  - The consultant: friend or foe? The patient account manager's view.

PMID- 10253211
TI  - Quality assurance in the business office.

PMID- 10253212
TI  - Medical records:how private should they be?

PMID- 10253213
TI  - Chinese hospitals use little linen.

PMID- 10253214
TI  - Does American or European equipment better answer the industry's needs?

PMID- 10253216
TI  - Institutional laundries in Far East 'hunger' for American technology, states a
      globetrotting executive.

PMID- 10253215
TI  - Facts you should know before using a low-temperature washing formula.

PMID- 10253217
TI  - These HMO opponents had to throw in the towel.

PMID- 10253218
TI  - Fees: tracking the latest trends.

PMID- 10253219
TI  - Why the bind on staff privileges may get even tighter.

PMID- 10253220
TI  - The ER: new hot spot for malpractice claims.

PMID- 10253222
TI  - St. Mary's Leprosy Centre, Bhimavaram.

PMID- 10253221
TI  - St. Joseph's Leprosy Hospital, Tuticorin.

PMID- 10253223
TI  - New kind of paramedic takes over IV and injection tasks.

PMID- 10253224
TI  - Hospital plays GP to the poor via storefront clinic.

PMID- 10253225
TI  - HMOs--medicine for feverish healthcare costs.

PMID- 10253226
TI  - Kaiser is shifting to outside contractors.

PMID- 10253227
TI  - Threat to tax-exempt bonds forces hospitals to consider alternative.

PMID- 10253228
TI  - Tax act tosses crumb to nonprofits.

PMID- 10253230
TI  - Reagan administration disappoints competition advocates, opponents.

PMID- 10253229
TI  - Tax-exempt bond ax won't cut deficit.

PMID- 10253231
TI  - Methodist's prestigious position reflects its trustees' high stature.

PMID- 10253232
TI  - High Court debate: does healthcare deserve special antitrust review?

PMID- 10253233
TI  - Beware of taxes on 'extra' revenues.

PMID- 10253234
TI  - Advanced health systems' rates under fire in the West.

PMID- 10253235
TI  - Business coalitions bar providers.

PMID- 10253236
TI  - Chains fight for CONS; ads don't help much.

PMID- 10253238
TI  - Most significant breakthroughs in 8 years will be displayed at RSNA show.

PMID- 10253237
TI  - Buying group contracts for services to hospitals.

PMID- 10253239
TI  - HCA builds white knight image in its quest for new market.

PMID- 10253240
TI  - HCA hospitals cost less (in 3 states)

PMID- 10253241
TI  - Hospital chains become important providers.

PMID- 10253242
TI  - Hospitals win as vendors adapt.

PMID- 10253243
TI  - Vendors expect good demand for updated financial software.

PMID- 10253244
TI  - Time-shared system answers hospitals' ad hoc data queries.

PMID- 10253246
TI  - Assessing the merits of medical equipment.

PMID- 10253245
TI  - Markets at issue as trial concludes.

PMID- 10253247
TI  - Rx for lowering accident losses.

PMID- 10253248
TI  - PruCare's HMO stance stands despite losses.

PMID- 10253249
TI  - Determination of optimal variable-sized multiple-block appointment systems.
AB  - The single-block appointment system is the most common method of scheduling
      ambulatory care clinics today. Several studies have examined various appointment
      systems ranging from single-block appointments on one extreme to individual
      appointments on the other, and including mixtures of these such as multiple-block
      (m-at-a-time) and block/individual systems. In this paper we analyze a general
      single-server multiple-block system, one permitting blocks of variable size. In
      the analysis we use a dynamic programming approach, with some modifications to
      compensate for the non-Markov nature of the problem. Analytical results and
      approximations which significantly reduce the computational requirements for a
      solution are obtained. Examples demonstrate that under certain weightings of the
      criteria of waiting, idle, and overtime, the generality of the system considered
      here allows performance superior to that of other commonly used systems.

PMID- 10253250
TI  - A mixed-integer goal programming model for nursing service budgeting.
AB  - This paper presents a mixed-integer goal programming model for expense budgeting
      in a hospital nursing department. The model incorporates several different
      objectives based upon such considerations as cost containment and providing
      appropriate nursing hours for delivering quality nursing care. Also considered
      are possible trade-offs among full-time, part-time and overtime nurses on
      weekdays as well as weekends. The budget includes vacation, sick leave, holiday,
      and seniority policies of a hospital and various constraints on a hospital
      nursing service imposed by nursing unions. The results are based upon data from a
      study hospital and indicate that the model is practical for budgeting in a
      hospital nursing department.

PMID- 10253251
TI  - Optimal control of a birth and death epidemic process.
AB  - We employ a birth and death process to describe the spread of an infectious
      disease through a closed population. Control of the epidemic can be effected at
      any instant by varying the birth and death rates to represent quarantine and
      medical care programs. An optimal strategy is one which minimizes the expected
      discounted losses and costs resulting from the epidemic process and the control
      programs over an infinite horizon. We formulate the problem as a continuous-time
      Markov decision model. Then we present conditions ensuring that optimal
      quarantine and medical care program levels are nonincreasing functions of the
      number of infectives in the population. We also analyze the dependence of the
      optimal strategy on the model parameters. Finally, we present an application of
      the model to the control of a rumor.

PMID- 10253252
TI  - Patient service representatives: a system to increase efficiency.

PMID- 10253253
TI  - National autopsy data bank: potentially useful to so many, for so little.

PMID- 10253254
TI  - What pathologists should know and be able to do in laboratory data processing and
      computers: general theory.

PMID- 10253255
TI  - Pathology education for patients, public, and peers: problem of the invisible
      pathologist.

PMID- 10253256
TI  - NCCLS: objectives, organization, and activities.
AB  - In the 1960s, representatives from the professions, industry, and government
      formed the National Committee for Clinical Laboratory Standards to promote the
      development and use of national and international standards in the clinical
      laboratory field. In June at the IV International Symposium on Quality Control in
      Osaka, Japan, the author of this article, a representative of the NCCLS
      international committee, provided symposium participants with, an overview of
      this unique organization. He recalled the events leading to its founding and
      detailed its structure, it voluntary process of standard setting, and its
      constituency.

PMID- 10253257
TI  - What pathologists should know and be able to do in laboratory data processing and
      computers: peripheral devices and storages.
AB  - This article is the second in a five-part educational series on laboratory data
      processing and computers. The authors describe the major components of peripheral
      storage and the limitations of input/output devices, and analyze in terms of
      laboratory workflow the type and placement of input/output devices. Preceding the
      article are competency areas and performance objectives, defined by the
      Laboratory Computer Applications and Data Processing Committee. Following the
      article are questions with which readers can test their understanding of the
      material. Next month the authors will focus on software.

PMID- 10253258
TI  - Will profit-takers change the face of medicine?

PMID- 10253259
TI  - The personnel audit.

PMID- 10253260
TI  - The comparable worth issue: a salary administration bombshell.

PMID- 10253261
TI  - The physical therapist's role in neonatal intensive care: a survey.
AB  - A survey was undertaken to investigate the current practice and the actual need
      for physical therapy in the relatively new area of neonatal intensive care. The
      opinions of professionals within five groupings at six hospitals with neonatal
      intensive care units were solicited. A hypothetical situation of the ideal
      physical therapy service in neonatal intensive care was presented to the
      respondents who were then asked to compare such ideal services with those
      currently provided in the units surveyed. The results indicated that the majority
      of those surveyed consider the physical therapist to be an important member of
      the health team in a neonatal intensive care unit. Expansion of physical therapy
      services, with regard to both availability and areas of involvement, appears
      desirable. Both the conclusions derived from a review of the literature and the
      survey's results indicate that more research in neonatal physical therapy is
      needed.

PMID- 10253262
TI  - Development & PR booklet series.

PMID- 10253263
TI  - Jumbo admissions handbook: a patient handbook on every coffee table?

PMID- 10253265
TI  - A ticket to the hospital: new admissions handbook format goes a long way.

PMID- 10253264
TI  - ER care packet.

PMID- 10253266
TI  - Medical staff attitude survey.

PMID- 10253267
TI  - Story leads for the media: did you know goldfish can grow new brains?

PMID- 10253268
TI  - Happy birthday, hospital.

PMID- 10253269
TI  - Traveler's immunization clinic: introduce your hospital to the jet set.

PMID- 10253270
TI  - Christmas greetings...and thanks for 365 days' service.

PMID- 10253271
TI  - Fiscally and physically, this workbook's a winner.

PMID- 10253272
TI  - Alumni baby club: don't neglect your youngest potential customers.

PMID- 10253273
TI  - Development enlists a radio station.

PMID- 10253274
TI  - Advertising: reaching out. Going "across the border" for patients pays off.

PMID- 10253275
TI  - It's annual report time.

PMID- 10253276
TI  - Booklets, volunteers and big money.

PMID- 10253277
TI  - Production guide for publications: how one medical center helps their departments
      produce literature.

PMID- 10253278
TI  - Launching a medical stress unit...with 60% census the first week!

PMID- 10253279
TI  - Early intervention program: the continuing saga of a wonderfully worthwhile
      mental health program.

PMID- 10253280
TI  - Physician referral service: who else but a hospital would know its doctors?

PMID- 10253281
TI  - Rehab booklet: the personal touch pays off.

PMID- 10253282
TI  - A prescription for care.

PMID- 10253283
TI  - The case for patient education.

PMID- 10253284
TI  - Issues: other views -- self-help mutual aid groups.

PMID- 10253285
TI  - Patient education plays integral role in innovative acute care unit.

PMID- 10253286
TI  - Are doctors making emergency rooms their competitors?

PMID- 10253287
TI  - Integrated strategies: a successful approach to hospital public relations.

PMID- 10253288
TI  - How to adapt marketing strategies in health-care public relations.

PMID- 10253289
TI  - How to bring middle management into the communication process: come and talk
      shop.

PMID- 10253290
TI  - Satellite TV: new way to educate physicians.

PMID- 10253291
TI  - Structural and operational factors affecting quality of patient care in nursing
      homes.
AB  - This article inquires into structural and operational characteristics of nursing
      homes that have predictive power for the quality of direct patient care provided
      to their residents. Data are from nursing homes in the Phoenix, Arizona,
      metropolitan area. The data were analyzed using multivariate linear regression.
      Findings of policy interest are that, other things equal: (1) for-profit
      facilities provide lower levels of care than do nonprofit facilities; and (2)
      distantly headquartered chain operations provide lower care levels than locally
      owned facilities. These factors should be considered in long-term care planning
      and regulation.

PMID- 10253292
TI  - A comparative physical evaluation of four X-ray films.
AB  - In this study, four general purpose radiographic films (Agfa Gevaert Curix RP-1,
      duPont Cronex 4, Fuji RX, and Kodak XRP-1) were compared using three independent
      techniques. By examining the characteristic curves for the four films, film speed
      and contrast were compared over the diagnostically useful density range. These
      curves were generated using three methods: (1) irradiation of a standard film
      cassette lined with high-speed screens, covered by a twelve-step aluminum wedge;
      (2) direct exposure of film strips to an electro-luminescent sensitometer; and
      (3) direct irradiation of a standard film cassette lined with high-speed screens.
      The latter technique provided quantitative values for film speed and relative
      contrast. All three techniques provided virtually properly identical results and
      indicate that under properly controlled conditions simplified methods of film
      testing can give results equivalent to those obtained by more sophisticated
      techniques.

PMID- 10253293
TI  - Delegation: the art of growing.
AB  - Delegation is the most important tool we have, yet some managers hesitate to use
      it. As radiology administrators, we must translate our knowledge and experience
      to our employees through practice. If we do not achieve this translation through
      the delegation process, we will fail as managers. Therefore, we must give our
      personnel greater responsibility, a broader scope of activities and a greater
      challenge. Let them take as much responsibility as possible so that the feeling,
      "We're in this together," is shared. As a result, they will put forth the extra
      effort necessary to become outstanding employees.

PMID- 10253294
TI  - The role of the radiology manager in the VE.

PMID- 10253295
TI  - Something new: a radiology policies and procedures outline guide.
AB  - The American Hospital Radiology Administrators Midwest Region Education Committee
      felt the need for a guide to assist radiology administrators in developing
      departmental policies and procedures unique to their own institutions. The
      outline guide was undertaken as the education project for the committee of
      1980/81. The completed guide was presented at the April, 1981 Midwest regional
      meeting. This article is presented to you to introduce the outline guide and also
      emphasize the importance of the development of a comprehensive policy and
      procedure manual for improved radiology management.

PMID- 10253296
TI  - Quality administration: the forgotten half of quality assurance.

PMID- 10253298
TI  - The American Board of Medical Specialties: maintaining and promoting quality
      medical care.

PMID- 10253297
TI  - FLEX I and II: the test of the future.

PMID- 10253299
TI  - Tremendous growth predicted in ambulatory surgery market.

PMID- 10253300
TI  - Using psychodrama for information gathering.
AB  - Based on the results presented here, psychodrama has a definite place in the
      treatment of acute and chronic psychiatric clients. It works especially well with
      these clients on an information-gathering level to elicit information about a
      client's past unresolved conflicts and feeling relating to them. This data is not
      often available in the social and psychological history. An additional benefit of
      this exercise is the accelerated acceptance of the new client into the open
      ended, ongoing group. It has also proved to make future group sessions more
      meaningful to the new member. The implementation of psychodrama at the
      information gathering level has benefited the therapists clinically and, at the
      same time, enhanced the client's total participation in group.

PMID- 10253301
TI  - SLA 1981 salary survey update.

PMID- 10253302
TI  - How do you "assure" quality without promising the impossible?

PMID- 10253303
TI  - Patient care data: are you using data processing, or is it using you?

PMID- 10253304
TI  - The politics of preventive health.

PMID- 10253305
TI  - How to serve hospitals on an NOG basis.

PMID- 10253306
TI  - Ethical and practical considerations in decision making in burn care.

PMID- 10253307
TI  - Triage of burn patients.

PMID- 10253308
TI  - Transporting the critically burned patient.

PMID- 10253309
TI  - Systems conceptualization of burn care on a regional basis.

PMID- 10253311
TI  - Cost containment in the operating room.

PMID- 10253310
TI  - Stress management in burn cases.

PMID- 10253312
TI  - The auxilian as educator.

PMID- 10253313
TI  - Options for volunteers.

PMID- 10253315
TI  - Community health education: how the auxiliary can help.

PMID- 10253314
TI  - The volunteer's role in infection control.

PMID- 10253316
TI  - Lubbock General's volunteer visitors.

PMID- 10253317
TI  - Volunteers in St. Joseph's oncology unit.

PMID- 10253318
TI  - Providence Memorial's TOTS project.

PMID- 10253319
TI  - A look at volunteering from one who's been there.

PMID- 10253320
TI  - Building relationships: the director of volunteer services, auxiliary and
      administration.

PMID- 10253321
TI  - Informed consent requirements.

PMID- 10253322
TI  - The auxiliary in the smaller hospital: volunteers can augment small staffs and be
      valuable liaisons.

PMID- 10253323
TI  - The hospital auxilian.

PMID- 10253324
TI  - How should trustees prepare for corporate restructuring?

PMID- 10253325
TI  - Associations let hospitals and trustees speak with a united voice.

PMID- 10253326
TI  - Nonphysician practitioners in the hospital.

PMID- 10253327
TI  - Questions and answers on corporate restructuring.
AB  - In response to external pressures, many hospitals are changing from a single
      corporate entity to a system of related, but distinct, corporations. A successful
      corporate reorganization can allow a hospital to protect and increase revenue, to
      diversify activities, to avoid government interference, to compete in the
      marketplace, and to maintain quality of care. Although corporate reorganization
      is not a panacea, its benefits and disadvantages should be explored by every
      board.

PMID- 10253328
TI  - Planning has some new dimensions.
AB  - The demise of the health systems agencies means that planning for institutional
      survival will take place in a more competitive environment, and that the
      components of the planning function have new dimensions. Planners must take into
      account not only the epidemiology of the population but also its economic
      characteristics, the extent to which the market for medical services will be
      reorganized by new corporate conglomerates and multiunit management systems, and
      the reluctance of physicians and patients to embrace the trend to corporate
      enterprise.

PMID- 10253329
TI  - The patter of little footsteps: nursing home day care center mixes generations,
      returns residents' lives to 'normal'.

PMID- 10253330
TI  - Nutrition: in-service dietary education.

PMID- 10253331
TI  - Manor Care: where quality meets quality.

PMID- 10253332
TI  - Long-term care facilities provide home health care services.

PMID- 10253334
TI  - Year-end planning for reduced taxes.

PMID- 10253333
TI  - Special effort, furniture avert falls, study says.

PMID- 10253335
TI  - In-service in the dietetics service--part 2.

PMID- 10253336
TI  - Politics a peril: 'national health policy' urged.

PMID- 10253337
TI  - Volunteers reassure dental patients' families.

PMID- 10253338
TI  - For some volunteers, imitation is sincerest form of flattery.

PMID- 10253339
TI  - Volunteerism is good business.

PMID- 10253340
TI  - Well babies get loving, too.

PMID- 10253341
TI  - Combatting the heat wave of 1980: lessons for the future.
AB  - Throughout the summer of 1980, much of the nation suffered record-breaking,
      sustained hot and often humid weather. In cities throughout the country, the
      oppressive heat often led to crisis situations, and emergency procedures were
      hastily developed to provide shelter and medical assistance. The heat wave of
      1980 was particularly severe in St. Louis, Missouri. On July 17, hospital visits
      and admissions related to the heat reached a peak of 54 cases. Death rates
      soared. During the period from June 21 to July 28, the number of deaths in St.
      Louis rose by 40.6 percent--from 864 deaths in 1979 to 1,215 in the same period
      in 1980--with the heaviest toll among the poor and elderly. Heat waves of
      significant medical and social implications are not new to St. Louis. Indeed,
      conditions similar to 1980 have occurred ten times since 1911, with the most
      recent heat wave prior to 1980 occurring in 1966. The long periods between crises
      have caused medical and social planners to neglect or overlook preparations for
      heat-related illness. Consequently, each new government and medical generation
      has to deal with these crises from "scratch."

PMID- 10253342
TI  - Strategies and procedures of a pain clinic.

PMID- 10253343
TI  - An outsider looking in: an anthropologist in rehabilitation settings.
AB  - In assessing the contribution of anthropological investigation to health
      services, ethical review committees and health services personnel usually weigh
      the relationship between the risks to subjects from the research procedures and
      the benefits of the research results. While these reviews are important,
      attention should also focus on the benefits of the research process, itself. In
      rehabilitation settings, located at a Veterans Administration Medical Center,
      psychiatric-care facility, the anthropological research process benefits staff
      members and patients. Using the role of participant-observer, the anthropologist
      serves as an anonymous channel of communication and contributes to patient
      rehabilitation.

PMID- 10253344
TI  - Folk art as therapy with a group of old people.

PMID- 10253345
TI  - Killed by the CAT?

PMID- 10253346
TI  - U.S. to help private firms acquire HMOs.

PMID- 10253347
TI  - Veteran economist casts critical eye at 'competition' plans. Interview by James
      Stacey.

PMID- 10253348
TI  - Setting a standard for architecture in Islam: the Aga Khan School of Nursing in
      Karachi.

PMID- 10253349
TI  - Colorful ceramic tile creates bold exterior on health center.

PMID- 10253350
TI  - Management of high technology equipment in hospitals.

PMID- 10253351
TI  - Twenty-five years of university education for health administration in Australia.

PMID- 10253352
TI  - The newborn emergency transport service.

PMID- 10253354
TI  - Hospital efficiency.

PMID- 10253353
TI  - Comparative costs for alternative nurse training programmes.

PMID- 10253355
TI  - "Voluntary accreditation: an international perspective.".

PMID- 10253356
TI  - The ongoing pursuit of high quality.

PMID- 10253357
TI  - What the doctors say about stress.

PMID- 10253358
TI  - Continuing treatment for Hansen's disease patients after closure or transfer of
      PHS facilities: Public Health Service, Final rule.
AB  - This final rule amends Part 32 of 42 CFR to provide for continuity of care at PHS
      expense for Hansen's disease patients being treated at PHS hospitals and clinics
      which will be closed ro transferred pursuant to section 987 of the Omnibus
      Budget.

PMID- 10253359
TI  - Establishment of disaster radio response program in the local government radio
      service for states, territories, and possessions: Federal Communications
      Commission. Final rule.
AB  - This document amends 2, 90, and 99 to allocate high frequency (HF) frequencies to
      be used by the States, Territories, and Possessions in meeting disaster
      communications needs. This action is necessary to provide these entities with
      frequency resources needed to fulfill disaster communications requirements.

PMID- 10253360
TI  - Qualification of health maintenance organizations: Public Health Service. Notice
      of proposed rulemaking.
AB  - This notice proposes to amend the Public Health Service regulations on the
      qualification of health maintenance organizations (HMOs). These amendments are
      proposed as a result of the HMO Amendments of 1978 (Pub. L 95-559) and the
      Secretary's experience with he interim regulations published on June 8, 1977. The
      proposed changes would (1) modify the appeal procedures followed by the Secretary
      when an entity is denied qualification, (2) revise the requirements for the
      signing of assurances by qualified HMOs, (3) clarify how the Secretary treats
      information submitted by an applicant for qualification which may be requested
      under the Freedom of Information Act, and (4) make other clarifying and technical
      revisions regarding the qualification of HMOs.

PMID- 10253361
TI  - Health Resources Administration: announcement of amendments to PHS act; special
      project grants and contracts.

PMID- 10253362
TI  - Container and waste pile standards for owners and operators of hazardous waste
      facilities: consolidated permit regulations--Environmental Protection Agency.
      Amendments to interim final rule.
AB  - The Environmental Protection Agency (EPA) is today promulgating amendments to the
      hazardous waste management regulations regarding the management of hazardous
      waste in containers and piles and associated permit regulations (40 CFR Part 264,
      Subparts I and L, and Part 122, Subpart B). These amendments better tailor the
      standards to the particular type of hazard posed by specific situations. The
      standards for containers are amended to waive the containment system requirements
      for wastes that do not contain free liquids, provided that the wastes are
      protected from contact with accumulated liquid. The standards for waste piles are
      amended to waive the containment system requirements for wastes that do not
      contain free liquids, provided that the pile is protected from precipitation by a
      structure and from surface water run-on and wind dispersal of the waste by the
      structure or some other means. The Agency believes these amendments believes
      these amendments will not reduce the level of protection of human health and the
      environment.

PMID- 10253363
TI  - Hazardous waste management system: identification and listing of hazardous waste-
      Environmental Protection Agency. Interim final rule and request for comments.
AB  - The Environmental Protection Agency [EPA] is today revising the regulations for
      hazardous waste management under the Resource Conservation and Recovery Act to
      exempt certain categories of mixtures of solid wastes and hazardous wastes from
      the presumption of hazardousness presently contained in the regulations. EPA is
      taking this action because the Agency believes that the risk posed to human
      health and the environment from the management of these waste mixtures is not
      substantial, so that automatically defining these waste mixtures as hazardous is
      inappropriate. This amendment will substantially reduce the regulatory burden to
      those persons who would otherwise have applied the regulations for hazardous
      waste management to these mixtures.

PMID- 10253364
TI  - Interim status standards for owners and operators of hazardous waste treatment,
      storage, and disposal facilities--Environmental Protection Agency. Interim final
      rule and interim final amendments to rules and request for comments.
AB  - The Environmental Protection Agency [EPA] has issued standards applicable to
      owners and operators of hazardous waste management facilities as required by the
      Resource Conservation and Recovery Act [RCRA]. One of these standards bans the
      disposal of most containerized liquid hazardous waste in landfills, effective
      November 19, 1981. As a result of reconsideration of this restriction, EPA is
      today promulgating an interim final rule to allow the disposal of small
      containers of liquid and solid hazardous waste in landfills provided that the
      wastes are placed in overpacked drums [lab packs] in the manner specified in
      today's rule. The purpose of today's rule is to provide an environmental sound
      disposal option for generators of small containers of hazardous wastes, such as
      laboratories.

PMID- 10253365
TI  - Health Care Financing Administration; statement of organization, functions, and
      delegations of authority.

PMID- 10253366
TI  - Additional standards for human blood and blood products; source plasma (human)-
      Food and Drug Administration. Final rule.
AB  - The Food and Drug Administration [FDA] is amending the biologics regulations to
      make clear that an active plasmapheresis donor, who is to be immunized for the
      production of high-titer plasma, does not need to be reexamined before the first
      immunization injection if the same donor has previously received a physical
      examination for plasmapheresis in accordance with section 640.63(b)(1). This rule
      eliminates a burden on the individual plasmapheresis donor and the plasmapheresis
      center.

PMID- 10253367
TI  - Grants to for-profit organizations; implementing amendments--Public Health
      Service. Final rule.
AB  - This issuance amends 42 CFR Part 52 applicable to grants made for research
      projects under sections 301 and 356 of the Public Health Service Act to delete
      the prohibition on eligibility for research awards to entities that are organized
      or operated for profit. Elsewhere in this issue of the Federal Register is a
      final rule which, among other things, amends 42 CFR Part 87 to allow for-profit
      organizations to apply for health research and demonstration grants under section
      20 of the Occupational Safety and Health Act and section 501 of the Federal Mine
      Safety and Health Act.

PMID- 10253368
TI  - Department of Health and Human Services--Grants and subgrants to for-profit
      organizations. Proposed rules.
AB  - This rule proposed to remove regulatory bars to grants to for-profit
      organizations under three HHS grant programs in which the for-profit
      organizations are not barred by statute from receiving grants. It also proposes
      (1) to make HHS's Department-wide grants administration regulations, 45 CFR Part
      74, apply automatically to grants and subgrants to for-profit organizations and
      (2) to add to those regulations additional provisions for grants and subgrants to
      for-profit organizations. These actions reflect a reversal of the Department's
      generally policy of not making for-profit organizations eligible for grants in
      those few programs where they are not statutorily barred from receiving grants.

PMID- 10253369
TI  - Big losses force merger of Illinois Blue Cross plans.

PMID- 10253370
TI  - Federal fund cutback may slow HMO growth.

PMID- 10253371
TI  - Dental plans remain popular with employers, employees.

PMID- 10253372
TI  - Hospice: employers consider home care for terminally ill.

PMID- 10253374
TI  - Mandated health coverage competition may create more ills than it would cure.

PMID- 10253373
TI  - Medical claims audits can stop the flow of costs leaks from group health care
      plans.

PMID- 10253375
TI  - "Pro-competition' bills fail to recognize the problems pushing health costs up.

PMID- 10253376
TI  - Drug usage review. Part one: designing the BC Pharmacare program.

PMID- 10253377
TI  - Anxiety in the coronary care unit: assessment and intervention.

PMID- 10253378
TI  - Healing is the biggest business.

PMID- 10253380
TI  - Energy conservation and the responsibilities of health care institutions.

PMID- 10253379
TI  - Five steps to cost containment.

PMID- 10253381
TI  - A community hospital sets the example in energy conservation.

PMID- 10253382
TI  - A profile of the volunteer board member.

PMID- 10253383
TI  - Continuing education: how the board member sees it.

PMID- 10253384
TI  - Commitment to caring.

PMID- 10253385
TI  - Financial modeling: one hospital's experience.

PMID- 10253386
TI  - Benefits of hospital based systems.

PMID- 10253387
TI  - Red to black through computerization.

PMID- 10253388
TI  - El Camino Hospital: ten years later.

PMID- 10253389
TI  - Efficient and effective abstracting: patient information reporting system is the
      answer.

PMID- 10253390
TI  - Medical information systems--can our current computers handle it?

PMID- 10253391
TI  - Capacity planning guide for mainframes running the IBM patient care system (PCS).

PMID- 10253392
TI  - On-line embosser at UCSD Medical Center.

PMID- 10253393
TI  - Methodist Hospital automates dictation.

PMID- 10253394
TI  - Anatomy of non-task seating: how to determine seated comfort for the body at
      rest.

PMID- 10253396
TI  - HMOs look for increased private investments.

PMID- 10253395
TI  - Competitive tying arrangements: the case of medical insurance.

PMID- 10253397
TI  - Ease of administration, decreased costs persuade companies to adopt direct
      reimbursement dental.

PMID- 10253398
TI  - Health risk estimation may provide cost-efficient alternative to periodic
      employee health exams.

PMID- 10253399
TI  - An evaluation of the costs of pregnancy disability.

PMID- 10253400
TI  - Calif. hospital nixes DOD bed request.

PMID- 10253401
TI  - Winter maintenance for ambulance vehicles.

PMID- 10253402
TI  - How to bid and contract for an RTSS UHF system.

PMID- 10253403
TI  - In-house versus contract cleaning.

PMID- 10253404
TI  - Artifact in client satisfaction assessment: experience in community mental health
      settings.
AB  - Artifact in client satisfaction assessment is discussed and the results of a
      study of three factors thought to mediate client satisfaction ratings; (a)
      general life satisfaction, (b) mode of administration, and (c) psychological
      symptomatology, are reported. A standard client satisfaction questionnaire (CSQ)
      was modified to yield parallel forms and was administered orally and in writing
      to 92 clients in two mental health day treatment programs. Satisfaction ratings
      obtained from these clients were quite similar to out-patient ratings obtained in
      previous studies conducted in this setting and using the same measures. Oral
      administration of the CSQ produced 10% higher satisfaction ratings than written
      administration (p less than .05) and less missing data (p less than .01).
      Satisfaction ratings were also obtained using a simple graphic instrument.
      Graphic ratings were comparable to CSQ ratings. Satisfaction with life in general
      and level of psychiatric symptoms together accounted for 25% of CSQ variance. The
      implication of these findings for future client satisfaction research is
      discussed.

PMID- 10253405
TI  - "Transcendental" labor worries?

PMID- 10253406
TI  - Perseverance or pigheadedness?

PMID- 10253407
TI  - Low-key employee drive pulls 200% of goal.

PMID- 10253408
TI  - Influencing the training of nurses.

PMID- 10253409
TI  - A total approach to hospital budgeting and financial planning.

PMID- 10253410
TI  - The risky business of quality care.

PMID- 10253411
TI  - New directions for community hospitals: occupational and preventive healthcare.

PMID- 10253412
TI  - Learning about labor relations.

PMID- 10253413
TI  - There's no nurse shortage at Saint Joseph Medical Center.

PMID- 10253414
TI  - Hospital closure; dismantling with care.

PMID- 10253416
TI  - Product profile: more than a wound dressing.

PMID- 10253415
TI  - Waiting lists: where does the time go?

PMID- 10253417
TI  - Patient finance: how to pay patients.

PMID- 10253418
TI  - Waiting lists: a test of stamina.

PMID- 10253419
TI  - The flying wardens.

PMID- 10253420
TI  - Northern Ireland: high rise hospital.

PMID- 10253421
TI  - NHS spending: maximizing resources.

PMID- 10253422
TI  - Nurse management: the essential link.

PMID- 10253423
TI  - Is group purchasing always best?

PMID- 10253424
TI  - Hospital purchasing in the era of the corporate takeover.

PMID- 10253425
TI  - Budgeting techniques for materials managers.

PMID- 10253426
TI  - Can group purchasing survive the 1980's? Part 1.

PMID- 10253427
TI  - Economic and legal implications of multi-institutional arrangements.

PMID- 10253428
TI  - The French hospital system at local level: the Centre Hospitalier Regional de St
      Etienne.

PMID- 10253429
TI  - Monitoring hospital medicine expenditure.

PMID- 10253430
TI  - Infection risks of multiple dose vials examined.

PMID- 10253431
TI  - CDC provides recommendations on vaccine-preventable diseases.

PMID- 10253432
TI  - Unauthorised tampering with hospital equipment.

PMID- 10253433
TI  - Circulating fluid bed combustion: energy from waste materials and coal.

PMID- 10253434
TI  - Installation of a Honeywell Delta 1000 building services management system:
      savings through central control.

PMID- 10253435
TI  - Existing hospital stock: problems and solutions. Part I.

PMID- 10253436
TI  - Existing hospital stock: problems and solutions. Part II.

PMID- 10253437
TI  - Human life "federalism" amendments: its language, effects.

PMID- 10253438
TI  - Holy Cross Hospital, Nogales, AZ. Congregation, diocese collaborate to maintain
      Catholic hospital.

PMID- 10253439
TI  - Performance review: essential tool for CEO, board accountability.

PMID- 10253440
TI  - Resolving role confusion, a source of employee conflict.

PMID- 10253441
TI  - Treating defective newborns: who judges extraordinary means?

PMID- 10253442
TI  - Report of CHA divisional activities.

PMID- 10253443
TI  - Direct client communication useful libel defense.

PMID- 10253444
TI  - Hospitals may remove unruly patients to protect others.

PMID- 10253445
TI  - Care continuity between a general hospital and a community urgent care center.

PMID- 10253446
TI  - "When you're thinking about communications---think big!".

PMID- 10253447
TI  - How to evaluate the finance function.

PMID- 10253448
TI  - Screening hospice volunteers: using a psychiatric nurse as a consultant.

PMID- 10253449
TI  - A model for determining the cost per use of multiple-use blood pressure
      transducers.

PMID- 10253450
TI  - Solve the nursing shortage with your available resources!

PMID- 10253451
TI  - Materiel management: multitudinous hospital forms.

PMID- 10253452
TI  - Cost containment out the door.

PMID- 10253453
TI  - Independent air flows.

PMID- 10253455
TI  - Evaluating an organization's disciplinary system.

PMID- 10253454
TI  - Human resource management and the energy crisis: an ostrich posture?

PMID- 10253456
TI  - Court rules blood bank is health care facility: bars NLRB bargaining order.

PMID- 10253457
TI  - Economic Recovery Tax Act affects non-profit hospitals' informational tax
      reporting for fixed-asset depreciation.

PMID- 10253458
TI  - Bills to deposit shareholders' dividends directly to charities could increase
      giving and increase investment returns.

PMID- 10253459
TI  - Grant-in-aid success or research by the average practitioner is possible.

PMID- 10253460
TI  - We've come a long way.

PMID- 10253461
TI  - Student today; practitioner tomorrow.

PMID- 10253462
TI  - A biostatistical and epidemiologic perspective of an occupational health record
      system.

PMID- 10253463
TI  - The practice of clinical education in medical record administration.

PMID- 10253464
TI  - Medical care evaluation.

PMID- 10253465
TI  - Reduce the risk of liability.

PMID- 10253466
TI  - Ten commandments of infection control.

PMID- 10253467
TI  - Good playrooms take a crafty imagination.

PMID- 10253468
TI  - Focusing on the human being.

PMID- 10253469
TI  - Good health design: well in the open.

PMID- 10253470
TI  - Good health design: technology for efficiency.

PMID- 10253471
TI  - A pastoral care assessment for the psychiatric team in the age of DSM - III.

PMID- 10253472
TI  - Government discusses alternatives.

PMID- 10253473
TI  - Alternatives to UCR: an internist's perspective.

PMID- 10253474
TI  - Fee-for-service: an endangered species?

PMID- 10253475
TI  - UCR--the measure of all other systems?

PMID- 10253476
TI  - Compensation by capitation.

PMID- 10253477
TI  - A comparative study of health delivery systems of India and China.
AB  - The medical systems which most of the developing countries have, are ad hoc
      adoptions inherited from their colonial masters and have met with little success
      in making health planning as part of their national planning. Very few countries
      have been able to overcome the resistance of the medical profession and the
      bureaucratic inertia which is a major obstacle in the transformation of this
      system to a broad based social service and integrating it with the process of
      socio-economic development planning. The adoption of this system by developing
      countries is a typical example of technological misfit. A cheap and labour
      intensive model for developing countries shall be a proper solution for the
      development of a health care delivery system for the masses. A solution to this
      problem is a mix or hybrid of the traditional and modern medicines which very
      recently have been exploited both in India and China. How far India and China
      have been successful and what is needed to be done is the subject matter of this
      paper.

PMID- 10253478
TI  - Coping with block grants.

PMID- 10253479
TI  - Chasing a rainbow: catching an arsonist.

PMID- 10253480
TI  - AHA/IAHS: toward confirming healthcare teamwork.

PMID- 10253481
TI  - Making friends with discretion.

PMID- 10253482
TI  - Aggression in the healthcare environment: part II theories of aggression.

PMID- 10253483
TI  - Survival of the fattest.

PMID- 10253484
TI  - Barriers to effective knowledge use in national mental health policy.

PMID- 10253485
TI  - Designing health policy research for utilization.

PMID- 10253486
TI  - Preserving alternate income: assessing IRS positions on lab services tax.

PMID- 10253487
TI  - The CEO/COO model: dual leadership in hospitals gains momentum.

PMID- 10253488
TI  - Collections: improving the self-pay balance picture.

PMID- 10253489
TI  - Accounts receivable: using lock boxes to reduce float time.

PMID- 10253490
TI  - Charging for services: using computers to determine unit costs.

PMID- 10253491
TI  - Capital management: financing capital in a hospital-based prepayment plan.

PMID- 10253493
TI  - New kid on the block?

PMID- 10253492
TI  - Receivables decreasing.

PMID- 10253494
TI  - Inventory management.

PMID- 10253495
TI  - Time for all things.

PMID- 10253496
TI  - Take the sting out of firing.

PMID- 10253497
TI  - Patient participation in consent helps minimize liability.

PMID- 10253498
TI  - Contain hospital liability with strict credentialing for registry nurses.

PMID- 10253499
TI  - What is the status of the law on the use of bed rails and side rails to restrain
      patients?

PMID- 10253500
TI  - Understanding differences between medical staff and administration.

PMID- 10253501
TI  - Guidelines for maintaining high-quality medical records.

PMID- 10253502
TI  - Comprehensive tuberculosis surveillance and control program: ten-year study.

PMID- 10253503
TI  - A methodology for display of antimicrobial utilization data in ambulatory
      patients.

PMID- 10253504
TI  - Why is there resistance to change and how can it be minimized?
AB  - The ability to implement change, as an administrative skill, is essential in
      effectively promoting progressive pharmacy practice. Often, pharmacy managers
      want to implement change but do not know how to approach the process without
      encountering much resistance from the staff. There are various sources of
      resistance that need to be recognized, including lack of trust, inaccurate or
      incomplete information, and potential loss. A pharmacy manager can take different
      approaches to minimize this resistance, depending on the organization and his or
      her management style. A pharmacy manager can use the techniques cited to turn the
      uncertainties of change into established gains and employee commitment.

PMID- 10253505
TI  - Trends in cost containment: where do we cut?
AB  - The current emphasis on cost containment and its impact on pharmacy practice is
      reviewed. Methods by which existing standards of practice can be maintained are
      presented. Strategies for increasing the pharmacist's role in patient care within
      this climate are discussed. Examples of cost-effective approaches to pharmacy
      management and practice are outlined. Specific approaches include fiscal
      management of inventory, efficient use of personnel, and developing programs that
      reduce health-care cost.

PMID- 10253506
TI  - Prescription for nursing-pharmacy relations: a pharmacist's viewpoint.

PMID- 10253507
TI  - Project: Micheal Reese Hospital and Medical Center Administrative Services
      Center.

PMID- 10253508
TI  - Teenage volunteers make mealtime more personal for profoundly handicapped
      teenagers in an institution.

PMID- 10253510
TI  - Marketing strategies in rural areas.

PMID- 10253509
TI  - Management and community factors affecting the financial viability of rural
      health initiative sites.

PMID- 10253511
TI  - Coaching and counseling: keys to continued growth.

PMID- 10253512
TI  - Community hospice program: factors to consider when planning to provide
      interfacing home and inpatient care options.

PMID- 10253513
TI  - Alcoholism quality assurance project in the health maintenance organization.

PMID- 10253514
TI  - Emergency medical Technicians' perception of acceptance by nurses and physicians.

PMID- 10253516
TI  - The crisis of control.

PMID- 10253517
TI  - Medical control and the volunteer rescue squad.

PMID- 10253515
TI  - Continuing competency for health professionals: caveat emptor.
AB  - Continuing competency presents a challenge for professionals in the environmental
      health field and other public heath disciplines. It is argued that traditional
      continuing professional education alone is inadequate and other alternatives need
      to be developed which are complementary. Issues and concerns related to mandatory
      vs. voluntary continuing professional education are discussed. Communities of
      interest in the process are described which include practitioners, employers,
      faculty and consumers, each of whom contribute to a definition of competence. A
      format for increasing interaction among these communities and a credentialing-
      continuing competency model is presented. The model addresses the notion that
      obtaining and maintaining competency is an on-going dynamic process.

PMID- 10253518
TI  - Ambulance cots: familiar friends--with forgotten hazards.

PMID- 10253519
TI  - Physician staffing in the emergency department: criteria considerations and
      evaluation techniques.

PMID- 10253520
TI  - EMS in Dallas: a fresh look at the system selected the best in the country.

PMID- 10253521
TI  - The contribution of social science research to health policy: the Royal
      Commission on the National Health Service.
AB  - This article adopts a case study approach to examine the contribution of social
      science research to health policy. It concentrates exclusively on the recent
      Royal Commission on the National Health Service. After describing its background
      and modus operandi the paper goes on to assess the Report's utilization of social
      science research, both in its diagnosis and recommendations. This assessment
      suggests that while the Commissioners made relatively little use of research
      based evidence in their diagnosis, their recommendations provide the basis for a
      substantial increase in the contribution of social scientists, particularly in
      the field of health services evaluation.

PMID- 10253522
TI  - Reader-printers for libraries: introductory comments on the LTR test program.

PMID- 10253523
TI  - Canon Canorama Printer 380 reader printer.

PMID- 10253524
TI  - Datagraphix 1500DL reader printer.

PMID- 10253526
TI  - Micron RP 700 reader printer.

PMID- 10253525
TI  - Micro Design DC580 AE reader printer.

PMID- 10253527
TI  - A smooth linen operation depends on cooperation with nursing units.

PMID- 10253528
TI  - Nursing: a profession in need of intensive care.

PMID- 10253530
TI  - How and where hospitals will bear down on you.

PMID- 10253529
TI  - How good a deal could you get from a big group today?

PMID- 10253531
TI  - Little errors that mean big malpractice trouble.

PMID- 10253532
TI  - A decade of economic challenges to pharmacy.

PMID- 10253533
TI  - Freestanding hospices uneconomical?

PMID- 10253535
TI  - Oral Roberts' medical center: merging medicine and prayer.

PMID- 10253534
TI  - Diabetic self-management is aim of two new centers.

PMID- 10253536
TI  - A decade of changes.

PMID- 10253537
TI  - Communications: gatekeeper of the future.

PMID- 10253539
TI  - A fifty-year report from the American Association for the Advancement of Medical
      Technology, 1980-2030 A.D.

PMID- 10253538
TI  - Auxilians as hospital trustees.

PMID- 10253540
TI  - Blues plunge into financial straits.

PMID- 10253541
TI  - Illinois hospitals pull out of contracts with Blues.

PMID- 10253542
TI  - More hospitals planning to drop Social Security.

PMID- 10253543
TI  - Hospitals reap benefits from unions.

PMID- 10253544
TI  - Employers use various remedies to slash surging healthcare costs.

PMID- 10253545
TI  - New tax act incentives boost leasing's appeal.

PMID- 10253546
TI  - Monitoring of hazards in hospitals lax.

PMID- 10253547
TI  - Public hospitals straining to survive federal assault on healthcare costs.

PMID- 10253548
TI  - Hospitals innovate to stem closures.

PMID- 10253549
TI  - Religion, medicine join hands at Oral Roberts' City of Faith.

PMID- 10253550
TI  - Compensation survey.

PMID- 10253551
TI  - Government blunts competitive edge of federal employees' health benefits.

PMID- 10253552
TI  - Changing values, aggressiveness, bureaucracy lead to R.N. discontent.

PMID- 10253553
TI  - Government is unseen party when sale of healthcare facility negotiated.

PMID- 10253554
TI  - Criticism: the other side of nursing.

PMID- 10253555
TI  - Health care organization: evolving toward wellness.

PMID- 10253556
TI  - Integrating a concern for health promotion/disease prevention with the clinical
      practice of medicine and dentistry.

PMID- 10253557
TI  - Manager behavior in a social context: the impact of impression management on
      attributions and disciplinary actions.
AB  - Two experimental studies were run to test the effects of subordinate impression
      management on the appraisals and responses of a manager, following an incident of
      poor performance. Two common impression management tactics, accounts and
      apologies, were manipulated in each of the studies. Subjects in both studies were
      experienced nursing supervisors. On the basis of the "discounting effect"
      reported in the attributional literature it was hypothesized that accounts of
      external causes for poor performance, i.e., excuses, would lead subjects to (1)
      attribute less responsibility to the subordinate, (2) be less personal in their
      responses, and (3) be less punitive in their responses. Apologies, because of
      their "equity restoration" effects, were expected to influence subjects'
      disciplinary responses to the poor performance, without necessarily affecting
      their attributions of responsibility. Experiment 1. which employed written
      stimulus materials and a repeated-measures design, provided strong support for
      all hypotheses. Experiment 2. which employed a film stimulus and between-subjects
      design, provided strong support for the accounts hypotheses but only minimal
      support for the apology hypotheses. The results highlight the importance of
      social information cues in the appraisal of performance.

PMID- 10253558
TI  - From Bismarck to cost containment.

PMID- 10253560
TI  - Availability of standard and certified reference materials.

PMID- 10253559
TI  - Adam Smith revisited? All about those competition health plans.

PMID- 10253561
TI  - What pathologists should know and be able to do in laboratory data processing and
      computers: software.

PMID- 10253562
TI  - How the FDA looks ahead while celebrating its 75th anniversary.

PMID- 10253563
TI  - A money-back guarantee for healthcare: it works for HCA.

PMID- 10253565
TI  - Who skinned the CAT? Comments on advertising by a physician who did.

PMID- 10253564
TI  - The parchment badge of courage: an ER award for kids.

PMID- 10253566
TI  - Looking for nurses?

PMID- 10253567
TI  - How to give away your money: a fund raising brochure that works.

PMID- 10253568
TI  - The hospital as a major TV advertiser: Deaconess Hospital sponsors 160 shows in a
      year.

PMID- 10253569
TI  - A gift certificate for health care? It raised the census more than 300%.

PMID- 10253570
TI  - Patient interviews aid quality control.

PMID- 10253571
TI  - Patient handbooks.

PMID- 10253572
TI  - Booster booklets.

PMID- 10253573
TI  - The day the headlines went wild: PR strike checklist.

PMID- 10253575
TI  - A do-it-yourself market audit.

PMID- 10253574
TI  - An annual report that saved both time and money.

PMID- 10253576
TI  - A daily newsletter.

PMID- 10253577
TI  - A fundraiser's Christmas list.

PMID- 10253578
TI  - There are many reasons for giving kids a coloring book.

PMID- 10253579
TI  - Planning a readership survey? Mayo has mastered both the art and the science.

PMID- 10253581
TI  - Once you have found her, never let her go.

PMID- 10253580
TI  - The opening bid. How to promote a new hospital.

PMID- 10253582
TI  - Seven approaches to annual reports.

PMID- 10253583
TI  - The speakers' bureau lives again.

PMID- 10253585
TI  - CAT scanners: we shall overcome.

PMID- 10253586
TI  - Wellness: an apple a day.

PMID- 10253584
TI  - Booking babies: this guidebook's the key to sold-out prenatal classes.

PMID- 10253587
TI  - The case of reluctant residents: studies in residency recruitment.

PMID- 10253589
TI  - Turn donors into "investors" by acknowledging gifts with "stock certificates".

PMID- 10253588
TI  - How to raise $2 million for a new ER.

PMID- 10253590
TI  - Run for fun...and PR mileage.

PMID- 10253591
TI  - Something big in Petoskey: PR program sells unpopular merger.

PMID- 10253593
TI  - Keep the kids on file: a public service that helps sell the ER.

PMID- 10253592
TI  - Super sitters create super support.

PMID- 10253594
TI  - Why market? An interview with a marketing administrator.

PMID- 10253595
TI  - A "friend raising" comes up roses.

PMID- 10253596
TI  - These gardens grow money.

PMID- 10253597
TI  - Hazardous materials seminar produces healthy PR fallout.

PMID- 10253598
TI  - Absentee ballots for patients.

PMID- 10253600
TI  - A press conference portfolio. Have news? Here's how to share it.

PMID- 10253599
TI  - Eight common misconceptions about hospital marketing.

PMID- 10253601
TI  - Advertising maternity savings.

PMID- 10253602
TI  - Postcard PR.

PMID- 10253603
TI  - Put a calendar to work for you.

PMID- 10253604
TI  - The quarter-million-dollar phone call: a phone-in financial planning service
      stimulates large gifts.

PMID- 10253605
TI  - Leave the driving to us: a $50,000 holiday gift to the community.

PMID- 10253606
TI  - Nursenapper!

PMID- 10253607
TI  - The (grand) parenting center.

PMID- 10253608
TI  - Promoting wellness in Wisconsin.

PMID- 10253609
TI  - Heart center publication: a beautifully effective image builder.

PMID- 10253611
TI  - Patient pointers.

PMID- 10253610
TI  - Weekend nursing: a successful recruitment alternative.

PMID- 10253612
TI  - $84,000 worth of hard sell: it brought 3500 members and 2100 contracts to D.C.
      HMO.

PMID- 10253613
TI  - Employee crisis counseling.

PMID- 10253614
TI  - Acupuncture for smoking.

PMID- 10253615
TI  - Look up! An air ambulance service takes off fast.

PMID- 10253616
TI  - Call, then mail: direct-mail follow-up to phone campaign produces excellent
      results.

PMID- 10253617
TI  - Newsletter critique.

PMID- 10253618
TI  - Pre-natal classes...for grandparents?!

PMID- 10253619
TI  - Employee stress control: a priority "profit center.".

PMID- 10253620
TI  - All-out fundraising.

PMID- 10253621
TI  - Specialized literature for departments.

PMID- 10253622
TI  - A do-it-yourself market audit: Part II.

PMID- 10253623
TI  - Encouraging volunteers: an interview with a hospital management consultant.

PMID- 10253624
TI  - PR with a wooden nickel? It brings a cup of coffee and lots of smiles.

PMID- 10253625
TI  - The patient's paper: a newspaper-style patient handbook.

PMID- 10253626
TI  - A hospital cookbook.

PMID- 10253627
TI  - Nurse recruitment section: the decision process.

PMID- 10253628
TI  - Nurse recruitment section: reaching out.

PMID- 10253629
TI  - Nurse recruitment section: an illustrated employment application.

PMID- 10253630
TI  - Nurse recruitment section: keep 'em posted.

PMID- 10253631
TI  - Instant birth announcements: postcards for parents, press and profit.

PMID- 10253632
TI  - Media PR: special PR treatment for broadcast media.

PMID- 10253633
TI  - A hospital magazine with ads.

PMID- 10253634
TI  - Family care card.

PMID- 10253635
TI  - Dialing for PR: TEL-MED's medical fact service makes the phone ring.

PMID- 10253636
TI  - Five Hospital Homebound Elderly Program.

PMID- 10253637
TI  - It's back to school for these young patients.

PMID- 10253638
TI  - Phlebotomist on wheels.

PMID- 10253639
TI  - How to distribute 300,000 brochures: a single trauma center piece doubles
      helicopter calls, boosts census 20%.

PMID- 10253640
TI  - Eye-catching development mailing.

PMID- 10253641
TI  - Case study: an ER marketing plan.

PMID- 10253642
TI  - Instructional placemats.

PMID- 10253643
TI  - Not another calendar: permanent growth and development chart.

PMID- 10253644
TI  - After the marketing audit.

PMID- 10253645
TI  - An industrial volunteer committee rolls up its sleeves.

PMID- 10253646
TI  - Media log.

PMID- 10253647
TI  - Photo gallery: children in the hospital.

PMID- 10253648
TI  - It's housekeeping employee appreciation day! Every day.

PMID- 10253649
TI  - An integrated pest management concept for hospitals.

PMID- 10253650
TI  - Trends in physicians' incomes, expenses, and fees: 1970-1980.

PMID- 10253651
TI  - Health regulation: some ideas on how to improve it.

PMID- 10253652
TI  - Prospects for regulation of the health care sector in the 1980s.

PMID- 10253653
TI  - Organizational structure and medical practice in health maintenance
      organizations.

PMID- 10253654
TI  - The economic status of resident physicians: results from the survey of resident
      physicians.

PMID- 10253655
TI  - The American Medical Association's periodic survey of physicians.

PMID- 10253656
TI  - Room at the top: provision for management succession in the NHS.

PMID- 10253657
TI  - Balancing education and research at the Nuffield Centre for Health Services
      Studies.

PMID- 10253658
TI  - The current interests and activities of the King's Fund College.

PMID- 10253659
TI  - Developments at the Health Services Management Centre.

PMID- 10253660
TI  - NHS management education and training in the last five years.

PMID- 10253662
TI  - When patients know what's good for them.

PMID- 10253661
TI  - Leicester Polytechnics Centre for Health Services Management.

PMID- 10253663
TI  - You can take outstanding medical photographs.

PMID- 10253664
TI  - Music therapy: tune-up for mind and body.

PMID- 10253665
TI  - Informed consent: for whose benefit?

PMID- 10253666
TI  - Task analysis of surgical technology occupations.

PMID- 10253667
TI  - Detergency--or making water work!

PMID- 10253668
TI  - The A.S.S.M. education award 1979: micro-wave systems.

PMID- 10253670
TI  - The nurse as manager: a role that is proving its worth.

PMID- 10253669
TI  - A bright future awaits the hospital educator.

PMID- 10253671
TI  - Employee health programs.

PMID- 10253672
TI  - Medication technicians: one approach to filling in the gaps.

PMID- 10253673
TI  - The how to's of setting up a part-time nursing pool.

PMID- 10253674
TI  - The deluge of doctors.

PMID- 10253676
TI  - Growing our own: the answer to solving personnel shortages may be found in our
      own backyards.

PMID- 10253675
TI  - The patient's right to privacy.

PMID- 10253677
TI  - The employee of today and tomorrow.

PMID- 10253678
TI  - Computers in hospitals: can they pay their way?

PMID- 10253679
TI  - Community planning success rests on new definition of trustee leadership.

PMID- 10253680
TI  - Orientation brings new trustees up to speed.

PMID- 10253681
TI  - The birth of a trustee association.

PMID- 10253682
TI  - The consultant dietitian--professionalism.

PMID- 10253683
TI  - New AF field shelters not CBW-proof.

PMID- 10253684
TI  - Growing pains underlie transition of Panama.

PMID- 10253685
TI  - DoD defends intention of hospital plan.

PMID- 10253687
TI  - How to reduce the cost of medical care.

PMID- 10253686
TI  - The ever changing health care environment: the uncommon solutions of tomorrow.

PMID- 10253688
TI  - Organizational innovation: the influence of individual, organizational, and
      contextual factors on hospital adoption of technological and administrative
      innovations.

PMID- 10253689
TI  - Substitutes for leadership: test of a construct.
AB  - The study reported here examined the impact of leadership substitutes on
      subordinate job satisfaction and organizational commitment. Leadership
      substitutes, as suggested by Kerr (1977), replace or "act in the place of" a
      specific leader behavior. Multiple regression was used to test the validity and
      strength of potential substitutes. Results indicated mixed support for the
      substitutes construct.

PMID- 10253690
TI  - Institutional living for the elderly in Denmark: a model for the United States.

PMID- 10253691
TI  - A social structure that works: the case of Green Nursing Home.

PMID- 10253692
TI  - Growing old in Britain.

PMID- 10253693
TI  - Donations to be shared: blood banking groups reach an agreement.

PMID- 10253694
TI  - Hospital fire may have been arson, MD says.

PMID- 10253695
TI  - Hospital antitrust suit settled.

PMID- 10253697
TI  - The challenge of moving.

PMID- 10253696
TI  - Off-air copying update: guidelines, advice to educators.

PMID- 10253698
TI  - Constant attention keeps costs at manageable level.

PMID- 10253699
TI  - Day care centers for the old: doctoring and dignity for the partly disabled.

PMID- 10253700
TI  - Soviet Union: in the psychiatric ward.

PMID- 10253701
TI  - Consolidated permit regulations and hazardous waste management system:
      Environmental Protection Agency. Notice of issuance of regulation interpretation
      memorandum.
AB  - The Environmental Protection Agency (EPA) is issuing today a Regulation
      Interpretation Memorandum (RIM) which provides official interpretation of the
      issue of whether a generator who accumulates hazardous waste pursuant to 40 CFR
      262.34, may qualify for interim status after November 19, 1980. This issue arose
      when the requirements for submitting a Part A permit application (one of the
      prerequisites to qualifying for interim status) were amended on November 19,
      1980. The provisions interpreted today are part of the Consolidated Permit
      Regulations promulgated under Subtitle C of the Solid Waste Disposal Act, as
      amended by the Resource Conservation and Recovery Act, as amended (RCRA).

PMID- 10253702
TI  - Limitation on federal participation for capital expenditures; policy on lack of
      timely notice: Public Health Service. Final rule.
AB  - This notice revises the Policy on Lack of Timely Notice under section 1122 of the
      Social Security Act, published in the Federal Register on January 26, 1977 (42
      CFR part 4847).

PMID- 10253703
TI  - Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).
      Withdrawal of proposed rule.

PMID- 10253704
TI  - Cost of hospital and medical care and treatment furnished by the United States;
      certain rates regarding recovery from tortiously liable third persons.

PMID- 10253705
TI  - Privacy Act system of records; amendment of a routine use and change in
      locations. Public Health Service. Amendment of a routine use and change in
      locations for Privacy Act system of records 09-15-0007.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing this notice of a proposal to amend a routine use and change
      the listing of locations for the "Patients Medical record System PHS
      Hospitals/Clinics," HHS/HSA/BMS. We are taking these actions in order to comply
      with the provisions of the Omnibus Budget Reconciliation Act of 1981 (Pub. L.97
      35) which requires that the PHS hospitals and clinics be closed by October 31,
      1981, or converted to community use by September 30, 1982.

PMID- 10253706
TI  - National Institutes of Health; statement of organization, functions, and
      delegations of authority.

PMID- 10253707
TI  - Hazardous waste management system; standards applicable to generators of
      hazardous waste; state program requirements. Environmental Protection Agency.
      Final rule.
AB  - On February 26, 1980 and May 19, 1980, under the Resource Conservation and
      Recovery Act (RCRA), the Environmental Protection Agency (EPA) published
      regulations establishing a system to manage hazardous waste. Those regulations
      allowed hazardous waste generators to accumulate hazardous waste on-site without
      obtaining a permit or meeting financial responsibility requirements if they
      shipped the waste off-site within 90 days. On November 19, 1980, the Agency
      published an interim final rule which expanded the scope of the provision to
      include generators who treat, store or dispose of hazardous waste on-site. The
      final rule published today retains this change. As a result of public comments,
      the Agency is making several changes to the interim final rule. These changes (1)
      Clarify that the provision is applicable to all generators, including those who
      accumulate hazardous waste for the purpose of use, reuse, recycling and
      reclamation, (2) remove the requirement for use of DOT containers, (3) revise the
      labelling and marking requirements for wastes accumulated in containers and
      tanks; and (4) allow an extension to the 90-day accumulation limit in certain
      circumstances.

PMID- 10253709
TI  - Iowa firms team up to trim hospital costs.

PMID- 10253708
TI  - Cooperative care unit cuts costs 40% at NYU hospital.

PMID- 10253710
TI  - Girl may get $13 million in claim against hospital.

PMID- 10253711
TI  - Small Illinois city proving it can beat big health costs.

PMID- 10253712
TI  - The past, present and future of Canadian medical technology.

PMID- 10253713
TI  - The Workload Recording Method for the clinical laboratory--a dynamic and ever
      (continually) evolving system. Problems relating to remaining valid and coping
      with significant reductions in unit values in clinical chemistry.

PMID- 10253714
TI  - A self help group for burn victims.
AB  - It has been found that social withdrawal is common among burn victims following
      discharge from hospital. This may be indicative of a lack of professional follow
      up services and counselling. Self help groups may be effective in helping such
      individuals adjust to the implications of their injury and community re
      integration by offering support and information. A student's experience with such
      a group is related and the role of an occupational therapist as a consultant to
      the group is described. It is advocated that occupational therapists provide a
      complete rehabilitation program by becoming involved in group program for burn
      victims prior to and after discharge.

PMID- 10253715
TI  - Radiological imaging--2000 A.D.

PMID- 10253716
TI  - Drug usage review. Part two: Implementing the ambulatory program.

PMID- 10253718
TI  - Policy and procedure manual.

PMID- 10253717
TI  - Realistic development of clinical pharmacy services in a community hospital.

PMID- 10253719
TI  - Productivity measurement using the programmable calculator.

PMID- 10253720
TI  - Quality assurance--a hospital pharmacy management perspective.

PMID- 10253721
TI  - The quality assurance of professional staff.

PMID- 10253722
TI  - Hospital cost containment.

PMID- 10253724
TI  - Dialogues with hospital pharmacists: William H. Hotaling, III, Ph.D.

PMID- 10253723
TI  - Managing an antibiotic surveillance program: written criteria and data
      collection.

PMID- 10253725
TI  - Upward mobility for pharmacy directors.

PMID- 10253726
TI  - Career advancement paths for the director of pharmacy.

PMID- 10253727
TI  - Basic concepts to consider before computerizing a hospital pharmacy.

PMID- 10253728
TI  - Policy and procedure manual.

PMID- 10253729
TI  - Participation: a management style.

PMID- 10253730
TI  - Utilization of an appraisal system in conjunction with preestablished behavioral
      objectives.

PMID- 10253731
TI  - ". . . Move over!": a message from self-help groups.

PMID- 10253732
TI  - THA's national partner of the American Hospital Association.

PMID- 10253733
TI  - Security of Tennessee hospitals: a comparative study.

PMID- 10253735
TI  - Tours boost community interest and health careers.

PMID- 10253734
TI  - Coping after relocation in a new hospital.

PMID- 10253736
TI  - Is it work or play?

PMID- 10253737
TI  - Practically speaking . . . public relations & security: a cooperative effort.

PMID- 10253738
TI  - Who can consent to treatment?

PMID- 10253739
TI  - The Morristown-Hamblen Berkline Corporation connection.

PMID- 10253740
TI  - Hospital computer planning: beyond rhetoric.

PMID- 10253741
TI  - Ohio's Children's Hospital takes step-by-step approach to office automation.

PMID- 10253742
TI  - The evolution of health care computer systems.

PMID- 10253743
TI  - Selection management is more than a committee responsibility.

PMID- 10253745
TI  - Study finds resentment, not greed is key factor in employee pilferage.

PMID- 10253744
TI  - The surgicenter experience.

PMID- 10253747
TI  - The VE enters its fifth year.

PMID- 10253746
TI  - Microfilming puts a silver lining on radiology files storage problem.

PMID- 10253748
TI  - Clinical pharmacy activities: a quantitative assessment at Sunnybrook Medical
      Centre.
AB  - Levels of clinical pharmacy activity were assessed at Sunnybrook Medical Centre
      using levine et al's concept of Patient Care Units. Data from pharmacist
      initiated log sheets (for two four-week periods) were collated and described
      under the headings of: "Average Clinical Time Per Day", "Number of Specific
      Clinical Encounters Per Month", "Average Percentage of Total Clinical Time Per
      Encounter", and "Average Time Per Specific Clinical Encounter". It was noted that
      only 21.7 to 26.0% of working time was spent on clinical interactions and that
      many of these activities did not involve patients. For example, clinical non
      distributive interactions with professionals (other than physicians or nurses)
      and attendance at pharmacy educational functions, accounted for the largest
      portion of clinical time. Most of the patient encounters that did occur consisted
      of the indirect activity of chart review, instead of the more direct-discharge
      interviews, allergy verifications, and medication histories, it was apparent from
      the log sheet results that there was an individual prioritization of clinical
      activities by the Sunnybrook pharmacists. However, a departmental assumption that
      direct patient encounters had priority was not evident.

PMID- 10253749
TI  - Standards of Canadian hospital pharmacy practice.

PMID- 10253751
TI  - Operation of prescription drugs plans varies, depending upon the type of system
      being used.

PMID- 10253750
TI  - Clinical pharmacy services: Part II--the issues.
AB  - The development of clinical pharmacy programs over the past decade has been both
      dramatic and satisfying as well as divisive and frustrating. In our experience
      the broad spectrum of possible clinical activities is responsible for both
      situations as it concerns the individual pharmacist. At Sunnybrook, liaison
      pharmacists have accepted departmentally prioritized clinical activities as their
      primary focus while removed from the distribution system. Documentation for each
      individual staff member, satellite and departmental achievements for patient
      counselling, adverse reaction and drug information programs was undertaken to
      provide visible endpoints for both staff and administration. Hospital Pharmacy
      visibility to the lay public, a need expressed by several prominent
      practitioners, has been addressed by the production of a Pharmacy Services
      Brochure which helps to educate in-patients about our many programs. Lastly the
      attempt by several colleagues to evaluate the profession's clinical impact by
      means of a quality assurance program illustrates the difficult task ahead of us
      if we are to indeed demonstrate an improved patient care program through our
      efforts.

PMID- 10253752
TI  - Employee choice, monetary incentives are used in innovative approaches to health
      care cost control.

PMID- 10253753
TI  - Federal EMS legislation.

PMID- 10253755
TI  - Perspective: EMS training in the fire department.

PMID- 10253754
TI  - The Maryland emergency medical services communications system.

PMID- 10253756
TI  - The rise of emergency medicine.

PMID- 10253757
TI  - Dallas EMS system.

PMID- 10253758
TI  - Emergency transport in retrospect.

PMID- 10253759
TI  - The maturing of EMS management.

PMID- 10253760
TI  - The nurse's role in EMS.

PMID- 10253761
TI  - Hazardous materials incidents and the EMT.

PMID- 10253762
TI  - EMS practical examinations: principles and procedures.

PMID- 10253763
TI  - EMT telephone triage.

PMID- 10253764
TI  - Growth contracts: tool for professional development.

PMID- 10253765
TI  - American Medical Association, Commission on Emergency Medical Services. Excerpts
      from provisional guidelines for the optimal categorization of hospital emergency
      capabilities.

PMID- 10253766
TI  - Child abuse: duty to report.

PMID- 10253767
TI  - Role conflict and ambiguity: an empirical investigation of nursing personnel.
AB  - A review of the nursing literature provides a number of hypotheses regarding
      levels among nurses of role ambiguity (uncertainty regarding others'
      expectations) and role conflict (incompatible demands from various role senders
      or from multiple roles held simultaneously). Questionnaire data collected from
      504 registered staff nurses, licensed practical nurses, nurses aides and head
      nurses/supervisors in five hospitals failed to provide much support for these
      hypotheses. Although levels of role conflict and ambiguity were low for most
      nurses, they were significantly related to job stress, organizational commitment,
      job satisfaction, and intentions to quit.

PMID- 10253768
TI  - Use of resident physicians: an evaluation of the effects of a significant
      increase.
AB  - Medical school graduates have become increasingly dependent on former community
      hospitals for residency programs because charitable institutions attached to
      medical schools are disappearing. It is not known what impact residencies have on
      hospitals that were community hospitals. We interviewed private practice
      physicians, residents, nurses, patients, and other groups in a large former
      community hospital. Overall, the interviews indicated good support for the
      hospital's new teaching function. Furthermore, the residents were viewed in very
      favorable terms by all groups. There were two problem areas. One, some residents
      seem less sensitive to human relations than private practice physicians and other
      hospital groups. Two, many private practice physicians are concerned over the
      number of hospital-salaried physicians and the outpatient care offered by
      residents supervised by hospital-salaried physicians. This research suggested
      several recommendations that, if followed, would serve to increase the value of
      the residency in meeting patient needs in the most effective manner.

PMID- 10253769
TI  - Fast response sprinklers in patient room fires.

PMID- 10253770
TI  - Health promotion programs warrant effective marketing.

PMID- 10253771
TI  - Toward the definition of concepts of health and disease, wellness and illness.

PMID- 10253773
TI  - Emergicenters: the next wave.

PMID- 10253772
TI  - Health-related articles in the six leading women's magazines: content, coverage,
      and readership profile.

PMID- 10253774
TI  - For nurses, a bigger voice in healthcare management.

PMID- 10253775
TI  - Flexible benefits: tailoring the package to suit your needs.

PMID- 10253776
TI  - Combining financial and clinical data for up-to-the-minute decision making.

PMID- 10253777
TI  - Private nursing homes: public control of the private.

PMID- 10253779
TI  - Materials handling: bins, bags or boxes?

PMID- 10253778
TI  - Private nursing homes: keeping up with regulations.

PMID- 10253780
TI  - Private nursing homes: with the patient in mind.

PMID- 10253781
TI  - Northern Ireland: ring of steel.

PMID- 10253782
TI  - 'Nonprofits' need surplus too.
AB  - By definition profit refers to the difference between revenue and expenses. In
      for-profit organizations profit or surplus gives a return to the owners of the
      company and serves as a source of financing for capital acquisitions and working
      capital. Nonprofit organizations, which are not allowed a surplus, don't suffer
      on the first count because they have no owners. But they do suffer on the second
      count because, if expected to grow, they need to finance asset replacement and
      growth. In these days when funds for long-term debt are becoming scarcer, this
      author asserts, the need for regulators to allow 'nonprofits' to keep a surplus
      is increasing. In this article, he argues for a surplus and then discusses how
      managers and regulators can determine how much a nonprofit organization should be
      allowed. He presents a combination of a modified version of the return-on-asset
      pricing model used in for-profit organizations and a model for assessing working
      capital needs associated with growth.

PMID- 10253783
TI  - Role development for senior pharmacy managers.

PMID- 10253784
TI  - Using inter-group training methods to break down barriers.

PMID- 10253785
TI  - Restructuring: some considerations.

PMID- 10253786
TI  - Can group purchasing survive the 1980's? Part 2.

PMID- 10253788
TI  - What are you spending for supplies & equipment?

PMID- 10253787
TI  - Check list for strike action.

PMID- 10253789
TI  - Centralized food buying means savings.

PMID- 10253790
TI  - Understanding the contract to purchase goods.

PMID- 10253791
TI  - Implications of strengthening unit administration.

PMID- 10253792
TI  - An application for private beds in Shetland.

PMID- 10253793
TI  - Diluted povidone-iodine kills bacteria faster.

PMID- 10253794
TI  - Viruses cause major problems for IC and employee health.

PMID- 10253796
TI  - Separate tracheostomy patients.

PMID- 10253795
TI  - Nonslip devices for bathtubs pose few infection risks.

PMID- 10253797
TI  - The development of a management information system and a preventive maintenance
      system.

PMID- 10253798
TI  - Risk and reliability techniques applied to design and maintenance management
      decisions.

PMID- 10253799
TI  - The role of the physician in home care.

PMID- 10253800
TI  - Home health audit tool--at last!
AB  - Dissatisfied with the use of an audit tool not applicable to home health nursing,
      administrators of the Missoula Home Health Agency formed a special audit
      committee to review audits used by agencies around the country. After examining
      50 audit tools, the committee agreed that the Phaneuf public health nursing audit
      did not adequately emphasize nursing care and charting specific to home health
      agencies but did fit most of their criteria. After redesigning the Phaneuf audit
      and testing it through two quarterly audits, the new Missoula Home Health Audit
      tool has been found very satisfactory. The Missoula Audit emphasizes: 1. home
      health's goal of independent living and/or self-care; 2. service provider-family
      patient relationship; 3. nurse-physician relationship; 4. charting and recording;
      5. coordination of careproviders. Unlike many existing audit tools, the Missoula
      Audit is specific to home health nursing, covers the spectrum of home health
      services, has sensitive scoring which reflects true differences in quality of
      care, and initially, at least, appears to be consistent from audit to audit.

PMID- 10253801
TI  - The financial viability of home health agencies: findings from the federal grant
      program.

PMID- 10253802
TI  - Projecting need for home health services: analysis of need and demand.

PMID- 10253804
TI  - Industries use preadmission screening to cut hospitalization.

PMID- 10253803
TI  - Hospice care: two health care facilities take a unique approach.

PMID- 10253805
TI  - Data tracking, management system produces better QA/RM activities.

PMID- 10253806
TI  - Outpatient IV therapy program decreases cost for hospitals.

PMID- 10253807
TI  - Physicians' participation essential for adequate quality assurance.

PMID- 10253808
TI  - Nursing home housekeepers: indigenous agents of psychosocial support.

PMID- 10253809
TI  - Hundreds of hospitals victimized by phony ad scheme; postal service is
      investigating.

PMID- 10253810
TI  - How to establish a computer security program.

PMID- 10253811
TI  - 1981 tax wrap-up: new developments have mixed impact on hospitals.

PMID- 10253813
TI  - Allied Association health planning policy development and implementation
      activities, January 1982.

PMID- 10253812
TI  - Reagan signs Social Security minimum benefits law including sick pay tax.

PMID- 10253814
TI  - Md federal district court interprets 1980 Equal Access to Justice Act Amendments;
      Act's utility to hospitals may be limited.

PMID- 10253816
TI  - Medical record discharge data provides basis for practical drug reaction
      screening program.

PMID- 10253815
TI  - ART pilot project: Part II.

PMID- 10253817
TI  - Targeting home care services to vulnerable elders: Massachusetts' Home Care
      Corporations.
AB  - This investigation evaluates how successfully the Massachusetts model of home
      care targets services to vulnerable elders. It compares data from a random sample
      of home care recipients with a probability sample of non-institutionalized elders
      in Massachusetts. The data indicate that the Massachusetts statewide system
      developed under minimum regulation and decentralized management has successfully
      reached the vulnerable elders, particularly those living alone and the widowed.
      The demand for home services exists but is neither excessive nor uncontrollable.
      These findings support the continued use of a social model of home care delivery
      instead of a more restrictive medical model.

PMID- 10253818
TI  - Treatment integrated with building.

PMID- 10253820
TI  - Health promotion budget halved to $2 million by House.

PMID- 10253819
TI  - Corporate design: the health factor.

PMID- 10253821
TI  - Hospital care in crisis: part 2.

PMID- 10253822
TI  - An organizer tells how it can be done.

PMID- 10253823
TI  - A General accepts major improvements.

PMID- 10253825
TI  - FDA's dual standards for biological indicators post threat.

PMID- 10253824
TI  - Mental health is hard work.

PMID- 10253827
TI  - Materials strike contingency plan relies on detailed planning.

PMID- 10253826
TI  - Central service: eliminating the third shift!

PMID- 10253828
TI  - Computer bits: the computer and change.

PMID- 10253829
TI  - Lighting: the way to energy cost reductions.

PMID- 10253830
TI  - HCA's computer "genie" aids equipment buying.

PMID- 10253831
TI  - Inventory: your hospital's financial investment.

PMID- 10253832
TI  - Computer bits: word processing -- Part I.

PMID- 10253834
TI  - Internal indicators--a 'rationale'.

PMID- 10253833
TI  - Tompkins Community Hospital cuts 27 forms, saves $8K annually.

PMID- 10253835
TI  - New management style strives for consensus.

PMID- 10253836
TI  - The purchaser's role in food buying.

PMID- 10253837
TI  - Nader group calls for lower EtO standards.

PMID- 10253839
TI  - N.J. hospitals institute water conservation measures.

PMID- 10253838
TI  - Has the proliferation of groups caused problems?

PMID- 10253840
TI  - Capital equipment buying: don't forget the basics.

PMID- 10253841
TI  - Computer bits: the structure of data.

PMID- 10253842
TI  - Strike contingency planning can help insure supply continuity.

PMID- 10253843
TI  - Word processing -- Part II.

PMID- 10253844
TI  - Cost of excess beds questioned by study.

PMID- 10253845
TI  - Vendor usage analysis.

PMID- 10253846
TI  - Professional resources in health: issues and solutions.

PMID- 10253847
TI  - Health costs and the insatiable demand for health care--can rationing be far
      behind?

PMID- 10253848
TI  - Nursing: executive summary--and executive challenges.

PMID- 10253849
TI  - Managing resources on a shrinking budget.

PMID- 10253850
TI  - Whither Medicare?

PMID- 10253851
TI  - Home care programs in Canada: a review.

PMID- 10253852
TI  - Bond market forecasting: what can hospitals expect in 1982 financial market?

PMID- 10253853
TI  - Cut losses at reasonable cost: improving parking lot revenue control.

PMID- 10253854
TI  - The St. Joseph's experience. Reducing backlogs with contract billers.

PMID- 10253855
TI  - Cutting usage and costs. How CFOs can conserve energy resources.

PMID- 10253856
TI  - Payment patterns: deductions and contractual allowances.

PMID- 10253857
TI  - Professional certification--a goal of HFMA membership.

PMID- 10253858
TI  - Protect your investment: a vote for career planning.

PMID- 10253859
TI  - Want action information? Use work sampling.

PMID- 10253861
TI  - Marketing and accountability in health care.

PMID- 10253860
TI  - The design of a citywide HMO: the Newark Comprehensive Health Services Plan.

PMID- 10253862
TI  - Hospital-sponsored ambulatory care: a national survey.

PMID- 10253863
TI  - A framework for management assessment in health service organizations.

PMID- 10253864
TI  - Hospitals "can't lose" with self insurance, RM attorney says.

PMID- 10253865
TI  - Safeguard employees, save money with waste anesthetic gas controls.

PMID- 10253866
TI  - Active strategies for combating stress.

PMID- 10253867
TI  - A multidisciplinary effort to influence and improve antibiotic utilization.

PMID- 10253868
TI  - A clinical pharmacy program for cardiac patients.
AB  - Through efficient staff scheduling our 481-bed community teaching hospital has
      been able to expand its pharmacy services. This paper describes how a clinical
      pharmacy service program for cardiology and cardiac surgery patients was
      developed and defines the service components. After over two years of experience
      with the cardiology program, we have found this pharmacy service area to be very
      successful and well received. Various forms and proposals are provided to assist
      other pharmacists interested in expanding into this area of practice.

PMID- 10253869
TI  - Controlled substances system change provides increased accountability.
AB  - The distribution and control systems for controlled substances were evaluated. A
      mail survey of other hospitals was conducted to obtain samples of control
      substance systems and the associated procedures. From these samples of existing
      programs and previous experiences with the current program, a system was designed
      to meet the needs of an 800-bed hospital with a decentralized pharmacy
      distribution system. The new distribution and control system completely replaced
      the prior system. Therefore, new forms and procedures were generated. The total
      system was implemented in a stepwise procedure in two-week increments over
      approximately 14 weeks until the entire hospital was converted. The new system
      has increased control as well as identified workload, inventory utilization, and
      problem areas.

PMID- 10253870
TI  - Automatic noninvasive blood pressure monitors: analog/manual adaptation of
      Dinamap (TM).
AB  - This paper describes some of the features and limitations of the newly-developed,
      automatic, noninvasive blood pressure monitors. In particular, an analog/manual
      modification is presented which can be adapted to a variety of such devices. The
      manual/automatic adaptation of the Critikon Dinamap (TM) blood pressure monitor
      is specifically described. This modification provides continuous observation of
      cuff pressure and permits the option of manual cuff inflation and deflation. The
      analog/manual adaptation is useful in special patient conditions and as a
      teaching aid.

PMID- 10253871
TI  - Improved digital thermometer design.
AB  - A simple digital thermometer design using a self-contained 3 1/2 digit LCD meter
      module is presented. The Celsius-reading (Centigrade) thermometer is powered by a
      single 9-V battery, has very low power drain, and uses an inexpensive NPN silicon
      transistor for the temperature sensor. A short bibliography on temperature
      measurement instrumentation is included.

PMID- 10253872
TI  - Community perceptions of natural disasters and post-disaster mental health
      services.
AB  - This research was designed to examine the cognitive and affective responses of
      residential dwellers in the aftermath of a natural disaster (a flood). In a 2 X 3
      factorial design, the effects of fear (High, Medium, and Low) and sex on
      perceptions of the disaster were assessed. The results indicated that respondents
      who were highly fearful of the disaster were more likely than moderate or low
      fear respondents to believe that: a) additional flooding would occur in their
      vicinity, and b) that they resided closer to the flood zone than they actually
      did. The policy implications of the results suggested that post-disaster mental
      health services might have to be extended to include residents of geographical
      areas not directly affected by natural or man-made disasters.

PMID- 10253873
TI  - Method or madness: on the alienation of the professional.
AB  - Burnout has affected a significant number of professionals in research and in
      clinical practice. The Marxian theory of alienation is insufficient to account
      for the phenomenon among professional workers. A critical factor in professional
      alienation is, paradoxically, the very factor which distinguishes the
      professional from the layman, namely the reliance on method and concept to
      develop knowledge. The alienating character of professional method may be
      observed in varying degrees in all human service professions. Method alienates
      the professional from the subject matter of interest, and to some degree from his
      or her own perceptions and interests. In the course of attempting to solve
      problems, too often the emphasis changes from understanding the substantive
      problem to checking and correcting artifacts of method, losing the focus on the
      original substantive problem, as the work turns in on itself. The cure requires
      professional social support for studies better suited to illuminate the human
      condition and to enlighten and intrigue the professional worker.

PMID- 10253874
TI  - Provision of mental health services during a disaster: the Cuban immigration of
      1980.
AB  - The recent (1980) immigration of 125,000 Cubans to the U.S. presented health
      workers with a situation bearing many of the characteristics of a disaster. Some
      of the organizational, clinical, and ecological issues which are inherent in
      providing mental health care in disaster situations are discussed. Ultimately,
      the development of an effective response to the situation depended on an
      understanding not only of the individuals involved, but also on an appreciation
      for the characteristics of the different phases of disaster situations.

PMID- 10253875
TI  - A critical look at the new ambulance specifications.

PMID- 10253877
TI  - Salary survey.

PMID- 10253876
TI  - The way we see them: an independent lab tests emergency vehicles.

PMID- 10253878
TI  - How many are there?

PMID- 10253879
TI  - City survey: the profile of EMS in America's 100 most populous cities.

PMID- 10253880
TI  - Long-term bed needs for long-term care.

PMID- 10253881
TI  - Whatever happened to intermediate care?

PMID- 10253883
TI  - Adolescent inpatient treatment "failures": subtypes and treatment implications.

PMID- 10253882
TI  - Retirement communities: assessing the liability of alternative health care
      guarantees.

PMID- 10253884
TI  - On the primary prevention of critical mass: a systems strategy for adolescent
      units.

PMID- 10253885
TI  - Affiliate relationship and methods of cooperation between a community mental
      health center and religious counseling agency.

PMID- 10253886
TI  - Hospital collective bargaining: issues and impact.

PMID- 10253887
TI  - Collective bargaining in the health sector: a focus on nurses.

PMID- 10253888
TI  - Strikes in the health care industry.

PMID- 10253889
TI  - Collective bargaining for health facilities: the management response.

PMID- 10253890
TI  - On the implementation of change in national health delivery systems: a model and
      an application.

PMID- 10253891
TI  - Efficacy of three versions of one burn-out measure: MBI as total score, sub-scale
      scores, or phases?

PMID- 10253892
TI  - Determining appropriate bargaining units in health care institutions--the gap
      widens.

PMID- 10253893
TI  - Controlling the number of outpatient accounts.

PMID- 10253894
TI  - Confidence in linen system is vital, according to hospital administrator.

PMID- 10253895
TI  - A laundry manager's input is crucial in the selection of hospital textiles.

PMID- 10253896
TI  - Implementing effective linen control: a five-part program for managers.

PMID- 10253898
TI  - Aqua vitae: the health spas of Europe.

PMID- 10253897
TI  - Shared services--a recipe for cost-cutting in hospitals.

PMID- 10253899
TI  - Lifeline: a new way of caring.

PMID- 10253900
TI  - Antitrust in health care.

PMID- 10253901
TI  - Positioning: getting your share of the business.

PMID- 10253902
TI  - New directions for group practice.

PMID- 10253903
TI  - The Emergency Medical Centre of Flint, PC.

PMID- 10253904
TI  - Feasibility and implementation of a hospital-based group practice.

PMID- 10253906
TI  - Biotechnology--the growth market for laboratory products.

PMID- 10253905
TI  - Lessons to be learned from the SAFECO HMO experience.

PMID- 10253907
TI  - Business and advertising trends in the clinical laboratory market.

PMID- 10253908
TI  - Whittaker General Medical's new team sets high goal.

PMID- 10253910
TI  - Task forces study impact of medical manpower shifts.

PMID- 10253909
TI  - Home health agency associations have common roles, conflicting goals.

PMID- 10253911
TI  - HIMA, AHA, call for caution in lowering EtO exposure levels.

PMID- 10253912
TI  - AMA considers assessing medical technologies itself.

PMID- 10253913
TI  - Winning business at a home health agency.

PMID- 10253914
TI  - Committee holds hearings on competition proposals.

PMID- 10253915
TI  - Hospital sales to physicians.

PMID- 10253916
TI  - Health fair highlights community services.

PMID- 10253917
TI  - Federal group health rates jump 31%, but benefits drop.

PMID- 10253918
TI  - Health insurance has unhappy 1981.

PMID- 10253920
TI  - Memo to the board: how to back not buck your chief executive.

PMID- 10253919
TI  - Anatomy of a campaign to create public awareness through radio.

PMID- 10253921
TI  - Public affairs programming is getting better.

PMID- 10253922
TI  - A national trend? Patient charge audits cause long payment delays.

PMID- 10253923
TI  - Cash flow and the internal auditor.

PMID- 10253924
TI  - PNHA quietly calls it quits.

PMID- 10253925
TI  - Dragons, iron men, and utopia: a housestaff leader talks candidly about residency
      training and housestaff organizing. Interview by Peter Rabinowitz.

PMID- 10253926
TI  - "Hazardous" wastes of the clinical chemistry laboratory.
AB  - The authors of this article highlight recent government initiatives in the field
      of hazardous waste management, and present data on the hazardous wastes of a
      representative clinical chemistry laboratory. They cite a number of reasons why
      pathologists should begin addressing this issue, and hope that the results of the
      study will stimulate the much needed discussion.

PMID- 10253927
TI  - Linking personal computers to a hospital laboratory computer.
AB  - In the Department of Pathology, Norwood Hospital, a number of individual
      microcomputers in the home and throughout the laboratory have been connected to a
      central hospital laboratory computer. The microcomputers are connected to the
      central computer over standard telephone lines via the autoanswer modem for any
      telephone. Here, the author describes the system and its benefits, and explains
      why this type of application is a major potential use of computers in medicine in
      the future.

PMID- 10253928
TI  - Changes in the Workload Recording Method? What they mean and how to cope.
AB  - The 1982 edition of the Laboratory Workload Recording Method manual will reflect
      a reduction in unit values assigned to some clinical chemistry procedures. In
      this article, the author explains why the changes have been made, what they mean,
      and offers guidelines on coping with the ever changing but valuable Workload
      Recording Method.

PMID- 10253929
TI  - What every pathologist should know and be able to do in laboratory data
      processing and computers: systems analysis and planning.
AB  - This article is the fourth in a five part series on laboratory data processing
      and computers. Preceding the article are enabling and performance objectives,
      defined by the Laboratory Computer Applications and Data Processing Committee,
      for the systems analysis and planning competency area. Following the article are
      questions with which readers can test their understanding of the material.

PMID- 10253930
TI  - Canadian manpower surveys in pathology.

PMID- 10253931
TI  - Getting down to basics in microbiology.

PMID- 10253932
TI  - Viewing radiology's new images.

PMID- 10253933
TI  - HMOs: the financial picture.

PMID- 10253934
TI  - Physical examinations and company liability: a legal update.

PMID- 10253935
TI  - Occupational health in organizations: strategies for personnel effectiveness.

PMID- 10253936
TI  - How & why 3 pharmacy-edited bulletins contribute to good patient care.

PMID- 10253938
TI  - Illiterate patients.

PMID- 10253937
TI  - Hospital learns the hard way how to design programs for business and industry.

PMID- 10253939
TI  - The human services management task: a time allocation study.

PMID- 10253940
TI  - Evaluation and follow-up: what is appropriate for this prisoner.

PMID- 10253941
TI  - Informed consent: a surgeons qualifications?

PMID- 10253942
TI  - Thrombosis: arterial lines and monitoring.

PMID- 10253943
TI  - Performance appraisal blues: who should get the pink slip?
AB  - While there are no standard methods for evaluating the work of respiratory
      therapists, supervisors agree that periodic evaluation is essential. Some
      institutions base merit raises or step increase on the results of the yearly
      appraisal. Others merely want to ensure that respiratory therapists are
      performing effectively. Methods range from an evaluation form which can be filled
      out by the supervisor or both the supervisor and the employee to an on-the-job
      evaluation by hospital personnel.

PMID- 10253944
TI  - Promotions, firings, and layoffs: bearing tidings glad and bad.
AB  - Disciplining employees in a proper manner takes great skill and respect for
      others' feelings; dismissals must be effected for just cause and with
      objectivity. Conveying good news about promotions or raises is certainly more
      pleasant, and this must also be handled graciously.

PMID- 10253945
TI  - AART and NSCPT: a comparison of credentialing avenues.

PMID- 10253946
TI  - Licensure: pathways and pitfalls.
AB  - Licensing laws are an exercise of the policing powers of the state to protect the
      public health, safety, and welfare by preventing the unqualified from practicing.
      This basic principle is often misunderstood. This article neither advocates nor
      challenges the need for licensure but rather examines the forces determining if
      the time for respiratory therapy licensure has arrived.

PMID- 10253947
TI  - Third time around for hyperbaric oxygen therapy.
AB  - Hyperbaric medicine, which was called compressed air therapy prior to 1956, began
      in the 1830s in England and France. After initial enthusiasm for this treatment,
      interest began to wane because of a lack of documentation of benefit. The medical
      community became skeptical, and use of the modality diminished. In the 1900s
      there was a resurgence of interest, but again, due to a lack of data and because
      conferences on the therapy were devoted more to the research aspects of
      complications than to clinical uses, less and less attention was given to
      potential applications. During the past 15 to 20 years, interest in hyperbaric
      medicine has reemerged. However, despite the facts that its uses are now well
      documented and that eminent professionals are involved in hyperbaric research and
      application, the field has never quite recovered from the equivocal role it once
      played.

PMID- 10253948
TI  - Unions are here to stay: the implications of labor-management activities in the
      health care professions.

PMID- 10253949
TI  - Medical errors and the 'sick role': a speculative inquiry.

PMID- 10253950
TI  - Solar heating meets expanded energy demands at hospital.

PMID- 10253951
TI  - The Medical College of Georgia's new Radiation Therapy Center at Augusta provides
      its patients with sophisticated treatment.

PMID- 10253952
TI  - Clinical engineering in the Southeast.

PMID- 10253953
TI  - How cost efficient is your laundry?

PMID- 10253954
TI  - A Texas Hospital cures its energy ills.

PMID- 10253955
TI  - A creative solution to RN scheduling.

PMID- 10253957
TI  - The competitive model: a collection of caveats.

PMID- 10253956
TI  - Cancer unit for teens.

PMID- 10253958
TI  - Leisure education: meeting the challenge of increasing independence of residents
      in psychiatric transitional facilities.

PMID- 10253959
TI  - Activity therapy and leisure counseling for the schizophrenic population.

PMID- 10253960
TI  - Computers and health care.

PMID- 10253961
TI  - An automated approach to medical record tracking.

PMID- 10253963
TI  - Confidentiality in data consortia.

PMID- 10253962
TI  - Master tracking system: internal medical record control.

PMID- 10253964
TI  - Medical record control and the computer.

PMID- 10253965
TI  - Capturing outpatient diagnostic and operative data.

PMID- 10253966
TI  - The development and use of a computerized cancer data system.

PMID- 10253967
TI  - Computerized medical records: legal problems and implications.

PMID- 10253969
TI  - Innovation: management's answer to making it in the '80s.

PMID- 10253970
TI  - Employee opinion surveys: ask them what they think.

PMID- 10253968
TI  - Hospital incident reports.

PMID- 10253971
TI  - Interview: Robert L. English.

PMID- 10253972
TI  - A new duty to remember?

PMID- 10253973
TI  - Hello--there's a bomb . . . if a caller said those words to you, how would you
      react?

PMID- 10253974
TI  - Management development: putting the concept to work.

PMID- 10253975
TI  - The impact of technological advances.

PMID- 10253976
TI  - The psychology of management.

PMID- 10253977
TI  - The financial exchange: increasing pressures on expenses put premium on good
      management.

PMID- 10253979
TI  - Needed: a new kind of trustee.

PMID- 10253978
TI  - As I see it: trustee involvement in AHA affairs.

PMID- 10253980
TI  - Small hospitals and the great technology debate.
AB  - Nontertiary hospitals are often portrayed as being unable to use sophisticated
      technology effectively, and thus they may make technology decisions that are not
      in the best interests of their patients or the institution itself. Actually,
      small institutions not only can participate actively in the technological
      revolution; they also can teach the biggest hospitals a lesson or two.

PMID- 10253981
TI  - Ethics and technology: crossroads in decision making.
AB  - Few institutional controls exist on the development and application of new
      biomedical technology. Possible methods of technology control include the use of
      peer review, an institutional approach, the establishment of a hospital committee
      to review new and existing technologies, or a rationing system imposed by the
      federal government or local health planning agencies.

PMID- 10253982
TI  - The nursing home as to a depressed patient.

PMID- 10253983
TI  - Beyond simple survival: facility's head injury rehabilitation program returns
      patients to the community.

PMID- 10253984
TI  - Managing your money: saving on health insurance.

PMID- 10253985
TI  - Navy's are not: Marine units funded.

PMID- 10253986
TI  - Project Hope launches a think tank.

PMID- 10253987
TI  - The year in review.

PMID- 10253988
TI  - Health services in Australia.

PMID- 10253989
TI  - Hospital without walls.

PMID- 10253991
TI  - Wellness in primary care.

PMID- 10253990
TI  - Primary health care in India: the role of a medical college.

PMID- 10253992
TI  - Hospitals without walls: Costa Rica.

PMID- 10253993
TI  - New approaches to improving hospital management.

PMID- 10253994
TI  - Hospital and health service management in Nigeria: problems and possible
      solutions.

PMID- 10253995
TI  - Management development: the key to hospital effectiveness.

PMID- 10253996
TI  - The contribution of the hospital association to energy conservation.

PMID- 10253998
TI  - Energy conservation and innovation experience in New South Wales hospitals.

PMID- 10253997
TI  - Towards lower energy hospitals.

PMID- 10253999
TI  - Hospital climate control in developing countries: the "growing open system".

PMID- 10254000
TI  - 3M-Rene Sand memorial lecture--primary health care: requirements and implications
      for hospitals and community.

PMID- 10254001
TI  - Characteristics of man in a life cycle in the development and allocation of
      medical care resources.

PMID- 10254002
TI  - Patient rights and mental health.
AB  - In an era of strong concern for patients' rights in medical care, particularly
      where mental health-related services are involved, it is useful for the health
      professional--the physician in particular--to have meaningful guidance in
      understanding the difficult legal, ethical and policy issues they face in their
      daily practice. This article discusses the patients' rights provisions of the
      recently enacted federal Mental Health Systems Act as one important source of
      such guidance.

PMID- 10254003
TI  - 1979 summary: National Ambulatory Medical Care Survey.

PMID- 10254004
TI  - Headache as the reason for office visits, National Ambulatory Medical Care
      Survey: United States, 1977-78.

PMID- 10254005
TI  - Office visits for preventive care, National Ambulatory Medical Care Survey:
      United States, 1977-78.

PMID- 10254006
TI  - Visits to family planning clinics: United States, 1979.

PMID- 10254007
TI  - Advantages of a computer-based treatment plan in the alcoholism treatment
      program.

PMID- 10254008
TI  - A descriptive study of the status of therapeutic recreation at the seven state
      operated comprehensive rehabilitation centers in the United States.
AB  - The intent of this article is to present a systematic overview of therapeutic
      recreation services at the seven state-operated Comprehensive Rehabilitation
      Centers. These seven Centers are located in Hot Springs, Arkansas; Warm Spring,
      Georgia; Thelma, Kentucky; Baltimore, Maryland; Johnstown, Pennsylvania;
      Institute, West Virginia; and Fisherville, Virginia. This paper is a result of a
      study which was conducted from October 1978 to May 1979. The study showed that
      each of the Centers provided recreation and leisure activities: however, none of
      the Centers utilized therapeutic recreation as the title of their specific
      department. In general, the Centers have difficulties in the following areas: 1.
      defining therapeutic recreation; 2. structuring their department; 3. delivery of
      therapeutic recreation services; 4. conception of therapeutic recreation as part
      of the rehabilitation process; 5. inadequately trained personnel in leadership
      and supervisory positions; 6. staff training; 7. assessment and evaluation
      instruments for clients; 8. discharge planning; and 9. recreation therapy as a
      treatment component within the delivery of therapeutic recreation services, All
      of which need resolution. The research demonstrated that most of the recreation
      directors saw a need for therapeutic recreation services to be refined further to
      meet the needs and abilities of the clients.

PMID- 10254009
TI  - Intravenous infusion motor artifact.

PMID- 10254010
TI  - Physicians feeling the pinch of diminished hospital authority.

PMID- 10254011
TI  - Eisenhower Medical Center: 'medicine for the 21st century'.

PMID- 10254012
TI  - Private psychiatric hospitals--a new boom?

PMID- 10254013
TI  - Linen utilization: part IV.

PMID- 10254014
TI  - Changing minds on changing beds.

PMID- 10254015
TI  - Curbing antibiotic abuse: a tough pill to swallow.

PMID- 10254016
TI  - Antitrust laws and the duty to treat.

PMID- 10254017
TI  - The new competition: maladies of its own?

PMID- 10254019
TI  - After the revolution: medicine in China.

PMID- 10254018
TI  - MDs' legal obligations go beyond health care.

PMID- 10254020
TI  - ACP reps testify on technology assessment.

PMID- 10254021
TI  - How "strict liability" affects MDs.

PMID- 10254022
TI  - A physician's view of the government, from within and without.

PMID- 10254023
TI  - Point of view: rights language must be examined carefully.

PMID- 10254024
TI  - How the courts view medical records.

PMID- 10254025
TI  - Commentary: physicians should control the use of biomedical technology.

PMID- 10254026
TI  - Sexual harassment in the workplace.

PMID- 10254027
TI  - Reagan's approach to health care: why it may--or may not--work.

PMID- 10254029
TI  - Brooke Shields, health advocate--why not?

PMID- 10254028
TI  - The courts have a new view of nursing.

PMID- 10254030
TI  - Truth in health or show-biz fluff?

PMID- 10254031
TI  - Courts to MD: treat disruptive patient.

PMID- 10254032
TI  - Preventing and coping with radiation accidents: crying over spilled isotopes.

PMID- 10254033
TI  - Spotlight on portable x-ray equipment.

PMID- 10254034
TI  - Look for the silver lining: making the most out of silver-recovery programs.

PMID- 10254035
TI  - Regulators' view of the CON.

PMID- 10254036
TI  - Minimizing the risk of infectious diseases in the radiology department.

PMID- 10254037
TI  - Video disk improves sector scanner.

PMID- 10254038
TI  - The ten-year test: what makes a good radiology administrator?

PMID- 10254039
TI  - Radiology of Ochsner Medical Institutions.

PMID- 10254040
TI  - Critical analysis of occupational dose limits for radioactive xenon.

PMID- 10254041
TI  - Spotlight on radiotherapy.

PMID- 10254042
TI  - CT-assisted treatment planning systems in radiotherapy. Part 1. Comparison of
      conventional and CT-assisted systems.

PMID- 10254043
TI  - Spelling out bid specifications for film purchase.

PMID- 10254044
TI  - Ultrasound in nonradiologic private practice.

PMID- 10254045
TI  - CON as more than a CT pinch: filing for other equipment.

PMID- 10254046
TI  - CT-assisted treatment planning systems in radiotherapy. Part 2. Comparison of
      conventional and CT-assisted systems.

PMID- 10254047
TI  - Spotlight on cardiac ultrasound.

PMID- 10254048
TI  - Digital video angiography system evaluation.

PMID- 10254049
TI  - Setting the records straight: the need for a central registry of medical-dental
      radiation exposure.

PMID- 10254050
TI  - "No Dr. Blue/do not resuscitate".

PMID- 10254051
TI  - Confirmatory tests in the diagnosis of brain death: the role of the radioisotope
      brain scan.

PMID- 10254052
TI  - Doing ethics and reforming health law--a Canadian experience.

PMID- 10254053
TI  - 1982 -- what's new in surgery?

PMID- 10254054
TI  - Accreditation of graduate medical education: the background for change.

PMID- 10254055
TI  - Accreditation of graduate medical education: the AAMC position.

PMID- 10254056
TI  - Accreditation of graduate medical education: the CMSS position.

PMID- 10254057
TI  - Accreditation of graduate medical education: the AMA position.

PMID- 10254058
TI  - Shopping for health care.

PMID- 10254059
TI  - Reckless homicide in a nursing home.

PMID- 10254060
TI  - Orderly closure, transfer, and financial self-sufficiency of Public Health
      Service hospitals and clinics; delegation of authority.

PMID- 10254061
TI  - Privacy Act of 1974; report of altered system. Health Care Financing
      Administration. Notice of altered system.
AB  - In accordance with 5 U.S.C. 552a(e)(4), we propose to amend the following notice
      of system of records: Health Insurance Master Record, HHS/HCFA/BPO, No. 09-70
      0502. We have provided background information about the proposed alteration in
      the "Supplementary Information" section below.

PMID- 10254062
TI  - Funding reductions in fiscal year 1982. Health Services Administration. Notice.
AB  - This notice announces: (1) Factors that the Health Services Administration (HSA)
      will use in determining which Community Health Center (CHC) projects to fund, and
      (2) restrictions on the type of project activities that will be eligible for
      Federal support under the CHC program. a reduced level of authorization of
      appropriations for section 30 of the Public Health Service (PHS) Act in the
      recently enacted Omnibus Budget Reconciliation Act of 1981 (Pub. L 97-35) is the
      reason for the announcement of these factors and restrictions.

PMID- 10254063
TI  - Supplemental Security Income for the aged, blind, and disabled; eligibility;
      amount of benefits; residence and citizenship. Social Security Administration.
      Final rules.
AB  - We are revising and reorganizing our general rules on eligibility (Subpart B)
      under the Supplemental Security Income (SSI) program. These rules describe who
      may get SSI benefits, how long a person's eligibility lasts, and the reasons why
      a person who would otherwise be eligible for SSI benefits might not get them. We
      have also established a new Subpart P in which we state our rules on residence
      and citizenship. We have determined that these regulations do not meet the
      criteria for a major regulation specified in Executive Order 12291.

PMID- 10254064
TI  - Health Systems Agencies: Public Health Service. Amendment to final rule.
AB  - This regulation amends the Department's regulation governing the designation and
      funding of health systems agencies (HSAs) to provide that HSAs will no longer be
      required to conduct appropriateness reviews, conduct reviews of the proposed uses
      of Federal funds, or collect, and make available to the public, the rates charged
      for each of the twenty-five most frequently used hospital services in their
      States. The intended effect of this regulation is to reduce the functional burden
      on HSAs during a period of reduced funding.

PMID- 10254065
TI  - Occupational exposure to ethylene oxide; Occupational Safety and Health
      Administration. Advance notice of proposed rulemaking.
AB  - Notice is given that OSHA is undertaking, through rulemaking procedures under
      section 6(b) of the Occupational Safety and Health Act of 1970 (the Act), 29
      U.S.C. 655(b), a reevaluation of the current occupational health standard
      regulating employee exposure to ethylene oxide (EtO), 29 CFR 1910.1000, Table Z
      1. This notice summarizes the information currently available to OSHA concerning
      the production and use of EtO, estimates of employee exposure, and the potential
      health effects of employee exposure to EtO. The notice also invites interested
      parties to submit data, views and comments regarding the development of a new
      standard for EtO and the appropriate scope of coverage.

PMID- 10254066
TI  - Receipt of petition of rulemaking from the American Association of Physicists in
      Medicine. Nuclear Regulatory Commission. Publication of a petition for
      rulemaking.
AB  - The Nuclear Regulatory Commission is publishing a petition for rulemaking
      submitted by the American Association of Physicists in Medicine. The petition
      requests an interval longer than the two years between required calibrations of a
      dosimetry system used to perform full calibration measurements on a teletherapy
      unit--as long as suitable dosimetry system verification checks are carried out.
      The suggested amendments are intended to reduce the current six month waiting
      period for instrument calibration without adversely affecting dosimetry system
      reliability.

PMID- 10254067
TI  - Drug usage review. Part three: implementing the long-term care program.

PMID- 10254068
TI  - The financial reporting practices of Ontario hospitals.

PMID- 10254069
TI  - Value for money audit: how to do it.

PMID- 10254070
TI  - Government control: the other solution.

PMID- 10254071
TI  - Safeguarding your social responsibility--Part II.

PMID- 10254072
TI  - The health care educator: an emerging professional.

PMID- 10254073
TI  - The learning center: what to do until the librarian is hired.
AB  - By providing a self-instructional learning resources center to employees, a
      health care institution can expand the training and education function without
      initially adding to the education staff. This article describes the basic
      procedures for setting up and managing the learning resources collection until
      such time as a librarian can be hired.

PMID- 10254074
TI  - Walter Reed's CCTV channels for patient education.

PMID- 10254076
TI  - EMS in China still fragmented by cultural revolution.

PMID- 10254075
TI  - D.C. crash problems magnified by snow, traffic snarl & EMS snafu.

PMID- 10254077
TI  - Job stress figures in controllers' strike.

PMID- 10254078
TI  - Cash incentives for staying healthy put to the test.

PMID- 10254079
TI  - Stress management programs: a guide for selecting the best.

PMID- 10254080
TI  - Developments in genetic and metabolic screening.

PMID- 10254081
TI  - Pediatric residency training: adapting to current and future child health needs.

PMID- 10254082
TI  - Adolescent health care: sharing the responsibility.

PMID- 10254083
TI  - The school as a setting for health education, health promotion, and health care.

PMID- 10254084
TI  - Child health and the problem of access to care.

PMID- 10254085
TI  - Determinants of children's health-related beliefs and behaviors.

PMID- 10254086
TI  - Looking back on group practice: from pioneering days to unparalleled opportunity.

PMID- 10254088
TI  - The health care industry analyzes impact of cuts, girds for more in 1982 budget
      battle.

PMID- 10254087
TI  - Industrial satellites: Detroit clinic goes to the workers.

PMID- 10254089
TI  - Congress will receive a new opportunity to explore health care in competition
      debate.

PMID- 10254090
TI  - Governors' chairman-elect says cuts in budget too much too soon, urges moratorium
      for states.

PMID- 10254091
TI  - The Administration's health policy -- a quiet revolution.

PMID- 10254092
TI  - Computerized purchasing, inventory system developed by Humana Inc.

PMID- 10254093
TI  - Seven students chosen as FAH Foundation scholarship winners.

PMID- 10254094
TI  - Managing clinical dietitians.

PMID- 10254095
TI  - Mission builds hope, faith, income for polio hospital.
AB  - A massive outbreak of polio in Bethlehem, Israel was the impetus that led the
      Holy Land Christian Mission to spark a drive to build a hospital facility there.
      Through a carefully planned direct mail campaign, face-to-face solicitation, and
      commitment, the overall total cash income for the campaign's first three months
      was up 161%.

PMID- 10254098
TI  - BHP to enforce staffing level requirements; half of HSAs may fold.

PMID- 10254097
TI  - Certain problems in evaluating health education.

PMID- 10254096
TI  - Hospital finds donors by computer galloping success.
AB  - Having relied on manual help for the past 12 years to keep track of 140,000
      prospects was a big, expensive job for this hospital. But a new computerized
      system upgraded donors and allowed for successful direct mail acquisitions with
      copy, design changes.

PMID- 10254099
TI  - An open letter to hospital vendors.

PMID- 10254100
TI  - Antitrust issues in health care planning.

PMID- 10254101
TI  - Pre-planning: the key to surviving a strike.

PMID- 10254103
TI  - Hospital expands successful forms exchange system.

PMID- 10254102
TI  - Getting a hand on gloves.

PMID- 10254104
TI  - Personal electrical devices: a hazard or a patient's right?

PMID- 10254105
TI  - New program offers ICPs master's degrees.

PMID- 10254106
TI  - Use strict aseptic technique when inserting arterial catheters.

PMID- 10254107
TI  - Nebraska forms network to provide IC education.

PMID- 10254108
TI  - Objective pastoral care plan ensures accountability.

PMID- 10254109
TI  - Varied public relations program promotes hospital's wellness center.

PMID- 10254110
TI  - Center treats sleep disorders.

PMID- 10254111
TI  - Sickness, healing, and redemption.

PMID- 10254112
TI  - The Church in health care: reflections and projections.

PMID- 10254113
TI  - Nurse counselor: new strategy to retain nurses.

PMID- 10254114
TI  - Housekeeping team enjoys task selection, increases output.

PMID- 10254115
TI  - Surrogate grandmothers bolster family coping skills.

PMID- 10254116
TI  - Programs prepare children for hospital procedures.

PMID- 10254117
TI  - Business leaders building strategies to counter Reagan's cost shifting.

PMID- 10254118
TI  - Procompetition: some second thoughts, old issues, new directions.

PMID- 10254119
TI  - The Catholic health care facility: its role as Church.

PMID- 10254120
TI  - Tax-exempt bond financing consideration for Catholic hospitals.

PMID- 10254121
TI  - New corporate structures: a solution for financial pressures?

PMID- 10254123
TI  - Earned time policy aims to improve RN attendance.

PMID- 10254122
TI  - Solicitation-distribution rules: a developing doctrine.

PMID- 10254124
TI  - Court says patient has right to decide future care.

PMID- 10254125
TI  - Dazed patient not responsible for complying with treatment.

PMID- 10254126
TI  - Hospital's outreach class assists widely scattered population.

PMID- 10254127
TI  - "Lifecare" communities: independence, security for older Americans.

PMID- 10254128
TI  - Hospital-level rehabilitation overcomes hurdles in LTC facility.

PMID- 10254129
TI  - What makes a successful group purchasing program?

PMID- 10254130
TI  - Minimizing the antitrust risks of group purchasing.

PMID- 10254131
TI  - Selecting the right group purchasing program.

PMID- 10254132
TI  - How to win commitments for group purchasing.

PMID- 10254133
TI  - Is group purchasing only for small hospitals?

PMID- 10254134
TI  - Use of the management engineer: a group or individual hospital decision.

PMID- 10254135
TI  - Viewpoint: purchasing from minority business.

PMID- 10254137
TI  - Group purchasing of meat.

PMID- 10254136
TI  - A comparative analysis of a cost-plus purchasing system and a pricing service
      program.

PMID- 10254138
TI  - The growing influence of hospital group purchasing.

PMID- 10254139
TI  - Total capital equipment programs: a new direction for group purchasing.

PMID- 10254140
TI  - Overcoming barriers to group purchasing.

PMID- 10254141
TI  - Solving the nursing shortage--a wholistic approach.

PMID- 10254142
TI  - Nursing point of view--productivity: a much needed parameter.

PMID- 10254143
TI  - Central patient transfer systems: a 'move' in the right direction.

PMID- 10254144
TI  - The physician as trustee: assisting his peers.

PMID- 10254146
TI  - Hospital administration and engineering maintenance.

PMID- 10254147
TI  - Hemoccult screening: detecting the cancer nobody talks about.

PMID- 10254145
TI  - Hospital topical law: "A certificate of need".

PMID- 10254149
TI  - Consultant's corner: nursing turnover has increased dramatically.

PMID- 10254148
TI  - The comprehensive data base: a risk management tool.

PMID- 10254150
TI  - Quality circles in nursing.

PMID- 10254151
TI  - Review of antibiotic prescribing patterns in a university hospital emergency
      room.

PMID- 10254153
TI  - Health fair provides 1,417 with free tests and "lifestyle" counseling.

PMID- 10254152
TI  - How to "C" your way through being a material manager.

PMID- 10254154
TI  - MBO--management by objectives (or objections).

PMID- 10254155
TI  - Construction claims can be prevented.

PMID- 10254156
TI  - EtO quality assurance Q's and A's.

PMID- 10254158
TI  - Central Services Q and A's: packaging.

PMID- 10254159
TI  - St. Michael's Hospital, Hayle--new theatres and audiology unit.

PMID- 10254157
TI  - How to preserve the union-free status of your facility by practicing preventive
      labor relations.

PMID- 10254160
TI  - Interior design trends.

PMID- 10254161
TI  - Hospital vindicated in sexual discrimination charge: gender can be a bona fide
      occupational qualification.

PMID- 10254162
TI  - Important hospital confidentiality interests are strengthened through Illinois
      court's denial of staff privileges material discovery in malpractice action.

PMID- 10254163
TI  - Court of Appeals rules municipal hospital's abortion ban in unconstitutional.

PMID- 10254164
TI  - AMRA Code of Ethics and Bylaws (Bylaws amended October 1981).

PMID- 10254165
TI  - Initial competence education.

PMID- 10254166
TI  - Individualizing your continuing education.

PMID- 10254167
TI  - One state association's experience: hiring a lobbyist.

PMID- 10254168
TI  - Confidentiality of patient health information. A position statement of the
      American Medical Record Association.

PMID- 10254169
TI  - Some relationships among the subtests of the registration examination.

PMID- 10254170
TI  - A pilot study of risk management programs in large hospitals.

PMID- 10254171
TI  - Selecting E-codes for classifying external causes of poisonings.

PMID- 10254172
TI  - A comparison of organisational climates of public and private hospitals abroad.
AB  - Are organisational climates in private hospitals compared to public hospitals,
      more favourable? To assess the differences, motivational orientations, perceived
      satisfaction with intrinsic aspects of the job, professional commitment
      orientations and perceived organisational climates by the medical professionals,
      senior administrative and professional nursing personnel are compared. All the
      groups in the public hospital tended to be higher in motivational orientations.
      On the other hand, all the groups in private hospital showed higher satisfaction
      with intrinsic aspects of the job, professional commitment orientations, and
      perceived favourableness of the organisational climate. The differences were
      found to be not significant.

PMID- 10254173
TI  - Assessment of hospital services and patient reactions.
AB  - This paper deals with the study of assessment of hospital services and patient
      reactions carried out amongst 473 respondents, both in-door (3 wards) and out
      door patients in M.L.B. Medical College Hospital, Jhansi (Uttar Pradesh). The
      patients were from three wards medical, surgical and gynaecological wards and
      consisted of 373 discharged and 100 out-door patients.

PMID- 10254175
TI  - Marketing/public relations--a new arena for hospital conflict.

PMID- 10254174
TI  - Conceptual framework of planning a people-oriented hospital and peripheral health
      maintenance services.
AB  - For development of a people-oriented hospital and primary care facilities in its
      peripheral health maintenance services, a rethinking of the planning concepts of
      the roles, attributes and various components, viz. user, provider, institutional,
      social and financial control is required. The emphasis in discussion of the
      various elements of the planning process is on need-orientation for the rural
      disadvantaged and availability of limited resources.

PMID- 10254176
TI  - The antitrust status of health planning.

PMID- 10254177
TI  - Evaluating the impact of ambulatory care on health care costs.

PMID- 10254178
TI  - Forecasting health services demand: timeframes and data requirements.

PMID- 10254179
TI  - A general framework for family impact analysis.

PMID- 10254180
TI  - The development and evaluation of a model referral mechanism for primary care
      clinics.

PMID- 10254181
TI  - The Health Policy Institute of the University of Pittsburgh.

PMID- 10254182
TI  - NIH lauds CAT scanner use.

PMID- 10254184
TI  - The 'solution' for parenteral solutions.

PMID- 10254183
TI  - CS leaders tackle the tough issues facing the profession. Interview by Dan
      Dildine and Glenn Runnells.

PMID- 10254185
TI  - The auditor's triangle.

PMID- 10254186
TI  - Reductions in hospital capacity: physicians' behavior and the administrators'
      challenge.

PMID- 10254187
TI  - The pyramid approach: increasing the usefulness of flexible budgeting.

PMID- 10254188
TI  - Healthcare without borders: Canadian Medicare at work with Maine hospital.

PMID- 10254189
TI  - A case study: implementing cash management and investment programs.

PMID- 10254190
TI  - Healthcare productivity: operations analysis is the first step in planning.

PMID- 10254191
TI  - Do you have a financial disaster plan?

PMID- 10254192
TI  - Using re-order points: ROP discussion helps EOQ article.

PMID- 10254193
TI  - Equations link professionalism to meaningful contributions.

PMID- 10254194
TI  - Practitioners' educational efforts rise with demands.

PMID- 10254195
TI  - Charging interest is equitable!

PMID- 10254196
TI  - Payment patterns: getting to know one's payors.

PMID- 10254197
TI  - Turn indifference into enthusiasm.

PMID- 10254198
TI  - Thinking conceptually about hospital efficiency.

PMID- 10254199
TI  - The quest for greater hospital productivity: problems and issues.

PMID- 10254200
TI  - Hospital information systems and quality assurance.

PMID- 10254201
TI  - Strategic marketing planning in nonprofit organizations: a case study of the Red
      Cross Blood Program.

PMID- 10254202
TI  - Computerized incident reporting and risk management.

PMID- 10254203
TI  - The economic and professional legitimacy of nursing services.

PMID- 10254204
TI  - Operator error causes most biomedical incidents, expert says.

PMID- 10254205
TI  - Hospitals and physicians -- partners or competitors?

PMID- 10254206
TI  - Malpractice in the '80s -- what lies ahead, what can be done.
AB  - To weather the stormy malpractice environment that lies ahead, hospital medical
      staffs will need to cooperate more actively with risk management and quality
      assurance programs than they have in the past. One barrier to more active
      physician cooperation has been fear that the confidentiality of medical staff
      committee findings will be breached. This article describes how the California
      Medical Association and the California Hospital Association worked to promote an
      organized approach to quality assurance built around legislation that removes
      quality assurance data and records from legal discovery.

PMID- 10254207
TI  - Improving patient care by changing physician behavior.
AB  - Problems of individual and organizational performance require knowledge of and
      skill in the application of specific behavioral change techniques. This article
      discusses principles of adult behavior change and methods for changing individual
      behavior that may be inconsistent with high-quality care.

PMID- 10254208
TI  - The benefits of a hospital cancer program.

PMID- 10254209
TI  - Point of law: what are the legal implications of prescribing and administering
      FDA-approved drugs in nonapproved ways?

PMID- 10254210
TI  - Experience with a new small-volume infusion system in pediatric patients.

PMID- 10254211
TI  - Pharmacist impact on hematopoietic and vitamin therapy in a geriatric long-term
      care facility.

PMID- 10254212
TI  - Prepaid and fee-for-service practice within a multispecialty group practice.

PMID- 10254213
TI  - Observations of the efficiency of pediatric ambulatory care in a teaching clinic.

PMID- 10254214
TI  - Use of a medical information network for practice management.

PMID- 10254215
TI  - Psychiatric emergency patients in ambulatory treatment: pattern of referral and
      compliance.

PMID- 10254216
TI  - Word processing in ambulatory care.

PMID- 10254217
TI  - Management of health manpower in rural ambulatory care programs: responding to
      the trends.

PMID- 10254218
TI  - Occupational health training of local health department personnel: a curriculum
      model and implications of training.
AB  - The Occupational Safety and Health Act of 1970 assigns to the federal government
      specific responsibilities for regulating safety and health in industry. At the
      same time, occupational health programs have traditionally been, and continue to
      be, one responsibility of local and state health agencies. In California, local
      health agencies are required to provide occupational health services in larger
      jurisdictions. Professional level positions which may be required include:
      Occupational health physician, occupational health nursing consultant, industrial
      hygienist or occupational health sanitarians, industrial hygiene engineer, and
      industrial hygiene chemist. Frequently a local health agency may satisfy its
      occupational health requirements by training a registered sanitarian to become an
      occupational health sanitarian.

PMID- 10254219
TI  - Hospital utilization: estimation and stimulation tools for the development of
      systematic plans and marketing strategies.

PMID- 10254221
TI  - Guest editorial: health care marketing.

PMID- 10254220
TI  - Health care marketing minicase.

PMID- 10254222
TI  - Discriminating high and low drug prescribers among physicians in an HMO.

PMID- 10254224
TI  - The importance of good first impressions.

PMID- 10254223
TI  - Planning for a single specialty in a health district.
AB  - This paper discusses planning in the National Health Service. An outline of a
      general method for planning at the district level is illustrated with a case
      study in which a strategic plan was produced for the maternity services in
      Cambridge Health District. Some of the problems of ensuring implementation of
      proposals are then discussed.

PMID- 10254225
TI  - Controlling bad debt through an emergency admission and application tracking
      system.

PMID- 10254226
TI  - Federal requirement for hospital washing might be revised to allow 120 degrees F.
      water.

PMID- 10254227
TI  - Nine different factors contribute to chemical disinfection of linen.

PMID- 10254228
TI  - A hospital's linen-control program is only as good as its linen committee.

PMID- 10254229
TI  - When it comes to making rounds, later is better.

PMID- 10254230
TI  - When the push comes, who'll get shoved?

PMID- 10254231
TI  - Friend--or friendly foe?

PMID- 10254232
TI  - Pulmonary outreach links satellite hospitals with pulmonary function center.

PMID- 10254233
TI  - Static problems in the medical environment.

PMID- 10254234
TI  - Lithium-iodine batteries for cardiac pacemakers.

PMID- 10254235
TI  - Out-patient workload--another look.

PMID- 10254236
TI  - Tracing of medical records.

PMID- 10254238
TI  - HMOs in the Twin Cities have fallen on hard times and are laying off doctors.

PMID- 10254237
TI  - Monitoring patient movement using simple probability theory.

PMID- 10254239
TI  - New program trains hospital-infection controllers.

PMID- 10254240
TI  - Joint study looks at quality of patient education programs.

PMID- 10254241
TI  - A smoking cessation program that works.

PMID- 10254242
TI  - Weight management program promises and delivers.

PMID- 10254243
TI  - How to establish a hospital-based stress management center.

PMID- 10254244
TI  - Health risk appraisal: it's good for business.

PMID- 10254245
TI  - Physicians teach patients to "do for themselves".

PMID- 10254246
TI  - Physical activities improves employee attitudes.

PMID- 10254247
TI  - Auxilians recommend no sale of tobacco on hospital premises.

PMID- 10254248
TI  - Survey reveals extent of patient education activities.

PMID- 10254250
TI  - Communicating through graphics.

PMID- 10254249
TI  - Smallness as an advantage for rural hospitals.

PMID- 10254251
TI  - The annual report: one hospital's journey.

PMID- 10254252
TI  - Public relations under stress: how a small community hospital met state
      bureaucracy head-on.

PMID- 10254253
TI  - The basics of good media relations.

PMID- 10254254
TI  - Auxilians provide affordable public relations.

PMID- 10254255
TI  - Identity, style, image: a discourse on public relations.

PMID- 10254256
TI  - "Implied repeal" of antitrust laws no longer protects hospital-HSA actions.

PMID- 10254257
TI  - Refugees, illegal aliens weigh on public hospitals.

PMID- 10254258
TI  - Freestanding centers vie for hospital patients.

PMID- 10254260
TI  - HMO enrollment will increase 12% in '82.

PMID- 10254259
TI  - New systems taking over as field's keystone.

PMID- 10254261
TI  - Nonprofits begin '82 stable but uneasy ... while for-profits expect more growth.

PMID- 10254262
TI  - 'Comparable worth' rally will spur lawsuits, union demands.

PMID- 10254263
TI  - Supply price increases will pull ahead of 1982 inflation rate.

PMID- 10254264
TI  - Hospitals' competitive bidding hikes coverage, cuts premiums.

PMID- 10254265
TI  - Newer manufacturers peg hopes on unproven NMR scanner over CT.

PMID- 10254266
TI  - Digital imaging makes rapid gains.

PMID- 10254267
TI  - Heart monitoring has bedside manner.

PMID- 10254268
TI  - Hospital executives need marketing tools to meet competition challenges.

PMID- 10254269
TI  - Japan's quality-control circles fall flat for American hospital industry.

PMID- 10254270
TI  - Circular tower cuts staffing needs, increase patients' sense of security.

PMID- 10254271
TI  - Multiunits emphasize ancillary services in new building designs.

PMID- 10254272
TI  - Hospitals face ominous '82 Congress.

PMID- 10254273
TI  - Hospital managers must consider cultural habits of Hispanic workers.

PMID- 10254274
TI  - 2-board system sparks involvement.

PMID- 10254275
TI  - Federal antitrust exemption, state laws combine to protect insurers.

PMID- 10254276
TI  - Financing void could close hospitals.

PMID- 10254278
TI  - Medical school and HMO affiliate; 200 students to enroll in program.

PMID- 10254277
TI  - Pharmaceutical prices hold steady.

PMID- 10254279
TI  - Medical advances will cut admissions.

PMID- 10254280
TI  - Hospitals search for critical sites to dispose of low-level nuclear waste.

PMID- 10254281
TI  - RNs' 'comparable worth' strike hits San Jose hospitals.

PMID- 10254282
TI  - Nursing accountants end conflicts over RN budget.

PMID- 10254283
TI  - Cleveland city hospitals aim satellites at suburbs.

PMID- 10254284
TI  - Tax-exempt bond issues hit peak; hospitals bank on interest rate drop.

PMID- 10254285
TI  - Hospitals give more work to large design firms.

PMID- 10254286
TI  - GAO report: costs of home care in question.

PMID- 10254287
TI  - The 'most serious threat'.

PMID- 10254288
TI  - Corporate restructuring: positioning for future viability.

PMID- 10254289
TI  - The benefits of a social service department.

PMID- 10254290
TI  - Therapeutic drug monitoring quality control for 1982.

PMID- 10254291
TI  - A blood bank in the People's Republic of China.
AB  - The author of this article recalls his visit to a blood donor center in 700 bed
      general Red Cross Hospital in Shanghai. Though the blood banking he describes
      might be viewed as simplistic and devoid of sophistication, the author believes
      that the report should serve as a stimulus to reevaluate our blood banking
      procedures. Are they redundant? Are they all necessary? Are they cost effective?

PMID- 10254292
TI  - Autopsy pathology storage and coding by microcomputer.
AB  - Storage and coding of anatomic pathology data usually is accomplished by
      expensive main frame systems. The authors of this article have developed a
      microcomputer based program package for autopsy pathology which stores patient
      demographic data, provisional or final anatomic diagnoses, and coded diagnoses
      obtained from an on-line Systematized Nomenclature of Pathology (SNOP) code
      lexicon. The system includes limited text editor functions as well as rapid data
      retrieval with the generation of final reports. Data files containing SNOP codes
      and diagnoses are searched easily by a variety of parameters, making data
      retrieval of autopsy material simple and efficient.

PMID- 10254293
TI  - What every pathologist should know and be able to do in laboratory data
      processing and computers: relating to consultants.

PMID- 10254294
TI  - Is patient education alive and well?

PMID- 10254295
TI  - The Ronald McDonald House: a "home" for families of the seriously ill child.

PMID- 10254296
TI  - Physiotherapists talking to patients.
AB  - An examination of the validity of Byrne and Long's communication model to analyze
      a sample of physiotherapists' communication behavior was undertaken. No evidence
      was found to support the model; instead, a two-dimensional model of communication
      was strongly supported by the data. It seems that physiotherapists' interactions
      are best described by one dimension of direction and advice giving and a second,
      independent dimension of a counseling type of communication.

PMID- 10254297
TI  - The breast self-examination practices of high risk women: implications for
      patient education.
AB  - The breast self-examination (BSE) behavior of 142 women referred to a large
      cancer center with malignant or benign breast disease was investigated. The women
      were interviewed about their BSE practices and variables that may have influenced
      their BSE behavior. Those reporting prior BSE practice were asked to demonstrate
      their breast examination to a trained nurse, who rated their performance against
      a set of standard criteria. Although it might be assumed that these women have
      had more opportunity to become educated about BSE, results showed the ratings of
      the women's performances were uniformly poor. Less than half reported having
      formal instruction by a medical professional. This is of particular consequence
      considering that those women taught by a doctor or nurse performed significantly
      more BSE steps than did those taught in other ways. Women who were encouraged to
      do BSE by friends or relatives also performed significantly more steps. Based on
      the study findings, specific recommendations are made, which can be applied to
      the improvement of BSE educational programs.

PMID- 10254298
TI  - Helping hypertensive clients help themselves: the nurse's role.
AB  - Nurses hve an important role in helping hypertensive clients accept, understand,
      and adhere to a therapeutic plan of self-care. This paper examines the nurses'
      role in helping hypertensive clients help themselves. Strategies include
      developing a therapeutic relationship, guiding, supporting, and teaching. The
      nurse can enhance the client-provider relationship by establishing a good
      rapport, being nonjudgmental, individualizing care, treating the whole person,
      and creating an effective clinic structure.

PMID- 10254299
TI  - Touch in the counselling relationship: an exploratory study.
AB  - There is a continuum of views on the extent to which touch enhances the treatment
      process of patients. Health professionals must deal with the use of touch in some
      way, even if their final decision is not to use it. Health professionals were
      interviewed about personal touch as a part of their professional relationships
      with patients. Even though the subjects using touch differed in health
      professions and primary theoretical orientations, a commonality was the belief in
      a strong person-to-person relationship as an integral part of the helping
      process. Instruction concerning touch appears to be inconsistent in the curricula
      of health-professional schools. Thus sensitivity to the use of touch is more
      likely to develop through professional experience. Touch is more likely to be
      used in a fee-for-service, private practice setting. The part of the body most
      likely to be touched is a hand, and possible sexual misinterpretation of touch is
      best dealt with openly and at once.

PMID- 10254300
TI  - Relationship between health locus of control and belief in the relevance of
      lifestyle to health.
AB  - The relationship between the Multidimensional Health Locus of Control (MHLC
      scales) and other beliefs about health behavior were explored in a sample of
      working-class women living in South Wales, U.K. Contrary to our original
      hypothesis, those who scored higher on an index measuring salience of lifestyle
      (i.e., showed awareness that day-to-day behavior influences health status) were
      not significantly more likely to score high on the internal control scale or low
      on the belief in chance scale; however, they were significantly less likely to
      believe that "powerful others" controlled their health. Evidence is presented for
      the construct validity of the Index of Salience, and the reasons for the low
      correlations found are discussed. Because the internal HLC scale, in particular,
      fails to distinguish between health maintenance and illness behavior and between
      individual behavior and behaviors involving professionals, the value of the MHLC
      scales in predicting the specific forms that preventive health behavior will take
      is weakened.

PMID- 10254301
TI  - New frontiers of health care cost containment.

PMID- 10254302
TI  - Physiotherapy: art or science?

PMID- 10254303
TI  - Physician, resident, patient: resolving the conflict.

PMID- 10254304
TI  - The work of the health services organisation research unit, Brunel University.

PMID- 10254305
TI  - Graduate training in health economics at the University of York.

PMID- 10254306
TI  - Health policy studies at the School for Advanced Urban Studies, University of
      Bristol.

PMID- 10254307
TI  - Education and training for community medicine.

PMID- 10254308
TI  - The Institute for Health Studies, University of Hull.

PMID- 10254309
TI  - Management training and development: a district perspective.

PMID- 10254310
TI  - Pulmonary function tests: the telephone connection.
AB  - Pulmonary function tests have been out of reach of many persons living far from
      medical centers. Now, new techniques are making remote testing by telephone
      available to larger and larger numbers of people and are proving to be cost
      effective for patients and hospitals alike.

PMID- 10254311
TI  - Critical care specialists: expertise for all emergencies.
AB  - The professional assigned to critical care must be able to respond to a variety
      of problems--respiratory, heart, renal, neurologic, and others. Advent of
      critical care medicine will produce much change in personnel functions and will
      greatly benefit critically ill patients.

PMID- 10254312
TI  - Evolution of oxygen delivery systems.
AB  - With the development of new materials and with innovations in the design of the
      cylinder, pressurized oxygen delivery systems have become more reliable and
      efficient since their introduction in the early 1900s. And in the past two
      decades, liquid-oxygen systems and oxygen concentrators have become available as
      alternatives.

PMID- 10254313
TI  - Active strategies for combating stress.

PMID- 10254314
TI  - Perinatal coaching--a new beginning.
AB  - A hospital-based perinatal coaching program fosters communication between first
      time parents and their infants. Support provided includes learning about babies'
      individual differences, normal responses, bonding principles, modeling
      techniques, early childhood development, as well as realistic expectations of new
      parents.

PMID- 10254315
TI  - Financial decisions--governance responsibilities.

PMID- 10254316
TI  - Hospital parking lot potential source of income.

PMID- 10254317
TI  - Health economics at a glance.

PMID- 10254318
TI  - Group-oriented behavior management systems to control disruptive behavior in
      therapeutic recreation settings.

PMID- 10254319
TI  - Community and institutional public social spaces.

PMID- 10254320
TI  - National Council for Therapeutic Recreation Certification--certification
      standards for therapeutic recreation personnel.

PMID- 10254321
TI  - Caring for the aging: assessing your role.

PMID- 10254323
TI  - Discharge planning and the use of home health care.

PMID- 10254322
TI  - All Saints' "Dry Doc" a winner.

PMID- 10254324
TI  - Three keys to discharge planning.

PMID- 10254325
TI  - The hospital educator and the elderly.

PMID- 10254326
TI  - Hospitals and hospice: do they belong together?

PMID- 10254327
TI  - Infections in elderly patients.

PMID- 10254328
TI  - Texas Agent Orange Act takes effect.

PMID- 10254329
TI  - The hospital and the problem physician.

PMID- 10254330
TI  - Utilization of hospital services by the older adult.

PMID- 10254331
TI  - "Good health" teleconference series provides medical education for elderly.

PMID- 10254332
TI  - How to make sense of your hospital's financial statements.

PMID- 10254333
TI  - Business coalitions: new tactic in cost control.
AB  - Although it is too early in their development to evaluate their effectiveness,
      business coalitions are attempting to play a part in holding down health care
      costs. Providers, third-party payers, business, and labor have pledged to support
      the potential contributions of voluntary coalitions and to participate with one
      another in them.

PMID- 10254334
TI  - How well are you paying your executives?
AB  - A well-designed executive compensation program can help to motivate and retain
      key executives. An executive compensation program should be linked to the
      hospital's objectives, should be competitive in the marketplace, should minimize
      the executive's taxes, and should meet executive expectations.

PMID- 10254335
TI  - "Reaganomics' force new national health priorities.

PMID- 10254336
TI  - Voluntarism more visible in light of funding cuts.

PMID- 10254337
TI  - Pioneer recruitment program works for pioneer hospital.

PMID- 10254338
TI  - A tale of two systems.

PMID- 10254339
TI  - Volunteers embark on international exchange.

PMID- 10254340
TI  - Self-help is coming of age.

PMID- 10254341
TI  - Workshops shore up library service, expand educational opportunities.

PMID- 10254343
TI  - In two cases Illinois court upholds confidentiality.

PMID- 10254342
TI  - Cross-cultural aspects of physician-patient communications patterns.
AB  - This article reports findings of a study which utilized audiotapes to examine
      interaction patterns between ten white Anglo physicians (three of whom spoke
      Spanish) and 61 Hispanic and non-Hispanic patients. Using a newly developed
      interaction analysis instrument, the study examined four scales-rapport, patient
      health beliefs, therapeutic regimen, and patient feedback-and two additional
      categories-quality of explanation of medical regimen and sensitivity to patient
      modesty. Findings in the analysis of patient-doctor interactions were compared to
      variables of patient understanding and physician perception of the interview.
      Patient charts were also examined to determine diagnosis, prescribed medical
      regimen, and follow-through on return appointments. In analyzing the patient
      doctor interactions, the interview raters perceived physicians as performing
      significantly better on the dimensions of rapport, quality of medical regimen
      explanation, and ability to elicit patient feedback with the non-Hispanic and
      English-language patients than with the Hispanic and Spanish-speaking patients.
      Also, the interaction of factors of language, translator and ethnicity appeared
      to have a highly significant influence on whether the medication prescriptions
      were understood by the patient. There were no significant differences related to
      ethnicity in terms of patient understanding of their diagnosis, or of the cause
      of their health condition, or in terms of their return for follow-up
      appointments.

PMID- 10254344
TI  - Controversy engulfs health care project.

PMID- 10254345
TI  - Foundation to back cost containment projects.

PMID- 10254346
TI  - Higher reimbursement a goal: New York revamps outpatient policy.

PMID- 10254347
TI  - Efficiency is the key reason for lower costs at this central.

PMID- 10254348
TI  - Reaganomics are forcing better management techniques.

PMID- 10254349
TI  - Multiformat cameras for the production of hard copy from digital radiographic
      systems.

PMID- 10254350
TI  - Reader survey: radiology administrators--future shock in the radiology
      department.

PMID- 10254351
TI  - Nuclear medicine in the 1980s: the outpatient physiology laboratory.

PMID- 10254352
TI  - The Jamison Report ... hospitals report promise shake-up.

PMID- 10254353
TI  - The Jamison Report ... summary of recommendations.

PMID- 10254354
TI  - Society of Hospital Pharmacists of Australia: are you at risk?

PMID- 10254355
TI  - The nursing home: weighing investment decisions.

PMID- 10254356
TI  - Charge-back A/V system for a small department.

PMID- 10254357
TI  - Hyperbaric oxygen therapy.

PMID- 10254358
TI  - Risk management--a second chance.

PMID- 10254359
TI  - Some issues in health insurance.

PMID- 10254361
TI  - Rationale for professional institutional chaplaincy.

PMID- 10254360
TI  - Trends in federal legislation affecting health insurance.

PMID- 10254362
TI  - Guidelines for evaluating pastoral services. College of Chaplains, American
      Protestant Hospital Association.

PMID- 10254363
TI  - Enhancing the uniqueness of a Christian health care facility.

PMID- 10254364
TI  - Life, death, and grief: finding hope in despair.

PMID- 10254366
TI  - The church and health services ministries.

PMID- 10254365
TI  - A model for holistic care.

PMID- 10254367
TI  - Church institutions and a litigious society.

PMID- 10254368
TI  - Trends in professional liability.

PMID- 10254369
TI  - Ohio professional liability survey, 1981.

PMID- 10254370
TI  - Arbitration panels: a viable solution to malpractice problems?

PMID- 10254371
TI  - Down and out in America.

PMID- 10254372
TI  - Ads over the doctor's head.

PMID- 10254373
TI  - Aid to Families with Dependent Children: Social Security Administration. Final
      rule.
AB  - These final regulations implement changes made in the Aid to Families With
      Dependent Children [AFDC] program by the Omnibus Budget Reconciliation Act of
      1981 [Pub. L. 97-35]. The statutory changes are generally effective October 1,
      1981.

PMID- 10254374
TI  - Federal old-age, survivors, and disability insurance; earnings test: Social
      Security Administration. Interim regulations.
AB  - The Social Security Administration is issuing interim regulations to implement
      sections 1, 3, and 4 of Pub. L. 96-473 (enacted October 19, 1980) that make a
      number of changes in the application of the earnings test for retirement
      purposes. The provisions are designed to eliminate some unintended and harsh
      effects of the limitations on the use of the monthly earnings test imposed by the
      Social Security Amendments of 1977. Section 1 permits the use of the monthly
      earnings test by those beneficiaries entitled to child's benefits, young wife's
      and young husband's benefits (entitled only by reason of having an entitled child
      in their care) or mother's and father's benefits, in the year that entitlement
      terminates, if termination is for a reason other than death and the beneficiary
      is not entitled to another type of Social Security benefit for the month
      following the month of termination. Section 3 excludes from gross income, for
      purposes of the annual earnings test, self-employment income which is received in
      a year after the initial year of entitlement to insurance benefits under title II
      (other than disability benefits and childhood disability benefits) and is not
      attributable to services performed after the month of entitlement. Section 4
      provides for all beneficiaries the use of the monthly earnings test in the first
      taxable year after 1977 in which a beneficiary has a non-service month in or
      after the month of entitlement to benefits.

PMID- 10254375
TI  - Private land mobile radio services; amendment of the Commission's rules
      concerning general eligibility in the industrial radio services: Federal
      Communications Commission. Final rule.
AB  - This document adopts a rule amendment to permit the licensing of non-profit
      corporations and associations of eligible users in the Business and Special
      Industrial Radio Services in the bands below 512 MHz. The FCC now permits the
      licensing of non-profit corporations and associations of eligible users in each
      of the Industrial Radio Services except the Business and Special Industrial Radio
      Services below 800 MHz and permits it in all Industrial Radio Services including
      Business and Special Industrial above 800 MHz. The amendment will eliminate this
      exception.

PMID- 10254376
TI  - Health maintenance organizations; reestablishment of compliance by Kaiser
      Foundation Health Plan, Inc.: Public Health Service. Notice, continued regulation
      of health maintenance organizations.
AB  - On December 4, 1981, the Office of Health Maintenance Organizations (OHMO)
      notified Kaiser Foundation Health Plan, Inc. that Kaiser-Georgetown Community
      Health Plan, Inc.), (formerly Georgetown University Community Health Plan, Inc.),
      4200 Wisconsin Avenue, NW., Suite 300, Washington, D.C., a federally qualified
      health maintenance organization (HMO), had successfully reestablished compliance
      with its assurance to the Secretary that it would maintain a fiscally sound
      operation. This determination took effect on December 1, 1981.

PMID- 10254377
TI  - Deletion of regulations pertaining to certain social services programs under the
      Social Security act: Office of Human Development Services, HHS. Final rule.
AB  - Pub. L 97-35, the Omnibus Budget Reconciliation Act of 1981, combined the social
      services programs administered under title XX of the Social Security Act in the
      States and in the Territories under titles 1, IV-A, X, XIV and XVI (AABD), into a
      single block grant known as "The Title XX Block Grant to States for Social
      Services." The block grant program is effective October 1, 1981. Since existing
      regulations governing those programs do not apply to the block grant program,
      this rule deletes both entire Parts and references within a Part that apply to
      the above grant-in-aid programs. These regulations also remove the Department's
      day care requirements which were issued under statutory authorities that no
      longer exist as a result of various changes made by Pub. L 97-35.

PMID- 10254378
TI  - Requirements applicable to projects for family planning services: Public Health
      Service. Proposed rule.
AB  - The Secretary of Health and Human services proposes to amend the regulations
      governing the program for family planning services funded under Title X of the
      Public Health Service Act in order to implement a recent amendment of that Act.
      The statutory amendment requires family planning projects to encourage family
      participation in the provision of services by the projects, to the extent
      practical. The Secretary proposes to implement this amendment by requiring
      projects to notify the parents of unemancipated minors seeking family planning
      services when prescription drugs or devices are provided. In addition, where
      state law requires family planning providers to provide Title X services to
      unemancipated minors only with notification to or the consent of their parents,
      projects would be required to comply with that law.

PMID- 10254379
TI  - Hazardous waste management system standards for owners and operators of hazardous
      waste treatment, storage, and disposal facilities and EPA administered permit
      programs; hazardous waste permit program. Environmental Protection Agency.
      Interim final amendments to rule.
AB  - On May 19, 1980, EPA promulgated regulations applicable to owners and operators
      of hazardous waste treatment, storage, and disposal facilities which prohibited
      the landfill disposal of most containerized liquid waste or waste containing free
      liquid on and after November 19, 1981. Further on June 29, 1981, EPA amended its
      hazardous waste management regulations so as to extend the compliance date of the
      restriction on the landfill disposal of containerized liquid ignitable wastes to
      coincide with the compliance data of the general restriction on landfill disposal
      of liquids. The Agency is today extending the compliance date on both these
      requirements until May 26, 1982, and, in a separate action, is proposing
      amendments to these restrictions. This extension of compliance dates is provided
      for the sole purpose of allowing time to complete the rulemaking action on
      today's proposed amendments. The Agency is also today exempting from the
      requirements of the hazardous waste management regulations, the acts of adding
      absorbent material to hazardous waste in containers and adding hazardous waste to
      absorbent material in a container, at the time waste is first placed in the
      container, in order to reduce the free liquids in a container.

PMID- 10254380
TI  - Interim status standards for owners and operators of hazardous waste treatment,
      storage, and disposal facilities: Environmental Protection Agency. Proposed
      amendments to rule.
AB  - On May 19, 1980, EPA promulgated regulations, applicable to owners and operators
      of hazardous waste treatment, storage, and disposal facilities during interim
      status, which prohibited the landfill disposal of most containerized liquid waste
      or waste containing free liquid on and after November 19, 1981. As a result of
      issues raised by the regulated community with respect to this prohibition, the
      Agency is today proposing an amendment to this regulation to allow some
      containers holding free liquids to be disposed of in a landfill, in some
      circumstances. In a separate action in today's federal Register, EPA is providing
      a 90-day extension (from today's date) of the compliance date for the prohibition
      of landfill disposal of containerized liquid waste and the restrictions on the
      landfill disposal of liquid ignitable waste to allow time to complete this
      rulemaking action and to avoid immediately imposing requirements that might be
      changed as a result of this rulemaking action.

PMID- 10254381
TI  - Delegations of authority and organization; revised organization. Food and Drug
      Administration. Final rule.
AB  - The Food and Drug Administration (FDA) is revising the regulation setting forth
      its organization structure. Several reorganizations have occurred since the
      structure was last issued. These revised regulations will present FDA's latest
      organization structure and give the latest addresses for the field organization.

PMID- 10254382
TI  - Health Resources Administration: determination of population of health service
      areas.

PMID- 10254383
TI  - Medical devices; various proposed rules for device classification; withdrawal of
      proposed rules. Food and Drug Administration. Withdrawal of proposed rules.
AB  - The Food and Drug Administration (FDA) is withdrawing various proposed rules
      related to classification of general hospital and personal use devices,
      anesthesiology devices, and immunology and microbiology devices to eliminate
      unnecessary regulations.

PMID- 10254384
TI  - Budget cuts hit chief weapon in war on childhood diseases, say critics.

PMID- 10254385
TI  - Nobody's happy over Administration's attempt to change nursing home rules.

PMID- 10254386
TI  - Cost containment methods for health care maintenance/engineering depts.

PMID- 10254387
TI  - Florida medical malpractice pool wants hospitals to fund big deficit.

PMID- 10254388
TI  - Insurer rules leave workers, bills hanging.

PMID- 10254389
TI  - Group compiles medical fee data for its members.

PMID- 10254390
TI  - Auditors check for hospital billing errors.

PMID- 10254391
TI  - Hospital's plan allows operation during hurricane.

PMID- 10254392
TI  - Educating the allied health professional in Ontario: the results of a period of
      philosophical, pedagogical and fiscal change.

PMID- 10254393
TI  - Programming to meet the needs of the elderly in institutions: part I.
AB  - A survey of 24 institutionalized elderly people was conducted to determine their
      present interests and activities in the institution and those prior to
      institutionalization. It was found that elderly women's former interests were
      maintained for the most part in the institutions except for homemaking, but that
      less opportunity was provided for elderly men to pursue their former interests.
      The types of activities and interests described by these subjects tend to
      correspond with the types of activities commonly included in programs designed by
      occupational therapists for elderly residents in institutions.

PMID- 10254394
TI  - Organizational practice.

PMID- 10254395
TI  - A method of substantiating the projections for a drug budget.

PMID- 10254396
TI  - Establishing a poison center: planning and development.

PMID- 10254397
TI  - Civil rights and the hospital pharmacist.

PMID- 10254398
TI  - The effective committee.

PMID- 10254399
TI  - Monitoring the financial health of Ontario hospitals.

PMID- 10254400
TI  - Family-centered care is a must.

PMID- 10254401
TI  - Trustee development must be a priority.

PMID- 10254402
TI  - N.S.A.H.O. develops education program for the Maritimes.

PMID- 10254403
TI  - What are the public's attitudes toward fundraising?

PMID- 10254404
TI  - Emergency medical care in the United States: a new frontier.

PMID- 10254405
TI  - Pacemaker programmability.

PMID- 10254406
TI  - International surgical centers.

PMID- 10254407
TI  - The new diet pills.

PMID- 10254408
TI  - Exercise bikes: eighteen ways to build strong bodies, three of them good enough
      to be check-rated.

PMID- 10254409
TI  - Psoriasis: which remedies work?

PMID- 10254410
TI  - Waste-energy recovery systems: more hospitals getting fired up over recovering
      unused heat.

PMID- 10254411
TI  - West coast specifier firm sets clients free with hospital spec manual.

PMID- 10254412
TI  - Vivid graphics, muted tones are natural choice for Alabama child care center.

PMID- 10254413
TI  - Color scheme helps key entrances, services at newly remodeled midwest hospital
      facility.

PMID- 10254414
TI  - Security-minded design & loss prevention key to hospital safety.

PMID- 10254415
TI  - Standard seating conforms to patient needs.

PMID- 10254416
TI  - Health consumerism grows in the workplace.

PMID- 10254417
TI  - Recession, Reaganomics eroding EM services.

PMID- 10254418
TI  - Streamlining helped DC General cope with wide patient mix.

PMID- 10254419
TI  - TB specialists map prophylaxis to guard ED personnel.

PMID- 10254420
TI  - Product evaluation and purchasing.

PMID- 10254421
TI  - Household health fair.

PMID- 10254422
TI  - Incentive programs: do they really work?

PMID- 10254423
TI  - Canadians launch fitness project for blue collar workers.

PMID- 10254424
TI  - Hospital wellness programs aid employees.

PMID- 10254425
TI  - Proposed budget cuts to keep pressure on hospital industry.

PMID- 10254426
TI  - CEOs see continued business growth, pressures during 1982.

PMID- 10254428
TI  - Sports Medicine Center: a new health enterprise.

PMID- 10254427
TI  - Human interest program: from clubs to lobster.

PMID- 10254429
TI  - Hospital marketing program must involve physicians, advocate says.

PMID- 10254430
TI  - Hospital marketing is a survival strategy, industry leader believes.

PMID- 10254431
TI  - Let ethical approach be guiding force in marketing, teaching hospital head says.

PMID- 10254432
TI  - Health care marketing gains popularity as a needed activity for hospitals.

PMID- 10254433
TI  - Cook County Hospital stabilized two years after critical financial crunch.

PMID- 10254434
TI  - HMOs, doctor groups and antitrust laws: an overview.

PMID- 10254435
TI  - HCA devises innovative equipment planning and procurement system.

PMID- 10254436
TI  - Deregulation proposals recommended by health care coalition.

PMID- 10254437
TI  - Fire recovery planning in health care institutions.

PMID- 10254438
TI  - 42 safely evacuated in New York hospital fire.

PMID- 10254439
TI  - Modeling emergency evacuation from group homes.
AB  - The goal of this study is to describe a methodology for estimating the necessary
      time for resident evacuation. A network description of the building together with
      a simulation model of occupant movement are used to evacuate alternative egress
      and rescue policies.

PMID- 10254441
TI  - HHS extends staffing deadline, but official says half of HSAs may still fold.

PMID- 10254442
TI  - Educators assail Reagan's health professions budget.

PMID- 10254440
TI  - Comprehensive qualifying examination (CQE) assessment of readiness to assume
      responsibility for patient care.

PMID- 10254443
TI  - Establishing community linkages for marketing and neighborhood improvement.

PMID- 10254444
TI  - Mount Sinai invests in quality circles.

PMID- 10254445
TI  - Hospital marketing: the survival option.

PMID- 10254447
TI  - Ward design: on the nurses' trail.

PMID- 10254446
TI  - Ward design: under observation.

PMID- 10254448
TI  - Nightingale's swan song?

PMID- 10254449
TI  - Hospital engineering: twenty-four hour service.

PMID- 10254450
TI  - Estate management: oasis of tranquillity.

PMID- 10254451
TI  - Rheumatology: planning a caring service.

PMID- 10254453
TI  - Job grading and reorganisation, past and present.

PMID- 10254452
TI  - East German health care: country-wide care.

PMID- 10254454
TI  - Staff appraisal & performance review--practical perspectives.

PMID- 10254455
TI  - Materials management contracts: pro or con?

PMID- 10254456
TI  - Can hospitals beat last year's 12% inflation rate?

PMID- 10254457
TI  - Communicate--and purchase effectively.

PMID- 10254458
TI  - Art of negotiations: the team approach.

PMID- 10254459
TI  - A new look at X-ray film: has the picture changed?

PMID- 10254460
TI  - Employee surveys can help solve problems as well as identify them.

PMID- 10254461
TI  - Who supports competition? And why.

PMID- 10254463
TI  - Hospital security: an essential operation.

PMID- 10254462
TI  - Who opposes competition? And why.

PMID- 10254465
TI  - Management structures and computer policy.

PMID- 10254464
TI  - Protecting patients.

PMID- 10254466
TI  - Developing mental handicap services in an English county: lessons from an action
      research strategy.

PMID- 10254467
TI  - Gas scavenging at Queen Alexandra Hospital Portsmouth.

PMID- 10254468
TI  - The Medicines Act 1968.

PMID- 10254469
TI  - Safety cabinets: testing and maintenance.

PMID- 10254470
TI  - Finance cycle analysis applied to agency operations.

PMID- 10254472
TI  - Germany's Sozialstationen: a preliminary look.

PMID- 10254471
TI  - Diversification: viable strategy for the voluntary non-profit home health agency?

PMID- 10254473
TI  - Committee improves safety of blood transfusion.

PMID- 10254474
TI  - NAQAP officials give tips for solving QA problems.

PMID- 10254475
TI  - Interview with C. Everett Koop, MD, the U.S. Surgeon General.

PMID- 10254476
TI  - Hospital extends services to underserved area.

PMID- 10254477
TI  - Clinic trains GPs, meets inner city needs.

PMID- 10254478
TI  - Sports rehabilitation program emphasizes therapy, prevention.

PMID- 10254479
TI  - Proposed Canon Law on temporal goods reflects Vatican II's influence.

PMID- 10254480
TI  - More bishops, health care providers enter nuclear debate.

PMID- 10254481
TI  - Service workers strikes: a new moral dilemma.

PMID- 10254482
TI  - The National Labor Relations Act: some ethical considerations.

PMID- 10254483
TI  - On administration: ministry and management.

PMID- 10254484
TI  - Policies and procedures: first line of defense in legal actions.

PMID- 10254485
TI  - Hospitals responsible for contract ER services.

PMID- 10254486
TI  - Physician liable for procedural error.

PMID- 10254487
TI  - Health care forecast: adapt to changing environment.

PMID- 10254488
TI  - Sports care and the hospital.

PMID- 10254489
TI  - Norfolk General Hospital's new Kaufman Pavilion. A new approach to saving lives-
      answer to critical need.

PMID- 10254490
TI  - Packaging questions and answers: double peel packs.

PMID- 10254491
TI  - The engineering director: a job in evolution.

PMID- 10254492
TI  - Planning optimum: more hospital beds or less?

PMID- 10254494
TI  - Is your case cart system working?

PMID- 10254493
TI  - Hospital topical law.

PMID- 10254495
TI  - How can the hospital purchasing agent get the most from the supplier?

PMID- 10254496
TI  - A comparison of ethylene oxide penetration rates between a non-woven and a muslin
      wrapper.

PMID- 10254497
TI  - The central service supervisor as a department head.

PMID- 10254498
TI  - How quality circles work: an "inside look" at two different hospitals, with
      actual meeting notes.

PMID- 10254499
TI  - Problems in getting new antimicrobials tested in the laboratory.

PMID- 10254500
TI  - Public relations and marketing: the organizational questions.

PMID- 10254501
TI  - Evaluate your own PR program--everybody else is doing it.

PMID- 10254502
TI  - Professionalism: key to success in time of crisis.

PMID- 10254503
TI  - Hospital department manager or president of a service business?

PMID- 10254504
TI  - Be honest but not cruel: staff/parent communication on a neonatal unit.

PMID- 10254506
TI  - Florida Hospital Association puts out an alert after series of microscope thefts.

PMID- 10254505
TI  - Improving relations with nursing.

PMID- 10254507
TI  - How to control your linen losses.

PMID- 10254508
TI  - Federal Appeals Court rules private nursing home's access refusal to legal
      services organization does not violate First Amendment.

PMID- 10254509
TI  - Tennessee Federal Court rules Hill-Burton hospital not subject to "community
      services" obligation.

PMID- 10254510
TI  - District Court upholds hospital's rehabilitation unit as a special care unit;
      limited to cost years prior to Oct. 1, 1981.

PMID- 10254511
TI  - FCC's approval of the resale and sharing of WATS could afford hospitals an
      opportunity to offset communications expenditures.

PMID- 10254512
TI  - Administration asks for limits on tax-exempt bonds; AHA testifies against
      Treasury proposal before Senate Finance Committee.

PMID- 10254513
TI  - Two federal district courts make the first awards of attorneys' fees under Equal
      Access to Justice Act.

PMID- 10254514
TI  - Design for the human factor.

PMID- 10254516
TI  - Getting to the PR point.

PMID- 10254515
TI  - Planning for discharge.

PMID- 10254517
TI  - Here comes trouble.

PMID- 10254519
TI  - Charging for professional services.

PMID- 10254520
TI  - The health education officer--a mythical character?

PMID- 10254518
TI  - Patient education in practice.

PMID- 10254521
TI  - Comparative assessment of two booklets about rheumatoid arthritis, intended for
      use by patients.
AB  - Increases in patient knowledge after reading booklets about rheumatoid arthritis
      demonstrated the effectiveness of written material as a teaching aid. Two groups
      of patients (35 and 37 in number) in a specialist hospital acted as their own
      controls. Group A, after reading a booklet produced by the Arthritis and
      Rheumatism Council, increased their scores by a mean of 21 per cent. Group B,
      after reading a booklet produced by the Leeds Health Education Service, and
      containing substantially more information, achieved a 45 per cent average
      increase, indicating that this is the more effective of the two. Overall low
      scores before reading indicate a need for more patient education.

PMID- 10254523
TI  - The officer and aggression: Part III response and responsibility.

PMID- 10254522
TI  - Location hierarchy in health planning in Italy.

PMID- 10254524
TI  - The impact of alienated attitudes on employee performance.

PMID- 10254525
TI  - Tax exempt leases can lower interest charges.

PMID- 10254526
TI  - Proqualitivity: your winning edge.

PMID- 10254527
TI  - Roof inspection: today's technology.

PMID- 10254528
TI  - Computer bits: purchasing's link to receiving and accounts payable.

PMID- 10254529
TI  - Organizational cultures: sensitive managers can improve the working environment.

PMID- 10254530
TI  - Federal employees' health insurance: largest competitive health program faces a
      crisis.

PMID- 10254531
TI  - Objective, efficient, effective: selecting a collection agency by RFP approach.

PMID- 10254532
TI  - Managing hospital ambulatory receivables.

PMID- 10254533
TI  - To reduce costs hospitals must identify fixed and variable costs.

PMID- 10254534
TI  - Tax policy--small influence on complex behavior.

PMID- 10254535
TI  - Cash discounts.

PMID- 10254536
TI  - Human relations program ensures better patient care.

PMID- 10254537
TI  - Marketing audits for health organizations: a practical guide.

PMID- 10254538
TI  - Administrative success: key ingredients.

PMID- 10254539
TI  - Trends in hospital unionization since the 1974 amendments to the National Labor
      Relations Act.

PMID- 10254540
TI  - The hospital administrator and organizational change: do we recruit from outside?

PMID- 10254541
TI  - A combined leave benefit system for the control of absenteeism in health care
      organizations.

PMID- 10254542
TI  - Growing organizations-some pitfalls.

PMID- 10254543
TI  - Improving the efficiency of the hospital maintenance management system.

PMID- 10254544
TI  - Consolidated safety, security program saves money, cuts loss.

PMID- 10254545
TI  - Willful concealment complicates hospitals' liability.

PMID- 10254546
TI  - Granting privileges to perform endoscopies.

PMID- 10254547
TI  - Formal instrument counts: yes or no?

PMID- 10254548
TI  - Pharmacy-initiated intravenous infusion guidelines.

PMID- 10254549
TI  - Current status of hospital pharmacy technicians in Michigan.
AB  - The results of a comprehensive statewide survey of hospital pharmacy technicians
      are presented. Although this was only a statewide survey, its findings should be
      of interest to technicians and pharmacists everywhere since very few data of this
      type are available. In addition, Michigan is a very progressive pharmacy state
      and has recently implemented a formal technician certification process (described
      in an appendix) via the Michigan Pharmacists' Association. The survey instrument
      was mailed to the Directors of Pharmacy at 252 Michigan hospitals. The response
      rate was 68.7% (173) hospitals). The survey pointed out that Michigan hospitals
      employ on the average one technician for each pharmacist. Most hospitals required
      high school graduation and typing skills as a minimum for hiring of a technician.
      Numerous technician work responsibilities were identified, including the
      admixture of sterile products. Technicians in this survey had a variable work
      schedule, and the future job market appeared to be healthy. Most of the
      technicians were females under the age of 30. Average hourly wages for regular
      technician position ranged from $5.05 to $6.25 (June 1981). Numerous categories
      of technicians were noted, and about 20% of the technicians were unionized. Many
      of the hospitals utilized a formal on-the-job technician training program. The
      performance of the majority of technicians was evaluated annually, and many
      opportunities existed for continuing education. The concept of technician
      certification appeared to be looked upon favorably by most of the pharmacy
      directors.

PMID- 10254550
TI  - Classic adornments.

PMID- 10254551
TI  - A center for cooperative care.

PMID- 10254552
TI  - Computer use and educational needs in selected Canadian health care food
      services.
AB  - A survey was conducted to assess the computer use in 27 selected Canadian health
      care food service facilities and the educational needs in computerization of the
      corresponding foodservice administrators. The foodservices selected were
      represented by foodservice administrators at a workshop on computer-assisted
      foodservice managements held in June 1980. Only three facilities used a computer
      for foodservice functions: seven 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. The foodservice
      administrators identified their educational needs in computerization and
      demonstrated that a one to two day workshop was their preferred educational
      program format.

PMID- 10254553
TI  - Energy usage for food service infrared heat processing of egg sandwich loaf.
AB  - Simulating volume demand within hospital food service departments, infrared heat
      processing conditions were used to heat two similar protein menu items to
      determine both energy consumption required for heat processing and
      energy/nutrient rations. A larger, conveyorized infrared oven (CTX-70) and a
      smaller, infrared unit (Krups 2002) were used to heat process varying sizes of
      oven loads which ranged from one to 36 slices. Although no significant
      differences were found for product yield after 12, 24 and 36 slices were heat
      processed in the CTX-70, the energy usage was significantly different: 637, 798
      and 1005 watt hours/load were consumed, respectively. In the Krups 2002, a load
      of one slice had greater heat processing losses than either two or four slices.
      Energy consumption was 39, 47 and 50 watt hours/load to heat process one, two and
      four slices in the Krups 2002, respectively. Significantly more energy was used
      to heat process turkey-ham than egg sandwich loaf in the Krups 2002. The
      potential use of energy/nutrient rations by dietitians was discussed.

PMID- 10254554
TI  - Clinical engineering's involvement with a computerized hospital information
      system.
AB  - This paper describes a computerized Hospital Information System (HIS) installed
      in Mount Zion Hospital and Medical Center along with the Clinical Engineering
      Department's involvement in the minor and major maintenance of the 48 data
      stations consisting of terminals and printers. This paper also includes a summary
      of maintenance man-hour distribution, data station repair problems and the type
      of repair equipment and personnel needed to maintain hospital computer systems.

PMID- 10254555
TI  - Analysis & recommendations for a medical engineering department.
AB  - A multi-disciplinary task force convened to examine present and future program
      needs of the Medical Engineering Department at the North Carolina Memorial
      Hospital, University of North Carolina School of Medicine. The committee
      recommended changes that would reduce technician turnover, improve continuing
      education, increase salaries, improve services for patient care and allow the
      hospital to comply with the requirements of the Joint Commission on the
      Accreditation of Hospitals. An important by-product of this study approach led to
      improved communications and work relations with all departments that receive
      services from the Medical Engineering Department.

PMID- 10254556
TI  - Transcutaneous bilirubin measurement.
AB  - The development of transcutaneous measurements of medically important diagnostic
      data is a worthy endeavor intended to eliminate the need for invasive procedures.
      This paper reports success in meeting those ends with a clinical instrument for
      transcutaneous bilirubin measurement. The need for this device and technologic
      developments leading to such a device are described. The transcutaneous bilirubin
      meter exhibits a high degree of correlation with serum bilirubin levels and can
      be used for screening.

PMID- 10254557
TI  - History on a puppet stage.

PMID- 10254559
TI  - Form follows function: physicians' roles in the health care system.

PMID- 10254558
TI  - Roles and functions of geriatric nurse practitioners in long term care as viewed
      by physician, GNP and administrator.

PMID- 10254560
TI  - Inservice education and the nursing home administration.

PMID- 10254561
TI  - Design reduces nurses' walking, encourages patients to visit each other.

PMID- 10254562
TI  - Food service management: employee training program.

PMID- 10254563
TI  - Hazard analysis critical control point approach: epidemiologic rationale and
      application to foodservice operations.
AB  - Operations in foodservice establishments that have contributed to foodborne
      disease have been identified during investigation of outbreaks. Examination of
      foodborne disease surveillance data discloses need for a new or modified approach
      to foodborne disease control. Recommended constituents of a new approach include
      (a) Hazard analysis to identify operations in which foods could become
      contaminated, to determine whether or not pathogens survive heat treatment, and
      to detect opportunities for pathogenic bacteria to multiply to concentrations
      that are dangerous to the consumer; (b) Identification of critical control points
      of the operation; (c) Implementation of appropriate control and preventive
      measures; (d) Monitor, routinely, operations at each critical control point.

PMID- 10254564
TI  - Israel: Magen David Adom, the equivalent of the Red Cross, handles all
      prehospital care.

PMID- 10254565
TI  - Emergency responders at a hazardous materials incident.

PMID- 10254566
TI  - Ambulance cots. Part 3: is there a better way?

PMID- 10254567
TI  - Terrorism and EMS: a security issue.

PMID- 10254568
TI  - West Germany: "Sanitators" provide prehospital care, with problems familiar to
      American EMS workers.

PMID- 10254569
TI  - One hundred fifty minutes: a double tragedy in the Nation's capital.

PMID- 10254570
TI  - Using microcomputer technology in music therapy for analyzing therapist and
      client behavior.
AB  - A low-cost microcomputer was used to analyze systematically the behavioral
      interactions between a music therapist and a 55-year-old mentally retarded
      female. The microcomputer permitted the authors to determine quickly and cost
      effectively the effect of music therapy sessions on the client's behavior. The
      study demonstrates that current microcomputer technology can now be used to
      collect and analyze process-oriented data for application in both research and
      training activities. The implications for process-oriented research and training
      are discussed.

PMID- 10254571
TI  - Explanation and social policy: 'the' problem of social inequalities in health.
AB  - Inequalities in rates of sickness and mortality between social groups has long
      been a matter of concern and of inquiry in Britain. Disciplinary differentiation
      has resulted in the problem now being treated within what have become three
      distinct intellectual traditions. These are social administration, epidemiology,
      and sociology, and the accounts they provide differ significantly from each
      other. This is partly because 'the' problem is somewhat differently defined in
      each; and partly because of their different orientations to theory and to
      practical amelioration. This article explores the strengths and weaknesses of
      each approach, and raises the possibility of a more adequate explanation than any
      one discipline provides. The implications for study of social administration are
      considered.

PMID- 10254572
TI  - Mental health consequences of rapid community growth: a report from the
      longitudinal study of boomtown mental health impacts.

PMID- 10254573
TI  - Comprehensive community care: the potential of informal helping for boomtowns.

PMID- 10254574
TI  - Disaster planning: the mental health worker as "victim--by--proxy.".

PMID- 10254575
TI  - White-collar and professional unionization.

PMID- 10254576
TI  - Understanding the letter concept of collections.

PMID- 10254577
TI  - Applying program evaluation and review technique (PERT) to hospital insurance
      billing.

PMID- 10254578
TI  - An overlooked collection aid.

PMID- 10254579
TI  - New central laundry to yield reduced linen losses, costs.

PMID- 10254580
TI  - Record keeping and employee relations: two key factors in controlling linen.

PMID- 10254581
TI  - New laundry at Chicago hospital will improve operating efficiency.

PMID- 10254582
TI  - Nursing home executive calls on-premise processing essential.

PMID- 10254583
TI  - Prepaid care: the battle is just beginning.

PMID- 10254584
TI  - Our insurance system is self-destructing--and we'll be better off.

PMID- 10254586
TI  - Image processing with array processors.

PMID- 10254585
TI  - Then we put the cast room in frozen foods...

PMID- 10254587
TI  - Noninvasive monitoring of intracranial pressure.

PMID- 10254588
TI  - Medical ethics forum-22: models for a Christian hospital.

PMID- 10254589
TI  - The misuse and overuse of intensive-care units.

PMID- 10254590
TI  - Cost-control efforts get $16-million shot in the arm . . . while AMA launches
      hospital 'network' to restrain utilization.

PMID- 10254591
TI  - NCI slates a computer network providing cancer information fast---PDQ, in fact.

PMID- 10254592
TI  - What to do about those scary hospital costs.

PMID- 10254593
TI  - Polish plight grim as U.S. aid resumes.

PMID- 10254594
TI  - Proper marketing structure is a must for success.

PMID- 10254595
TI  - Market research (can you afford not to have it?)

PMID- 10254596
TI  - No matter how you slice it: a look at market segmentation.

PMID- 10254597
TI  - Marketing and promotion: a small hospital's road to success.

PMID- 10254598
TI  - Michigan's cost experience compared to rate regulated states: a re-examination.

PMID- 10254599
TI  - Marketing and the auxilian.

PMID- 10254600
TI  - It is time for a change.

PMID- 10254601
TI  - Freedom of Information Act fails as hospital's weapon against union.

PMID- 10254603
TI  - Rivals scanning growth in CT market.

PMID- 10254602
TI  - Blues chief predicts rosier future for plans.

PMID- 10254604
TI  - Give contracts to CEOs.

PMID- 10254605
TI  - Equipment planning company offers skills in multimillion-dollar purchasing.

PMID- 10254606
TI  - Management pacts link rival hospitals.

PMID- 10254607
TI  - Demand for specialists is keeping physician vacancy ads at high level.

PMID- 10254608
TI  - Budget proposal pulls life-support systems from tax-exempt bonds.

PMID- 10254609
TI  - States, out of whack with federal deregulation, consider rate setting.

PMID- 10254610
TI  - Nurses, hospitals clash on bills.

PMID- 10254611
TI  - Planning laws survive cuts, face changes.

PMID- 10254612
TI  - Changes in hospital management demand "specialist" administrator.

PMID- 10254614
TI  - Bottom line puts entrepreneur on top.

PMID- 10254613
TI  - Hospital acquisitions demand caution.

PMID- 10254615
TI  - FDA's forecast of emerging technologies.

PMID- 10254616
TI  - Physician population alters product needs.

PMID- 10254617
TI  - Business coalitions gain as cost saving weapon.

PMID- 10254619
TI  - Consider shared services.

PMID- 10254618
TI  - Home care market: selling a concept.

PMID- 10254620
TI  - Energy and health care: are we vulnerable?

PMID- 10254621
TI  - Theory Z--an alternative management style.

PMID- 10254622
TI  - The transition to solo pathologist.

PMID- 10254623
TI  - Managing laboratory personnel--are you prepared? Part I.
AB  - Long a neglected subject, management is increasingly recognized as a tool that
      allows an organization to function optimally. Because medical schools do not
      stress management training, the pathologist can encounter problems when immersed
      for the first time into the field of management. In the first of a two-part
      article, the author explains how a pathologist's administrative role differs from
      his role as a physician, reviews briefly the different management styles, and
      discusses important management tools the laboratory director needs to organize
      and operate a laboratory.

PMID- 10254624
TI  - The pregnancy disability amendment: what the law provides: part I.

PMID- 10254625
TI  - The pregnancy disability amendment: what the law provides, part II.

PMID- 10254626
TI  - OSHA final rule gives employees the right to see their exposure and medical
      records.

PMID- 10254627
TI  - Why home health care is an expanding trend.

PMID- 10254628
TI  - How pharmacies in rehabilitation hospitals are moving ahead.

PMID- 10254629
TI  - How we provide poison prevention ideas to new parents.

PMID- 10254630
TI  - Part one: what new Rx services are provided in long-term care facilities?

PMID- 10254631
TI  - 565 students have participated in NPC-SAPHA summer internship program.

PMID- 10254632
TI  - How to develop aids to professional practice: an information system.

PMID- 10254634
TI  - Issues: other views--wellness.

PMID- 10254633
TI  - The little hospital that could: a modest success story.

PMID- 10254635
TI  - Hospital's EAP staff perfect the art of packaging services for business clients.

PMID- 10254636
TI  - Proper staffing of an occupational safety and health office.

PMID- 10254637
TI  - Paperless claims make third-party payments a pleasure.

PMID- 10254638
TI  - Patient noncompliance.

PMID- 10254639
TI  - Equipment leasing proves economical option.

PMID- 10254640
TI  - Cures that kill.

PMID- 10254641
TI  - Mental health practice in a physical health setting.

PMID- 10254642
TI  - Employment and mental hospitalization: the case of Buffalo, New York, 1914-55.
AB  - This paper explores the connection between employment trends and state mental
      hospital admissions first presented by Brenner in Mental Illness and the Economy.
      The analysis is based on employment data for the Buffalo SMSA and admissions to
      the SMSAs only major public psychiatric hospital for the years 1914 to 1955. We
      employ a series of specifications in time-series analyses. Our findings contrast
      with Brenner's; unlike his analysis, ours indicates that employment is positively
      related to admissions. Consistent with other previous research, hospital capacity
      is also found to be important in predicting admissions. We offer a number of
      interpretations for the results, in particular noting the need for the
      examination of the stressful effects of work itself, not merely its loss.

PMID- 10254643
TI  - The song is ended but the malady lingers on: legal regulation of psychotherapy.

PMID- 10254644
TI  - To tell the truth: physicians' duty to disclose medical mistakes.

PMID- 10254645
TI  - Moral reconstruction in the hospital: a legal and philosophical perspective on
      patient rights.

PMID- 10254647
TI  - How a building gets built: Duke University Hospital--for the '80s and beyond.

PMID- 10254646
TI  - Medical residents and section 117--time for a closer examination.

PMID- 10254648
TI  - Community Advisory Boards: emerging methods of "interacting" with the community.

PMID- 10254649
TI  - Incontinent pads and garments: a specialized market needs special care.

PMID- 10254650
TI  - The medical record -- a valuable data base for the hospital.

PMID- 10254652
TI  - Uses of coded data for hospital planning.

PMID- 10254651
TI  - Computer -based coding of medical data.

PMID- 10254653
TI  - Coded data management: a practical approach to assessing a hospital's data needs.

PMID- 10254654
TI  - New law complicates the processing of insurance requests.

PMID- 10254655
TI  - Clinical data systems: meeting organizational needs.

PMID- 10254656
TI  - Preventing employee needlesticks, puncture wounds.

PMID- 10254657
TI  - Trustee orientation: acquainting your board with your hospital.

PMID- 10254658
TI  - Health care coalitions watching the bottom line.

PMID- 10254660
TI  - Interview: Peter T. Flawn.

PMID- 10254659
TI  - The trustee's legal responsibilities.

PMID- 10254661
TI  - The fine art of communication: an important part of a successful board
      administrator relationship.

PMID- 10254662
TI  - Orientation important schooling for trustees.

PMID- 10254663
TI  - Recruitment campaign draws national attention.

PMID- 10254664
TI  - The community relations role of the hospital trustee.

PMID- 10254665
TI  - The problem physician: legal threat or legal menace?

PMID- 10254666
TI  - TAHGB makes job of 'head honcho' a lot easier.

PMID- 10254667
TI  - New tax law hobbles tax-exempt hospitals.
AB  - The Economic Recovery Tax Act of 1981 left tax-exempt hospitals at a significant
      disadvantage in the competition for capital. Although the new law's accelerated
      depreciation schedules and liberalized investment tax credits contain some
      marginal benefits for tax-exempt hospitals, these benefits are probably more than
      offset by the impact of the law on charitable giving.

PMID- 10254668
TI  - Strategies for surviving the capital shortage.
AB  - With traditional sources of capital threatened, hospitals are going to have to
      turn to new sources of capital and new methods of raising capital if they are to
      meet their facilities and equipment needs during the 1980s. New capital will come
      primarily from two sources: net income from new health services and health
      related ventures operating in less regulated markets, and equity offerings.

PMID- 10254669
TI  - Choosing the financing option that's right for your hospital.
AB  - THe major debt financing options available to hospitals may be evaluated
      according to two categories of factors: those involving the financing itself and
      those involving its subsequent operational impact. Structural considerations
      include the likely trend in interest rates, the time commitment necessary to
      complete multiple financings, the institutional operating climate, and the
      likelihood that a preferable vehicle will be available at a later date.

PMID- 10254670
TI  - Will the new tax law hurt giving to hospitals?
AB  - Despite predictions that the Economic Recovery Tax Act of 1981, by diminishing
      the tax benefits of charitable giving, will have a serious adverse effect on
      philanthropy to hospitals, many hospital development officers remain optimistic.
      They recommend that hospitals respond by improving their marketing efforts to
      their giving publics.

PMID- 10254671
TI  - Capital financing tips for small hospitals.
AB  - Small and rural hospitals that have financed capital projects successfully have
      built a strong base of public support among the local community and regulators,
      and they have been willing to risk failure to achieve their goals. An open mind,
      community involvement, and participation of experienced professionals are
      essential to a successful financing.

PMID- 10254672
TI  - Pros and cons of hospital development foundations.

PMID- 10254673
TI  - Teaching nursing home award program outlined.

PMID- 10254675
TI  - Educating the elderly on their legal rights.

PMID- 10254674
TI  - Problems with cash flow? Look to patient receivables.

PMID- 10254676
TI  - Sanitation in the dietetics service.

PMID- 10254677
TI  - Behind boasts, the grim side of Soviet medicine.

PMID- 10254678
TI  - Why cost of health care won't stop rising.

PMID- 10254679
TI  - Health planning: the program that wouldn't die.

PMID- 10254680
TI  - Expected principal source of payment for hospital discharges: United States,
      1979.

PMID- 10254681
TI  - 1980 summary: National Ambulatory Medical Care Survey.

PMID- 10254682
TI  - Spanish-language TV show planned by hospital.

PMID- 10254683
TI  - HMOs boom in Twin Cities.

PMID- 10254684
TI  - Project Orbis: up, up, and away.

PMID- 10254685
TI  - Private MDs regroup to fight HMO pinch.

PMID- 10254686
TI  - Hospitals, state agency join to save school of nursing.

PMID- 10254687
TI  - HMOs in Twin Cities feel pressure to advertise.

PMID- 10254688
TI  - Is technology worth the cost?

PMID- 10254689
TI  - Economist on competition: "If it ain't broke ...".

PMID- 10254690
TI  - Recommendations for periodic health examinations by the ACP Medical Practice
      Committee.

PMID- 10254691
TI  - Malpractice panels--success or failure?

PMID- 10254692
TI  - With CARE in Afghanistan--a surgeon reminisces.

PMID- 10254693
TI  - ACP Associates starting group for 'dual physician families'.

PMID- 10254694
TI  - Congress' new method of doing business.

PMID- 10254695
TI  - Reflections on five years in Philadelphia.

PMID- 10254697
TI  - Must better diagnosis cost more?

PMID- 10254696
TI  - Radiologic microfilming: a technology in transition.

PMID- 10254698
TI  - Trials and tribulations of radiology administration. Who is really in charge of
      the department?

PMID- 10254699
TI  - Effective use of a computer in radiology.

PMID- 10254700
TI  - An overview of radiation therapy planning systems.

PMID- 10254701
TI  - Multiculturalism and community health services.

PMID- 10254702
TI  - A new direction in hospital health promotion.

PMID- 10254703
TI  - The different facets of delivering hospice care to terminally ill patients.

PMID- 10254704
TI  - Success in rehabilitation: dedication in a backwater of medicine.

PMID- 10254706
TI  - Rebel doctors want a trauma-care network, not an aloof mecca.

PMID- 10254705
TI  - Hospital life: a downgraded system?
AB  - Author takes a two-stage tour of the labyrinths of hospital regrading. Stage one
      this week shines a torch into some of the dark corners of a system that can keep
      a person waiting for a year or more on its decision to upgrade or not and, if he
      or she is lucky, another two or three months for the result of an appeal. The
      machinery creaks and a whole range of people are impatient with it.

PMID- 10254708
TI  - More hospitals nix bed plan for 'major' war.

PMID- 10254709
TI  - Proprietary hospitals' boom: a boon for MDs--or a threat?

PMID- 10254707
TI  - Novel antibiotics excel for hospital infections and offer long action.

PMID- 10254710
TI  - Staff privileges: barred doctors go before the bar.

PMID- 10254711
TI  - NCI expects to enlist community hospitals in cancer trials soon.

PMID- 10254713
TI  - Cash-incentive insurance to curb health costs is an idea whose time may be near.

PMID- 10254712
TI  - American business is bullish on 'wellness'.

PMID- 10254714
TI  - Hospitals strive to survive through marketing.

PMID- 10254715
TI  - Threat to Medicare seen: more hospitals quitting Social Security system.

PMID- 10254716
TI  - Multidisciplinary effort: clinic aims to understand children's pain.

PMID- 10254717
TI  - Interest rate halts hospital's construction.

PMID- 10254718
TI  - Health systems agencies a good target.

PMID- 10254719
TI  - Hospital sues over CAT scanner denial.

PMID- 10254720
TI  - Price disclosure a part of package: Minnesota repeals certificate-of-need law.

PMID- 10254721
TI  - Non-federal physicians: 1 of 4 MDs has arrangement with hospital.

PMID- 10254722
TI  - Schweiker predicts hospitals won't leave: social security dropout doubted.

PMID- 10254723
TI  - Twin Cities face nursing surplus.

PMID- 10254724
TI  - Medical information exchange via satellite.

PMID- 10254725
TI  - Satellite communications: it's cheaper, clearer and broader.

PMID- 10254726
TI  - Management of health-care costs.

PMID- 10254727
TI  - The changing relationship between hospitals and surgeons.

PMID- 10254729
TI  - Cost containment in surgery: holding fees in line.

PMID- 10254728
TI  - The patient's role in cost containment.

PMID- 10254730
TI  - Cost containment in surgery: toward practice productivity.

PMID- 10254731
TI  - Reaganomics: cost-shifting in Washington.

PMID- 10254732
TI  - Limitation on Federal participation for capital expenditures; policy notice.
      Public Health Service. Interpretive ruling.
AB  - This Notice announces a change in an interpretive ruling under section 1122 of
      the Social Security Act which applies to the requirement under 42 CFR 100.106
      that a State notify an applicant of certain actions within a specified period of
      time. This interpretive ruling is being revised to prevent the possibility that a
      finding of a Designated Planning Agency (DPA) or hearing officer be invalidated
      because of untimely delivery of decisions.

PMID- 10254733
TI  - Refugee resettlement program and Cuban/Haitian entrant program: cash and medical
      assistance policies. Social Security Administration. Interim final rule.
AB  - This interim final regulation amends the refugee resettlement program regulations
      (45 CFR Part 400) and establishes new policies on cash and medical assistance
      available to refugees and Cuban and Haitian entrants who are ineligible for Aid
      to Families with Dependent Children (AFDC), Supplemental Security Income (SSI),
      adult assistance (OAA, AB, APTD, and AABD) in the Territories and medicaid. The
      Refugee Resettlement Program (RRP) provides Federal reimbursement to States for
      100 percent of the costs of cash and medical assistance provided, during the
      first 36 months after entry into the United States, to such refugees in
      accordance with applicable program rules and requirements and the administrative
      costs of providing such assistance. Cash assistance provided to such refugees
      under the RRP is termed "refugee cash assistance" (RCA); and medical assistance
      provided to such refugees under the RRP is termed "refugee medical assistance"
      (RMA). This regulation permits 100 percent Federal reimbursement for RCA and RMA
      for an eligible refugee for the first 18 months that a refugee is in the United
      States. For a refugee who has been in the U.S. more than 18 months but less than
      36 months, the regulation permits a State, at its option, to seek RRP
      reimbursement for the cost of General Assistance (GA) provided to such a refugee.

PMID- 10254734
TI  - Health systems agencies and state health planning and development agencies;
      certificate of need reviews: Health Resources Administration. Notice regarding
      adjustment of the expenditure minimum for capital expenditures and the
      expenditure minimum for annual operating costs.
AB  - This notice provides necessary information for each State which chooses to adjust
      the capital expenditure and annual operating cost expenditure minimums that are
      used to determine whether proposals are subject to review under a State's
      certificate of need program. The notice also provides guidance to assist a State
      Health Planning and Development Agency (State Agency) in determining the exact
      minimum dollar figure it will use and in seeking further information.

PMID- 10254735
TI  - Social security in a deep freeze? No way, says Mom.

PMID- 10254736
TI  - Picking up block grants--where there's a will, there's not always a way.

PMID- 10254737
TI  - YMCA, hospital team up in wellness program.

PMID- 10254738
TI  - Accreditation: our perspective.

PMID- 10254739
TI  - Mental retardation in the Province of Manitoba: towards establishing a data base
      for community planning.

PMID- 10254740
TI  - Hospital boards in Saskatchewan S.H.A.P.E. up.

PMID- 10254741
TI  - What is expected of a hospital trustee?

PMID- 10254742
TI  - Expanding to include nursing home services.

PMID- 10254743
TI  - Nursing and computer technology--information overload or structured information?

PMID- 10254744
TI  - Nursing involvement in (MIS/HIS) automation decision.

PMID- 10254745
TI  - MIS to contain hospital costs.

PMID- 10254746
TI  - Computers: a new tool for nursing.

PMID- 10254747
TI  - The HMO approach to health care: are health maintenance organizations finally
      taking hold?

PMID- 10254748
TI  - If you have a choice: how to judge an HMO.

PMID- 10254749
TI  - Discharge planning: saving a patient a day means saving a hospital more than a
      dollar.

PMID- 10254750
TI  - Cost control at the unit level: decentralization cultivates economy at Johns
      Hopkins Hospital.

PMID- 10254751
TI  - Hospital finds how to keep pace with new lab technology--without outstripping
      budget.

PMID- 10254752
TI  - Functional analysis--from industry standby to leading player in hospital cost
      containment.

PMID- 10254753
TI  - Ambulatory services center: a hospital's commitment to community health care.

PMID- 10254754
TI  - Hot meals for former patients, warm feelings all around when business and
      hospital cooperate.

PMID- 10254755
TI  - Maximizing resources: external funding.

PMID- 10254756
TI  - Education staff takes learning to the worksite.

PMID- 10254757
TI  - Are there safety belts on the bandwagons?

PMID- 10254758
TI  - Death education and attitudes toward euthanasia and terminal illness.
AB  - The attitudes of a random sample of Cleveland clergy toward the experience of
      terminal illness and the circumstances justifying euthanasia are presented and
      analyzed. The clergy response patterns revealed that, although eager to prolong
      life as long as possible, terminally ill patients fear a prolonged period of
      illness more than death itself. They also agreed that most patients favor the
      disclosure of terminal illness. The clergy's response to a questionnaire
      exhibited a definite ranking (i.e., scaling) in the order of priority of the
      different circumstances justifying passive euthanasia. Using training in death
      counseling as a control variable produced sharper division in the response
      categories for each statement. The controversial nature of euthanasia and the
      problem of ascertaining the psychological needs of the terminally ill became more
      apparent with the group who had more training in death counseling.
      Interpretations of the findings are presented, and a need for a careful
      reexamination of the effects of death education on attitudes toward controversial
      subjects in death and dying is stressed.

PMID- 10254759
TI  - Death anxiety among nursing home residents: a comparison of the young-old and the
      old-old.
AB  - The purpose of this research was (a) to determine whether there is a comparative
      difference in the level of conscious death anxiety between young-old and the old
      old nursing home residents and (b) to assess the predictive value of educational
      attainment, gender, subjective health, functional ability, social support, and
      length of stay on the conscious death anxiety of the persons in the two age
      groups. A discriminant analysis of 228 residents from three nursing homes
      revealed that among the 103 young-old subjects poor subjective health, poor
      functional ability, poor social support, and extended stays in the facilities
      were indicative of high death anxiety. Among the 125 old-old subjects, high death
      anxiety was associated with poor subjective health, poor functional ability, and
      higher educational attainment. Further, it was found that age was an important
      variable. A significantly greater proportion of the older residents compared to
      the younger residents had higher conscious death anxiety. The results may direct
      practitioners and planners in program development for the elderly nursing home
      patient.

PMID- 10254760
TI  - How a disaster differs from an emergency . . . counties should develop systems
      for dealing with both.

PMID- 10254761
TI  - Health advisory services and the immigrant.

PMID- 10254762
TI  - Health indicators: what are they? An approach to efficacy in health care.

PMID- 10254763
TI  - Comparing nurse-practitioners and physicians: a stimulation study on processes of
      care.
AB  - The question "where is the 'nurse' in the nurse-practitioner" is addressed by
      comparing processes of care employed by nurse-practitioners (NP) and physicians
      (MD) in the overall management of commonly occurring problems in primary care
      practice. Subjects in a nonrandom sample of 15 NPs and 11 MDs independently
      described their proposed management of two pediatric and two adult hypothetical
      cases. NP and MD responses were compared to identify differences in the inclusion
      of explicit process criteria items in the following categories: problem
      assessment, diagnostic plan, therapeutic plan, health education, follow-up. The
      differences between NPs and MDs were almost entirely in the NPs' more frequent
      inclusion of expressive "caring" functions which have traditionally been the
      focus of nursing practice. The extent to which "care" as well as "cure" process
      variables affect outcome measures is discussed with regard to testing the
      effectiveness of the "care" component of health services, regardless of the
      professional identity of the provider.

PMID- 10254764
TI  - Overcoming design problems in evaluating health behavior programs.
AB  - The increasing importance of high-quality evaluative research on health lifestyle
      change programs is established. Failure to ask the right evaluative research
      questions and problems of research design are identified as two major reasons for
      the dearth of well-controlled, interpretable evaluations in this area. Thirteen
      issues of research design that need to be considered if interpretable answers to
      evaluative research questions are to be obtained are identified and discussed.
      Solutions to these problems and design recommendations are offered.

PMID- 10254765
TI  - Methodological factors in studying medical graduates: a review of six internship
      performance studies.
AB  - This "state of the art" article examines six internship performance studies of
      medical school graduates that use rating scales as the vehicle for data
      collection. The methodological decisions investigators faced in designing the
      studies are described and the range of options used is illustrated. The content
      and format of rating forms employed are compared. No methodological standards
      currently exist for internship performance studies. We call for greater attention
      to methodological issues in study design, including examination of potential
      sources of bias. How structural aspects of the internship performance study
      design may influence the results obtained needs careful study.

PMID- 10254766
TI  - Marketing medical services: hot, new, misunderstood topic in health care
      delivery.

PMID- 10254767
TI  - Family lodging: a voluntary variation on the McDonald House theme.

PMID- 10254768
TI  - Compensation--Part I: are you getting your fair share from group practice?

PMID- 10254769
TI  - Options & obstacles in the world of business.

PMID- 10254770
TI  - How Paul Deignan built a super kitchen.

PMID- 10254771
TI  - How U of M Hospitals coped with a nurses' strike.

PMID- 10254772
TI  - How Joe Roberts found a niche in nursing homes.

PMID- 10254773
TI  - How waist watchers can indulge without guilt.

PMID- 10254774
TI  - Public/private partnerships bring a building to Harlem.

PMID- 10254775
TI  - Hospital survey changes outline gift statistics.

PMID- 10254776
TI  - Hospitals take chance in system withdrawal.

PMID- 10254777
TI  - Toxicology laboratory interactive computer-based data acquisition and information
      systems.

PMID- 10254778
TI  - Document delivery: the use of page costs to compare document services.

PMID- 10254779
TI  - Evaluation of DIBASE: an online system for storage, processing and retrieval of
      data from drug information requests.

PMID- 10254780
TI  - The impact of physician compensation on HMO tax exempt status: a legal analysis.

PMID- 10254781
TI  - Short-term effects of treating alcoholics for alcoholism: utilization of medical
      care services by alcoholics in a health maintenance organization.

PMID- 10254782
TI  - Health status, utilization, and satisfaction among enrollees in three types of
      private health insurance plans.

PMID- 10254783
TI  - Workshop series for youngsters with diabetes--an interdisciplinary approach to
      patient education.

PMID- 10254784
TI  - Recent developments in medical licensure.

PMID- 10254785
TI  - Materials management in adversity: how planners coped with a nurses' strike.

PMID- 10254786
TI  - Expanding and marketing hospital mental health services.

PMID- 10254787
TI  - Should hospitals opt out of the Social Security system?

PMID- 10254788
TI  - Emergency departments: putting the stress on structure.

PMID- 10254789
TI  - Under new hospital management.

PMID- 10254790
TI  - Grand rounds for management.

PMID- 10254791
TI  - Health economics: how economics can help the health service.

PMID- 10254792
TI  - A and E information: for the record.

PMID- 10254793
TI  - King's Fund beds: designing a standard.

PMID- 10254795
TI  - Health economics: screening test costs.

PMID- 10254794
TI  - Health in West Germany: the health care explosion.

PMID- 10254796
TI  - Health service costing: breaking down the costs.

PMID- 10254797
TI  - Arts in hospitals: art and well-being.

PMID- 10254798
TI  - Health economics: maximising nurse manpower.

PMID- 10254799
TI  - Hospitals and vendors working together . . . at the Good Samaritan Hospital of
      Maryland, Baltimore.

PMID- 10254800
TI  - Hospitals and vendors working together . . . at St. Joseph's Hospital and Medical
      Center, Phoenix.

PMID- 10254801
TI  - Cost containment is a hospital-wide affair.

PMID- 10254802
TI  - Rx for cost containment committees.

PMID- 10254803
TI  - Motivational techniques used in building a fire brigade.

PMID- 10254804
TI  - New directions in giving.

PMID- 10254805
TI  - Proposal fund-raising. Moving ahead in the alms race.

PMID- 10254806
TI  - The changing face of voluntarism.

PMID- 10254807
TI  - A round-up of innovative volunteer programs.

PMID- 10254808
TI  - Effective use of emergency room volunteers.

PMID- 10254809
TI  - Health care manager's notebook: managing committees and meetings.

PMID- 10254810
TI  - Philanthropy -- getting your piece of the pie. How to set up a hospital
      development program implemented by a nonprofit foundation.

PMID- 10254811
TI  - Research in a hospital setting: eleven questions for management to consider in
      establishing an R&D function.

PMID- 10254812
TI  - An R&D system that works! Lutheran Hospital Society shares its step-by-step
      process in building its high-results program.

PMID- 10254813
TI  - Hospital-based child care. California hospitals find innovative ways to ease
      recruitment, retention problems.

PMID- 10254814
TI  - Health care manager's notebook: managing professional development.

PMID- 10254815
TI  - The powerful woman.

PMID- 10254816
TI  - Quality circles in the hospital.

PMID- 10254817
TI  - A conversation with Dave Jeppson.

PMID- 10254818
TI  - Carner's codes, Chapter 1: your compensation.

PMID- 10254819
TI  - Empowerment: key to effectiveness.

PMID- 10254821
TI  - What's in store for hospital associations? Lessons from the banking industry.

PMID- 10254820
TI  - Health care manager's notebook: behavior modeling.

PMID- 10254822
TI  - On the western front: Stanford University Hospital.

PMID- 10254823
TI  - Managing the engineer function: a case for in-house service in small hospitals.

PMID- 10254824
TI  - Energy conservation--crisis or conspiracy?

PMID- 10254825
TI  - Designing for reduced hospital energy consumption.

PMID- 10254826
TI  - Estate management in the reorganised service.

PMID- 10254827
TI  - Chester's new Nucleus Hospital.

PMID- 10254828
TI  - An alternative method of heating a laundry ironer.

PMID- 10254829
TI  - One hospital's ICU criteria provide basis for comparison.

PMID- 10254830
TI  - Hospital trims waste with diagnostic services review.

PMID- 10254831
TI  - Medical records program improves QA, RM, UR and cash flow.

PMID- 10254832
TI  - Physician diagnostic test-ordering habits cause unnecessary expense.

PMID- 10254834
TI  - Health awareness programs benefit hospital employees, volunteers, public.

PMID- 10254833
TI  - Cardiovascular, primary care based in mobile units.

PMID- 10254835
TI  - An apology for the value of human lives.

PMID- 10254836
TI  - The Catholic health facility: a sign of hope.

PMID- 10254837
TI  - A theology of Christian hope: perspectives for pastoral care.

PMID- 10254839
TI  - On defending health and human life.

PMID- 10254838
TI  - Parallel organization: process and structure for work redesign.

PMID- 10254840
TI  - Defense policy attracts support among hospitals, AMA, bishops.

PMID- 10254841
TI  - Medical staff records exempt from discovery.

PMID- 10254842
TI  - Plaintiff must prove negligence caused injury.

PMID- 10254844
TI  - Effective care of patient-prisoners.

PMID- 10254843
TI  - Security directors told of prescription fraud, warned on new heroin substitute.

PMID- 10254845
TI  - How to handle bomb threats.

PMID- 10254846
TI  - What the Hyatt Regency Hotel disaster taught Kansas City hospitals about handling
      mass casualties.

PMID- 10254847
TI  - How to upgrade your security and safety department.

PMID- 10254848
TI  - Tax quarterly.

PMID- 10254849
TI  - Cardiologists' complaint alleging denial of opportunity to perform procedures at
      hospital violate Sherman Act and civil rights dismissed by district court.

PMID- 10254850
TI  - Voluntary compulsions: the transformation of American health institutions, part
      II.

PMID- 10254851
TI  - Survival of the fattest, Part II.

PMID- 10254853
TI  - Central service catalog aids communication with nursing.

PMID- 10254852
TI  - OSHA examining need for new EtO standard.

PMID- 10254854
TI  - Quality assurance: doing it my way.

PMID- 10254855
TI  - An integrated pest management concept for hospitals.

PMID- 10254856
TI  - Buyer-seller computer linkage.

PMID- 10254857
TI  - Vendors honored at St. Joseph's.

PMID- 10254858
TI  - 'Health fair' for seniors.

PMID- 10254859
TI  - Tomorrow's political context: technocracy or democracy?

PMID- 10254860
TI  - Catholic hospitals in today's Canada.

PMID- 10254861
TI  - Job satisfaction among health professionals in teaching hospitals.

PMID- 10254862
TI  - District Health Councils: should their mandate be broadened?

PMID- 10254863
TI  - Educational preparation for nursing administration in Canada.

PMID- 10254864
TI  - Demand for change comes from the community.

PMID- 10254865
TI  - Executive stress and lifestyle.

PMID- 10254866
TI  - For timely decision making a capital equipment acquisition process.

PMID- 10254867
TI  - Record rates set tone for bond market in 1981.

PMID- 10254868
TI  - Congressional threat? Tax-exempt hospital bonds: key questions and answers.

PMID- 10254869
TI  - Reporting on debt financing: accounting for indentured funds.

PMID- 10254870
TI  - A seven-step guide for hospitals: getting through a debt rating.

PMID- 10254871
TI  - We hope our roles really change.

PMID- 10254873
TI  - Sexual harassment: not funny, not legal.

PMID- 10254872
TI  - How to be a great supervisor.

PMID- 10254874
TI  - Share hospital liability with products' manufacturers, sellers.

PMID- 10254876
TI  - Can a hospital require that an applicant for medical staff privileges live or
      practice within a certain geographic distance from the hospital?

PMID- 10254875
TI  - Cut risks of radiation exposure with preventive strategies.

PMID- 10254877
TI  - Who is authorized to consent to the treatment of minors?

PMID- 10254878
TI  - Is the open staff on its way out?
AB  - Rising health care costs, a larger number of physicians competing for staff
      privileges, and increasing liability for hospitals involved in malpractice cases
      are changing the relationships between hospitals and medical staffs. In this
      article, two important changes are discussed: the physician applying for medical
      staff privileges faces greater scrutiny than in the past, and in the future, more
      and more hospitals may seek to make physicians employees on closed medical
      staffs.

PMID- 10254879
TI  - Surveillance of antibiotic utilization in a psychiatric hospital.

PMID- 10254880
TI  - Nursing home consultant pharmacists: drug information services, opinions, and
      activity study.

PMID- 10254881
TI  - Patient recall of physician's prescription instructions.

PMID- 10254883
TI  - The critical path.

PMID- 10254882
TI  - The P&T Committee and cancer chemotherapy: Part II. Who should prescribe
      anticancer drugs.

PMID- 10254884
TI  - Reducing the number of missing doses with the aid of a computer system.
AB  - Missing or extra medications in the unit dose drug distribution system have
      resulted in lost financial charges. At Kingsbrook Jewish Medical Center, the
      reasons why drugs were returned or missing in the unit dose system were not
      properly explained nor properly recorded. Enhanced programs in the computerized
      pharmacy management system were developed to include a mechanism for recording
      reasons why doses were missing and a method of documenting extra doses dispensed
      to the patient, while capturing current costs for these drugs. The system permits
      simple data entry which allows uninterrupted processing. The reports generated by
      the system are used to inform physicians of dosage problems of patients and to
      act as an educational aid in correcting a source of medication errors. The
      computerized reporting system has helped to reduce the number of missing
      medication doses by 36.8% and to improve pharmacy inventory control.

PMID- 10254885
TI  - Infection control procedure for scabies in the long-term care facility.

PMID- 10254886
TI  - A multihospital medication allergy audit: a means to quality assurance.
AB  - Seventeen community hospitals within the 16 division of the Sisters of Mercy
      Health Corporation cooperatively participated in a medication allergy audit
      program. Initial and follow-up audits were conducted at each hospital to
      determine whether allergy information for penicillin- or aspirin-sensitive
      patients was appropriately communicated to the pharmacist. A total of 483 patient
      records were reviewed during each audit which corresponded to 12% of each
      hospital's average patient census. In the initial audit, the overall acceptance
      rate for the combined hospitals was 62.3%. Following the first audit, each
      hospital undertook corrective follow-up measures in an attempt to improve its
      results. In the second audit, the overall acceptance rate improved significantly
      to 78.9%. It is concluded that this auditing process followed by corrective
      follow-up measures was an effective mechanism for improving the communication of
      patient allergy information and is a means to quality assurance. Future audits
      will be necessary to determine whether the beneficial effects produced will be
      sustained or improved.

PMID- 10254887
TI  - Program evaluators in community mental health centers: results of a national
      survey.
AB  - A national survey of CMHC directors and program evaluators yielded responses by
      both directors and evaluators from 323 CMHCs (60% response rate). The majority of
      centers reported only one full-time equivalent evaluator or less. Evaluators
      generally had little or no specific formal education in program evaluation and
      the majority had a master's degree or less as their highest degree. However,
      consultants were widely used and evaluators expressed much interest in hearing
      about conferences, continuing education opportunities, and publications dealing
      with program evaluation.

PMID- 10254888
TI  - Assessment of psychological reactions in disaster victims.
AB  - Through the joint efforts of the area community mental health center and an
      emergency relief organization, psychological reactions of flood victims were
      measured. A random sample of 124 adults and 54 children were interviewed, using
      scales reflecting measures of depression and stress. Results showed that adults
      perceived themselves to be significantly more depressed and stressed in areas
      such as adaptation and physical complaints. Children's results were mixed,
      depending on age, although problems existed with regressive and aggressive
      behaviors, fears, and in miscellaneous areas such as sleep difficulty.
      Recommendations are made for further community mental health involvement, as well
      as emphasizing the need for further empirical work in the assessment of
      postdisaster emotional sequelae.

PMID- 10254889
TI  - Deinstitutionalization and its critics: a commentary on Brown.

PMID- 10254890
TI  - The environment as a participant in health care.

PMID- 10254891
TI  - Creating culturally supportive environments in long-term care institutions.

PMID- 10254892
TI  - Fighting a myth: families in need of support.

PMID- 10254893
TI  - Group family counseling: an aid to long-term care.

PMID- 10254894
TI  - Survey of current functions of a music therapist.
AB  - Active music therapists (n = 466) responded to a national survey concerning the
      role and functions of a music therapist. The survey included demographic
      information and task inventory in four areas: (a) indirect service and program
      preparation or planning, (b) evaluation, (c) intervention programs, and (d)
      adaptive equipment and material. The purpose of the survey was to identify the
      roles, functions, and competencies performed by music therapy personnel;
      responses should not be interpreted as tasks that should be practiced. Each of
      the 157 survey items was analyzed via descriptive statistics, a two-way frequency
      analysis, and factor analysis. This repeated for the total group (n = 466) and
      for groups sorted by employment categories. Further analysis of each item
      investigated response differences between male and female music therapists and
      individuals whose age was over 35 or under 35. Data analyzed by group, age, and
      sex characteristics will be presented in subsequent reports.

PMID- 10254895
TI  - The interface of pediatric oncology and the family.

PMID- 10254896
TI  - Reverence for the humanity of the dying: the hospice prescription.

PMID- 10254897
TI  - Humana could change its policy not to build central laundries.

PMID- 10254898
TI  - Hospital in Brooklyn installs unique linen security system.

PMID- 10254899
TI  - VA to begin building central plant that will serve five NY hospitals.

PMID- 10254900
TI  - Queens Medical Center, Honolulu, begins reconstruction of laundry.

PMID- 10254901
TI  - North Dakota hospital to expand and renovate in-house laundry.

PMID- 10254902
TI  - What is the future of prepaid medical practice?
AB  - Prepaid medical practice, bolstered in its growth over the past eight years by
      government legislative and financial support, is currently at a unique crossroad.
      Confronted with a reduction in federal support as a result of the 1981 amendments
      to the HMO Act, and faced with an undefined investment commitment from the
      private sector, HMO expansion and future growth rates are subject to some
      uncertainty. An assessment of the future of HMOs must take into account not only
      the immediate past, but also how present, evolving marketplace factors will shape
      trends in the years ahead.

PMID- 10254904
TI  - Could you let an RN take charge of your patients?

PMID- 10254903
TI  - Feasibility and implementation of a hospital-based group practice.
AB  - All sectors of the economy have been suffering from the current inflationary
      environment. In some businesses, such as health care, costs have increased more
      than thought possible in the past. Since hospitals are labor intensive, they have
      been drastically affected by the push toward higher pay and the often hidden cost
      of fringe benefits. It is not surprising, therefore, that in seeking relief from
      the cost, hospitals will examine a method which removes a large part of the
      salary burden from their budgets: conversion of hospital-based salaried
      physicians to private, fee-for-service groups. The first article in this two-part
      series, which appeared in Medical Group Management, November/December 1981,
      examined the financial and legal aspects of the conversion. This concluding
      article presents the operational and organizational issues which must be
      considered for a successful conversion.

PMID- 10254905
TI  - Why primary doctors let SAFECO's purse strings slip.

PMID- 10254906
TI  - The hospital-bed crackdown that won't go away.

PMID- 10254907
TI  - Who closed the hospital door to this doctor?

PMID- 10254908
TI  - Royal College of Physicians of Edinburgh Working Group on cooperation between
      medical and other health professions.

PMID- 10254909
TI  - A pet of our own or consult the oracle.

PMID- 10254910
TI  - Hospital information systems: micros boost clinical capabilities.

PMID- 10254911
TI  - Hospital information systems: micros have power to save energy.

PMID- 10254912
TI  - Hospital information systems: four hospitals consider sharing automated patient
      care system.

PMID- 10254913
TI  - Hospital information systems: computer helps unit justify staffing pattern.

PMID- 10254914
TI  - Hospital information systems: self-developers eye expansion.

PMID- 10254916
TI  - Think big! But don't belittle 'small'.

PMID- 10254915
TI  - Hospital system's board intertwines professionalism and religious faith.

PMID- 10254917
TI  - HBI quiets bankruptcy talk by 30% repayment.

PMID- 10254918
TI  - Treasury: cutting access back, not off.

PMID- 10254919
TI  - Congress builds case to oppose dialysis reimbursement proposals.

PMID- 10254920
TI  - Acquisition will aid both firms' growth.

PMID- 10254921
TI  - HSAs map strategies to survive end of federal funds; 40% may succeed.

PMID- 10254922
TI  - VHA seeks 'viable' role as alternative to for-profit multihospital systems.

PMID- 10254924
TI  - Security investigating new tactics as violent crime plagues hospitals.

PMID- 10254923
TI  - Smaller ad agencies taking lead in complex marketing of hospitals.

PMID- 10254925
TI  - Hospitals HITCH on to larger library.

PMID- 10254926
TI  - Hospitals forge ahead with building.

PMID- 10254928
TI  - Med Card saves time, saves lives.

PMID- 10254927
TI  - Hospital information systems: time-sharing firms grab for micro market.

PMID- 10254929
TI  - Experience and the base-rate fallacy.

PMID- 10254930
TI  - Removing barriers, Part One: fine tune your communication skills.

PMID- 10254931
TI  - Philosophers in hospitals: are they welcome on the wards?

PMID- 10254932
TI  - Dying PNHA finally wins one in court.

PMID- 10254933
TI  - Regulation of quality in the clinical laboratory.
AB  - Effective regulation of quality is the responsibility of the individual
      laboratory. In this article, the author explains why coordination and
      centralization in a quality control program is necessary, that it is a management
      process, and that regulation begins with a definition of performance standards.

PMID- 10254934
TI  - Managing laboratory personnel--are you prepared? Part II.
AB  - At the center of the hardware in the clinical laboratory are people, and managing
      these people can be difficult for the resident who has had no management
      experience or instruction in management skills. Last month, in the first of the
      two part article, the author explained how a pathologist's administrative role
      differs from his role as a physician, reviewed management styles, and discussed
      management tools the laboratory director needs to organize and operate a
      laboratory. Here, he focuses on the orientation program for new employees,
      motivational factors, and the importance of personnel policies, job performance
      evaluation, counseling and disciplinary action, and proper delegation of
      responsibilities.

PMID- 10254935
TI  - The treatment of burns in Britain.

PMID- 10254936
TI  - A class for expectant siblings: prenatal classes for kids reduce fears.

PMID- 10254938
TI  - IdeaBank for cost containment.

PMID- 10254937
TI  - Speakers bureau: when they say "selective mailing" they mean it.

PMID- 10254939
TI  - Road map as an annual report: unveiling a new vehicle for hospital PR.

PMID- 10254940
TI  - A fellowship program for employees: wherein employees get to know their hospital
      from inside-out.

PMID- 10254941
TI  - Antique annual report: reminiscing through the files in Augusta.

PMID- 10254942
TI  - Donor booklet: how to get "our donors and friends" to read their literature.

PMID- 10254943
TI  - Seniors meal discount tickets: good meals; good press; good PR.

PMID- 10254944
TI  - Sports Injury Clinic: is this the start of a trend?

PMID- 10254946
TI  - Physician recruiting fair: a new plan invites area hospitals to sell themselves
      to doctors.

PMID- 10254945
TI  - Give your city a fitness trail: hospital's unique birthday present is off and
      running.

PMID- 10254947
TI  - Treatment authorization form.

PMID- 10254948
TI  - Consorting on a newsletter.

PMID- 10254950
TI  - Visitors handbook.

PMID- 10254949
TI  - Volunteer recruitment.

PMID- 10254951
TI  - Two approaches to employee handbooks: the unconventional vs. the indepth.

PMID- 10254952
TI  - Greeting cards as donor mailings.

PMID- 10254953
TI  - Health series leads PR effort.

PMID- 10254954
TI  - Internal market research on a budget.

PMID- 10254955
TI  - Nurse recruiting poster.

PMID- 10254956
TI  - Literature the easy way.

PMID- 10254957
TI  - Nurse newsletters.

PMID- 10254958
TI  - Q&A: Your marketing questions answered.

PMID- 10254960
TI  - Jogger's I.D. badge.

PMID- 10254959
TI  - Converting your magazine.

PMID- 10254961
TI  - Photo gallery: the elderly.

PMID- 10254962
TI  - Alcoholism treatment campaign.

PMID- 10254964
TI  - Rolodex referrals: desk top marketing to medical office assistants.

PMID- 10254963
TI  - Hospital AV: the 5-minute guest interview wins 20% audience share.

PMID- 10254965
TI  - Courting the medical office staff: when they look for a hospital bed, make sure
      it's yours.

PMID- 10254966
TI  - Repelling a union attempt: a picture booklet helps defeat union threat.

PMID- 10254967
TI  - Hospital seminars to make the practice perfect: a bright idea for getting closer
      to your physicians.

PMID- 10254968
TI  - Maternity patient information: babies that come with instructions for use.

PMID- 10254969
TI  - Recruiting roundup.

PMID- 10254970
TI  - Hospital reports financial facts of life.

PMID- 10254971
TI  - Emergency call card: Pennsylvania Medical Society's idea could be used
      everywhere.

PMID- 10254973
TI  - Employee appreciation poster.

PMID- 10254972
TI  - X-ray education: don't take 'em if you don't need 'em.

PMID- 10254974
TI  - Personalized personnel graphics: adding people to personnel literature.

PMID- 10254975
TI  - Employee information tabloid: a snappy employee reference.

PMID- 10254976
TI  - Peddling a health promotion program: does computerized health evaluation really
      sell?

PMID- 10254977
TI  - Creative annual report.

PMID- 10254978
TI  - External marketing research on a budget: if you can't afford to mail a lot, call
      a few.

PMID- 10254979
TI  - Wide scope wellness.

PMID- 10254980
TI  - PR campaign: "we've grown" and we're talking about it.

PMID- 10254981
TI  - Roundtable: is my hospital ready for marketing?

PMID- 10254982
TI  - When I asked my administrator to consider using nurses in our marketing, he told
      me I was crazy. Am I?

PMID- 10254983
TI  - A variety of billboards: outdoor advertising is being tested with some success.

PMID- 10254985
TI  - Legal forum: a primer on informed consent.

PMID- 10254984
TI  - How to coordinate office and hospital hours efficiently.

PMID- 10254986
TI  - Quality assurance as a positive motivator.

PMID- 10254987
TI  - What's your RRQ?

PMID- 10254988
TI  - Improving technologists' in-service education programs.
AB  - An in-service program for Radiologic Technologists is, for some departments, more
      of a burden than a benefit. Resources and time are limited, as well as interest
      in many instances. Utilizing some basic steps of coordinating and assessment, in
      service sessions can develop into worthwhile learning experiences instead of just
      a requirement being met.

PMID- 10254989
TI  - VE in 1982 and beyond.

PMID- 10254990
TI  - Radiology nursing: a new dimension.
AB  - Radiology departments all over the country are inundated with new technology
      being introduced into the radiographic market. This more complex environment has
      created a new role in many radiology departments. The position of radiology
      patient advocate is somewhat new, but growing in potential for maintaining the
      quality of patient care being delivered. The nurse in radiology can assist in
      humanizing the patient's experience. The nurse can also act as a liaison with
      other professional departments. Finally, the nurse can assist in maintaining and
      improving the quality of care provided in a radiology department. The department
      of radiology now, more than ever, needs to consider complementing their staff
      with a nurse.

PMID- 10254991
TI  - The invisible cancer cure.

PMID- 10254992
TI  - The effects of medical society control of Blue Shield on fees in the physician
      service market: some preliminary evidence.

PMID- 10254993
TI  - Computer assistance for occupational health programs.

PMID- 10254994
TI  - Instrument preference vs. cost containment: can the purchaser win?

PMID- 10254995
TI  - Need for transfer agreements.

PMID- 10254996
TI  - Subject heading revision: a system for small libraries.

PMID- 10254997
TI  - Health and human services block grants: the state and local dimension.

PMID- 10254998
TI  - How nurses in one Texas hospital MICU deal with...the pressures of giving.

PMID- 10254999
TI  - Deregulation may help offset budget cuts, but... tight times ahead.

PMID- 10255000
TI  - A system for control of scrub suits.

PMID- 10255001
TI  - Immunoprophylaxis in the emergency department.

PMID- 10255002
TI  - Training and the law: what you don't know might hurt.

PMID- 10255003
TI  - Everything you need to deliver effective delegation training.

PMID- 10255004
TI  - Is film dead? Not for most trainers.

PMID- 10255005
TI  - Is the wellness movement sick?

PMID- 10255006
TI  - When more information leads to less staff development.

PMID- 10255007
TI  - Do women managers still need special training?

PMID- 10255009
TI  - Integrate wellness into the learning experience.

PMID- 10255008
TI  - Making organization development work at the department level.

PMID- 10255010
TI  - To troubleshoot your appraisal system, check users first -- then forms.

PMID- 10255011
TI  - Performance aids: how to make the most of them.

PMID- 10255012
TI  - Choosing an ethylene oxide steriliser in 1982: a Scottish viewpoint.

PMID- 10255013
TI  - Making H.T.M. 10 sterilizers work.

PMID- 10255014
TI  - The debt capacity study: a guide to determining affordability.

PMID- 10255015
TI  - Fund development: winning friends and influencing people can help you buy that
      new equipment.

PMID- 10255016
TI  - Zero based budgeting.

PMID- 10255017
TI  - Debt financing methods: some ideas for funding major capital projects.

PMID- 10255018
TI  - Sick leave policies.

PMID- 10255019
TI  - Tax-exempt equipment financing: the pooled approach.

PMID- 10255020
TI  - Health Facilities Development Act.

PMID- 10255021
TI  - Financing for rural hospitals.

PMID- 10255022
TI  - The purchase lease decision: how to choose.

PMID- 10255023
TI  - Why boards should back uniform billing.

PMID- 10255024
TI  - Is the independent hospital an endangered species?

PMID- 10255026
TI  - When you need medical care in a hurry.

PMID- 10255025
TI  - New assessment tool assures appropriate patient placement.

PMID- 10255027
TI  - Confidentiality issue magnified in military.

PMID- 10255028
TI  - Home health: Congress, the Administration, the states.

PMID- 10255029
TI  - Tax exempt bonds: hospital financing threatened.

PMID- 10255030
TI  - Assessment of care. The third party interest in cost and care in the U.S.A.

PMID- 10255031
TI  - Hospital medicine and quality assurance: the Australian experience.

PMID- 10255032
TI  - Performance measurements in clinical care.

PMID- 10255033
TI  - Systems for surgical audit.

PMID- 10255034
TI  - Thoughts on the assessment of nursing care.

PMID- 10255035
TI  - Lowering triglyceride values in an occupational setting.
AB  - Within a multiphasic screening program it was possible to establish an effective
      industrial counseling program for individuals identified as potential
      cardiovascular risks by their serum triglyceride values. A significant reduction
      of serum triglyceride values was obtained even where minimal supervision was used
      to modify aspects of an employee's life style. A counseled group of 109 male
      employees, 40 years and older, with serum triglyceride levels of 200 mg. or
      higher per 100 ml., was matched by location and age with a control group of 135
      noncounseled individuals with similarly elevated triglyceride levels. Individuals
      in both groups showing significant percentage reduction were those whose serum
      levels began above 250 mg. per 100 ml. The employees who lowered their
      triglyceride values most significantly were those that had dieted and were
      periodically counseled and checked by a physician.

PMID- 10255036
TI  - The urban epilepsy program at the King/Drew Medical Center.

PMID- 10255037
TI  - Why comprehensive epilepsy programs?
AB  - Epilepsy is a common disorder, affecting more than two million people in the
      United States. For the majority of these people, medications control seizures and
      permit them to lead nearly normal lives. But the Commission for the Control of
      Epilepsy and its Consequences estimates that at least 200,000 Americans suffer
      seizures more than once a month. The National Institute of Neurological and
      Communicative Disorders and Stroke has established comprehensive Epilepsy
      Programs to stimulate clinical research on all aspects of epilepsy, including
      prevention, diagnosis, and more effective management.

PMID- 10255038
TI  - A personal experience with healing through art.

PMID- 10255040
TI  - Laundry maintenance: some of the problems and how they have been solved.

PMID- 10255039
TI  - Bereavement art.

PMID- 10255041
TI  - Building a maintenance program from the ground up.

PMID- 10255042
TI  - Nuclear medicine and computers in the 1980s.

PMID- 10255043
TI  - A case for in-house maintenance service.

PMID- 10255044
TI  - Guidelines for purchase of high-technology equipment.

PMID- 10255046
TI  - Irrigation kit for barium enemas.

PMID- 10255045
TI  - Taking your CON application through the administrative and judicial processes.

PMID- 10255047
TI  - Tomography 1990: conventional, computed, or a symbiosis.

PMID- 10255048
TI  - Should there be greater development of neutron therapy centers in the United
      states now? No.

PMID- 10255049
TI  - Radiology billing by in-house computer.

PMID- 10255050
TI  - Qualifications and teaching responsibilities of college-based radiologic
      technology faculty.

PMID- 10255051
TI  - Ultra-high-speed tomography: scanning electron beam CT systems.

PMID- 10255052
TI  - Resolution capabilities of large-field gamma camera systems at low energies.

PMID- 10255053
TI  - New opportunities in containing education.

PMID- 10255054
TI  - Who should perform cardiologic nuclear imaging, and how should they be trained?
      Additional training is required.

PMID- 10255055
TI  - Doing more than filing and suing to get CON approval.

PMID- 10255056
TI  - Productivity and accountability are not bad words.

PMID- 10255057
TI  - Office mammography: report on 2,621 examinations.

PMID- 10255058
TI  - Spotlight on microfilming.

PMID- 10255059
TI  - Expanding horizons.

PMID- 10255060
TI  - School-aged children's perception of stress in the hospital.
AB  - This article is based on a research study of hospitalized school-aged children's
      perception of stress. Forty-two different stimuli were identified through the use
      of a projective-type game developed by the investigator. The findings of the
      study did not support the hypotheses that there is a relationship between the
      stimuli that children perceive as stressful and their preparation for
      hospitalization nor their length of time in the hospital.

PMID- 10255061
TI  - Electronic claims submission: the revolution arrives.

PMID- 10255062
TI  - Surgical barrier materials: product promotion vs. controlled evidence.

PMID- 10255063
TI  - Experiences with reusable barrier materials, 1976-1980.

PMID- 10255064
TI  - Environmental health hazards in the operating room.

PMID- 10255065
TI  - Unbacked drywall construction: a problem in the operating room.

PMID- 10255066
TI  - Clinical evaluation of gown-and-drape barrier performance.

PMID- 10255067
TI  - Lifting the stigma of leprosy: a new vaccine offers hope against an ancient
      disease.

PMID- 10255069
TI  - Those amazing antibiotics.

PMID- 10255068
TI  - A debt-threatened dream: big deficits for Social Security, small chance for
      reform.

PMID- 10255070
TI  - Civilian Health and Medical Program of the Uniformed Services (CHAMPUS);
      Amendment on reimbursement methodology: Office of the Secretary. DOD. Amendment
      of final rule.
AB  - This amends the Civilian Health and Medical Program of the Uniformed Services
      (CHAMPUS) Regulation to implement The Department of Defense Authorization Act,
      1982 and the Department of Defense Appropriation Act, 1982 (Pub. L. 96-86 and 97
      114, respectively). These public laws require CHAMPUS to calculable prevailing
      charges at the 80th percentile of billed charges made for similar services in the
      same locality during the base period. It also allows prevailing charges
      (profiles) to be updated more frequently than once a year. The intent of these
      changes is to simplify profile development procedures, and make appropriate
      benefit payments, and make profiles more reflective of all providers' current
      charges.

PMID- 10255071
TI  - Standards applicable to owners and operators of hazardous waste treatment,
      storage, and disposal facilities: liability requirements. Environmental
      Protection Agency. Revised interim final rule.
AB  - The Environmental Protection Agency is today revising regulations of January 12,
      1981, on liability coverage requirements for hazardous waste facility owners or
      operators. Under these requirements, owners or operators must demonstrate
      liability coverage for bodily injury and property damage to third parties
      resulting from facility operations. The major revisions are: addition of the
      option of a financial test as a means of demonstrating liability coverage to
      satisfy the requirements; addition of the option of submitting a certificate of
      insurance as evidence of insurance; and changes in the requirements for the
      endorsement and certificate. In a future document, EPA will propose to delete two
      provisions of the January 12, 1981 regulations. These provisions are: the
      procedure to obtain a variance for liability coverage requirements; and the
      provision allowing an owner or operator to use State assumption of legal
      responsibility for liability coverage to satisfy the liability requirements. The
      January 12, 1981, regulations were issued under an accelerated schedule imposed
      by a court order. The revisions that are being made today are necessary to
      eliminate unworkable aspects of the previous regulations, improve their
      effectiveness, and allow reasonable flexibility in satisfying the requirements.

PMID- 10255072
TI  - Semi-annual agenda of regulations: Health and Human Services Department.
      Publication of semi-annual agenda of regulations.
AB  - The President's February 17. 1981, Executive Order (12291) and the Regulatory
      Flexibility Act of 1980 require the Department to publish an agenda of
      significant regulations being developed and an indication of those regulatory
      actions that are being analyzed for their effect on small businesses. The
      Department published its last agenda on November 10, 1981.

PMID- 10255073
TI  - Federal Coal Mine Health and Safety Act of 1969, Title IV, as amended (The Black
      Lung Benefits Act); payment of benefits--withholding Part B benefits where Part C
      payments are made for the same period. Social Security Administration. Final
      rule.
AB  - This regulation confirms the interim rule authorizing the Social Security
      Administration to withhold payment of Part B Black Lung benefits where Part C
      Black Lung benefits administered by the Dept. of Labor are paid for the same
      period. We are doing this by expanding the definition of "overpayment" in 20 CFR
      410.560(a) to include these duplicate payments under Part C. This regulation
      provides a quick and efficient means of avoiding unjustified duplicate payments.

PMID- 10255074
TI  - Health maintenance organizations--Public Health Service. Final regulations.
AB  - These rules amend the Public Health Service (PHS) regulations on health
      maintenance organizations (HMOs) by implementing certain changes made by the
      Health Maintenance Organization Amendments of 1981. The provision governing
      repayment of grant funds under certain circumstances is also amended. In
      addition, this rule amends the requirements for the award of loans or loan
      guarantees to qualified HMOs for the acquisition or construction of ambulatory
      health care facilities and the acquisition of equipment for those facilities
      (Subpart J). The amendments to Subpart J are made as a result of public comments
      on the interim regulations published on April 9, 1980.

PMID- 10255075
TI  - Private Land Mobile Radio Services; amendment of the commission's rules
      concerning mobile station, control point and control system authorization
      procedures for common user systems for a certain MHz frequency--Federal
      Communications Commission. Final rule.
AB  - The Commission is amending its rules and regulations in Part 90--Private Land
      Mobile Radio Service, by adopting a new temporary licensing procedure for special
      mobile radio systems (SMRS's) and multiple licensed mobile relay stations
      operating in the 806-821 and the 851-866 megahertz (MHz) bands. This new system
      of licensing will benefit radio users by enabling them to begin operations more
      quickly than in the past, and will not in any way lessen the ability of the
      Commission to determine whether an applicant is eligible and otherwise possesses
      the necessary qualifications to be permanently licensed to operate in these
      bands. This new system is a part of the Commission's on-going program for
      reviewing its rules and regulations and eliminating unnecessary burdens on
      licensees to facilitate the administration of the Private Land Mobile Radio
      Service.

PMID- 10255076
TI  - Accounting for station connections, optional payment in revenues and related
      capital costs, customer provided equipment and sale of terminal equipment-
      Federal Communications Commission. Order on reconsideration and clarification of
      first report and order.
AB  - This document sets for the Commissions response to a petition for clarification
      and a petition for reconsideration of its First Report and Order, Commonly known
      as "Expensing of Station Connections". The First Report and Order, published in
      the Federal Register at 456 FR 18481, March 31, 1981, adopted changes to the
      Commissions Rules in Part 31 on uniform system of accounts for Class A and B
      telephone companies. Both petitioners raised the question of whether, and to what
      extent the adoption of th First Report and Order limits the discretion of the
      State commissions to follow different accounting and depreciation procedures for
      purposes of computing revenue requirements for intrastate telecommunications
      services.

PMID- 10255077
TI  - Unhealthy tax policy.

PMID- 10255078
TI  - Who's afraid of hazardous waste dumps? Not us, say the Reagan administration.

PMID- 10255079
TI  - Employers say leaving system improves benefits.

PMID- 10255080
TI  - The future of medical care: can technology and cost containment mix?

PMID- 10255081
TI  - San Diego firms attack hospital overcharges.

PMID- 10255082
TI  - Midwest employers join to control health costs.

PMID- 10255083
TI  - Oregon union to hold line on health costs.

PMID- 10255084
TI  - Rentable surgical space cuts costs for owners, pleases patients.

PMID- 10255085
TI  - Canadian doctors can help developing countries with health information
      technology.

PMID- 10255086
TI  - A five point approach to staff development for quality assurance.
AB  - The nature of Quality Assurance is outlined, as well as the range of activities
      encompassed in a Quality Assurance program. The need to provide occupational
      therapy personnel with an organizational framework within which to develop the
      skills to implement a Quality Assurance program is given as the rationale for
      utilizing a model that focuses on five key areas of professional practice. The
      model is described, and the way it has facilitated the Quality Assurance program
      in the Occupational Therapy Services Department of the University Hospital,
      London, Ontario is discussed. Reference material, useful when implementing a
      program, is included.

PMID- 10255087
TI  - Leadership style and approaches in critical care nursing.

PMID- 10255088
TI  - Staffing and scheduling options.

PMID- 10255089
TI  - Quality assurance and standards of care in the critical care setting.

PMID- 10255090
TI  - The clinical nurse specialist in critical care.

PMID- 10255091
TI  - Critical care time effectiveness: choices, risks, and payoffs.

PMID- 10255092
TI  - Preparing for high-level nursing administration positions.

PMID- 10255093
TI  - Dialogues with hospital pharmacists: Marianne F. Ivey.

PMID- 10255094
TI  - Delegation--art and science.

PMID- 10255095
TI  - Financial fundamentals for the hospital pharmacist.

PMID- 10255096
TI  - Hospital and vendor work in tandem.

PMID- 10255097
TI  - Financial management: a key element in the hospital information system.

PMID- 10255098
TI  - Planning for a new patient accounting system.

PMID- 10255099
TI  - UB-82 and the ubiquitous health insurance claim form.

PMID- 10255100
TI  - The nursing system--a computer challenge of the 80's!

PMID- 10255101
TI  - HISSG aggressively pursues sharing of ideas and information.

PMID- 10255102
TI  - Hospital building codes and the consumer interest.

PMID- 10255103
TI  - New tests to monitor diabetes at home.

PMID- 10255105
TI  - Communications department makes banner headlines with cost containment strategies
      for the year.

PMID- 10255104
TI  - 'Committed volume contracts'--convincing hospitals they're in their best
      interest.

PMID- 10255106
TI  - State pharmacy society sets VE goals--a 'first' for health professionals.

PMID- 10255107
TI  - The cost-conscious physician.

PMID- 10255108
TI  - New solar energy system lets the sun shine through--even when it doesn't.

PMID- 10255109
TI  - Tax compliance and reporting.

PMID- 10255110
TI  - Cooperative education program meets management needs citywide.

PMID- 10255111
TI  - Hospital, library, and community link forces to build CCTV system.

PMID- 10255112
TI  - Medical center recruits college to equip adult learning center.

PMID- 10255113
TI  - Microwave thawing of frozen minibag admixtures.
AB  - An efficient system is described for the preparation of high volume minibag
      admixtures e.g. cefazolin. The system includes use of bulk reconstitution,
      freezing and microwave thawing techniques; special admixture dosage forms; and,
      the use of technical staff. The system can be utilized in any centralized,
      intravenous, admixture service where the workload is demanding for existing
      staff.

PMID- 10255114
TI  - Current developments in disability and rehabilitation programs.

PMID- 10255115
TI  - Consent and consultation are best anti-suit guards.

PMID- 10255116
TI  - The pediatric emergency patient.

PMID- 10255117
TI  - Health care horror stories: pest control needs & standards. Even the most modern
      facility can have insect & rodent pests.

PMID- 10255118
TI  - Self inspection in housekeeping.

PMID- 10255119
TI  - Training methodology.

PMID- 10255120
TI  - What motivates housekeepers?

PMID- 10255121
TI  - Thorough planning precedes fitness center debut.

PMID- 10255122
TI  - Hospitals warned against Social Security pull-out.

PMID- 10255123
TI  - Federal health planning system hanging in balance as Congress considers issue.

PMID- 10255124
TI  - Advocate presents case for continuation of federal involvement in health
      planning.

PMID- 10255125
TI  - Health planning changes and pro-competitive system would influence investor
      thinking.

PMID- 10255126
TI  - Increase in hospital merger activity expected to intensify antitrust scrutiny.

PMID- 10255127
TI  - Hospital reorganization, if done properly, can be a modest proposal. Part 1.

PMID- 10255129
TI  - The voluntary sector.

PMID- 10255128
TI  - Hospitals face challenge keeping pace with new advances in imaging.

PMID- 10255131
TI  - Corporate survey discloses solicitation priorities.

PMID- 10255130
TI  - Market your mission by stating your case.

PMID- 10255133
TI  - How to make hospitals hospitable: one way would be to create a new kind of
      "medical hotel".

PMID- 10255132
TI  - Medical student to resident controversies over a rite of passage.

PMID- 10255134
TI  - Large building air conditioning: a case for central systems.

PMID- 10255136
TI  - Disaster! Planning for the worst.

PMID- 10255135
TI  - Health planning wins surprising support on Capitol Hill.

PMID- 10255137
TI  - Networking for nurses.

PMID- 10255138
TI  - Making ambulatory surgery easy.

PMID- 10255139
TI  - Middle managers evaluate the management firm.

PMID- 10255140
TI  - Nurse staffing: targets for quality.

PMID- 10255141
TI  - Primary care: Mexico's first aides.

PMID- 10255142
TI  - A continuum of care: St. James' Hospital Portsmouth.

PMID- 10255143
TI  - The Cramond experiment.

PMID- 10255145
TI  - Computers in management: living with the VDU.

PMID- 10255144
TI  - Computers in control.

PMID- 10255146
TI  - Computers in management: computer control for ambulances.

PMID- 10255147
TI  - Home sweet hospital.

PMID- 10255148
TI  - House of quality control.

PMID- 10255149
TI  - Hospital design: split in the nucleus.

PMID- 10255150
TI  - Interpreter service: breaking the language barrier.

PMID- 10255151
TI  - Specialty workload: stand by your beds.

PMID- 10255152
TI  - Remedial professions: lines of accountability.

PMID- 10255154
TI  - Competition of high-priced new drugs holds down prices of older drugs.

PMID- 10255155
TI  - Rating the med/surg supply distributors: an HPM update.

PMID- 10255153
TI  - Increase vendor efficiency by measuring it?

PMID- 10255156
TI  - Cost analysis is key to sound decision-making.

PMID- 10255157
TI  - Peter F. Drucker and Karl D. Bays discuss the toughest job--running a hospital.
      Part I.

PMID- 10255159
TI  - When should surveillance methods be changed?

PMID- 10255158
TI  - How to clean thermometers.

PMID- 10255160
TI  - Cost-efficient use of CAT scans could save $30 million.

PMID- 10255161
TI  - ICU utilization should be carefully monitored.

PMID- 10255162
TI  - Center helps patients cope with family problems.

PMID- 10255163
TI  - Hospital's noon lecture series attracts working women.

PMID- 10255164
TI  - The pastoral letter on health and health care: a roundtable.

PMID- 10255165
TI  - Health care facility: platform for social justice.

PMID- 10255166
TI  - Integration, affirmation: focus of treatment for priests, religious.

PMID- 10255167
TI  - Treatment and management of the impaired physician.

PMID- 10255168
TI  - Effective hospital corporation bylaws provide due process procedures.

PMID- 10255169
TI  - Hospital obligation for tenants' security limited to reasonable safety measures.

PMID- 10255170
TI  - Divorced parents both liable for child's hospital bill despite decree's
      provisions.

PMID- 10255171
TI  - Choosing less costly care is individual's right.

PMID- 10255172
TI  - Renovation enhances patient care at Chicago's Michael Reese psychiatric clinic.

PMID- 10255173
TI  - A moving orientation.

PMID- 10255174
TI  - Maintenance agreements and service contracts: legal loopholes for the seller and
      lost dollars for the buyer.

PMID- 10255175
TI  - Training supervisors--through behavior modeling: an approach used at North
      Carolina Memorial Hospital for four years.

PMID- 10255176
TI  - In defense of supervisory training.

PMID- 10255177
TI  - Cutting energy costs: a case study.

PMID- 10255178
TI  - Communication and conflict between unit managers and nurses.

PMID- 10255179
TI  - Setting objectives for central service.

PMID- 10255180
TI  - Central service: outline of recommendations for a quality assurance program.

PMID- 10255181
TI  - Patient drug education.

PMID- 10255182
TI  - What do people think about their hospitals?

PMID- 10255183
TI  - Royal Hampshire County Hospital, Winchester: enabling works.

PMID- 10255184
TI  - Maintenance standards.

PMID- 10255185
TI  - You've got to be better than you think you are: stalking the mythical leader.

PMID- 10255186
TI  - The first step in applied hospital marketing--the marketing audit.

PMID- 10255187
TI  - Federal courts review scope of antitrust immunity.

PMID- 10255188
TI  - AHA's response to HHS letter on newborn handicapped infant medical denial.

PMID- 10255189
TI  - Overview of recent national health planning proposals.

PMID- 10255190
TI  - Improving communication skills.

PMID- 10255191
TI  - Legal resources.

PMID- 10255192
TI  - ICD-9-GM notes: coding of hematomas.

PMID- 10255193
TI  - Effective communication: key to successful computerization of medical records.

PMID- 10255194
TI  - Work sampling in medical record departments.

PMID- 10255195
TI  - Marketing forum: pocket-size personal health record.

PMID- 10255196
TI  - Self-instructional units: a nontraditional approach to continuing education for
      medical record practitioners.

PMID- 10255197
TI  - Legislative currents: the Federal Register.

PMID- 10255198
TI  - Measuring productivity for home health nurses.
AB  - Home health managers are under increasing pressure to look at the operations of
      their agencies with critical eyes to determine whether they are providing the
      best quality services in the most efficient manner. A primary objective in this
      agency review is to increase the visit time available while satisfactorily
      performing the necessary maintenance and administrative services. Because nurses
      comprise a large portion of agency budgets, a useful starting point is nurses'
      productivity. An approach is presented which sequentially breaks down nursing
      time into a number of components. At each step, the resulting figures can be
      examined to evaluate the existence and nature of problems. Within an agency, this
      approach allows agencies to identify problems and suggest options for change. In
      inter-agency comparisons, differences in agency policy which affect productivity
      are made explicit, making the comparisons more useful. Three measures are also
      presented to evaluate aspects of overall agency productivity.

PMID- 10255199
TI  - Professional recommendations for long-term care placement: a comparison of two
      groups of institutionally vulnerable elderly.
AB  - This paper investigates client and service characteristics that differentiate
      placement recommendations in two groups of elderly who are vulnerable to
      institutionalization--community residents who have applied for nursing homes and
      acute care patients who were viewed as likely candidates for long term care
      facilities. The two groups differ considerably on measures of physical and mental
      well-being as well as service need and availability. The community applicants
      were in poorer overall condition except with respect to medical requirements. A
      separate discriminant analysis of placement recommendations (long term care
      institution versus community) was carried out for each group using the client and
      service need characteristics as the discriminating factors. The results suggested
      that some factors such as family care and ADL skills and requirements are
      important predictors of placement recommendations in both groups, but there were
      also a number of unique elements in each function. The authors stress the
      importance of population differences in institutional decisions.

PMID- 10255200
TI  - Computers: the focus is on the patient.

PMID- 10255201
TI  - The stand-alone system that will come together.

PMID- 10255202
TI  - Your job--it's a matter of degree.

PMID- 10255203
TI  - How to fight media fear.

PMID- 10255204
TI  - Managers on the firing line.

PMID- 10255205
TI  - Bowen theory and pastoral care.

PMID- 10255206
TI  - Community hospital statistics.

PMID- 10255207
TI  - Health care prices.

PMID- 10255208
TI  - Employment, hours, and earnings in the private health sector.

PMID- 10255209
TI  - National economic indicators.

PMID- 10255210
TI  - Journal of the plague years--the fiscal year 1983 health budget.

PMID- 10255211
TI  - Expanding contracting: private management of public hospitals in California.

PMID- 10255213
TI  - How to handle the first months at a new hospital.

PMID- 10255212
TI  - Refugees tax Florida center.

PMID- 10255214
TI  - Is your hospital ready for word processing.

PMID- 10255215
TI  - More authority seen for materials manager.

PMID- 10255216
TI  - Education: key to quality in new case cart system.

PMID- 10255217
TI  - Charter Medical's purchasing chief stresses role of product evaluation panels.
      Interview by Dan Dildine.

PMID- 10255219
TI  - Computer bits: software Part II.

PMID- 10255218
TI  - Off-site warehouse ends space problem.

PMID- 10255220
TI  - Equipment purchasing: an interdepartmental affair.

PMID- 10255221
TI  - Materials management: an ethics role model.

PMID- 10255222
TI  - Word processing in hospitals: improve information handling while holding down
      costs.

PMID- 10255223
TI  - Word processing cuts transcription costs.

PMID- 10255224
TI  - Word processing: a centralized approach to hospital typing needs.

PMID- 10255225
TI  - The integrated system: small clinic blends word, data processing.

PMID- 10255226
TI  - Personalized collection letters: word processors use lasers to convert
      receivables to cash.

PMID- 10255227
TI  - Incentive program for administrators: adopting big business attitudes in health
      care?

PMID- 10255228
TI  - A modified time study: measuring medical records production.

PMID- 10255230
TI  - Let's not waste our investment.

PMID- 10255229
TI  - Payment patterns: 1981 results.

PMID- 10255231
TI  - Updating affirmative action.

PMID- 10255232
TI  - The 'invisible' staff.

PMID- 10255233
TI  - Are fire drills enough?

PMID- 10255234
TI  - Continuing education for hospital management: trends and issues.

PMID- 10255235
TI  - Interdisciplinary management group design.

PMID- 10255236
TI  - The diffusion of unit management among U.S. hospitals.

PMID- 10255237
TI  - Basic management science techniques for decision analysis.

PMID- 10255238
TI  - Education needs of rural hospital administrators in Arizona.

PMID- 10255239
TI  - Involving the medical staff in budgeting.
AB  - Involvement of the medical staff in the capital budgeting process at one facility
      resulted in greater commitment by the staff to the organization and the
      incorporation of 60 percent of the programs and equipment requested in the final
      budget. This article discusses the process used to secure that involvement.

PMID- 10255240
TI  - Management skills: where to get them.
AB  - To discover the prevalence of physicians seeking health care management skills,
      The Hospital Medical Staff polled 28 U.S. graduate schools and several
      professional organizations. The results of this survey are reported here, along
      with a geographically arranged directory of where to write for more information.

PMID- 10255241
TI  - A curriculum for physicians in management.
AB  - To help physicians operate at the interface between medicine and management, the
      University of Wisconsin began a program in administrative medicine in 1973 with
      support from the W.K. Kellogg Foundation. In this profile of that program, the
      following topics are emphasized: values in medical care, budgeting, epidemiology
      and data skills, decision analysis, planning, health economics, health law, and
      organizational and human behavior.

PMID- 10255242
TI  - How to make committees work for you.
AB  - The forum for many hospital managerial concerns is the medical staff committee
      meeting. This article focuses on the misuses and abuses of committees and offers
      suggestions for improving their effectiveness. The issues of composition, size,
      tenure, and formats are discussed, and guidelines for chairman are recommended.

PMID- 10255243
TI  - Pharmacy policy and procedure for processing an order for a nonapproved use of a
      marketed drug.

PMID- 10255244
TI  - The foremost dilemma in managing a hospital formulary.

PMID- 10255245
TI  - Restricted formulary drugs: an exploratory study.

PMID- 10255246
TI  - 24-hour unit dose dispensing of class III-V controlled substances.
AB  - Methods of controlling controlled substance (CS) inventories in unit dose
      dispensing systems vary. The two extremes are total floor stock of all CS drugs
      by the use of declining inventory signout sheets on the nursing unit to
      controlling only Class II and a few selected class III-V items. The method
      described herein outlines a systematic approach to controlling items on an
      individual patient basis consistant with the benefits of unit dose dispensing. A
      CS card assigned to each patient for each of his required controlled substance
      medications serves as an audit trail for doses consumed by the patient and
      provides a declining inventory receipt when returned to the pharmacy.

PMID- 10255247
TI  - Feasibility of using Travenol sets in an IVAC 230 controller.
AB  - The feasibility of using Travenol regular and minidrip sets to deliver
      intravenous solution with IVAC 230 controllers was investigated. Intravariability
      within Travenol regular sets proved to be negligible. Likewise, intervariability
      among IVAC controllers is negligible. The least squares fit obtained from drops
      per minute (dpm) versus flow rate (ml/hr) for Travenol regular sets using
      dextrose 5% in water was y = 4.50x + 0.8 (r greater than 0.99). Similarly, the
      least squares fit for sodium chloride 0.9% was y = 4.50x - 0.6 (r greater than
      0.99). Therefore, the calculated dpm for the required flow rate for both
      solutions is similar using Travenol regular sets. Also, no significant difference
      is found between the drip rate of dextrose 5% in water and sodium chloride 0.9%
      with Travenol minidrip at 5, 30, and 60 dpms. This study shows that
      interchangeability of IVAC administration sets with Travenol regular and minidrip
      sets is possible for dextrose 5% in water and sodium chloride 0.9% solutions.

PMID- 10255248
TI  - The shaping of pharmacy practice: a look to the future.

PMID- 10255249
TI  - Biomedical equipment management using a microcomputer.
AB  - A low cost microcomputer system is described that manages PM and test scheduling,
      provides lists of selected equipment, prints labels, and calculates management
      data. The files for 2800 devices fit on a standard mini-diskette and are easily
      updated.

PMID- 10255250
TI  - Clinical engineering strategies for career development.
AB  - In the continuing development of clinical engineering, new problem areas are
      beginning to emerge. Issues related to career development are gaining prominence,
      and job satisfaction, career advancement, and "burnout" are becoming increasingly
      important. To address these issues, clinical engineers must assume personal
      responsibility for their own careers. They must broaden their perception of
      clinical engineering to include a managerial perspective. The extent to which
      they assume managerial responsibilities is a function of their personal interests
      and talents. This involvement can range from a consultative role in decisions
      involving high technology to a position in the institution's top management
      staff. This broader definition will significantly benefit not only the field of
      clinical engineering but individual practitioners as well.

PMID- 10255251
TI  - Proposed information system for management of electromedical equipment.
AB  - The equipment investment in modern health care facilities warrants management
      attention to selection, maintenance, operation, and retirement requirements. An
      equipment information system is described that has been working for seven years,
      and a total system using modern hardware and data base technology is proposed to
      supplement the present system.

PMID- 10255252
TI  - Safety devices for neonatal intensive care.
AB  - Three relatively simple devices for improving safety in neonatal intensive care
      are described. When umbilical artery catheters are used, an inexpensive pressure
      switch is utilized to detect abnormally low pressures associated with catheter
      withdrawal or excessive fluid leakage from the catheter system. A capacitive,
      intravenous-line air bubble detector, consisting of a section of the intravenous
      line as the dielectric of a capacitor, is used to alert the clinical staff when
      air bubbles pass between the capacitor plates. An electronic temperature
      controller maintains the temperature of neonatal breathing gases to avoid
      temperature variations which occur with presently used techniques. These are
      relatively simple and inexpensive devices which can be fabricated by most
      hospital clinical engineering services.

PMID- 10255253
TI  - A hospital's role in training biomedical electronics technicians.
AB  - The need for hospital participation in the undergraduate training of Biomedical
      Electronics Technicians is discussed in this paper, along with methodology for
      the training program. The cooperation of a technology school and a hospital in
      BMET training provides benefits to both with additional unique benefits for the
      students. The need for continuing education and training of the employed
      Biomedical Electronics Technician through hospital and technical societies is
      presented.

PMID- 10255254
TI  - Clinical engineering and hospital accreditation in Canada.
AB  - In response to the growing concern over the management of medical technology in
      hospitals, and in view of recent changes pertaining to medical technology that
      have been made by the Joint Commission on Accreditation of Hospitals in the
      United States, the Canadian Council on Hospital Accreditation recently asked the
      Canadian Medical & Biological Engineering Society (CMBES) to prepare a brief on
      the proper role of clinical engineering in Canadian hospitals. The brief prepared
      by the CMBES outlines seven basic principles associated with clinical
      engineering, hospital accreditation, and the proper management of medical
      technology in hospitals. It appears that these principles may form the initial
      basis for changes to the Canadian Hospital Accreditation Guide and
      Questionnaires. A comparative assessment of the Canadian and American approaches
      by clinical engineers may help to advance the cause of better health care in both
      countries.

PMID- 10255255
TI  - HMO marketing: determining the importance of facility location in consumer
      choice.

PMID- 10255256
TI  - Organizational factors and performance of individual practice associations.

PMID- 10255257
TI  - The analysis of clinic no-show rates to establish optimal outpatient scheduling
      quotas.

PMID- 10255258
TI  - Nondoctoral therapist in psychiatric outpatient care.

PMID- 10255259
TI  - Reorganization of ambulatory care in an academic medical center.

PMID- 10255260
TI  - Systems report: the Navy health care delivery system.

PMID- 10255261
TI  - ACHA Annual Report -- 1981.

PMID- 10255262
TI  - Importance of nursing home design: opinions of nurses and architects.

PMID- 10255264
TI  - Are computers for you?

PMID- 10255263
TI  - Meeting the challenge of high employee turnover.

PMID- 10255265
TI  - How to survive a fire.

PMID- 10255266
TI  - The teaching nursing home: a review of two models proposed.

PMID- 10255267
TI  - American Health Care Association--reducing energy costs in nursing homes.

PMID- 10255268
TI  - Protecting residents' rights.

PMID- 10255269
TI  - Nursing homes as a public utility?

PMID- 10255270
TI  - Illegal aliens: facts you should know.

PMID- 10255271
TI  - Attitudes in action.

PMID- 10255272
TI  - HCFA releases indicators to assess drug reviews.

PMID- 10255273
TI  - New role for hands-on caregivers: part-time mental health technicians.

PMID- 10255274
TI  - Life-care communities: private sector involvement in housing alternatives for the
      elderly.

PMID- 10255275
TI  - The family support system and nursing home or geriatric day care placement.

PMID- 10255276
TI  - The challenge to long term care.

PMID- 10255277
TI  - The public relations message.

PMID- 10255278
TI  - How to properly evaluate, select, use a supplemental nursing service.

PMID- 10255279
TI  - The nursing home voice in Washington.

PMID- 10255280
TI  - Planning models for outpatient care: a marketing approach.

PMID- 10255281
TI  - High-level wellness for corporate executives: a program design.

PMID- 10255282
TI  - The marketing of pharmaceuticals in the 1980's in light of consumerism.

PMID- 10255283
TI  - An empirical analysis: variables affecting physicians' hospice care adoption.

PMID- 10255285
TI  - Cricothyroctomy: practice makes perfect.

PMID- 10255284
TI  - England: EMS.

PMID- 10255286
TI  - Designating the resources hospital: a success story.

PMID- 10255287
TI  - Communications breakdown: games EMTs and nurses play.

PMID- 10255288
TI  - Microfiche and automated indexing applications for regulatory submissions to the
      Food and Drug Administration.
AB  - In today's conservative climate, with cost-cutting consciousness, gradual steps
      should be taken to "marry" micrographics with new technologies. When managers
      have thorough knowledge and understanding of the regulatory requirements of the
      federal government, they can proceed to review, analyze and update documentation
      with indexing and decide the appropriate format of data, as well as the vehicles
      best suited for the user's needs, integrating micrographics and automated
      indexing. It is important that industry and regulatory agencies work together.
      For five years, Merck has been involved in refining microfiche specifications for
      submissions to various Bureaus at the Food and Drug Administration, originally
      for the Bureau of Drugs and currently for the Bureau of Foods and the Bureau of
      Veterinary Medicine. In these pilot projects, Merck has shared its know-how with
      other pharmaceutical companies in published articles, one-day seminars and
      several speeches at conferences of national organizations such as the
      Pharmaceutical Manufacturers Association (PMA) and the Association of Records
      Managers and Administrators (ARMA). In April 1979, a presentation was made before
      the Garden State Chapter of the National Micrographics Association (NMA).

PMID- 10255289
TI  - Block grants for the needy: the case of AFDC.

PMID- 10255290
TI  - Public policy toward life saving: should consumer preferences rule?

PMID- 10255291
TI  - The plight of universal social services.
AB  - In the early 1960s, the motivating theme of social services in the American
      welfare state was reduction of economic dependency. At that time services were
      highly selective, aimed mainly at poor people. Between 1960 and 1980 there was a
      drift toward univeralism, as the welfare state expanded to serve an increasing
      number of middle-class groups. This expansion of the welfare state was related to
      several social and demographic trends, and was accompanied by basic changes in
      the scope and purpose of social services. As the welfare state has moved toward
      universal entitlement to social services, a number of contradictions between the
      theory and practice of universalism in a capitalist society have surfaced. These
      contradictions lend a degree of support to the resurgence of selectivity which
      the welfare state is currently experiencing.

PMID- 10255292
TI  - Inferences from alarming events.
AB  - An extreme event, such as a nuclear accident, an earthquake, a cluster of adverse
      reactions to a particular drug, or excessive breakdowns of some class of
      equipment, frequently focuses attention for the first time on an important issue.
      By then, however, data on the incidence and magnitudes of relevant past events
      may be unavailable or too costly to reconstruct. Using a simple probability
      model, we derive methods for drawing statistical inferences based only on the
      magnitude of the first event noticed and the amount of exposure before this event
      occurred. We assume that an event is noticed only when its magnitude exceeds some
      threshold, and we develop methods of inference that are valid even when this
      threshold is unknown. One tempting but incorrect approach is to treat the
      magnitude of the observed event as if it were the threshold, forgetting that
      smaller magnitudes might have been noticed as well. The biases that arise when
      this mistake is made turn out to be substantial; risks can easily be overstated
      by a factor of 3.

PMID- 10255293
TI  - The judge as manager: the case of Judge Frank Johnson.
AB  - Judge Johnson's remarkable role in the reform of Alabama's mental health and
      prison facilities suggests that judges may have greater control over the agendas
      of policymaking than is normally assumed. In omnibus cases, the judge may be more
      interested in pushing state officials in the "right" direction than in securing
      full compliance with any specific set of absolute standards. The tenor and pace
      of implementation, moreover, may depend largely on the relationship of
      participants, the judge's personality, and related factors not susceptible to
      precise measurements.

PMID- 10255294
TI  - Swing-bed concept in Utah . . . a decade of experience 1982.

PMID- 10255295
TI  - A pre-admission program that works.

PMID- 10255296
TI  - Alternatives to fixed scheduling.

PMID- 10255297
TI  - Making employee surveys work for your organization.

PMID- 10255298
TI  - Effective linen management depends om good relations with nursing.

PMID- 10255299
TI  - Work on VA central laundry in Augusta 'one-fifth complete'.

PMID- 10255300
TI  - Storage system helps to improve efficiency at Columbus hospital.

PMID- 10255301
TI  - New Jersey hospital returns to in-house laundry service.

PMID- 10255303
TI  - Health in Russia: a special report.

PMID- 10255302
TI  - Biomedicine and industry.

PMID- 10255304
TI  - Hospital jobs vs. private practice.

PMID- 10255305
TI  - How--and what--feminist health clinics are doing.

PMID- 10255306
TI  - The 26th Albany Rx survey: Tylenol with Codeine leads the way.

PMID- 10255307
TI  - BCBSM evaluates psychiatric planning in Michigan.

PMID- 10255308
TI  - Civil, environmental and treatment rights.

PMID- 10255309
TI  - Physical surroundings serve as therapeutic catalyst for patients.

PMID- 10255310
TI  - Cooperative efforts keep patients close to home.

PMID- 10255312
TI  - Michigan's rate setting dilemma: is there a good model to follow?

PMID- 10255311
TI  - Alcoholism treatment: a welcome service if planning is right.

PMID- 10255313
TI  - Mental Health Department accelerates public-to-private shift.

PMID- 10255314
TI  - Mental Health services: the environment for Michigan's hospitals.

PMID- 10255315
TI  - Community responsibility. Interview by Louis Graff.

PMID- 10255316
TI  - Malpractice insurance: should it be compulsory for physicians?

PMID- 10255317
TI  - Corporate attitudes toward health care costs.

PMID- 10255318
TI  - Why is Michigan different?

PMID- 10255319
TI  - They've done their internship.

PMID- 10255320
TI  - Trustee profiles.

PMID- 10255321
TI  - Another theory of nonprofit corporations.

PMID- 10255322
TI  - Multihospital systems survey: systems scoop up nursing homes.

PMID- 10255323
TI  - Multihospital systems survey: psychiatric hospitals snapped up.

PMID- 10255324
TI  - Multihospital systems survey: DC reps -- low profile, but strategic roles.

PMID- 10255325
TI  - Multihospital systems survey: chains shy from equity financing.

PMID- 10255326
TI  - Highland Park fights its way out of community hospital 'box' with ads.

PMID- 10255327
TI  - General Medical to take on AHSC -- in 20 years.

PMID- 10255329
TI  - Ordering system dries up flow of paperwork.

PMID- 10255328
TI  - Architects' energies are directed toward conservation at Allegheny.

PMID- 10255330
TI  - New parent company means business. Interview by Sally Berger.

PMID- 10255331
TI  - Pharmacists find antitrust laws can't cure their reimbursement headaches.

PMID- 10255332
TI  - Ambulatory care centers take up downtown market.

PMID- 10255333
TI  - Employers prefer negotiating fees.

PMID- 10255334
TI  - Opposition to health planning softens.

PMID- 10255335
TI  - Scrutiny will slack off even though rules deregulating industry scrapped.

PMID- 10255336
TI  - Firm attaches performance strings to $150,000 contribution to hospital.

PMID- 10255337
TI  - Future of tax-free bonds rests more on defense budget than bonds' merits.

PMID- 10255338
TI  - Administrators tap CFO to be 'right-hand man'.

PMID- 10255339
TI  - Multihospital systems survey: largest chains aggressively increase market share
      in '81.

PMID- 10255340
TI  - Multihospital systems survey: buyers picky in growing market.

PMID- 10255341
TI  - Multihospital systems survey: strong showing despite economy.

PMID- 10255342
TI  - Multihospital systems survey: nonprofits setting up for-profit divisions; may
      even sell stock.

PMID- 10255343
TI  - Incontinence products.

PMID- 10255344
TI  - The thrust in antitrust at FTC: an interview with Bureau of Competition chief
      Thomas Campbell.

PMID- 10255345
TI  - Assessing your burnout potential.

PMID- 10255346
TI  - Disposable pads reign; reusables still demanded.

PMID- 10255347
TI  - Diaper market up; attitudes change, products improve.

PMID- 10255348
TI  - IRS' new liberalized regulation on charitable contributions of inventory.

PMID- 10255349
TI  - Tax exempt leases can lower interest charges.

PMID- 10255350
TI  - Dealers win on two counts vs. AHSC.

PMID- 10255351
TI  - Distinguishing between your home health agency customers.

PMID- 10255352
TI  - Check fire exit plans with these guidelines.

PMID- 10255353
TI  - Business coalitions: a new approach to health care cost containment.

PMID- 10255354
TI  - Cafeteria-style benefits programs: defining, designing, implementing and
      evaluating a plan.

PMID- 10255355
TI  - Breaking tradition: changing to a cafeteria-style benefit plan.

PMID- 10255357
TI  - Directing the future of health care costs: high vs low style procedures.

PMID- 10255356
TI  - Focus on management effectiveness: new form enhances information system, cuts
      paperwork.

PMID- 10255358
TI  - Unions target RNs: dollars and common sense deflect them.

PMID- 10255359
TI  - Directing the future of health care costs: developing a competitive market.

PMID- 10255360
TI  - Comprehensive survey: facilities and services--osteopathic hospitals.

PMID- 10255362
TI  - Health administration practice and education in Europe.

PMID- 10255361
TI  - Removing barriers, Part Two: fine tune your communication skills.

PMID- 10255364
TI  - Experimenting on humans: tough questions for physicians.

PMID- 10255363
TI  - Hospital utilization planning in Kupat Holim Health Institution - Israel.

PMID- 10255365
TI  - Quality assurance: Dr. Jessee talks about patterns of care.

PMID- 10255366
TI  - Quality assurance: Lawyer Brenner talks about quality standards.

PMID- 10255367
TI  - Quality assurance: Dr. Jessee talks about hazards.

PMID- 10255368
TI  - Quality assurance: Jessee and Brenner talk about their work.

PMID- 10255369
TI  - Is your hospital taking patients away from you?

PMID- 10255370
TI  - How computerized unit doses help to upgrade our pharmacy services.

PMID- 10255372
TI  - Classroom on wheels can take health education wherever people gather.

PMID- 10255371
TI  - Volunteers add hands, hours, and an extra dimension to patient education program.

PMID- 10255373
TI  - A look at a new alliance.

PMID- 10255374
TI  - Court says MD not immune from confidentiality suit.

PMID- 10255375
TI  - Pardes sees drama in decade ahead.

PMID- 10255376
TI  - The corruption of hospice. What price is hospice paying for survival?

PMID- 10255377
TI  - Vacations that can change your life.

PMID- 10255378
TI  - Traditional and modern medicine in Africa.

PMID- 10255379
TI  - You and the bare physician.

PMID- 10255380
TI  - Protecting the rights of clients: Michigan sets a model for other states.

PMID- 10255381
TI  - Vocational rehabilitation--therapeutic group: a cooperative venture.

PMID- 10255382
TI  - The limits of benevolence.

PMID- 10255383
TI  - How hospitals allocate laundry utility costs.

PMID- 10255384
TI  - Low-temp washing for hospital linen.

PMID- 10255385
TI  - As I see it: should the hospital chief executive officer (CEO) have a contract?

PMID- 10255386
TI  - Discontent over health costs colors congressional choices.
AB  - Drastic action on specific health issues this year may be less important than the
      growing discontent in Congress over health care costs. Even if economic trends
      moderate, hospitals will be confronted with the task of changing incentives in
      the system that fuel the rate of increase in costs.

PMID- 10255387
TI  - Toward a fourth generation of health planning.
AB  - With federal funding for health planning on the decline, local efforts are under
      way to replace the health planning structure being dismantled at the federal
      level. The next generation of health planning will be shaped by the federal
      government's desire for homogeneity in planning efforts, the inseparability of
      planning and regulation, the likely diminution of the current anti-regulatory
      fervor, and the need for individual institutions and their leadership to bear
      more risk than they have in the past.

PMID- 10255388
TI  - Will funding cutbacks force hospitals to abandon care for the needy?
AB  - Cutbacks in funding for health care services are forcing hospitals to reexamine
      their traditional mission of caring for those in need. Hospitals will have to
      cooperate with local community service agencies, funding agencies, and churches
      and congregations to meet the needs of their communities.

PMID- 10255389
TI  - Health lawyers faulted as advocates for status quo.

PMID- 10255391
TI  - Health trust fund founders; 5,000 temporarily uninsured.

PMID- 10255390
TI  - Financing life care communities for the elderly.

PMID- 10255392
TI  - The attraction of nursing home investment.

PMID- 10255393
TI  - The director of nursing and the consultant dietician.

PMID- 10255394
TI  - Beverly Enterprises, Upjohn begin joint interim care.

PMID- 10255395
TI  - Illinois straightening out reimbursement payment lag.

PMID- 10255397
TI  - Generations share the arts in 'Project touch'.

PMID- 10255396
TI  - Nursing home regulations here to stay, HHS decides.

PMID- 10255398
TI  - The pureed diet for long-term care residents.

PMID- 10255399
TI  - Those high hospital bills aren't always right.

PMID- 10255400
TI  - Federal reimbursement incentives to reward hospital conservation.

PMID- 10255401
TI  - Nimmo questions value of affiliations.

PMID- 10255402
TI  - Burial situation again near crisis; incineration option hits opposition.

PMID- 10255403
TI  - Lewisburg: a dichotomy of tradition, progress.

PMID- 10255405
TI  - Volunteers survey patient opinion.

PMID- 10255404
TI  - Law simplifies sharing between military, VA.

PMID- 10255406
TI  - Auxiliary House opens for business.

PMID- 10255407
TI  - IRS audits of the hospital auxiliary: a management tool.

PMID- 10255408
TI  - Junior volunteers assume leadership roles.

PMID- 10255409
TI  - Living history program records rich heritage.

PMID- 10255410
TI  - On satisfying the volunteer and the paid employee: any differences?

PMID- 10255412
TI  - Education for volunteer program management: one model in Canada.

PMID- 10255411
TI  - Building volunteer/paid staff teamwork from the top.

PMID- 10255413
TI  - Manage your measurements, don't let them manage you!

PMID- 10255414
TI  - A master's degree emphasizing volunteer administration.

PMID- 10255415
TI  - New perils for planning.

PMID- 10255416
TI  - Clinics of the urban epilepsy program.

PMID- 10255417
TI  - Beyond expectancy theory: an integrative motivational model from health care.
AB  - Expectancy theory has been criticized for its omission of normative, habitual,
      and other motivational elements. This paper describes the sources and features of
      an integrative motivational model from the field of preventive health care that
      combines expectancy/valence factors with habitual, normative, and conative
      motivational elements. The model is viewed as having implications for work
      motivation as well.

PMID- 10255418
TI  - Another look at why Reaganomics are hard to digest.

PMID- 10255419
TI  - Canadian central claims greater efficiency than in-house plants.

PMID- 10255420
TI  - Linen security--a key factor in cost control.

PMID- 10255421
TI  - A linen control program that reduced pilferage.

PMID- 10255422
TI  - Using disposables in a good linen program.

PMID- 10255423
TI  - A review by your peers.

PMID- 10255424
TI  - No-nonsense use of computers in nuclear medicine.

PMID- 10255425
TI  - Spotlight on silver recovery.

PMID- 10255426
TI  - Economic analysis of outpatient digital angiography.

PMID- 10255427
TI  - Action on the NMR front.

PMID- 10255428
TI  - What to look for when buying CT equipment.

PMID- 10255429
TI  - Preparing the department budget: the trials and tribulations of the radiology
      administrator.

PMID- 10255431
TI  - Excess beds and hospital costs.

PMID- 10255430
TI  - Childhood lead toxicity: a paradox of modern technology.
AB  - Lead toxicity, a man-made disease of young children, has only recently come to
      the focus of professional and public awareness. Lead has become increasingly
      bioavailable to humans as a direct result of industrial processing and
      manufacturing. While lead-based paint in older dwellings is the primary cause of
      lead toxicity among young children, airborne lead from gasoline fumes and factory
      emissions, plus dirt and dust into which high concentrations of lead have
      settled, are also significant sources of undue exposure. A variety of consumer
      products, including kitchen utensils, newsprint, and cosmetics are likewise
      potentially hazardous because of their high lead content. Exposure to excessive
      amounts of lead is especially harmful for young children: they are biologically
      and developmentally more vulnerable to its toxic effects. Even at levels of
      absorption that produce no medical symptoms, lead may impede children's overall
      developmental progress by interfering with their performance in serveral crucial
      areas. Although the United States has been reluctant to assume an aggressive
      regulatory position toward lead, the federal government currently supports
      comprehensive lead poisoning control programs in 60 American cities.

PMID- 10255432
TI  - Energy management: Royal Alexandra Hospital for Children, Sydney.

PMID- 10255433
TI  - A review of hospital menus and the effect on patient food intake.

PMID- 10255434
TI  - Sex and sandshoes: a blueprint for district hospital health promotion.

PMID- 10255435
TI  - International perspectives.

PMID- 10255437
TI  - Government and the regulation of hospital care.

PMID- 10255436
TI  - Government and health outcomes.

PMID- 10255438
TI  - Solving medical malpractice problems.

PMID- 10255439
TI  - Video teleconferencing techniques: part I.

PMID- 10255440
TI  - Following the patient home: a hospital improves its community service with cable
      TV programming.

PMID- 10255442
TI  - Microsurgery in trauma: its evolution and future.

PMID- 10255441
TI  - Video teleconferencing techniques: Part II.

PMID- 10255443
TI  - 'Musical medicine'.

PMID- 10255444
TI  - Allocation of spectrum in a certain MHz band and to establish other rules,
      policies, and procedures for one-way paging stations in the Domestic Public Land
      Mobile Radio Service--Federal Communications Commission. Final rule.
AB  - This First Report and Order allocates 3 MHz of spectrum for paging services in
      the 929-932 MHz band. Private paging services will use frequency band 929-930
      MHz, common carrier services will use frequency band 931-932 MHz, with a flexible
      boundary between the two bands effective after five years. The 930-931 MHz band
      will be reserved for advanced technology paging systems. This allocation was made
      in response to petitions filed by the Ad Hoc Private Paging Committee and
      Telocator Network of America. These new paging frequencies will allow for
      substantial growth of the paging industry, which has been restricted by a
      shortage of frequencies.

PMID- 10255445
TI  - Amendment of the Commission's rules and establishment of a joint board--Federal
      Communications Commission. Decision and order amending separations manual.
AB  - The Commission is adopting the Joint Board's recommendation with minor changes in
      order to allow interested states to proceed with plans for the sale of customer
      premises equipment (CPE) prior to the previously adopted cap date of January 1,
      1983. This will facilitate the Commission goal of a competitive market for CPE
      set out in the Second Computer Inquiry.

PMID- 10255446
TI  - Deep discount industrial development bonds; proposed rulemaking--Internal Revenue
      Service, Treasury. Notice of proposed rulemaking.
AB  - This document contains proposed regulations relating to the determination of the
      amount of proceeds of issues of industrial development bonds sold by the issuer
      at a substantial discount. This amount is used in determining whether
      "substantially all" of the bond proceeds are used for an "exempt purpose", i.e.
      those described in section 103(b) (4), (5), (6), or (7) of the Internal Revenue
      Code, and for purposes of the "major portion" test in section 103(b)(2). The
      regulations would affect issuers, holders, and recipients of the proceeds of
      industrial development bonds of the type described above.

PMID- 10255447
TI  - The American Medical Association, et al.; prohibited trade practices, and
      affirmative corrective actions--Federal Trade Commission. Modifying order.
AB  - The FTC, in accordance with a decision and judgment rendered by the Court of
      Appeals for the Second Circuit on October 7, 1980, has modified its Final Order
      In the Matter of The American Medical Association issued on October 12, 1979 (44
      FR 64803, 94 F.T.C 701). The modified order, effective May 19, 1982, narrows the
      scope of the order so as not to encroach upon the valid activities of the AMA.

PMID- 10255448
TI  - Federal Old-Age, Survivors, and Disability insurance benefits; limitations on
      benefit payments to prisoners; restrictions on disability determinations for
      felony-related and prison-related impairments--Social Security Administration.
      Proposed rules.
AB  - These proposed regulations, which are based on Pub. L. 96-473, place certain
      restrictions on the payment of benefits based on disability and student status to
      persons who have been convicted of a felony and are imprisoned and restrict the
      use of certain impairments in determining disability. These proposed rules
      specify the conditions under which benefits will not be paid to these individuals
      and how a finding of disability may be affected when an impairment, or the
      aggravation of a preexisting impairment, arises during the commission of a felony
      or imprisonment. Before the enactment of Pub. L. 96-473, there were no
      restrictions upon the payment of benefits or the making of disability
      determinations for these persons.

PMID- 10255449
TI  - List of primary care and dental health manpower shortage areas designated under
      section 332 of the Public Health Service Act.
AB  - This notice provides a list, updated as of March 31, 1982, of primary care and
      dental health manpower shortage areas designated by the Secretary of Health and
      Human Services under the authority of section 332 of the Public Health Service
      Act. (At a later date, an update of the lists of psychiatric, vision care,
      podiatric, pharmacy, and veterinary health manpower shortage areas will be
      published).

PMID- 10255450
TI  - Federal Employees Health Benefits Program; benefits for medically underserved
      areas--Office of Personnel Management. Final rule.
AB  - The Office of Personnel Management (OPM) is amending its regulations pertaining
      to benefits under the Federal Employees Health Benefits (FEHB) Program for
      individuals in medically underserved areas. These regulations are necessary to
      implement the FEHB law, as amended, which mandates special consideration for
      enrollees of certain FEHB plans who receive covered health service in States with
      critical shortages of primary care physicians.

PMID- 10255451
TI  - Cost allocation plans for public assistance programs--Health and Human Services
      Department. Interim final rule with comment period.
AB  - This rule revises existing regulations concerning the preparation, submission and
      approval of State agency cost allocation plans used in computing claims for
      Federal Financial Participation under public assistance programs. It also
      reflects the transfer of responsibility for review and approval of the plans to
      the Division of Cost Allocation (DCA) in the Department's regional offices. This
      responsibility was previously assigned to the Social and Rehabilitation Service
      which was abolished by Secretarial Order published on March 9, 1977 (42 FR
      13262). The current rule has been rewritten so that it is clearer, easier to
      understand and more specific. The Department's Informal Grant Appeals regulation
      relative to cost allocation plans and indirect cost rates (45 CFR Part 75) is
      also being updated and revised to make it consistent with Supart E, Cost
      allocation plans, of 45 CFR Part 95, General administration--grant programs
      (public assistance and medical assistance). Although these regulations are final,
      the Department has decided to invite public comments for the reasons described in
      the Supplementary Information below. Comments may be submitted in the manner
      described below. If changes are needed as a result of the comments received,
      those changes will be published in the Federal Register along with the comments
      received and the Department's responses to those comments.

PMID- 10255452
TI  - Interconnection of private land mobile radio systems with the public switched
      telephone network in certain MHz bands--Federal Communications Commission. Final
      rule.
AB  - This document adopts new rules to enable private radio communication systems
      licensed under Part 90 in the 800 MHz bands to interconnect with the facilities
      of the public switched telephone network. These rules are necessary to enable
      private licensees to better utilize their radio systems by allowing
      interconnected operation under certain conditions. An accompanying petition for
      rulemaking is dismissed as moot.

PMID- 10255453
TI  - Interconnection arrangements between and among the domestic and international
      record carriers--Federal Communications Commission. Interim guidelines and
      temporary waiver of rules.
AB  - This Interim Order, issued pursuant to the Record Carrier Competition Act of 1981
      (RCCA), establishes interconnection guidelines for the domestic and international
      record carriers. This action is taken within the time period established by RCCA
      and as a result of the parties' failure to reach a negotiated settlement. Parties
      are directed to file technical agreement and revise tariffs so as to implement
      interconnection of separate systems. The interconnection establishes a
      "universal" network for both domestic and international record communications.

PMID- 10255454
TI  - Cooperative use and multiple licensing of stations in the private land mobile
      radio services--Federal Communications Commission. Final rule; report and order.
AB  - The Federal Communications Commission is adopting rules to govern the cooperative
      sharing and multiple licensing of facilities in its private land mobile radio
      services. The rules which are adopted define the types of arrangements which will
      and will not be allowed. These rules have been adopted: (1) To remove certain
      procedural burdens heretofore required ot licensees and user eligibles; (2) To
      assure adequate licensee control; and (3) To codify permissible licensee and user
      practices relating to multiple licensed and cooperatively shared systems.

PMID- 10255455
TI  - Federal Old-Age, Survivors, and Disability Insurance; revised medical criteria
      for the determination of disability--Social Security Administration. Proposed
      rules.
AB  - These proposed amendments revise the medical evaluation criteria for both the
      title II and title XVI disability programs. These criteria were last revised in
      1979. The proposed revisions reflect advances in the medical treatment of some
      conditions and in the methods of evaluating certain impairments. These proposals
      will provide up-to-date medical criteria for use in the evaluation of disability
      claims.

PMID- 10255456
TI  - Hazardous waste management programs; Florida: authorization for interim
      authorization phase I--Environmental Protection Agency. Notice of final
      determination.
AB  - The State of Florida has applied for interim Authorization Phase I. EPA has
      reviewed Florida's application for Phase I and has determined that Florida's
      hazardous waste program is substantially equivalent to the Federal program
      covered by Phase I. The State of Florida is, hereby, granted Interim
      Authorization for Phase I to operate the State 's hazardous waste program, in
      lieu of the Federal program.

PMID- 10255457
TI  - Exemption of antibiotic drugs and antibiotic susceptibility medical devices from
      certification--Food and Drug Administration. Proposed rule.

PMID- 10255458
TI  - Civilian Health and Medical Program of the Uniformed Services (CHAMPUS);
      amendment on elimination of nonavailability statement where primary insurance
      covers 75 percent of the cost--Office of the Secretary of Defense. Final rule.
AB  - This amends the CHAMPUS Regulation to implement section 741 of Pub. L. 97-114.
      This public law eliminates the requirement for a nonavailability statement where
      the beneficiary has other insurance which will pay for at least 75 percent of the
      services. The intent of these changes is to encourage the use of other insurance
      to pay for necessary medical care, thus reducing the Government's expense through
      the direct care system. It also gives beneficiaries with other insurance greater
      freedom of choice as to where they obtain medical services.

PMID- 10255459
TI  - Civilian Health and Medical Program of the Uniformed Services (CHAMPUS);
      amendment on electric-powered, cart-type vehicles--Office of the Secretary of
      Defense. Final rule.
AB  - This amends language in the CHAMPUS Regulation to allow benefit consideration for
      electric-powered, cart-type vehicles. This revised language will allow benefit
      consideration for these vehicles which may be appropriately used as alternatives
      to electric wheelchairs, when they are medically necessary and certified by a
      physician to best meet the patient's medical care needs based on the patient's
      physical condition and which can be operated safely by the patient.

PMID- 10255460
TI  - Availability of information to the public under the Freedom of Information Act;
      redelegation of authority--Office of the Secretary, HHS. Final regulation.
AB  - The Department of Health and Human Services hereby amends its regulation
      implementing the Freedom of Information Act. This revision designates officials
      who shall have responsibilities for determining whether records must be withheld
      from disclosure, or released, under provisions of the Act (5 U.S.C. 552).

PMID- 10255461
TI  - Privacy Act of 1974; new system of records--Public Health Service. Notification
      of establishment of a new Privacy Act system of records, 09-25-0151.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new Privacy Act system of
      records, 09-25-0151, "Administration: Alert Records Concerning Investigations or
      Determinations of Misconduct by Current or Potential Recipients of Funds for
      Biomedical Research," HHS/NIH/OD. We are also proposing routine uses for this
      system. The National Institutes of Health (NIH) will use this system to make
      informed decisions on appropriate actions regarding awards of research funds to
      individuals who are or have been subjects of investigations or determinations of
      misconduct. PHS invites interested persons to submit comments on the proposed
      routine uses on or before June 11, 1982.

PMID- 10255462
TI  - Hazardous waste management program: phase I interim authorization for Nebraska-
      Environmental Protection Agency, region VII. Phase I interim authorization.
AB  - The State of Nebraska has applied for interim authorization of its hazardous
      waste program under Subtitle C of the Resource Conservation and Recovery Act and
      EPA guidelines for the approval of State hazardous waste programs [40 CFR Part
      123]. EPA has determined that the State's program meets all applicable statutory
      and regulatory requirements and is granting Phase I interim authorization to
      Nebraska to operate in its jurisdiction a hazardous waste program in lieu of
      Phase I of the Federal hazardous waste program.

PMID- 10255463
TI  - Compulsory license for cable systems--Copyright Office, Library of Congress.
      Interim regulations.
AB  - This notice is issued to inform the public that the Copyright Office of the
      Library of Congress is adopting interim amendments to 201.11 and 201.17 as
      amended on June 27, 1978 and July 3, 1980 respectively. These regulations
      implement portions of section 111 of the Copyright Act of 1976, title 17 of the
      United States Code. That section prescribes conditions under which cable systems
      may obtain a compulsory license to retransmit copyrighted works, including the
      filing of Notices of Identity and Signal Carriage Complement and Statements of
      Account, and the submission of statutory royalty fees. The effect of the
      amendments is to modify the filing requirements and royalty fee calculations
      necessitated by changes in the rules and regulations of the Federal
      Communications Commission. The amendments are issued on an interim basis in order
      to permit their immediate application while allowing full public comment.

PMID- 10255464
TI  - National guidelines for health planning--rescission of computed tomographic
      scanner standards--Public Health Service. Notice of proposed rulemaking.
AB  - This document proposes to recind the standards for computed tomographic (CT)
      scanners with respect to the appropriate supply, distribution and organization of
      health resources. Concern has been expressed that the standards are to rigid and
      inflexible, and that they don't take into account recent advances in the state-of
      the-art in scanning technology. This action will give states and local
      communities the fullest possible discretion and flexibility in health systems
      planning. Non-regulatory technical information materials concerning CT scanners
      are being made available to the public.

PMID- 10255465
TI  - FTC about-face under Miller may not be enough for congressional critics.

PMID- 10255466
TI  - Unexpected costs force HMO to hike rates.

PMID- 10255467
TI  - No relief from rate hikes: health plan insurers factor in runaway medical care
      costs.

PMID- 10255468
TI  - 3M settles pregnancy dispute.

PMID- 10255469
TI  - Most employers don't plan to offer drug plans.

PMID- 10255470
TI  - Computerized electrocardiography: where do we stand?

PMID- 10255471
TI  - The role of the technologist.

PMID- 10255472
TI  - Evaluation of double contrast barium enemas performed by radiographic
      technologists.

PMID- 10255473
TI  - Regional drug information in the Ottawa valley.

PMID- 10255474
TI  - Make early decisions for policy and procedure manuals.

PMID- 10255475
TI  - Streamlining the board of trustees.

PMID- 10255476
TI  - What is a board of trustees?

PMID- 10255478
TI  - Tapping society's resources.

PMID- 10255477
TI  - What is the source of trustee authority?

PMID- 10255479
TI  - Employee assistance programs--where hospital expertise meets business and worker
      needs.

PMID- 10255480
TI  - Carpooling--an energy-saving project that can help in postponing capital
      expenditures for parking facilities.

PMID- 10255482
TI  - Recommendations for choosing an administrator and a consultant for a dental
      insurance plan.

PMID- 10255481
TI  - The opting-out debate: an actuarial review.

PMID- 10255484
TI  - New security system installed after Tenn. hospital shootout.

PMID- 10255483
TI  - 'Mass casualty picture is EMS at its worst'.

PMID- 10255485
TI  - New legal standards are emerging for ED practice.

PMID- 10255486
TI  - Alabama F-S clinic seen as threat to hospital ED viability.

PMID- 10255487
TI  - EMS communications funding.

PMID- 10255488
TI  - The trauma drama.

PMID- 10255489
TI  - Nursing: why can't we be friends?

PMID- 10255490
TI  - The stepfamily in the emergency department.

PMID- 10255491
TI  - Emergency medical care and transportation of spinal cord injured patients in
      Connecticut, 1973-1977.

PMID- 10255492
TI  - Transportation of the high risk infant.

PMID- 10255493
TI  - ESLAB: emergency help for California's Spanish-speaking telephone users.

PMID- 10255494
TI  - Crisis intervention: the Cowley County chaplaincy program.

PMID- 10255496
TI  - Raising funds requires skill and creativity.

PMID- 10255495
TI  - A national standard of prehospital health care--an alternative to legislation.

PMID- 10255497
TI  - The trauma drama.

PMID- 10255498
TI  - RTSS--a closer look at a cost-cutting concept, Part I.

PMID- 10255499
TI  - Survey based needs assessment: a paradigm for planning the decentralization of
      continuing health professional education.

PMID- 10255500
TI  - The certainty of judgments in health evaluations.

PMID- 10255501
TI  - The process and results of an evaluation of a nurse-managed, family-oriented
      health care center.

PMID- 10255502
TI  - The expanded role of the pregnancy counselor.

PMID- 10255503
TI  - The epidemiology of abortion services.

PMID- 10255504
TI  - Reproductive health care: delivery of services and organizational structure.

PMID- 10255505
TI  - Issues in family planning clinic management.

PMID- 10255506
TI  - The "payback period": a tool for making straight decisions on lab equipment.

PMID- 10255507
TI  - Marketing at Lovelace. Step 1: Building internal credibility with physicians.

PMID- 10255508
TI  - Compensation--Part II: How important is your happiness?

PMID- 10255509
TI  - Who killed Rebecca Smith?

PMID- 10255511
TI  - Staying on the mark: a review of grant evaluation.

PMID- 10255512
TI  - Fund raising tool explained ... catalog's influence on giving grows according to
      new study.

PMID- 10255510
TI  - A little focus goes a long way.

PMID- 10255513
TI  - Hospital catalog uses market information to target appeal.

PMID- 10255514
TI  - Hospital wish book appeals to heart and mind.

PMID- 10255515
TI  - Christmas gift catalog educates public to needs.

PMID- 10255516
TI  - State licensing procedures: how "open" should they be?

PMID- 10255517
TI  - Respite from "new federalism" needed, state and local officials say.

PMID- 10255518
TI  - Giving the hospitalized elderly the best nursing care possible.

PMID- 10255519
TI  - Small rural hospitals cope with the '80s.

PMID- 10255520
TI  - Making computerization work.

PMID- 10255521
TI  - Nurse retention: how concerned should you be?

PMID- 10255522
TI  - Involving department managers.

PMID- 10255523
TI  - Personnel management: it's not what you do, it's the way you do it.

PMID- 10255524
TI  - Personnel management: an overdue review.

PMID- 10255525
TI  - Personnel management: a stepping stone to the middle.

PMID- 10255526
TI  - Scottish Air Ambulance: destination outer limits.

PMID- 10255527
TI  - Hospital gardens: hospitals with a view.

PMID- 10255528
TI  - Community care: Canadian way of caring.

PMID- 10255529
TI  - GP obstetrics: better than expected.

PMID- 10255530
TI  - Nonprofits: check your attention to customers.
AB  - Nonprofit organizations chronically face financial difficulties. Now the
      situation has worsened because they are being squeezed between the uncertain
      economic climate and cutbacks in government support. While the managers of these
      institutions may think that they have already tried everything possible, more
      than ever they must be innovative in developing additional funding sources. As
      Mr. Andreasen argues, most nonprofits have failed to exploit marketing techniques
      which can build support from users or customers that leads to improved cash flow.
      The author contends that managers of nonprofit organizations focus too closely on
      their products or services; he admonishes them to give more attention to the
      needs and wants of their consumers.

PMID- 10255531
TI  - The new regulators--a summary.

PMID- 10255532
TI  - District computer services in practice.

PMID- 10255533
TI  - Change in the in-patient's day: can it be done?

PMID- 10255534
TI  - Ambulance involvement in road accidents.

PMID- 10255535
TI  - The introduction of a hospital management team in a district general hospital.

PMID- 10255537
TI  - The cost of nurses.

PMID- 10255536
TI  - Race relations in the NHS.

PMID- 10255538
TI  - The introduction of a hospital management team in a district general hospital.

PMID- 10255539
TI  - The NHS incentive scheme revisited.

PMID- 10255541
TI  - Project co-ordination within the NHS.

PMID- 10255540
TI  - Who's afraid of incentive bonus schemes? 1. Implementing bonus schemes.

PMID- 10255542
TI  - Needlestick guidelines clarify immune globulin use.

PMID- 10255543
TI  - Hospital rubella outbreak sparks policies at nearby facility.

PMID- 10255544
TI  - Grassroots planning approach yields effective EH dept.

PMID- 10255545
TI  - EO exposure limits remain same; agencies debate jurisdiction.

PMID- 10255546
TI  - Prevent legal problems with preemployment screening.

PMID- 10255547
TI  - MD suggests workable solutions for common employee infections.

PMID- 10255548
TI  - EH policies tailored to specific needs are effective, easier to enforce.

PMID- 10255550
TI  - Hospital changes needle disposal, reduces employee needlesticks.

PMID- 10255551
TI  - Variety of HEH groups provide members information, support.

PMID- 10255549
TI  - Radiation hazards: identify sources, be prepared for accidents.

PMID- 10255552
TI  - Pediatric informary cuts absentee costs, eases employees' minds.

PMID- 10255553
TI  - EO: how much is too much?

PMID- 10255554
TI  - Collaboration eases burden of EH records management.

PMID- 10255555
TI  - Training, safety inspections help reduce employee injuries, costs.

PMID- 10255556
TI  - AOMA unveils minimum EH standards for hospitals.

PMID- 10255557
TI  - Sale of HB vaccine set for July; initial shortages still expected.

PMID- 10255558
TI  - Limit to hospital's duty to reassure anxious employee?

PMID- 10255559
TI  - Radioactive implants can be a hazard; admissions, safety tips protect staff.

PMID- 10255560
TI  - New newborn intensive care unit decreases infections but not risks.

PMID- 10255561
TI  - Urine test identifies Legionella.

PMID- 10255562
TI  - IC nurse details steps to build small hospital program.

PMID- 10255563
TI  - Minimal use of physician advisors improves utilization review process.

PMID- 10255564
TI  - Whidden Memorial Hospital medical staff policy manual.

PMID- 10255565
TI  - Hospitals will be forced to assess patient satisfaction.

PMID- 10255566
TI  - CHA Board's analysis of civilian-military contingency hospital system.

PMID- 10255567
TI  - Hospitals collaborate to offer acute care in underserved area.

PMID- 10255568
TI  - Health corporation committee guides programs for the poor.

PMID- 10255569
TI  - An interview with Sr. Generose Gervais, OSF, Chairman, CHA Board of Trustees.

PMID- 10255570
TI  - Productivity monitoring: effective management tool.

PMID- 10255571
TI  - Radiology services' study improves productivity, care.

PMID- 10255572
TI  - Pastoral care in Catholic hospitals and long term care facilities, 1981.

PMID- 10255573
TI  - Knowledge of federal labor laws essential to health facilities' defense in wage
      disputes.

PMID- 10255574
TI  - Hospitals, courts responsible for maintaining orderly services during strikes.

PMID- 10255575
TI  - Labor/delivery/recovery suite serves OB patients.

PMID- 10255576
TI  - Locus of illness control: a cross-cultural study.
AB  - A comparative study of rural Haitian and southern Appalachian health beliefs
      revealed significant differences both within and between groups regarding
      perceived control over illness. Data consisted of scores (N = 293) on the Locus
      of Illness Control Scale, a 15-item forced-choice instrument designed to include
      two subscales, one focused on illness prevention, the other on cure. Both
      cultural groups scored more externally on the cure dimension than they did on
      prevention. Group differences, however, were reversed for the subscales. While
      Appalachians apparently expect greater success in preventing illness,
      interestingly, Haitians show greater perceived ability to cure illness. The
      findings have implications for traditional views of "fatalistic" cultures, for
      the refinement of concepts related to health locus of control, and for the
      practical utility of standardized instruments among populations that vary in
      health problems and therapeutic resources.

PMID- 10255578
TI  - Electronic pilferage system slashes hospital's linen losses.

PMID- 10255577
TI  - The checkerboard area health system: delivering comprehensive care in a remote
      region of New Mexico.
AB  - A comprehensive health center is defined as the synergistic coupling of a medical
      and administrative structure designed to provide inpatient, outpatient, and
      public health services. While health centers have been widely established in
      other countries, only limited implementation has occurred in rural areas of the
      United States. The successful implementation of the health center concept in a
      sparsely populated area of northwestern New Mexico, which is predominately
      inhabited by Navajo Indians and Spanish Americans, is descriptively analyzed. The
      physical environment and the socioeconomic characteristics of the catchment area
      residents are related to dominant conditions in underdeveloped countries. The
      evolution of the delivery system with its network of satellite clinics staffed by
      mid-level primary care providers is documented. The funding and provision of a
      wide range of preventive and curative health services supported by communication,
      transportation, outreach, education, public health, and administration components
      are described. Several problems thought to impede the application of the health
      center concept to other regions in the United States are identified and discussed
      relative to this New Mexican experience. Innovative and persevering systems
      designers who are strongly committed to delivering a balance between preventive
      and curative services are considered to be absolutely necessary for successful
      implementation of the health center concept in the United States.

PMID- 10255579
TI  - Dealing with on-premises rape and sexual abuse.

PMID- 10255581
TI  - Safety on wheels: a new approach to employee safety education.

PMID- 10255580
TI  - How to prevent falls by patients, employees, and visitors.

PMID- 10255582
TI  - Medical center's 'get tough' policy on employee theft gets results.

PMID- 10255583
TI  - Dealing with labor violence and other strike security problems.

PMID- 10255584
TI  - Marketing forum: tools available to medical record practitioners.

PMID- 10255585
TI  - Current trends in the delivery of health care services and their influence on the
      medical record practitioner.

PMID- 10255586
TI  - Successful computer applications in a medical record department.

PMID- 10255587
TI  - Development of a resource document for medical record education.

PMID- 10255588
TI  - Response to rubella immunisation education in health authority family planning
      clinics: a controlled clinical trial.
AB  - The response of women attending family planning clinics run by the Area Health
      Authority providing health education on protection against rubella (cases), was
      compared with those attending clinics with no specific educational provision
      (controls). The effectiveness of the intervention was determined by studying the
      number of women approaching their General Practitioner in the ensuing four months
      for serological testing to determine their immune-status. Of 174 cases and 170
      controls registered with a General Practitioner, follow-up information was
      obtained on 164 (94%) cases and 155 (91%) controls. General Practitioners'
      records revealed pre-existing knowledge of serologically confirmed immunity or
      previous rubella immunisation in only 35 (21%) cases and 29 (19%) controls. In
      response to health education, 12 (7%) cases approached their GP on the subject
      compared with 3 (2%) controls - a small but significant difference (P less than
      0.05) which was confined to women aged 25-29 years. This suggests that such a
      programme would fail to make a significant contribution to the prevention of
      congenital rubella.

PMID- 10255589
TI  - Development of health education services in the northern region of the National
      Health Service.

PMID- 10255591
TI  - The use of posters and leaflets in a specialist health education department.

PMID- 10255590
TI  - Consumers' views of antenatal education.

PMID- 10255592
TI  - An experiment in changing attitudes to mental disorder.

PMID- 10255593
TI  - 25 health promotion centers win committee approval but Reagan administration,
      Congress will deny money.

PMID- 10255594
TI  - The four alternative approaches to employment candidate "honesty" screening.

PMID- 10255595
TI  - Data collection: a process for healthcare security.

PMID- 10255597
TI  - Integral.

PMID- 10255596
TI  - Healthcare security: law enforcement and then some.

PMID- 10255598
TI  - The IAHS credentialing program.

PMID- 10255599
TI  - Access control: a most important basic.

PMID- 10255600
TI  - 'Matrix' buying saves Sun money.

PMID- 10255601
TI  - Corporate clout, specialization seen molding group buying in the '80s. Interview
      by Robert F. Hickox and Daniel Dildine..

PMID- 10255603
TI  - Computer bits: measuring cost savings.

PMID- 10255602
TI  - Address correction: can your hospital afford not to have it?

PMID- 10255604
TI  - Purchasers see paper products differently.

PMID- 10255605
TI  - Quality seen as key to paper product purchasing.

PMID- 10255607
TI  - The future of the teaching hospital.

PMID- 10255606
TI  - Hospitals--1990.

PMID- 10255608
TI  - Health care policy and politics: does the past tell us anything about the future?

PMID- 10255609
TI  - Finding the cost of clinical education.

PMID- 10255610
TI  - New responsibilities for the architect in the next decade: a response to change.

PMID- 10255611
TI  - Above and beyond cost consciousness: planning for a regulated society.

PMID- 10255612
TI  - How to use management information from the medical record.

PMID- 10255613
TI  - Individual practice association (IPA) model health maintenance organization
      (HMOs).

PMID- 10255615
TI  - The lifecare community: a new direction.

PMID- 10255614
TI  - Trends in long-term care.

PMID- 10255616
TI  - The hospice movement.

PMID- 10255617
TI  - Coping with the 80s.

PMID- 10255618
TI  - Entrepreneurial challenges--fads or survival?

PMID- 10255619
TI  - Competition--the first anniversary.

PMID- 10255621
TI  - Health services management education and access to medical care.

PMID- 10255620
TI  - Balancing social policy and market demand.

PMID- 10255622
TI  - A physicians' forum.

PMID- 10255623
TI  - Stay well incentive plan--a new concept in health care.

PMID- 10255624
TI  - Antitrust--a deregulation prospect.

PMID- 10255625
TI  - New dimensions in general hospital psychiatry.

PMID- 10255626
TI  - Stop loss--reinsurance.

PMID- 10255627
TI  - Grantmaking in health--setting priorities in the 1980s.

PMID- 10255628
TI  - Governance responsibilities.

PMID- 10255630
TI  - Special group requires special treatment.

PMID- 10255629
TI  - Challenges in the new era of competition.

PMID- 10255631
TI  - No policy without persuasion.

PMID- 10255632
TI  - Risk financing alternatives open competitive insurance market.

PMID- 10255633
TI  - Research gives tips on prevention of accidental anesthesia mix-up.

PMID- 10255634
TI  - Risk management components.

PMID- 10255635
TI  - Hospital and medical staff liability for infection control.

PMID- 10255636
TI  - To report or not to report: that is the question.

PMID- 10255637
TI  - A first-phase quality assurance program for intravenous admixture aseptic
      technique.
AB  - Results of initial departmental quality assurance audits revealed noncompliance
      with the intravenous admixture service criteria concerning aseptic technique. In
      order to better assess this problem, a quality assurance program for aseptic
      technique was developed. The criteria consisted of 16 characteristics and/or
      functions that are indicative of aseptic technique. An audit of 13 technicians
      revealed a number of problems (noncompliance) related to aseptic technique. An
      educational program was developed and implemented on an individual basis. A
      reaudit two to four weeks later revealed compliance with the aseptic technique
      criteria. This study indicates that the audit method is effective in determining
      compliance to the aseptic technique criteria and standards.

PMID- 10255638
TI  - Developing a quality assurance program for clinical services.

PMID- 10255639
TI  - Putting the pressure on shock: a look at the antishock fashions.

PMID- 10255640
TI  - A journey ends: reflections on emergency care around the world.

PMID- 10255641
TI  - The positive contribution of black cultural values to pastoral counseling.
AB  - Argues that pastoral counseling with black persons requires cultural adaptations
      at several crucial points. Understanding of the positive contribution of black
      persons' collective identity, family life, work orientation, and improvisation as
      a life style is essential for an adequate pastoral counseling method. Pastoral
      counseling demands a commitment to understanding and sharing the struggles of
      individuals within the context of their culture and community.

PMID- 10255642
TI  - Heresy and pastoral counseling.
AB  - Relates four of the classical Christian heresies--ebionism, adoptionism,
      docetism, and gnosticism--to the practice of pastoral counseling. Each of these
      heresies distorted the attempts to relate the divine and human nature of Christ.
      Variations of these heresies can be seen similarly distorting the practice of
      pastoral counseling. Reacquaintance with these traditional theological problems
      can help avoid parallel problems in the modern practice of Christian ministry.

PMID- 10255643
TI  - Stages in the role cycle of pastoral counseling.
AB  - Contends that there is a role of pastoral counseling which moves through a cycle
      with discernable stages. These role cycle stages are independent of any
      particular life stage the individual pastoral counselor may be passing through
      and may be traversed at any age of adulthood. The stages identified are: pastoral
      counselor role acquisition; pastoral counseling role performance; pastoral
      counselor's role assessment; and pastoral counseling role restructuring or
      rejection. Concludes with a brief statement of implications of a role stage
      theory.

PMID- 10255644
TI  - A look at equal employment opportunity.

PMID- 10255645
TI  - Hospital handbook. Admitting: policies and procedures.

PMID- 10255646
TI  - Financial class receivables form.

PMID- 10255647
TI  - How to avoid collector burnout.

PMID- 10255648
TI  - The admitting office: making first impressions work for you.

PMID- 10255649
TI  - The need for written collection procedure.

PMID- 10255650
TI  - How not to collect money.

PMID- 10255651
TI  - Automated circulation control systems.

PMID- 10255652
TI  - Online public access catalogs: assessing the potential.

PMID- 10255653
TI  - Business coalitions putting a crimp on health care costs.

PMID- 10255654
TI  - From strikes to natural disasters, N.Y.C. crisis managers are ready.

PMID- 10255655
TI  - How to get what you want through influential communication.

PMID- 10255656
TI  - The manager's memo as a strategic tool.

PMID- 10255657
TI  - Study circles: personal and professional fulfillment for employees.

PMID- 10255658
TI  - How to make OD work better for your organization.

PMID- 10255659
TI  - Incentive program is one key to central plant's success.

PMID- 10255660
TI  - 'Shortage' of adequate service in Detroit leads to renovation.

PMID- 10255661
TI  - Bioethics: to teach or not to teach.

PMID- 10255662
TI  - Fraud in scientific research: of forging, cooking, and trimming.

PMID- 10255663
TI  - Medicare: more traumas ahead.

PMID- 10255664
TI  - What happens when there's a doctor glut?

PMID- 10255665
TI  - With fair utility charges for all.

PMID- 10255666
TI  - An approach to idle fund babysitting.
AB  - Cash investing isn't just for large clinics. Smaller clinics can enhance
      profitability through a positive, well-informed approach to excess funds
      utilization. For some medical groups, a whole new mind-set is necessary--the need
      to "think yield." This means not only invest, but also not being satisfied with a
      modest return. Without risk, the clinic manager can significantly improve the
      clinic's bottom line. To paraphrase, an oft-used saying. "A day without interest
      income is like a day without sunshine."

PMID- 10255667
TI  - Employers and HMOs: a nationwide survey of corporate employees served by health
      maintenance organizations.

PMID- 10255668
TI  - Learning from experience: clinic management under government health insurance.

PMID- 10255669
TI  - Forever may you prosper.

PMID- 10255670
TI  - What happens when communications break down?

PMID- 10255671
TI  - A relationship of space and purpose.

PMID- 10255672
TI  - Physicians treat, God heals: here's an inside look at Whole Person medicine.

PMID- 10255673
TI  - How tightly will big business control your practice?

PMID- 10255674
TI  - An HMO that doesn't lock patients in.

PMID- 10255675
TI  - A $300 million monument to cockeyed health planning.

PMID- 10255676
TI  - Another malpractice reform starts to fall apart.

PMID- 10255677
TI  - Why five soloists are suing a big group.

PMID- 10255678
TI  - On asking the right questions.

PMID- 10255679
TI  - Five challenges to the churches in health work.

PMID- 10255680
TI  - A patient is a person.

PMID- 10255681
TI  - Pharmaceutical advertising: a strong start for 1982.

PMID- 10255683
TI  - Puppy-love Rx: laughter and licks twice a week.

PMID- 10255682
TI  - The "new surgery" means a broader drug market.

PMID- 10255684
TI  - Hospital cost hikes hurt even Harvard HMO.

PMID- 10255685
TI  - Youth health projects get $12 million.

PMID- 10255686
TI  - Surgeons' opinion of second opinions: they're of questionable worth.

PMID- 10255687
TI  - AMA readies its version of the PPI.

PMID- 10255688
TI  - Beginning of a trend? Three Blue Cross plans get tough on hospital admissions.

PMID- 10255689
TI  - Indy 500 tests well-tuned trauma team.

PMID- 10255690
TI  - Beset UC-Davis hospital is due for state scrutiny--and maybe a reprieve.

PMID- 10255691
TI  - A CEO discusses the 1982 elections: opportunity or obligation?

PMID- 10255692
TI  - Lobbying: it's common sense and courtesy.

PMID- 10255693
TI  - How a hospital builds community consensus.

PMID- 10255694
TI  - Auxilians' legislative options are a matter of choice.

PMID- 10255695
TI  - Advisory council keeps hospitals on alert.

PMID- 10255696
TI  - HAPAC is money plus people.

PMID- 10255697
TI  - Nurses' careers promoted at bedside.

PMID- 10255698
TI  - How's your legislative savvy?

PMID- 10255699
TI  - Do's and don'ts for hospitals engaged in political activities.

PMID- 10255700
TI  - Short-to-long-term financing eyed.

PMID- 10255701
TI  - Ending arbitrage profits on bonds would jack up construction costs.

PMID- 10255702
TI  - Congress may dilute bond limits.

PMID- 10255704
TI  - Don't restrict tax-exempt bonds that serve the public good: Florida court.

PMID- 10255703
TI  - High rates spark innovations.

PMID- 10255705
TI  - 'Global' view more than subsidiary concern for new holding company.

PMID- 10255706
TI  - Invent the future with insight from past.

PMID- 10255707
TI  - AHSC antitrust decision may curb group buying.

PMID- 10255708
TI  - Firms compete with M.D.s, hospitals.

PMID- 10255709
TI  - For-profits hook hospitals as church groups bail out.

PMID- 10255710
TI  - Teaching hospital learns to compete.

PMID- 10255711
TI  - Technicians do some nursing chores.

PMID- 10255712
TI  - Two hospitals share same building to help their individual operations.

PMID- 10255713
TI  - Multihospital affiliation in hand, Beverly aims to double its size.

PMID- 10255714
TI  - Nursing home survey: for-profit nursing home systems consolidate; beds grow by
      18%.

PMID- 10255715
TI  - Government policies force nonprofits to go for-profit.

PMID- 10255716
TI  - Nonprofit rehabs get tax break.

PMID- 10255717
TI  - Feasibility studies up 30% in '81; even more action seen for '82.

PMID- 10255718
TI  - AHSC appeals decision.

PMID- 10255719
TI  - VNA rates dealers' responsiveness, inventory.

PMID- 10255720
TI  - The family physician market.

PMID- 10255721
TI  - Innovations speed emergency response.

PMID- 10255722
TI  - Job medical records--who can see them?

PMID- 10255723
TI  - CG has "REMEDI' for soaring health costs.

PMID- 10255724
TI  - Value of keeping HMOs competitive.

PMID- 10255725
TI  - U.K.'s sick pay proposals stir controversy.

PMID- 10255726
TI  - Blue Cross program targets on health risks.

PMID- 10255727
TI  - New health claim system ready.

PMID- 10255728
TI  - Top court rulings could affect health costs.

PMID- 10255729
TI  - Improving the commercial insurance receivables picture.

PMID- 10255730
TI  - A case study: collecting self-pay accounts.

PMID- 10255731
TI  - The occupational hazards of a medical education: hospitals and medical school
      laboratories are very complex places to work.

PMID- 10255732
TI  - World Health Organization: health for all by the year 2000.
AB  - The World Health Organization plans and coordinates health action on a global
      basis. It joins hands with its member governments, at their request, to fight
      disease and build health services so as to ensure that health care reaches the
      maximum number of people. Its work covers a wide spectrum of activities, ranging
      from the fight against most of the world's diseases to the training of health
      personnel to multifaceted research endeavors. In a single article, it would be
      impossible, and therefore no attempt is made, to summarize the full range of the
      work of WHO. Provided in the following pages is an overview of what WHO is, what
      is does, the structure of the organization, and the activities relevant to
      pathology.

PMID- 10255734
TI  - Neonatal circumcision.
AB  - Circumcision is an elective surgical procedure performed on male neonates, but a
      procedure that may be elected by parents and medical personnel on less than
      adequate information. In this review paper, the authors explore the history of
      circumcision as a practice, as well ad the arguments for and against its
      continuation as a "routine" practice. The authors conclude that the health and
      social or personal reasons for circumcision may not be based on sound judgments,
      nor applicable to the general public. Thus there is a strong case made for
      careful counseling of parents by health education and professional medical staff
      members of clinics, hospitals, and other health-care settings.

PMID- 10255733
TI  - The selection and training of volunteers for a rural, home-based hospice program.
AB  - Volunteers are essential to smaller hospice care programs. These volunteers must
      be selected and trained to provide these services. The training program has
      several goals: content acquisition, experimental learning, mutual screening and
      selection, team building, and public relations. Selection processes avoid persons
      who have rigid beliefs, unresolved grief, or negative personalities as well as
      those who talk too much. The training uses many teaching methods to emphasize
      hospice philosophy, team building, communication skills, death awareness, empathy
      skills, basic nursing skills, impact of death on family, cancer information, pain
      control, and physician-care factors. Concrete examples of how each of these
      themes is accomplished are included in the paper. This program has worked well in
      preparing a group of volunteers for a rural, home-based hospice program in
      northern Michigan and represents one example of an effective approach.

PMID- 10255736
TI  - Educational needs of hysterectomy patients.
AB  - This exploratory study determined specific educational needs of hysterectomy
      patients. The study population consisted of patients who had successfully
      undergone hysterectomies performed by four gynecologists within the two years
      prior to the study. A questionnaire was developed, tested, revised, and
      subsequently returned by 146 women. Most questions were designed to elicit
      information on (1) what patients wanted to know, (2) when they wanted the
      information, and (3) whether this information was obtained. Data regarding the
      first two questions were examined in relation to the demographic variables of
      age, education, occupation, pregnancy outcomes, and employment. Results showed
      that hysterectomy patients wanted more explanation of all topics. The topic most
      often (92%) rated very important was physical effects of the surgery. Women
      between 31 and 40 years of age valued as most important was the sexuality topics.
      Ninety-four percent indicated they most wanted the information before
      hospitalization. Twenty percent reported receiving no information about possible
      psychological or sexual problems. Conclusions drawn from this study are that
      there is an urgent need for structured patient education about hysterectomy; that
      patients have a need for information on the physical, psychological, and sexual
      aspects of hysterectomy; and that this information is needed before entering the
      hospital, pre- and postsurgery, and after returning home.

PMID- 10255735
TI  - Diabetes self-care: knowledge, beliefs, motivation, and action.

PMID- 10255737
TI  - Appointment-keeping behavior and patient satisfaction: implications for health
      professionals.
AB  - This study examines patient satisfaction with care received in a subspecialty
      clinic, appointment-keeping behavior in that clinic, and the interrelationships
      between satisfaction and appointment-keeping compliance. The implications for
      health education and patient counselling are also discussed. The setting is an
      outpatient clinic of a large university hospital that serves both an urban and
      rural population. A mailed questionnaire was returned by 150/270 (56%) patients.
      While satisfaction and compliance were not significantly related, satisfaction
      was significantly related to the patient's perception of benefit received as a
      result of care provided by the clinic.

PMID- 10255739
TI  - Compensation and benefits.

PMID- 10255738
TI  - Evaluation of a self-teaching program.
AB  - A self-teaching booklet on hypertension was evaluated in two populations: clients
      attending public health screening clinics and inpatients at a Veterans
      Administration hospital. Participants were randomized into an education or a
      control group. Evaluation consisted of measuring knowledge gained from the
      booklet immediately after reading it and retention of key concepts two weeks
      later. Men did better than women, and VA education participants did better than
      VA controls. No differences were detected between the public health education and
      control groups or the combined VA and public health) education and control
      groups. The self-teaching booklet alone did not appear to yield a measurable
      amount of new knowledge. Health professionals, when educating patients and
      evaluating programs, should consider combinations of educational methods when
      using self-teaching programs.

PMID- 10255740
TI  - Developing a policy manual.

PMID- 10255741
TI  - How clinical pharmacy is practiced at 2 Mayo-affiliated hospitals.

PMID- 10255742
TI  - How pharmacists' salaries & fringe benefits compare by type of practice.

PMID- 10255744
TI  - What to do when confronted with a violent patient.

PMID- 10255743
TI  - Fall accident patterns: characterization of most frequent work surface-related
      injuries.

PMID- 10255745
TI  - Debate over physician advertising continues.

PMID- 10255746
TI  - How physicians can help troubled colleagues.

PMID- 10255747
TI  - Blue Cross tackles fraud by physicians and patients.

PMID- 10255748
TI  - Mentally ill face cuts in disability payments.

PMID- 10255749
TI  - Need for psychiatrists in hospital ERs increasing.

PMID- 10255750
TI  - Prepaid practice--will it work?

PMID- 10255752
TI  - IPAs and psychiatry: bumpy road?

PMID- 10255751
TI  - Villages for the handicapped.

PMID- 10255753
TI  - IPAs and psychiatry--trouble in the west.

PMID- 10255754
TI  - New model proposed for inpatient group therapy.

PMID- 10255755
TI  - You can produce effective PSAs.

PMID- 10255756
TI  - "There wasn't time to scream": anatomy of a hotel disaster.

PMID- 10255757
TI  - House officers and referring physicians.

PMID- 10255758
TI  - The adult with cancer: in preparation for death.

PMID- 10255759
TI  - Data on U.S. hospitals: a comparison of the two principal sources.
AB  - Rapid changes in the nation's health-care requirements and systems of health-care
      delivery are making detailed and reliable information about the nation's
      hospitals increasingly important to researchers. This article compares the two
      principal sources of regular data about the utilization, finances, and staffing
      of U.S. hospitals--the American Hospital Association's Annual Survey of Hospitals
      and the National Hospital Panel Survey. It describes the kinds of data collected
      by the surveys and the methods by which they are processed and verified; and it
      shows how the surveys complement one another in providing a picture of the
      nation's hospital industry. The Annual, a yearly survey of all U.S. hospitals,
      obtains a data set suitable for detailed cross-sectional analyses. The Panel, a
      monthly survey of a sample of U.S. community hospitals, obtains a data set from
      which estimated projections suitable for broad longitudinal analysis are derived.

PMID- 10255760
TI  - Einstein on wheels: what ignites innovation? For inventor of the year Donald
      Ausmus, a paraplegic, it's talent and necessity.

PMID- 10255761
TI  - The physical environment and social welfare.
AB  - Besides providing shelter and space for organized work and play, the physical
      environment symbolically communicates important information about the attributes
      and tasks of social systems and about the dynamics of individuals operating
      within those systems. The environment also influences the behavior of system
      participants.

PMID- 10255762
TI  - Social health concepts for family practice.
AB  - Social health concepts require that the central focus of assessment and
      intervention be the development of familial social health, not the elimination of
      pathology. The social energy generated by a effective relationship with the
      worker assists the family in making the changes necessary for healthy
      functioning.

PMID- 10255763
TI  - Parsons's voluntarism and his analysis of 'the case of modern medical practice'.

PMID- 10255764
TI  - Preserving the consultation: medical record cards and professional conduct.

PMID- 10255765
TI  - Psychiatric emergency: concepts and problems of organizational structure.

PMID- 10255766
TI  - Facilitating the pediatric cancer patient's return to school.

PMID- 10255767
TI  - A framework for designing an MIS for health delivery system in rural India.
AB  - A framework for designing an information system for planning and monitoring of
      rural health services is proposed in the Indian context. For effective monitoring
      the framework emphasises selection of a set of programmed and non-programme
      indicators on inputs, activities, efficiency and impact and their integration at
      the district level. For planning, a village level data base is proposed which
      will integrate environmental data with health programme data. Illustrative
      examples are provided for key features of the MIS and finally those elements of
      the information system which are either too complex or too voluminous to be
      handled manually are identified and the possibility of using computers for such
      analysis is explored.

PMID- 10255768
TI  - Creating an efficient market for nursing home care.
AB  - This paper reviews the theoretical foundations of the common Medicaid nursing
      home reimbursement systems: Reasonable cost related, fixed rate and negotiated
      rate reimbursement. Each reimbursement system is examined in terms of the four
      reimbursement system design goals: allocative efficiency, appropriateness of
      care, quality of care and equity of economic rewards. None of the reimbursement
      approaches are found to be deficient on the theoretical level, but practical
      problems of implementation are shown to be very difficult. As an alternative, a
      competitive binding system is proposed which would bring competitive market
      efficiency to the allocation of Medicaid funds for nursing home care. A
      mathematical programming model is developed to process the bidding information
      and to allocate Medicaid funds to nursing homes.

PMID- 10255769
TI  - A multiple regression model to look into the possible consequences of organizing
      a National Health Service in Italy.

PMID- 10255770
TI  - Regulations--higher cost.

PMID- 10255772
TI  - Health care will suffer.

PMID- 10255771
TI  - Higher quality, lower cost.

PMID- 10255773
TI  - Hospitals support self-help groups.

PMID- 10255774
TI  - Soviet sojourn: an interview with Ann Staifer, CST.

PMID- 10255775
TI  - Controlling hospital garments.

PMID- 10255776
TI  - Food processing and pharmaceuticals: prospecting the employment figures.

PMID- 10255777
TI  - Servicing a specialized market.

PMID- 10255778
TI  - Infection control: facts, fads, fables, & fantasies.

PMID- 10255779
TI  - Consumer access to medical market information.

PMID- 10255780
TI  - The medical record as a data source: use and abuse.

PMID- 10255781
TI  - Could you defend the accuracy of your discharge abstract data?

PMID- 10255782
TI  - Major problems in data accuracy remain unsolved.

PMID- 10255783
TI  - Improving the quality of discharge data.

PMID- 10255784
TI  - Data uses and techniques for monitoring patient referral patterns.

PMID- 10255785
TI  - Data management: computer time sharing as an alternative.

PMID- 10255786
TI  - Data: let the user beware.

PMID- 10255787
TI  - The quality assurance network.

PMID- 10255788
TI  - The medical staff's role in planning and budgeting.

PMID- 10255789
TI  - Raising physicians' cost consciousness.

PMID- 10255790
TI  - Informed consent update.

PMID- 10255791
TI  - The evolving role of the medical staff coordinator.

PMID- 10255792
TI  - Physician recruitment: problems and solutions.

PMID- 10255793
TI  - For media exposure, don't forget radio.

PMID- 10255794
TI  - Marketing ambulatory services to physicians.

PMID- 10255795
TI  - A successful triad.

PMID- 10255796
TI  - Are financial worries causing boards to turn their backs on medical staffs?.
      Interview by Emily Friedman.

PMID- 10255797
TI  - Meeting the press.

PMID- 10255798
TI  - Safety and comfort in wheelchair selection.

PMID- 10255799
TI  - The role of the psychiatrist in the long-term care facility: Part II.

PMID- 10255801
TI  - The dietitian--documentation in the management of clinical services.

PMID- 10255800
TI  - Cane, walker purchases should meet patient need.

PMID- 10255802
TI  - New health hazard: being out of work.

PMID- 10255803
TI  - Interview with Dr. C. Everett Koop, U. S. Surgeon General: Why you're healthier-
      and paying more for it.

PMID- 10255804
TI  - The $4-billion-a-year disability mess.

PMID- 10255805
TI  - If the new federalism gets off the ground.

PMID- 10255806
TI  - Getting the Blues out of the red.

PMID- 10255807
TI  - New nursing home regs: flexible or flimsy?

PMID- 10255808
TI  - How the national medical journal can help.

PMID- 10255809
TI  - Malpractice claims, German style.

PMID- 10255810
TI  - Health indexes for medico-economics.

PMID- 10255811
TI  - Providing essential health services: responding to federal cuts and block grants.

PMID- 10255812
TI  - Whatever happened to national health insurance?

PMID- 10255813
TI  - Five-year trend shows urban community hospitals at risk for closure.
AB  - Examination of the distributional patterns and frequencies of the closings and
      resulting bed losses that occurred in 1977-1981 among urban community hospitals
      shows that these hospitals are more subject to closure than their non-urban
      counterparts. Small hospitals, investor-owned hospitals, and hospitals located in
      very large urban areas in the Pacific and Middle Atlantic regions are especially
      vulnerable.

PMID- 10255814
TI  - Urban public general hospitals: the past and the future.

PMID- 10255815
TI  - Occupational stress, Type A behavior, and physical well being.
AB  - In the context of a person-environment fit framework, organizational level and
      the Type A behavior pattern of managers were found to moderate the stressor,
      satisfaction, and physiology associations. For nurses, Type A behavior pattern
      was a much more significant moderator of the person-environment fit than were the
      nurses' specialty work activities.

PMID- 10255816
TI  - Drugs most frequently used in office-based practice: National Ambulatory Medical
      Care Survey, 1980.

PMID- 10255817
TI  - BLood lead levels for persons 6 months-74 years of age: United States, 1976-80.

PMID- 10255818
TI  - Elders respond to the humanities: the Chicago Public Library program.

PMID- 10255819
TI  - New York City Home Care Project: a coordinated health and social service
      approach.

PMID- 10255820
TI  - A national survey of pharmacy continuing education programs offered in 1980.

PMID- 10255821
TI  - Community hospital model for postgraduate clinical education.

PMID- 10255823
TI  - Training of pharmacy assistants in Bulgaria.

PMID- 10255822
TI  - Cooperative education: a unique approach to practice-oriented pharmacy
      experience.

PMID- 10255824
TI  - An exploratory study of pharmacist and physician publication patterns in selected
      journals, 1961-1979.

PMID- 10255825
TI  - Technique of polysomnography.

PMID- 10255826
TI  - RNs' role debated: MDs take a look at nursing issues.

PMID- 10255827
TI  - On informed consent: new form aims to lessen liability risks.

PMID- 10255828
TI  - Housestaff group's union rights upheld by U.S. labor panel.

PMID- 10255830
TI  - 'Paperless' system: computer expands nurse practitioner role.

PMID- 10255829
TI  - Tennessee physicians oppose hospitals' freestanding ER units.

PMID- 10255831
TI  - Hospital-associated MDs not employees, AMA tells Congress.

PMID- 10255832
TI  - IRS claims IPAs are out for profit.

PMID- 10255833
TI  - E/R: realistic view of hospital emergency rooms creates a black-humor hit.

PMID- 10255834
TI  - Utilization review effort gaining ground.

PMID- 10255835
TI  - Health fair produces business for area physicians.

PMID- 10255836
TI  - Bay area rehearses earthquake disaster.

PMID- 10255837
TI  - Infant mortality may be affected: community clinics face loss in funding.

PMID- 10255838
TI  - Don't withhold infant care, hospitals told.

PMID- 10255839
TI  - 15 years later, free clinic still thriving: Haight-Ashbury Free Clinic still
      alive and well.

PMID- 10255840
TI  - Health pavilion covers broad range of topics.

PMID- 10255841
TI  - Hospital board to rule on privileges.

PMID- 10255842
TI  - Neonatal gains are threatened by liability problems.

PMID- 10255843
TI  - To aid small hospitals 'swing-bed' project funded by foundation.

PMID- 10255844
TI  - More hospitals add self-help care programs.

PMID- 10255845
TI  - New phonocardiography recommendation.

PMID- 10255847
TI  - Preserving the quietude: Cold Spring Harbor Laboratory.

PMID- 10255846
TI  - The 'squeal rule': government and confidentiality.

PMID- 10255848
TI  - The Carroll Center for the Blind: Newton, Massachusetts.

PMID- 10255849
TI  - Get ready for decentralized government.

PMID- 10255850
TI  - Lobbying and the smaller association: political clout.

PMID- 10255852
TI  - Two challenges to courage in caring.

PMID- 10255851
TI  - Competition in health care: who wins?

PMID- 10255853
TI  - The whole person in medical care.

PMID- 10255854
TI  - New frontiers of pastoral care.

PMID- 10255855
TI  - Reflections on the past.

PMID- 10255856
TI  - Ethics and surgery: bedside teaching and learning.

PMID- 10255857
TI  - Ethics of a professional surgeon.

PMID- 10255859
TI  - Young surgeons discuss controversies involved in surgical practice.

PMID- 10255858
TI  - The surgeon's liability as a Good Samaritan.

PMID- 10255860
TI  - Dilemmas of informed consent for surgery.

PMID- 10255861
TI  - The changing role of the manager.

PMID- 10255862
TI  - When family stress affects worker productivity.

PMID- 10255863
TI  - Those sky-high health costs.

PMID- 10255864
TI  - Building the bionic man.

PMID- 10255865
TI  - Standards for determining coal miner's total disability or death due to
      pneumoconiosis; claims for benefits under Part C of Title IV of the Federal Mine
      Safety and Health Act, as amended--Employment Standards Administration, Labor.
      Notice of proposed rulemaking; request for comment.
AB  - On January 1, 1982, the Black Lung Benefits Revenue Act of 1981 and the Black
      Lung Benefits Amendments of 1981 became effective. This legislation made numerous
      substantive changes in the Black Lung Benefits Act, Title IV of the Federal Mine
      Safety and Health Act. Those changes affect both the criteria for establishing
      eligibility for benefits on claims filed on and after January 1, 1982, under the
      Black lung Benefits Act and the procedures for the payment of such benefits.
      These proposed rules are intended to implement those changes in the law and to
      make certain technical corrections in the implementing regulations previously
      promulgated in 1978 and 1980.

PMID- 10255866
TI  - Federal Old-Age, Survivors, and Disability Insurance benefits annual earnings
      test--Social Security Administration. Proposed rule.
AB  - These proposed regulations reflect recent statutory amendments which delay for
      one year (from January 1982 until January 1983), for all except a very small
      number of individuals who file their tax returns on a fiscal year basis, full
      implementation of section 302, Pub. L. 95-216, the Social Security Amendments of
      1977. Section 302 reduced from 72 to 70 the age at which social security
      beneficiaries are no longer subject to an earnings test.

PMID- 10255867
TI  - MTS and WATS market structure--Federal Communications Commission. Fourth
      supplementary notice of inquiry and proposed rule.
AB  - The Commission releases a Supplemental Notice of Inquiry and Proposed Rulemaking
      regarding the MTS and WATS market structure and is seeking comment on the
      development of an access charge to compensate local exchanges for exchange
      facilities to originate or terminate interstate or foreign telecommunications.
      Comments are sought on principles of charging, extent of aggregation,
      implementation mechanisms, and on determination of an appropriate rate of return.
      This action is taken to secure information needed to develop access charge
      principles.

PMID- 10255868
TI  - Delegations of authority and organization; new drug applications--Food and Drug
      Administration. Final rule.
AB  - The Food and Drug Administration (FDA) is amending the regulations for
      delegations of authority regarding approval of new drug applications (NDA's) by
      redelegating to the Directors of Divisions conducting new drug evaluations
      authority to approve an additional class of NDA's to expedite the approval
      process. Published elsewhere in this issue of the Federal Register is a notice
      reorganizing the Bureau of Drugs and Bureau of Biologics into the National Center
      for Drugs and Biologics. This document also updates organizational references in
      accordance with the reorganization.

PMID- 10255869
TI  - Administrative practices and procedures--Office of the Secretary, HHS. Proposed
      rule.
AB  - These proposed rules would reaffirm the Department's policy ordinarily to use
      notice and comment procedures in the development of rules relating to public
      property, loans, grants, benefits, and contracts, even though such action is not
      required by the Administrative Procedure Act, and would set forth the
      circumstances for such use. The Secretary believes that public comment serves an
      important purpose in bringing the expertise and views of interested parties to
      the attention of the Department.

PMID- 10255870
TI  - Food and Drug Administration; statement of organization, functions, and
      delegations of authority.

PMID- 10255871
TI  - The hazardous waste management system--Environmental Protection Agency. Interim
      final amendments to interim final and final rules.
AB  - The Resource Conservation and Recovery Act (RCRA) requires that EPA set
      regulatory standards for all facilities which treat, store, or dispose of
      hazardous waste. In partial implementation of its requirement, on January 23,
      1981, EPA set regulatory standards for incinerators that burn hazardous waste.
      These regulations were issued as "interim final," which means that, although they
      were issued in final form, the Agency invited public comment on them with a view
      to future amendment. Today, EPA is amending, on an interim final basis, certain
      of its regulations applicable to hazardous waste incineration facilities. Today's
      amendments include revisions to: the general standards for permitting hazardous
      waste incinerators (Part 264, Subpart O), published in the Federal Register on
      January 23, 1981; the interim status standards for hazardous waste incinerators
      (Part 265, Subpart O), revised on January 23, 1981; and the consolidated permit
      requirements for incinerators (Part 122), published on May 19, 1980 and January
      23, 1981.U

PMID- 10255872
TI  - Food stamp program; recertification of SSI households--Food and Nutrition
      Service, USDA. Final rule.
AB  - This rule permits food stamp households containing applicants for and recipients
      of Supplemental Security Income (SSI) to apply for food stamp recertification at
      offices of the Social Security Administration (SSA). This action is required by a
      partial summary judgment in the case of James Campbell, et al. v. United States
      Department of Agriculture, et al. This rule's effect will be to offer an
      alternate recertification procedure for many food stamp households.

PMID- 10255873
TI  - Experiments and demonstration projects under the disability insurance and
      supplemental security income programs--Social Security Administration. Proposed
      rule.
AB  - The Social Security Administration (SSA) is proposing to amend its regulations to
      implement section 505 of the Social Security Disability Amendments of 1980 (Pub.
      L. 96-265). That section requires the Secretary to conduct experiments and
      demonstration projects to test alternative conditions and limitations for
      stimulating the return to work of disabled title II beneficiaries and to
      otherwise improve the administration of the title II disability program. To the
      extent necessary to thoroughly evaluate these alternative methods, the Secretary
      may waive compliance with benefit requirements under titles II and XVIII of the
      Social Security Act. Section 505 also authorizes the Secretary to waive or add to
      the requirements, conditions, or limitations in title XVI of the Act to the
      extent necessary to conduct experimental, pilot, and demonstration projects which
      are likely to promote the objective or improve the administration of the SSI
      program.

PMID- 10255874
TI  - Availability of information to the public--Department of Health and Human
      Services. Proposed rule.
AB  - The Department of Health and Human Services is proposing to amend its regulations
      implementing the Freedom of Information Act (FOIA). This proposal would increase
      fees for FOIA searches and copying, to reflect increased costs to the Department.
      It also proposes guidelines for the waiver or reduction of fees.

PMID- 10255875
TI  - Privacy Act of 1974; proposed amendment to system of records--Office of the
      Secretary, HHS. Notice of proposed new routine use for existing system of
      records.

PMID- 10255876
TI  - Designation of certain former Public Health Service facilities as uniformed
      services facilities.

PMID- 10255877
TI  - Regulatory policies and procedures for the Domestic Public Land Mobile Radio
      Service--Federal Communications Commission. Second report and order.
AB  - This Order eliminates the requirement that applicants in the Domestic Public Land
      Mobile Radio Service requesting one initial two-way frequency demonstrate a
      public need for the proposed service. This action will serve the public interest
      by making frequencies available for use by the public in a more timely manner, by
      reducing the costs associated with filing applications and by relieving the staff
      of an unnecessary processing burden. This action is necessary to speed service to
      the public and to reduce staff resources necessary to process applications.

PMID- 10255878
TI  - Critics fear the FDA is going too far in cutting industry's regulatory load.

PMID- 10255879
TI  - HMOs may face a lean future with declining government support.

PMID- 10255880
TI  - Bill would stop FTC probes of health care price fixing.

PMID- 10255881
TI  - Stop-gap Florida law trims malpractice rate increase.

PMID- 10255882
TI  - CertainTeed adds benefits while cutting costs.

PMID- 10255883
TI  - Health plan hikes spark action by college faculty.

PMID- 10255884
TI  - Court's ruling could cripple peer review.

PMID- 10255885
TI  - BC/BS to end involvement in Texas HMO joint venture.

PMID- 10255887
TI  - How to reduce your management costs.

PMID- 10255886
TI  - Cut health care costs 6%-12% through administration.

PMID- 10255888
TI  - Getting doctors to underserviced areas.

PMID- 10255889
TI  - An interdisciplinary methodology for the comparative evaluation of splinting
      materials (orthotics, thermoplastics, clinical research).
AB  - The methodology developed includes both the use of laboratory evaluation and
      clinical assessment in an area where there are no standard requirements, no
      specifications, nor any continuity of data available on the various thermoplastic
      splinting materials now on the market. A series of laboratory tests and clinical
      trials were devised such that these could be interpreted with regard to clinical
      considerations, cost analyses and serviceability factors relating to the
      materials. Laboratory testing covered possible effects on the chemical and
      mechanical properties of material likely to be caused by various environmental,
      sterilization and working factors. The complementary clinical evaluation to
      highlight the behaviour of materials during the fabrication and wearing of
      splints consisted of specific information generated with the assistance of
      experienced occupational therapists, occupational therapy students and patients.
      Biocompatibility studies were also carried out. The data to be published will
      provide needed information to physicians, occupational therapists, physical
      therapists, orthotists, prosthetists, and administrators with regard to their
      making informed decisions on the selection, purchase and use of thermoplastic
      materials.

PMID- 10255891
TI  - Models of abnormality: their political implications for alcoholism program
      policies.

PMID- 10255890
TI  - Programming to meet the needs of the elderly in institutions: part II.
AB  - This paper explores the principles of humanistic psychology and their application
      in the care of elderly institutionalized people. Activities already used by
      occupational therapists which can enhance the self-actualization process are
      described and other activities which could be incorporated into activity programs
      are suggested. The influence of staff attitudes on residents' well-being is a
      vital factor in geriatric care and must be taken into account in any form of
      programming.

PMID- 10255892
TI  - Volunteers as therapists.

PMID- 10255893
TI  - The counselling group: rehabilitative tool for a psychiatric clientele.

PMID- 10255894
TI  - Contract negotiations: a standard for performance.

PMID- 10255895
TI  - Data processing expenditure and salary survey.

PMID- 10255896
TI  - Computerized pharmacy services merely continues century-old tradition at Roper
      Hospital.

PMID- 10255897
TI  - Hospital information systems--the people effect.

PMID- 10255898
TI  - Overcoming resistances to telecommunication innovations in medicine and
      continuing medical education.

PMID- 10255899
TI  - A success story: expanding system capabilities through interfacing.

PMID- 10255900
TI  - Focus: France. Interview by Karen M. Richards.

PMID- 10255901
TI  - Selecting a DP financial system approach.

PMID- 10255902
TI  - Communication and the medical care process.

PMID- 10255903
TI  - Is Bayer better? With more tests behind us, we say once again: all aspirin is
      just about the same.

PMID- 10255904
TI  - Deciding on an inhouse chem profile instrument: a process that gives a profile of
      effective lab management.

PMID- 10255905
TI  - X-ray department gets cost-effective equipment, already has the system to keep it
      in perfect shape.

PMID- 10255907
TI  - Rationale behind major laundry renovation: spend more to save.

PMID- 10255906
TI  - Drug utilization review: a cost-effective method that doesn't tie up costly
      pharmacy staff time.

PMID- 10255908
TI  - Job sharing in health care: an innovative concept begins to catch on.

PMID- 10255909
TI  - A quiet IRS proposal leads to thunderous clamor as employers, consultants examine
      salary reduction.

PMID- 10255910
TI  - Health care cost control experiments for the 1980s.

PMID- 10255911
TI  - Public employee plan conference explores ways administrators can save health
      benefit expenses.

PMID- 10255913
TI  - GAO evaluates cost-effective HMOs.

PMID- 10255912
TI  - U.S., Canadian companies offer healthy benefits.

PMID- 10255914
TI  - District governors discuss uniforms.

PMID- 10255915
TI  - Hospital unit work concept.

PMID- 10255916
TI  - Efficient linen distribution: a key in controlling laundry costs.

PMID- 10255917
TI  - Pharmacists as drug prescribers: validation of certification exams and evaluation
      instruments.
AB  - The purpose of this article is to discuss the validity and reliability of
      certification tests and evaluation instruments for pharmacists as drug
      prescribers. Under California Law AB 717, the University of Southern California
      is operating one of two pilot programs to train and evaluate prescribing
      pharmacists. Various instruments have been created and administered, and validity
      results are presented. The presentation is organized into two areas dealing with
      the development of the examination instrument and then the assessment of the
      prescriptions written by pharmacists. The reliability of the three sections of
      the certification examination as measured by internal consistency was as follows:
      clinical therapeutics (KR 20=.84), physical assessment (KR 20=.88), and law (KR
      20=.84). The exam was given to a group of physicians (N=14) to establish a
      cutting score. Thirty pharmacists who took the exam did slightly better than the
      physicians on clinical therapeutics, but the physicians performed better than
      pharmacists on physical assessment (p less than .01). A prescription evaluation
      form was constructed to evaluate the performance of the pharmacists as
      prescribers. The reliability of the form as measured by coefficient alpha was
      .84. Concurrent validity was explored by assessing the relationship between
      performance on the certification exam and judges' appropriateness scored on
      prescriptions for ambulatory hypertensive patients. These results indicate that
      the pharmacists, who passed the exam, can prescribe as appropriately as
      physicians.

PMID- 10255918
TI  - Peer review of psychodynamic psychotherapy: generous versus restrictive
      reviewers.
AB  - American Psychological Association/CHAMPUS peer reviewers (N=168) evaluated
      clinical treatment reports that described psychodynamic treatment of middle-aged,
      depressed outpatients. Descriptive data are reported on the reviewer'
      recommendations concerning the reimbursement for previous and total (previous
      plus future) care. In addition, generous and restrictive reviewers are compared
      on their theorectical orientation, the self-reported factors affecting their
      review decisions, and their previously reported clinical practice patterns and
      attitudes toward psychological peer review. The implications of these findings
      for mental health quality assurance programs are discussed.

PMID- 10255919
TI  - Evaluating the effectiveness of nursing home administrations.
AB  - There has been little previous research on the determinants of the effectiveness
      of health care administrators. This research gap pertains to virtually all health
      care areas but is especially germane to the long-term care field, which has only
      recently witnessed professional growth in nursing home associations and
      administrator licensing, education, and ethical behavior. The present study
      examines the effectiveness of nursing home administrators according to economic
      criteria (costs and profits per patient per day). Multiple regression analysis
      was used to determine structure and process variables related to those
      effectiveness measures. Results indicate that process variable which are
      controllable by administrators themselves account for the bulk of the variability
      in nursing home administrator effectiveness.

PMID- 10255920
TI  - A VNA home health care program: predicting patients who refuse services.
AB  - Many studies have been compiled which report patient characteristics and patterns
      in the utilization of health care services. Very little information is available
      on the characteristics of patients who refuse services in a particular program.
      This article employs a sample of 246 home health care patients to describe the
      characteristics of persons refusing services compared to a group "normally"
      terminating service. The method employed is discriminant analysis. The results of
      the study are substantively consistent with the theoretical and empirical
      literature on health care utilization. Those refusing service were less likely to
      be insured and tended to have multiple admissions to the program. They were less
      inclined to improve in functional status, despite a tendency toward a longer stay
      in the program. Curiously, fewer nursing visits occurred for these patients,
      despite their longer stays. Implications of the study for program management are
      discussed.

PMID- 10255921
TI  - Scoring patient management problems: external validation of expert consensus.
AB  - This study determined the extent to which medical faculty agreed when rating
      options in two written patient management problems in diabetes mellitus. Another
      purpose was to determine whether option weights (used for scoring) based on the
      consensus ratings of faculty actually predict the choices of well-qualified
      physicians. Experts showed better-than-chance agreement but with considerable
      variation from one part of a problem to another (31% to 73%). Nevertheless,
      consensus ratings were very accurate predictors of the decisions of endocrinology
      fellows (correlations from .60 to .97). When scoring weights are assigned to
      options in patient management problems, consensus (average) ratings of experts
      are likely to demonstrate high concurrent validity for well-qualified clinicans.

PMID- 10255922
TI  - Drug interactions.

PMID- 10255923
TI  - Pharmacokinetics and drug therapy.

PMID- 10255924
TI  - Health care industry, business show increasing interest in PPO concept.

PMID- 10255925
TI  - InterStudy researchers trace progress of PPOs, provide insight into future
      growth.

PMID- 10255926
TI  - Mountain Medical PPO: a case history of marketing a new concept in the Denver
      area.

PMID- 10255927
TI  - Three networks reflect growing interest in the development of California PPOs.

PMID- 10255928
TI  - Investor-owned hospitals study PPO concept; leaders of industry adopt "wait-and
      see" policy.

PMID- 10255929
TI  - New financing arrangements.

PMID- 10255930
TI  - Hospital reorganization: achieving goals through structure design.

PMID- 10255931
TI  - Purchase price is still a key in hospital materials management.

PMID- 10255932
TI  - Arkansas hospital trains personnel to cope with nuclear emergency.

PMID- 10255933
TI  - Fires in two boarding facilities kill 34 residents.
AB  - On October 4, 1980, a fire at the Little Friends, Inc. Community Living Facility
      in Naperville, Illinois, killed three residents. Four months later, 31 residents
      died in a fire at the Beachview Rest Home in Keansburg, New Jersey. These are
      just two of the boarding home fires in which 138 residents died over the past
      three years. Across the United States, 300,000 similar facilities house two
      million residents.

PMID- 10255934
TI  - 1981 multiple-death fires in the United States.

PMID- 10255935
TI  - Non-profit mail image requires close scrutiny.

PMID- 10255936
TI  - Boards must take charge in new age.
AB  - Rapid change demands that the traditionally passive duties of the board of
      directors of non-profit organizations be replaced by a more assertive role, the
      author says. Facing new political and economic realities, volunteer organizations
      will have to adjust to increasing demands for services, and reductions in
      government funds in which the board of directors can be a strong, guiding force.

PMID- 10255937
TI  - Prospect research gains new friends in development office.

PMID- 10255938
TI  - On restricting lobbying for tax exempt public charities.

PMID- 10255939
TI  - Cancer prevention: an oncologist's perspective.

PMID- 10255941
TI  - Cancer prevention through educational intervention: what do we know and what can
      we do.

PMID- 10255940
TI  - Industry: the education of workers in the prevention of cancer.

PMID- 10255942
TI  - The hard-selling supplier to the sick.

PMID- 10255943
TI  - Growth of research pacts underscores need for scrutiny.

PMID- 10255944
TI  - HMOs don't have to fail.
AB  - One of the bright spots in the sometimes black picture that is painted of our
      national health care system is HMOs. Health maintenance organizations provide
      health services to an enrolled group of patients for a fixed, prepaid fee. This
      arrangement induces HMOs to try to keep patients healthy for a competitive rate.
      Because of its special nature, however, an HMO cannot be managed like a fee-for
      service hospital or group practice. And because few managers fully understand
      them, more and more HMOs are failing. The authors of this article say, however,
      that some failures can be avoided. Good management techniques can help HMO
      managers-whether they are community-spirited citizens or seasoned executives
      overcome many of the problems that plague HMO plans: out-of-control utilization
      rates, growth that can occur overnight, conflict between the values of HMOs and
      of the physicians that staff them, and competitors in the health field.

PMID- 10255945
TI  - Enabling the disabled.
AB  - In 1974, Congress passed Public Law 93-516, the Vocational Rehabilitation Act,
      and in 1975, Public Law 94-142, the Education of All Handicapped Children Act.
      The spirit of both laws is to bring people with physical or mental impairments
      into the mainstream of American life. At school, dealing with a fear of
      disability and adjusting to the special needs of others is to become part of
      everyone's education. At work, the handicapped are to have a fair chance to do
      the jobs they are qualified for, and employers are to make reasonable
      accommodations to their handicapped employees' needs. Many companies have taken
      up the spirit of these laws. The authors describe how clear job descriptions and
      practical adjustments have made their rehabilitation and hiring programs work.
      The success of these programs offers encouragement to companies that are just
      starting out in such efforts.

PMID- 10255946
TI  - The middle manager as innovator.
AB  - If there's one thing that most U.S. executives agree on, it's the need for higher
      productivity in American workplaces. So far most efforts at raising performance
      have concentrated on factory and office employees-partly, one assumes, because
      their output is easily measured. However, the increases in productivity at the
      shop or office level will mean nothing in the long run, if, for instance, new
      products aren't designed, new structures aren't put in place to accommodate
      change, or new equipment isn't conceived to improve product quality. In other
      words, a company's productivity depends to a great degree on how innovative its
      middle managers are. In this article, the author describes a study she conducted
      of 165 middle managers in five companies to determine what managers contribute to
      innovation and what factors the most innovative companies have in common. She
      found that, among other things, innovative managers tend to be visionary,
      comfortable with change, and persistent. Innovation flourishes in companies where
      territories overlap and people have contact across functions; information flows
      freely; numbers of people have excesses in their budgets; many managers are in
      open-ended positions, and reward systems look to the future, not the past.

PMID- 10255947
TI  - The management of industrial relations.

PMID- 10255948
TI  - The relevance of action learning to problem-solving and manager development in
      the NHS.

PMID- 10255949
TI  - Do we need a nursing management training scheme?

PMID- 10255950
TI  - Law report: the Employment Protection Act 1975.

PMID- 10255951
TI  - The Social Democratic Party policy for health--an interview with the SDP
      spokesman Mike Thomas MP.

PMID- 10255952
TI  - Improving industrial relations in the NHS--a conference report.

PMID- 10255953
TI  - Who are the TUC Health Service Committee?

PMID- 10255954
TI  - What does antitrust ruling really mean?

PMID- 10255955
TI  - Salaries in materials management continue to rise.

PMID- 10255956
TI  - Designing forms to save money.

PMID- 10255957
TI  - Purchasing: how is your paperwork flow?

PMID- 10255958
TI  - Developing mental handicap services. Part 2: Generating a county-wide programme
      of informed change.

PMID- 10255959
TI  - Specialty budgeting for beginners.

PMID- 10255960
TI  - Public participation in health care.

PMID- 10255961
TI  - Who's afraid of incentive bonus schemes? 2. Control of incentive bonus schemes.

PMID- 10255962
TI  - Planning in the NHS-1982 onwards.

PMID- 10255964
TI  - Health care in Saudi Arabia: the Riyadh al Kharj Hospital Programme.

PMID- 10255965
TI  - Preparing for the new hospital in Maidstone: the human side of commissioning
      activities.

PMID- 10255963
TI  - Evaluation of proposals for a patient administration system.

PMID- 10255966
TI  - A talk with Maggie Kuhn/interview by Peter James MacCracken.

PMID- 10255967
TI  - The process of an elder person becoming a patient.

PMID- 10255968
TI  - Carner's codes. Chapter 2: Seven myths about success.

PMID- 10255969
TI  - Health care manager's notebook: managing productivity.

PMID- 10255970
TI  - Gerontology at Mount Zion.

PMID- 10255972
TI  - Approaches, services vary for employee child care.

PMID- 10255971
TI  - Hospital-sponsored child care: expanded employee benefit.

PMID- 10255973
TI  - Governance, sponsorship, management: what is the trustee's role?

PMID- 10255974
TI  - Hospital trusteeship: corporate and personal liability.

PMID- 10255975
TI  - Administration, Congress lacks clear focus on health care issues. Interview by
      John K. Iglehart.

PMID- 10255976
TI  - Pastoral care workshops provide resource for clergy.

PMID- 10255977
TI  - Strong internal grievance procedure may forestall employees' civil suits.

PMID- 10255978
TI  - Hospitals' liability extended to medical school resident's negligence.

PMID- 10255979
TI  - Public opinion influences decision on CON process.

PMID- 10255980
TI  - Survey shows hospitals want new payment system.

PMID- 10255981
TI  - Hospital Topics goes calling on William G. Anlyan, M.D., Vice President for
      Health Affairs, Duke University Medical Center.

PMID- 10255982
TI  - How Mount Sinai is changing its medical records system.

PMID- 10255983
TI  - A surgery case cart system, is it right for your hospital?

PMID- 10255984
TI  - A steam penetration study comparing a non-woven wrap and a muslin wrap.

PMID- 10255985
TI  - Ethylene oxide.

PMID- 10255986
TI  - Central supply: a jury can make you a believer.

PMID- 10255987
TI  - Pharmacy Qs and As: What are your feelings regarding control by pharmacy of drug
      administration in hospitals?

PMID- 10255988
TI  - Standards of practice for pharmacy services.

PMID- 10255989
TI  - The cost containment of labor.

PMID- 10255990
TI  - How hospitals cut operating costs by cutting utility, fuel bills and have the
      utility pay for the savings!

PMID- 10255992
TI  - New teenage cancer wing.

PMID- 10255991
TI  - The scope of clinical engineering in the hospital.

PMID- 10255993
TI  - Participative management.

PMID- 10255994
TI  - Is the cure worse than the cough?

PMID- 10255995
TI  - How to make major changes in paper work processing for admitting procedures.
      Anderson Memorial Hospital redesigned paper forms to keep up with data processing
      technology.

PMID- 10255996
TI  - Energy management.

PMID- 10255998
TI  - Wrexham DGH: scheme one.

PMID- 10255997
TI  - Manchester Royal Infirmary: multi-storey nucleus project.

PMID- 10255999
TI  - Hospital floorcoverings--to weld ... or not to weld: Part two.

PMID- 10256000
TI  - Ergonomics in health care--a Day Conference of the Ergonomics Society, held at
      Chelsea College.

PMID- 10256001
TI  - Energy management.

PMID- 10256002
TI  - Chester Nucleus: first operational phase.

PMID- 10256003
TI  - Highly flammable bed pads banned in Boston; warning issued.

PMID- 10256004
TI  - Finding alternatives to the armed vs. unarmed battle.

PMID- 10256005
TI  - U.S. Supreme Court rejects case-by-case antitrust analysis in Maricopa.

PMID- 10256007
TI  - Tax quarterly.

PMID- 10256006
TI  - Supreme Court grants right to education to illegal aliens: decision has long
      range implications for right to health care.

PMID- 10256008
TI  - Court of appeals reprimands National Labor Relations Board for ignoring
      Congressional admonition to avoid undue proliferation of bargaining units in the
      health care industry.

PMID- 10256009
TI  - "Resuscitation and the decision against": draft report of the President's
      Commission for the Study of Ethical Problems in Medicine and Biomedical and
      Behavioral Research.

PMID- 10256010
TI  - Social Security opt-out; injunction against a California hospital's withdrawal
      points out issues for all hospitals.

PMID- 10256011
TI  - Second in a series: The President's Commission for the Study of Ethical Problems
      in Medicine and Biomedical Behavioral Research -- "The care of patients with
      permanent loss of consciousness".

PMID- 10256012
TI  - Supreme court rules that an agreement between insurer and a peer review
      organization is not exempt from antitrust scrutiny.

PMID- 10256013
TI  - Court holds that Blue Shield subscriber has antitrust standing.

PMID- 10256014
TI  - Statute excluding men from state nursing school violates equal protection.

PMID- 10256015
TI  - What if it happened at your hospital?

PMID- 10256016
TI  - How to keep your manuals up to date.

PMID- 10256017
TI  - A look at nursing...beyond the bedside.

PMID- 10256019
TI  - Poll shows Canadian trends.

PMID- 10256018
TI  - Records managers are expanding their role.

PMID- 10256020
TI  - Home again in Indiana: new federalism, round one.

PMID- 10256021
TI  - Tax considerations in charitable giving.

PMID- 10256022
TI  - Hiring a health education specialist helps insure high-quality, well-organized
      promotion by HMOs.

PMID- 10256023
TI  - Section C. Health care prices.

PMID- 10256025
TI  - Section E. National economic indicators.

PMID- 10256024
TI  - Section D. Employment, hours, and earnings in the private health sector.

PMID- 10256026
TI  - Section B. Community hospital statistics.

PMID- 10256027
TI  - Moral and ethical obligations of health executives regarding patients' rights and
      advocacy.

PMID- 10256028
TI  - What happens to health care employees after they are fired?

PMID- 10256029
TI  - The realities of Medicare--revisited.

PMID- 10256030
TI  - Patient-oriented management.

PMID- 10256031
TI  - Refining the need for post basic instruction programs for registered nurses.

PMID- 10256033
TI  - Is there life after work?

PMID- 10256032
TI  - The role of provincial hospital associations.

PMID- 10256034
TI  - Health care in the '80s: trying times for physicians.

PMID- 10256035
TI  - Avoiding litigation through effective credentials review.

PMID- 10256036
TI  - Is it proper for a hospital to require mandatory service by medical staff members
      in the emergency department as a condition of medical staff membership?

PMID- 10256037
TI  - Medical care cost containment projects: Emory's experience.

PMID- 10256038
TI  - Beyond jogging shoes--physicians and wellness.

PMID- 10256039
TI  - The acceptance of clinical pharmaceutical services.

PMID- 10256040
TI  - An aminoglycoside policy directed at use and cost.

PMID- 10256041
TI  - Registered nurses' acceptance of pharmacists' clinical activities.

PMID- 10256042
TI  - Hospital pharmacists' attitudes towards medical services representatives: a
      comparison of directors, staff, and clinical pharmacists.

PMID- 10256043
TI  - An approach to formulary consideration of antimicrobial agents: the
      tetracyclines.

PMID- 10256044
TI  - A method for monitoring medication omission error rates.
AB  - A study was conducted of the number of doses omitted on eight patient care units
      in a hospital which employs a decentralized unit dose system. Omitted doses were
      doses of drugs that were returned to the pharmacy and that, as subsequently
      determined, should have been administered to patients. The number of omitted
      doses was 0.048 per patient day. The number of omitted doses per patient day
      varied among the patient care units. The results were reported to the Medication
      Practices Review Committee, a subcommittee of the Pharmacy & Therapeutics
      Committee. Subsequently, educational efforts by the Departments of Nursing and
      Pharmacy were directed towards reducing the omitted-dose rate. The study was
      repeated five months later. The number of omitted doses had fallen to 0.011 doses
      per day, a significant difference from the previous study. All patient care units
      but one had significantly fewer omitted doses, with the other patient care unit
      showing no change. This study showed that the rate of omitted doses can be
      estimated without the use of trained observers. Additionally, this method can be
      used to determine the changes in the omitted dose rate within a hospital.

PMID- 10256045
TI  - A multidisciplinary audit of cardiorespiratory arrest response patterns.
AB  - If a cardiopulmonary arrest occurs in your institution, will the response pattern
      be organized and consistent? Will the Code Blue procedure flow smoothly, with
      each member of the resuscitation team knowing what his responsibilities are and
      how to perform them? Is confusion kept to a minimum? These are the questions
      which our multidisciplinary Code Blue Committee was charged with answering. The
      committee audited four broad areas: adequacy of equipment and medication, written
      policies and procedures, documentation of activities, and preparedness of team
      members for their specific responsibilities. The multidisciplinary approach to
      establishing standards of practice for "Code Blues" has been very successful. As
      a result of the audit, specific actions were taken to correct deficiencies. In
      addition, the meetings provided a caucus for interdepartmental exposure and
      communication which has served to augment interdepartmental relationships.

PMID- 10256046
TI  - Penicillin skin test kits prepared by pharmacy service.
AB  - Penicillin skin tests are of value in detecting patients at risk of experiencing
      an immediate or accelerated hypersensitivity reaction. This paper briefly reviews
      the immunologic aspects of penicillin hypersensitivity, the indications and
      procedure for using penicillin skin tests, and the interpretation of skin test
      results. A pharmacy-prepared skin test kit is also described. The penicillin skin
      test kit can facilitate the proper use of penicillin test reagents.

PMID- 10256047
TI  - Hospital shopping and consumer choice.

PMID- 10256048
TI  - Variables influencing the consumer's choice of nursing homes.

PMID- 10256049
TI  - A conjoint analysis approach to health care marketing and planning.

PMID- 10256050
TI  - Pediatric health care promotion: participation despite pitfalls and problems.

PMID- 10256051
TI  - A marketing orientation for the nursing home industry.

PMID- 10256052
TI  - Sweden: emergency health care scene.

PMID- 10256053
TI  - Medical incident command: planning for performance.

PMID- 10256054
TI  - New Britain EMS: born of crisis but thriving.

PMID- 10256055
TI  - Personnel management in long-term care administration.
AB  - Foremost among the serious issues surrounding long-term care is the question of
      appropriate staffing for quality patient care. The philosophy of personnel
      management in controlling the key factors of the institution's objectives will
      enhance the employee's capability and understanding. The approach in personnel
      management techniques should then be designed to involve management, supervisory
      personnel, and the employee. Employee efficiency, quality performance, and
      advancement of the overall goals are the desired end results. Employees should be
      constantly challenged to allow them to contribute their best efforts and achieve
      their potential. While both methods and the workforce are undergoing constant and
      dramatic changes, people continue to be management's greatest asset.

PMID- 10256056
TI  - Contracting for administrative effectiveness in the convalescent hospital-nursing
      home industry.

PMID- 10256057
TI  - Illinois economics and micrographics.
AB  - This paper covers the operational and financial details of the first Illinois
      computer-output microfische installation. Fiscal 1981 costs and output are
      compared against earlier data highlight the economics of micrographics in
      effecting cost savings against an ever-increasing need for computer data output
      to assist management information needs. Typical user data is shown and monthly
      report forms covering source document microfilming, photographic processing and
      laboratory services are presented. Operational costs are compared and the cost
      per microfiche copy and per original silver negative are developed. The semantics
      of "savings" versus "cost avoidance" is explored.

PMID- 10256058
TI  - Meeting the challenges and changes in human services administration: devolution,
      deregulation, reduction, and privatization--symposium. American Society for
      Public Administration, 1981 annual meeting.

PMID- 10256059
TI  - New federal policy in human services: an ogre or an opportunity?

PMID- 10256060
TI  - Productivity in human services: an overview.

PMID- 10256061
TI  - Health planning and competition: public goods and the impact of demand
      elasticity.

PMID- 10256062
TI  - Funding problems in humans services: a local government perspective.

PMID- 10256063
TI  - Determining supervisory status and bargaining unit composition in the nursing
      profession.

PMID- 10256064
TI  - Practical microform materials for libraries: silver, diazo, vesicular.

PMID- 10256065
TI  - Baylor moves laundry operation to temporary location off site.

PMID- 10256067
TI  - Renovation of hospital laundry will mean fewer operating days.

PMID- 10256066
TI  - Linen director projects big saving in energy after laundry opening.

PMID- 10256068
TI  - Revamping of landmark laundry leaves building exterior intact.

PMID- 10256069
TI  - Establishing goals for a faculty practice plan.

PMID- 10256070
TI  - Forecasting.

PMID- 10256071
TI  - The seesaw syndrome: development of a successful hospital-based ambulatory care
      program.

PMID- 10256073
TI  - Developing job descriptions.

PMID- 10256072
TI  - Looking to the 90s.

PMID- 10256074
TI  - Reimbursement of pathologists in multispecialty groups.

PMID- 10256075
TI  - Physician recruiting in remote areas.

PMID- 10256077
TI  - What can a micro-PBX do for your group?

PMID- 10256076
TI  - Marketing a sound financial management system.

PMID- 10256078
TI  - Cooperative management.

PMID- 10256079
TI  - How far will your hospital go to keep you happy?

PMID- 10256080
TI  - Retired doctors: doing good, feeling great.

PMID- 10256081
TI  - Let's stop ducking decisions on patient care.

PMID- 10256082
TI  - Can a hospital sue you for a nurse's mistake?

PMID- 10256083
TI  - Pulmonary tuberculosis control and management.

PMID- 10256085
TI  - AMA to forge a national health policy.

PMID- 10256084
TI  - U.S. plans to drop curbs on hospital purchase of CT scanners.

PMID- 10256086
TI  - Managers tap into small business computers.

PMID- 10256087
TI  - Getting to the roots of poor performance.

PMID- 10256088
TI  - Contracts climb 22% in '81; more steady growth seen.

PMID- 10256089
TI  - Authors offer tips on successfully negotiating management contract.

PMID- 10256090
TI  - Leading firms boost contract business 18.2%.

PMID- 10256091
TI  - Shared services pacts up 22%.

PMID- 10256092
TI  - Shared services hold antitrust risk.

PMID- 10256093
TI  - Materials management contractors work themselves out of their jobs.

PMID- 10256094
TI  - Hospital joins with computer firm to market wellness programs.

PMID- 10256095
TI  - It pays to give employees a day off to ponder their performance problems.

PMID- 10256096
TI  - M.D. trustees prescribe laymen's input.

PMID- 10256097
TI  - 'Patient's rights' statement backfires, leads to release of mentally ill man.

PMID- 10256099
TI  - Bond restrictions could rob Treasury.

PMID- 10256098
TI  - VHA to buy 25% share of financial services firm.

PMID- 10256100
TI  - AMT bid edged rival out of market: FTC.

PMID- 10256101
TI  - Hospital supply price hikes slacken, while credit and inventories tighten.

PMID- 10256102
TI  - Survey proposal isn't lax, homes say.

PMID- 10256103
TI  - New high-technology products: a boom or bust for hospital revenues.

PMID- 10256105
TI  - Ads polish local image of nationally known hospital.

PMID- 10256104
TI  - Small staff in HHS continues review of big-ticket medical technologies.

PMID- 10256106
TI  - Hospitals will use UB-82 form as part of electronic claims processing system.

PMID- 10256108
TI  - New markets pose foreign problems.

PMID- 10256107
TI  - Zeros catch on, but risks unknown.

PMID- 10256109
TI  - Co-op units offer more personal care while reducing cost of stay by 40%.

PMID- 10256110
TI  - Concentrator reimbursement rules: an uncertain future.

PMID- 10256112
TI  - Helicopter fires and foam.

PMID- 10256111
TI  - Oxygen concentrator market fulfilling promises.

PMID- 10256113
TI  - VDT's: wave of the present.

PMID- 10256114
TI  - National Safety Council: writing and publishing employee safety regulations.

PMID- 10256115
TI  - Health for the whole family.

PMID- 10256118
TI  - Type A behavior, need for control, and reactions to group participation.
AB  - The present study examines the behavior of Type A coronary-prone subjects in
      group problem-solving sessions. Subjects discuss possible solutions to two
      problems in same-sex groups containing both Type As and Bs. As are much more
      likely than Bs to be seen as leaders and are rarely nominated as the least
      helpful member. Although A and B leaders are both seen as moderately likeable, A
      leaders' problem solutions are rated as lower in quality. Manipulations of
      problem importance and incentive for good solutions have similar effects on As
      and Bs. The results are discussed as being generally consistent with the proposal
      that Type As are primarily motivated by a need for control. Some indirect support
      is obtained for the idea that As are more susceptible than Bs to learned
      helplessness.

PMID- 10256116
TI  - Recognizing & combating stress: working under pressure.

PMID- 10256117
TI  - Survival depends on innovations: trouble-shooters needed.

PMID- 10256119
TI  - The pathologist as a consultant in a rural area.
AB  - In this article, the author discusses some of the problems a pathologist serving
      as a consultant in a rural hospital may encounter, and ways in which the advisor
      can maintain good relations with the technologists, physicians, nurses, and
      administrators.

PMID- 10256120
TI  - Medical professionals and the government--new roles for a new age.
AB  - The following has been excerpted from a statement prepared for delivery by Edward
      N. Brandt, Jr, MD, assistant secretary for health, Department of Health and Human
      Services, during the recent CAP/ASCP Spring Meeting.

PMID- 10256121
TI  - Telephone tips to serve patients better.

PMID- 10256123
TI  - The corrective discipline process.

PMID- 10256122
TI  - Social responsibility: how companies become involved in their communities.

PMID- 10256124
TI  - Cost per day: the best way to explain drug costs to patients & physicians.

PMID- 10256126
TI  - Hospital newsletters reaffirm pharmacists' role in drug therapy.

PMID- 10256125
TI  - How our pharmacists participate in cardiopulmonary resuscitation.

PMID- 10256127
TI  - Part two: What new Rx services are provided in long-term care facilities?

PMID- 10256128
TI  - How the computer sparks efficient service to the nursing home.

PMID- 10256129
TI  - How nurses & pharmacists serve effectively on our I.V. therapy team.

PMID- 10256131
TI  - Houston hospital merges health promotion, haute cuisine in unique restaurant
      venture.

PMID- 10256130
TI  - Self-help groups: the untapped health promotion resource.

PMID- 10256132
TI  - Issues: other views--health education.

PMID- 10256133
TI  - Hospital expands its services by lending self-help groups a helping hand.

PMID- 10256134
TI  - Hospital, public libraries join forces to make reliable health information more
      accessible to public.

PMID- 10256135
TI  - Stress: What is it? How to recognize? Always bad? What to do about it?

PMID- 10256136
TI  - Prevention of slip and fall injuries: part II.

PMID- 10256137
TI  - Second opinions: do they help or hinder physicians?

PMID- 10256138
TI  - What to tell your patients if you're sued for malpractice.

PMID- 10256139
TI  - Activism on a global scale: the infant-formula controversy marked the first time
      activist groups teamed up world-wide.

PMID- 10256140
TI  - Environmental activism's resurgence.

PMID- 10256141
TI  - Overcoming employee ambivalence.

PMID- 10256142
TI  - RACE: a public relations process model for orderly planning and efficient
      implementation.

PMID- 10256143
TI  - More than a bulletin board: employee publications have a new role to play, one
      that will reassure, guide, instruct, and above all, help employees prepare for
      tomorrow.

PMID- 10256144
TI  - The long struggle to make sociology useful.

PMID- 10256146
TI  - Assessing comprehension in a survey of public reactions to complex issues.
AB  - This paper reports results of research to develop household interview procedures
      for obtaining reasonably informed public judgements about ethical issues in
      biomedical research. We describe (1) an interviewing strategy designed to enhance
      comprehension among survey respondents, and (2) a composite comprehension index
      based on three types of information from the interview. Using data from a cross
      section sample, we identify subgroups that differ significantly with respect to
      scores on the comprehension index, and we then describe the observed levels of
      comprehension in terms of the operations defining the index. The results
      demonstrate both the feasibility and limits of obtaining informed rather than
      naive judgements about complex issues from lay respondents.

PMID- 10256145
TI  - Measuring depression in the community: a comparison of telephone and personal
      interviews.
AB  - Interview method effects in response to the Center for Epidemiologic Studies
      Depression Scale (CES-D) are compared among a community sample (N = 546) of
      adults randomly assigned to either telephone or in-person interviews. The
      interviews were conducted in Los Angeles during 1980. No significant differences
      were observed between the two interview methods in nonresponse to symptom items,
      preference for specific response categories, reliability, mean level of
      depression, or proportion classified as depressed. Furthermore, no significant
      interactions were found between sociodemographic characteristics and the method
      of interview.

PMID- 10256148
TI  - Infant ventilation comes of age. Interview by William Poundstone.

PMID- 10256147
TI  - Coming to a stranger's rescue: physician involvement at the scene of an
      emergency.
AB  - On a Saturday evening last November, two well-known Los Angeles physicians who
      came to the aid of a cardiac-arrest victim in a Palm Springs hotel were arrested
      for interfering with an emergency medical rescue and resisting arrest. The
      incident triggered a shock wave that was felt throughout the California medical
      community and far beyond. Just what is the relationship between physicians and
      paramedics in such a situation? Who is authorized to take charge, and who is most
      qualified?

PMID- 10256150
TI  - Cheating in the labs.

PMID- 10256149
TI  - Avoiding the spread of infection: sterilization procedures in the respiratory
      therapy department.
AB  - The equipment used in respiratory therapy can be the source of serious nosocomial
      infections unless close attention is given to appropriate sterilization,
      disinfection, and general measures that come under the heading of good
      housekeeping. And even the best of these measures will fail if therapists do not
      observe the cardinal rule of regular hand washing.

PMID- 10256151
TI  - Good Samaritans and hospital emergencies.

PMID- 10256152
TI  - Dealing with marginal clinical practice: 10 common errors to watch out for.

PMID- 10256153
TI  - Manufacturers describe consideration in selecting tissue trauma products.

PMID- 10256154
TI  - Nursing home protocols for treating decubitus ulcers.

PMID- 10256155
TI  - Bacon Hill America: serving Canada, expanding in the United States. Interview by
      Patricia E. Raber.

PMID- 10256156
TI  - Fiber.

PMID- 10256157
TI  - Spreading the word on "innovative' programs.

PMID- 10256158
TI  - Report on privacy: Who is watching you?

PMID- 10256159
TI  - The service industry: maintaining the competitive edge.

PMID- 10256160
TI  - Hospitals and primary health care in Mexico.

PMID- 10256161
TI  - Health care planning in urban areas: the Nottingham workshop.

PMID- 10256162
TI  - Fire safety in hospitals and homes for elderly and disabled people.

PMID- 10256163
TI  - Hospital fire protection: the unit concept.

PMID- 10256164
TI  - The role of the community care centre in an urban situation.

PMID- 10256165
TI  - Health systems support for primary health care.

PMID- 10256166
TI  - Quality assurance in Japanese hospitals.

PMID- 10256167
TI  - Caring for people who happen to be patients.

PMID- 10256168
TI  - Humanisation of the hospital.

PMID- 10256170
TI  - Energy and hospitals.

PMID- 10256171
TI  - Energy management: challenge of the 1980s.

PMID- 10256169
TI  - Developing dynamic organisations through management seminars.

PMID- 10256172
TI  - Paediatrics 1981: Canadian style.

PMID- 10256173
TI  - Contraceptive use patterns, prior source, and pregnancy history of female family
      planning patients: United States, 1980.

PMID- 10256174
TI  - Art therapy and cultural difference.

PMID- 10256175
TI  - Micro-movement transducers as an aid in EEG interpretation.

PMID- 10256176
TI  - Are you an effective leader?

PMID- 10256177
TI  - The adversary process: law seeking truth.

PMID- 10256178
TI  - New freedom for emphysema patients.

PMID- 10256180
TI  - Get the most out of your printing dollars.

PMID- 10256179
TI  - Associations move ahead with teleconferencing.

PMID- 10256181
TI  - Association profile: American Society of Law and Medicine.

PMID- 10256182
TI  - Simplified specimen photography: standardized technique yields high-quality
      photos while saving time.

PMID- 10256183
TI  - The satellite connection: hospitals link up for CME presentations.

PMID- 10256185
TI  - Three deadly mistakes in advertising.

PMID- 10256184
TI  - Video teleconferencing techniques: Part III.

PMID- 10256186
TI  - Safeguarding the computer room from power problems.

PMID- 10256187
TI  - Assessment of technology.

PMID- 10256188
TI  - On firing: should it be formalized?

PMID- 10256190
TI  - Documenting employee problems.

PMID- 10256189
TI  - Rx for stress: one hospital's approach.

PMID- 10256191
TI  - New prescription: intensive care.

PMID- 10256192
TI  - Standards applicable to owners and operators of hazardous waste treatment,
      storage, and disposal facilities; liability coverage requirements--Environmental
      Protection Agency. Final rule and notice of extension of effective date.
AB  - The effective date for qualifications of insurers providing liability insurance
      used to satisfy liability coverage requirements applicable to owners or operators
      of hazardous waste management facilities, as such requirements are included in 40
      CFR Parts 264 and 265, is extended from July 15, 1982, to October 16, 1982. The
      effective date for the rest of the liability coverage requirements remains July
      15, 1982. This extension is being provided to allow 6 months between the date of
      promulgation and the effective date for the insurer qualification provision, in
      accordance with Section 3010(b) of the Resource Conservation and Recovery Act of
      1976, as amended. During the period between July 15 and October 16, 1982, owners
      or operators may use certificates of insurance or policy endorsements that do not
      certify to the qualifications of the insurer.

PMID- 10256193
TI  - Utility workers mostly happy with HMO treatment: survey.

PMID- 10256194
TI  - Insurers hike health rates up to 60% for small firms.

PMID- 10256195
TI  - Bank hopes review plan will cut health bill.

PMID- 10256196
TI  - Reducing health cost: cutting fees must start with providers and users.

PMID- 10256197
TI  - Self-insurers fear they could be hurt by new health care competition law.

PMID- 10256198
TI  - A three-part performance appraisal system.

PMID- 10256199
TI  - Guidelines in nuclear medicine.

PMID- 10256200
TI  - The pharmacist's role in symptomatic treatment.

PMID- 10256201
TI  - Health for all by the year 2000 is a policy with limits.

PMID- 10256202
TI  - Recent developments in gastrointestinal and hepatobiliary diagnostic imaging.

PMID- 10256203
TI  - Training legal counsel for health institutions.

PMID- 10256204
TI  - Is deregulation the answer.

PMID- 10256205
TI  - Trusteeship today: the issues.

PMID- 10256206
TI  - E.A.P.: care for the care giver.

PMID- 10256207
TI  - Accounting rules for pension plans: FASB Statements No. 35 and 36.

PMID- 10256208
TI  - CODAs: better than IRAs?

PMID- 10256209
TI  - The potential for performance-based benefit plans.

PMID- 10256210
TI  - Pills that compete with aspirin.

PMID- 10256212
TI  - Immanuel Village--a unique retirement community, a unique venture in
      diversification.

PMID- 10256213
TI  - Capital needs: a matter of survival or a political time bomb?

PMID- 10256211
TI  - Innovative first aid for the 'fractured parking-gate arm' syndrome.

PMID- 10256214
TI  - Reducing switchboard personnel: is direct inward dialing the cost-effective way?

PMID- 10256215
TI  - Cost-effective materials management: putting the spotlight on the real savers.

PMID- 10256216
TI  - Rural consortium: key resource for critical care nursing education.

PMID- 10256217
TI  - Costing out hospital-based community educational programs.

PMID- 10256218
TI  - Building learner-based education and training programs.

PMID- 10256219
TI  - The aging of age discrimination--evolving ADEA interpretations and employee
      relations policies.

PMID- 10256220
TI  - Tax-sheltered savings for employees through cash or deferred plans.

PMID- 10256221
TI  - ED admissions across U.S. down; EP glut is forecast.

PMID- 10256222
TI  - Fla. hospital works out its helicopter rules.

PMID- 10256223
TI  - Orientation and on-the-job training.

PMID- 10256224
TI  - Cost containment with good will.

PMID- 10256225
TI  - Who cleans up? The people-side of sanitation.

PMID- 10256226
TI  - They came by the thousands ... and have been fed.

PMID- 10256227
TI  - Problem: how to improve foodservice during a nursing strike.

PMID- 10256228
TI  - A plea for more dietitians.

PMID- 10256229
TI  - The dubious values of community health fairs: a position paper.

PMID- 10256230
TI  - A health educator looks at medicine.

PMID- 10256231
TI  - 33 Groups join coalition to preserve FTC power over professions.

PMID- 10256232
TI  - Innovation, good management keys to financial survival, experts tell planners.

PMID- 10256233
TI  - Key house members propose two-year moratorium on nursing home deregulation.

PMID- 10256234
TI  - When the walls really have ears.

PMID- 10256235
TI  - Designed for day-to-day living.

PMID- 10256236
TI  - The buck starts here.

PMID- 10256237
TI  - Setting up a comprehensive forms management program.

PMID- 10256238
TI  - Needle & syringe prices point upward.

PMID- 10256240
TI  - Productivity measurements for M.M.

PMID- 10256239
TI  - Quality management: measuring the quality of services provided by hospital
      departments.

PMID- 10256241
TI  - HCA gives its materiel managers education sessions on videotape.

PMID- 10256243
TI  - Canadian group announces guide for health worker immunization.

PMID- 10256242
TI  - Master your time management problems--now.

PMID- 10256244
TI  - Infection perspective: meningitis.

PMID- 10256245
TI  - Hospitals don't burn--or do they?

PMID- 10256246
TI  - Timber treatment.

PMID- 10256247
TI  - Drainage problems.

PMID- 10256248
TI  - The rehabilitation of existing premises.

PMID- 10256249
TI  - International standards for medical-electrical equipment.

PMID- 10256250
TI  - Appropriate technology: a challenge to engineers.

PMID- 10256251
TI  - Hospital Linen Services Symposium paper: effective management.

PMID- 10256252
TI  - Laundry energy conservation.

PMID- 10256253
TI  - Grieving parents derive support from self-help group.

PMID- 10256254
TI  - Two support groups focus on grief education, therapy.

PMID- 10256255
TI  - The Catholic health facility: would you know one if you saw one?

PMID- 10256256
TI  - Treating defective newborns: who decides? On what basis?

PMID- 10256257
TI  - Spiritual renewal program for CEOs explores health care ministry.

PMID- 10256258
TI  - Witness in action unifies Western, Oriental workers.

PMID- 10256259
TI  - Dental coverage helps recruit, retain employees.

PMID- 10256260
TI  - Adapting QCs to health care: some special challenges.

PMID- 10256261
TI  - Quality circle technique aids evaluative criteria process.

PMID- 10256262
TI  - Nursing committees participate in management.

PMID- 10256263
TI  - Expanded in-service education includes night shift employees.

PMID- 10256264
TI  - Parents learn child management skills in early intervention program.

PMID- 10256265
TI  - Hospital liable for physician negligence under principal-agent relationship.

PMID- 10256266
TI  - Res ipsa loquitur not applicable unless negligence proved.

PMID- 10256267
TI  - Selected issues in treating the Chinese patient.

PMID- 10256268
TI  - Fund development and public relations: should we splice 'em or split 'em?

PMID- 10256269
TI  - Hospital planning--an editorial view.

PMID- 10256270
TI  - Warning issued on prescription drug scam.

PMID- 10256271
TI  - Pharmacy armed robberies: a problem of people, hardware.

PMID- 10256272
TI  - Baltimore Court orders Maryland Rate Review Commission to grant hospital's
      requested rate increase.

PMID- 10256273
TI  - AHA analysis determines the effects of state hospital rate regulation still not
      conclusive.

PMID- 10256274
TI  - HHS issues interim final swing-bed regulations.

PMID- 10256275
TI  - HHS issues rules on HSA governing body composition.

PMID- 10256276
TI  - DOJ's new merger and acquisition antitrust guidelines outline what activities
      might be subject to challenge.

PMID- 10256277
TI  - Federal District Court refuses to apply "per se" rule in antitrust challenge to
      third party reimbursement policies.

PMID- 10256278
TI  - Special report: Congress passes the Tax Equity and Fiscal Responsibility Act.

PMID- 10256279
TI  - New Tax Bill imposes some restrictions on tax-exempt bonds.

PMID- 10256280
TI  - Similarities and differences between an urban and a rural hospital based home
      care program.
AB  - Over a 3 month period, 116 patients assigned on the basis of geographical
      proximity to an urban or rural Hospital Based Home Care Program were examined to
      determine whether services provided by an urban-based HBHC team could be extended
      by a rural-based team to a similar but rural, chronically ill patient population.
      Variables reflecting medical and socio-economic patient characteristics and level
      of services provided were gathered to test for significant differences between
      the two programs. Two-tailed difference of group means t-tests of the data
      revealed that only number of medications and supplies dispensed attained
      significance; patients in the urban program received more than their rural
      counterparts, a result probably due to the greater proximity of the program
      physician to the urban-based team. The results appear to indicate that it is
      possible to maintain severely disabled patients in their own homes in rural as
      well as urban settings.

PMID- 10256281
TI  - Role analysis of the position of the homemaker-home health aide.
AB  - This research attempted to clarify the definition of the role of the homemaker
      home health aide, the individual who provides directly the personal and
      homemaking services to enable persons who cannot perform these basic tasks for
      themselves to remain in their homes. The research focused on the definition of
      this role by analyzing it from the perspective of role theory and by describing
      the role activity among agencies that meet the National HomeCaring Council
      criteria for formal accreditation and/or approval. The findings revealed very
      little conflict in role definition between the providers and the consumers of
      homemaker-home health aide services.

PMID- 10256282
TI  - Comparative approaches to resource allocation and cost containment: an
      International View I-- the comparative costs of health given inside and outside
      Hospitals: a European View.

PMID- 10256283
TI  - 1982 salary survey--part one.

PMID- 10256284
TI  - How well do you sell your hospital?

PMID- 10256285
TI  - Day care and the chronic patient: what we have here is the same old problems in
      different places.

PMID- 10256286
TI  - The assessment of suitability for partial hospitalization: the day therapy
      appropriateness scale.

PMID- 10256287
TI  - American Association for Partial Hospitalization (AAPH) standards and guidelines
      for partial hospitalization.

PMID- 10256288
TI  - Perception of partial hospitalization by mental health and rehabilitation
      professionals in Jerusalem.

PMID- 10256289
TI  - Zurich's day clinic for child and adolescent psychiatry: setting and
      possibilities.

PMID- 10256290
TI  - The community-based group home: experiment in psychiatric rehabilitation.

PMID- 10256291
TI  - The life skills program: a psychoeducational approach to psychiatric day care.

PMID- 10256292
TI  - Adult day care--a viable alternative: a comparison of adult day-care participants
      and nursing-home residents.

PMID- 10256293
TI  - The admission criteria and an entry process to a psychiatric day program.

PMID- 10256294
TI  - Barriers to partial hospitalization funding in the 1980s.

PMID- 10256295
TI  - VA chief calls for disposables reuse.

PMID- 10256296
TI  - The AHSC case: what does it mean for group buying?

PMID- 10256297
TI  - Quality is first in maintenance chemicals.

PMID- 10256298
TI  - Cleaning product 'quality' stressed.

PMID- 10256300
TI  - Therapeutic alternatives widely used in hospitals.

PMID- 10256299
TI  - Commodity coding. Part I.

PMID- 10256301
TI  - What's the value in value engineering?

PMID- 10256302
TI  - Personality type key to time use.

PMID- 10256303
TI  - The physician glut, quality care, and costs.

PMID- 10256304
TI  - Can mandatory liability insurance patch the 'deep pocket' crisis?

PMID- 10256305
TI  - AMA stalks elusive beast: medical staff representation.

PMID- 10256306
TI  - A new vacuum filling method for mass reconstitution of manufacturers' IVPB.

PMID- 10256307
TI  - Use of a management information system to select and monitor patients for a new
      clinic.

PMID- 10256308
TI  - Primary health care delivery and public health departments: a model and
      simulation.

PMID- 10256309
TI  - Prescribing in pediatric ambulatory care.

PMID- 10256310
TI  - Medicine and education: interactive processing for special children.

PMID- 10256311
TI  - A computerized data system for coordination of pediatric care.

PMID- 10256312
TI  - A quality assurance plan for an ambulatory care department.

PMID- 10256313
TI  - Evolution of an HMO.

PMID- 10256314
TI  - Group practice at the Columbia-Presbyterian Medical Center.

PMID- 10256315
TI  - Profile of Dr. Solomon J. Axelrod. Interview by Theodore Goldberg.

PMID- 10256316
TI  - A RN residency program.

PMID- 10256317
TI  - The consumer's view: a satisfaction survey.

PMID- 10256319
TI  - A patchwork quilt honoring grandparents.

PMID- 10256318
TI  - How to buy -- chairs.

PMID- 10256320
TI  - Food service -- tips for increasing food quality and decreasing costs.

PMID- 10256321
TI  - 'Farash' -- free in spirit. Middle Eastern dancing gives exercise and enjoyment.

PMID- 10256322
TI  - Who shall live? Who shall die?

PMID- 10256323
TI  - Targeting for results -- identifying employee promotion potential.

PMID- 10256325
TI  - Relating competition to long term care.

PMID- 10256324
TI  - Legal responsibilities and liabilities.

PMID- 10256326
TI  - People are the best productivity resource.

PMID- 10256327
TI  - 'Acting on the mind.'.

PMID- 10256328
TI  - Identifying market segments within a health care delivery system: a two stage
      methodology.

PMID- 10256329
TI  - Comparison of perceived hospital affiliation and selection criteria by primary
      market segments.

PMID- 10256330
TI  - A methodology for determining the market feasibility of a satellite clinic.

PMID- 10256331
TI  - The future of advertising: a hospital perspective.

PMID- 10256332
TI  - Targeting a hospital's marketing efforts to physicians' needs.

PMID- 10256333
TI  - Academicians and practitioners: a collision course or productive interchange.

PMID- 10256334
TI  - Roger C. Peace Institute of Rehabilitative Medicine: marketing promotional plan.

PMID- 10256335
TI  - Your friend, the microcomputer.

PMID- 10256337
TI  - Putting the pressure on shock. Part 2: a guide to the garments.

PMID- 10256336
TI  - Flight 30 ... over the end!

PMID- 10256338
TI  - Productivity and the knowledge worker.

PMID- 10256339
TI  - The country mouse and the city mouse.

PMID- 10256340
TI  - Budget cuts, JCAH help trigger DC hospital laundry renovation.

PMID- 10256341
TI  - Muhlenberg wins bidding battle for hospital laundry contract.

PMID- 10256342
TI  - Majority says rising costs will not jeopardize the future of OPLs.

PMID- 10256343
TI  - First aid squad: today's Good Samaritans.

PMID- 10256344
TI  - [What's new--and best--in office copiers].

PMID- 10256345
TI  - Medicine-by-telephone rings some new numbers.

PMID- 10256346
TI  - Second opinions: the cost-saving program that isn't.

PMID- 10256347
TI  - How for-profit hospitals are going after your patients.

PMID- 10256348
TI  - A fresh--and friendlier--wind blows from the FDA. Interview by John H. Lavin.

PMID- 10256349
TI  - The doctor comes out ahead, too.

PMID- 10256350
TI  - Look what's back--partnerships of corporate practices.

PMID- 10256351
TI  - Jaipur limbs.

PMID- 10256352
TI  - Hospital credit crunch looms over billions needed for modernization.

PMID- 10256353
TI  - Second opinions called cost-saver, but few voluntarily seek them.

PMID- 10256354
TI  - States may get more health programs but less money under Reagan plan.

PMID- 10256355
TI  - HOC promotes publicly accountable licensing system.

PMID- 10256356
TI  - Use or abuse of professional credentialing.

PMID- 10256357
TI  - Professional peers measure competency on the job.

PMID- 10256358
TI  - Manpower supply and regulation: the employer perspective.

PMID- 10256359
TI  - Future trends in regulation: a report from the state.

PMID- 10256360
TI  - 17% of hospital CEOs fired, revealing pressure of top job.

PMID- 10256362
TI  - Quality circles roll into hospitals.

PMID- 10256361
TI  - Specialty gives edge in rough fight for jobs.

PMID- 10256363
TI  - 'Efficiency boys' elbow their way into restructured hospitals.

PMID- 10256364
TI  - Foundering hospital snares surplus with better mousetrap.

PMID- 10256365
TI  - Voice-activation, personalized order entry system speed orders.

PMID- 10256366
TI  - Hospital's new wellness center is fit with a health club image.

PMID- 10256367
TI  - Staff privileges draw FTC scrutiny.

PMID- 10256368
TI  - Labor/delivery/recovery room blends best of birthing styles.

PMID- 10256369
TI  - Court shoots down antitrust immunity.

PMID- 10256370
TI  - Hospital, as public agency, pressed to give documents to newspaper.

PMID- 10256371
TI  - PR, marketing departments linked in hospitals' drive to fill market void.

PMID- 10256372
TI  - Prepare to go through major attitude changes to reap restructuring reward.

PMID- 10256373
TI  - Health insurers must take reins.

PMID- 10256374
TI  - Program seeks end to needless health services.

PMID- 10256375
TI  - Pension plan disclosure rules.

PMID- 10256376
TI  - MO. puts priority on health costs.

PMID- 10256377
TI  - Assessing the general health of the accounts receivable balance.

PMID- 10256378
TI  - Watch out for the tunnel: planning your educational and career future.

PMID- 10256379
TI  - Functional planning for a new clinical laboratory.
AB  - An important decision in planning for a new laboratory is the physical location
      in relation to other departments. In this article, the author examines the
      specimen flow, patient and information flow, and the surgical pathology and
      frozen section services, and explains how consideration of these areas in the
      planning stages determines the future efficiency of the department.

PMID- 10256380
TI  - Ultrasound therapy units in Manitoba and Northwestern Ontario: performance
      evaluation.
AB  - Twenty-six ultrasound therapy devices in clinical use in Manitoba and
      Northwestern Ontario were tested for performance compliance with Canadian
      government standards of functioning. The performance characteristics measured
      were the temporal average acoustic power output, the electrical impulse frequency
      to the transducer, and the timer accuracy. Twenty-one of the 26 units (81%) had
      power levels which differed by more than +/- 20% of the indicated output, and
      only five units (19%) had all tested power levels within +/- 20% of the indicated
      output. Seven units (27%) had inaccurate timers, but only one unit (of the 13
      tested) had an unacceptable frequency reading. This study supports the results of
      other investigations which have suggested that the majority of ultrasound therapy
      units in clinical use are in need of calibration. This situation needs to be
      corrected immediately if patients are to receive the prescribed doses of
      ultrasound radiation for treatment purposes both safely and effectively. Possible
      courses of action for rectifying these problems are discussed.

PMID- 10256381
TI  - Ten questions to ask -- and answer -- before launching an employee health
      promotion program.

PMID- 10256382
TI  - Hospital borrows marketing techniques to design wellness program employees can't
      refuse.

PMID- 10256383
TI  - Court affirms rights of retarded.

PMID- 10256384
TI  - Psychiatric help programs for employees on rise.

PMID- 10256385
TI  - Burnout and self-reliance.

PMID- 10256386
TI  - Would competition curb health care costs?

PMID- 10256387
TI  - The cop who spreads sunshine.

PMID- 10256388
TI  - How to use the medical library as a clinical tool.

PMID- 10256389
TI  - Efficient warewashing scrubs problems.

PMID- 10256390
TI  - Jewish Hospital of Cincinnati goes fishing for a promotion, reels in a seafood
      spectacular.

PMID- 10256391
TI  - ASIM cost-containment plan promotes ambulatory health care.

PMID- 10256392
TI  - Units' advertising increases awareness, not volume.

PMID- 10256393
TI  - The organ network.

PMID- 10256394
TI  - Treating the unborn.

PMID- 10256395
TI  - Slack, natural slack, and location covering.
AB  - This paper presents a goal programming approach to location covering the
      contrasts the resultant models with other covering formulations. One of the
      primary differences between the models forwarded in this paper and those of
      previous studies is the notion of slack and natural slack in the definition of
      coverage relations. Our approach takes advantage of the latter concept, natural
      slack, and produces a location covering form which is more flexible in the
      determination of objective functions than that of other formulations.
      Furthermore, we show how the goal programming framework adopted herein allows
      consideration of a wider range of location covering policy issues.

PMID- 10256396
TI  - Collective bargaining in the health care industry.

PMID- 10256397
TI  - Developing a regulatory strategy consistent with a competitive health care
      system.

PMID- 10256398
TI  - Characteristics of the United States population.

PMID- 10256399
TI  - Morbidity and mortality of the U.S. population.

PMID- 10256400
TI  - Infant and maternal mortality in the United States.

PMID- 10256401
TI  - The distribution of prepaid physician services in medical group practice: U.S.
      1975.

PMID- 10256402
TI  - Characteristics of the health services delivery system.

PMID- 10256403
TI  - Characteristics of the United States population.

PMID- 10256404
TI  - Morbidity and mortality of the U.S. population.

PMID- 10256405
TI  - Infant and maternal mortality in the United States.

PMID- 10256406
TI  - Financing mechanisms for the provision of health services.

PMID- 10256407
TI  - Characteristics of the health services delivery system.

PMID- 10256408
TI  - Medical education and medical manpower.

PMID- 10256409
TI  - The impact of capital expenditure controls in health care institutions.

PMID- 10256410
TI  - Financing mechanisms for the provision of health services.

PMID- 10256411
TI  - Health care cost control through incentives and competition: consumer-choice
      health plan.

PMID- 10256412
TI  - Medical education and medical manpower.

PMID- 10256413
TI  - Regulation of the health care marketplace: a review of the issues.

PMID- 10256414
TI  - Political economy of health care in England.

PMID- 10256415
TI  - Private cost containment--medical practice under competition.

PMID- 10256416
TI  - An examination of evidence concerning continuing competence of physicians.

PMID- 10256417
TI  - HMOs and the medical care market.

PMID- 10256418
TI  - Competition in health services: overview, issues and answers.

PMID- 10256419
TI  - Microprocessors, multiplexing improve hospital communication systems.

PMID- 10256420
TI  - Hospital plumbing's special designs.

PMID- 10256421
TI  - Why is testing of hospital grade wiring devices needed?

PMID- 10256422
TI  - Prefabricated headwalls and columns fit hospitals.

PMID- 10256423
TI  - How a building gets built: comfortable and inviting ... a new hospital facility
      for children.

PMID- 10256424
TI  - Direct digital control: next generation for building automation. An explanation
      of what direct digital control (DDC) means and how it can help control a
      building's consumption.

PMID- 10256425
TI  - Energy audits--what they are, and what they can and cannot do.

PMID- 10256426
TI  - Lawmakers seek to curb tax-exempt financing.

PMID- 10256428
TI  - Medical panel advises home on current, future services.

PMID- 10256427
TI  - The consultant dietitian and the administrator.

PMID- 10256429
TI  - Unique school program trains youth as aides.

PMID- 10256430
TI  - Seniors smile at program's half-price dental services.

PMID- 10256431
TI  - Cosmetic surgery: a risky route to youth, beauty?

PMID- 10256432
TI  - Our neglected kids.

PMID- 10256434
TI  - 'New wave' voluntarism's success rides on pioneering volunteers' shoulders.

PMID- 10256433
TI  - Politics, medicine blend: Berlin Army Hospital 'unique.'.

PMID- 10256435
TI  - Patient rep program turns to volunteers to help build rapport.

PMID- 10256436
TI  - Children's health education begins with auxiliary library.

PMID- 10256437
TI  - The hospital auxiliary in 1985: hospital department or separate organization? New
      organizational model would increase accountability.

PMID- 10256438
TI  - The hospital auxiliary in 1985: hospital department or separate organization?
      Auxiliary 'department' faces legal, financial questions.

PMID- 10256439
TI  - Changing physician behavior.

PMID- 10256440
TI  - Medication therapy in office visits for hypertension: National Ambulatory Medical
      Care Survey, 1980.

PMID- 10256441
TI  - Drug utilization in office practice by age and sex of the patient: National
      Ambulatory Medical Care Survey, 1980.

PMID- 10256442
TI  - Model project reduces alienation of aged from community.

PMID- 10256443
TI  - AMA readies computer link for MDs.

PMID- 10256445
TI  - Earlier denial 'arbitrary': rate hike ordered for Maryland hospital.

PMID- 10256444
TI  - Drive-in clinic: a clean, efficient setup.

PMID- 10256446
TI  - Quality, access to care affected: fiscal woes imperil Canadian system.

PMID- 10256447
TI  - Iowa organization to implement cost-cutting recommendations.

PMID- 10256448
TI  - South Florida HMO loses federal subsidy.

PMID- 10256449
TI  - Automation can work, even in a people-oriented laundry.

PMID- 10256450
TI  - How diagnostic ultrasound was introduced in Egypt--with the help of US
      physicians.

PMID- 10256451
TI  - New library system saves space, speeds member services.

PMID- 10256452
TI  - Stress at the top: what happens when the chief executive burns out?

PMID- 10256453
TI  - Group claims system pays off in productivity.

PMID- 10256454
TI  - What is the Commission on Cancer?

PMID- 10256455
TI  - An update on the field-liaison program.

PMID- 10256456
TI  - The Commission's educational efforts.

PMID- 10256458
TI  - Trimming the disability rolls--changing the rules during the game?

PMID- 10256457
TI  - Preventing cancer in the United States.

PMID- 10256459
TI  - The elderly as a political force--26 million strong and well organized.

PMID- 10256460
TI  - Should the FTC regulate American medicine?

PMID- 10256461
TI  - Professors help employers evaluate day care.

PMID- 10256462
TI  - Should medical working hours be regulated?

PMID- 10256463
TI  - Health care in India--Canadian style.

PMID- 10256464
TI  - How computerized medical records can help you.

PMID- 10256465
TI  - Capitation payment for pharmacy: a head start on fair return?

PMID- 10256466
TI  - The relationship between religion and death anxiety.

PMID- 10256467
TI  - Dialogues with hospital pharmacists: Richard A. Hutchinson, Pharm, D.

PMID- 10256468
TI  - Policy and procedure manual: capital expenditure budget guidelines.

PMID- 10256470
TI  - Maslow's hierarchy: insights into job dissatisfaction.

PMID- 10256469
TI  - New management involvement: pharmacy-based homograft (ear tissue) bank.

PMID- 10256471
TI  - Changing patterns of biomedical research funding: a view from industry.

PMID- 10256472
TI  - Changing patterns of biomedical research funding: a view from the medical school.

PMID- 10256473
TI  - Changing patterns of biomedical research funding: the impact on the clinical
      investigator.

PMID- 10256474
TI  - The fight for safety & health at the workplace.

PMID- 10256475
TI  - Microbiologists mix biochemicals, nix high-cost commercial preparations.

PMID- 10256476
TI  - Automated hospital information systems. Part II: Methods for looking at costs.

PMID- 10256477
TI  - 'Care for Life'--a special maternity package that gives baby and parents a head
      start.

PMID- 10256478
TI  - Employee suggestions systems: how hospitals can capitalize on employee
      creativity.

PMID- 10256479
TI  - The big new increase in hospital blood use: focusing on long-term plans for an
      immediate problem.

PMID- 10256480
TI  - Where do the hours go? Project method tells you.

PMID- 10256481
TI  - Health promotion program developed for hospital and community.

PMID- 10256482
TI  - Behaviorally caused loss of health and the use of medical care.
AB  - This paper extends the analysis of the demand for medical care to an aspect which
      has previously been ignored: variations in expected, as opposed to experienced,
      cause of losses of health and the current use of medical care. Losses of health
      which cannot be prevented by the prior use of medical care are hypothesized to
      decrease the use of medical care by reducing the rate of return to investments in
      health, ceteris paribus. The reduction in the rate of return occurs both because
      these losses curtail the length of the stream of benefits to the use of medical
      care and because prior use of medical care is not effective in reducing the
      occurrence of these types of loss. Empirical findings support this hypothesis.
      Results suggest that differences in expected losses may account for some of the
      differences in utilization of medical care by sex.

PMID- 10256484
TI  - The anatomy of a portable TVRO network.

PMID- 10256483
TI  - Conferencing by satellite--a selection of case studies.

PMID- 10256485
TI  - How to tackle training for teleconference users.

PMID- 10256486
TI  - Business good, but contract EM practices unstandard.

PMID- 10256487
TI  - United States/Canada civil emergency planning.

PMID- 10256488
TI  - Procuring communications equipment: the bid process and selection of a vendor.

PMID- 10256489
TI  - Predicting EMS dispatch, transport, and admissions decisions with the emergency
      message.

PMID- 10256490
TI  - Coordinating EMS through telecommunications.

PMID- 10256493
TI  - Workplace prevention flourishes in U.S. heartland.

PMID- 10256491
TI  - Using EMS communications networks: legal considerations.

PMID- 10256492
TI  - Radio system design considerations affecting medical control and EMS resource
      coordination.

PMID- 10256494
TI  - Routinely collected data and ischaemic heart disease in the United Kingdom.

PMID- 10256495
TI  - A surveillance scheme with "recommended list" of artificial joints.

PMID- 10256496
TI  - Vaccination against whooping cough.

PMID- 10256497
TI  - Work-loads in chemical pathology: too many tests?

PMID- 10256498
TI  - A first in day care for 1199ers' kids.

PMID- 10256499
TI  - Health care in crisis.

PMID- 10256500
TI  - New York contract: united membership plus strong new leadership equals victory.

PMID- 10256501
TI  - Governors, legislators boost leadership position of the states.

PMID- 10256502
TI  - Hospital reorganization: putting all of the major pieces together.

PMID- 10256503
TI  - Court decisions expand industry's antitrust exposure.

PMID- 10256504
TI  - A stochastic model for the number of deaths in a fire.

PMID- 10256505
TI  - Impact of step-rating and price sensitivity on disenrollment and risk selection:
      the experience of a group practice HMO.

PMID- 10256507
TI  - Development and validation of the interview skills role-play test.

PMID- 10256506
TI  - Treating alcoholics in group practice HMO's: implications for management,
      marketing and medical care.

PMID- 10256508
TI  - Estimate instantaneous and semi-instantaneous heater size.

PMID- 10256509
TI  - The proprietary hospital phenomenon.

PMID- 10256510
TI  - Pharmaceuticals in the year 2000.

PMID- 10256512
TI  - What is the impact of trade unionism on the NHS?

PMID- 10256511
TI  - NHS manpower in perspective.

PMID- 10256513
TI  - Is the National Administrative Training Scheme meeting its objectives?

PMID- 10256514
TI  - A challenge to managers--getting to grips with absenteeism.

PMID- 10256515
TI  - Law report.

PMID- 10256516
TI  - Nursing--the 1982 restructuring.

PMID- 10256517
TI  - Corporate management development.

PMID- 10256518
TI  - Pricing for hospital pharmacies.

PMID- 10256519
TI  - Medical-surgical supplies prices outpace general inflation rate.

PMID- 10256520
TI  - Handling group purchasing rebates: an HPM follow-up.

PMID- 10256521
TI  - Keeping track of savings.

PMID- 10256522
TI  - Employees help hospital save money.

PMID- 10256523
TI  - Evaluating the consolidation decision: resolving conflict, negotiating, building
      consensus are keys to planning process.

PMID- 10256525
TI  - Is hospital marketing compatible with public accountability?

PMID- 10256524
TI  - Peter F. Drucker and Karl D. Bays discuss the toughest job--running a hospital.
      Part 2.

PMID- 10256526
TI  - Hospital management poll--medical staff planning in the 80s.

PMID- 10256527
TI  - Health care in China: one administrator's observations.

PMID- 10256528
TI  - An administrator's reorganisation reverie.

PMID- 10256529
TI  - Review of patient time spent in ante-natal clinics.

PMID- 10256531
TI  - The Hariri Medical Center, Lebanon.

PMID- 10256530
TI  - To "contract" or not?

PMID- 10256532
TI  - Planning, accountability and caution.

PMID- 10256533
TI  - User costs in pharmacies and laboratories: a case study.

PMID- 10256534
TI  - Management structures--from blueprint to reality.

PMID- 10256535
TI  - Arrowe Park Hospital, Birkenhead.

PMID- 10256536
TI  - OSHA medical records affect retention, access.

PMID- 10256538
TI  - Treating cryostat injury.

PMID- 10256537
TI  - Infection perspective: influenza.

PMID- 10256539
TI  - First cases of immunity diseases reported in hospital employees.

PMID- 10256540
TI  - There and back again -- four men; four satellite health networks.

PMID- 10256541
TI  - Telecommunications networking: local and regional initiatives help hospitals
      benefit from technology.

PMID- 10256542
TI  - Is a national satellite network in hospitals' future?

PMID- 10256543
TI  - Hospital-based physician compensation: biting the bullet.

PMID- 10256544
TI  - Health care manager's notebook: employee discipline.

PMID- 10256545
TI  - Carner's codes. Chapter 3: Management style.

PMID- 10256546
TI  - Satellite telecommunications.

PMID- 10256548
TI  - Outreach program serves rural hospitals, businesses.

PMID- 10256547
TI  - System's rural hospital expands community role.

PMID- 10256549
TI  - Active medical morals committee: valuable resource for health care.

PMID- 10256550
TI  - Hospital incident reports: protected from discovery?

PMID- 10256551
TI  - Medical office buildings: tax implications for exempt hospitals.

PMID- 10256552
TI  - The social/HMO: is it feasible in a community hospital setting?

PMID- 10256553
TI  - Geriatric outpatient program stresses accessibility, coordinated care.

PMID- 10256555
TI  - Health care in Hong Kong Hospital reflects Catholic values, local problems.

PMID- 10256554
TI  - Ambulatory clinics resolve rural health delivery dilemma.

PMID- 10256556
TI  - Nurses' vulnerability to malpractice equals physicians' accountability.

PMID- 10256557
TI  - Clearly defined grievance policy forestalls discrimination suit.

PMID- 10256558
TI  - Adolescent sexuality program focuses on responsibilities, communication.

PMID- 10256559
TI  - Educational program for teenagers emphasizes sacredness of life.

PMID- 10256560
TI  - Charitable trust helps ensure Catholic hospitals' identity.

PMID- 10256562
TI  - Educating Sisters for trusteeship strengthens the health apostolate.

PMID- 10256561
TI  - Managers, educators collaborate for hospitalwide educational programs.

PMID- 10256563
TI  - Multifacility health care system: accountability at three levels.

PMID- 10256564
TI  - Hospitals, clinics, agencies sponsor adolescent pregnancy projects.

PMID- 10256565
TI  - Pastoral care considers patients' psychological, spiritual values.

PMID- 10256566
TI  - Lay volunteers enhance pastoral care services.

PMID- 10256567
TI  - Records document pastoral care accountability and productivity.

PMID- 10256568
TI  - Merger agreement involves joint sponsorship arrangement.

PMID- 10256569
TI  - Subpoena duces tecum protects hospitals that surrender patients' records.

PMID- 10256570
TI  - Thorough evaluation reports, procedures protect hospital from discrimination
      charges.

PMID- 10256571
TI  - On not giving a damn.

PMID- 10256572
TI  - An architect's view of the material management concept.

PMID- 10256574
TI  - Material management: a matter of space.

PMID- 10256575
TI  - The management engineer's role in material management.

PMID- 10256573
TI  - Designing the total supply system.

PMID- 10256576
TI  - Qualifications for managing your assets.

PMID- 10256577
TI  - Work measurement in a central reprocessing department.

PMID- 10256578
TI  - ABC analysis and stockout reports reflecting considerations of criticality for
      patient care.

PMID- 10256579
TI  - The MBO process applied to material management.

PMID- 10256580
TI  - Logistics management increases productivity.

PMID- 10256581
TI  - Working with the architect.

PMID- 10256583
TI  - The dietary department: material management's orphan.

PMID- 10256582
TI  - Addressing the nurse shortage through material management.

PMID- 10256584
TI  - Facilities modernization and renovation of a medical facility.

PMID- 10256585
TI  - Using pilot studies.

PMID- 10256586
TI  - Designing the receiving process by function.

PMID- 10256587
TI  - GHC's innovative pharmacy system.

PMID- 10256588
TI  - Pharmacy organized under materiel management--a pharmacist's view.

PMID- 10256589
TI  - The pharmacist versus the materiel manager.

PMID- 10256590
TI  - Consultant services for pharmacy and materiel management.

PMID- 10256591
TI  - Materiel management--opportunities for pharmacists.

PMID- 10256592
TI  - The importance of amalgamating pharmacy and materiel management.

PMID- 10256593
TI  - Materiel management and pharmacy in an investor-owned hospital system.

PMID- 10256594
TI  - U.S. Army guideline for pharmacy supply.

PMID- 10256596
TI  - Materiel management and pharmacy: collaboration, control or compromise?

PMID- 10256595
TI  - Nursing expectations for pharmacy and material management services.

PMID- 10256597
TI  - Legal liability of a hospital for its pharmacy.

PMID- 10256598
TI  - Decreasing pharmacy revenue loss from intensive care units: a practical approach.

PMID- 10256599
TI  - Drugs: procurement, distribution system and management problems.

PMID- 10256600
TI  - New turbo-modulator saves 29% energy.

PMID- 10256601
TI  - Health care labor relations today, an interview with attorney Harold Hoffman.

PMID- 10256602
TI  - Bloomington Hospital's experience with Lifeline.

PMID- 10256603
TI  - Surviving Reaganomics in the public hospital: how to achieve a viable building or
      remodeling program.

PMID- 10256604
TI  - Limited distance modems provide cost effective alternative in data handling.

PMID- 10256605
TI  - How Kettering Medical Center solved its TV tape storage problem.

PMID- 10256606
TI  - How North Memorial Medical Center is making hospital employees aware of the
      forces at work, plus the impact on their health role in the future.

PMID- 10256607
TI  - How to save money and increase your telecommunications capabilities: a tale of
      two hospitals. Divine Redeemer Memorial Hospital.

PMID- 10256608
TI  - How to save money and increase your telecommunications capabilities: a tale of
      two hospitals. Presbyterian-University of Pennsylvania Medical Center.

PMID- 10256609
TI  - Health information to community hospitals (HITCH): a cost conscious approach to
      quality library services.

PMID- 10256610
TI  - More effective training: central service, Part I.

PMID- 10256611
TI  - Four steps to quality assurance in central service.

PMID- 10256612
TI  - Material management: a fertile environment for hospital cost containment.

PMID- 10256613
TI  - Excess beds: an inventory problem.

PMID- 10256615
TI  - Nightingale's angels rehoused.

PMID- 10256614
TI  - Cutting cost by simplifying the work effort.

PMID- 10256616
TI  - Operating theatre feature: some guidelines.

PMID- 10256617
TI  - Learning from failure: resubmitting your rejected proposal.

PMID- 10256618
TI  - 'Fire safety audit' adds innovative dimension to fire safety program.

PMID- 10256619
TI  - Instituting effective access controls.

PMID- 10256620
TI  - 'Professional' patient preys on hospital patients from Texas to British Columbia.

PMID- 10256621
TI  - How to secure your parking areas.

PMID- 10256622
TI  - Theft of time by employees: it's costing your hospital plenty.

PMID- 10256623
TI  - An interview with. . . Norm Bilger.

PMID- 10256624
TI  - Tax quarterly: Tax Equity and Fiscal Responsibility Act of 1982.

PMID- 10256625
TI  - In-service education as a promotional tool.

PMID- 10256626
TI  - In-service education: the PRAISE approach. Key elements in teaching adults.

PMID- 10256627
TI  - Quality assurance: a coding system to facilitate pattern analysis.

PMID- 10256629
TI  - Correcting the health care record.

PMID- 10256628
TI  - Summary of a curriculum guide for a nontraditional MRA program for ART
      progression.

PMID- 10256630
TI  - Digital ... the new face of imaging.

PMID- 10256631
TI  - Look before you leap.

PMID- 10256632
TI  - Are you really the manager you think you are?

PMID- 10256634
TI  - Another tool for better patient care.

PMID- 10256633
TI  - Public conflict solves nothing.

PMID- 10256635
TI  - Royal Inland cuts energy costs.

PMID- 10256636
TI  - Unit dose--a system you can afford.

PMID- 10256637
TI  - 1982 salary survey--part two.

PMID- 10256638
TI  - Playing percentages--and winning.

PMID- 10256639
TI  - Public relations: rules you can play by.

PMID- 10256640
TI  - The challenge of the new hepatitis B vaccine.

PMID- 10256641
TI  - Pioneering achievement: the Joseph Belsky House.

PMID- 10256642
TI  - Corporate action: the health and nature image of the Fortune 500 Shaklee
      Corporation.

PMID- 10256643
TI  - Glare-free workstation.

PMID- 10256645
TI  - An investigation of the determinants of the advisory and information service, and
      the potential for health education in retail pharmacy.

PMID- 10256644
TI  - The new health foods.

PMID- 10256646
TI  - 'Don't take a chance': a public campaign to encourage the early reporting of
      breast symptoms.
AB  - As part of a study to evaluate health education about breast cancer, a campaign
      to encourage the early reporting of breast symptoms was organised jointly by
      Community Medicine, University of Southampton and Southampton Health Education
      Service. A thorough account of all aspects of the preparation and implementation
      of the campaign is presented. It is hoped that other organisations, considering a
      similar campaign, could utilise the materials specially produced to convey our
      message and benefit from our experiences.

PMID- 10256648
TI  - Influence of maternal education on infant and child mortality: levels and causes.
AB  - Data from the World Fertility Survey in ten Third World countries are used to
      test the conclusion, based on a Nigerian study, that material education is
      important in reducing child mortality. The analysis confirms the major importance
      of parental education, the impact of which is probably greater than both income
      factors and access to health facilities combined. Rural/urban differentials are
      of small importance once parental education has been controlled. The findings of
      the Nigerian study are modified in that paternal education is also shown to be
      important, though not as important as maternal education, and the step from
      primary to secondary schooling is more important than that from illiteracy to
      primary schooling. The massive declines in child mortality during the last third
      of a century have been the result not only of technological and economic change
      but also of social change, of which the most important component for the survival
      of children through the first years of life has been parental education. It is
      suggested that schooling introduces parents to a global culture of largely
      Western origin and loosens their ties to traditional cultures. Age and sex
      differentiations in power, decision-making and benefits within the larger family
      are reduced when schooling brings about a new family system in which women and
      children are allocated higher priorities in terms of care and allocation of food
      and in which parents can make decisions about health and child care without
      reference to their elders.

PMID- 10256649
TI  - Empirical findings on the association between education and child health status:
      discussion.

PMID- 10256647
TI  - Socio-economic profile and performance of CHVs in Gujarat: implications for
      selection and support.
AB  - What type of person should be selected as Community Health Volunteer (CHV) has
      been a matter of debate. This study relates socio-economic characteristics--age,
      sex, marital status, education, caste, organisation membership and landownership-
      with performance on direct patient care, mother and child health, family welfare
      and environmental sanitation. The paper further suggests strategies for
      selection, training and support in case of CHVs whose performance is poor.

PMID- 10256650
TI  - Correlates of life expectancy in less developed countries.
AB  - Analyses were performed to investigate several hypotheses concerning the multiple
      determinants of levels of life expectancy in developing countries in recent
      decades and some possible explanation for the observed variations in amount of
      gain in life expectancy from the 1950's to the 1970's. The findings were
      significant. For level of life expectancy the results of this present work
      conform by and large to results of other scholars in this area, although the
      present work is unique in that only developing countries were included. From the
      1960's to the 1970's there has been a shift in the relative importance of
      economic indicators and general social indicators in favor of the social
      indicators. In the period 1960-65 some 70% of the variation in levels of life
      expectancy was associated with per capita income and literacy rates in a ratio of
      about three to two in favor of the economic variable. By 1970-75 the ratio has
      become six to one in favor of literacy. In addition, the multivariate model
      showed that the sanitation variables began to appear as significant correlates of
      levels of life expectancy in the more recent time period, playing a larger role
      than level of income per capita. Work pursued as part of a separate but
      concurrent project explored explicitly this three-way interaction between
      literacy, life expectancy and sanitation.

PMID- 10256651
TI  - Child mortality and fertility in Colombia: individual and community effects.
AB  - The education of a mother is strongly and positively correlated with the survival
      rate of her children. This paper combines household data from the Colombian
      Census of 1973 and characteristics of the 900 residential areas in Colombia, to
      test various hypotheses concerning the mechanism by which mother's education and
      public policies affect child survival and the distribution of health benefits
      resulting from policy interventions. The hypothesis is advanced that education
      provides people with skills in acquiring and decoding new information and thus
      effectively lowers the costs of using more beneficial child health and
      contraceptive technologies. Since a primary function of health and family
      planning programs is to disseminate information on these same technologies, the
      hypothesis is tested that mother's education and these program interventions may
      substitute for each other in improving child health and reducing family size. The
      empirical analysis confirms that in urban areas the availability of medical
      services, family planning activities, transportational infrastructure and
      climate, in addition to mother's education, are associated with child mortality
      ratios and fertility within a birth cohort of mothers. The least educated mothers
      are the most strongly affected, in terms of their reduced fertility and increased
      child survival rates, by the local urban health programs. The evidence is, thus,
      consistent with the substitution hypothesis. No effects of program interventions
      and medical facilities are found on rural populations, though both child
      mortality ratios and fertility are lower for more educated rural women.

PMID- 10256652
TI  - The educational status of parents, and infant and child mortality in rural North
      India.

PMID- 10256653
TI  - Education and infant survival in rural Bangladesh.
AB  - This paper explores the mechanism through which socioeconomic status affects
      infant deaths. The data used here come from a prospective study in rural
      Bangladesh. Both neonatal deaths and postneonatal deaths were found to be higher
      in number among those whose mothers have no schooling. Again, education of the
      mother has been found to be related to gestational month at termination and this
      gestational month at termination (which is the maturity of the newborn)
      determines the neonatal death. The other factors affecting infant mortality were
      the height of the mother and the weight of the infant. The taller the mother, the
      fewer the neonatal and post-natal deaths. The weight of the infant has a direct
      relationship to its survival during infancy.

PMID- 10256654
TI  - Empirical findings on the association between education and child health status:
      discussion.

PMID- 10256656
TI  - Mechanisms of interaction between education and health: discussion.

PMID- 10256655
TI  - Estimating the covariates of childhood mortality from retrospective reports of
      mothers.
AB  - In this paper we compare various models for estimating the covariates of
      childhood mortality from the type of data commonly available in developing
      countries. Specifically, we examine how much precision is lost as various pieces
      of information, such as dates of birth and death for each child, are discarded.
      The conclusion which we reach is that even incomplete mortality data of the type
      collected in household surveys or censuses can yield estimates which are very
      close to those based on the much richer wealth of data collected in detailed
      maternity histories. Two substantive conclusions of interest are that in the two
      countries (Sri Lanka and Korea) we examined, the education of the father has a
      significant and pronounced effect on childhood mortality even when the mother's
      education is controlled, and once other covariates are controlled, there is no
      difference between urban and rural childhood mortality.

PMID- 10256657
TI  - Literacy, education and health development: research priorities.
AB  - How education and health are linked in developing countries and what educational
      activities produce change are quite uncertain. Questions for research on these
      concerns are noted, and it is suggested that prospective longitudinal studies,
      household surveys, and field observations might well be added to the more usual
      multivariate analyses of records. Analyses of educational program implementation
      alternatives are also suggested.

PMID- 10256658
TI  - Literacy, education and health development: policy implications.
AB  - The statistical evidence on the relationship between education and health is
      impressively strong, but a causal link remains to be established. Despite this
      weakness, however, the evidence is much more solid than that on which policy
      decisions concerning health and education are normally made. Although further
      research is needed, the findings currently available are adequate to support
      advocacy of a higher priority to education in development and health improvement
      strategies.

PMID- 10256659
TI  - The evaluation of educational and economic effects on life expectation by linear
      regression analysis.
AB  - Socioeconomic effects are supposed to have a fairly long time delay in regard to
      health development. Taking into consideration time lags, correlation and
      regression analysis are executed to explain the difference in health levels which
      exist among countries. The infant mortality rate, life expectation at birth,
      adult literacy rate, proportions of school enrollment and GNP per capita are
      taken as variables and their characteristics are discussed. In addition,
      countries are divided into three groups, i.e. low income, middle income, and
      industrialized countries, to show that the educational and economic effects on
      health development vary according to the economic level of the countries.

PMID- 10256660
TI  - Outcomes of literacy: how to measure them.

PMID- 10256661
TI  - The social context of education and health.
AB  - This paper stresses that the relationship between education and health cannot be
      meaningfully analysed in isolation from the economic and cultural matrix of
      society of which it is an integral part. An examination of the different kinds of
      education available to Third Worlders shows that formal schooling is generally
      regarded as a passport to urban employment. It therefore accentuates
      socioeconomic differentiation. Altogether, education for the sake of increased
      knowledge and/or improved welfare is a luxury only the wealthier can afford.
      Moreover, an examination of the culture-specificity of health concepts is taken
      to show how Western health care is inappropriate in settings where health is seen
      as an indicator of morality. Numerous case materials are used as evidence for the
      argument presented here. The final section of the paper devoted to "policy
      implications" emphasises that low levels of education and health are symbolic of
      under-development. Formal education or Western type health care are no panacea,
      nor even palliatives for the poverty syndrome. Appropriate education associated
      with appropriate health measures may help to alleviate the worst evils of
      disease.

PMID- 10256662
TI  - The home environment of the malnourished-deprived child.
AB  - The extent of childhood malnutrition-deprivation throughout the world is
      indicated and its nature and the forms it takes are described. An account is
      given of several studies carried out by the author and his colleagues in Lebanon.
      An investigation of failure to thrive in young children revealed that in an
      apparently homogeneous low socioeconomic group there was a wide spectrum of
      physical growth which correlated closely with a number of home environment
      variables. Another study of the mental development of some of these children
      carried out over several years showed that children with even mild growth failure
      had a statistically significant impairment of mental development as compared with
      their apparently healthy siblings, also living in a home environment
      characterized by deprivation. The far reaching consequences are emphasized. In a
      third study which investigated the formal education of mothers, their nutritional
      knowledge and practices and the growth of their children, the indices were found
      to be interrelated to some extent. Finally, a small study gave some indication,
      perhaps contrary to general belief, that the rapid social change undergone by
      families who migrate from the country to an urban slum may be associated with an
      improvement in nutrition of the children.

PMID- 10256663
TI  - Continuing education and competency: some critical unresolved issues.
AB  - There are numerous dilemmas and contradictory philosophies that the health
      professions face in planning programs and goals for continuing education and
      competency. Among the issues that are discussed are: (1) whether learning should
      be based on prescriptive or felt needs; (2) whether the ultimate objectives
      should be toward fostering practitioner safety or competence; and (3) whether the
      focus of assessment should be at the entry or advanced level. The discussion
      points out that continuing education does not, by its mere presence, assure
      continuing competency, and several suggestions are offered. First, there is no
      satisfactory definition of clinical competence to use in structuring program
      objectives or assessing their attainment. For example, if incompetence is
      considered to be the manifestation of patient harm, how serious must the harm be
      and how many patients must be harmed? This is an extremely difficult and complex
      issue, but one that must be faced. Second, the consuming public should be better
      informed and educated in identifying marginal practitioners. This is seen as an
      important, although currently lacking, component of voluntary approaches to
      continuing competency. Finally, reference is made to the potential of criterion
      referenced testing for defining acceptable skill thresholds.

PMID- 10256664
TI  - Health policy, student selection and curriculum reform.
AB  - Student selection is a major component of the training process. This paper argues
      that the traditional approach taken to selection--using the criterion-prediction
      model--has limited utility in the training of health care professionals. Not only
      are there additional educational purposes which selection can fulfil (such as
      increasing the heterogeneity of students, encouraging realistic self-selection
      and providing the first exposure to the "ethos" of a profession), but selection
      can also be used as a direct strategy to assist in the implementation of health
      service policies--for example, by contributing to social equalization, community
      participation in health services and community responsibility for health.

PMID- 10256665
TI  - Medical education units.
AB  - To assist faculty members in the planning, execution, and evaluation of teaching
      learning activities many medical schools around the world have established
      medical education units or centers. The more advanced units are helping other
      medical schools by means of direct support in the latter's curriculum development
      efforts or through training of personnel who would man the latter's own units. In
      1969 the WHO arranged a network of teacher training centers to facilitate this
      type of cooperation. There are other networks and direct bilateral collaboration
      schemes as well, especially in the Americas and Europe. For the medical schools
      in the Southeast Asian region the WHO has designated three advanced units (at the
      Chulalongkorn University in Thailand, the University of New South Wales in
      Australia, and the University of Sri Lanka) as regional teacher training centers.
      In spite of the efforts of these units the development of medical education units
      in the Southeast Asian medical schools is still far from satisfactory. This is
      partly caused by a lack of information regarding the objectives and organizations
      of such units. The following presentation tries to fill this gap.

PMID- 10256666
TI  - Wound watch.

PMID- 10256667
TI  - Holding a captive market hostage.

PMID- 10256668
TI  - Billions from bandaids.

PMID- 10256669
TI  - Adolescent pregnancy, public policy, and the research community.

PMID- 10256670
TI  - The utilization of research in the national health policy debate: a case example.

PMID- 10256671
TI  - Research paradigms and mental health policy.

PMID- 10256673
TI  - Off-site distribution offers challenges, opportunities.

PMID- 10256672
TI  - Independence of VHA buyers an issue in antitrust suit.

PMID- 10256674
TI  - Product report: syringes, needles, gloves--purchaser's view.

PMID- 10256675
TI  - Product report: syringes, needles, gloves--manufacturers' view.

PMID- 10256676
TI  - Five steps to a lost charge recovery program.

PMID- 10256678
TI  - Computer bits: commodity coding, Part II.

PMID- 10256677
TI  - Proposal threatens hospital, nursing home funding.

PMID- 10256679
TI  - Taking inventory.

PMID- 10256680
TI  - Simplest solution to an ancient problem.

PMID- 10256681
TI  - Keep track of their performance.

PMID- 10256683
TI  - Recognizing the promotable employee.

PMID- 10256682
TI  - They don't just lock the doors.

PMID- 10256684
TI  - Taking it one step further.

PMID- 10256685
TI  - Turnover of hospital chief executive officers: a hospital association
      perspective.

PMID- 10256686
TI  - Organizational rationality, medicine, and the use of new knowledge in American
      hospitals.

PMID- 10256687
TI  - A letter to a young CEO.

PMID- 10256688
TI  - Hospital administration and medicine at the crossroads.

PMID- 10256689
TI  - Longitudinal analysis of the problems of hospital administrators.

PMID- 10256690
TI  - Medical office buildings and their influence upon facility utilization.

PMID- 10256691
TI  - Health planning: the fourth generation.

PMID- 10256692
TI  - Focus groups: an innovative marketing research technique.

PMID- 10256693
TI  - Philosophers take their art into classrooms, hospitals.

PMID- 10256694
TI  - Collaborative practice revisited.

PMID- 10256696
TI  - The latest word from the FDA: an exclusive interview with the commissioner.
      Interview by John A. Owen Jr..

PMID- 10256695
TI  - Quality circles and medical staffs.
AB  - Quality circles are a new phenomenon in American industry. Can the touted virtues
      of quality circles-improved morale, productivity, and product quality-be
      translated into the health care setting? In some departments, probably. But it
      remains to be seen if medical staff members will become major supporters of the
      quality circles movement. A future article will take a case study approach to
      show how the hospital medical staff of one hospital became involved with quality
      circles.

PMID- 10256697
TI  - Areawide survey of antimicrobial restriction policies and the role of hospital
      pharmacists.

PMID- 10256698
TI  - Institutional support of continuing education as a fringe benefit for hospital
      pharmacists.
AB  - The purpose of this study was to examine the extent to which hospital pharmacists
      in Wisconsin received compensation for continuing education (CE) from their
      institutions and to compare this with their participation in CE activities. The
      study was conducted by a mail questionnaire sent to all pharmacists practicing in
      a hospital setting in Wisconsin. The usable response rate was greater than 45%.
      Persons in administrative positions received greater support for CE activities
      than staff in the areas of registration fees (P less than 0.005), travel expenses
      (P less than 0.0005), dues for professional organizations (P less than 0.0005),
      and compensatory time (P less than 0.0005). Pharmacists in the sample
      participated in an average of 123.8 hours of CE yearly, including 77.2 hours of
      journal reading. Staff size influenced the method of obtaining CE, with smaller
      staffs relying more heavily on journals and larger staffs on in-house programs.
      The amount of compensation did not influence total CE participation, suggesting
      that other factors might influence CE participation.

PMID- 10256699
TI  - A preview of 1981 hospital pharmacy operations.

PMID- 10256700
TI  - The pharmacist and adverse drug reaction reporting.
AB  - During premarketing trials, the number of patients exposed to a drug and the
      length of exposure to a drug are both limited. After marketing, many thousands,
      frequently millions, of patients are exposed to the drug over considerably longer
      periods of time, and adverse drug reactions not previously recognized appear.
      Because of these factors, postmarketing surveillance is extremely important.
      Pharmacists can contribute to drug safety and improved patient care by
      understanding and actively participating in the Food and Drug Administration's
      Spontaneous Reporting Program.

PMID- 10256701
TI  - Maintaining competency of sterile products personnel.
AB  - The literature is replete with articles concerning the importance of properly
      training and monitoring individuals assigned the responsibility of preparing
      sterile products. At the William L. Keller U.S. Army Community Hospital, the
      monitoring of these individuals has taken the form of a monthly examination
      composed of mathematical and technical functions.

PMID- 10256702
TI  - Audit of telephone usage in a centralized intravenous admixture area.
AB  - An audit of telephone usage in an intravenous admixture area was performed. Over
      a two-day period (18 hours total) 252 calls were made or received. The average
      length of a call was 81 seconds. Surgery and medicine nursing units accounted for
      the majority of the cells. Missing orders or doses were the most frequent topic
      of calls. Telephone communication may require a large time commitment from
      pharmacists and prevent them from performing activities which are more easily
      documentable, such as compounding intravenous admixtures.

PMID- 10256703
TI  - Methodological observations on applied behavioral science. A review of single
      subject methodologies in applied settings.

PMID- 10256704
TI  - Maintaining organizational effectiveness during organizational retrenchment.

PMID- 10256705
TI  - Basic and applied sociological work: divergence, convergence, or peaceful co
      existence?

PMID- 10256706
TI  - Methodological observations on applied behavioral science. A measurement package
      for clinical workers.

PMID- 10256707
TI  - A healthy development: Chicago's Lakeshore Centre.

PMID- 10256708
TI  - The health belief model and nutrition education.
AB  - Five axioms of learning explain the stability of dietary practices and suggest
      approaches to teaching more healthful habits. These axioms include the influence
      of prior beliefs and attitudes upon people's interpretations, the fact that
      effective learning is incremental, the value of reinforcement, the habitual
      nature of much behavior, and the fact that learning includes both cognitions and
      skills. The Health Belief Model (HBM), a specification of the first axiom, holds
      that people are likely to follow health recommendations if they are motivated
      about their health and if they believe that they are susceptible to an ill health
      condition; that the occurrence of that condition would have serious impact on
      their lives; that following a particular set of health recommendations would be
      beneficial in reducing either their susceptibility to or the severity of the
      condition; and that the psychological benefits of following the health
      recommendation outweighs its costs. Educational diagnosis may be made by
      identifying peoples' status on each variable in the HBM and then formulating an
      educational plan directed toward modifying beliefs, as needed, taking into
      account the other learning axioms. An ethical stance is adopted that holds that
      informed individuals should be entitled to maintain the practices they prefer.

PMID- 10256709
TI  - Numerical approach to disease classification.

PMID- 10256710
TI  - American expectations of privacy in an information age.

PMID- 10256711
TI  - Hearings on a coordinated health information system: background and analysis.

PMID- 10256712
TI  - Information policy and health.

PMID- 10256713
TI  - Increasing physician utilization of clinical information systems.

PMID- 10256715
TI  - Recommendations for hospital statistics in Europe.

PMID- 10256714
TI  - A model scheduling and appointment system for family practice programs and group
      practice. Phase I: Computerizing the physician's daily schedule.

PMID- 10256716
TI  - Clinical computing in Austria.

PMID- 10256717
TI  - WAMIS: a medical information system. Conception and clinical usage.

PMID- 10256718
TI  - Free text processing in clinical documentation.

PMID- 10256720
TI  - How to buy a freezer.

PMID- 10256719
TI  - Anti-trust implications of coalitions for cost containment.

PMID- 10256721
TI  - Maryland appraisal of patient programs.

PMID- 10256722
TI  - MAPP: how is it working in Maryland?

PMID- 10256723
TI  - Meeting the press.

PMID- 10256724
TI  - Quality of life as a way of life.

PMID- 10256725
TI  - A small warning of history.

PMID- 10256726
TI  - Chart of qualities.

PMID- 10256727
TI  - Big energy savings can come from changes.

PMID- 10256728
TI  - The influence of music on psychiatric patients' immediate attitude change toward
      therapists.
AB  - This study was undertaken to establish that in an audience situation, music may
      facilitate an immediate attitude change toward a therapist by patients. To
      determine the characteristics of such a change, recorded (popular and classical)
      and live (cello) music was employed. A semantic differential was used to measure
      attitude change by psychiatric inpatients and control subjects (medical students
      and student nurses). Significant attitude change were found when the music
      presented was the preference of the therapist and when this preference was
      conveyed to the audience. Patient breakdown into diagnostic categories also
      showed that patients with affective or alcoholic disorders showed significantly
      larger attitude change than the controls. Results are discussed in terms of
      cognitive consistency theories of attitude change, concluding that maximal
      attitude change toward a therapist occurs under conditions in which the therapist
      presents new aspects of behavior (in terms of previous exposure) to the patients.

PMID- 10256729
TI  - Modelling inspection policies for building maintenance.
AB  - A method of assessing the potential of an inspection maintenance policy as
      opposed to an existing breakdown maintenance policy for a building complex is
      developed. The method is based upon information likely to be available and
      specific subjective assessments which could be made available. Estimates of the
      expected number of defects identified at an inspection and the consequential cost
      saving are presented as functions of the inspection frequency.

PMID- 10256730
TI  - MLA in Disneyland.

PMID- 10256731
TI  - Future forecasting with LEAP.
AB  - A rapidly changing business environment has caused numerous firms to adopt some
      form of environmental assessment as part of their strategic planning process.
      Extrapolative techniques and trend analysis are useful when forecasting for the
      short-term and in comparatively stable environments. Futuristic methodologies are
      appropriate in turbulent environments with long-term planning requirements. The
      Likelihood of Events Assessment Process (LEAP), a new method of forecasting
      developed by the author, is explained in detail using examples from a recent
      study which used top level life insurance executives to predict the relative
      likelihood of occurrence of planning dates for a set of events in the socio
      political environment of business.

PMID- 10256732
TI  - Center for Research: retirement planning.

PMID- 10256733
TI  - Will this concept work?

PMID- 10256734
TI  - Examining your black box.
AB  - Effective management employs the skills of eliciting appropriate behavior and
      performance from people and successfully interacting with the environment. Formal
      management training is one tool that can help a medical group manager accomplish
      this objective. Another tool is a set of personal values which are consistent
      with the manager's actions. These values are neatly packaged in what the author
      calls a "black box." It makes for not only a healthy management style, but also a
      healthy person if the cognitions contained in one's black box are continually
      examined and weeded. To assist managers in identifying and examining the elements
      contained in their personal value sets, the author presents a few elements of his
      own black box.

PMID- 10256735
TI  - Medical malpractice arbitration.
AB  - The medical malpractice problem has been a major contributor to the inflationary
      trend in healthcare costs. Arbitration, as an alternative to litigation, can be
      effective in alleviating many of the problems associated with malpractice suits.
      Authors Corbett and Leap present the results of their study of arbitration,
      including an examination of existing medical malpractice arbitration panels and
      their effectiveness. The results of the study are encouraging as arbitration is
      seen to bring advantages to both the plaintiff and the defendant, as well as
      reducing the amount of litigation and insurance-related problems.

PMID- 10256736
TI  - A profile of the group practice administrator.
AB  - Authors Hamity and Gauss have drawn a profile of today's group practice
      administrator based on data collected in an independently conducted survey. A
      report is given on the age, education, and professional background of the 546
      respondents. Types of group practice, duties, responsibilities, problematic
      areas, and salaries and benefits are also discussed. In conclusion, the authors
      have identified the current and future trends which they believe their data has
      brought to light.

PMID- 10256737
TI  - Healthcare delivery in the Federal Republic of Germany.
AB  - By broadening your knowledge of healthcare delivery systems, you can grow as a
      healthcare administrator and play a larger leadership role in healthcare planning
      for the future at the local, state, and even national levels. Overseas
      conferences sponsored by the American College of Medical Group Administrators
      (ACMGA) provide a unique opportunity for detailed exposure to the healthcare
      delivery systems of other countries. An abstract of papers presented at the ACMGA
      1981 conference in Munich has been prepared by the author, sketching an outline
      of the history, organization, problems, and future trends of medical care in the
      Federal Republic of Germany.

PMID- 10256738
TI  - HMO: the concept, new evidence, implications.
AB  - HMOs have been the most controversial alternative healthcare delivery system in
      the US. As a first step towards understanding the concept and state of HMOs, a
      description is offered, including a review of basic characteristics, types, and
      general financial incentives and disincentives. Although the performance of HMOs
      has also been the subject of recent debate, there is evidence that studies of
      performance have been inconclusive, and while observations about the effects of
      HMOs appear frequently in the literature, the causes are not actually known. To
      provide more conclusive information on the performance of HMOs, the American
      Medical Association conducted several related studies during the tenure of the
      authors. Results and implications of these studies are presented.

PMID- 10256739
TI  - Management information systems in the HMO environment.
AB  - Realization of the unique potential of a health maintenance organization is
      dependent on the availability of adequate, accurate, and timely information. The
      particular data needed are determined by the structure of the organization; the
      physician compensation plans; requirements for state, federal, or other
      reporting; and many other factors. The author introduces the concept and
      objectives of the HMO, and presents the management information systems necessary
      for planning and monitoring HMO performance: patient information, utilization
      information, and management information for the staff and nonstaff HMO.

PMID- 10256740
TI  - Matching talents to problems.
AB  - Which type of manager are you--the superstar, the visionary, the traditionalist,
      the catalyst, or old reliable? There are as many useful managerial skills,
      abilities, and approaches as there are managers. By carefully analyzing the
      problems at hand in your organization and assigning employees with particular
      management talents to correct the problems for which they are best suited, your
      organization can be strengthened. The author identifies several of the talent
      areas most important to good management, and matches talents to specific
      problems.

PMID- 10256741
TI  - Application of management engineering techniques.
AB  - Management engineering techniques have proven to be beneficial tools in the
      analysis and improvement of a medical organization's productive resources. Though
      used more extensively in the hospital setting, the techniques can be applied to
      medical groups as a means to furthering the quality of patient care while
      improving the utilization of resources. An overview of the concept of management
      engineering is presented through the definition of basic techniques and the
      illustration of projects employing these methods in the medical group practice
      setting.

PMID- 10256742
TI  - Vision and mission of the church in the changing trends in health care.

PMID- 10256743
TI  - Here comes NMR.

PMID- 10256744
TI  - Review committee helps keep everyone happy.

PMID- 10256745
TI  - Loss prevention: a systems approach.

PMID- 10256747
TI  - Careful planning reduces patient falls, lowers liability risks.

PMID- 10256746
TI  - An ethylene oxide action plan that works.

PMID- 10256748
TI  - Prudent waste management.

PMID- 10256749
TI  - New employees are safety oriented.

PMID- 10256750
TI  - Grand Prix in the backyard.

PMID- 10256751
TI  - Safety in hospitals assumes major management role.

PMID- 10256752
TI  - Law guards M.D.'s privacy, but gives board access to psychiatric records.

PMID- 10256753
TI  - Sexual harassment hurts productivity.

PMID- 10256754
TI  - Tax-exempt bond rules put off investors.

PMID- 10256755
TI  - FTC, multihospital chains face off on antitrust impact of acquisitions.

PMID- 10256756
TI  - Round 2: AHSC jabs at antitrust charges.

PMID- 10256757
TI  - The Midwest: for-profits' new frontier.

PMID- 10256758
TI  - Standard design saves money, time needed to build a satellite hospital.

PMID- 10256759
TI  - Risk management, 'healthy' hospital-insurers grapple with commercial firms.

PMID- 10256760
TI  - Risk management: beware of workshops' quick 'certification.'.

PMID- 10256761
TI  - Risk management: managers target broad quality assurance goal.

PMID- 10256762
TI  - Nursing homes residents need safety, comfort in wheelchairs.

PMID- 10256763
TI  - What does a home health agency really want from suppliers.

PMID- 10256764
TI  - New purchasing group focuses on distributor needs.

PMID- 10256765
TI  - Group buying in the '80s.

PMID- 10256766
TI  - Economics, politics curb bed expansion, encourage nursing home consolidation.

PMID- 10256767
TI  - Fire officials disrupt area decubitus ulcer pad market.

PMID- 10256768
TI  - Demand for tissue trauma products remains steady; emphasizes prevention.

PMID- 10256769
TI  - Dilemmas of managing participation.
AB  - There are two reasons that current corporate efforts to achieve employee
      "participation" often seem fragile and temporary: unrealistic expectations about
      the appropriate use of participation and a failure to manage participation
      efforts for maximum success. Participation is most appropriate when, for example,
      expertise is diffused, issues are controversial, problems cut across existing
      roles, or the development of people is desired; autonomy and individual
      responsibility may be more appropriate under the opposite conditions. Kanter
      discusses six sets of dilemmas that must be resolved to ensure that participating
      teams work effectively for the organization: dilemmas around initiation,
      structure, issue choice, teamwork, links between teams and their environment, and
      evaluation/continuation. Kanter concludes that participation works best when it
      is well managed. Participation is best viewed not as a permanent "program" or a
      "formula" but as temporary episodes of high involvement alternating with a more
      routine everyday structure.

PMID- 10256770
TI  - Organizational change techniques: their present, their future.
AB  - To help carry out their responsibility of managing rapid and often unexpected
      change, managers have an available set of techniques: organizational behavior
      modification, management by objectives, management development, organization
      development, management auditing, and a control cycle of planning,
      implementation, and control. Each of these has a format that species the
      procedures to be followed to bring about organizational change. Michael
      emphasizes that such formats are preferable to a haphazard, trial-and-error
      approach that may produce unanticipated results. In part because some techniques
      are newer than others, data from a research project of planning and control that
      Michael conducted show different rates of usage by a sample of Fortune 500
      companies. The control cycle is the most widely used; organizational behavior
      modification the least widely used. The use of these techniques of organizational
      change is likely to vary in some ways and experience may bring about changes in
      the techniques. Michael concludes that the newer breed of managers who are versed
      in the social sciences, mathematics, and the computer are likely to spread new
      techniques in the organizational world.

PMID- 10256771
TI  - HIAA joins coalition in push to cure health care woes of umemployed.

PMID- 10256772
TI  - Increased productivity & quality: you can have both!

PMID- 10256773
TI  - OHMC: a new tool for success.

PMID- 10256774
TI  - Health care under scrutiny ... innovations needed.

PMID- 10256775
TI  - Communications deregulation: making it work for you.

PMID- 10256776
TI  - Emergency room accounts: using a customized approach to collections.

PMID- 10256777
TI  - Behavioral diagnosis: a practical approach to patient education.
AB  - Patient education is receiving increasing interest from persons interested in
      improving adherence to regimens and in preventing disease. Yet a number of
      empirical studies have cast doubts on the notion that patient education actually
      can influence behavior. This article compares and contrasts two paradigms of
      patient education, one based on the teaching approach and the other based on a
      behavioral diagnosis. The behavioral diagnosis is the assessment of influences on
      the desired patient behavior. It includes consideration of individual, social,
      environmental, and medical regimen factors that may either impede or facilitate
      behavior. The process of performing a behavioral diagnosis is presented, and
      clinical experience using this approach is described.

PMID- 10256778
TI  - Coping: implications for health practitioners.
AB  - Because coping plays an important role in sustaining individuals' overall
      functioning in illness, professionals need to become more skilled in maximizing
      its potential. The practitioner who takes the responsibility for assessing and
      strengthening clients; coping skills can lessen the negative impact of the
      illness. Although present theory on coping provides only initial guidance for
      this endeavor, a number of useful models and tool are available to study the
      coping process. Their introduction into clinical practice is strongly
      recommended.

PMID- 10256779
TI  - Sources of support perceived by parents of children with cancer: implications for
      counselling.
AB  - Providing social support for families of pediatric cancer patients remains a
      challenge. The perceived helpfulness of 11 potential support sources was assessed
      by 107 parents of children with cancer. They rated the spouse, the medical
      community, and parents from a mutual help group as the most helpful. Mental
      health professionals and the church were seen less frequently and perceived as
      less helpful. No significant differences were found in the patterns of social
      support among parents with children in different stages of treatment. More than
      half the parents responding to a question on what they needed most during their
      children's illness mentioned emotional support and counselling. Mental health
      professionals may find that crisis/supportive and educative models and frequent
      contact are useful counselling approaches in dealing with families of cancer
      patients. A team approach to pediatric oncological treatment, consisting of a
      primary physician, nurse, and psychological consultant, may be a way to optimize
      the early and flexible involvement of psychosocial staff in total care.

PMID- 10256780
TI  - Development of effective teaching strategies on drug information for teenagers.
AB  - A pilot study was carried out to compare two methods of teaching teenage girls
      about aspirin use. Both individual and group instruction were effective in
      increasing knowledge after the intervention. Individual instruction appeared to
      result in better retention of knowledge six weeks later, although the difference
      in test scores was not significant. The pilot study helped to identify
      deficiencies in research methods and instruments, which will be revised before we
      undertake a larger scale study.

PMID- 10256781
TI  - Attitudes toward health in social networks: their influence on physician
      utilization.
AB  - Many variables contribute to medical consumption. This study concentrates on
      those that can relate to health education, namely, (1) attitudes, beliefs, and
      behavioral intentions concerning health and medical care and (2) the influence of
      the patient's social network on medical consumption. Both complexes appear to
      influence the number of physician visits by three selected groups of patients.
      Emotional components are more influential than cognitive ones. Support from the
      social network appears to reinforce rather than replace professional help. The
      question is how health educators can adjust strategies to these findings.

PMID- 10256782
TI  - Epilepsy self-help groups: collaboration with professionals.
AB  - Two sequential cases of professional-self-help/mutual aid collaboration are
      described. The first was a federally funded demonstration project to develop
      epilepsy self-help groups in 15 cities. It involved a "mixed strategy" of
      national and local collaboration, where decision-making, and problem solving was
      vested in persons with epilepsy. The second related case was the "action learning
      workshop" that combined research with extension work. Knowledge about self-help
      group development and persons with epilepsy was advanced at the same time that a
      national network and alliance of epilepsy self-help groups was developed.

PMID- 10256783
TI  - The role of a self-help clearinghouse.
AB  - As the number of self-help groups continues to proliferate, the formation of an
      umbrella body is suggested. A Self-Help Clearinghouse would serve as such an
      umbrella through the establishment of an information, referral and research
      service for mutual aid groups in an area. It would also be available to offer
      technical assistance to existing groups and assistance in the formation of new
      self-help groups. As a prevention service, it can be integrated into a
      comprehensive community mental health service system or operated under other
      auspices. In either case, it is a barometer of community stressors and offers
      great promise in strengthening social supports, coping skills, and competence
      provided by self-help groups.

PMID- 10256784
TI  - Effects of a support group on the emotional impact of cesarean childbirth.
AB  - Childbirth by cesarean, especially when unexpected, can be a source of acute
      emotional distress, stemming from unmet expectations for childbirth and the
      experience of major surgery, among other factors. Some women experience negative
      feelings months or years after the birth. A difficult cesarean birth experience
      has potential negative effects on a woman's relationship with her spouse or
      infant. Cesarean support groups play an important role in the prevention of
      emotional distress by facilitating the resolution of the birth experiences and
      allowing women to plan and prepare for more positive birth experiences in the
      future.

PMID- 10256785
TI  - Helping people to help themselves: self-help and prevention--introduction.

PMID- 10256786
TI  - The Parents' Auxiliary of Little People of America: a self-help model of social
      support for families of short-statured children.
AB  - Average-sized parents of newborn and young dwarf children characteristically
      experience emotional distress growing out of a lack of knowledge about the
      practical and social problems their child will experience. The Parents' Auxiliary
      of Little People of America provides information and advise which enables parents
      to deal successfully with the medical and logistical problems of child rearing
      and their short-statured child's development. It further offers social and
      psychological support that legitimizes self-image for dwarfs and their families,
      and provides role models of happy, effectively functioning adult dwarfs and
      children who have made successful adaptations to the average-sized world around
      them.

PMID- 10256787
TI  - Preventive processes in self-help groups: Parents Anonymous.

PMID- 10256788
TI  - Mutual-help groups: members' views of their benefits and of roles for
      professionals.
AB  - Members of 18 self-help groups in Canada were surveyed as to the benefits of
      participation in mutual help groups and the roles for professionals in such
      groups. Three distinctions are made among mutual help groups: (1) those dealing
      with loss-transition (L-T), (2) those with members one step removed (OSR) from
      the problem, and (3) groups for stress, coping and support (SC&S). Members in OSR
      groups feel they benefit significantly more from participation than SC&S group
      members, while many L-T members feel they could get along well without the group
      if they had to. Members of SC&S groups tend to favor indirect involvement of
      professionals and see professional help and mutual help as complementary, more
      than do members of L-T and OSR groups. The traditional health care system is
      found to ignore the needs of L-T and OSR group members; mutual help thus provides
      a critical source of support and education for these people.

PMID- 10256789
TI  - Effects of participation in a self-help group for bereaved parents: compassionate
      friends.
AB  - Results of a panel survey study on bereaved parents are reported. Member and non
      member groups, reflecting increasing levels of involvement in Compassionate
      Friends, are compared for trends in changes in depression and personal growth.
      While no differences in depression were detected a linear trend was evidenced in
      personal growth. Those parents who were most involved in the group were more
      likely to maintain a sense of positive personal change over the one year time
      span of the study. Reasons for the specific impact of self help group involvement
      are discussed.

PMID- 10256790
TI  - Self-help participation and quality of life: a study of the staff of Recovery,
      Inc.
AB  - This report explores mental health outcomes reported by the self-help group
      leaders and administrators of Recovery, Inc.: The Association of Nervous and
      Former Mental Patients. Following Campbell (1976), both global and domain
      specific quality of life indicators are used as measures of mental health. The
      contributions of the leader's income, health history, and Recovery career
      variables are also examined and the general findings are compared to a normative
      population. The data indicates that Recovery participation is associated with
      positive mental status reports, particularly in global self-ratings. Residual
      areas requirng supplementary human service intervention are specified.

PMID- 10256791
TI  - Professional attitudes, awareness and use of self-help groups.
AB  - The aim of this project was to contribute information on an important aspect of
      the self-help movement: the nature of its relationship with professional mental
      and physical health practitioners. Focusing on the professions of psychology,
      social work, psychiatry, medicine and nursing, the goal was to ascertain the
      degree to which these professionals were aware of selected self-help groups in
      Toronto, the extent to which they used them and their attitudes toward these self
      help groups. Data obtained from 308 professionals indicated that they have some
      degree of familiarity with self-help groups in the community, are prepared to
      inform their clients about groups which may be helpful to them, are prepared to
      make referrals to such groups and hold favorable attitudes toward such groups.

PMID- 10256792
TI  - Parents United of Oregon: a natural history of a self-help group for sexually
      abusive families.

PMID- 10256793
TI  - Frequency analysis of commercially available vibrators.
AB  - The tonic vibration reflex -- elicitation of a muscle contraction by mechanical
      vibration -- is a well documented physiological phenomenon of particular
      relevance to physiotherapy. Among the critical features pertaining to the
      effectiveness of its use in clinical practice are the mechanical attributes of
      the vibrator used to elicit the reflex. Because physiological responses differ
      with vibrations of varying frequency and amplitude, it is necessary to measure
      these characteristics before a commercial vibrator is used therapeutically:
      Facilities and equipment for performing such tests are, however, not readily
      available to physiotherapists. The purpose of this study, therefore, was to
      measure and compare frequencies of a variety of commercially available vibrators
      under varying load conditions and over time. Vibrators from major Canadian retail
      outlets and manufacturers were obtained and, through the use of both mechanical
      and optical methods, a total of 19 models were frequency-calibrated. The results
      of the study permit discussion related to the suitability and reliability of each
      model and provide specific guidance to physiotherapy departments in the selection
      of appropriate therapeutic vibrators. The results also indicate that the mode of
      application, such as strapping the apparatus to the patient rather than having
      the operator hold it in her hand, affects the frequency in some models. The data
      related to frequency measurements, gained through this study, should enable
      therapists to make more effective use of commercially available vibrators in
      motor reeducation.

PMID- 10256795
TI  - Direct dialing for baby information: 572-BABY gets you helpful and free advice.

PMID- 10256794
TI  - A perspective on "Physiotherapy Canada": results of 1981 readership survey.
AB  - A readership survey was undertaken in 1981 by the editorial board of
      PHYSIOTHERAPY CANADA in order to identify the readers, ascertain their
      preferences and obtain their evaluation of the present content of the Journal. A
      questionnaire and a pre-addressed, prepaid response-card were included in the
      regular mailing of the January/February 1981 issue of the Journal. Analysis of
      the resulting data produced both descriptive and inferential statistics. Of the
      6478 targeted population (readers on the mailing list), 440 (6.8%) replied. The
      response rate of physiotherapists was 7.3%. Although the low response rate makes
      it difficult to generalize the results to the readership at large, some helpful
      information was obtained. The majority of the respondents (84.3%) were
      physiotherapists, involved in clinical work (75.5%). Eighty-two per cent had
      never published an article. Although PHYSIOTHERAPY CANADA was the sole journal
      consulted by 29.7% of respondents, another 50.4% did consult from one to three
      additional journals. A clear preference for clinical articles was expressed. The
      low rate of publication claimed by respondents, however, and their predilection
      for using the Journal as a source of information rather than as a vehicle for
      disseminating reports of their own work, makes it difficult for the Journal to
      comply with their request.

PMID- 10256796
TI  - Hospital "800" number: toll free referrals widen the market.

PMID- 10256798
TI  - Musical logos for radio: using audio to adjust an image.

PMID- 10256797
TI  - First aid calendar: a band aid for image, services and donations.

PMID- 10256799
TI  - Newsletter input form: inhouse journalism, self taught.

PMID- 10256801
TI  - Image advertising: sensitive ad helps position a rehab hospital.

PMID- 10256800
TI  - Competitive hospital TV spots: see spots run.

PMID- 10256802
TI  - Benefits brochure: reminding employees about the virtues of working there.

PMID- 10256804
TI  - Health care center advertising.

PMID- 10256803
TI  - Cardiac rehab booklet. Write it; use it; share it; sell it.

PMID- 10256805
TI  - Advertise your physicians.

PMID- 10256806
TI  - Consecutive giving club: a hospital development club encourages every-year
      participation.

PMID- 10256808
TI  - Annual report survey.

PMID- 10256807
TI  - Media push: how to gain credibility with the media.

PMID- 10256809
TI  - Multi-lingual dental department: interpreter sorts things out for foreign
      patients.

PMID- 10256810
TI  - Promotional city map: putting your hospital on the map as a community service.

PMID- 10256811
TI  - Hospital tour: tips on scheduling and post tour surveys.

PMID- 10256812
TI  - Good health club for kids: extending wellness to children.

PMID- 10256813
TI  - An all-purpose exhibit booth for recruiting and promoting at conventions.

PMID- 10256814
TI  - An HMO magazine: a "modest" magazine that gets 80% readership.

PMID- 10256815
TI  - Opening a hospital satellite emergicenter: planning and promotion produce 3000
      visitors!

PMID- 10256816
TI  - Hospital winter olympics: morale was the moral.

PMID- 10256817
TI  - Carpet selection, installation and maintenance in hospitals and health care
      facilities.

PMID- 10256818
TI  - Improving public relations in the housekeeping department.

PMID- 10256819
TI  - Managing your risk control program.

PMID- 10256821
TI  - Health factors relationship to accident rates.

PMID- 10256822
TI  - The tension among multiple objectives in health administration education.

PMID- 10256820
TI  - Control of waste gas anesthetics.

PMID- 10256823
TI  - Report of the board of directors: Association of University Programs in Health
      Administration.

PMID- 10256824
TI  - Report of the president: Association of University Programs in Health
      Administration.

PMID- 10256825
TI  - Research policy statement of the AUPHA Board of Directors.

PMID- 10256826
TI  - Health services administration education 1980-81: a report of AUPHA membrane
      graduate and baccalaureate programs and faculties.

PMID- 10256827
TI  - A radiology department's response to consumer concerns regarding the hazards of
      low-dose radiation.

PMID- 10256828
TI  - Thinking about the future.

PMID- 10256829
TI  - Radiology management: some thoughts for the future.

PMID- 10256830
TI  - AHRA: the first ten years.

PMID- 10256831
TI  - 1981 AHRA clerical productivity survey.

PMID- 10256832
TI  - Legal forum: Abstracts of recent malpractice cases in radiology.

PMID- 10256833
TI  - Brain death.

PMID- 10256834
TI  - Containment programs can brake steamrolling health care costs.

PMID- 10256835
TI  - The control function of management.
AB  - The control function of management can be a critical determinant of
      organizational success. Most authors discuss control only through feedback and
      adjustment processes. This article takes a broader perspective on control and
      discusses the following questions: What is good control? Why are controls needed?
      How can good control be achieved? If multiple control strategies are feasible,
      how should the choice among them be made?

PMID- 10256836
TI  - Strategic piggybacking--a self-subsidization strategy for nonprofit institutions.
AB  - Nonprofit institutions often find that their socially worthwhile primary missions
      generate deficits. The author proposes a strategy for funding these shortfalls
      that is a synthesis of the specialization and diversified portfolio strategies.
      Following the method of strategic piggybacking, an organization should acquire or
      develop a business that is new for the institution and that may be unrelated to
      the institution's primary mission. The purpose of this new activity is to
      subsidize, at least in part, the deficit-producing primary mission.

PMID- 10256837
TI  - A note on recent trends in the infant mortality-socioeconomic status
      relationship.

PMID- 10256838
TI  - Further evidence on education and job satisfaction.
AB  - Regression analysis of data from recent U.S. national surveys was used to
      estimate, for white men and women separately, the total effect of amount of
      education on job satisfaction and the effect net of extrinsic rewards (money,
      prestige, authority, and autonomy). We reasoned that education which does not
      lead to extrinsic rewards would lead to dissatisfaction with work by producing
      unfulfilled expectations and aspirations, and thus we hypothesized that the
      estimated effect of education on job satisfaction net of extrinsic rewards would
      be negative. The hypothesis was not supported for women and was only weakly
      supported for men, and thus the findings of this study do not suggest that any
      increase in overeducated workers will have a major negative impact on job
      satisfaction., The indicated total effect of education is positive for both sexes
      but is considerably stronger for women than for men.

PMID- 10256839
TI  - An analysis of the physician's professional liability for radiation of the fetus.

PMID- 10256840
TI  - Louisiana hospital performs new balloon insertion procedure: unique balloon
      catheter improves heart procedure.

PMID- 10256841
TI  - Richland Memorial Hospital is offering a new procedure for early diagnosis of
      breast cancer using...sonar technology.

PMID- 10256843
TI  - Hospital linen rental: a logical development.

PMID- 10256842
TI  - The Criterion Referenced Performance Appraisal System can add to the
      effectiveness of the hospital and...improve quality of care.

PMID- 10256844
TI  - Re: "Low temperature washing for hospital linen.".

PMID- 10256845
TI  - A stylish shift: nurses surveyed in 1971 and 1980 indicate that uniform styling
      has become more important.

PMID- 10256846
TI  - Textile rental increases hospital sales.

PMID- 10256847
TI  - Some recreation preferences of the mentally retarded.

PMID- 10256848
TI  - Sources of resistance to computer technology in health care.

PMID- 10256849
TI  - Concurrent quality assurance using a medical information system.

PMID- 10256850
TI  - The medical information system: an administrative planning and marketing tool.

PMID- 10256851
TI  - The computer challenge: a personal and professional response.

PMID- 10256852
TI  - Automated record tracking as a component of a management information system.

PMID- 10256853
TI  - The process of planning an in-house computer system.

PMID- 10256854
TI  - Marketing and its reliance on data--a new approach for hospital survival.

PMID- 10256855
TI  - Requiring physicians to complete medical records.

PMID- 10256857
TI  - The case for selling the county hospital.

PMID- 10256856
TI  - Networking: forming collectives to ensure survival and flexibility.
AB  - Networking--the presence in one multihospital system of two or more types of
      interhospital relationships--offers freestanding not-for-profit hospitals the
      ability to form collectives that ensure organizational survival and managerial
      flexibility while safeguarding institutional autonomy. A prototype of an emerging
      health care network is Health West Foundation, a not-for-profit holding company
      that provides health care services through a network of affiliated components.

PMID- 10256858
TI  - Is the decision to merge really a question of access to capital?
AB  - Institutional mergers are not a panacea for hospitals with financial or operating
      problems, and the apparent advantage of multihospital systems does not lie in
      their access to capital and human resources. The critical disadvantage of
      independent hospitals may be the result of attitudes held by governing boards.
      This article suggests that boards adopt new business tenets, especially regarding
      accountability, risk, pricing, competition, regulation, innovation, resource
      management, and purpose.

PMID- 10256859
TI  - Financial panel predicts long-term difficulties.

PMID- 10256860
TI  - Straight talk about accountability, or, are you sure no one's listening?

PMID- 10256861
TI  - How to stay out of court: tips to trustees from a lawyer.

PMID- 10256862
TI  - When the only certainty is uncertainty.

PMID- 10256863
TI  - Is deregulation likely to affect hospital design and construction?
AB  - Is the deregulatory thrust of this administration having an effect on hospital
      design and construction? does it threaten to create an expansion and construction
      free-for-all in the industry? A number of architects and construction industry
      professionals comment on what effect, if any, they expect deregulation to have on
      health care construction, as well as the expected effect of financing and
      management in an increasingly competitive environment.

PMID- 10256864
TI  - Design as a marketing tool: cater to your clients.
AB  - competing successfully in the market and functioning efficiently often depend on
      a reassessment of the environment. Accordingly, upgraded convenience, comfort,
      and atmosphere have become major marketing mechanisms for hospitals. This article
      presents several examples of how hospitals have used design to provide marketing
      advantages.

PMID- 10256866
TI  - Corporate restructuring: walk before you run.

PMID- 10256865
TI  - Saving on design doesn't save money, life-cycle costing studies show.
AB  - Design and energy management decisions significantly affect both initial
      construction and ongoing operation costs. Because of their importance, they are
      examined in this article, which also provides some general background concerning
      construction project development and typical fees expected by architect/engineers
      and construction managers.

PMID- 10256867
TI  - Cooperation or conflict: the changing physician-hospital relationship.

PMID- 10256868
TI  - Hospitals and economic perspectives: alternative care and treatment sources.

PMID- 10256869
TI  - The Aga Khan hospitals and health services.

PMID- 10256871
TI  - The relevance of primary health care for industrialized countries.

PMID- 10256870
TI  - The emerging role of hospitals for health care in India.

PMID- 10256872
TI  - Health care in Hungary.

PMID- 10256874
TI  - Integrated health services in Hungary.

PMID- 10256873
TI  - The relationship between primary health care in villages and hospitals.

PMID- 10256876
TI  - The doctor-patient relationship: past, present and future subjunctive.

PMID- 10256875
TI  - Aga Khan Foundation/WHO/CIDA Conference in Karachi, 1981. The role of hospitals
      in primary health care.

PMID- 10256877
TI  - Nutrition counseling and ethnic diets.

PMID- 10256878
TI  - Input uncertainty and organizational coordination in hospital emergency units.
AB  - The relationships among input uncertainty, means of coordination, and criteria of
      the organizational effectiveness of hospital emergency units were explored using
      data from 30 emergency units in six midwestern states. Input uncertainty
      generally was not associated with the use of various means of coordination.
      However, input uncertainty affected relationships between the means of
      coordination and the effectiveness criteria. Specifically, programmed means of
      coordination made a greater contribution to organizational effectiveness under
      conditions of low uncertainty than under conditions of high uncertainty.
      Conversely, nonprogrammed means of coordination made a greater contribution to
      organizational effectiveness when uncertainty was high than when it was low.
      Findings were interpreted and suggestions were advanced as to how emergency units
      might best solve their coordination problems under varying conditions of
      uncertainty.

PMID- 10256879
TI  - A laundry that must meet high volume demands.

PMID- 10256880
TI  - Recovering dollars from waste water.

PMID- 10256881
TI  - Rx for cost containment: leasing.

PMID- 10256882
TI  - Cost considerations in the management of early breast cancer.

PMID- 10256883
TI  - Cancer registries: how much do they cost and contribute to cancer prevention?

PMID- 10256884
TI  - Multi-disciplinary cancer clinics--cost considerations.

PMID- 10256885
TI  - The cost of clinical trials in cancer.

PMID- 10256886
TI  - Domiciliary nursing service for cancer patients.

PMID- 10256887
TI  - The role of a self-help group in working with parents of a stillborn baby.
AB  - A stillborn baby represents a unique loss because parents must mourn fantasies of
      an anticipated newborn rather than memories of a shared experience. A self-help
      group can facilitate parents' mourning process following a stillbirth. With
      family-to-family contact and group discussions, the reality of the stillbirth is
      validated, the empty feelings of the loss the parents are experiencing are
      acknowledged, and the guilt the couples are feeling is eased. Reports from
      parents indicate that restoration of hope for the future and improved marital
      communication are the most beneficial aspects of their participation in the
      group. The phases of mourning described by Bowlby and Parkes have been observed
      in the group studied here as over time the parents resolved their loss and
      reoriented their lives.

PMID- 10256888
TI  - Hospital care in crisis: part 1.

PMID- 10256889
TI  - The probable impact of federal budget cuts on emergency medical services.

PMID- 10256891
TI  - The value of trauma centers.

PMID- 10256890
TI  - When surgeons are liable for other physicians' acts.

PMID- 10256892
TI  - Mislabeling and patient liability issues for pharmacists.
AB  - The potential for running afoul of the law by mislabeling a drug product at the
      time of dispensing is substantial. By understanding the law in this area,
      pharmacists can take steps to comply fully with the law and yet meet the needs of
      the patients they serve. State boards of pharmacy should acknowledge that they
      have an educational as well as a regulatory function and endeavor to educate
      their licensees of the law in this area.

PMID- 10256893
TI  - Legal significance of drug interactions.
AB  - Adverse drug interactions have always been of concern to the physician and
      pharmacist. Recently such events have been used as the basis for malpractice
      suits involving health professionals. Pharmacists have both a professional duty
      to avert such interactions if possible and a legal duty to know their
      responsibilities in this area. Patient counseling, the maintenance of patient
      profiles, and familiarity with the drug interaction literature through continuing
      education opportunities can aid pharmacists in detecting or preventing adverse
      interactions, while familiarity with the liability laws can help pharmacists
      protect their practices.

PMID- 10256894
TI  - Power--an essential need for effective managers: Part II.

PMID- 10256895
TI  - Profile of a unique community-based clinical pharmacy family practice program.
AB  - The provision of clinical pharmaceutical services in family practice offices has
      aroused considerable national interest among both pharmacists and physicians.
      Many of these clinical pharmaceutical services and educational programs have been
      university-funded and/or rely on colleges of pharmacy for fiscal support. Few
      examples of community-funded, ambulatory care clinical pharmaceutical programs
      have been reported. Community Health Care, Inc., and Davenport Medical Education
      Foundation, Inc., are two health care programs which sponsor an innovative
      ambulatory care clinical pharmacy program. Community Health Care is a nonprofit
      corporation which utilizes a multidisciplinary team concept to provide
      comprehensive ambulatory care services to patients. Davenport Medical Education
      Foundation is a nonprofit corporation that provides a community-based family
      practice residency program. Because the two separate parent organizations have
      distinct goals requiring individualized clinical pharmaceutical services, the
      responsibilities of the clinical pharmacist have evolved to be comprehensive in
      scope.

PMID- 10256896
TI  - Clinical pharmacy in an emergency medicine setting.
AB  - A decentralized emergency medicine clinical pharmacy program was initiated and
      has operated now for over 1 year. The program attempted to answer two questions:
      is there a viable clinical pharmacy role in emergency medicine, and could staff
      pharmacists successfully function in such a role without formal clinical training
      and experience? Initial primary objectives were to provide an on-the-spot
      pharmaceutical consultation service and to initiate new or expanded traditional
      pharmacy support to staff and patients. A secondary objective was to provide
      expanded outpatient prescription service to emergency room patients.

PMID- 10256897
TI  - Evaluation of antihypertensive drug prescribing in a primary care clinic.
AB  - Although the National High Blood Pressure Education Program has been in existence
      since the early 1970's, reported evaluation of drug prescribing for ambulatory,
      hypertensive patients for conformance with the stepped-care approach and approved
      drug labeling is lacking in the literature. To study this, charts of hypertensive
      patients from a primary care clinic were retrospectively reviewed against
      explicit treatment criteria. It was found that nearly all the antihypertensive
      drug prescribing was in accord with the criteria, with the exception of the
      scheduling of return visits to the clinic and monitoring. The community
      pharmacist's role in improving patient monitoring is discussed.

PMID- 10256898
TI  - Decreased medication costs in a skilled nursing facility by clinical pharmacy
      services.
AB  - After 1 month of monitoring the drug regimens of 25 randomly selected skilled
      nursing facility patients, clinically trained pharmacists were able to decrease
      the total number of medications from an average of 6.0 medications per patient to
      4.2 medications per patient. Not only was the number of prescribed medications
      decreased, but also the total number of administered doses was decreased by
      18.6%. The potential additive savings to the state of Washington through
      decreases in the number of state-funded medications, and to the skilled nursing
      facilities through decreases in nursing medication administration time, amount to
      $0.40 per patient per day or approximately $1.7 million annually.

PMID- 10256899
TI  - Monitoring drug therapy: an applied approach.
AB  - While it has been agreed that drug therapy monitoring in health care institutions
      is desirable and necessary, the pharmacists who carry out such programs must have
      a system that fills their special needs. Pharmaceutical Consultant Services, P.A.
      has developed a manual monitoring system to provide patient profiles for long
      term care patients. This instruction guide explains the system and its
      application; pharmacists may wish to use this system or simply to learn from it.

PMID- 10256900
TI  - Pharmaceutical services in a third-party system: an analysis.
AB  - The pharmacy system of the U.S. Army Health Services Command (HSC) is presented
      as a model of a third-party governmentally operated pharmacy system. The system
      is analyzed for FY 1979 and compared with national averages for a similar time
      frame. Within HSC, the pharmacists to supported population ratio is 12:100,000,
      the pharmacist to technician ratio is 1:1.3, each outpatient pharmacy supports
      54,041 people, each hospital supports 84,713 people, and the HSC pharmacy cost
      per beneficiary per year is $14.44. The average pharmacist's salary is $22,000
      per year, and the average technician's salary is $13,000. When the resource
      commitment for pharmacy services by HSC is compared to national averages, HSC
      supports a given population with fewer pharmacists, less drug costs, and fewer
      pharmacy facilities. HSC also supports a given population with fewer beds and
      admissions than the national average. The salary per pharmacist is comparable for
      HSC and the national average; however, within HSC, technicians receive a larger
      salary than the national average. It is concluded that, for a given population,
      HSC commits fewer resources in support of pharmacy services than the national
      average.

PMID- 10256901
TI  - Pharmaceutical services in long-term care facilities: a certificate approach to
      teaching skills.
AB  - The University of Tennessee College of Pharmacy has developed a certificate
      program for Pharmaceutical Services in Long-Term Care Facilities. Pharmacists who
      are required to provide such services generally have had minimal experience in
      doing so. The certificate is composed of six home-study courses, a researched
      paper, and an on-site clerkship experience. Each pharmacist is evaluated for his
      or her mastery of the material at regular intervals. The program is designed to
      be completed in 6 months.

PMID- 10256902
TI  - Prescriber, pharmacist, and patient interpretation of commonly used prescription
      directions.
AB  - Prescriber, pharmacist, and patient interpretations of commonly used prescription
      directions were assessed. Results indicated that: 1) Attempts to make directions
      more time-specific without indicating actual hours for ingestion of the
      medication tends to lead to patient confusion and potential compliance problems;
      2) Some prescribers do not understand the potential interpretation of their own
      directions; 3) Patients tend to base drug ingestion time on their lifestyles, and
      unless directions are actually time-specific (e.g., one at 8 a.m., 1 p.m., and
      7.p.m.), compliance problems will probably continue; and 4) The prescribed and
      the pharmacist cannot assume understanding on the part of the patient for
      nonspecific directions. They must not only reinforce directions, but must also
      determine the patient's level of understanding, so that actual compliance with
      the directions intended has a chance for success.

PMID- 10256903
TI  - The community pharmacist and health education.
AB  - A behavioral-oriented approach to providing information to patients was examined.
      The goal of the approach was to produce behavioral change through health
      education. The pharmacist's role as a health educator was discussed, and patient
      education was distinguished from information dispensing. It was concluded that
      the preventive medicine concept makes the pharmacist's educational role important
      and requires communication and education skills to make that role viable.
      Pharmacy curricula and continuing education should address the need for such
      skills.

PMID- 10256904
TI  - Pharmacy in the health care center: a model for health care delivery.
AB  - Health care consumers use a plethora of services which are accessible on an
      ambulatory basis. These include the services of pharmacists, optometrists,
      nurses, dentists, audiologists, orthotics, and so forth. Since many of these
      services are provided in physically and financially separate facilities and often
      are not located in close proximity to one another, consumers may spend a large
      amount of time traveling between locations. Economic inefficiencies due to the
      size and dispersion of separate and independent facilities may produce an
      increase in the cost of ambulatory health care services. Thus, the concept of a
      health care center, an ambulatory health care analog to the multispecialty
      shopping center, is proposed as a potential alternative and improvement in the
      delivery of these services. Space, location, personnel, and initial capital
      requirements for a model health care center are projected based on existing data
      for the establishment of each separate auxiliary health care facility.
      Projections are made to determine the appropriate and necessary site for the
      health care center's trade area. Potential revenues are calculated by examining
      some pharmacy operations which are beginning to pioneer these areas and utilizing
      revenue figures for the various individual services. The results indicate that
      the pharmacy, as a frequently visited health care facility, may be an excellent
      choice around which to develop the health care center concept in metropolitan
      areas.

PMID- 10256905
TI  - Building a structured learning package.
AB  - Pharmacists must become educators of patients and of pharmacy technical
      personnel. The literature cited in this paper has found that problems of patient
      compliance, personnel management, the high cost of medical care, and patient
      medical self-help may very well be solved in part through the application of
      competently written learning packages. One specific approach to learning package
      creation is illustrated in this paper, using the training of a unit-dose
      technician as an example. The subjects of student motivation, step-wise learning
      using subobjectives, learning feedback, material relevance, and student
      evaluation are discussed. Higher-level cognitive skills and readability are
      briefly discussed and illustrated to focus the readers' attention on the more
      difficult aspects of building learning packages.

PMID- 10256906
TI  - Experiences with the compliance clinic: assessment of the effect.
AB  - A retrospective study was conducted to determine the clinical and financial
      impact of a pharmacy-based compliance clinic. Charts of patients referred by
      physicians to the clinic were reviewed. Data were collected during compliance
      clinic consultation and compared to pre-clinic data to determine if the
      pharmacists' services were of merit. During the 33-month study period, 25
      patients were referred to the pharmacy. Fourteen (56 percent) of these patients
      were seen regularly by the pharmacist. Eleven of the 14 patients (79 percent)
      achieved greater than 80 percent compliance with their medication regimen. Six of
      the 14 (43 percent) demonstrated significant reductions in emergency room visits
      comparing pre- and post-clinic records. Eight patients (57 percent) exhibited
      reduced hospitalization. Aggregate cost savings resulting from these reductions
      totalled $43,314 for the study period. It is concluded that: physicians are
      willing to ask pharmacists to assist in managing compliance problems; compliance
      can be improved when treatment is tailored to patient need; improved compliance
      may not result in better therapeutic outcome; and cost savings resulting from
      those patients responding can exceed the costs of providing the service.

PMID- 10256907
TI  - Power -- an essential need for effective managers: Part III.

PMID- 10256908
TI  - Community-oriented hospital pharmacy services.

PMID- 10256909
TI  - Prenatal drugs: patient information and its source.
AB  - Pregnant women consume numerous medications, some of which are potentially
      harmful to the fetus. It is especially important that these women are provided
      with information about these drugs. This study was undertaken, in part, to
      document the amount of information pregnant women have about the drugs they
      consume and the sources of their information. Study participants were 304 women
      selected at random from the postpartum inpatients at a teaching hospital. Mothers
      were interviewed to obtain drug exposure data and to determine what, if any,
      information they had about the drugs. The source of information for each drug
      consumed was also determined. Results show that pregnant women have little
      information for each drugs they consume. Mothers most often cited primary medical
      personnel (physicians and nurses) as sources of information about specific drugs.
      In contrast, only six patients cited the pharmacist as a source of information
      about specific drugs. However, patients ranked the pharmacist high as a source of
      general drug information. This report emphasizes the need for more drug
      information for pregnant women and highlights the role of the pharmacist in
      providing such information.

PMID- 10256910
TI  - The clinical pharmacist as a member of the burn team.
AB  - Pharmacists are becoming involved increasingly in a patient care. At the
      University of California, San Diego Medical Center, a pharmacist has become a
      member of the multidisciplinary burn team. Through participation in work rounds
      and team conferences, the pharmacist has had a considerable beneficial impact on
      drug therapy, drug dosing, monitoring adverse drug reactions, and total
      parenteral nutrition. Specific benefits to patient care that the pharmacist
      provides are discussed and also the benefits derived in using a burn unit as a
      clinical teaching rotation for pharmacy students. The pharmacist has found his
      association with the burn unit to be professionally rewarding and the attending
      surgeons and surgical house staff have found his input to be valuable. The
      authors encourage other burn units to enlist a pharmacist as part of their burn
      team.

PMID- 10256911
TI  - Pharmacists' and physicians' responses to the South Carolina Product Selection
      Act of 1978.
AB  - The "Drug Product Selection act of 1978" became effective in South Carolina on
      January 1, 1979. All written prescription forms must be printed with two
      signature lines. Under the line at the left, "DISPENSE AS WRITTEN" must be
      printed. Under the line at the right, "SUBSTITUTION PERMITTED" must be printed.
      In addition, the pharmacist must receive the patient's consent before
      substitution can occur. This study investigated the impact of the Act on
      physicians' prescribing habits and pharmacists' responses to drug product
      selection initially and 3 months after enactment. The data were analyzed
      according to the drugs prescribed, permitted substitutions, physicians'
      specialties, use of correct prescription blank, drug category, date, and drug
      actually dispensed. Physicians permitted substitution for 27.19 percent of all
      prescriptions written. There were 499 prescriptions out of 1,835 authorizing
      substitutions. A total of 127 of these drugs were for single-source items, as 162
      were written for generic items. In the remaining 210 prescriptions for brand name
      items, pharmacists selected another brand only 24 percent of the time.

PMID- 10256912
TI  - A survey of pharmacist group practice.

PMID- 10256913
TI  - Role effectiveness of a pharmacist in the maintenance of patients with
      hypertension and congestive heart failure.
AB  - This study was designed to measure the role effectiveness of pharmacists in the
      management of patients with hypertension and congestive heart failure. Based on
      therapy protocols established by physicians and pharmacists prior to the study,
      the pharmacist was measured against the standard for providing primary care-
      i.e., the physician. The study showed that the pharmacist competently elected
      drug therapy and identified adverse drug reactions. As a group, the 20 study
      patients, whose therapy was determined by the pharmacist, were better managed
      than the 20 control patients (p less than 0.05). It is suggested that the
      pharmacist is effective in the role of managing patients with hypertension and
      congestive heart failure.

PMID- 10256914
TI  - Refilling prescriptions and physician consent.
AB  - Much has been written regarding physicians' prescribing behavior. However, a
      literature search revealed a dearth of information regarding physicians'
      refilling behavior. The purpose of this study was to explore how authorization is
      given to community pharmacists for refilling a prescription by telephone. A total
      of 30 physicians (general practitioners and internists) was systematically
      selected with a random start from the telephone directory of a large metropolitan
      city. A surveyor acting as a registered pharmacist from a fictitious pharmacy
      called and requested refill authorization from a prescriber using a simulated
      patient's name and prescription. Half of the 30 phone calls utilized a controlled
      substance as the drug in question, and the remaining half utilized a
      noncontrolled legend drug. All of the phone calls were made either during late
      afternoon or evening. The results of this study show that 48.3 percent of the
      physicians authorized refills. Positive refill authorization was given in 29
      percent of the instances with the controlled drug and 66 percent of the instances
      with the noncontrolled legend drug. Only 27.6 percent of the physicians checked
      their records.

PMID- 10256915
TI  - Inadequately written prescriptions: prescriber rationales for "take as needed"
      and "take as directed.".
AB  - An audit of a large sample of prescriptions written by 39 physicians revealed
      considerable variation in the rate at which they specified adequate dosage
      instructions. When asked for their rationales for saying "Take as needed" or
      "Take as directed" on prescriptions, the physicians cited several circumstances
      where these instructions may be indicated. "Take as directed;; is defended 1)
      when the patient has a history of compliance with the regimen being prescribed;
      2) when the prescription is accompanied by verbal or auxiliary written
      instructions; 3) when oral contraceptives are ordered; and 4) when the
      prescribers may need to make frequent changes in a regimen and wish to
      communicate these changes orally. "Take as needed" is defended when the drug is
      to be taken only when the patient determines that sufficient symptoms have
      appeared. Prescribers are cautioned to consider whether the assumed advantages of
      nonspecific dosage instructions are outweighed by the possible risks of patient
      confusion.

PMID- 10256916
TI  - Use of the countersuit by pharmacists who have been groundlessly sued for
      malpractice.
AB  - Attorneys for patients who have been injured by adverse reactions to drugs often
      name as defendants the prescribing physician, the drug manufacturer, and the
      pharmacist. In many jurisdictions neither the law of warranty nor the law of
      strict liability will support a cause of action against a pharmacist who has done
      nothing more than correctly dispense a drug which was correctly prescribed. If
      the lawsuit against the pharmacist can be shown to have been filed for no other
      reason than to coerce a nuisance settlement or just to be cautious, the
      pharmacist may have available a remedy in the form of a countersuit. Malicious
      prosecution is one cause of action which might be maintainable as a countersuit.
      The elements of the cause of action are: 1) the initiation of a lawsuit; 2) lack
      of probable cause; 3) malice; 4) termination in favor of the pharmacist; and 5)
      damages. Lack of probable cause and malice are interrelated and are the two most
      difficult elements to prove. Abuse of process is another possible cause of
      action. The elements are: 1) an illegal, improper, or perverted use of the
      process; 2) an ulterior motive or purpose; and 3) damages. Other causes of action
      which have been considered by attorneys for groundlessly sued health
      professionals are barratry, defamation, attorney negligence, prima facie tort,
      and violation of a disciplinary rule.

PMID- 10256917
TI  - PPIs: community pharmacists' perceptions.
AB  - In order to measure pharmacists' perceptions about the PPis for estrogen and oral
      contraceptives, questionnaires were distributed to a random sample of 105
      community pharmacists in a large midwestern city. Seventy completed
      questionnaires were returned, producing a response rate of 67 percent. A slight
      majority of the responding pharmacists indicated that pharmacists should be
      responsible for distribution of these PPIs but that physicians should be
      responsible for determining whether a patient should receive a PPI. The
      pharmacists indicated that patient information should be verbally communicated
      and accompanied by a written summary sheet and that patients neither read nor
      understand these PPIs. Although limited in size and geographic area, this study
      suggests that retail pharmacists have doubts about the current PPI program
      mandated by the Food and Drug administration.

PMID- 10256918
TI  - Patient behavior patterns regarding prescription refills.
AB  - This study was conducted to examine the association between drug price, drug
      category, duration of coverage of the original prescription, units prescribed per
      day, and a patient's failure to obtain authorized refills of prescription
      medication. A two-stage sampling of pharmacies and prescriptions yielded a total
      sample of 1,058 prescriptions. The Drug Possession Ratio (DPR), defined as the
      ratio of number of days of medication dispensed to number of days of medication
      prescribed, was significantly related to drug price and drug category (p less
      than 0.05). The highest DPR was associated with the most expensive medication.
      Tranquilizers, antidepressants, and sedative hypnotics exhibited high DPR, while
      antihistamines and decongestants exhibited low DPR.

PMID- 10256919
TI  - A drug self-administration program: a behavioral approach to patient education.
AB  - This study is an evaluation of an in-hospital patient education and drug self
      administration program. The main goal of this patient education strategy was to
      increase appropriate drug use by patients after they were discharged from the
      hospital. Patients first learned about their medications from hospital staff,
      including pharmacists, and then gradually assumed the responsibility for self
      administration of their drugs. Patients practices taking their medication while
      hospital staff monitored their actions, correcting inappropriate use and
      reinforcing correct use. Results showed that the program significantly increased
      both levels of drug knowledge and patient compliance when compared to a control
      group. An analysis of covariance revealed that improved compliance was
      attributable to both participation in the program and to the increase in drug
      knowledge. Patients were more satisfied with pharmacy services and perceived the
      pharmacist as being more knowledgeable about prescription drugs after interacting
      with pharmacists in this program. Analysis of patient locus of control revealed
      that internally oriented patients complied better after participating in the
      program than did externally oriented patients. In the control group, externally
      oriented patients complied better after receiving typical hospital care than did
      internally oriented patients. Thus, results imply that this behavioral approach
      benefited internally oriented patients.

PMID- 10256920
TI  - Compensation for consultant pharmacy services to long-term care facilities.
AB  - Little has appeared in the professional pharmacy literature on the subject of
      compensation for consultant pharmacy services in the long-term care facility. The
      objective of this paper was to provide an historical review of this issue and to
      provide a potential methodology for determining the costs to the consultant of
      providing the comprehensive services as delineated in federal and state
      regulations. It is hoped that this methodology will become a standard mechanism
      for states to determine the costs of provision of the required services. The
      presented methodology indicates that in the region used as an example (central
      Connecticut), cost of providing comprehensive pharmacy consulting services are
      ten cents ($0.10) per patient/day.

PMID- 10256921
TI  - Pharmacy Education in the twenty-first century.
AB  - Forecasted social and economic changes are reviewed in light of their potential
      impact on pharmacy practice and education. A similar approach is taken to
      speculation on drug technology with the prediction of major advances in the
      understanding of drug action at the molecular level and, with it, a closing of
      the gap between molecular and clinical knowledge. The components of the health
      care and educational systems are envisioned as linked through communications
      technology, creating an on-going information flow that develops and continues the
      competencies of the providers while optimizing conditions for patient care.

PMID- 10256923
TI  - The patient's rights to noncompliance.

PMID- 10256922
TI  - Legal aspects of clinical pharmacy practice.
AB  - Recent trends in pharmacy have emphasized the concept of a more clinical
      professional role and a new level of skilled practice for pharmacists. These new
      roles and responsibilities create a number of legal questions concerning the
      clinical activities pharmacists can legally perform, and the liabilities
      pharmacists must bear in the performance or negligence of these duties. The law
      is not completely clear on all aspects of clinical pharmacy practice. This paper
      explores the legal basis of certain specific functions performed by pharmacists,
      and the inherent liabilities involved in the performance of these functions.

PMID- 10256924
TI  - Analysis of the use and potential use of the pharmacist in preventive health
      services.

PMID- 10256925
TI  - ECHO and the challenge of today.

PMID- 10256926
TI  - Beware! There are risks associated with a total information system.

PMID- 10256927
TI  - Managing information ... not data.

PMID- 10256928
TI  - Focus: Japan. Interview by Karen M. Richards.

PMID- 10256930
TI  - California court imposes hospital liability for negligent acts of its independent
      staff physicians; reflects developing trend in malpractice cases.

PMID- 10256929
TI  - Department of Defense to the aid of the consumer.

PMID- 10256931
TI  - Fifth Circuit finds exclusive contract for anesthesia services violates antitrust
      laws.

PMID- 10256932
TI  - Regulation Z revised effective Oct. 1, 1982: hospitals should review
      applicability to credit practices.

PMID- 10256933
TI  - Home health care and rapid rehospitalization.
AB  - Early release from the hospital of the elderly ill patient may lead to failure of
      the home care plan and rapid rehospitalization. Review of 330 consecutive
      admissions to a large urban home health agency in 1980 revealed that 43 patients
      (13%) were rehospitalized within 2 weeks of admission. This high risk patient
      population is contrasted with the average home care population in terms of living
      arrangements, ambulatory status, primary diagnosis, age, sex, medications, etc.
      Home care was probably the appropriate long-term placement if better coordination
      between discharge planners, PSROs, physicians and home care staff could have been
      established with the extension of the hospital stay by 1-2 days and/or the
      provision of more intensive supportive care in the home at the time of admission
      to the home care agency. Simple guidelines for medical/social discharge planning
      to provide safer transfer of ill elderly patients from hospital to home are
      listed.

PMID- 10256934
TI  - Home health agencies in the 1980s.
AB  - This article presents a review of issues in home health, including a discussion
      of current political philosophy and its impact on home care, an identification of
      problems and barriers in the home health field, and some approaches to resolve
      these difficulties. Among the issues explored are the administrative structure
      and financing of home health agencies; manpower considerations, with particular
      attention to the role of nursing; business practices, productivity and the
      industry's image, and finally, the relationship between long-term services and
      acute care.

PMID- 10256935
TI  - Chronic illness and staff burnout: revised expectation for change in the
      supportive-care model.

PMID- 10256936
TI  - Arkansas statute mandates equal insurance coverage for outpatient psychiatric
      centers.

PMID- 10256937
TI  - The collaborative model in transitioning patients from the hospital to day
      treatment.

PMID- 10256938
TI  - California recommends stiffer EtO standard.

PMID- 10256939
TI  - The case of the disappearing scrub suits.

PMID- 10256940
TI  - Mixed feelings on need for forms management programs.

PMID- 10256941
TI  - Systems approach to forms management recommended.

PMID- 10256942
TI  - Commodity coding, Part III.

PMID- 10256943
TI  - New PO form speeds orders.

PMID- 10256944
TI  - The application of two-way interactive television to the health care field: an
      administrative perspective.

PMID- 10256945
TI  - Current issues in health policy making for the Government of British Columbia. A
      collection of occasional papers--U.B.C. Health Policy Study Group.

PMID- 10256947
TI  - Beware the recent reimbursement changes.

PMID- 10256946
TI  - The incompetent patient's right to die: who decides and how?

PMID- 10256948
TI  - Conflict or partnership? Matherlee looks at physicians and hospitals. Interview
      by Emily Friedman.

PMID- 10256949
TI  - When physicians meet the press.
AB  - Disasters involving multiple casualties or the injury or illness of a prominent
      person can push the hospital into the public relations spotlight. How the
      physician who is cast into the role of spokesman responds to the press can have
      significant ramifications for the hospital, the patient, and the public as well.

PMID- 10256950
TI  - Emerging technologies spur equipment, design changes.

PMID- 10256951
TI  - Management improvements outpace clinical innovations.

PMID- 10256952
TI  - Devices boost accuracy, cut costs.

PMID- 10256953
TI  - $1.2 million CT scanner boasts better images and gaster scans.

PMID- 10256954
TI  - 'Generic' requests for proposals spur competition, lower prices.

PMID- 10256955
TI  - Planning NMR scanner suite attracts problems of housing powerful magnet.

PMID- 10256956
TI  - Designers make room for digital units.

PMID- 10256957
TI  - More attention to managing with less.

PMID- 10256958
TI  - NY court boosts non-branded care.

PMID- 10256959
TI  - FTC wants to supervise hospital buys.

PMID- 10256960
TI  - Hospitals milk HEFR for low interest rates.

PMID- 10256961
TI  - I.V. prices will rise as competitors drop out of market, analyst warns.

PMID- 10256962
TI  - National firms plan dozens of alternative care unit.

PMID- 10256963
TI  - Deficits spur ambulatory care reform.

PMID- 10256965
TI  - Industry to feel squeeze of tightened tax rules.

PMID- 10256964
TI  - Jobless rate pares hospital census.

PMID- 10256966
TI  - Hospital PACs ring up more clout.

PMID- 10256967
TI  - Nonprofit networks link resources to grab piece of national markets.

PMID- 10256968
TI  - System sets sights on regional frontier.

PMID- 10256969
TI  - Risk managers take on role in hospital buy-outs.

PMID- 10256970
TI  - AHA restates support for diploma schools.

PMID- 10256971
TI  - Des Moines advertising campaign escalates hospitals' competition.

PMID- 10256972
TI  - Strategies for organizational change: the role of the inside change agent.
AB  - An awareness of the advantages and disadvantages of internal positioning becomes
      the foundation on which the internal change agent builds an effective action plan
      for change--a plan that matches the specifics of the organizational situation
      being confronted. Basic principles have been described here to help define the
      specific type of role that the integral change agent should take, and to increase
      the chances for a successful change. As a change agent, you also need to develop
      specific change strategies that fit your unique characteristics and
      circumstances. Then, through the ways you communicate and the ways in which you
      see human resources, interpersonal strategies for influencing others can increase
      your personal control over situations.

PMID- 10256973
TI  - Team development, Part 7: Its role at the workplace.
AB  - In this windup of his series on team development (TD), Francis X. Mahoney,
      personnel development advisor for Exxon Company, U.S.A., sums up TD's advantages,
      shows how it can be used to meet organizational objectives, and indicates other
      ways of applying TD methods. Mahoney maintains that TD is truly "organization
      development (OD) at the front line" because they share the same objectives. For
      example, employee involvement and encouragement of initiative are OD goals and,
      as we have seen, TD gets people involved and encourages even those at the lowest
      level of the organization to contribute ideas and work together to solve work
      problems and implement the solutions. Mahoney hopes that this series will
      encourage internal and external OD experts to apply OD at levels not normally
      reached during regular assignments. TD activities can provide the basis for
      continuing activities between or after consultants' visits and after training
      programs. It can become a tool, particularly for first-time supervisors and
      middle managers, to improve productivity and teamwork. That, in essence, is what
      this series is all about--getting people to work together productively,
      effectively, and cohesively.

PMID- 10256974
TI  - Racial diversity in organizations and its implications for managements.
AB  - In a productive organization, policies, programs, and job structures promote
      harmony in a racially diverse workforce and therefore utilize the talents and
      abilities of all its employees. But according to Ora D. Fant, vice-president and
      senior staff consultant with Goodmeasure, Inc., people of color are still often
      underutilized and isolated in the workplace, and this interferes with a true
      assessment of their contributions and value to the organization. Fant explains
      the dynamics behind such counterproductive treatment and offers both (1)
      organizationwide recommendations for effective workforce integration and (2)
      guidelines to help individual managers work more effectively with people of
      color.

PMID- 10256975
TI  - Turnover benefits: the other side of the "costs" coin.
AB  - High levels of turnover have traditionally been viewed by human resources
      managers as having a negative effect on the organization. But the authors-
      Idalene F. Kesner, associate instructor in business policy, and Dan R. Dalton,
      assistant professor of administrative and behavioral studies, both at the
      Graduate School of Business, Indiana University--maintain that responsible levels
      of employee turnover may have both direct and indirect benefits for the
      organization. Such benefits include displacement of poor performers, an infusion
      of new knowledge in the organization, and the stimulation of changes in policies
      and practices. In addition, of course, there are opportunities for cost reduction
      and consolidation. Using data compiled from the experience of a California public
      utility, the authors show how to calculate the direct, hard-dollar value of the
      savings that can be realized in regular pay, overtime pay, pension contributions,
      earned but unused sick leave, and other areas.

PMID- 10256976
TI  - Hospital reimbursement and utilization incentives: a Maryland experiment.

PMID- 10256977
TI  - Admitting physicians and returns to scale in the production of hospital service.

PMID- 10256978
TI  - Physicians' work patterns under alternative methods of reimbursement.

PMID- 10256979
TI  - The periodic survey of physicians: design and methodology.

PMID- 10256980
TI  - Patterns in geographic location of physicians: 1968-1976.

PMID- 10256981
TI  - The malpractice problem and its effects on medical practice.

PMID- 10256982
TI  - Relative changes in physicians' fees: evidence from the consumer price index.

PMID- 10256983
TI  - Trends in physicians' incomes, expenses and fees: 1969-1976.

PMID- 10256984
TI  - The physician-induced demand and target-income models: a survey of the issues.

PMID- 10256985
TI  - Health promotion plays key role in hospital's plan to unlock nonpatient revenue
      generating potential.

PMID- 10256986
TI  - Hospitals tailor health promotion efforts to fit special needs of the elderly...

PMID- 10256987
TI  - . . . And to capitalize on the concerns of adolescence.

PMID- 10256988
TI  - Planning a national health manpower policy: a critique and a strategy.

PMID- 10256989
TI  - A disaggregated model of medical specialty choice.

PMID- 10256990
TI  - Retention of medical school graduates: a case study of Michigan.

PMID- 10256991
TI  - A model of physician location and pricing behavior.

PMID- 10256992
TI  - Determinants of professional nurses' wages.

PMID- 10256993
TI  - Nurse market policy simulations using an econometric model.

PMID- 10256994
TI  - Health status maximization and manpower allocation.

PMID- 10256995
TI  - New developments in the market for rural health care.

PMID- 10256996
TI  - Facility report: the University of Michigan respiratory therapy department.

PMID- 10256997
TI  - Evaluating RT services by internal audit.
AB  - The quality of services provided by respiratory therapists must be measured as
      part of a hospital's overall evaluation of patient care, as mandated by the Joint
      Commission on the Accreditation of Hospitals. An internal audit helps both the
      respiratory therapists and the attending physicians to know what kind of specific
      documentation is needed in the medical records to meet the desired standards. It
      also serves as a useful tool in identifying staff educational needs.

PMID- 10256998
TI  - Ethics: boards address issues beyond allocation of resources.
AB  - Unprecedented advances in medical technology can save lives, but they also
      produce complex ethical questions for providers, patients, and government alike.
      What is the value of human life? When, if ever, is a life not worth saving? In
      which expensive technologies should limited resources be invested? These
      questions are reaching into the boardroom as trustees seek to shape institutional
      policy and help practitioners with the life and death decisions they face.

PMID- 10256999
TI  - Costs, capital, and planning dominate AHA convention platforms.

PMID- 10257000
TI  - Wonder boards: how to build strong governing bodies 12 ways.

PMID- 10257002
TI  - As I see it: Some spheres of influence have a direct effect on governing board
      actions.

PMID- 10257001
TI  - Labor costs seen as culprit in rising hospital costs.

PMID- 10257003
TI  - The erosion of the medical marketplace.

PMID- 10257004
TI  - The demand for dental care services, by income and insurance status.

PMID- 10257005
TI  - Physician pricing, costs, and income.

PMID- 10257006
TI  - Incentive and organizational structure in health maintenance organizations.

PMID- 10257007
TI  - Children's health and the family.

PMID- 10257008
TI  - The family's demand for health: evidence from a rural community.

PMID- 10257010
TI  - Mainframes in the hospital mainstream.

PMID- 10257009
TI  - Contact thermography: every picture tells a story.

PMID- 10257011
TI  - The selling of a hospital. Why increasing numbers of biomedical communicators
      will be working to promote hospital services with media presentations.

PMID- 10257012
TI  - The five P's of CME: a structured approach to workshop management can maximize
      your meeting's productivity.

PMID- 10257013
TI  - The impact of computed tomography and ultrasonography on surgical practice.

PMID- 10257014
TI  - Operating surgeon's liability for the negligence of an assisting nurse.

PMID- 10257015
TI  - Modern health-care technology: can we afford to use it?

PMID- 10257016
TI  - Surgical application of lasers.

PMID- 10257017
TI  - The Tylenol scare: the death of seven people who took the drug triggers a
      nationwide alert--and a hunt for a madman.

PMID- 10257019
TI  - Time running out on moves to ensure social security's financial solvency.

PMID- 10257018
TI  - Doctors, dairymen join in effort to clip the talons of the FTC.

PMID- 10257020
TI  - Welfare cheating--dealing with the problem and not with the image.

PMID- 10257021
TI  - Doing what doctors do.

PMID- 10257022
TI  - Sharing the wealth: the gap between rich and poor grows wider.

PMID- 10257023
TI  - Federal labs come under scrutiny for their role in science research.

PMID- 10257025
TI  - Control Data Corp. subsidiary opens Chicago wellness center.

PMID- 10257024
TI  - Firms hiking health plan deductibles: study.

PMID- 10257026
TI  - Health care costs rise.

PMID- 10257027
TI  - Government shares health cost hikes with workers.

PMID- 10257028
TI  - Friendly feeling: United workers can get care at HMOs across the nation.

PMID- 10257029
TI  - Absenteeism and benefits: days lost increase true health care costs.

PMID- 10257030
TI  - Muriel Driver Memorial Lecture 1982.

PMID- 10257031
TI  - Perspectives from tomorrow's therapists: the occupational therapists's role in
      assisting elderly people adjust to retirement.
AB  - The occupational therapist has historically been associated with assisting the
      individual function maximally within his environment. Retirement is a change of
      lifestyle to which most people must adjust. This paper outlines various aspects
      of retirement and examines possible future roles of the occupational therapist in
      helping elderly people adjust to retirement.

PMID- 10257032
TI  - Accountability, efficiency, and the "bottom line" in non-profit organizations.
AB  - Financial reporting by non-profit organizations deals only with accountability
      for propriety and regularity, and ignores output measurement. The development of
      output measures of a physical or index nature offers a means of relating dollar
      costs to output in the form of cost-efficiency or cost-effectiveness measures,
      but does not provide any measure of the absolute value or worthwhileness of such
      programs. This fundamental absolute value question should be asked of all non
      profit programs and documented to the greatest possible extent in budgetary
      submissions, and subsequent control and audit. In public sector non-profit
      programs, the posing of this question requires information on consumer demand
      other than in aggregative and imprecise form through the political process, and
      much improved information on the cost side. Eliciting demand information is
      feasible in the case of public programs with separable benefits by the use of a
      variety of pricing techniques, direct or imputed, whether or not the service in
      question is ultimately financed on a user-pay basis. The problem of eliciting
      demand is more difficult in the case of public goods, but improved demand
      information can be obtained, ideally by an approach such as the use of a Clarke
      tax. The argument can be extended to encompass questions of income distribution,
      stabilization, regulation and tax policy. Recent developments in program
      evaluation in the federal government are important, but remain deficient in
      failing to address the question of absolute value.

PMID- 10257033
TI  - Regulation and the paramedical professions: an interest group study.
AB  - This article examines the relationship between government regulation and interest
      group activity of two paramedical groups in Ontario: chiropractors and
      physioptherapists. These disciplines occupy positions vis-a-vis the provincial
      medical insurance plan opposite to those which their relationships with the
      medical profession would suggest. It will be argued that the employment of
      sophisticated pressure group tactics can be highly effective as a surrogate for
      medical recognition. This, in conjunction with the difficulties inherent in the
      exercise of lay judgment in the development of public policy toward the
      professions, can lead to controversial policy outputs. It will also become
      apparent that a close and legitimate association with the medical profession is
      not necessarily of benefit in the pursuit of professional recognition.

PMID- 10257034
TI  - Harnessing stress in the hospital pharmacy.

PMID- 10257035
TI  - Is there life after work? How to survive and thrive with stress.

PMID- 10257036
TI  - Characterization of pharmacy workload and pharmacist activities in a Canadian
      community pharmacy.
AB  - The present study was undertaken to obtain data which would characterize
      pharmacist activities and prescription workload in a community pharmacy. Data on
      pharmacist activities were obtained by using a work sampling methodology. The
      proportion of time spent on each of 44 activities was obtained, and it was found
      that the proportion of time spent on professional activities (17.6 percent) was
      notably less than the time spent on nonprofessional activities (82.4 percent).
      Data on prescription workload were obtained by the design of a data sheet which
      was to be completed by each pharmacist for every prescription dispensed. The
      collected data characterized the number of prescriptions dispensed, which were
      related to the time of day and day of the week; they also provided information on
      the types of prescriptions dispensed, the age of patients (e.g., pediatric,
      geriatric), and the methods of payment.

PMID- 10257037
TI  - Monitoring patient care in the long-term care facility: the coordinated patient
      care conference as a method for interacting with the primary care physician.
AB  - A systematic approach for monitoring patient care in the long-term care facility
      is presented. The value of long-term care facilities having coordinated patient
      care conferences is discussed, and a structured format for these conferences is
      presented. A case example is utilized to demonstrate the importance of
      interaction between the personnel providing direct patient care and the primary
      care physician. Effective use of this system provides better patient monitoring
      and a method for improving the quality of patient care.

PMID- 10257038
TI  - Pharmacists' perceptions of their patient counseling activities.
AB  - The counseling of patients regarding their drug therapy has been advocated as an
      important part of pharmacy practice. Both the need and potential for this
      counseling have been demonstrated. Yet, studies generally have been critical to
      the extent and quality of the counseling provided. This report describes
      counseling as it is perceived by community pharmacists who perform this activity.
      A mail survey, developed from interviews with pharmacists, was distributed to a
      random sample of Ohio community pharmacists. A net response of 76.8 percent (506
      usable questionnaires) was achieved. Respondents have strong positive beliefs
      about counseling. When the service is provided by pharmacists, counseling
      sessions are usually brief, pharmacist-initiated, and one-way conversations to
      the patient. Although there is considerable variation as to the classes of drugs
      for which counseling is provided and the types of people who receive it, the
      components of counseling appear to be constant. Attempts to change or expand
      counseling activities may be compromised unless there is a common understanding
      among all parties involved of what counseling is. This report is one step toward
      achieving that understanding. It may be used by community pharmacists to measure
      and compare their counseling behaviors and beliefs with those of their peers and
      as a means of identifying possible areas for change in their own practices.

PMID- 10257039
TI  - Considerations when proposing consultant pharmacist services to hospice programs.
AB  - Hospice programs attempt to provide a better quality of life by controlling the
      symptoms of dying patients. Pharmacist involvement with hospices has been limited
      and varies with each setting. This study identified opportunities where community
      pharmacists may provide services to the hospice patient and the hospice program.
      The routine functions of the visiting nurse included solving the drug therapy
      related problems of hospice patients. Although pharmacists were relied upon for
      some assistance, their perceived role had been predominantly that of drug
      distributor. In addition, pharmacists were not aware of hospice programs and most
      offered very little help in meeting the needs of the terminally ill patient.
      Nurses stated that drug information was necessary when caring for hospice
      patients. After reviewing what the pharmacist could do for hospice patients,
      nurses indicated that they would request pharmacists' advice and assistance when
      drug therapy problems occurred.

PMID- 10257040
TI  - Discretionary justice and state boards of pharmacy.

PMID- 10257041
TI  - New micrographics center's productivity soars past quarter million mark, shrinks
      unit cost.

PMID- 10257042
TI  - Competition and the antitrust laws: restraint of trade in a competitive market.

PMID- 10257043
TI  - Changing concepts of death: clinical care.

PMID- 10257044
TI  - New fantasies in the American death system.

PMID- 10257045
TI  - Death in contemporary America. Discussion.

PMID- 10257046
TI  - Employer remedies for work stoppages that violate no-strike provisions.
AB  - An employer faced with a work stoppage that violates a contractual no-strike
      provision has several alternatives: the employer can seek an injunction against
      the strike, discipline employees involved in the strike, or attempt to recover
      damages for violations of the collective bargaining agreement. Each of these
      remedies, however, presents practical problems in terms of employer-employee
      relations as well as legal questions regarding the extent of relief available. In
      the following article, the author examines the remedies available to an employer
      when employees engage in activity that violates a no-strike provision. He also
      examines the impact of recent cases on an employer's ability to enforce a no
      strike pledge.

PMID- 10257047
TI  - Achieving equal pay for comparable worth through arbitration.
AB  - Traditional "women's jobs" often pay relatively low wages because of the effects
      of institutionalized stereotypes concerning women and their role in the work
      place. One way of dealing with sex discrimination that results in job segregation
      is to narrow the existing wage differential between "men's jobs" and "women's
      jobs." Where the jobs are dissimilar on their face, this narrowing of pay
      differences involves implementing the concept of "equal pay for jobs of
      comparable worth." Some time in the future, far-reaching, perhaps even
      industrywide, reductions in male-female pay differentials may be achieved by
      pursuing legal remedies based on equal pay for comparable worth. However, as the
      author demonstrates, immediate, albeit more limited, relief for sex-based pay
      inequities found in specific work places can be obtained by implementing equal
      pay for jobs of comparable worth through the collective bargaining and
      arbitration processes.

PMID- 10257048
TI  - Legal obstacles to alternative work-force designs.
AB  - GIven the changing industrial realities we now face, more and more employers and
      their employees are becoming involved in cooperative work ventures such as work
      teams, quality circles, and joint employer-employee committees. Successful
      ventures of ths sort minimize the adversary nature of the relationship between
      management and labor and enhance employees' sense of responsibility and
      authority. The result is better working relationships and increased productivity.
      In both union and nonunion settings, however, employers face legal obstacles to
      work-force redesign. In the following article, the author discusses these
      obstacles and offers some suggestions on how they may be avoided.

PMID- 10257049
TI  - National origin harassment in the work place: recent guideline developments from
      the EEOC.
AB  - In December 1980 the EEOC published its revised "Guidelines on Discrimination
      Because of National Origin." The revised guidelines expand the definition of
      national origin harassment and declare it a violation of Title Vii. According to
      the EEOC, the guidelines reaffirm the position the Commission has taken in
      earlier decisions. In the following article, the authors examine the EEOC's
      position on national origin harassment. Using the guidelines as a frame of
      reference, they look at both EEOC decisions issued prior to the guidelines and
      court decisions that may offer employers guidance regarding impermissible conduct
      and liability in this area.

PMID- 10257050
TI  - EM teacher's salary varies wildly by location.

PMID- 10257051
TI  - Slicing ED fees brings patient boom in Illinois.

PMID- 10257052
TI  - EDN's survey of contract ED hospital practice (Part II).

PMID- 10257053
TI  - Cancelling ED 'abuse': would it help or hurt hospitals?

PMID- 10257054
TI  - X-rays and lab tests under scrutiny in cost downhold.

PMID- 10257055
TI  - Linen security: a key factor in cost control.

PMID- 10257057
TI  - Chalktalk.

PMID- 10257056
TI  - Methods of hospital linen control.

PMID- 10257058
TI  - Physicians' involvement is a key ingredient in peer review program.

PMID- 10257059
TI  - Joint ventures raising some complex tax questions for hospitals.

PMID- 10257060
TI  - Expansion by companies enables industry to continue health growth.

PMID- 10257061
TI  - Evacuation and the life safety code.

PMID- 10257063
TI  - Designs don't fail, managers do.

PMID- 10257062
TI  - Canadian hospital fire reports: an incomplete record?

PMID- 10257064
TI  - Who's in control? We must learn the limits of our tools (computer technology).

PMID- 10257065
TI  - High tech in Indianapolis.

PMID- 10257066
TI  - A close call.

PMID- 10257067
TI  - How to encourage nursing home residents to eat in the dining room.

PMID- 10257068
TI  - How to increase patient meal acceptance.

PMID- 10257069
TI  - Foodservice in the hospital corporation.

PMID- 10257070
TI  - Contract foodservice 1982-83. Reaching out: a break from convention.

PMID- 10257071
TI  - Limited block grant battles threaten even best planning.

PMID- 10257072
TI  - Wellness: a holistic concept.

PMID- 10257073
TI  - The construction of a relationship.

PMID- 10257074
TI  - A decision making model used to evaluate a smoking cessation program.

PMID- 10257075
TI  - The "new federalism" and public health.

PMID- 10257077
TI  - Velocity effects in domestic water systems.

PMID- 10257076
TI  - The concepts of health and disease: a relativistic perspective.

PMID- 10257078
TI  - Pressure and flow control in hot and chilled water piping.

PMID- 10257079
TI  - Size safety valve discharge piping with a programmable calculator.

PMID- 10257080
TI  - Pump energy and flow balance analysis.

PMID- 10257081
TI  - Health planning at the crossroads: change imminent.

PMID- 10257082
TI  - NorthCare: life and death of a community-based HMO. II. The political potential.

PMID- 10257083
TI  - NorthCare: life and death of a community-based HMO. III. The corporate context.

PMID- 10257084
TI  - Jeff Goldsmith on: The shape of corporate medicine. Interview by Quentin D.
      Young.

PMID- 10257085
TI  - Informed consent.

PMID- 10257086
TI  - The competitive health strategy: fighting for your health.

PMID- 10257087
TI  - The marketing of a drug.

PMID- 10257088
TI  - NorthCare: life and death of a community-based HMO. I. The History.

PMID- 10257089
TI  - The problems with solutions.

PMID- 10257090
TI  - Everything you need to know about contracts ... without being a lawyer.

PMID- 10257091
TI  - Group purchasing: a view from the inside.

PMID- 10257092
TI  - Computer quiz: the path to running efficient purchasing operation is paved with
      computer printouts.

PMID- 10257093
TI  - Drug price inflation continues at 12% pace.

PMID- 10257094
TI  - Cooperative laundries for nonprofit hospitals.

PMID- 10257096
TI  - Implementing the change process.

PMID- 10257095
TI  - An over the shoulder look at materials management.

PMID- 10257097
TI  - Integrating SPD proves effective.

PMID- 10257098
TI  - Health awareness program makes lifestyle changes its goal.

PMID- 10257099
TI  - Canadian hospital survey finds costly, unnecessary screening.

PMID- 10257100
TI  - Offering total employee health care pays off for Cleveland hospital.

PMID- 10257101
TI  - Experts cite elements of identifying, managing stress.

PMID- 10257102
TI  - Hospital union fears VDTs affected six pregnancies.

PMID- 10257103
TI  - Link between VDT use, pregnancy problems not yet made, NIOSH says.

PMID- 10257104
TI  - Rubella: infection perspective.

PMID- 10257105
TI  - Education protects hospital workers who handle toxic cancer drugs.

PMID- 10257106
TI  - Preferred provider organizations: a market approach to health care competition.

PMID- 10257107
TI  - Utilization review for the PPO.

PMID- 10257108
TI  - The preferred provider organization -- pro-competitive alternative or antitrust
      problem?

PMID- 10257109
TI  - Picking promotable people.

PMID- 10257110
TI  - Health care manager's notebook: problem people.

PMID- 10257111
TI  - Carner's codes: managing change.

PMID- 10257112
TI  - COMPASS--ductwork design and manufacturing system.

PMID- 10257113
TI  - The quality control of medical gases.

PMID- 10257114
TI  - The buck stops where? Accountability and control in the National Health Service.

PMID- 10257115
TI  - A review of progress on system hospital building--Nucleus.

PMID- 10257117
TI  - The case for the prefabricated building.

PMID- 10257116
TI  - Mobile radio communications.

PMID- 10257118
TI  - Senior companion volunteers provide home care for discharged elderly.

PMID- 10257119
TI  - Minimal risk: an issue for research with vulnerable subjects.

PMID- 10257120
TI  - Brazilian hospital's ministry hampered by insufficient resources.

PMID- 10257121
TI  - Charism and identity: signs of hope in Catholic health care.

PMID- 10257123
TI  - Uniform "Determination of Death" Act would guide legal/medical decisions.

PMID- 10257122
TI  - Labor-management conflicts pose dilemmas in health care setting.

PMID- 10257124
TI  - Matrix organizational model broadens clinical nurse specialist's practice.

PMID- 10257125
TI  - CHA Task Force on Stewardship Survey Report, Part I. Bishops' perception of the
      Catholic health care ministry.

PMID- 10257126
TI  - Medical records important defense in suit filed many years after alleged
      negligence.

PMID- 10257127
TI  - Summary suspension of physician privileges warranted if conduct endangers
      patients.

PMID- 10257128
TI  - Ethics and economics: making "lifeboat" decisions.

PMID- 10257129
TI  - Research project examines hospital inventory management.

PMID- 10257130
TI  - Cost recovery from used equipment.

PMID- 10257131
TI  - Hospital inventory management and control: an overview.

PMID- 10257132
TI  - Applications of perpetual inventory systems.

PMID- 10257133
TI  - Inventory reduction: back to the fundamentals.

PMID- 10257134
TI  - The vendor's role in inventory reduction.

PMID- 10257135
TI  - Forecasting for inventory control.

PMID- 10257136
TI  - The need for effective inventory control.

PMID- 10257137
TI  - Rx for inventories.

PMID- 10257138
TI  - Operating room inventory management: a collaborative effort.

PMID- 10257139
TI  - Automated pharmacy systems: avoiding the pitfalls.

PMID- 10257140
TI  - Texas medical center finds solution for scrub suit loss problem.

PMID- 10257141
TI  - The basics of a good electrical safety program.

PMID- 10257142
TI  - The Supreme Court, antitrust and the health care field.

PMID- 10257143
TI  - Antitrust and the new health care delivery environment.

PMID- 10257144
TI  - Fourth Circuit requires limited rule of reason to be applied in hospital
      antitrust planning case.

PMID- 10257145
TI  - Full-time consulting: the business of starting a business.

PMID- 10257146
TI  - Solving a late final diagnosis problem.

PMID- 10257147
TI  - Computed tomographic scanning of the brain.

PMID- 10257148
TI  - Counseling the marginal performer.

PMID- 10257149
TI  - Risk management and the medical record professional.

PMID- 10257150
TI  - The advantages and disadvantages of teaching: results of a survey of medical
      record educators.

PMID- 10257152
TI  - The rules aren't everything.

PMID- 10257151
TI  - Quality assurance: the effects of a prehospital data system on patient care.

PMID- 10257153
TI  - These shoes are made for working.

PMID- 10257154
TI  - Units make room for mom.

PMID- 10257155
TI  - Are newsletters really worth it?

PMID- 10257156
TI  - Developing a better elderly housing mix.

PMID- 10257157
TI  - Hospitals and high tech industries share the office imperative.

PMID- 10257158
TI  - Black health inequities and the American health care system.
AB  - This paper examines the health care status of blacks in the American health care
      system and points out that blacks are burdened by a number of health inequities
      when compared to their white counterparts. The paper's central theme is that the
      degree of governmental commitment in a liberal, pluralistic society is at the
      foundation of inadequate health care for black Americans. Blacks lack input in
      the health care politics and decision/policy-making processes. This lack of input
      has resulted in a health care system that appears to be unresponsive to the
      health care needs of black Americans. This is most acute in the areas of health
      manpower planning and health planning. The conclusion suggests that an increase
      in the number of blacks in the health professions along with more black
      participation in health decision/policy-making could lead to a substantial
      improvement in the overall health care of blacks.

PMID- 10257159
TI  - Relationship between accreditation status and hourly wages of medical record
      technicians.
AB  - Using data from a 1975 hospital wage survey conducted by the Industry Wage
      Division of the U.S. Bureau of Labor Statistics, the relationship between
      accreditation status and hourly wages of 590 female full-time medical record
      technicians (MRTs) in four metropolitan areas was examined. Through multiple
      regression analysis, the hourly wages of Accredited Record Technicians were found
      to be $0.62 greater than those not accredited. Job location and hospital funding
      source also were related strongly to MRT hourly wages. Only 35 percent of the
      MRT's studied were accredited. These data reveal the willingness of employers to
      hire MRT's not accredited, while being willing to pay a premium for
      accreditation.

PMID- 10257160
TI  - Some challenges in the management of community health education.
AB  - Health Educators are often expected to fill managerial roles yet are not always
      trained in management skills. The Health Educator's role is constantly changing
      but training has not always kept up, especially in the area of management. Job
      descriptions are often less than adequate and coordination between the jobs and
      the training institution could be better. Health Educators, due to frustration
      caused by inadequate role definition, may choose administration as a career as it
      is easier identified. Barriers to successful management can also be frustrating
      for the Health Educator, i.e., political constraints, lack of skills, etc.
      Planning should be a major activity of any Health Education program in order to
      ensure a successfully managed Health Education project.

PMID- 10257161
TI  - Improving the selection of family medicine residents through development of multi
      dimensional policy models.
AB  - The annual cost of training a single family medicine resident may now exceed
      $50,000. This, together with the fact that normally only a small fraction of
      those applying for family medicine residency is selected for admission, creates a
      decision problem of enormous import to affected institutions. Despite these
      considerations, the applicant evaluation and selection process remains relatively
      subjective, with results often disappointing. In the current paper, a preference
      based approach is proposed that first models the evaluation/selection process on
      the basis of well-defined cognitive and noncognitive criteria. It is suggested
      that validation of this model be based on future performance levels of both the
      accepted and rejected cohorts during and following their residencies.
      Discrepancies between future success levels and predicted outcomes may then be
      translated into appropriate control actions designed: (1) improve the
      definition/measurement of selection criteria; (2) enhance the
      evaluation/selection policies and decisions of the admissions committee; and (3)
      better inform potential applicants of the department's program and selection
      philosophies. The approach is applied to two recent, accepted cohorts of the
      University of North Carolina Department of Family Medicine. Preliminary results
      indicate that the procedure is capable of improving the in-residency success
      levels of selected applicants, and that these levels can be better predicted than
      when no formal, i.e., analytic, process is followed.

PMID- 10257162
TI  - Postgraduate and continuing medical education in Finland.
AB  - In this paper, postgraduate and continuing medical education in Finland is
      described and analyzed. Especially, the contacts with health care policy of
      Finland are analyzed and presented. First, the roots of CME in basic medical
      education and its goals are shown. Secondly, the advanced professional medical
      education (specialization) is presented. Thirdly, the scientific postgraduate
      system of studies is analyzed. Finally, the system of continuing, complementary
      medical education and its organization is presented. It is stressed that the CME
      has close connections with the health care policy in a country. Some problems in
      this respect are presented.

PMID- 10257163
TI  - Intergovernmental relations in physician education and health planning: state
      adoption decisions and the impact of federal programs.
AB  - This study seeks to explain states' adoptions of programs in health planning and
      in physician education. It also seeks to further understanding of the impact of
      federal health planning and education programs on the states. Several theories
      and models are employed in analyzing the actions of state decision-makers. These
      include incremental theory, models of the diffusion of innovations, economic
      resources theory, and a theory of competitive partisanship. The data utilized in
      this research were principally derived from intensive interviews with "key" state
      actors and from historical, documentary materials. Only minimal federal impact
      appears on states' goals in physician education and health planning. Rather,
      there is evidence of considerable innovativeness among the states prior to
      Federal program initiatives. A problem-generated search for solutions seems to be
      a major source of this innovation. Finally, federal program implementation
      requirements appear to be a major source of federal--state conflict and
      opposition.

PMID- 10257164
TI  - House adds nutrition to health promotion, disease prevention concerns as it
      directs every NIH institute to broaden prevention research.

PMID- 10257165
TI  - Hospital group purchasing is not always the answer.

PMID- 10257167
TI  - Building a new central service department? Get involved in basics.

PMID- 10257166
TI  - Product report: decubitus ulcer treatment.

PMID- 10257168
TI  - Leave purchasing to the purchasing department.

PMID- 10257169
TI  - Computer bits: the consultant.

PMID- 10257171
TI  - Removing motivation blocks.

PMID- 10257170
TI  - How to choose a telephone vendor.

PMID- 10257172
TI  - Gordon Friesen: materials management pioneer.

PMID- 10257173
TI  - Keep favors to a minimum.

PMID- 10257174
TI  - Supervision is key factor in quality.

PMID- 10257175
TI  - Developing a strategy for reducing hospital expenditures.

PMID- 10257176
TI  - After fifty years of graduate education: a return to the practitioner/teacher
      model.

PMID- 10257177
TI  - Minimizing price exposure risk through the commodities markets.

PMID- 10257178
TI  - A pragmatic typology of hospitals based on their internal complexity dimension.

PMID- 10257179
TI  - What to do about capital?

PMID- 10257181
TI  - Exclusive contracts under antitrust attack.
AB  - Physicians excluded from hospitals by reason of exclusive contracts are
      increasingly challenging these arrangements under the antitrust laws. With the
      exception of the recent case of Hyde v. Jefferson Parish Hospital District No. 2,
      the cases reject antitrust attacks on exclusive contracts between hospitals and
      physicians.

PMID- 10257180
TI  - The structured decision conference: a case study.

PMID- 10257182
TI  - Medical staff committees benefit from job descriptions.
AB  - When new medical staff officers and committees begin their terms, the confusion
      potential runs high. Job descriptions a la industry have helped facilitate the
      orientation of officers and the smooth running of committees.

PMID- 10257183
TI  - Hospice care: science follows practice.

PMID- 10257184
TI  - Pharmacy services in hospice organizations.

PMID- 10257185
TI  - A comprehensive program to increase job satisfaction among pharmacy technicians.
AB  - A multifaceted personnel management and continuing education program specifically
      designed to provide job satisfaction for the pharmacy technician is described.
      Turnover among technicians is often higher than for other personnel categories.
      One interpretation of a high turnover rate is that it is a direct indication of
      job dissatisfaction and disillusionment on the part of technicians towards their
      career potential. Several approaches were initiated at the Rhode Island Hospital
      to increase job satisfaction among pharmacy technicians and to assist the
      pharmacy department in stabilizing this category to reflect a more satisfactory
      turnover rate. These were: (1) initiating a comprehensive continuing education
      program; (2) establishing a "career ladder" by developing an advanced level of
      pharmacy technicians; (3) incorporating technicians in a concept of participative
      management within the department; (4) increasing job responsibilities as new
      programs are developed; (5) rotating assignments and responsibilities to foster
      flexibility and interest. The programs enumerated have made a significant
      contribution toward increasing the stability and job satisfaction of the
      technician category. The success of the measures described is reflected in the
      average tenure of an individual in the technician category, which is 41.9 months.

PMID- 10257186
TI  - Designing with light: tools of the trade.

PMID- 10257187
TI  - A disposable blood pressure transducer system.
AB  - A unique disposable invasive hemodynamic blood pressure transducer system has
      been developed. The system consists of a disposable piezoresistive flow-through
      transducer with twelve-inch pigtail, a reusable extension cable, an electronic
      interface module and a custom interconnect cable to attach to most monitors. The
      transducer has Linden Luer fittings and replaces the dome and reusable transducer
      in monitoring systems. The cost of the transducer is kept low so that it can be
      disposable through efficient modern, high-volume semiconductor technology and the
      fact that additional electrical isolation is accomplished in the interface
      module. Besides providing electrical isolation, the interface module provides a
      universal output which will accommodate all common AC, DC, and pulsed excitation
      signals from monitors.

PMID- 10257188
TI  - Performance of a computerized CCU arrhythmia monitor system.
AB  - Experience gained during clinical trials at Johns Hopkins University Hospital has
      led to refinements in a commercial arrhythmia monitoring system. The performance
      capabilities and limitations are described for normal Coronary Care Unit use. The
      system evaluation spanned a time period of over 16 months and included 3,176
      monitored patient days. The majority of both false and true arrhythmia alarms was
      found to be produced by two small, statistically independent segments of the
      patient population.

PMID- 10257189
TI  - The "grand rounds" method: a different approach to clinical equipment management.

PMID- 10257191
TI  - Microprocessor-controlled automatic safety testers.
AB  - Two safety test units were developed using microprocessor technology to identify
      automatically the equipment under test, to test the safety parameters, and to
      record the test results. A program written on the IBM/360 computer is used to
      input, analyze and store these results. The purpose of this program is to provide
      accurate and reliable test data and better documentation, so that detection and
      even prediction of safety hazards within the hospital can be accomplished.

PMID- 10257190
TI  - Evaluation of alarm systems for medical equipment.
AB  - The provision of automatic alarm systems on medical equipment is generally
      designed to supplement the user's ability to monitor a variety of device and
      patient variables simultaneously. The potential value of such systems in
      improving the safety and efficacy of medical care is accompanied by the potential
      for false reliance on or other misuse of the alarm systems. Therefore the alarm
      provisions become an important aspect of clinical engineering assessment of
      equipment with respect to selection, user training, hazard analysis, and the
      provision of effective and appropriate preventive maintenance programs.

PMID- 10257192
TI  - A proposed computer-assisted preventive maintenance system.
AB  - This paper describes a proposed Computerized Documentation System for effectively
      controlling all biomedical equipment preventive maintenance (PM) and repair
      functions to be effected by hospitals. There is a critical need for such a system
      to strengthen the management tools of hospital-based Biomedical/Clinical
      Engineering programs. The system's design objectives, implementation, and
      evaluation method are explained and the benefits attributable to such a
      computerized control system are summarized.

PMID- 10257193
TI  - Work together to protect our health and our environment.

PMID- 10257194
TI  - Chlorine emissions from a medical waste incinerator.
AB  - Chloride/chlorine emissions from a hospital's medical waste incinerator were
      quantified in conjunction with a particulate emission stack test. Chlorine
      emissions averaged 100.5 mg/m3 with a standard deviation of 72 mg/m3 for five
      sample runs. It was estimated that the plastic content of the waste burned varied
      up to about 30%. Since, in general, emission standards for chlorine from medical
      waste incinerators do not exist, a simple diffusion model technique is suggested
      to estimate a safe distance to locate a medical waste incinerator from occupied
      buildings.

PMID- 10257196
TI  - Organizational philosophy and nurse staffing: three-step decision process.

PMID- 10257197
TI  - Cost containment practices among nursing home administrators.

PMID- 10257195
TI  - The nursing home as a teaching and research center.

PMID- 10257198
TI  - O.R. workers, information systems analysts and the challenge of the micro.
AB  - An assessment of the effects of microcomputing on O.R. should take account of the
      impact of micros on other professional groups involved in the provision of
      information and analysis to managers. The paper examines the likely changes in
      the role of information systems analysts associated with present trends in
      computer-based information systems and, by concentrating on the decision support
      systems area, argues that O.R. workers and systems analysts may find themselves
      competing for new roles in ways which make if difficult to set out the
      contribution of each in terms of what they do at present. A modest proposal is
      made for a new form of team for the development of decision support systems. This
      incorporates a division of skills which cuts across existing lines of
      differentiation and foresees an increased contribution on the part of user
      managers.

PMID- 10257199
TI  - Veterans Administration Medical Center plans renovation of in-house laundry.

PMID- 10257200
TI  - Brooklyn hospital to double size of on-premise laundry.

PMID- 10257201
TI  - Nursing: the art, science and vocation in evolution.

PMID- 10257202
TI  - AHA Chairman Stanley Nelson speaks on national issues.

PMID- 10257203
TI  - Legislative workshops: the first step to action.

PMID- 10257204
TI  - A well-equipped tool box for political action.

PMID- 10257205
TI  - It's up to us to help shape change.

PMID- 10257206
TI  - M.D. surplus could incite opposition to nurse-midwives' market intrusion.

PMID- 10257207
TI  - Hospitals won't compete on price until spurred by buyers' shopping.

PMID- 10257208
TI  - Critical M.D.'s bid for privileges fails.

PMID- 10257209
TI  - Dramatic plunge in interest rates brings postponed issues to market.

PMID- 10257211
TI  - Hospitals try to equitably spread care for jobless.

PMID- 10257210
TI  - For-profits put stock in bullish market after strong recovery on Wall Street.

PMID- 10257212
TI  - Gap closes between prices paid for I.V.s: '82 survey.

PMID- 10257213
TI  - Rural, tertiary hospitals join forces to compete with encroaching chains.

PMID- 10257214
TI  - "Love-life" program sparks distributorships.

PMID- 10257215
TI  - Hospitals rally to develop stronger, more productive management teams.

PMID- 10257216
TI  - Inexpensive micro diskettes plug hospitals into census data.

PMID- 10257217
TI  - Physicians tap into AMA/NET.

PMID- 10257218
TI  - HCA distributing minis systemwide.

PMID- 10257219
TI  - Ethics as immunotherapy.

PMID- 10257221
TI  - The humanities and the notion of "health.".

PMID- 10257220
TI  - Philosophy, health care, and public policy.

PMID- 10257222
TI  - It's growth pain that challenges TENS market.

PMID- 10257223
TI  - Polyurethane foam pad banned in Boston. ECRI asks: "Where's the fire?".

PMID- 10257224
TI  - Bar code scanning.

PMID- 10257225
TI  - Ergonomics--what is it?

PMID- 10257226
TI  - Electrical safety in health care facilities.

PMID- 10257227
TI  - Multimethod study of clinical judgment.
AB  - Expert and novice clinicians judged the likelihood of disease alternatives and
      gave thinking-aloud protocols as they evaluated simulated cases of congenital
      heart disease. Specific combinations of cues in the patient data were manipulated
      to create alternate versions of a single case so that the use of critical cues
      could be identified. Analyses of variance of subjects' disease judgments revealed
      differences between expert and novice clinicians in their use of critical cues
      and cue combinations. Analyses of the thinking-aloud protocols revealed that
      clinicians with different degrees of expertise employed different interpretations
      of patient data cues as well as qualitatively distinct "lines of reasoning" in
      reaching clinical judgments.

PMID- 10257228
TI  - Produced by lasers, personalized letters inject new life into collections.

PMID- 10257229
TI  - Bad-debt analysis can improve cash flow.

PMID- 10257230
TI  - Consolidation in the clinical laboratory industry.

PMID- 10257231
TI  - Photography for pathologists.

PMID- 10257233
TI  - Nearly 75% of all active pharmacists now practice in community pharmacies.

PMID- 10257232
TI  - CAP to FDA: Class II unnecessary for most of 175 devices.

PMID- 10257234
TI  - New brochure tells public: 'Your good health begins with you'.

PMID- 10257235
TI  - How we operate a successful department which features sickroom & convalescent
      aids.

PMID- 10257237
TI  - How women in pharmacy can benefit the profession & the public.

PMID- 10257236
TI  - How effective are medicines in containing health-care costs?

PMID- 10257238
TI  - Why & how we constantly update our system for controlled substances.

PMID- 10257239
TI  - Poison plant poster.

PMID- 10257240
TI  - Selling word processing to your doctors.

PMID- 10257241
TI  - Emblematic honoraria: stepping up from T-shirts.

PMID- 10257242
TI  - Special event: camels in Dixie?

PMID- 10257244
TI  - Love-life: wellness along the Wabash.

PMID- 10257243
TI  - Responsathon: a hospital radiotelethon makes money and friends.

PMID- 10257245
TI  - Promoting an expanded maternity program.

PMID- 10257246
TI  - Hospital identity package.

PMID- 10257248
TI  - A look at newsletters: when a monthly doesn't work, consider a weekly!

PMID- 10257247
TI  - A look at newsletters: survey dictates whole body lift.

PMID- 10257249
TI  - A look at newsletters: newsy and newsworthy.

PMID- 10257250
TI  - Health screenings: the traveling medicine show.

PMID- 10257251
TI  - TV documentary: another "General Hospital" makes debut.

PMID- 10257252
TI  - Reaching out to children: cultivating your future consumers at an early age.

PMID- 10257253
TI  - Photo gallery: age exchange.

PMID- 10257254
TI  - Bank-hospital cooperation: making hospitals "bear-able".

PMID- 10257255
TI  - Image study: mirror, mirror on the wall ....

PMID- 10257256
TI  - Patient TV: and a profile of the patients' communicator.

PMID- 10257257
TI  - Annual report survey.

PMID- 10257259
TI  - New dimensions in the tortious failure to warn.

PMID- 10257258
TI  - Recognize and control conflict.

PMID- 10257260
TI  - Some possibilities in the specification of outcomes criteria for graduate
      education in health services administration.

PMID- 10257261
TI  - Social programs and social obligations.

PMID- 10257262
TI  - Market definition, market power, and potential competition.

PMID- 10257263
TI  - Effects of regulation on the hospital industry.

PMID- 10257264
TI  - Employee discrimination liability: an insurable risk.

PMID- 10257265
TI  - The cost of risk: a summary of the 1981 survey.

PMID- 10257266
TI  - LRDC begins legislative quest for tax equality.

PMID- 10257267
TI  - Quality assurance for social service programs: lessons from health care.

PMID- 10257268
TI  - A political perspective in problem solving.

PMID- 10257269
TI  - Defining the worker-client relationship.

PMID- 10257270
TI  - The public interest and governing boards of nonprofit health care institutions.

PMID- 10257271
TI  - Hospice: the legal ramifications of a place to die.

PMID- 10257272
TI  - Automated dosage system improves patient care.

PMID- 10257273
TI  - Ten myths about criterion reference performance appraisal.

PMID- 10257274
TI  - The self-help ethos.

PMID- 10257275
TI  - Health service via self-service.

PMID- 10257276
TI  - Questionnaire on surgical technology certification format.

PMID- 10257277
TI  - The financial exchange: before diversifying, ask six questions.

PMID- 10257278
TI  - The trustee's guide to vendors of hospital information systems.
AB  - Hospital information systems (HISs) vary in their breadth of application, in the
      depth of support their vendors will provide, and in their costs and benefits.
      Included here in clear, succinct tables is a guide to the leading HIS vendors
      that highlights some of these differences.

PMID- 10257279
TI  - Attention, finance committee members: are you asking the right questions?

PMID- 10257280
TI  - Rosencrantz and Guildenstern are alive! But confused as hell. The public
      relations dilemma of our hospitals.

PMID- 10257281
TI  - Block grants: a mid-term report card.

PMID- 10257282
TI  - Can HMOs attract private investors?

PMID- 10257283
TI  - Time running out for health planning bills.

PMID- 10257284
TI  - Utilization of short-stay hospitals in the treatment of mental disorders: 1974
      1978.

PMID- 10257285
TI  - Deliveries in short-stay hospitals: United States, 1980.
AB  - During 1980 3.8 million women with deliveries were discharged from short-stay non
      Federal hospitals in the United States. These women made up a sizable portion-
      9.9 percent--of all the discharges (excluding newborn infants) during that year.
      Women with deliveries remained hospitalized an average of 3.8 days and used 14.2
      million days of inpatient hospital care. This was only 5.2 percent of the total
      days spent in hospitals by all patients discharged during the year. Most of the
      women who had a delivery were in their twenties, were white, and were married.
      The largest percent of deliveries occurred in the South Region, followed by the
      North Central, Northeast, and West Regions. The percent of women with deliveries
      was lowest in the smallest hospitals and highest in the largest hospitals. Most
      of the women with deliveries were discharged from nonprofit hospitals. About half
      of the women had a normal delivery and about half had some sort of complication.
      Women more likely to have a complicated delivery were older, were races other
      than white, had an unknown marital status, and had delivered in the South Region.
      These women also stayed in the hospital longer, on the average, than did women
      with normal delivery. The most frequently occurring complications were forceps or
      vacuum extraction without mention of indication and obstetrical trauma.
      Episiotomy was the most common procedure. Other frequently performed procedures
      were low forceps or vacuum extraction with or without episiotomy, cesarean
      section, repair of obstetric laceration, and bilateral destruction or occlusion
      of fallopian tubes.

PMID- 10257286
TI  - Blood pressure levels and hypertension in persons ages 6-74 years: United States,
      1976-80.

PMID- 10257287
TI  - Summary data from the National Inventory of Pharmacists: United States, 1978-79.

PMID- 10257288
TI  - Drug utilization in office visits to primary care physicians: National Ambulatory
      Medical Care Survey, 1980.

PMID- 10257289
TI  - S.W.A.T.: Service Workers Action Team.

PMID- 10257290
TI  - Geriatric day care: the options reconsidered.

PMID- 10257292
TI  - A senior citizen Olympics.

PMID- 10257291
TI  - The senior center: an ideal milieu for psychotherapy.

PMID- 10257293
TI  - Reaching into board and care homes through "outreach".

PMID- 10257294
TI  - Committee starts to develop healthcare laundry practices.

PMID- 10257295
TI  - Laundry and linen costs still holding the line.

PMID- 10257297
TI  - Diary of a laundry.

PMID- 10257296
TI  - Continuous flow system keeps Sinai's production high and labor costs down.

PMID- 10257298
TI  - Computers: under estimated and under utilized.

PMID- 10257299
TI  - Sealed buildings do save energy, but watch out for air pollution.

PMID- 10257300
TI  - Audit and scientific management of drug use in an Australian teaching hospital.

PMID- 10257301
TI  - 3rd National Hospital Data Activity Study.

PMID- 10257302
TI  - Hospital budgeting and resource allocation--an alternative strategy.

PMID- 10257303
TI  - Medical staff organisation: an update.

PMID- 10257304
TI  - Mental health services are a part of health service delivery.

PMID- 10257305
TI  - Early intervention in potential child abuse.

PMID- 10257306
TI  - Accident & health premiums 1981.

PMID- 10257312
TI  - Unity of purpose.

PMID- 10257313
TI  - Excess marks the spot: the FDA blows the whistle on abuses in new-drug ads.

PMID- 10257314
TI  - An incredible affair of the heart.

PMID- 10257315
TI  - If you're poor, hospital doors may be shut because of federal aid cuts.

PMID- 10257317
TI  - Florida hospitals desert state insurance fund.

PMID- 10257316
TI  - Questions of life and death weighed by medical ethics watchdog commission.

PMID- 10257318
TI  - Quaker Oats is cooking up health incentives.

PMID- 10257319
TI  - Benefit costs rise $543 per employee.

PMID- 10257320
TI  - Malpractice premiums rise in Britain.

PMID- 10257321
TI  - Comprehensive regional trauma and emergency medical service delivery systems: a
      goal of the 1980s.

PMID- 10257322
TI  - Transport of multisystem trauma patients from rural to urban health care
      facilities.

PMID- 10257324
TI  - Cultural concepts in critical care.

PMID- 10257323
TI  - Childhood trauma: its developmental aspects and nursing interventions.

PMID- 10257325
TI  - Trauma indices: a critical analysis.

PMID- 10257326
TI  - New structure, new paradigm.

PMID- 10257327
TI  - Ambulatory care--a new research frontier.

PMID- 10257328
TI  - Strategies for effectiveness for the board-C.E.O. team.

PMID- 10257329
TI  - How to develop trustee skills and expertise.

PMID- 10257330
TI  - Cutbacks in B.C.--a deadly game.

PMID- 10257331
TI  - Board effectiveness--measuring performance.

PMID- 10257332
TI  - Staff appointments: an entrepreneurial venture?

PMID- 10257333
TI  - Health care trustees: roles and responsibilities.

PMID- 10257334
TI  - Trustee input: a potential dilemma.

PMID- 10257335
TI  - Cutbacks in regulation: how a local union can maintain safety and health at the
      workplace.

PMID- 10257337
TI  - Eliminating accounts receivable: how one hospital is gaining on that elusive
      goal.

PMID- 10257336
TI  - The parking lot squeeze: coping with a major non-clinical problem.

PMID- 10257338
TI  - Improving food services: tips from a master chef on keeping patients satisfied.

PMID- 10257339
TI  - Using behavior modeling for supervisory development in health care settings.
AB  - Behavior modeling is one training method found effective in helping health care
      managers deal with their day-to-day management problems. This article defines and
      explains the five basic steps of behavior modeling training, suggests the
      workshop format as its most effective mode of instruction, and presents examples
      of successful use of the method.

PMID- 10257340
TI  - The management education imperative: an opinion.
AB  - This article presents an opinion on the need for middle-management education in
      the four basic functions of management: planning, organizing, directing, and
      controlling. Using nursing management as an example, the author describes the
      role of middle management in complex organizations and states that the job of
      management is to ensure the efficiency and effectiveness of work performed by
      others.

PMID- 10257342
TI  - Long-run maintenance costs vital client factor in live plant specs.

PMID- 10257341
TI  - Pharmacist involvement in a diabetic education centre.
AB  - During the past two years, a multi-discipline health team has been meeting with
      selected diabetic "problem" patients on a regular basis at the North York General
      Hospital (NYGH). The patients are referred to the programme by their physicians
      when they appear to be having difficulty handling or coping with their diabetes.
      The participants in the programme attend the Diabetic Education Centre (DEC) for
      one week as day patients in the hospital and are exposed to various types of
      counselling from members of the Diabetic Education Centre Team (DECT), one of
      which is the pharmacist. Follow-up from this week of intensive education is made
      at annual intervals. The main purpose of the pharmacist in the clinic is to
      provide information for the patients regarding their prescriptions and over the
      counter (OTC) medication. This is achieved by means of individual patient
      interviews and informal group discussions, as well as rounds with other team
      members and contact with patients' families. This programme provides a forum for
      the patient and the patient's family to obtain valid information about diabetes,
      as well as problems associated with the disease, and aids in coping with these
      problems. The team concept enables the patient to be analyzed by all disciplines
      in order to assess his teaching needs and fulfill them. The pharmacist is
      continually involved in this information system and plays a valuable role on the
      team.

PMID- 10257343
TI  - New antimicrobial carpet treatments extend textile life & cut cleaning costs.

PMID- 10257344
TI  - Disposables in food service.

PMID- 10257345
TI  - Implications of proposed and current federal budget cuts for discharge planning.

PMID- 10257346
TI  - Discharge planning models. Silver Cross Hospital, Joliet, IL.

PMID- 10257347
TI  - Information management in discharge planning: future directions.

PMID- 10257348
TI  - A comprehensive model for hospital discharge planning.

PMID- 10257349
TI  - Discharge planning in the progressive era.

PMID- 10257350
TI  - Preparing for a nursing home transfer.

PMID- 10257351
TI  - Discharge planning models. Oakwood Hospital, Dearborn, MI.

PMID- 10257352
TI  - The nurse's impact on effective discharge planning.

PMID- 10257353
TI  - Community-based alternatives for discharge planning.

PMID- 10257354
TI  - Lab downhold may cut ED costs, but not by much.

PMID- 10257355
TI  - Know patient rights, keep records, you'll be OK, EP's told.

PMID- 10257356
TI  - Soviet EM at turn-of-century level, nurse team reports.

PMID- 10257357
TI  - Waterborne ambulance covers 150 square miles in L.I. Sound.

PMID- 10257358
TI  - EM administrator--one-man band, diplomat, bridge-builder.

PMID- 10257359
TI  - Simplifying cleaning chemicals.

PMID- 10257361
TI  - Health/fitness evaluation: six steps to make it easy.

PMID- 10257360
TI  - Is the use of phenolics essential in hospital cleaning?

PMID- 10257362
TI  - Tap employees' resources, advises self-care expert.

PMID- 10257364
TI  - Business coalitions go slow on wellness.

PMID- 10257363
TI  - Aging trend presents challenge to corporate health programs.

PMID- 10257365
TI  - Proctor & Gamble strategy: start small, coordinate resources.

PMID- 10257366
TI  - St. Joseph Hospital offers extensive 'menu' of OHS services.

PMID- 10257367
TI  - Standard setting: the crucial issues. A case study of accounting & auditing.
AB  - A study of standard-setting efforts in accounting and auditing is reported. The
      study reveals four major areas of concern in a professional standard-setting
      effort: (1) issues related to the rationale for setting standards, (2) issues
      related to the standard-setting board and its support structure, (3) issues
      related to the content of standards and rules for generating them, and (4) issues
      that deal with how standards are put to use. Principles derived from the study of
      accounting and auditing are provided to illuminate and assess standard-setting
      efforts in evaluation.

PMID- 10257368
TI  - The evaluation and selection of adequate causal models: a compensatory education
      example.
AB  - Procedures for ascertaining relative model adequacy in latent variable structural
      relations models are discussed. Under diverse methods of estimation, this
      determination may be assessed using the chi square goodness of fit statistic,
      incremental fit indices for covariance structure models, and latent variable
      coefficients of determination. An example from evaluation research is taken (cf.
      Magidson, 1977; Bentler & Woodward, 1978). Numerical sensitivity of parameter
      estimates under alternative model specifications is demonstrated. Interpretive
      implications based on these procedures are discussed in terms of parameter
      sensitivity to alternative model specifications.

PMID- 10257370
TI  - Enhancing program review for evaluation and management.
AB  - Program review has not received the attention it warrants as a program evaluation
      tool despite its wide use for evaluation and management purposes. The use of the
      program review will probably endure on the strength of its face validity and
      irrespective of other developments in the field of program evaluation. Evaluators
      should realize this and, accordingly, attempt to improve its effectiveness. This
      paper presents one organization's approach to achieving this objective through
      the explication of development principles, implementation guidelines and review
      items. This paper also discusses benefits that can be expected from a systematic
      development of this tool and presents various research directions and potentials
      in this area.

PMID- 10257369
TI  - Accountability revisited: the arrival of client outcome evaluation.
AB  - In the past few years, "accountability" for public mental health programs has
      become differentiated in the minds of not only program evaluators, but also
      program managers and funders, including state and local-level legislators.
      Increasingly, these officials are becoming concerned with more than just the
      numbers and targets of services delivered, and the cost involved, and are looking
      for evidence of positive outcome or impact on clients to justify program
      implementation and maintenance. This represents a significant move beyond the two
      accountability models that most recently seemed to be the focus of most formal
      accountability efforts--performance measurement and quality assurance. Pressures
      for implementing these two alternatives seem to have been reduced somewhat by the
      new federal Administration, but even prior to its advent there had been a rapid
      escalation in awareness of and concern for client outcome measurement among
      important audiences, including state and local mental health policy-makers and
      the U.S. Congress. This presents a major new opportunity and challenge for
      program evaluators at this new accountability focus continues to gather momentum.

PMID- 10257371
TI  - Behavioral evaluation of a state program of deinstitutionalization of the
      developmentally disabled.
AB  - The purpose of this study was to evaluate one phase of a statewide program of
      deinstitutionalizing developmentally disabled individuals. Forty adults who had
      spent a minimum of six months in community placements were evaluated with respect
      to changes in behavior associated with movement out of state institutions and
      into community settings such as group homes and day activity centers. Pre- and
      post-deinstitutionalization measures were taken with the Behavior Development
      Survey. Post-deinstitutionalization measures on Cataldo and Risley's Resident
      Activity Manifest were compared to the same measures obtained on 159
      developmentally disabled individuals scheduled for deinstitutionalization. A
      consistent pattern of positive changes on both instruments favored
      deinstitutionalization, but changes could not be unequivocally attributed to
      movement out of the institutions per se.

PMID- 10257372
TI  - Quality of life in the evaluation of community support systems.
AB  - As a result of the authors' experience in conducting an evaluation of the
      community support system (CSS) program in New York State, they have identified
      five reasons for focusing on quality of life (QOL) as a desired outcome for
      programs for the chronically ill. These reasons are presented and problems in QOL
      evaluative research are discussed. Psychological indicators are distinguished
      from social indicators of QOL, and two methods of operationalizing perceived QOL,
      the psychological well-being and life domains methods, are examined. A conceptual
      model is presented and the results of an exploratory study of the QOL of 118
      chronic psychiatric patients receiving CSS services are presented.

PMID- 10257373
TI  - The balancing act: two techniques for controlling investment risk.

PMID- 10257374
TI  - Competition--Part I: what part will you play in the medical care "firms" of the
      future?

PMID- 10257375
TI  - The medical building: here's a way to turn it into pure investment.

PMID- 10257376
TI  - Competition--Part II: What part will you play in the medical 'firms' of the
      future?

PMID- 10257377
TI  - Fair share formula: a direct expense profit center-based plan.

PMID- 10257378
TI  - Managing time: pointers to help your lab manager do it better.

PMID- 10257380
TI  - The computing physician.

PMID- 10257379
TI  - Surgicenter: a hospital bypass operation.

PMID- 10257381
TI  - Collection assertiveness: new role for center's medical receptionists.

PMID- 10257382
TI  - Instant access: patient information is just a keystroke away.

PMID- 10257383
TI  - Hospital fund raising: smooth sailing ahead.

PMID- 10257384
TI  - 15 ways to measure fund raising program effectiveness.

PMID- 10257385
TI  - How to budget the fund raising process.

PMID- 10257386
TI  - Non-profits must consider ethics in soliciting gifts.

PMID- 10257387
TI  - More hospitals will use marketing techniques.

PMID- 10257388
TI  - Use anniversary year to full advantage.

PMID- 10257389
TI  - Board must recruit, push for effective staff.

PMID- 10257390
TI  - Hospital promotions should use consumer motivators.

PMID- 10257391
TI  - How non-profit mailers won political victory.

PMID- 10257393
TI  - Union asks Congress to prevent hospital withdrawals from Social Security.

PMID- 10257392
TI  - Energy conservation economics for a hospital.

PMID- 10257394
TI  - Nation's hospitals face severe financing crisis.

PMID- 10257395
TI  - Government regulation necessary under competition proposals, OTA says.

PMID- 10257396
TI  - Teaching hospitals must help inner city hospitals survive, Rangel says.

PMID- 10257397
TI  - FTC stands to lose jurisdiction over health professions.

PMID- 10257398
TI  - Health Corps survives criticism: undergoes change.

PMID- 10257399
TI  - Senate appropriations cuts loans and scholarships, defers health planning.

PMID- 10257400
TI  - America's widening infant death gap.

PMID- 10257401
TI  - Impoverishment.

PMID- 10257402
TI  - Self-care: boot straps or hangman's noose?

PMID- 10257403
TI  - Consulting is more than giving advice.
AB  - Of all the relationships that executives enter into with outsiders, perhaps none
      is so tainted by misunderstanding as the engagement of management consultants. To
      executives, consultants may seem concerned mainly with prolonging their
      assignments and unable to appreciate the practicalities of managerial issues.
      Conversely, consultants may see their clients as short-sighted and lacking the
      backbone necessary to make important decisions. How can such stereotypes be done
      away with? By starting at the beginning of the assignment. Mr. Turner maintains
      that if managers and outside advisers work out in advance what is expected of
      each party during their work together, the chances of solving problems are
      improved. He suggests that managers and consultants structure the engagement
      according to a hierarchy of goals--which proceeds from the most basic objective,
      providing information, to the most sophisticated, permanent improvement of
      organizational effectiveness. The best way to move up that hierarchy is for
      executives and advisers to work together to identify needs and develop solutions.

PMID- 10257404
TI  - Decision analysis comes of age.
AB  - Ten years ago, decision analysis was still an experimental management technique.
      But even then supporters claimed that eventually it would become for the manager
      what calculus is to the engineer. According to the authors of this article,
      decision analysis that incorporates personal judgment has not yet become what
      some expected, but it has, nonetheless, gained acceptance in many large
      corporations and government departments. One of the reasons for this acceptance
      is the greater flexibility and sensitivity of decision analysis to managers'
      needs than earlier forms had. In other words, today's decision analysis
      techniques can better take into account the people, the politics, the time
      pressures, and all the messy but critical factors that managers have to contend
      with. In this article, the authors describe three major forms of decision
      analysis and show how real managers have used decision tree analysis,
      probabilistic forecasting, and multiattribute analysis to solve real business
      problems.

PMID- 10257406
TI  - Property management: one hospital's approach.

PMID- 10257405
TI  - The hospital capital crisis: issues for trustees.
AB  - The erosion of the capital position in the hospital industry--one of the most
      complex and overregulated industries in the United States--is a major challenge
      to trustees. Hospital trustees have often neglected to examine their hospitals'
      capital needs on more than a project-by-project basis. In dealing with their
      hospitals' capital needs, trustees, most of whom are successful business people,
      too often take off their "business" hats and put on their "social worker" hats.
      In doing so they not only neglect to subject their hospitals' capital and
      operating programs to searching cost-benefit review, but they also overlook much
      useful knowledge about how to use corporate organization to shelter new ventures
      and strengthen their hospitals' market position and solvency. In this article,
      the authors discuss how hospitals can adopt successful corporate restructurings
      and strategies to respond to the adverse financial developments they will have to
      face in the coming years.

PMID- 10257407
TI  - Hospital supplies prices top general inflation rate by 50%.

PMID- 10257408
TI  - Materials budgeting techniques on the move.

PMID- 10257409
TI  - Asset recovery: an often neglected materials management function.

PMID- 10257410
TI  - Financial considerations in making capital investments.

PMID- 10257411
TI  - Hospital supplies prices continue to outpace general inflation rate.

PMID- 10257412
TI  - Renting biomedical equipment to patients: what is the hospital's liability?

PMID- 10257413
TI  - Marketing traps, marketing tips.

PMID- 10257414
TI  - The marketing of purchasing.

PMID- 10257415
TI  - Survey can show how vendors regard purchasing department.

PMID- 10257416
TI  - Hospital health education/promotion programs: long-range planning and marketing
      strategies.

PMID- 10257417
TI  - Hospital cleared in negligence suit filed by doctor mugged in parking lot.

PMID- 10257418
TI  - Crime up, budgets tightening, security directors report.

PMID- 10257420
TI  - An interview with: Tom Kramer.

PMID- 10257419
TI  - Color coding, 'bus bucks' help solve employee parking problems.

PMID- 10257421
TI  - Sharing security: something in it for everybody?

PMID- 10257422
TI  - Hospital adds 'hostage recovery' to list of disaster plans.

PMID- 10257423
TI  - Protecting medical records and other proprietary information.

PMID- 10257424
TI  - An interview with: Robert Louden. Chief, New York City Police Department Hostage
      Negotiation Team.

PMID- 10257425
TI  - Restricting employees with herpes; who and for how long?

PMID- 10257426
TI  - Ethylene oxide health risks tallied; prevention still called best medicine.

PMID- 10257427
TI  - Industrial hygienist shares EtO monitoring strategies.

PMID- 10257428
TI  - Methods developed to determine serum levels of antibiotics.

PMID- 10257429
TI  - Emergency of antibiotic resistance needs to be prevented, controlled,.

PMID- 10257430
TI  - Reusing disposables: examining the risks and benefits.

PMID- 10257431
TI  - Laundry distribution.

PMID- 10257432
TI  - Maintenance of laundry processing plant.

PMID- 10257433
TI  - Safety in medical instrumentation.

PMID- 10257434
TI  - Use of x-ray criteria could save millions by eliminating unneeded tests.

PMID- 10257435
TI  - Physicians must show reasons for x-rays on requisition forms.

PMID- 10257436
TI  - Effective QA program can net prompt claims response.

PMID- 10257437
TI  - Specific criteria promote QA at psychiatric facility.

PMID- 10257438
TI  - Aim for excellence in medical records approach.

PMID- 10257439
TI  - Take credentialing seriously to preserve optimal standards.

PMID- 10257440
TI  - Michigan, Ohio Blues revive preadmission certification.

PMID- 10257441
TI  - Are pacemakers being overutilized in your hospital?

PMID- 10257442
TI  - Nurse screening of death charts makes procedure more fruitful.

PMID- 10257443
TI  - Systematic follow-up aids discharge planners and nurses.

PMID- 10257444
TI  - Recovery room staffing demands accordance with JCAH standards.

PMID- 10257445
TI  - CLN eases transition to computer system.

PMID- 10257446
TI  - Community awareness key to home care program's success.

PMID- 10257447
TI  - 1973-1983: value impacts of a decade.

PMID- 10257448
TI  - Abortion laws will bend under new medical, social pressures.

PMID- 10257449
TI  - State statutes regulating abortion leave unresolved issues.

PMID- 10257450
TI  - Public opinion reflects secularization, rationalization.

PMID- 10257451
TI  - Sustaining the prolife momentum: legal and political strategies.

PMID- 10257452
TI  - Hospitals' ethical responsibilities as technology, regulation grow.

PMID- 10257453
TI  - Medical-moral committee: guarding values in an ambivalent society.

PMID- 10257454
TI  - Trends in U.S. Catholic hospitals and all other nonfederal U.S. hospitals, 1970
      to 1979: CHA study report, Part I. Changes in numbers of hospitals and beds.

PMID- 10257455
TI  - CHA Task Force on Stewardship survey report. Part II: Interviews with major
      superiors.

PMID- 10257456
TI  - Hospital monitoring prevents too liberal interpretation of consent forms.

PMID- 10257457
TI  - A multidisciplinary approach to initiating a marketing program.

PMID- 10257458
TI  - The Hawthorne study revisited.

PMID- 10257459
TI  - Alternative cost containment programs and the survival of the health care
      delivery system.

PMID- 10257460
TI  - The management job of the hospital administrator: incentive! Dilemma,
      contradiction and negative.

PMID- 10257461
TI  - Subterranean building aids in the conservation of energy and related costs.

PMID- 10257462
TI  - Maximizing benefits, limiting costs in hospital benefit plans.

PMID- 10257463
TI  - The ecological & economical interrelationship of the environmental systems for
      the Mostellar Medical Center.

PMID- 10257464
TI  - Labor relations in the health care industry: a view of the effects of
      unionization of professional registered nurses on hospitals.

PMID- 10257465
TI  - Sterilization quality assurance procedures: positive cultures--action!

PMID- 10257466
TI  - How supervisors can prevent or minimize employee dissatisfaction.

PMID- 10257467
TI  - Consumer health information: a joint project sponsored by the Health Science
      Library and the Department of Nursing.

PMID- 10257468
TI  - Tug of war between work and leisure for health care managers.

PMID- 10257469
TI  - Becoming aware of hospital P.A. burnout.

PMID- 10257470
TI  - How York Hospital simplified respiratory therapy billing procedures.

PMID- 10257471
TI  - Some problems of funded medical malpractice: self-insurance on a single hospital
      basis.

PMID- 10257472
TI  - Cogeneration: a proven means to reduce hospital operating costs--how to take
      advantage of it!

PMID- 10257473
TI  - How a hospital E.R. can deal with radiation.

PMID- 10257474
TI  - The mystery of the broken aeration cycles at Mad River Community Hospital.

PMID- 10257475
TI  - The care and handling of instruments.

PMID- 10257476
TI  - The use of computers/data processing in staff development.

PMID- 10257477
TI  - HHS requests comments on compensation of human subjects for research injuries.

PMID- 10257478
TI  - Documentation in the medical record--withholding treatment from defective
      newborns.

PMID- 10257479
TI  - Implementation of a data release policy.

PMID- 10257480
TI  - Sharing computerized data benefits cancer registry and radiation therapy
      division.

PMID- 10257481
TI  - Use of human subjects in experimentation: informed consent.

PMID- 10257483
TI  - Forecast '83.

PMID- 10257482
TI  - What's fair: financing health services raises ethical questions.

PMID- 10257484
TI  - Is the public still willing to give?

PMID- 10257485
TI  - Disaster plans--they work!

PMID- 10257486
TI  - Taking stock of new ideas.

PMID- 10257487
TI  - Set the table with style--it doesn't have to cost a lot.

PMID- 10257488
TI  - Are you sitting on a potential crisis?

PMID- 10257489
TI  - Handling a coroner's inquest.

PMID- 10257490
TI  - Bilingualism of a different order.

PMID- 10257491
TI  - PPI victory--ASIM leads the charge.

PMID- 10257492
TI  - Physicians' prescribing practices: how big is government's impact?

PMID- 10257493
TI  - Are we an over-medicated society?

PMID- 10257494
TI  - Mis-prescribing: causes and remedies.

PMID- 10257496
TI  - The difficulty of quality evaluation.

PMID- 10257495
TI  - How appropriate is office care?

PMID- 10257497
TI  - Acute care: a challenge of diversity.

PMID- 10257498
TI  - Acute care: implications for internists.

PMID- 10257499
TI  - The mixed-blessing of technology.

PMID- 10257500
TI  - In support of federal involvement.

PMID- 10257501
TI  - No time for apathy.

PMID- 10257502
TI  - A California retrospective.

PMID- 10257503
TI  - Toward competition, consumer choice.

PMID- 10257504
TI  - Pleading the patient's case.

PMID- 10257505
TI  - Great danger, great opportunity.

PMID- 10257507
TI  - Schizophrenia and the American legal system.

PMID- 10257508
TI  - What listening can do.

PMID- 10257506
TI  - Risk management in practice.

PMID- 10257509
TI  - Unlearning patients' habits.

PMID- 10257511
TI  - Caring for the elderly: the Swedish alternative.

PMID- 10257510
TI  - Treating physical symptoms with psychological techniques.

PMID- 10257512
TI  - Facing reality.

PMID- 10257513
TI  - Internists and nursing homes: results of a survey.

PMID- 10257514
TI  - Challenges and opportunities for philanthropy.

PMID- 10257515
TI  - What business expects from the nonprofit sector.

PMID- 10257516
TI  - The tax implications of profit-making ventures.

PMID- 10257517
TI  - Cooperation or collusion? Issues in grant-maker collaboration.

PMID- 10257518
TI  - The feminization of poverty: a "workhouse without walls".

PMID- 10257519
TI  - A primer on mailing lists.

PMID- 10257520
TI  - Communicating: another dimension.

PMID- 10257521
TI  - Donor option: there's less to it than meets the eye.

PMID- 10257522
TI  - More than 1,000 U.S. businesses have employee wellness programs.

PMID- 10257523
TI  - Overlook Hospital in Summit, N.J., opens health information library and invites
      public to browse, borrow; community needs being reached.

PMID- 10257524
TI  - Understanding TENS purchasing.

PMID- 10257525
TI  - Does health administration represent a new form of professionalism?

PMID- 10257526
TI  - Increase nursing morale? Move to shared power.

PMID- 10257527
TI  - Marketing health care: what's in it for Canadian hospitals?

PMID- 10257528
TI  - Attendance awareness--a formula for success.

PMID- 10257529
TI  - Education for managers of accelerating change.

PMID- 10257530
TI  - The introduction of automated office technology in health care.

PMID- 10257531
TI  - A patient satisfaction survey in a hospital-based ambulatory care setting.

PMID- 10257532
TI  - The third technical revolution.

PMID- 10257533
TI  - Healthy competition.

PMID- 10257534
TI  - Organization is key to rapport.

PMID- 10257535
TI  - Physician input crucial to successful generic screening.

PMID- 10257536
TI  - Anonymity system boosts high risk occurrence reporting.

PMID- 10257537
TI  - Professional negligence awards increase 450% research shows.

PMID- 10257538
TI  - Florida hospitals advocate more aggressive RM.

PMID- 10257539
TI  - Involve medical staff in RM through incident, claim review.

PMID- 10257540
TI  - Reusing disposables: examining the risks and benefits.

PMID- 10257541
TI  - Repairing the competitive wedge between physicians and hospitals.

PMID- 10257542
TI  - Oh, yes, Dr. Smith: the eyes of business are upon you.
AB  - With health care costs affecting their bottom lines, business and industry have
      entered the battle to reduce health case cost increases by forming health care
      coalitions. Coalitions have often barred physicians and hospital administrators
      from membership. Yet all segments of the health care field have a stake in
      joining together to effect change.

PMID- 10257543
TI  - What legal guidelines must medical staff members consider in advising hospital
      administration on programs to lay off nurses and other patient care personnel?

PMID- 10257544
TI  - Regional poison control services.

PMID- 10257545
TI  - Indexing and abstracting services to the primary drug literature.

PMID- 10257546
TI  - Side effects and lack of complaint in psychiatric outpatients.

PMID- 10257547
TI  - Standard administration labels for drugs administered by continuous infusion.

PMID- 10257548
TI  - Cost-containment programs: an approach through education.

PMID- 10257549
TI  - Improved nutrition support services that are patient-oriented and revenue
      generating.

PMID- 10257550
TI  - Formularies: principles, problems, and prognosis.

PMID- 10257552
TI  - Designing with light.

PMID- 10257551
TI  - Superior hospital formularies: a critical analysis.
AB  - The drug monograph section of eight superior hospital formularies was examined to
      (1) determine the type of pharmaceuticals, including dosage forms, listed, (2)
      delineate patterns of concurrence and divergence in drug acceptance, and (3)
      ascertain quantitative benchmarks by therapeutic category that may suggest
      optimum formulary size. The survey also undertook a comparative analysis of
      marginal drugs and reviewed the role of pharmacy personnel in supporting
      formulary administration. The critique of pharmaceutical preparations revealed
      significant patterns of similarity, heterogeneity, perplexity, and redundancy.
      The investigation also documented problems in dosage form selection and formulary
      publication. The report concludes that there is a need for more comprehensive
      studies that incorporate alternative quality assurance methods and focus on the
      more intangible factors of professional leadership and integrity.

PMID- 10257553
TI  - A portable ECG simulator.
AB  - A simple and low cost ECG simulator is described. The output waveform is a narrow
      pulse followed by a T-wave which extends to about one-half of the period. This
      waveform is acceptable by the medical staff and provides to the BMET a simple,
      calibrated waveform. Four switches control the simulator; (1) power on or off;
      (2) fixed rates of 60 or 120 BPM; (3) filtered or normal; (4) square wave or
      pulse. The amplitude is calibrated to 1 mv for a three-lead cable and 0.5 mv
      steps for use with a five-lead cable. An output of 1.8 volts is available for
      driving auxiliary equipment. An external light-emitting diode provides visual
      indication in all modes. A push button switch provides manual testing of
      respiration modules.

PMID- 10257554
TI  - Testing of clinical thermometers.
AB  - The results of a study undertaken to indicate the degree to which clinical
      thermometers conform to the requirements of voluntary standard ANSI/ASTM E 667-79
      are presented. This study was one of several performed by the Food and Drug
      Administration to determine the applicability of voluntary medical device
      standards, with respect to the feasibility of their test methods and the
      reasonableness of their application to currently marketed devices. 149 clinical
      thermometers (maximum self-registering, mercury-in-glass) from eight domestic
      manufacturers were tested following the requirements and test methods specified
      in ANSI/ASTM E 667-79. 42% of the fever and 100% of the basal thermometer samples
      tested failed to meet one or more of the requirements of the standard. However,
      if the requirements for temperature scale graduation marks and identification are
      excluded, the failure rate is reduced to 14% of the fever and 8% of the basal
      thermometers. Those that did fail the accuracy requirement were only .1F degree
      out of compliance.

PMID- 10257555
TI  - Cost-effective methodology for work order records.
AB  - Confusion and inefficiency in the medical electronics laboratory can be reduced
      with the implementation of a good recordkeeping system. One such orderly process
      includes a work order form, a device record card, and a status indication form.
      With consistent use, this system has met with success. It is anticipated that,
      with further development, the system can grow into a solid data base.

PMID- 10257556
TI  - A comparison of the utilization of general purpose computers in hospitals of the
      United States of America and England.

PMID- 10257557
TI  - Physicians, phones and laboratory computers.

PMID- 10257558
TI  - Ambulatory health care centers: image and preference among consumers.

PMID- 10257560
TI  - Ambulatory care centers in Kentucky: a survey of pharmacy services.

PMID- 10257559
TI  - Development of an ambulatory care space utilization reporting system.

PMID- 10257561
TI  - High versus low utilization of ambulatory care.

PMID- 10257562
TI  - Medical care in Japan: the political context.

PMID- 10257563
TI  - The Japanese health service--an overview.

PMID- 10257564
TI  - Planning for hazardous waste management.
AB  - Various responsibilities and issues must be considered when becoming involved in
      the management of hazardous wastes. A basic understanding of the problem and
      control methodologies including the regulatory provisions of the Resource
      Conservation and Recovery act (RCRA) is necessary in order to begin the initial
      phase of the planning process. The roles of industry, the public and the federal
      government are discussed as well as various management options which can be
      pursued by state and local authorities. Special attention is focused on the
      issues of site selection, existing and abandoned sites and the application of
      "Superfund," disposition of exempt waste quantities and emergency response.

PMID- 10257565
TI  - The effects and resolution of conflict in hospital purchasing management.

PMID- 10257566
TI  - The satisfied consumer: service return behavior in the hospital obstetrics
      market.

PMID- 10257568
TI  - Has marketing been oversold to hospital administrators?

PMID- 10257569
TI  - The demise of an HMO: a marketing perspective.

PMID- 10257567
TI  - Improving and expanding dental patient care: a market research perspective.

PMID- 10257570
TI  - EMS public information: how well does your community really know your service?

PMID- 10257571
TI  - The fight against fraud and abuse: analyzing constituent support.
AB  - Most efforts to combat fraud and abuse have relied on a punitive-deterrent
      approach, assuming that higher penalties and stricter enforcement will both
      punish present offenders and deter potential ones. Social science perspectives,
      particularly that of systems theory, suggest that a more effective approach is
      prevention grounded in an understanding of the constituencies involved.
      Constituency analysis can identify the constellations of social and political
      power that sustain existing opportunities for fraud and abuse, and those that
      will support countermeasures. Illustrations are drawn from the author's
      experience with New York State's attempt at reform in nursing homes and with
      efforts by the General Accounting Office and the Office of Management and Budget
      to combat fraud and abuse in federal programs.

PMID- 10257572
TI  - Formulating disaster relief when needs are unknown.
AB  - As in most cases of natural disasters, relief needs arising out of the Mount St.
      Helens volcanic eruptions in May 1980 were greatly overestimated. Technical,
      bureaucratic, and political considerations all contribute to the upward bias in
      such cases. The errors in early estimates of relief needs can be reduced by
      systematic means. But more important than obtaining good early estimates is
      maintaining an effective control over actual disaster relief expenditures. As it
      turns out, the more effective systems of control usually go hand in hand with
      poorer early estimates, creating a dilemma for the management for disaster
      relief.

PMID- 10257573
TI  - Burdine: sex discrimination, promotion, and arbitration.

PMID- 10257574
TI  - The value of assertiveness in interpersonal communication.

PMID- 10257575
TI  - Crisis management: how to turn disasters into advantages.

PMID- 10257576
TI  - Warning: traditional employee attitude surveys don't work.

PMID- 10257577
TI  - There is no motivational magic.

PMID- 10257578
TI  - Federal Trade Commission brings suit against Hospital Corporation of America.

PMID- 10257580
TI  - Blended uniforms need special care.

PMID- 10257579
TI  - Assigning dollar figure to linen costs is best way to reach administrators.

PMID- 10257581
TI  - St. Luke's in Jacksonville, Florida constructing replacement hospital.

PMID- 10257582
TI  - Buffalo hospital to increase linen output after renovation.

PMID- 10257583
TI  - Laundry renovation nearing completion at St. John's Hospital in Anderson, IN.

PMID- 10257585
TI  - New Canadian regional laundry to replace individual facilities.

PMID- 10257584
TI  - Cost-control idea reduces expenses, improves employee safety at hospital.

PMID- 10257586
TI  - Financial officer talks about role of a laundry manager in budgeting.

PMID- 10257587
TI  - Good record-keeping is the key to making management decisions.

PMID- 10257588
TI  - Weighing reusables vs. disposables? Examine all the evidence carefully.

PMID- 10257589
TI  - New shared-service laundry built by Oklahoma Hospital Association.

PMID- 10257590
TI  - New laundry under construction at North Dakota medical center.

PMID- 10257591
TI  - Laundry renovation boosts morale, reduces manpower requirements.

PMID- 10257592
TI  - Life or death? Patient's decision, doctor's dilemma.

PMID- 10257594
TI  - Medical Electronics Buyers Guide 1982, Part 2: Blood flow, blood pressure,
      cardiac output, ECG, EEG, EMG, pacemakers, scanning, imaging.

PMID- 10257593
TI  - Enigma in medicine: Munchausen syndrome.

PMID- 10257595
TI  - Programmable stimulator.

PMID- 10257596
TI  - Cardiac output by electrical impedance.

PMID- 10257598
TI  - Dr. Hayes on the new FDA.

PMID- 10257599
TI  - Wanted: fresh, creative ad agency.

PMID- 10257597
TI  - Cardiovascular arrest. Do we need an ECG at the accident site?

PMID- 10257600
TI  - Analysis probes risk of antitrust suit.

PMID- 10257601
TI  - Manufacturer, not hospital or M.D., responsible in product liability case.

PMID- 10257602
TI  - Cost shifting: it's a taxing problem.

PMID- 10257603
TI  - Can 'Davids' take group purchasing contracts from 'Goliath' American?

PMID- 10257604
TI  - Industry seeks standardized bar codes.

PMID- 10257605
TI  - Compensation: top hospital managers win 11.4% salary increase.

PMID- 10257607
TI  - Continuing education in nutrition for health professionals.

PMID- 10257606
TI  - Trustees merge their national, local perspectives to hospitals' benefit.

PMID- 10257608
TI  - Components of a successful learning resource center for health professionals.

PMID- 10257610
TI  - An evaluation approach for continuing education programs in the health
      professions.

PMID- 10257609
TI  - Medical self-care instruction for laypersons: a new agenda for health science
      continuing education.

PMID- 10257611
TI  - Toward the year 2000: an overview of probable communication futures.

PMID- 10257612
TI  - Information transfer: past, present and future.

PMID- 10257613
TI  - What television teaches about physicians and health.

PMID- 10257614
TI  - Needs assessment: an overview for health educators.

PMID- 10257615
TI  - What is the status of continuing education for health professions?

PMID- 10257616
TI  - Blues foresee savings.

PMID- 10257617
TI  - Texas DME dealers find safety in numbers.

PMID- 10257618
TI  - The growth of health care.

PMID- 10257619
TI  - Ob/Gyns see new challenges to reputations and incomes.

PMID- 10257620
TI  - Hospital's safety fair involves employees, community.

PMID- 10257621
TI  - Govt. plan hurts private sector.

PMID- 10257623
TI  - Report says federal workers pay more, get less from health plans.

PMID- 10257622
TI  - GA. orders fast-pay on health claims.

PMID- 10257624
TI  - AMA hits FTC intrusion.

PMID- 10257625
TI  - Emphasizes ergonomics of office automation.

PMID- 10257627
TI  - FEHB premiums to leap.

PMID- 10257626
TI  - Estimating health risks a plus.

PMID- 10257628
TI  - Health competition could curb costs: report.

PMID- 10257630
TI  - N.Y. tells employees: 'We can't pay for it all".

PMID- 10257629
TI  - Health care pricing seen as nonsensical.

PMID- 10257631
TI  - Osteopathic hospital administration: there is a difference!

PMID- 10257632
TI  - Hospital/physician relationships: meeting tomorrow's challenges.

PMID- 10257633
TI  - Critical job events, acute stress, and strain: a multiple interrupted time
      series.
AB  - A critical job event (CJE) is defined as a time-bounded peak of performance
      demand made on the individual as an integral part of his job. Though such events
      are an important source of acute job stress and are amenable to longitudinal
      study, relevant research has been scant. In the present study, the effects of
      acute objective stress on subjective stress and on psychological and
      physiological strain were assessed among 39 first-year nursing students in an
      interrupted time series with multiple replications. Strain was measured five
      times, twice in anticipation of CJE interspersed by three low-stress occasions.
      The CJEs were providing the first comprehensive patient care and the final exam
      in nursing. A consistently confirmatory pattern of significantly rising and
      falling strain was found for anxiety, systolic blood pressure, and pulse rate:
      qualitative overload and serum uric acid changed as predicted four times out of
      five. CJE research can redress past overemphasis on chronic organizational stress
      and strengthen causal interpretation.

PMID- 10257634
TI  - PSRs add a personal touch to accounts receivable.

PMID- 10257635
TI  - Home vs. hospital: where are baby, mother (and doctor) safer?

PMID- 10257636
TI  - The health care industry PACs congress away.

PMID- 10257637
TI  - Federal regulations and the lives of children in day care.
AB  - The National Day Care Study investigated relationships between regulatable
      characteristics of day care centers--in particular, staff/child ratios, group
      size, and staff qualifications--and the costs and quality of care experienced by
      preschool children, especially children from low-income families in federally
      subsidized care. The study found that group size, the total number of children in
      a classroom, was associated with several measures of the quality of the social
      environment and of children's development. In small groups, as opposed to large,
      children were more cooperative, more likely to engage in spontaneous
      verbalization and creative/intellectual activities, and less likely to wander
      aimlessly or be uninvolved in activities. They also made more rapid gains on
      standardized tests of cognitive and linguistic growth. The study further found
      that caregivers with education or training specifically related to young children
      showed a relatively high degree of social interaction with children (praising,
      comforting, responding, questioning, and instructing) and that children in their
      care made relatively rapid gains on standardized tests. Staff/child ratios were
      related to some aspects of caregiver behavior, but these relationships were less
      consistently indicative of quality than those exhibited by group size or
      caregiver education/training. Because the latter characteristics are relatively
      low-cost components of day care, the study concluded that the federal government
      could buy better care at lower cost by giving them greater emphasis in its
      purchasing standards.

PMID- 10257638
TI  - Evaluation in prevention: implications from a general model.
AB  - Evaluation is a many faceted, rapidly developing process which is held together
      by a common theme: A practical orientation toward using social programs. That
      practical orientation can be understood in three ways: as a total evaluation
      system, as a technological endeavor, or as a social research effort that has the
      intent of being useful as evaluation. There are three basic elements to good
      evaluation: validity, utility, and theory. Validity and utility must be
      understood in terms of specific threats to their integrity. The salience of those
      threats shifts with the context of evaluation activity. Theory is important
      because powerful evaluation designs cannot be developed, nor can results be
      interpreted, without an understanding of the dynamics of program action. Each
      aspect of evaluation--validity, utility and theory--must be considered relative
      to four aspects of prevention which pose particular impediments to the conduct of
      evaluation. Those special characteristics are: the need to mass target prevention
      programs, the problem of treating people who have not yet manifested symptoms,
      difficulties in ascertaining when prevention will be most useful, and the need to
      evaluate prevention programs with long term observation.

PMID- 10257639
TI  - How AMA's new PMI program also helps physicians and pharmacists.

PMID- 10257640
TI  - The Society of FDA Pharmacists: what is it?

PMID- 10257641
TI  - What is the Medical Device and Lab Product Problem Reporting Program?

PMID- 10257642
TI  - 10 ways to improve the quality of patient communications.

PMID- 10257643
TI  - How our hospital pharmacy maintains control of controlled substances.

PMID- 10257644
TI  - How pharmacists can play a key role on the ostomy rehabilitation team.

PMID- 10257645
TI  - Patient counseling spurs our specialty of geriatric pharmacy.

PMID- 10257646
TI  - Gerontology, geriatrics and the physiotherapist.

PMID- 10257647
TI  - Health care facilities certification: "a review & interpretation".

PMID- 10257649
TI  - Communicate better with your patients.

PMID- 10257648
TI  - Who's at high risk for a malpractice suit?

PMID- 10257651
TI  - A doctor uses videotapes to educate patients.

PMID- 10257650
TI  - Are high fees denying people health care?

PMID- 10257652
TI  - Picking the best malpractice coverage.

PMID- 10257653
TI  - Private management of California county hospitals: expectations and performance.

PMID- 10257654
TI  - Community health centers: making health care less expensive and more accessible.

PMID- 10257655
TI  - The post-hospital adjustment of psychiatric patients: a six-month follow-up
      survey.

PMID- 10257656
TI  - Outcome evaluation: measuring change over time.

PMID- 10257657
TI  - Duration of hospitalization as a variable in outcome.

PMID- 10257658
TI  - Suicide in a psychiatric population.

PMID- 10257659
TI  - Medical care, living conditions, and children's well-being.
AB  - We examine the effect of medical care and living conditions on children's
      physical and psychological well-being. We develop a causal model in which living
      conditions (including the socioeconomic status of the family and the social
      psychological aspects of family functioning) may affect well-being both directly,
      and indirectly through medical care. We find that families in the higher social
      classes and families that function well tend to go to large prepaid groups where
      they receive good medical care. High quality technical care of illness, in turn,
      improves physical health. The quality of psychotherapeutic care, on the other
      hand, has no effect on psychological well-being. For this aspect of health, the
      effect of living conditions is largely direct, rather than indirect by way of
      medical care. Families characterized by high levels of functioning have children
      who are psychologically healthy. In addition, physical health affects
      psychological well-being, but not vice versa.

PMID- 10257661
TI  - Lessons for social work from the medical model: a viewpoint for practice.

PMID- 10257660
TI  - Prevention in mental health: organizational and ideological perspectives.

PMID- 10257662
TI  - Self-help groups and professional involvement.

PMID- 10257663
TI  - Water heaters: the several types of water heaters have individual characteristics
      and benefits. Here's how to design the best system.

PMID- 10257664
TI  - Guidelines to follow to monitor and control electrical energy losses.

PMID- 10257665
TI  - Cost control through...maximization of hospital benefit plans.

PMID- 10257666
TI  - In the battle between self-generated and canned packaged, it's all "self"
      generated.

PMID- 10257668
TI  - Current nursing shortage could lead to increased supplementary nurse staffing.

PMID- 10257667
TI  - Is low bidding the best method for...choosing a landscape maintenance company.

PMID- 10257669
TI  - Multi-function systems of information management are "harbingers of the paperless
      hospital".

PMID- 10257670
TI  - The role of the surgical technologist.

PMID- 10257672
TI  - The law game: what you don't know about the rules can hurt you.

PMID- 10257671
TI  - A whispered beginning.

PMID- 10257673
TI  - Important issues in hospital nursing? It depends on whom you ask.

PMID- 10257674
TI  - The tools to do the job.

PMID- 10257675
TI  - Therapeutic recreation project in social services in Nottinghamshire, United
      Kingdom.

PMID- 10257678
TI  - A training program for medical records personnel--a cooperative effort.

PMID- 10257676
TI  - Recertification--what form shall it take?

PMID- 10257677
TI  - The value of need assessment techniques for inservice education.

PMID- 10257679
TI  - Assuring continued competence.

PMID- 10257680
TI  - Developing supervisors: the importance of interpersonal skills.

PMID- 10257681
TI  - Orientation: what do you do after saying hello?

PMID- 10257682
TI  - Approaching competency-based education in medical record science.

PMID- 10257683
TI  - Inservice program development as applied to confidentiality.

PMID- 10257684
TI  - Inservice education at George Washington University Medical Center.

PMID- 10257685
TI  - Government access to medical records: is a search warrant required?

PMID- 10257686
TI  - How to set up a training program.

PMID- 10257687
TI  - Local control: choices for the smaller hospital.

PMID- 10257689
TI  - Diversification: one hospital's successful approach to facing the future.

PMID- 10257688
TI  - Infection control in the smaller hospital.

PMID- 10257690
TI  - Health fitness center: getting stronger every day.

PMID- 10257691
TI  - The smaller hospital through an educator's eyes.

PMID- 10257692
TI  - Contract hospital pharmacy services: the prescription for your needs?

PMID- 10257694
TI  - "Human touch" the smaller hospital's best medicine.

PMID- 10257693
TI  - Denial of privileges: anti-trust implications.

PMID- 10257695
TI  - Computer applications for the smaller hospital: how to choose the right system
      for you.

PMID- 10257696
TI  - Health care coalitions: update.

PMID- 10257697
TI  - Developing the smaller hospital's QA program.

PMID- 10257698
TI  - Cancer registry program: how it's benefitting hospitals and their patients.

PMID- 10257699
TI  - Daily problem solving with quality assurance.

PMID- 10257700
TI  - Protecting patients' privacy rights.

PMID- 10257701
TI  - Feasibility studies: instruments for charting the path ahead.

PMID- 10257702
TI  - Leadership in infection control.

PMID- 10257704
TI  - Drive-in blood pressure screening.

PMID- 10257703
TI  - Neonatal reunion party.

PMID- 10257705
TI  - The selling of a hospital: a must for continued public support.

PMID- 10257706
TI  - 13 steps to better media relations.

PMID- 10257707
TI  - The administrator's role in media relations. That's not my job ... or is it?

PMID- 10257708
TI  - Civilian-military contingency hospital system: a cooperative effort to provide
      medical care in the case of sudden military conflict.

PMID- 10257709
TI  - The challenge of continuing education.

PMID- 10257710
TI  - Making the most of your hospital's human interest potential.

PMID- 10257711
TI  - Getting into print.

PMID- 10257712
TI  - The risk of surplus lines insurance: health care providers who anticipate
      purchasing surplus lines insurance must exercise caution.

PMID- 10257713
TI  - Pricing for hospital success.

PMID- 10257714
TI  - Quality assurance in daily problem solving.

PMID- 10257716
TI  - QA's role in informed consent.

PMID- 10257715
TI  - Coordinating a strong media plan.

PMID- 10257717
TI  - Learn to stay one step ahead of T.E.D.s.

PMID- 10257718
TI  - The Texas Hospital Association: a look at the Association's staff and services.

PMID- 10257719
TI  - Sterilization of the mentally retarded.

PMID- 10257721
TI  - Narrowing the gap between the health administrator and the educator.

PMID- 10257720
TI  - Sharing ideas important benefit of TSICP membership.

PMID- 10257722
TI  - Educational requirements for medical record professionals: what it takes to get
      (and keep) accreditation.

PMID- 10257723
TI  - Guest relations growing aspect of PR.

PMID- 10257724
TI  - One hospital's successful experience: computerization in the smaller hospital.

PMID- 10257725
TI  - Quality assurance and the patient.

PMID- 10257727
TI  - Documentation of medical record data.

PMID- 10257726
TI  - Retention and release of medical records.

PMID- 10257728
TI  - Word processing: a key to increased productivity in medical record departments.

PMID- 10257729
TI  - How it's working in one Texas hospital.

PMID- 10257730
TI  - Unrelated business income.

PMID- 10257731
TI  - Employee benefits: how hospitals can provide high quality packages at less cost.

PMID- 10257733
TI  - The new nurse manager.

PMID- 10257732
TI  - Turning expectations into performance: administration's goals for medical record
      department influence productivity and effectiveness.

PMID- 10257734
TI  - Levels of practice: a career ladder and clinical ladder system.

PMID- 10257735
TI  - Nurse retention revisited.

PMID- 10257736
TI  - Graduate nurse traineeship programs.

PMID- 10257737
TI  - QA in transfusion services.

PMID- 10257738
TI  - Infection control in the Soviet Union.

PMID- 10257739
TI  - Nursing staff management systems.

PMID- 10257740
TI  - Nurse counselors: nurses helping nurses.

PMID- 10257741
TI  - The challenge of education for nurses.

PMID- 10257742
TI  - Liability for police-ordered, unconsented blood tests.

PMID- 10257743
TI  - "Operation Interpreter" translates into better communication.

PMID- 10257744
TI  - "Weigh In" helps employees be real losers.

PMID- 10257745
TI  - Texas Department of Health.

PMID- 10257747
TI  - Communicable disease reporting.

PMID- 10257746
TI  - The educator's role with external agencies, situations.

PMID- 10257748
TI  - Texas State Board of Pharmacy.

PMID- 10257749
TI  - Hospitals may charge interest on patients' unpaid bills.

PMID- 10257750
TI  - Trustee's survey of board chairmen: who they are and what concerns them.

PMID- 10257751
TI  - Reconciling ethical and marketplace values in service program design.
AB  - Traditionally, the provision of hospital services has been based on a set of
      values very different from those associated with the free market process. Without
      denying the import of sound financial support and performance, the authors
      suggest that to maintain "legitimacy", hospitals must examine their values and
      the relevance of those values to the communities they serve.

PMID- 10257752
TI  - Guidelines for more informative quality assurance reports.

PMID- 10257753
TI  - Executive compensation committees: an idea whose time has come?
AB  - Because executive and managerial talent is a hospital's most valuable asset in a
      highly competitive climate, boards should be concerned with matters of executive
      compensation. The major responsibilities of an executive compensation committee
      are outlined here, including evaluation of the CEO's performance, determination
      of his compensation level, and establishment of the institution's basic
      compensation philosophy.

PMID- 10257754
TI  - Films spark interest in current events.

PMID- 10257755
TI  - Users' perspectives on bathing equipment.

PMID- 10257756
TI  - A renaissance in transplant surgery.

PMID- 10257757
TI  - Doctor's dilemma: treat or let die?

PMID- 10257758
TI  - Recruiting the corporate volunteer: it don't come easy.

PMID- 10257760
TI  - Child passenger safety: a call for auxilian involvement.

PMID- 10257759
TI  - Auxiliary growth must meet new needs of hospital, community.

PMID- 10257761
TI  - Coalitions get down to business.

PMID- 10257762
TI  - Who will care for the uninsured?

PMID- 10257763
TI  - Ethnic group response to preventive health education.
AB  - Using the ratio of preventive visits to episodic visits as an index of health
      care utilization in response to an education campaign which emphasized the value
      of prevention, we analyzed the response of white, Mexican-American, and black
      subjects in a community health center. We found that: (1) whites make a
      relatively larger proportion of preventive care visits than Mexican-Americans,
      who made proportionately more preventive health care visits than blacks. The
      difference between whites and blacks was statistically significant (p less than
      .05). (2) When socioeconomic levels were held constant, as measured by insurance
      categories, no ethnic differences in preventive vs episodic health care visits
      were found. (3) On the other hand significant differences in such health care
      behavior emerged when indices of family structure and employment were isolated.
      Mexican-Americans seek proportionately less preventive care in families in which
      one parent is absent and no adult is employed. In contrast, blacks seek
      proportionately less preventive care in families in which both parents are
      present at at least one adult is employed.

PMID- 10257764
TI  - Poverty: a major deterrent to America's good health.
AB  - Poverty has a major impact on the nation's state of health. Although its effects
      are difficult to separate from that of old age and the problems of minorities,
      there are definite correlations between indicators of economic well being and
      mortality/morbidity rates United States vital statistics and extensive health
      interview surveys provide ample documentation of the role of poverty as a health
      determinant. The success the Indian Health Service has had in lowering mortality
      rates mirrors the nation's as a whole and demonstrates what can be done if
      socioeconomic conditions, as well as health care delivery, is improved. The
      message should not be lost sight of it this era of cutbacks in social programs.

PMID- 10257765
TI  - A management science approach to contingency models of organizational structure.
AB  - This study demonstrates the applicability of a quantitative modeling approach,
      specifically goal programming, in operationalizing the relationship between
      environmental variables and specific organizational structural variables for
      optimal goal attainment. A goal programming model is developed to analyze and
      determine the optimal relationships for goal attainment.

PMID- 10257766
TI  - Effects of leader contingent and noncontingent reward and punishment behaviors on
      subordinate performance and satisfaction.
AB  - This study investigated the nature of the relationships between leader reward and
      punishment behaviors and subordinate performance and satisfaction. Only
      performance-contingent reward behavior was found to affect subordinate
      performance significantly. Positive relationships were found between leader
      contingent reward behavior and employee satisfaction. Contingent punishment had
      no effects on subordinate performance or satisfaction.

PMID- 10257767
TI  - Blood carbon monoxide levels in persons 3-74 years of age: United States, 1976
      80.

PMID- 10257768
TI  - Adapting to environmental jolts.
AB  - This paper examines organizational adaptations to an environmental jolt--a sudden
      and unprecedented event (in this case, a doctors' strike)-- that created a
      natural experiment within a group of hospitals. Although adaptations were diverse
      and appeared anomalous, they are elucidated by considering the hospitals'
      antecedent strategies, structures, ideologies, and stockpiles of slack resources.
      Assessments of the primacy of the antecedents suggest that ideological and
      strategic variables are better predictors of adaptations to jolts than are
      structural variables or measures of organizational slack. Although abrupt changes
      in environments are commonly thought to jeopardize organizations, environmental
      jolts are found to be ambiguous events that offer propitious opportunities for
      organizational learning, administrative drama, and introducing unrelated changes.

PMID- 10257769
TI  - Hospital characteristics and physician productivity and fee levels.

PMID- 10257770
TI  - Occupational licensure and the utilization of nursing labor: an economic
      analysis.

PMID- 10257771
TI  - The market for retail pharmacies: a duopoly model.

PMID- 10257772
TI  - Distribution of medical inputs across standard metropolitan statistical areas and
      implications for health.

PMID- 10257773
TI  - Short-term illness and labor supply: the impact of sick leave.

PMID- 10257774
TI  - Health manpower credit subsidies.

PMID- 10257775
TI  - Hospital wage inflation.

PMID- 10257776
TI  - AMA's Washington office--its legend and its legacy.

PMID- 10257777
TI  - Hospital, MD insurers are urged to cooperate.

PMID- 10257778
TI  - Insurers' slump may aid HMOs.

PMID- 10257779
TI  - Culture a factor in treating Latino patients.

PMID- 10257780
TI  - Hospitals' viewpoint: staff privileges--the substantive issues.

PMID- 10257781
TI  - Physicians foresee trend toward closed staffs in hospitals.

PMID- 10257782
TI  - Hospitals try varied tactics in battle for patient dollars.

PMID- 10257783
TI  - Canada's medicare defended: Part 2.

PMID- 10257784
TI  - Liability premium surplus stirs debate in Wisconsin.

PMID- 10257785
TI  - AHA hits two-tier medical care.

PMID- 10257787
TI  - AMA, GTE open network.

PMID- 10257786
TI  - Of educators: making MDs, administrators 'partners' is goal.

PMID- 10257788
TI  - In hospital program many cooks don't spoil the broth.

PMID- 10257789
TI  - Emergency medicine winning acceptance.

PMID- 10257790
TI  - Northern Ireland emergency room a tale of terrorism.

PMID- 10257791
TI  - Rationing care called dilemma for the '80s.

PMID- 10257792
TI  - Meharry Medical College fights back.

PMID- 10257793
TI  - Maryland MDs drop support of admission review plan.

PMID- 10257794
TI  - Liability premiums not up substantially: study.

PMID- 10257795
TI  - Twin Cities pharmacists claiming squeeze by HMOs.

PMID- 10257796
TI  - Delegating responsibility effectively.

PMID- 10257797
TI  - ACP: public and profession need better education about medical consequences of
      nuclear hazards.

PMID- 10257798
TI  - A new way of teaching medical students about the law: Wright State combines law,
      ethics.

PMID- 10257800
TI  - Reducing radiography costs.

PMID- 10257799
TI  - Modern wiring systems: an innovative and maturing technology.

PMID- 10257801
TI  - Health care--and woe: the Medibank man speaks out.

PMID- 10257802
TI  - Dental authority first in Australia.

PMID- 10257803
TI  - New heart unit leads the way.

PMID- 10257804
TI  - Society of Hospital Pharmacists of Australia: planning for a hospital pharmacy.

PMID- 10257805
TI  - Improve hospital food operations.

PMID- 10257806
TI  - Health cuts spark storm of protest.

PMID- 10257807
TI  - PANCH shows the way to modern radiology.

PMID- 10257808
TI  - Victorian hospitals and the smoker.

PMID- 10257809
TI  - States face more tough decisions. Interview by Ray Maultsaid.

PMID- 10257810
TI  - Accreditation slammed by GPs.

PMID- 10257811
TI  - Impact of technology on medicine.

PMID- 10257812
TI  - RNSH cook-chill system a success.

PMID- 10257813
TI  - Working towards a total lab management system.

PMID- 10257814
TI  - NMR scans have a big potential.

PMID- 10257815
TI  - Assessing your appraisal style.

PMID- 10257817
TI  - Increasing your credibility.

PMID- 10257816
TI  - Why are people indecisive?

PMID- 10257818
TI  - Reagan's policies strike the hardest at the poorest of America's elderly.

PMID- 10257819
TI  - Curing turnover: Pennsylvania hospitals use day care to entice staff.

PMID- 10257820
TI  - Wisconsin seeks direct provider arrangement.

PMID- 10257821
TI  - Tracking the cost of a plan.

PMID- 10257822
TI  - Employee assistance programs well worth their cost, employers say.

PMID- 10257823
TI  - Communications ease introduction of new health plan.

PMID- 10257824
TI  - Du Pont builds cost containment into optional self-insured health plan.

PMID- 10257825
TI  - Little relief in sight for soaring health premiums.

PMID- 10257826
TI  - Hospital settles malpractice suit for $1.6 million.

PMID- 10257827
TI  - No smoking. Employers say restrictions can cut costs.

PMID- 10257828
TI  - Commerce Court Medical Centre: medicine goes downtown.

PMID- 10257829
TI  - New wave telephones: investing in interconnection.

PMID- 10257830
TI  - The legal implications of letting newborn babies die.

PMID- 10257831
TI  - Successful hospital computerization depends on a sound acquisition plan.

PMID- 10257832
TI  - Marketing myths, mystiques and misconceptions.

PMID- 10257833
TI  - Can law protect a patient's rights?

PMID- 10257834
TI  - What you should know about Canada's organ transplant laws.

PMID- 10257835
TI  - Performance appraisals can improve efficiency.

PMID- 10257836
TI  - Educational and research facets of the hospital information system.

PMID- 10257837
TI  - Freedom machine: Canadian diabetics adapt to life on insulin-infusion pumps.

PMID- 10257838
TI  - The collective force of salaried pharmacists.

PMID- 10257839
TI  - Ayerst shutdown demonstrates some patent problems with compulsory licensing.

PMID- 10257840
TI  - Practical advice on forming your own association.

PMID- 10257841
TI  - Homemaker-home health aide service essential to home care.

PMID- 10257842
TI  - Legal aspects of the client's record: a guide for community health nurses.

PMID- 10257843
TI  - The M.A.O. home care model offers hope for the future.

PMID- 10257844
TI  - Aerospace technology comes home.

PMID- 10257845
TI  - Advanced degrees for home care administration?

PMID- 10257846
TI  - Cable television: new opportunities for nonprofits.

PMID- 10257847
TI  - A review of disinfectants. Part II.

PMID- 10257849
TI  - Reach out, reach out and touch someone ... but do it aseptically.

PMID- 10257848
TI  - A review of disinfectants. Part III.

PMID- 10257850
TI  - Quality assurance for infection control.

PMID- 10257851
TI  - A rational review of rules, regulations and recommendations.

PMID- 10257852
TI  - A fully integrated hospital management system.

PMID- 10257853
TI  - Managing hospital information: the accelerating need.

PMID- 10257854
TI  - Single vendor responsibility--sales pitch or caveat emptor.

PMID- 10257856
TI  - The computer in your future--not if--but when!

PMID- 10257855
TI  - Hospitals with computers reap tax benefits from exports.

PMID- 10257857
TI  - "Paper clips and prerequisites".

PMID- 10257858
TI  - A system upgrade experience from store and forward (batch) to on-line objectives
      and results.

PMID- 10257859
TI  - Trends in ambulatory care information systems.

PMID- 10257860
TI  - Guidelines for selecting a computer system for your medical practice.

PMID- 10257862
TI  - "The computer system is neutral--how you use it determines success or failure!".

PMID- 10257861
TI  - The Williamsport Hospital: providing community health care leadership.

PMID- 10257863
TI  - "The physician's need for an informational system in an ambulatory care setting".

PMID- 10257864
TI  - "Facilities management--a new solution for hospital information systems".
      Interview by Bill Childs.

PMID- 10257865
TI  - Problems in measuring the cost of illness.
AB  - 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.

PMID- 10257866
TI  - Peer review of psychodynamic psychotherapy. Experimental studies of the American
      Psychological Association/CHAMPUS program.
AB  - 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.

PMID- 10257867
TI  - Measuring the effects of administrative intervention. A technique.
AB  - 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.

PMID- 10257868
TI  - Hospital industry girds for capital crisis and impact of shortfall expected in
      1980s.

PMID- 10257869
TI  - Competition for capital looms as a major challenge for hospitals during the
      1980s.

PMID- 10257870
TI  - Study by ICF indicates hospitals' unmet capital needs to total $54 billion by
      1990.

PMID- 10257871
TI  - Favorable capital market likely to continue, investor-owned company executives
      believe.

PMID- 10257872
TI  - Multi-hospital system chief sees capital financing as industry's most pressing
      issue.

PMID- 10257873
TI  - Hospital capital raising after TEFRA: more changes for the industry.

PMID- 10257875
TI  - Business coalitions grow in size, scope and impact on health industry.

PMID- 10257874
TI  - Reimbursement pressures can impact industry's capacity to raise capital.

PMID- 10257876
TI  - Challenge to hospitals: learning how to evaluate new technology.

PMID- 10257877
TI  - Health in the post medical era.

PMID- 10257878
TI  - The race to the year 2000: who will survive?

PMID- 10257879
TI  - Block grants: the states take the money and run.

PMID- 10257880
TI  - Purchasing forms on consignment.

PMID- 10257881
TI  - Purchasing/inventory control: new system successful for small hospital.

PMID- 10257882
TI  - Exchange cart vs. par stock: which is the best distribution system? Part II.

PMID- 10257883
TI  - Contracting refinement saves one hospital $600,000.

PMID- 10257884
TI  - An overview of inventory control.

PMID- 10257885
TI  - Traveling requisitions: a means of nonstock supply control.

PMID- 10257886
TI  - Violence against hospital administrators warrants executive protection measures.

PMID- 10257887
TI  - Personal liability: how vulnerable are you?

PMID- 10257888
TI  - An interview with Donald E. Bogardus.

PMID- 10257889
TI  - Infection perspective: infections of the upper respiratory tract.

PMID- 10257890
TI  - Anesthetic levels in OR often high; hygienist suggests safety measures.

PMID- 10257891
TI  - Discovering your hospital's unconscious.

PMID- 10257892
TI  - How to create an outstanding hospital culture.

PMID- 10257893
TI  - The role of the "American culture" in patient care and employee relationships.

PMID- 10257894
TI  - Carner's codes, Chapter 5. Managing issues.

PMID- 10257895
TI  - Health care manager's notebook: recruiting and interviewing.

PMID- 10257896
TI  - Organizational burn-out. Symptoms & prevention.

PMID- 10257897
TI  - Laundry design and layout.

PMID- 10257899
TI  - Patient crisis, nursing stresses respond to psychiatric liaison nurse.

PMID- 10257898
TI  - The importance of a wind tunnel investigation in the design of hospitals.

PMID- 10257900
TI  - Voluntary time off helps control costs.

PMID- 10257901
TI  - Reagan's health policy at midterm: fairness remains key issue.

PMID- 10257902
TI  - Hospital marketing strategies require sensitivity to consumers, providers.

PMID- 10257904
TI  - Labor relations raises consciousness issues for Catholic administrators.

PMID- 10257903
TI  - Maintaining Catholic identity in a pluralistic society: some reflections.

PMID- 10257905
TI  - Changes in admissions, average daily census, and outpatient visits.

PMID- 10257906
TI  - CHA Task Force on Stewardship survey report, Part III. CEOs' views of the
      Catholic health care ministry.

PMID- 10257907
TI  - Proposed pastoral care document useful tool in health care ministry.

PMID- 10257908
TI  - How should Catholic health facilities formulate a policy on omitting CPR?

PMID- 10257909
TI  - Protecting confidential patient records: what is the hospital's duty?

PMID- 10257910
TI  - Hospital liable for actions of its agents, including volunteer aides.

PMID- 10257911
TI  - Hospitals responsible for taking reasonable precautions to ensure patients'
      safety.

PMID- 10257912
TI  - 1982 tax wrap-up.

PMID- 10257913
TI  - NLRB enunciates two-tier test for determining appropriateness of bargaining units
      in health care field.

PMID- 10257914
TI  - The physician as advocate.

PMID- 10257915
TI  - Public relations in hospital.
AB  - 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.

PMID- 10257916
TI  - Time series analysis of out patients at Urban Health Centre, Suraj Kund, Meerut.
AB  - 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.

PMID- 10257917
TI  - Hospital Watch Program.

PMID- 10257918
TI  - Fire plan: the preface.

PMID- 10257920
TI  - Canada: higher fees, lower wages.

PMID- 10257919
TI  - Service and communications: two sides of the quality coin.

PMID- 10257921
TI  - New Hampshire: implementing the Poor Laws of 1601.

PMID- 10257922
TI  - Quality control circles in the hospital.

PMID- 10257923
TI  - Filing system.

PMID- 10257924
TI  - Recycled unused piggyback admixtures through the use of tamper-proof safety caps.
AB  - 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.

PMID- 10257925
TI  - Cost, motion, and time studies comparing a new cephalosporin admixture system.

PMID- 10257926
TI  - A computerized assisted pharmacy automatic stop order procedure.
AB  - 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.

PMID- 10257927
TI  - Purchasing through a wholesaler via a microcomputer.

PMID- 10257928
TI  - A maternal and child health program to prepare and support parents in the
      postpartum.
AB  - 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.

PMID- 10257929
TI  - Revision of the Ontario phenylalanine equivalency system and development of a low
      protein equivalency system.
AB  - 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.

PMID- 10257930
TI  - Use and design of low protein diets for children with inborn metabolic disorders.
AB  - 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.

PMID- 10257931
TI  - Health services in Japan.

PMID- 10257932
TI  - Oriental medical ethics from the standpoint of life science.

PMID- 10257933
TI  - Bioethical approach to medical care.

PMID- 10257934
TI  - Nursing system and nursing services in Japan.

PMID- 10257935
TI  - The present condition of the human dry dock in Japan and its outlook for the
      future.

PMID- 10257936
TI  - Safety and security of medical information system.

PMID- 10257937
TI  - Function of the Japan Hospital Association.

PMID- 10257938
TI  - New trends in NLRB law.

PMID- 10257939
TI  - Self-enforcement under the National Labor Relations Act: disavowals of unfair
      labor practice conduct.

PMID- 10257940
TI  - Employee discipline and due process rights: is there an appropriate remedy?

PMID- 10257941
TI  - Innovative approaches to complaint/grievance resolution.

PMID- 10257942
TI  - Origins of the union contract. Development of contractual features of union
      management relationship.

PMID- 10257944
TI  - Health-care, laundry organizations join forces to develop guidelines.

PMID- 10257943
TI  - Middle management today: who's calling the shots?

PMID- 10257945
TI  - New rules on minimum water temperature in hospital laundries may go into effect.

PMID- 10257946
TI  - Hospitals to face increased regulation in disposing of hazardous substances.

PMID- 10257947
TI  - Scrub suit control program to cut costs at Florida hospital by 30%.

PMID- 10257948
TI  - Linen handling and transport considered most critical areas in JCAH inspections.

PMID- 10257949
TI  - Indiana VA Medical Center to start construction on new $2 million laundry.

PMID- 10257950
TI  - Reagan administration drops plans to enact hospital reporting system.

PMID- 10257951
TI  - Computer update: new capabilities can ease a laundry manager's job.

PMID- 10257952
TI  - Looking to reduce linen usage? Check hidden problem areas.

PMID- 10257953
TI  - New laundry in Albany County will service two nursing homes.

PMID- 10257955
TI  - Does your hospital really care what you think?

PMID- 10257954
TI  - The question of informed consent: a progress report.

PMID- 10257956
TI  - Let employees pick their own fringe benefits?

PMID- 10257957
TI  - Test yourself: do you know your hospital's charges?

PMID- 10257958
TI  - How to write-and read-letters of recommendation.

PMID- 10257959
TI  - Has doctor policing gone too far?

PMID- 10257960
TI  - New inroads into confidentiality.

PMID- 10257962
TI  - My confidentiality rules make everyone angry-except patients.

PMID- 10257961
TI  - The six commandments of referrals.

PMID- 10257963
TI  - Peer review is great. Duplicate review is absurd!

PMID- 10257964
TI  - Why you'd better not take hospital privileges for granted.

PMID- 10257965
TI  - How could a doctor steal so much?

PMID- 10257966
TI  - These doctors broke the countersuit barrier.

PMID- 10257967
TI  - Could you break the countersuit barrier?

PMID- 10257968
TI  - Your own hospital may be your toughest competitor.

PMID- 10257969
TI  - Emergency treatment for hospital sales training.

PMID- 10257970
TI  - Are you ready to market to patients?

PMID- 10257971
TI  - Will electronic media transform physician and patient education?

PMID- 10257972
TI  - The future has no room for "pseudopharmacy".

PMID- 10257973
TI  - A sound future for PRN?

PMID- 10257974
TI  - Home care is where the dollars are.

PMID- 10257975
TI  - Cable Health Network--a direct-to-consumer market approach.

PMID- 10257977
TI  - Philosophy wears a clinical hat at N.Y. hospital.

PMID- 10257976
TI  - Cable Health Network is on the air.

PMID- 10257978
TI  - The Robert Wood Johnson Foundation: billion dollar force for health-care change.

PMID- 10257979
TI  - High court nixes fee ceilings for 'medical-care foundations'.

PMID- 10257980
TI  - Schweiker on health policy. Interview by Larry Frederick.

PMID- 10257981
TI  - Musicians whose hands are out of tune get a work-up by Mass. General physicians.

PMID- 10257982
TI  - Do your patients get fact or fancy from trendy health mags?

PMID- 10257983
TI  - Hospital-wide BP screen aims to spot borderline hypertensives.

PMID- 10257984
TI  - Economic outlook. It's dangerous to ignore impact of medical technology advances.

PMID- 10257985
TI  - Economic outlook. Supply price increases will dip, but they'll still top
      inflation rate.

PMID- 10257987
TI  - Equipment planning. Firms bullish about technology markets.

PMID- 10257986
TI  - Equipment planning. New magnet may lower cost of NMR.

PMID- 10257988
TI  - Equipment planning. It's hard to make a profit on ultrasound.

PMID- 10257989
TI  - Equipment planning. Competing imaging methods slow down nuclear medicine's
      growth.

PMID- 10257990
TI  - Equipment planning. ICU monitors boost nurse efficiency.

PMID- 10257991
TI  - Brace yourself for a deluge of rhetoric.

PMID- 10257993
TI  - Truth's a strong weapon in firing worker.

PMID- 10257992
TI  - Grass-roots relationship cultivated between HMO's trustees, members.

PMID- 10257994
TI  - Credit pooled to lower interest rates.

PMID- 10257995
TI  - Sale of SHARE expands its power.

PMID- 10257996
TI  - Hospitals must shop around for buyer.

PMID- 10257998
TI  - Hospitals react with low-frequency response to potential of cable TV.

PMID- 10257997
TI  - Outpatient visits double after hospital opens new ambulatory care center.

PMID- 10257999
TI  - Coalitions hungry for hospital data.

PMID- 10258000
TI  - Diversification is hospital's first move in $485 million game plan to survive.

PMID- 10258001
TI  - Economic outlook. Governments shear spending; hospitals must rethink strategy.

PMID- 10258002
TI  - Economic outlook. Critical media sway consumers.

PMID- 10258003
TI  - Economic outlook. Staff growth may be cut abruptly.

PMID- 10258004
TI  - Economic recovery expected in health care markets, too.

PMID- 10258005
TI  - Inside sales, telemarketing--a new prominence in the '80s?

PMID- 10258006
TI  - Employers and health care cost containment.

PMID- 10258007
TI  - RX for '83: bargain for health-care cost curbs.

PMID- 10258008
TI  - Physician/CEO partnership vital to success.

PMID- 10258010
TI  - You are an effective leader . . . are you a statesman too?

PMID- 10258009
TI  - Justify CON applications thoroughly.

PMID- 10258011
TI  - Who will lead the computer revolution?

PMID- 10258012
TI  - Managing technostress: optimizing the use of computer technology.

PMID- 10258013
TI  - Preretirement planning: an employee benefit that has come of age.

PMID- 10258014
TI  - The how, what and why of stress management training.

PMID- 10258015
TI  - Guidelines for effective and defensible performance appraisal systems.

PMID- 10258016
TI  - Compensation and benefits.

PMID- 10258017
TI  - A CEO's view of the human resources function.

PMID- 10258018
TI  - The elements of effective salary administration programs.

PMID- 10258019
TI  - Are you a skilled interviewer?

PMID- 10258020
TI  - Let's put appraisal back in performance appraisal: Part I.

PMID- 10258021
TI  - Recruitment: a prescription for hiring headaches.

PMID- 10258022
TI  - Outplacement: program guidelines that ensure success.

PMID- 10258023
TI  - Avoiding religious discrimination in the workplace.

PMID- 10258024
TI  - Employee selection: must every job test be validated?

PMID- 10258025
TI  - Recruitment: what you should know about display advertising.

PMID- 10258026
TI  - How to make quality circles work for your organization.

PMID- 10258027
TI  - Conducting an employee attitude survey.

PMID- 10258028
TI  - Negotiating the initial union contract.

PMID- 10258029
TI  - Smoking in the workplace: a review of human and operating costs.

PMID- 10258030
TI  - A human resources counseling model: the alcoholic employee.

PMID- 10258031
TI  - Employee assistance programs: basic concepts, attributes and an evaluation.

PMID- 10258032
TI  - Using OB Mod to increase hospital productivity.

PMID- 10258033
TI  - Senior management views the human resource function.

PMID- 10258034
TI  - A programmatic procedure for evaluating personnel policies.

PMID- 10258035
TI  - Concession bargaining: the time is now! A response to economic necessity.

PMID- 10258037
TI  - Interest arbitration examined. It's not the panacea some believe it to be.

PMID- 10258036
TI  - The decertification of a union: the rules of the game.

PMID- 10258038
TI  - Selecting an arbitrator for a discrimination grievance. Elements to be aware of.

PMID- 10258039
TI  - Blood drive #2. Hospital blood drive beats record.

PMID- 10258040
TI  - Blood drive #3. Community recruiting for blood donors.

PMID- 10258041
TI  - Tent cards for patients. They can learn something while lying there...

PMID- 10258042
TI  - Health education: simplifying eating out.

PMID- 10258043
TI  - Babysitting clinic.

PMID- 10258044
TI  - Anniversary PR: using your departments as PR auxiliaries.

PMID- 10258045
TI  - Promoting a parking lot maternity unit.

PMID- 10258046
TI  - Neonatal transfer package: babies and their required forms.

PMID- 10258047
TI  - A magazine for physicians: reinforcing your referral resources.

PMID- 10258048
TI  - Blood drive #1. Gift of life.

PMID- 10258049
TI  - Activities in social responsibility.

PMID- 10258050
TI  - Employee cookbook.

PMID- 10258051
TI  - Direct mail fund raising. Using an accident in the annual appeal.

PMID- 10258052
TI  - Mini-medical guide.

PMID- 10258053
TI  - Nurse newsletter.

PMID- 10258054
TI  - A challenging centerspread.

PMID- 10258055
TI  - Physical fitness guide. The conversion of a calendar.

PMID- 10258056
TI  - Advertising for legislative leverage.

PMID- 10258057
TI  - Quarterly magazine insert.

PMID- 10258059
TI  - Post acute services booklet: promoting rehab and its facility.

PMID- 10258058
TI  - I recently read an article about "demarketing" and am somewhat confused; are we
      supposed to market or demarket our hospital?

PMID- 10258060
TI  - "If I'd known then what I know now . . .".

PMID- 10258062
TI  - A modern approach to injury record keeping.

PMID- 10258061
TI  - Think you've got problems starting a health promotion program? Wait 'til it
      succeeds!

PMID- 10258063
TI  - Prepaid care pushed by industry and private investors.

PMID- 10258064
TI  - Hospital board membership can put you in control.

PMID- 10258065
TI  - How a new filing system saved one office.

PMID- 10258066
TI  - Why your hospital may go out of business.

PMID- 10258067
TI  - Are physician-owned malpractice insurers viable?

PMID- 10258068
TI  - Teambuilding strengthens your practice.

PMID- 10258069
TI  - Make your patients feel you really understand them.

PMID- 10258070
TI  - Dealing with overcompetitive colleagues.

PMID- 10258071
TI  - Putting health insurance under physician control.

PMID- 10258072
TI  - Are you heading for physician burnout?

PMID- 10258073
TI  - What a malpractice attorney looks for in medical records.

PMID- 10258074
TI  - 10 ways to avoid medical office problems.

PMID- 10258075
TI  - Assaults on the medical profession.

PMID- 10258076
TI  - Medical records: the physician's rights and responsibilities.

PMID- 10258077
TI  - Congruent communications.

PMID- 10258078
TI  - Budgeting. Realistic budgeting for public relations requires consideration of
      three components: a competent staff; facilities; and funds.

PMID- 10258079
TI  - Future-based budgeting.

PMID- 10258080
TI  - Measuring individual performance.

PMID- 10258081
TI  - 11 signal trends in not-for-profit public relations.

PMID- 10258082
TI  - How to help your lobbyists win.

PMID- 10258083
TI  - The politics of fund raising through grantsmanship in the human services.
AB  - 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.

PMID- 10258084
TI  - Investing in policy evaluation: some guidelines for skeptical public managers.

PMID- 10258085
TI  - Who is "due" process?

PMID- 10258086
TI  - From MBO to MBR.

PMID- 10258087
TI  - Assessing the believability of research results reported in the environmental
      health matrix.

PMID- 10258089
TI  - Personnel scheduling--making it work for everyone.

PMID- 10258088
TI  - Compressed shift schedules: altering the relationship between work and non-work.

PMID- 10258090
TI  - Smokestacks, widgets and radiology: perspectives on productivity.
AB  - 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.

PMID- 10258091
TI  - The single most important event in a PERT chart.
AB  - 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.

PMID- 10258092
TI  - Operational budgeting and budgetary control in diagnostic radiology.
AB  - 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.

PMID- 10258093
TI  - Legal forum: antitrust litigation.

PMID- 10258094
TI  - Designing an on-line system for radiology.

PMID- 10258096
TI  - Medical corporations aim for large share of SDS market.

PMID- 10258095
TI  - The new informationist.

PMID- 10258097
TI  - Infection control standards are crucial, but easy to follow.

PMID- 10258098
TI  - Legal case demonstrates need for thorough consent records.

PMID- 10258099
TI  - Beyond polarization: the holistic approach to family practice.

PMID- 10258100
TI  - Third-party vendorship: an imperative for the 1980s.

PMID- 10258101
TI  - Emotional components of supervision: an EAP workshop.

PMID- 10258102
TI  - Wrongful life: a misconceived tort.
AB  - 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.

PMID- 10258104
TI  - Task analysis: training's enduring workhorse.

PMID- 10258103
TI  - A strategic analysis of the textile rental industry.

PMID- 10258105
TI  - A trainer's guide to successful productivity improvement planning.

PMID- 10258106
TI  - Eight steps to clarify a training philosophy for you and your department.

PMID- 10258107
TI  - How to plug into teleconferencing.

PMID- 10258109
TI  - Who uses teleconferencing for training?

PMID- 10258108
TI  - Reach out and train somebody.

PMID- 10258110
TI  - Blood and black bile: four-style behavior models in training.

PMID- 10258111
TI  - Study tour in England. Setting the scene.

PMID- 10258112
TI  - Study tour in England. An organiser's view.

PMID- 10258113
TI  - Study tour in England. A medical view.

PMID- 10258114
TI  - Study tour in England. A nurse's view.

PMID- 10258115
TI  - Study tour in England. An administrator's view.

PMID- 10258116
TI  - Study tour in England. A psychiatrist's view.

PMID- 10258117
TI  - Study tour in England. An engineer's view.

PMID- 10258118
TI  - Study tour in England. An architect's view.

PMID- 10258119
TI  - Study tour in England. The guests' programme.

PMID- 10258121
TI  - Health care in big cities: New York and Detroit.

PMID- 10258120
TI  - Trends affecting U.S. hospitals.

PMID- 10258122
TI  - Study tour in England. General report.

PMID- 10258123
TI  - Will you ever collect a pension?

PMID- 10258124
TI  - No room for pets.

PMID- 10258125
TI  - PACT: a pet placement organization for the elderly living at home.

PMID- 10258126
TI  - Are companion animals good for your health?

PMID- 10258127
TI  - Pet therapy for the elderly.

PMID- 10258129
TI  - The doctor as toy-fixer: a combination of art and play therapy.

PMID- 10258128
TI  - Pet programs for the elderly: rewards and responsibilities.

PMID- 10258130
TI  - Humanistic health care components in a course on the geriatric patient: a
      rationale and a strategy.

PMID- 10258131
TI  - An introductory clinical course--orientation to patient care settings.

PMID- 10258132
TI  - Emergency room misuse cut. County group serves poor by rotation.

PMID- 10258133
TI  - Depressed economy, budget cuts called public health threat.

PMID- 10258134
TI  - Breaking free from institution walls.

PMID- 10258135
TI  - States' activities on block grants outlined.

PMID- 10258137
TI  - Study shows hospital closings in US cities are predictable.

PMID- 10258136
TI  - The morning report: starting the day right at a teaching hospital.

PMID- 10258138
TI  - Doctors in US can learn from Canadian experience ... medicine and government need
      to cooperate.

PMID- 10258139
TI  - A decade of discontent ... or decision? Medicine in the '80s.

PMID- 10258140
TI  - The lame-duck session: will health bills pass or go back to the drawing board?

PMID- 10258141
TI  - ACP will show internists at work.

PMID- 10258142
TI  - Counseling patients on nutrition.

PMID- 10258143
TI  - Physicians and lawyers face similar conflicts. . . .

PMID- 10258144
TI  - For shift workers apply circadian principles to work schedules, say researchers.

PMID- 10258146
TI  - When language becomes a destructive force.

PMID- 10258145
TI  - Canadian hospitals feel financial pressure.

PMID- 10258147
TI  - The 'Me Generation' meets medical practice.

PMID- 10258148
TI  - Professional liability. The roots of a crisis.

PMID- 10258149
TI  - Professional liability. The perspective of a plaintiff's lawyer.

PMID- 10258151
TI  - Making the body transparent.

PMID- 10258150
TI  - Professional liability. The national perspective: a crisis may be in the wings.

PMID- 10258152
TI  - Fraud in a Harvard lab.

PMID- 10258153
TI  - 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.
AB  - 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.

PMID- 10258154
TI  - Prescription drug products; revocation of patient package insert requirements-
      Food and Drug Administration. Final rule.
AB  - 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.

PMID- 10258155
TI  - Prescription drugs; revocation of final guideline patient package inserts and
      withdrawal of draft guideline patient package inserts--Food and Drug
      Administration. Notice.
AB  - 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.

PMID- 10258156
TI  - Privacy Act of 1974; proposed major alterations to an existing system of records-
      Public Health Service. Notice of proposed major alterations.
AB  - 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.

PMID- 10258157
TI  - 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.
AB  - 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.

PMID- 10258158
TI  - Designation of medically underserved areas; list of final deletions--Health
      Resources and Services Administration. Notice.
AB  - 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.

PMID- 10258159
TI  - Requests that certain areas be designated as medically underserved areas--Health
      Resources and Services Administration. Notice.
AB  - 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.

PMID- 10258160
TI  - National guidelines for health planning; rescission of computed tomographic
      scanner standards--Public Health Service. Final rule.
AB  - 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.

PMID- 10258161
TI  - Taxing health insurance--revenue boost only the tip of the savings iceberg.

PMID- 10258162
TI  - From doctors to dairy farmers, critics gunning for the FTC again.

PMID- 10258163
TI  - Congress weighing plight of people out of work, out of health insurance.

PMID- 10258164
TI  - Birth centers deliver lower maternity costs.

PMID- 10258165
TI  - Benefit costs rise despite cuts, survey shows.

PMID- 10258167
TI  - Lack of rules hurts birth center movement.

PMID- 10258166
TI  - Hospitals evaluate risks before acquisitions.

PMID- 10258168
TI  - Grants to train health care policymakers.

PMID- 10258169
TI  - Chronic pain. Quick employer action cuts long-term costs.

PMID- 10258170
TI  - Social Security fix could hike pension costs.

PMID- 10258171
TI  - Looking homeward for savings. Company cuts costs by going 'home'.

PMID- 10258172
TI  - Florida proposing reform of malpractice system.

PMID- 10258173
TI  - Training for independent living unit: its function in a rehabilitation
      convalescent setting.
AB  - 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.

PMID- 10258174
TI  - Care of the elderly at home: serving the family in the community.
AB  - 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.

PMID- 10258175
TI  - Seniors helping seniors: a model of peer counseling for the aged.

PMID- 10258176
TI  - Public policy toward the elderly: the multicultural approach.

PMID- 10258177
TI  - Support services enable elderly people to remain at home.
AB  - 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.

PMID- 10258178
TI  - Home support for elderly persons: a futuristic example.

PMID- 10258179
TI  - Elderly people's social strategies for survival: a dynamic use of social networks
      analysis.

PMID- 10258180
TI  - How Washington State got the "Blues".

PMID- 10258182
TI  - The Visiting Nurse Association of Washington, D.C.

PMID- 10258181
TI  - Bringing corporate structure to nonprofits: a case study.

PMID- 10258183
TI  - Certification to strike: where do trustees fit in?

PMID- 10258185
TI  - Salvaging the health services plan in Canada.

PMID- 10258184
TI  - Perceptions of a new hospital trustee.

PMID- 10258186
TI  - Auxiliaries: tapping their full potential.

PMID- 10258187
TI  - Volunteers lend a hand.

PMID- 10258188
TI  - Patients and doctors. The changing physician-patient relationship.

PMID- 10258189
TI  - Disability income insurance.

PMID- 10258190
TI  - Reimbursement for RN's.

PMID- 10258191
TI  - CO, CU, divestiture and dimension: trying to uncross some telephone lines.

PMID- 10258192
TI  - Understanding employee theft.

PMID- 10258193
TI  - The RN clinical advancement ladder: more hospitals are climbing on.

PMID- 10258194
TI  - Home IV programs.

PMID- 10258195
TI  - Behavioral science approaches to improving productivity.
AB  - 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.

PMID- 10258196
TI  - Demonstrating accountability.
AB  - 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.

PMID- 10258197
TI  - Quality circles: a management concept whose time has come.

PMID- 10258199
TI  - Healthcare planning expertise boosts dealer's total sales.

PMID- 10258198
TI  - Going in circles?

PMID- 10258200
TI  - A report on a survey of teleconferencing users.

PMID- 10258201
TI  - How to get your PSAs on the air.

PMID- 10258202
TI  - Utilization review.

PMID- 10258203
TI  - How employees benefit from your corporate fitness program.

PMID- 10258204
TI  - Whither goest Social Security?

PMID- 10258205
TI  - How to use your consultants most effectively.

PMID- 10258206
TI  - "There's a new world coming"--the third generation of health and welfare plans.

PMID- 10258207
TI  - Trends and outlook for the '80s.

PMID- 10258208
TI  - The future shape of EM? Dallas group report outlines EM needs.

PMID- 10258210
TI  - Economy driving EP's to FEC's? Ass'n head thinks so.

PMID- 10258209
TI  - Avoiding malpractice helped by 'practice sessions'. Interview by Jean McCann.

PMID- 10258211
TI  - Triage strong point in economy of emergicenter, says one EP.

PMID- 10258212
TI  - The trauma drama. Interview by Carol R. Summer.

PMID- 10258213
TI  - Freestanding emergency centers.

PMID- 10258214
TI  - An evaluation of a combined terrestrial/satellite EMS communications system:
      medical aspects, Part II.

PMID- 10258215
TI  - State directors accept the challenge.

PMID- 10258216
TI  - EMS research.

PMID- 10258217
TI  - Evolution of a community-based home care hospice program.

PMID- 10258218
TI  - Hospice in an existing home care agency.

PMID- 10258219
TI  - Hospice of the Monterey Peninsula and its free-standing inpatient facility.

PMID- 10258220
TI  - The evolution of an urban-based hospice program.

PMID- 10258221
TI  - Hospice bereavement services: creating networks of support.

PMID- 10258222
TI  - Feature article: prospective caring--continuing health education of the
      community.

PMID- 10258224
TI  - Arenas for practicing health promotion.

PMID- 10258223
TI  - Health promotion and disease prevention: improving health while conserving
      resources.

PMID- 10258225
TI  - Health marketing: implications for health promotion.

PMID- 10258226
TI  - Vietnam combat veterans: from perpetrator to victim.

PMID- 10258228
TI  - The ob/gyn office of tomorrow.

PMID- 10258227
TI  - The primary care physician in cancer prevention.

PMID- 10258229
TI  - Lab analysis. Breaking the volume barrier.

PMID- 10258230
TI  - The exceptional child. Group practice as provider of comprehensive care.

PMID- 10258231
TI  - Focusing in on your market.

PMID- 10258232
TI  - Key to loss prevention--communication.

PMID- 10258233
TI  - Another kind of corporate contribution: nonprofits may be overlooking their best
      bet.

PMID- 10258234
TI  - Toward a unified theory of copyright infringement for an advanced technological
      era.

PMID- 10258235
TI  - Licensure by endorsement.

PMID- 10258236
TI  - Here come McDentists.

PMID- 10258237
TI  - Energy accounting.

PMID- 10258238
TI  - Who needs the office of the future?
AB  - 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.

PMID- 10258241
TI  - Supply cost management: a new frontier.

PMID- 10258240
TI  - An unmanaged computer system can stop you dead.
AB  - 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.

PMID- 10258243
TI  - What functions or departments should be included under the management control of
      the materials manager?

PMID- 10258242
TI  - What vendors can do for you other than deliver.

PMID- 10258239
TI  - Building depreciation: which method pays off?

PMID- 10258244
TI  - Evaluating vendor performance.

PMID- 10258245
TI  - Legal and ethical issues of accepting vendor gifts.

PMID- 10258246
TI  - What causes those health problems reported by VDT users?

PMID- 10258247
TI  - Corporate restructuring in a nutshell.

PMID- 10258248
TI  - Public wants best health care, despite high cost.

PMID- 10258249
TI  - Drucker's management by objective concept.

PMID- 10258250
TI  - Philanthropy can play important role in hospital finances.

PMID- 10258251
TI  - Restrictive covenants: are they legal?

PMID- 10258252
TI  - Today's organizational structuring trends.

PMID- 10258254
TI  - Non-profit tax expert provides insight into home health agency financial
      situation, restructuring.

PMID- 10258253
TI  - Agency extends support services, spearheads association's birth as home care
      continues expansion.

PMID- 10258255
TI  - Community benefits from hospital, home health agency co-op.

PMID- 10258256
TI  - New tools available for promoting security awareness and your department's image.

PMID- 10258258
TI  - American Medical Association, Division of Library and Archival Services.

PMID- 10258257
TI  - Coping with the emergency room dilemma.

PMID- 10258260
TI  - The urge to merge. An editorial concerning the merging of two or more libraries.

PMID- 10258259
TI  - The University of Chicago Graduate Library School.

PMID- 10258261
TI  - Borrow from industrial hygiene to control hazards.

PMID- 10258262
TI  - Hospital employees made up 14% of California rubella cases.

PMID- 10258264
TI  - Protect hospital staff by identifying NANB hepatitis cases.

PMID- 10258263
TI  - Experts give advice on improving rubella immunity.

PMID- 10258265
TI  - Experts praise, criticize EPA infectious waste manual.

PMID- 10258266
TI  - Use high efficiency surgical masks.

PMID- 10258267
TI  - Telephone systems in hospitals.

PMID- 10258269
TI  - Micro-electronic technology in Health Service communications.

PMID- 10258268
TI  - CB interference.

PMID- 10258270
TI  - Urgent communication.

PMID- 10258271
TI  - Telecommunications in the Health Service.

PMID- 10258272
TI  - CAPS focuses on pregnant teenagers' counseling, medical needs.

PMID- 10258273
TI  - Hospital asks suppliers to reduce price increases.

PMID- 10258274
TI  - The health apostolate: service, understanding, wonder.

PMID- 10258275
TI  - Monitoring professional relationships: what is the trustee's role?

PMID- 10258276
TI  - Innovative home care program offers appropriate alternative for elderly.

PMID- 10258277
TI  - Survey discloses NFP practices, preferences in U.S. Catholic hospitals.

PMID- 10258278
TI  - 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.

PMID- 10258279
TI  - Expanded corporate liability exposure limited by peer review protection.

PMID- 10258280
TI  - Pope John XXII Medical-Moral Research and Education Center. May Catholic health
      facilities permit determination of death by brain criteria?

PMID- 10258282
TI  - Hospital's self-assessment for liability important in cases related to phobia
      charges.

PMID- 10258281
TI  - Hospital's refusal to disclose records underscores crucial privacy issues.

PMID- 10258283
TI  - Competition: new moral dilemmas for physicians, hospitals.

PMID- 10258284
TI  - Judicial scrutiny prevails over decisions by hospitals' credentials committees.

PMID- 10258285
TI  - Perspectives on capital equipment. The financial manager.

PMID- 10258286
TI  - Perspectives on capital equipment. The large hospital.

PMID- 10258287
TI  - Hospital capital equipment purchasing in an investor-owned environment.

PMID- 10258288
TI  - Capital equipment purchasing: a group purchasing director's perspective.

PMID- 10258289
TI  - Cost containment through component depreciation analysis.

PMID- 10258290
TI  - Capital equipment considerations for users and material managers.

PMID- 10258291
TI  - Considerations in capital equipment purchasing.

PMID- 10258292
TI  - Product specifications.

PMID- 10258293
TI  - Life-cycle maintenance for capital equipment.

PMID- 10258294
TI  - Perspectives on capital equipment. The material manager.

PMID- 10258295
TI  - Capital equipment acquisition.

PMID- 10258296
TI  - Property assets management program.

PMID- 10258297
TI  - There still are disadvantages to leasing.

PMID- 10258298
TI  - Perspectives on capital equipment. The vendor.

PMID- 10258299
TI  - Advantages of procuring capital equipment through a distributor.

PMID- 10258300
TI  - California Supreme Court requires judicial deference to initial hospital medical
      staff decisions.

PMID- 10258301
TI  - Hospital construction moratoriums and preferred provider organizations are
      emerging issues in various states.

PMID- 10258302
TI  - The case of the missing nurse.

PMID- 10258304
TI  - Reality strikes homecare.

PMID- 10258303
TI  - Nurses and registries: fragments of a history.

PMID- 10258305
TI  - Coordination is key to increased productivity.

PMID- 10258307
TI  - What it takes. Leadership.

PMID- 10258308
TI  - Health care team management requires savvy.

PMID- 10258306
TI  - Appraisal feedback interviews.

PMID- 10258309
TI  - A supervisor for the eighties.

PMID- 10258311
TI  - Who's second in command?

PMID- 10258312
TI  - Holistic approach to quality.

PMID- 10258310
TI  - Versatility: key to productivity.

PMID- 10258313
TI  - How hospitals can solve the nursing shortage.

PMID- 10258314
TI  - Why RNs quit: the need for management reappraisal of the "propensity to leave".

PMID- 10258315
TI  - Nursing care structures and productivity.

PMID- 10258316
TI  - "Stringing" phenomena: an analysis of nursing absenteeism.

PMID- 10258317
TI  - Nursing attitudes toward the constructed environment of nursing homes.

PMID- 10258318
TI  - Catcalls blur the real issue.

PMID- 10258320
TI  - Interdependence is new mode for medical staff members.

PMID- 10258319
TI  - How a university teaching hospital implemented CPR training for its medical
      staff.

PMID- 10258321
TI  - Where power should lie in credentialing disputes.

PMID- 10258322
TI  - Ebb tide for allied health professions.

PMID- 10258323
TI  - How can the medical staff interact with pharmacists to improve drug utilization
      practices in hospitals?

PMID- 10258325
TI  - Follow-up file and system.

PMID- 10258324
TI  - The need to improve hospital investigational drug policies and procedures.

PMID- 10258326
TI  - Revised classification and filing system for hospital pharmacy.

PMID- 10258327
TI  - Computer use and undergraduate education for computer use in Canadian health care
      foodservices.
AB  - 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.

PMID- 10258328
TI  - Long term care facilities: the benefits of having a dietitian.
AB  - 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.

PMID- 10258329
TI  - Profit maximization and hospital-based outpatient services.

PMID- 10258330
TI  - Determining the true cost of hospital-based ambulatory care.

PMID- 10258331
TI  - Financial modeling: the impact of ambulatory care services on the hospital.

PMID- 10258332
TI  - Hospital-based physician group practices in teaching hospitals: a national
      survey.

PMID- 10258333
TI  - HMOs: competitive threat or strategic opportunity?

PMID- 10258334
TI  - Diversification: a growing trend.

PMID- 10258335
TI  - Cooperative education benefits students.

PMID- 10258336
TI  - Consumer advocacy and long term care.

PMID- 10258337
TI  - Using research to plan nurse aide training.

PMID- 10258338
TI  - Continuing education. The community hospital's role.

PMID- 10258339
TI  - Educating the ED nurse.

PMID- 10258340
TI  - Triage 1982. You've trained for "the big one," but are you ready for the little
      disaster?

PMID- 10258341
TI  - Understanding your pension plan.

PMID- 10258342
TI  - The private ambulance industry comes of age.

PMID- 10258343
TI  - How good is your plan?

PMID- 10258344
TI  - The Kenner airliner disaster. A 727 falls into a New Orleans suburb.

PMID- 10258345
TI  - Wyoming's five-year EMS action plan.

PMID- 10258346
TI  - Nontransport lawsuits.

PMID- 10258347
TI  - EMS in Sheldon, Iowa.

PMID- 10258348
TI  - When disaster strikes...the critical incident stress debriefing process.

PMID- 10258349
TI  - Fringe benefits with base salaries. 1983 salary survey.

PMID- 10258350
TI  - 1983 ambulance survey.

PMID- 10258351
TI  - Putting the statistics in perspective. The EMS universe.

PMID- 10258352
TI  - A survey measures EMS patterns. Life in the big city.

PMID- 10258353
TI  - Who knows CPR?

PMID- 10258354
TI  - Measuring your system.

PMID- 10258355
TI  - Revisiting the Kenner disaster.

PMID- 10258356
TI  - Medical priority dispatch--it works!

PMID- 10258357
TI  - Call screening in Dallas. Triage with care.

PMID- 10258358
TI  - Principles of group treatment in a nursing home.

PMID- 10258359
TI  - The impact of resident councils.

PMID- 10258360
TI  - Developing a career ladder for nursing personnel.

PMID- 10258361
TI  - Granting academic credit for experimental learning.

PMID- 10258362
TI  - A method to determine a non-economic personal value of life.
AB  - 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.

PMID- 10258363
TI  - Employee orientation program.

PMID- 10258364
TI  - Managing the accounts receivable investment.

PMID- 10258365
TI  - Management by objective: how to make it work in the business office.

PMID- 10258366
TI  - Automatic collection correspondence series better than in-house collections.

PMID- 10258367
TI  - A public relations course for business office employees.

PMID- 10258368
TI  - Bad checks a problem -- will new state laws provide a solution?

PMID- 10258369
TI  - How safe are air ambulances?

PMID- 10258370
TI  - I won a battle for good medicine in spite of myself.

PMID- 10258371
TI  - What it will take to solve the malpractice crisis.

PMID- 10258372
TI  - Why "me first" is ruining medicine.

PMID- 10258373
TI  - How much of your turf do the non-M.D. doctors have?

PMID- 10258375
TI  - What nurse practitioners are really doing.

PMID- 10258374
TI  - I went to jail for refusing to treat a patient.

PMID- 10258376
TI  - Why the group-practice brainwash is hogwash.

PMID- 10258377
TI  - Fee increases: restraint takes over.

PMID- 10258378
TI  - These doctors didn't harm anyone!

PMID- 10258380
TI  - UC Davis Medical Center gets back its accreditation, but suits go on.

PMID- 10258379
TI  - Blues reward office surgery.

PMID- 10258381
TI  - Unemployment hits British specialists.

PMID- 10258382
TI  - With less federal money, clinics cut back on health care for the poor.

PMID- 10258383
TI  - "I won't be in today".

PMID- 10258384
TI  - Employee selection simplified.

PMID- 10258385
TI  - Ambulatory care centers: off and running.

PMID- 10258386
TI  - Alternative care: the increasing clout of HMOs.

PMID- 10258387
TI  - Situational leadership: flexibility is the key.

PMID- 10258388
TI  - Building a career ladder for the upward climb.

PMID- 10258390
TI  - Designing tomorrow's laboratory today.

PMID- 10258389
TI  - Type and screen: seven steps to success.

PMID- 10258392
TI  - I am your patient.

PMID- 10258391
TI  - UP clinic weathers tragic time.

PMID- 10258393
TI  - Employee style affects patients' view of hospital.

PMID- 10258394
TI  - "Tie one on.".

PMID- 10258395
TI  - The personal touch in a large hospital.

PMID- 10258396
TI  - Analysis of OHMA proposal to limit capital expenditures.

PMID- 10258397
TI  - Innovations in debt financing.

PMID- 10258399
TI  - Remember me? I'm the patient!

PMID- 10258398
TI  - Tax-exempt bonds.

PMID- 10258400
TI  - Capital financing trends.

PMID- 10258401
TI  - GAO offers mixed blessings to elderly home care options.

PMID- 10258402
TI  - VHA wins first round in paper forms case.

PMID- 10258403
TI  - Are you boring your audience?

PMID- 10258405
TI  - $4 billion needed for jobless health cover.

PMID- 10258404
TI  - Public misled on Social Security.

PMID- 10258406
TI  - HIAA blasts Reagan health tax Rx for curbing nations's medical costs.

PMID- 10258407
TI  - Planning techniques supporting your decisions.

PMID- 10258408
TI  - Capital financing. Working with your advisors.

PMID- 10258409
TI  - Tomorrow's CEO--today's marketing leader.

PMID- 10258410
TI  - Manage insurance costs. Don't let them manage you.

PMID- 10258411
TI  - A holistic methodology for modeling consumer response to innovation.
AB  - 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.

PMID- 10258412
TI  - Magistrate's Court--a collection alternative.

PMID- 10258413
TI  - How hospital business office personnel can become patient oriented.

PMID- 10258414
TI  - Competition and market forces: an answer to cost containment in health care?

PMID- 10258415
TI  - Corporate medicine. What's the bottom line for physicians and patients?

PMID- 10258416
TI  - The AMA's big loss in Congress.

PMID- 10258417
TI  - Patient consent in seven medical-care institutions.
AB  - 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.

PMID- 10258418
TI  - Comparison of two teaching methods for self-care training for patients with
      chronic obstructive pulmonary disease.
AB  - 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.

PMID- 10258419
TI  - Social networks and health status: linking theory, research, and practice.
AB  - 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.

PMID- 10258421
TI  - Design considerations for adult patient education.
AB  - 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.

PMID- 10258420
TI  - Coping with the menopausal hot flash.
AB  - 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.

PMID- 10258422
TI  - A one-year follow-up of participants in a smoke stoppers program.
AB  - 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.

PMID- 10258423
TI  - Patient education: a component of health education.
AB  - 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.

PMID- 10258424
TI  - Here's a compact primer for pharmacists on computers in pharmacy.

PMID- 10258425
TI  - Prescription confidentiality.

PMID- 10258426
TI  - Perspectives on the physiotherapy profession: a survey of Canadian Physiotherapy
      Association members.
AB  - 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.

PMID- 10258427
TI  - Work sampling: a means of determining physiotherapy activities and reviewing
      caseloads.
AB  - 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.

PMID- 10258428
TI  - The benefits of in-house cleaning.

PMID- 10258429
TI  - Tapping the client's own potential: a strategy for the resource-short patient
      educator.

PMID- 10258430
TI  - Alcoholism as a human factor.

PMID- 10258431
TI  - A concept of health administration: implications for education and quality
      control.

PMID- 10258432
TI  - Ethics in public relations: philosophy of ethics.

PMID- 10258433
TI  - Ethics in public relations: ethics and the real world.

PMID- 10258434
TI  - Shrinking budgets and the shrinkage of budget theory.

PMID- 10258436
TI  - The private psychiatric hospital: the impact of current trends.

PMID- 10258437
TI  - Mental health delivery systems: then, now, and beyond.

PMID- 10258435
TI  - Technical issues in allocation formula design.

PMID- 10258438
TI  - Some observations regarding psychoanalytic psychotherapy in a hospital setting.

PMID- 10258440
TI  - Psychiatry's image, issues, and responsibility.

PMID- 10258439
TI  - The nature of the psychiatric hospital: an exploration into the development of
      one such.

PMID- 10258441
TI  - The NAPPH tradition.

PMID- 10258442
TI  - Professions as "callings".
AB  - 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.

PMID- 10258443
TI  - Family impact analysis: its promise for social welfare.

PMID- 10258444
TI  - The board of directors and agency accountability.
AB  - 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.

PMID- 10258445
TI  - Separation difficulties between parents and young adults.

PMID- 10258446
TI  - In vitro fertilization and embryo transfer: fertile areas for litigation.
AB  - 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?

PMID- 10258447
TI  - Microprocessors: new ways to control HVAC and energy use.

PMID- 10258448
TI  - The dangerous dilemma of TEFRA vs. professional satisfaction.

PMID- 10258449
TI  - How to recognize medical staff bylaws that require revision.

PMID- 10258450
TI  - The role of therapeutic recreation in stroke rehabilitation.

PMID- 10258451
TI  - Trainer tally varies--depending upon who is counted.

PMID- 10258452
TI  - Training budgets: where does the money go?

PMID- 10258453
TI  - Using testing instruments in your training effort.

PMID- 10258454
TI  - Use the Q-test to sort your statistical odd ducks.

PMID- 10258456
TI  - Staywell program: exemplifies corporate concern for employee health.

PMID- 10258455
TI  - Wellness. The process of creating awareness of health risks, influencing
      attitudes, and identifying alternatives.

PMID- 10258457
TI  - Managing transcription costs. Former employees handle overflow work efficiently,
      cost-effectively.

PMID- 10258458
TI  - Smoking: what are the cost implications to hospitals?

PMID- 10258459
TI  - Hospitals & business: a fit partnership.

PMID- 10258461
TI  - Interview: Kenneth Cooper, MD, "The father of aerobics". Interview by Sue Durio.

PMID- 10258460
TI  - 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.

PMID- 10258462
TI  - Cost considerations of the hepatitis B vaccine.

PMID- 10258463
TI  - Town meetings give employees a voice.

PMID- 10258464
TI  - MBO. An effective way to improve productivity in a teaching hospital.

PMID- 10258465
TI  - Prudent use of supplies can lower costs.

PMID- 10258466
TI  - Denial of staff privileges.

PMID- 10258467
TI  - Parallel review allows teamwork.

PMID- 10258468
TI  - The best laid plans of mice and men need men (or mice) and money.

PMID- 10258469
TI  - Less than double-digit inflation finally in sight for hospitals.

PMID- 10258470
TI  - Capital planning strategies in an era of changing ground rules.
AB  - 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.

PMID- 10258472
TI  - Planning tips for ambulatory care construction projects.
AB  - 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.

PMID- 10258471
TI  - Marketing strategies, or, it wouldn't be competition without competitors.
AB  - 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.

PMID- 10258473
TI  - The financial exchange. Funded depreciation.

PMID- 10258474
TI  - The construction manager can be the hospital trustee's ally.
AB  - 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.

PMID- 10258475
TI  - The impact of telephone deregulation on next year's capital budget.

PMID- 10258476
TI  - As I see it. Hospital liable for damages along with the doctor?

PMID- 10258477
TI  - What those Social Security changes mean to you.

PMID- 10258478
TI  - Pro and con. Tax workers for health insurance?

PMID- 10258479
TI  - Supergerms: the new health menace.

PMID- 10258480
TI  - Forces of change in health services. Implications for pharmacy.

PMID- 10258481
TI  - The delivery of health information. The role of industry in patient education.

PMID- 10258482
TI  - Mileage deductions for volunteers.

PMID- 10258484
TI  - How about firing the 'big' volunteer?

PMID- 10258485
TI  - Putting together a community forum.

PMID- 10258483
TI  - Reimbursing volunteers for expenses.

PMID- 10258486
TI  - How to evaluate -- and enhance -- your meeting.

PMID- 10258487
TI  - Role review.

PMID- 10258488
TI  - A volunteer program evaluation checklist.

PMID- 10258489
TI  - Paving the way for women's re-entry.

PMID- 10258490
TI  - The community services audit.

PMID- 10258491
TI  - The volunteer professional.

PMID- 10258493
TI  - Global, personal challenges seen looming over volunteerism horizon.

PMID- 10258492
TI  - Volunteers are the medium for the medic alert message.

PMID- 10258494
TI  - Health care crunch to place volunteers in limelight.

PMID- 10258495
TI  - Support for the terminally ill: letting conscience by the guide.

PMID- 10258496
TI  - Perspectives. Tax exclusion cap is back.

PMID- 10258497
TI  - EEG in the operating room: artifacts and unusual waveforms.

PMID- 10258498
TI  - Physicians, hospitals discovering many new uses for microcomputers.

PMID- 10258499
TI  - Patient liaison group formed. British MDs' group seeks counsel from laymen.

PMID- 10258500
TI  - 12-point program. Utah seeks to encourage competition.

PMID- 10258501
TI  - Study finds Army health care system is shaping up.

PMID- 10258502
TI  - On smaller scale British care system faces U.S. problems.

PMID- 10258503
TI  - ACP position papers: orphan drugs.

PMID- 10258504
TI  - Computers in radiology management.

PMID- 10258505
TI  - An interim index of Victorian hospital wage & salary movements, 1980-82.

PMID- 10258506
TI  - The rationale for the Department of Geriatric and Rehabilitation Medicine at the
      Royal Adelaide Hospital.

PMID- 10258507
TI  - Rationalisation of paediatric services.

PMID- 10258508
TI  - On trust, good management and cost containment.

PMID- 10258509
TI  - Management practice in Australian hospitals.

PMID- 10258510
TI  - The economics of endoscopy in a private hospital.

PMID- 10258511
TI  - Continuing cost constraint in a world of excesses.

PMID- 10258512
TI  - Patients' complaints.

PMID- 10258513
TI  - 4th annual National Hospital Activity Data Study.

PMID- 10258514
TI  - Resources allocation--why should hospitals be different?

PMID- 10258515
TI  - The medical record in the private hospital.

PMID- 10258516
TI  - Superior surgical residents: who are they?

PMID- 10258517
TI  - Using medical journals as educational tools.

PMID- 10258518
TI  - American College of Surgeons. A report to the Fellows, 1982.

PMID- 10258520
TI  - Live from the operating room. Open-heart surgery as entertainment.

PMID- 10258519
TI  - The evaluation of residents.

PMID- 10258521
TI  - Life and death and the law.

PMID- 10258522
TI  - Congress avoiding political abyss by approving Social Security changes.

PMID- 10258523
TI  - Reagan's cancer wars.

PMID- 10258524
TI  - A course on computed tomography for radiologic technologists: a conceptual
      framework.

PMID- 10258526
TI  - Intensive care of the brain-injured patient.

PMID- 10258525
TI  - How to pick winners.

PMID- 10258527
TI  - Predictors in brain resuscitation.

PMID- 10258528
TI  - Pharmacy ethics in the '80s.

PMID- 10258529
TI  - Policy and procedure manual: hospital employee relations.

PMID- 10258530
TI  - Competing for scarce resources: the institutional pharmacists' challenge.

PMID- 10258531
TI  - The pharmacy troika: a participative approach to the development of professional
      competency standards.

PMID- 10258532
TI  - Health insurance and the unemployed.

PMID- 10258533
TI  - Reagan proposes tax on employee health insurance premiums.

PMID- 10258535
TI  - Social security Reform Commission issues final report.

PMID- 10258534
TI  - The National Association for Home Care. 1983 position paper on legislative and
      regulatory issues--a blueprint for action.

PMID- 10258536
TI  - A pharmacy IV admixture/solution distribution program benefits patients, staff-
      and pharmacy.

PMID- 10258537
TI  - Business coalitions. Friend, foe--or a different monkey on your back?

PMID- 10258538
TI  - The future of healthcare computer systems.

PMID- 10258539
TI  - Upgrading data processing: St. Louis Park Medical Center.

PMID- 10258540
TI  - The need for an independent National Health Information Center.

PMID- 10258541
TI  - The personal computer: another view.

PMID- 10258542
TI  - The hospital data center: who pays for it?

PMID- 10258543
TI  - Financial management systems perspective. Interview by Jean Schadt and Mary
      Millar.

PMID- 10258544
TI  - The changing role of the physician in the 80's. Interview by Jean Schadt and Mary
      Millar.

PMID- 10258546
TI  - Focus: the European community.

PMID- 10258545
TI  - Changes in financial management. Interview by Jean Schadt and Mary Millar.

PMID- 10258547
TI  - Developing a collection philosophy and policy statement.

PMID- 10258548
TI  - Financial self-sufficiency in regional EMS systems.

PMID- 10258549
TI  - EMS and health planning: an opportunity for integrating research and policy.

PMID- 10258550
TI  - Waiting time and patient satisfaction with emergency room care.

PMID- 10258551
TI  - The persistence of ventricular fibrillation and its implication for evaluating
      EMS.

PMID- 10258552
TI  - Using observer methods in EMS research.

PMID- 10258553
TI  - Determining need for clinical technology.

PMID- 10258554
TI  - An evaluation of a combined terrestrial/satellite EMS communications system. Part
      I.

PMID- 10258555
TI  - Hand-held portable radios in EMS communications.

PMID- 10258556
TI  - Dade County, Florida, EMS communications system.

PMID- 10258557
TI  - EMS communication in Virginia.

PMID- 10258558
TI  - Total telecommunications interface for a coordinated EMS system.

PMID- 10258559
TI  - The trauma drama. Interview by Carol R. Summer.

PMID- 10258560
TI  - RTSS--a closer look at a cost-cutting concept, Part II.

PMID- 10258561
TI  - Handling procrastinators.

PMID- 10258562
TI  - After contract cleaning.

PMID- 10258563
TI  - Contract management: is 50% of the hospital market within reach?

PMID- 10258565
TI  - The work of the English Regional Medical Service.

PMID- 10258564
TI  - Effective programs don't have to cost a bundle.

PMID- 10258566
TI  - The organization of pain relief services: guidelines for those wishing to set up
      a local service.

PMID- 10258567
TI  - A survey of pain relief clinics in the South Western Region.
AB  - 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.

PMID- 10258568
TI  - Residential facilities for mentally handicapped children: evaluation of a
      development project in Sheffield.
AB  - 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.

PMID- 10258571
TI  - Post-marketing surveillance of licensed medicinal and other products.
AB  - 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.

PMID- 10258570
TI  - General-purpose computed tomography scanners in England and Wales.

PMID- 10258569
TI  - The association between frequency of diagnostic radiological examinations and
      allocation of resources in the National Health Service: implications for future
      demand.
AB  - 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.

PMID- 10258572
TI  - Career preference of doctors qualifying in the United Kingdom in 1979.

PMID- 10258573
TI  - The problems of out-patient visits.

PMID- 10258574
TI  - Trends in cancer morbidity in England and Wales.
AB  - 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.

PMID- 10258575
TI  - Public Health Laboratory Service/National Health Service Working Party on
      Hospital Infection. Infection control organizations in hospitals in England and
      Wales, 1979.
AB  - 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.

PMID- 10258576
TI  - Child health--a time for better understanding?
AB  - 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.

PMID- 10258577
TI  - The place of general practitioner hospitals in the organization of hospital
      services.
AB  - 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.

PMID- 10258578
TI  - A study of six general practitioner hospitals in Tunbridge Wells Health District.
AB  - 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.

PMID- 10258579
TI  - Medical Manpower Division, DHSS. Medical and Dental staffing and prospects in the
      NHS in England and Wales, 1981.

PMID- 10258580
TI  - Screening for cervical cancer: revised policy. The recommendations of the DHSS
      Committee on Gynaecological Cytology.

PMID- 10258581
TI  - The clinical accountable team.
AB  - 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.

PMID- 10258582
TI  - Gastrointestinal endoscopy services--a review of the 70s with predictions for the
      80s.
AB  - 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.

PMID- 10258583
TI  - Health professionals in the European Community.

PMID- 10258584
TI  - School health in the wilderness.
AB  - 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.

PMID- 10258585
TI  - Clinical pharmacology in the Health Service: a progress report.

PMID- 10258586
TI  - Levels of provision and of dependency in residential homes for the elderly:
      implications for planning.
AB  - 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.

PMID- 10258587
TI  - The development of the Mental Health Advice Centre in Lewisham Health District.
AB  - 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.

PMID- 10258588
TI  - Health and illness among the elderly of minority ethnic groups living in
      Birmingham: some new findings.
AB  - 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.

PMID- 10258589
TI  - Short-stay surgery in orthopaedics.
AB  - 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.

PMID- 10258590
TI  - Adult dental health in the United Kingdom, 1978--a review.

PMID- 10258591
TI  - Detecting excessive drinking among admissions to a general hospital.
AB  - 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.

PMID- 10258592
TI  - Rehabilitation medicine--part or future?

PMID- 10258593
TI  - Review of day-hospital provision in psychogeriatrics.
AB  - This paper presents an overview of the current provision of day hospitals for the
      elderly mentally ill. By reviewing available literature the author attempts to
      answer a series of questions--Why is there a need for the psychogeriatric day
      hospital? What are the aims of those who run them? Who attends? What do they do
      all day? How do they get there? Who works in the day hospital? Is the service
      fulfilling its function? The paper ends with a consideration of how such day
      services may best be used in the future, and suggests that day hospitals may
      offer a most effective service to those elderly people with active support in the
      community. For this group of patients, maintenance for as long as possible within
      the community may be achieved through early assessment, diagnosis, treatment and
      rehabilitation, coupled with regular respite for the caregiver, and the day
      hospital provides an ideal setting for such a programme.

PMID- 10258594
TI  - The implications of managing confused and disabled people in non-specialist
      residential homes for the elderly.
AB  - Local Authority residential homes for the elderly are caring for substantial
      proportions of physically disabled and mentally confused residents in non
      specialist settings. The results of an intensive study of six homes caring for
      varying proportions of disabled and confused residents are summarized. The homes
      are compared in terms of staff training and attitudes, physical care of
      residents, social environment, and attitudes of residents. The authors suggest
      that a "mix" of residents can have advantages over segregation and that most
      homes can manage around 30% confused residents. If this is to be successful,
      attention should be given to staffing levels, staff training and the role of
      health service staff in residential homes.

PMID- 10258595
TI  - The pattern of disease in hospital, 1968-1978.

PMID- 10258596
TI  - Career preferences of doctors qualifying in the United Kingdom in 1980.

PMID- 10258597
TI  - The Bristol Stroke Unit.
AB  - The Bristol Stroke Unit was set up in 1975 in order to provide a service for
      stroke patients and to undertake both service and biomedical research. During the
      first 5 years, 472 stroke patients were seen and 388 were treated. Detailed
      information was kept on most patients and this has been used for studies on
      prediction and outcome. General principles of management evolved and these are
      itemized. Important developments include the expansion of the Unit remit to
      include the management of other disabling disorders such as multiple sclerosis, a
      greater emphasis on service research, and the development of a voluntary service.

PMID- 10258598
TI  - The Department and the National Health Service--a personal retrospect.

PMID- 10258599
TI  - New incentives.

PMID- 10258600
TI  - Cost containment, rate control are key 1983 legislative issues.

PMID- 10258601
TI  - Humana leases Louisville university hospital: to provide care for needy.

PMID- 10258603
TI  - Licensure by specialty.

PMID- 10258602
TI  - Using mass media and group instruction for preventive mental health in rural
      communities.

PMID- 10258604
TI  - Licensure standards for the recent medical graduate.

PMID- 10258605
TI  - Developing a marketing attitude throughout the medical institution.

PMID- 10258606
TI  - Fund development: overlooked marketing medium for hospitals?

PMID- 10258607
TI  - The minor emergency center: preview of coming attractions.

PMID- 10258608
TI  - Health statistics and cost containment: data resources, needs, and policy.

PMID- 10258610
TI  - State rate setting reexamined.

PMID- 10258609
TI  - Review of capital needs study.

PMID- 10258611
TI  - Another look at the Enthoven proposal.

PMID- 10258612
TI  - Technology assessment proposed.

PMID- 10258613
TI  - Health manpower in the medical marketplace.

PMID- 10258614
TI  - The nurse labor market.

PMID- 10258615
TI  - Supplemental nursing agencies.

PMID- 10258616
TI  - Perspectives on the GMENAC Report.

PMID- 10258617
TI  - The future supply of physicians: from pluralism to policy.

PMID- 10258618
TI  - The impact of changes in federal policy on academic health centers.

PMID- 10258619
TI  - The future of the AMA: an interview with James H. Sammons. Interview by John K.
      Iglehart.

PMID- 10258621
TI  - Growing opportunities in public service contracting.

PMID- 10258620
TI  - Punch out the time clocks.
AB  - Today's work environment is full of contradictions. On the one hand there aren't
      enough jobs to go around and on the other some people who have jobs would trade
      pay for time off. Some managers, at least managers of one-fifth of the labor
      force, are resolving this contradiction with an elegantly simple solution. They
      are installing some version of alternative work schedules: flexitime, permanent
      part-time jobs, job sharing, compressed workweeks, and work sharing, which give
      employees more control over their professional and personal lives and give
      employers, for instance in an economic downturn, a way, a way to keep experienced
      workers on the job without straining budgets. The authors of this article, both
      of whom have helped develop alternative work schedules, describe the five forms
      and how numerous employers across the country are adapting them to their
      purposes. They predict that eventually most U.S. employees will be working under
      some form of the new schedules.

PMID- 10258622
TI  - Your right to fire.

PMID- 10258623
TI  - Common pay spines in health care organisations--common sense? An application of
      job evaluation in a health care setting.

PMID- 10258624
TI  - NHS manpower in perspective (2).

PMID- 10258625
TI  - NHS reorganisation and industrial relations.

PMID- 10258626
TI  - The long-term implications of the short report--the time to redesign medical
      careers.

PMID- 10258627
TI  - Nursing manpower requirements: a framework for rational discussion.

PMID- 10258628
TI  - Exchange cart vs. PAR stock: which is the best distribution system? Part III.

PMID- 10258629
TI  - HPM predicts 5% price inflation and 5% usage gain for 1983.

PMID- 10258630
TI  - OR/MM relationships: an analysis.

PMID- 10258631
TI  - Contract terms and conditions.

PMID- 10258632
TI  - An orientation program that will start employees out right.

PMID- 10258633
TI  - Investing the maintenance safety brings many happy returns.

PMID- 10258634
TI  - TEFRA and the hospital-based program.

PMID- 10258636
TI  - Studies favor expansion of home health services.

PMID- 10258635
TI  - Medical social services offer agencies greater flexibility in the provision of in
      home services.

PMID- 10258637
TI  - Non-profit tax expert provides insight into home health agency financial
      situation, restructuring.

PMID- 10258638
TI  - State supports options program.

PMID- 10258639
TI  - Issues in hospital information system development.

PMID- 10258640
TI  - Attorney warns RNs of potential liability in the EHS (employee health service)

PMID- 10258641
TI  - Changing office environment creates new hazards for hospital office staff.

PMID- 10258642
TI  - Physician involvement in hospital cost control.

PMID- 10258643
TI  - 1983 innovators catalog: compilation of your solutions to hospital management
      problems.

PMID- 10258644
TI  - Medical staff appointment decisions: when the anti-competitive spirit surfaces.

PMID- 10258645
TI  - Health care manager's notebook: master four competencies.

PMID- 10258646
TI  - Carner's codes, Chapter 6: Managing with committees.

PMID- 10258647
TI  - The formation and destruction of physician/administrator cooperation.

PMID- 10258648
TI  - Do disinfectants need tests for effectiveness?

PMID- 10258649
TI  - Outlook improves for meningitis: a rare nosocomial infection.

PMID- 10258650
TI  - Viruses cause many infections in children's hospitals.

PMID- 10258651
TI  - Maintain closed IV system and change sets at 48 hours.

PMID- 10258652
TI  - Basic principles for IC in central service cited.

PMID- 10258653
TI  - Utilization review may separate winners from losers.

PMID- 10258654
TI  - Physician activity profile.

PMID- 10258655
TI  - Psychiatric units present special challenges to QA coordinators.

PMID- 10258656
TI  - Respiratory therapy guidelines issued to cut unnecessary uses.

PMID- 10258657
TI  - Combined functions ensure patients' continuity of care.

PMID- 10258658
TI  - Babysitter training teaches teenagers child care skills.

PMID- 10258659
TI  - Counseling service assists hospital employees with personal problems.

PMID- 10258660
TI  - The changing medical practice: implications for hospitals, physicians.

PMID- 10258661
TI  - Applying Japanese management styles in American hospitals: focus on values.

PMID- 10258662
TI  - "Living room" represents oncology unit's focus on total patient care.

PMID- 10258663
TI  - Social justice programs target discrimination, employment.

PMID- 10258664
TI  - Evaluative criteria: translating words into action.

PMID- 10258666
TI  - Educational seminar recognizes nursing staff achievements.

PMID- 10258665
TI  - Couple to Couple League, hospitals cooperate in teaching NFP.

PMID- 10258667
TI  - Scientific research rooted in concern for human person.

PMID- 10258668
TI  - Trends in U.S. Catholic hospitals and all other nonfederal U.S. hospitals, 1970
      to 1979: CHA Study Report, Part IV. Changes in full-time equivalent personnel,
      payroll, and expenses.

PMID- 10258669
TI  - Hospital treatment methods weighed against accepted care standards.

PMID- 10258670
TI  - General description of surgery's risks suffices in obtaining patient consent.

PMID- 10258671
TI  - Hospital topical law: clinical staff privileges.

PMID- 10258672
TI  - "There's a new nurse in town"--a valuable investment for hospitals.

PMID- 10258673
TI  - Pharmacy Q & As: solving reoccuring systems problems in the department.

PMID- 10258674
TI  - Staffing the intensive care unit.

PMID- 10258675
TI  - A centralized transport system for inpatient treatments.

PMID- 10258676
TI  - Nurse role conflict and hospital organizational stress.

PMID- 10258677
TI  - Fundamental electrical safety in health care facilities.

PMID- 10258678
TI  - How to increase revenues through appointment reminders.

PMID- 10258680
TI  - Practical learning in health administration education.

PMID- 10258679
TI  - What's new in hyperbaric oxygen therapy?

PMID- 10258681
TI  - Central service: inservice instruction material and tests. Part 4.

PMID- 10258682
TI  - Wrappers--a move for cost containment.

PMID- 10258683
TI  - Sterilization record form.

PMID- 10258684
TI  - Reagan science policy: what grants administrators should know.

PMID- 10258685
TI  - How to keep your grant application from being laughed at by the government.

PMID- 10258687
TI  - Metamorphosis: federal support for voluntary organizations.

PMID- 10258686
TI  - Public-private partnership in funding programs.

PMID- 10258688
TI  - California Federal District Court invalidates HCFA labor/delivery room
      reimbursement policy.

PMID- 10258689
TI  - State open meeting statutes: how they affect hospitals.

PMID- 10258690
TI  - AHA seeks to intervene in lawsuit challenging HHS regulations prohibiting
      discrimination against handicapped infants.

PMID- 10258691
TI  - State legislators act on health planning despite Congressional delays.

PMID- 10258692
TI  - Presidential Commission issues report on decisions to forego life-sustaining
      treatment.

PMID- 10258693
TI  - FTC advises Illinois hospital that exclusive radiology contract does not violate
      antitrust law.

PMID- 10258694
TI  - Expanding home health services: evaluation of the federal grant program.
AB  - The federal Home Health Grant Program was initiated in 1976 and is intended to
      increase the provision of home health services by means of grants for the
      expansion of existing home health agencies and the development of new ones. The
      evaluation of the grant program is summarized in this article, emphasizing the
      visit increases generated by grantees and the factors associated with successful
      grantee performance. Although the grantees were generally successful in
      increasing visits, grantee performance varied considerably in terms of certain
      agency and locational characteristics. In particular, Visiting Nurse Association
      agencies demonstrated considerably better performance than other types of
      agencies.

PMID- 10258695
TI  - Profile of president. Vickery Stoughton.

PMID- 10258696
TI  - Getting arrested: what happens to your job?

PMID- 10258697
TI  - Cash flows with good management.

PMID- 10258698
TI  - The key to better patient care.

PMID- 10258699
TI  - For physicians, is it the lady or the tiger?

PMID- 10258700
TI  - Medicine needs a healthy dose of business.

PMID- 10258701
TI  - Some facts about corporate growth.

PMID- 10258702
TI  - Portland Oregon: a case study.

PMID- 10258703
TI  - Mega-hospital systems: a look into the future.

PMID- 10258704
TI  - Community coalitions confront health care costs.

PMID- 10258705
TI  - A cottage industry no more.

PMID- 10258707
TI  - The doctor should decide.

PMID- 10258706
TI  - A matter of 'coverage'.

PMID- 10258708
TI  - What if?

PMID- 10258709
TI  - Public education a must.

PMID- 10258710
TI  - Some facts about ICU costs.

PMID- 10258711
TI  - Collaboration is the key.

PMID- 10258712
TI  - Coping with competition.

PMID- 10258713
TI  - What's ahead? An inaugural address.

PMID- 10258714
TI  - Coming to grips with physician supply and demand.

PMID- 10258715
TI  - Why bother?

PMID- 10258716
TI  - Seven simple steps to giving better personal care.

PMID- 10258717
TI  - Is it real--or is it TV?

PMID- 10258718
TI  - Hospital security. A study of size, scope and management.

PMID- 10258719
TI  - A document examiner's advice to security management.

PMID- 10258720
TI  - Security in healthcare facilities.

PMID- 10258721
TI  - Computerized visitor access. The University of Chicago Medical Center.

PMID- 10258722
TI  - What happens next? A look at one of the problems facing the security
      administrator in his battle to protect assets and prevent losses.

PMID- 10258723
TI  - Centralizing sterilization records.

PMID- 10258724
TI  - Monitoring equipment issue.

PMID- 10258725
TI  - Change--crisis or challenge?

PMID- 10258726
TI  - Small forms change saves time, money.

PMID- 10258727
TI  - Discrepancy reporting on receipt of damaged goods, shortages, or mis-shipments.

PMID- 10258728
TI  - Changes in washer-sterilizers require careful buyer study.

PMID- 10258729
TI  - Bar coding: standardized product codes needed to make it work.

PMID- 10258730
TI  - Purchasers divided on groups' job impact.

PMID- 10258732
TI  - What is the methodology for calculating holding or storage costs for supplies in
      inventory and why is it important?

PMID- 10258733
TI  - Number of hospitals to nosedive by 1990?

PMID- 10258731
TI  - Hospital employees battle high cost of patient care.

PMID- 10258734
TI  - 'Short order' from expedites ordering of needed supplies.

PMID- 10258735
TI  - Heretical musings of a dedicated nurse.

PMID- 10258736
TI  - Closure or expansion? A marketing perspective on obstetrics.

PMID- 10258737
TI  - OHA favours 'pro-active' communications strategy.

PMID- 10258738
TI  - Regimen for a dinosaur.

PMID- 10258739
TI  - Surviving the crunch.

PMID- 10258741
TI  - New employee: potential plus.

PMID- 10258740
TI  - Managing in a stressful situation.

PMID- 10258742
TI  - $50,000 in the garbage can.

PMID- 10258743
TI  - 'Preferred risk' plan charges doctors for high-risk behavior.

PMID- 10258744
TI  - Oxygen analyzers create liability if not used consistently.

PMID- 10258745
TI  - Prevent patient suicides with early-identification strategy.

PMID- 10258746
TI  - Judicial incentive for quality control.

PMID- 10258747
TI  - Attorney warns against bylaws that only satisfy regulators.

PMID- 10258748
TI  - Hospitals must begin to credential allied providers, attorney says.

PMID- 10258749
TI  - Court scrutinizes hospital's exclusive contract with specialists.

PMID- 10258750
TI  - Cut litigation risk by managing suit-prompting factors.

PMID- 10258751
TI  - Red wrist bands identify patients with special needs.

PMID- 10258752
TI  - Hospitals earn premium discounts for preventive RM efforts.

PMID- 10258753
TI  - Tighten medical records' security to reduce incidence of tampering.

PMID- 10258754
TI  - Lawsuit against FL fund continues as hospitals protest retro-billing.

PMID- 10258755
TI  - 3-phase plan speeds hospital recovery after fire.

PMID- 10258756
TI  - How podiatrists in Maryland won hospital privileges and more.

PMID- 10258757
TI  - Polyurethane foam pads: how to manage the risk.

PMID- 10258758
TI  - Prescribing by pharmacists.

PMID- 10258759
TI  - A prospective drug utilization review on the prescribing of oral and parenteral
      cephalosporins.

PMID- 10258760
TI  - Medi-messages.

PMID- 10258761
TI  - Costs of care.

PMID- 10258762
TI  - The outlook for clinical pharmacy reimbursement.

PMID- 10258763
TI  - The phone does not ring at 2 a.m. in the average household.

PMID- 10258764
TI  - Experiences in utilizing the quality circle concept.
AB  - This article describes an experience with using the quality circle concept in a
      hospital pharmacy environment. The initial experience was positive in that the
      staff defined productivity standards for themselves. The staff used their
      productivity standards to evaluate the perceived problem of understaffing in the
      department.

PMID- 10258765
TI  - Computer applications in hospital pharmacy practice.  I. Computer
      expectations/applications.
AB  - Following vendor selection of a pharmacy computer system, attention must be
      directed toward which computerized functions to include. Although most features
      are uniform among the various systems, a discussion is presented listing those
      applications considered the minimum acceptable for any hospital pharmacy computer
      system. The descriptions focus on computerization of those labor-intensive
      activities necessary to support drug distribution services. Computerized support
      of an intravenous (I.V.) admixture and unit dose program centers around label
      production and charging/crediting functions. Label production is used to generate
      a manual backup profile and unit dose cart fill list. The scope of information to
      include on I.V. and unit dose labels is described. Charging/crediting functions
      via computer are also discussed, with mention of free-form capabilities. Other
      computer applications mentioned include: medication profiling, drug interaction
      flagging, data confidentiality, census support, and hard copy reports. Feature
      selection depends on the aspects and unique needs that benefit most from
      computerization.

PMID- 10258766
TI  - Computer applications in hospital pharmacy practice.  II. Manual backup/support
      system.
AB  - The planning phase of a hospital pharmacy computer system usually does not
      address the issue of a suitable backup should the computer fail. This article
      describes a backup system centered around a hard-copy patient medication profile.
      This profile is built through use of computer-generated duplicate labels and
      exists for both the unit dose and intravenous admixture services. With this
      approach, the computer initiates its own support system and thereby eliminates
      the need for a separate, manually maintained backup system.

PMID- 10258767
TI  - Self-medication promotes patient independence in rehabilitative setting.
AB  - Patients at Sheltering Arms Hospital in Richmond, Virginia, receive instruction
      about their medication by pharmacists and may progress through three levels of
      teaching, including monitored self-medication. Pre- and posttests are
      administered to determine the effectiveness of the program and the percentage of
      patient improvement in recall as a result. Patients who completed the program
      demonstrated a significant improvement in scores in four out of five testing
      categories.

PMID- 10258768
TI  - A versatile mobile clinical microcomputer system.
AB  - A microcomputer system is described that has been incorporated into a custom
      designed cart for mobility throughout a clinical setting with consequent
      increased utilization and cost-effectiveness. A library of clinical profiles has
      been developed that processes and consolidates quantitative clinical data into a
      bar-graph format for more convenient interpretation and documentation. It is
      suggested that even a small hospital can acquire a mobile computer system and
      hire a senior or graduate student in the physical or computer sciences, on a part
      time basis, from a neighboring university or technical college, to develop
      clinical computer software suitable for that particular institution.

PMID- 10258769
TI  - NICAD battery discharge device.
AB  - This Nicad Battery Discharge Device provides a method of automatically
      discharging a nickel-cadmium battery at a pre-set constant current, and measures
      the length of time the battery under test can deliver this current. From the
      timer data, the cell's ampere-hour rating can be confirmed. The remainder of the
      process includes shorting the battery terminals for a period of time to drain the
      cell totally, and then reinstalling the cell into the original piece of equipment
      for recharging. By putting the nicad battery through this process, an important
      preventive maintenance function is performed which will increase the battery's
      useful life. Deep discharging erases any "memory" effect the nicad may have
      developed and brings the cell's power storage capacity back to its original
      level.

PMID- 10258770
TI  - Linearizing the thermistory: a reminder that the thermistor can be tamed.
AB  - The thermistor, a preferred temperature transducer, has a non-linear resistance
      vs. temperature characteristic. However, the non-linear characteristic of the
      Wheatstone bridge circuit in which thermistors are usually used can compensate
      for this, so that, over a selected range, quite accurate linear voltage outputs
      may be obtained. A selected set of bridge resistor and excitation voltage values
      are presented together with accuracy data. Comments concerning the application of
      these circuits include safety considerations.

PMID- 10258771
TI  - A pacemaker monitoring system.
AB  - The use of cardiac pacemaker technology has greatly decreased the morbidity and
      mortality caused by certain cardiac arrhythmias. Its use, however, has not been
      without complications, including broken or dislodged pacemaker leads, failure of
      the pacemaker to sense the QRS complex, and cardiac arrhythmias. This paper
      presents a straightforward and inexpensive monitoring system which detects four
      specific pacemaker failure states.

PMID- 10258772
TI  - An ECG/EEG common mode rejection ratio analyzer.
AB  - An ECG/EEG common-mode rejection ratio analyzer is discussed and its method of
      operation is analyzed. In addition to easily performed common-mode rejection
      ratio tests, this instrument also can perform linearity, frequency response and
      sweep-speed tests. Because of the complexity of the standard method for
      performing common-mode rejection ratio tests, many hospitals are omitting this
      test or employing alternative common-mode rejection tests. However, the ease of
      this new device facilitates its use in performing common-mode rejection tests.

PMID- 10258773
TI  - Evolution of a hospital-based clinical engineering contract service.
AB  - Large, centrally-located hospitals can develop Clinical Engineering Services
      designed to assist other hospitals. These services can be delivered in a cost
      effective manner, without extensively disrupting internal services. These
      services can provide a means of enhancing hospital-to-hospital relationships,
      while delivering a viable, needed service.

PMID- 10258774
TI  - Rehabilitation engineering education at the University of Virginia.
AB  - The graduate rehabilitation engineering program of study at the University of
      Virginia is the first program of its type in the United States. The first
      students were admitted to the program in the fall of 1979. The program is
      designed to train students with engineering and clinical science backgrounds in
      the field of rehabilitation engineering. Emphasis is placed on practical training
      through internship activities at the University of Virginia Rehabilitation
      Engineering Center and Medical School Department of Orthopedics and
      Rehabilitation. Field experience is received at the Woodrow Wilson Rehabilitation
      Center and the University of Virginia Children's Rehabilitation Center.

PMID- 10258775
TI  - Preparing anesthesia equipment for suspected malignant hyperthermia episodes.
AB  - Malignant hyperthermia is a relatively rare condition which strikes susceptible
      patients undergoing surgery. This disorder is an inherited biochemical defect,
      triggered by certain anesthetic agents and stress. The patient suffers a rapid
      and potentially dangerous rise in temperature, brought about by an increase in
      metabolism. If a patient, by family history or test, is suspected of being
      susceptible to malignant hyperthermia, special precautions must be taken before
      proceeding with surgery. The clinical engineer must: 1) prepare special
      anesthesia equipment which is free of trace gases capable of triggering an
      episode of malignant hyperthermia; 2) provide special monitoring facilities to
      detect the onset of an episode; and 3) have treatment facilities on hand in the
      event that an episode does develop.

PMID- 10258776
TI  - A health care system in Sweden.

PMID- 10258777
TI  - Clinical management by rural nurses using a microcomputer.

PMID- 10258778
TI  - The helping community: issues in the evaluation of a preventive intervention to
      promote informal helping.
AB  - This report addresses conceptual and practical problems in evaluating the
      effectiveness of an intervention which used a pyramid training model for
      improving helping skills for informal helpers in two rural communities. Against a
      background for a study of help-giving and help-seeking patterns, the transmission
      of helping skills from professional to community trainers to local helpers was
      studied. Impacts of the intervention on other aspects of the community are
      reported.

PMID- 10258779
TI  - Planning for disaster: a new community outreach program for mental health
      centers.
AB  - Disaster victims typically do not request services from the mental health system.
      Victims must be contacted through innovative outreach programs linked to the
      disaster relief network. Advance planning for disaster programs by mental health
      centers is highly desirable, but barriers may be encountered related to (a)
      external support, (b) information on victim needs, (c) intervention methods, (d)
      linkage with disaster agencies, or (d) planning guidelines. Advice and
      information are offered on how to overcome each potential barrier. A model
      disaster plan is outlined that is consistent with NIMH guidelines for disaster
      preparedness planning, and with three criteria considered essential for an
      effective plan.

PMID- 10258780
TI  - Approaches to evaluating the outcome of deinstitutionalization: a reply to
      Christenfeld.

PMID- 10258781
TI  - Health technology management in the Department of Health and Human Services.

PMID- 10258782
TI  - Symposium: The impact of technology on health care.

PMID- 10258783
TI  - Regulatory controls on capital-based medical technology.

PMID- 10258784
TI  - Quality assurance, technology assessment, and health management: Proteus reborn.

PMID- 10258785
TI  - Utilization of rehabilitation research: implications for applying medical
      technology.

PMID- 10258786
TI  - Biomedical consensus development.

PMID- 10258787
TI  - Utilizing citation analysis to examine primary dissemination potential of
      research findings.

PMID- 10258788
TI  - Does it pay? The case of mobile coronary care units.

PMID- 10258789
TI  - Health planning and technology.

PMID- 10258790
TI  - Factors affecting representation of minorities and the disadvantaged in health
      planning agencies.

PMID- 10258791
TI  - Cross-boundary power related to interagency relationships between community
      agencies.

PMID- 10258792
TI  - Nursing turnover one more time.

PMID- 10258793
TI  - Enhancing volunteerism in Ohio.

PMID- 10258794
TI  - Contributions to patient satisfaction: a new role for hospital volunteers.

PMID- 10258795
TI  - Brooklyn's SAGE program: providing library service to all the elderly.

PMID- 10258796
TI  - Law, aging and the elderly.

PMID- 10258797
TI  - The patient package insert and its legal implications.

PMID- 10258799
TI  - Venugopal v Spalding Union Hospital Board.

PMID- 10258798
TI  - Withholding treatment from defective newborns: a description of Canadian
      practices.

PMID- 10258800
TI  - Villemure v L'Hopital Notre-Dame et al.

PMID- 10258801
TI  - Ohio hospital layoffs not expected to affect linen-service operations.

PMID- 10258802
TI  - Hard facts about losing your job that will help you to survive.

PMID- 10258803
TI  - Preventative maintenance is the key to a smooth-running finishing system.

PMID- 10258804
TI  - St. Mary's Hospital, Reno to open new off-site laundry in March.

PMID- 10258805
TI  - New hospital laundry in India very unusual by U.S. standards.

PMID- 10258806
TI  - We've finally made our practice pay off.

PMID- 10258807
TI  - Would a life-care community be right for you?

PMID- 10258808
TI  - Those hospital specialties: alive and very healthy.

PMID- 10258809
TI  - Make a personnel manual work overtime.

PMID- 10258810
TI  - Containing health costs: facts that the government ignores.

PMID- 10258811
TI  - Is your office a thieves' paradise?

PMID- 10258812
TI  - Here comes the FTC again.

PMID- 10258813
TI  - Revocation of staff privileges: due process responsibilities.

PMID- 10258814
TI  - Joint projects: legal and business issues.

PMID- 10258815
TI  - Wrongful birth: how much is it worth not to be born?

PMID- 10258817
TI  - Survey of 1982 public acts.

PMID- 10258816
TI  - Survey of 1982 Michigan appellate court cases and attorney general opinions.

PMID- 10258818
TI  - TEFRA's effect on pensions: a new challenge for hospitals.

PMID- 10258819
TI  - Hospitals, medical staff privileges, and antitrust.

PMID- 10258820
TI  - Design and construction. Ribbon cuttings, contract awards.

PMID- 10258821
TI  - Yale-New Haven links century-old patient units with high technology.

PMID- 10258822
TI  - More sophisticated financings help lifecare centers avert failure.

PMID- 10258823
TI  - NYC hospitals try to avert CON moratorium.

PMID- 10258824
TI  - Schweiker irks planning's allies, foes.

PMID- 10258825
TI  - Trustees reach beyond boardrooms through state hospital associations.

PMID- 10258826
TI  - Incentives may become a popular way to spur aggressive management.

PMID- 10258828
TI  - Court places welfare responsibility ahead of Hill-Burton free-care rule.

PMID- 10258827
TI  - HCA amasses capital in '82, bringing debt-to-equity ratio down to 54-46.

PMID- 10258829
TI  - 'Feisty' Heckler now HHS' protector--but she first must learn the issues.

PMID- 10258830
TI  - Hospitals forming PPOs to fend off HMO rivals.

PMID- 10258831
TI  - California contracting law sparks PPOs.

PMID- 10258833
TI  - TEFRA forces hospitals to rethink contract arrangements with doctors.

PMID- 10258832
TI  - TEFRA jolts providers into heavy number-crunching strategy setting.

PMID- 10258834
TI  - VHA subsidiary guides nonprofits down the road of diversification.

PMID- 10258835
TI  - Coalitions adopt aggressive stance.

PMID- 10258836
TI  - Hospitals try to relieve frustration of their baby-boom era managers.

PMID- 10258837
TI  - Surgical lasers can generate profit if volume of use can be guaranteed.

PMID- 10258838
TI  - ACHA quality assurance program seeks to quiet foes of deregulation.

PMID- 10258839
TI  - Design and construction. Healthcare construction leaps a surprising 25% in '82.

PMID- 10258840
TI  - Future bright, but rocky: growth in multihospital systems will be largely through
      consolidation and diversification.

PMID- 10258841
TI  - Who, where, and how much: first survey of multihospital systems management
      salaries.

PMID- 10258842
TI  - Rating managers' performance.

PMID- 10258843
TI  - People who need people: computers are great for systemwide management
      information.

PMID- 10258844
TI  - A different drummer. Interview by Kelly F. Guncheon.

PMID- 10258845
TI  - This house isn't a home--it's a dealer's showplace.

PMID- 10258846
TI  - Answering the bell again.

PMID- 10258847
TI  - Alternatives to the conventional in-hospital delivery: the Childbearing Center
      experience.

PMID- 10258848
TI  - The role of patient needs and references for instructional approaches in self
      management of diabetes.
AB  - This study addresses the issue of individualized instruction, viewing preferences
      for instructional approaches as an instance of aptitude-treatment interaction. In
      such interaction, diabetic patients' needs were held to affect their preference
      for either a structured or unstructured approach to instruction for self
      management. Forty-six adult diabetic patients completed the Personality Research
      Form E and ranked four types of instructional approaches as portrayed in
      descriptive statements. Need levels of patients preferring structured and
      unstructured instruction were compared by means of t tests. Results indicated
      that one of the four composite-need scales, the need for control, significantly
      (P = 0.003) differentiated structured and unstructured groups. Congruence between
      certain needs and preferred instructional approaches was thus demonstrated.

PMID- 10258849
TI  - Teenagers' assessment of reproductive health-care services.
AB  - Adolescent clients of a Teen Health Clinic were surveyed to determine those
      aspects of the service that were considered crucial to patient acceptance and
      program continuance. A simple one-page questionnaire enabled the clients to
      express their feelings about personnel, services, environment, and educational
      materials used in the clinic. Eighty-five percent of the clients expressed
      positive reactions to the clinic, while only 25.5% offered negative statements.
      Most respondents indicated clinic staff as the feature they liked most about the
      service and mentioned routine clinical activities as the part they liked least.
      Of the topics on which teenage clients wanted more information, 68% indicated
      that they wanted factual data rather than information about feelings, emotions,
      or relationships.

PMID- 10258850
TI  - Analysis of education-support groups for patients with rheumatoid arthritis.
AB  - A controlled study of education-support groups for patients with rheumatoid
      arthritis showed that participation increased patients' knowledge about their
      disease (P less than 0.05) and improved some patients' perceptions of the
      adequacy of their families' attitudes and behavior. The groups had little effect
      on the patients' ability to cope with arthritis or on their compliance with
      prescribed treatment. Some participants felt threatened by the thought of meeting
      another patient with more severe rheumatoid arthritis than their own. This
      finding suggests that group leaders should facilitate open discussion of such
      emotional concerns, eg, fear and depression, that admixtures may generate.

PMID- 10258852
TI  - Employee communications.

PMID- 10258851
TI  - Stress: causes, consequences, and coping strategies.
AB  - Because of the negative effect stress has on employee health and productivity,
      ways to manage stress should be of particular concern to human resources
      managers. Recognizing this, authors Heather R. Sailer, territorial sales
      representative for American Medical Systems, a division of American Hospital
      Supply Corporation, John Schlacter, professor of marketing, and Mark Edwards,
      assistant professor of agriculture--the latter two at Arizona State University-
      created a model for applying stress-management strategies. Their model integrates
      seven categories of strategies--two of which are physical maintenance and outside
      assistance. The model shows at which stage of stress--before, during, or after
      the stressful event--each strategy can most effectively be used, and in which are
      of management--self-management, systems management, or organizational management-
      it is most appropriate.

PMID- 10258853
TI  - Equal Employment Opportunity: are you overlooking the application form?
AB  - In 1975 the Equal Employment Opportunity Commission (EEOC) listed those subjects
      and questions on employment application forms that could be considered violations
      of Title VII of the Civil Rights Act of 1964. Since then, how well have U.S.
      firms abided by EEOC regulations in this area? Navy Lieutenants Richard S. Lowell
      and Jay A. DeLoach, graduate students in management and supervision at Central
      Michigan University, screened the application blanks used by 50 major
      organizations and found that 48 of them contained violations--most of which
      occurred in questions concerning military background, education, arrest record,
      physical handicaps, age, and name. The authors strongly recommend that human
      resources managers reevaluate their companies' selection processes and check for
      any violations on their application forms.

PMID- 10258854
TI  - Team development, Part 6: Variations of procedure meetings.
AB  - In the last issue of Personnel, Part 5 of our series on team development covered
      basic procedure meetings. In this issue, Part 6 goes into the team interaction
      variation and the critique variation of procedure meetings. Author Francis X.
      Mahoney, personnel development advisor for Exxon Company, U.S.A., notes that in
      the interaction variation the team looks at its own practices for the purpose of
      improving them. The session usually begins by identifying the five or six high
      scoring items and the five or six low-scoring items in an opinion survey on team
      effectiveness that is taken before the session is held. The team then spends one
      session discussing the high-scoring items and at least one on the low-scoring
      items. During the latter discussion, the team aims to come up with suggestions
      for changes in techniques and ways to implement these changes.

PMID- 10258855
TI  - The exit interview: effective tool or meaningless gesture?
AB  - As a management tool, the exit interviews has generated both acclaim and
      criticism. Some managers have maintained that it can play a major role in
      reducing an organization's turnover rate while others contend that it is a
      worthless gesture. Research conducted by Pamela Garretson, systems and procedures
      analyst at Hughes Aircraft Company's Ground Systems Group, and Kenneth S. Teel,
      professor of human resources management at California State University at Long
      Beach, suggests that (1) such interviews are, for the most part, conducted by
      personnel department staff members during the employee's last week on the job,
      (2) too often, organizations fail to make any use of the information obtained
      during the interview, and (3) little effort is made to compute turnover costs
      even though turnover is generally recognized as being expensive. The authors
      recommend that companies conducting exit interviews either use the information
      obtained as a basis for identifying and alleviating problems or stop conducting
      them, and that they should begin to compile quantitative data on turnover costs
      before deciding to set up a turnover-reduction program.

PMID- 10258857
TI  - Specificity and code enforcement.

PMID- 10258856
TI  - Safety review: a system of program development and evaluation.

PMID- 10258858
TI  - Accident investigation and analysis: an evaluative review.

PMID- 10258859
TI  - Integration of health professionals: the semiconductor industry connection.

PMID- 10258860
TI  - What the IRS looks for in PC audits.

PMID- 10258861
TI  - Quiz: what an attorney might tell a patient.

PMID- 10258863
TI  - Health planning and regulation in transition: a status report on local and state
      activities.

PMID- 10258862
TI  - Telephone sampling bias in surveying disability.
AB  - Results of the California Disability Survey indicate that telephone interviewing
      is well suited for undertaking disability studies that provide (1) estimates of
      subgroups of the disabled population, including those that are statistically
      rare: (2) information on current and anticipated areas of policy concern; and (3)
      information for geographic areas important in rehabilitation program planning.
      Although these objectives necessitated a large sample size and a complex
      instrument, the costs and timeliness of telephone interviewing enabled the survey
      objectives to be reached. This paper discusses the advantages of telephone
      interviewing, as well as biases inherent in its use. The magnitude of the bias
      from the omission of nontelephone households is assessed, and the results confirm
      that the omission of nontelephone households introduces only minor biases into
      estimates for the total working-age population. A method of weighting is
      developed and illustrated.

PMID- 10258864
TI  - Training to survive the transition: an issue of conflicting values.

PMID- 10258865
TI  - Psychiatry and industry: why is collaboration important?

PMID- 10258866
TI  - Introduction: perspectives on industrial and occupational psychiatry.

PMID- 10258867
TI  - Improving mental health at work.

PMID- 10258868
TI  - A program geared specifically to industry by the private psychiatric hospital.

PMID- 10258869
TI  - Psychiatry, industry, and labor--retrospect and prospect.

PMID- 10258870
TI  - Health promotion in the workplace: the Sheppard experience.

PMID- 10258871
TI  - Psychiatry and industry: a business view.

PMID- 10258872
TI  - Working with industry: a challenge to psychiatry.

PMID- 10258873
TI  - The Navy: an alternative to private practice.

PMID- 10258874
TI  - Advances in perinatology.

PMID- 10258875
TI  - Structure and function of an inhospital cardiac arrest team.

PMID- 10258876
TI  - An overview of violence.

PMID- 10258877
TI  - The current status of insulin pump therapy of diabetes mellitus.

PMID- 10258878
TI  - The biological and psychosocial treatment of the violent patient.

PMID- 10258879
TI  - A 'wrongful life'.

PMID- 10258880
TI  - Immobilization as a reaction to sudden death.

PMID- 10258881
TI  - Immunization update.

PMID- 10258882
TI  - When you are called upon as an expert witness.

PMID- 10258883
TI  - A chief resident's swan song.

PMID- 10258884
TI  - How to dictate operative notes.

PMID- 10258885
TI  - Hospital-based intervention in child abuse.

PMID- 10258886
TI  - Experts predict continued SDS growth in 1983.

PMID- 10258887
TI  - Ambulatory unit finds early patient education beneficial.

PMID- 10258889
TI  - How to set fees for SDS.

PMID- 10258888
TI  - Podiatrists are indifferent about possible hospital privileges.

PMID- 10258890
TI  - Expert shares tips on hiring appropriate ambulatory staff.

PMID- 10258891
TI  - Centers can function with few administrative staff.

PMID- 10258892
TI  - Develop simpler paperwork with research, evaluation.

PMID- 10258893
TI  - SDS units can learn from major complications.

PMID- 10258894
TI  - Avoid disasters in anesthesia; take appropriate precautions.

PMID- 10258895
TI  - Saturday surgery: convenience to some; a hassle to others.

PMID- 10258896
TI  - Coping with accountability: guidelines for supervisors.

PMID- 10258897
TI  - Sweden's child support system: lessons for the United States.

PMID- 10258898
TI  - The skilled social work role in home care.

PMID- 10258899
TI  - Good Samaritan laws--who needs them?: The current state of Good Samaritan
      protection in the United States.

PMID- 10258900
TI  - The health planning process and federal antitrust statutes: is there a health
      planning exemption?

PMID- 10258901
TI  - Lease-purchase as cash alternative.

PMID- 10258902
TI  - Hospital marketing: a case history.

PMID- 10258903
TI  - Questions and answers on CRPA.

PMID- 10258904
TI  - Simplifying charge forms.

PMID- 10258905
TI  - Leasing: an important element in hospitals' financing.

PMID- 10258906
TI  - The role of the health record administrator: a hospital administrator's point of
      view.

PMID- 10258908
TI  - Manage or be managed.

PMID- 10258907
TI  - Inservice training as a tool in managing the changing environment in the medical
      record department.

PMID- 10258909
TI  - Toward better control: a medical record department management reporting system.

PMID- 10258910
TI  - Personnel management and the law.

PMID- 10258911
TI  - Professional growth: accent on potential.

PMID- 10258912
TI  - The incantations of affirmative action.

PMID- 10258913
TI  - Release of and access to minors' medical records.

PMID- 10258914
TI  - Management: right-brain vision for left-brain systems.

PMID- 10258915
TI  - Engineering: not just a nuts and bolts operation.

PMID- 10258916
TI  - 100 percent. Ideas for increasing productivity, efficiency in plant operations.

PMID- 10258917
TI  - QA in continuity of care.

PMID- 10258918
TI  - Designing on limited budget not an impossible dream.

PMID- 10258920
TI  - Forum: the state of the hospital engineering art.

PMID- 10258919
TI  - Biomed, infection control team up.

PMID- 10258921
TI  - Trends in remodeling.

PMID- 10258922
TI  - Deaf Smith's hand-i-cap. Here's how one hospital is winning the race for safety.

PMID- 10258923
TI  - Hospital authority and responsibility for drugs administered to patients.

PMID- 10258924
TI  - Make hospital walls, halls art gallery.

PMID- 10258925
TI  - CEO contracts.

PMID- 10258926
TI  - Putting to rest unwarranted fears about trustee liability.
AB  - Common concerns about the legal liability of trustees include malpractice,
      contracts, medical staff discipline, and conflict of interest. Each of these
      topics is discussed here, as well as the use of directors and officers liability
      insurance to protect against anticipated risks.

PMID- 10258927
TI  - How to get the most out of liability insurance for hospital trustees.
AB  - The year 1983 brings with it expanded coverage in the directors and officers
      liability policies offered to hospitals. In this article, the author discusses
      the impact of this added protection in terms of who and what is now covered.

PMID- 10258928
TI  - As I see it: proliferation of multihospital systems and arrangements.

PMID- 10258929
TI  - The World Health Alliance. Freedom of choice in medicine.

PMID- 10258930
TI  - Hospitals review sponsorship of primary care group practice.

PMID- 10258931
TI  - Nation's hospitals consider option of HMO sponsorship.

PMID- 10258932
TI  - Family therapy in consultation/liaison psychiatry.
AB  - Medicine, in its focus on physical illness, has made significant strides in
      recent decades. New and sophisticated knowledge of disease and techniques of
      treatment have contributed to sometimes spectacular progress. However, it has
      been realized that psychiatry, through its consultation and liaison activities,
      has a most significant contribution to make. The form and content of
      consultation/liaison activities have been gradually developing. It is from this
      developmental standpoint that we present the following information relevant to
      the fusion of Family Therapy and Psychosomatics.

PMID- 10258933
TI  - Pediatricians claim adolescent health care in announcing 'new age of pediatrics'.
AB  - In successive waves of professional self-assertion, the medical associations in
      primary care fields have laid claim to various segments of the population.
      Obstetrician-gynecologists have proclaimed themselves primary care physicians for
      women. Family doctors have asserted their capability to handle some eighty
      percent of all medical problems coming to their offices and to handle medical
      problems of all ages and both sexes. Internists have expressed similarly wide
      ranging roles in adult medicine and are seeking greater recognition for special
      diagnostic skills. With this trend as background, the American Academy of
      Pediatricians has announced its new three-year program to seat the specialty of
      pediatrics as not "just baby doctors," but as physicians to fill the "health care
      vacuum" for "young people 12 to 18 years of age and to close the cracks in health
      care for adolescents who often "pass through these important developmental years
      without adequate medical counseling or guidance."

PMID- 10258934
TI  - Asymptomatic gonorrhea: selective screening and guidelines for identification of
      high risk patients.
AB  - As recently as 1980, gonorrhea ranked first among communicable diseases in the
      U.S.A. More alarming was the fact that 75 to 80 percent of infected females were
      reported to be asymptomatic. As more of these asymptomatic individuals were
      discovered, the tendency to do routine gonococcal screening in women increased.
      Of late, however, the trend to abstain from doing routine gonococcal screening
      has become more evident because of the low yield of positive cultures in the
      majority of the population screened. The St. Joseph's Medical Center is a single
      residency (Family Practice) teaching hospital serving the community of Yonkers,
      N.Y. The St. Joseph's Family Health Center serves as the model unit where our
      residents work and is also the main outpatient facility of the hospital. The
      objective of our study was to determine the incidence of asymptomatic gonorrhea
      prospectively and randomly, in our female patients, to form guidelines to
      separate high from low risk patients, and to discuss the question of whether
      gonococcal screening should be performed routinely in females.

PMID- 10258935
TI  - 'Clinical epidemiology of hepatitis: what's new?'.

PMID- 10258936
TI  - Cancer of the colon and rectum: public misconceptions and a gap in doctor-patient
      communications.
AB  - What can doctors do to reduce the death rate among the estimated 126,000 persons
      who will develop colon-rectum cancer in 1983? At present rates, 29,500 females
      and 27,600 males will die this year from cancers at these sites. One answer to
      this question may lie in patient-physician communication, and in the capability
      of doctors to deal with patient attitudes toward colo-rectal examinations and on
      their knowledge of what people in this country believe in regard to colon-rectum
      cancer. This article presents findings from an American Cancer Society survey
      which examined patient attitudes and knowledge in regard to colon-rectum cancer
      and provides insights on patient attitudes and beliefs useful to the physician in
      discussing this subject with patients.

PMID- 10258937
TI  - "Voluntary organizations will have to face reality.".

PMID- 10258940
TI  - It's the press. There's a crisis. What now?

PMID- 10258939
TI  - Here come the volunteers.

PMID- 10258938
TI  - Smoking and health don't compute.

PMID- 10258941
TI  - Speaking out on association issues: whose role is it?

PMID- 10258942
TI  - What we should have said was...

PMID- 10258944
TI  - Beyond the typewriter: how to develop a newspaper release.

PMID- 10258943
TI  - How to help a troubled employee.

PMID- 10258945
TI  - Meals without trauma.

PMID- 10258946
TI  - Baulkham Hills Private Hospital. Sydney's 'Little Westmead' becomes big health
      centre.

PMID- 10258948
TI  - Austin becomes computer bureau.

PMID- 10258947
TI  - Essendon: an on again, off again saga.

PMID- 10258949
TI  - Solid construction defies traditional Coober Pedy trends.

PMID- 10258950
TI  - Unique concept for hospital in the Outback.

PMID- 10258951
TI  - Queensland. State takes steps to bring costs into line.

PMID- 10258952
TI  - Mater is first public hospital to be fully funded by the govt.

PMID- 10258953
TI  - Big Bernie set to make things happen. Interview by Ray Maultsaid.

PMID- 10258954
TI  - Accreditation 'mixed blessing for most'.

PMID- 10258955
TI  - A surgeon's view of competition.

PMID- 10258956
TI  - Competition: necessary market reform.

PMID- 10258957
TI  - Health care under the Reagan administration.

PMID- 10258958
TI  - How much psychic income are you paying?

PMID- 10258959
TI  - A working model of behavior.

PMID- 10258961
TI  - Write with the active voice.

PMID- 10258960
TI  - Do you have thieves on your payroll?

PMID- 10258962
TI  - Upward communication.

PMID- 10258964
TI  - If you want to be irreplaceable--you will be!

PMID- 10258963
TI  - Making the most of writing assignments.

PMID- 10258965
TI  - Performance appraisals: much more than a once-a-year task.

PMID- 10258966
TI  - The best ways to motivate.

PMID- 10258967
TI  - Blues' cost-control claims stir debate.

PMID- 10258968
TI  - Benefit tax plan would cool costs, its architect says.

PMID- 10258969
TI  - Cost control with the Blues. In Rhode Island, the Teamsters get new benefit to
      promote good health.

PMID- 10258970
TI  - Larger employers leading the way in controlling costs.

PMID- 10258971
TI  - Patching medical costs.

PMID- 10258972
TI  - Many cost-containment tools available. Interview by Carol Cain.

PMID- 10258973
TI  - Illinois firms lauded for fitness programs.

PMID- 10258974
TI  - Enabling the transition to home health care.

PMID- 10258975
TI  - Health education: developing the mind or restricting the viewpoint?

PMID- 10258976
TI  - CPJ speaks with pharmacists who have taken innovative action in their practices.

PMID- 10258977
TI  - The filing-card label: an economical method to improve drug distribution in the
      hospital.

PMID- 10258979
TI  - Designing and implementing a comprehensive management development program for
      home health personnel.

PMID- 10258978
TI  - Hospice regulations near publication.

PMID- 10258980
TI  - The mismanagement myth.

PMID- 10258981
TI  - What is expected of a hospital trustee?

PMID- 10258982
TI  - Trusteeship in the 80s--mission impossible?

PMID- 10258983
TI  - The hospital of the future: are we ready?

PMID- 10258984
TI  - A futuristic look at medical devices.

PMID- 10258985
TI  - Technology: a two-edged sword.

PMID- 10258987
TI  - Tapping human resources in the '80s.

PMID- 10258986
TI  - Vancouver General copes with financial constraints.

PMID- 10258988
TI  - Attendance: proper management creates positive results.

PMID- 10258989
TI  - From educator to educator-consultant by 1990.

PMID- 10258991
TI  - The 1982 Lilly Lecture. Communication: a key for integrating "clinical" into
      pharmacy.

PMID- 10258990
TI  - The development of a drug measurement service at St. Paul's Hospital: a pharmacy
      perspective.
AB  - Recently, there has been much emphasis on the value of "Therapeutic Drug
      Monitoring" (TDM). TDM includes clinical attention to the appropriateness,
      efficacy, side effects and toxicity of drug usage as it relates to the
      pharmacokinetics of the drug in the patient. The goal of TDM is to optimize drug
      therapy in each patient through the appropriate choice, dose and monitoring of
      drug use. The Drug Measurement Service (DMS) at St. Paul's Hospital is a
      cooperative venture of the departments of medicine, laboratories and pharmacy.
      The main function of the DMS is TDM. Also, the service educates staff physicians,
      residents and interns in the proper use and interpretation of serum drug levels.
      This will make future drug level measurements more beneficial to the patient.
      This paper outlines the need for a TDM service, the structure and activities of
      the service, the materials and methods used, and the basic pharmacokinetics and
      dosing recommendations of the first drug monitored (theophylline). The results of
      the first six months' experience are presented and discussed.

PMID- 10258992
TI  - Lengthy hospitalization of children: its impact on families.

PMID- 10258993
TI  - Discharge planning models. Johnson City Medical Center Hospital, Johnson City,
      TN.

PMID- 10258995
TI  - Evaluating outcomes of social work intervention.

PMID- 10258994
TI  - Implementation of primary nursing tenets for the maternity patient and her
      newborn(s).

PMID- 10258996
TI  - Discharge planning models. Memorial Medical Center, Springfield, IL.

PMID- 10258997
TI  - The role of occupational therapy in the discharge planning process from the acute
      care setting.

PMID- 10258998
TI  - Discharge planning for the psychiatric client.

PMID- 10258999
TI  - Firearm knowledgeability in ED is crucial: surgeon.

PMID- 10259001
TI  - Eager but inexperienced MD's can be a trial at disaster scene.

PMID- 10259000
TI  - Jersey's new poison control on line 24 hours a day.

PMID- 10259002
TI  - The bystander issue: who will help in cardiac arrest?

PMID- 10259003
TI  - CPR: who should be trained?

PMID- 10259004
TI  - Initial and long-term competency of citizens trained in CPR.

PMID- 10259005
TI  - Options for ensuring rapid initiation of CPR.

PMID- 10259006
TI  - Employee health in the computer age.

PMID- 10259007
TI  - Michigan community joins striking nurses on patient care issues.

PMID- 10259008
TI  - 600 RNs gain higher rates in Lenox Hill pact.

PMID- 10259009
TI  - Environmental evaluation of the work place.

PMID- 10259010
TI  - Work place safety: a hazard recognition approach.

PMID- 10259011
TI  - Competition and regulation in health care: issues for consideration.

PMID- 10259012
TI  - Multifunction dampers in smoke control systems.

PMID- 10259013
TI  - Medical center reduces energy consumption.

PMID- 10259015
TI  - First you take a history...

PMID- 10259014
TI  - Studies in energy retrofit: institutional.

PMID- 10259016
TI  - Recollections. An interview with Dr. Beatrice Tucker. Interview by Diane Redleaf
      and Pat Kelleher.

PMID- 10259017
TI  - More on corporatization.

PMID- 10259018
TI  - Destruction before detonation. The health and social costs of the weapons race.

PMID- 10259019
TI  - Materials management association trends.

PMID- 10259020
TI  - In praise of one-on-one negotiating.

PMID- 10259021
TI  - Is it ethical to share price information?

PMID- 10259022
TI  - Electronic order entry in hospital purchasing offices.

PMID- 10259024
TI  - Home health in position of hospitals a decade ago, says ODR suit lawyer.

PMID- 10259023
TI  - Making a CPD-based case cart system work.

PMID- 10259025
TI  - 'Nurse of the Year' develops home traction for infants. Interview by Neil and
      Joanna Gilbride.

PMID- 10259026
TI  - An interview with: Otto 'Bud' Brexler.

PMID- 10259027
TI  - Security during construction and renovation.

PMID- 10259028
TI  - Hospital library standards in New York State.

PMID- 10259029
TI  - Computer Research Network.

PMID- 10259030
TI  - Communication with the hospital staff on library services.

PMID- 10259031
TI  - Medical Library, Connaught Hospital, Lightfoot-Boston Street, Freetown, Sierra
      Leone, West Africa.

PMID- 10259032
TI  - Saab Medical Library, Beirut, Lebanon, 1980.

PMID- 10259033
TI  - One hour per book.

PMID- 10259034
TI  - Marketing on-line searches in the hospital library.

PMID- 10259035
TI  - Hospital library consultant--role, function, documentation.

PMID- 10259036
TI  - Eagleville Hospital and Rehabilitation Center Library.

PMID- 10259037
TI  - Make it safe.

PMID- 10259038
TI  - Why management development hasn't worked (so far) in the NHS.

PMID- 10259040
TI  - Efficiency savings in the NHS.

PMID- 10259039
TI  - Specialty costs at two general hospitals. "Actual" v "regression" approach--a
      comparative study.

PMID- 10259041
TI  - The NHS--parasitic, paralytic or particularly productive?

PMID- 10259042
TI  - Volunteers in the NHS.

PMID- 10259044
TI  - Collapsing hospitals.

PMID- 10259043
TI  - Salvation through efficiency?

PMID- 10259045
TI  - Is sickness within the NHS controllable?

PMID- 10259046
TI  - The hospital caterer--within or without?

PMID- 10259047
TI  - The practical unit administrator's toolkit.

PMID- 10259048
TI  - Institute of Health Service Administrators. Presidential Address 1982.

PMID- 10259049
TI  - The future of Whitley and pay bargaining.

PMID- 10259050
TI  - A Social Democratic approach to health care.

PMID- 10259051
TI  - Harnessing the private health sector.

PMID- 10259052
TI  - What do junior administrators expect of restructuring?

PMID- 10259053
TI  - A computerised patient administration system in a new Scottish DGH.

PMID- 10259054
TI  - A new catering complex at Torbay Hospital.

PMID- 10259055
TI  - Working at team level.

PMID- 10259056
TI  - Self-help for a healthy society.

PMID- 10259057
TI  - Volunteers in the NHS.

PMID- 10259058
TI  - New directions for primary health care in the inner city.

PMID- 10259059
TI  - Where are community health services going?

PMID- 10259061
TI  - The developing crisis in medical manpower.

PMID- 10259060
TI  - The initial and continuing education of hospital administrators.

PMID- 10259062
TI  - Going Dutch--opening a new hospital in Lelystad the Netherlands.

PMID- 10259063
TI  - Patchwork in health care.

PMID- 10259064
TI  - Organizational communication.

PMID- 10259065
TI  - How to develop and successfully compete for service contracts.

PMID- 10259066
TI  - A conversation with Lowell Palmquist.

PMID- 10259067
TI  - Health care manager's notebook. Behavior modeling.

PMID- 10259068
TI  - How to involve (the right) physicians in the leadership process.

PMID- 10259069
TI  - Carner's codes. Consolidate: yes or no?

PMID- 10259070
TI  - The hospital and mega-trends. Part 1.

PMID- 10259071
TI  - NFP Center reaches couples, teens, physicians, parents.

PMID- 10259072
TI  - Rehabilitation center helps chronic pain patients.

PMID- 10259073
TI  - Chronic pain program expands to provide inpatient services.

PMID- 10259074
TI  - Multihospital systems face growth, constraints, unexploited options.

PMID- 10259075
TI  - Understanding hospital ratings: key to sound management, bond financing.

PMID- 10259076
TI  - Implanting artificial heart raises allocation-of-resources issues.

PMID- 10259077
TI  - "Wrongful life" litigation outcomes set dangerous precedents.

PMID- 10259078
TI  - NLRB outlines procedure for investigatory review.

PMID- 10259079
TI  - CHA Task Force on Stewardship survey report, Part IV. Four views of the Catholic
      health care ministry.

PMID- 10259080
TI  - How can medical-moral committees function effectively in Catholic health
      facilities?

PMID- 10259081
TI  - Health care professionals called to examine witness role.

PMID- 10259082
TI  - Thorough documentation important foundation for successful legal defense.

PMID- 10259083
TI  - Plaintiff bears burden of proof that physician negligence caused surgical
      complications.

PMID- 10259084
TI  - Fair basis for staff privileges can protect hospitals against restraint-of-trade
      charges.

PMID- 10259085
TI  - Proposed indirect cost reimbursement reductions.

PMID- 10259086
TI  - Coalitions are defined, data base described by AHA's Office of Health Care
      Coalitions.

PMID- 10259087
TI  - Ninth Circuit finds Title VII of Civil Rights Act applies to employees of groups
      which allege discrimination by hospital.

PMID- 10259088
TI  - Recent Provider Reimbursement Manual changes will alter funded depreciation
      provisions.

PMID- 10259089
TI  - Supreme Court finds government hospitals not exempt from price discrimination
      charges.

PMID- 10259090
TI  - Medicaid reimbursement developments overshadowed by rate-setting proposals and
      other state reimbursement trends.

PMID- 10259091
TI  - When the medical school comes to town.

PMID- 10259092
TI  - Togetherness: ASIM, town and gown.

PMID- 10259093
TI  - Tax breaks for not-for-profits.

PMID- 10259094
TI  - Making your voice heard.

PMID- 10259095
TI  - The University Health Policy Consortium's Center for Health Policy Analysis and
      Research.
AB  - In 1978, the University Health Policy Consortium, composed of Boston University,
      Brandeis University and the Massachusetts Institute of Technology, established
      the Center for Health Policy Analysis and Research for the purpose of conducting
      relevant policy analyses and short-term research projects for the Health Care
      Financing Administration. The center has completed more than fifty analytical
      works since its inception and concentrates its research in three major health
      care areas: the financing and organization of long-term care, medical care
      quality, and acute care financing. The flexibility of the Center's organizational
      structure allows the staff of the three cooperating universities to pursue new
      topics while maintaining an interdisciplinary approach to emerging public policy
      problems.

PMID- 10259096
TI  - The Association for Health Services Research: a new professional organization.

PMID- 10259097
TI  - The new health policy: promises and pitfalls.
AB  - Our past health care policies--policies relating to provision of services,
      development of medical resources, public financing of care, and regulation-
      constitute a legacy greatly affecting our future. A new health policy must
      accommodate the political, social, and economic manifestations of that legacy. In
      the coming decade, the health care policy debate will be dominated by the
      reinvigorated champions of "competition." The banner of pro-competitive reform
      could be used to cloak changes in programs that give at best nominal help to
      alternative practice forms, and at worst simply force consumers to bear greater
      proportions of the cost of care.

PMID- 10259098
TI  - "Freedom of choice" laws: empirical evidence of their contribution to competition
      in mental health care delivery.
AB  - Freedom of Choice laws have been forwarded as laws which enhance consumer choice
      and efficient functioning of markets for mental health services. The name of
      these laws constitute a misnomer, because they serve to force consumers to buy a
      specific type of insurance coverage. Nevertheless, under a specific set of
      markets conditions, the implementation of Freedom of Choice laws may increase
      competition and improve efficiency in the market. Empirical estimates are
      reported of the effect on prices of this legislation.

PMID- 10259099
TI  - Union avoidance for hospitals.

PMID- 10259100
TI  - Measuring adaptation to medical technology.

PMID- 10259102
TI  - Management development in the health care sector: an empirical study.

PMID- 10259101
TI  - Private and public health insurance: competition incentives for the control of
      health care costs.

PMID- 10259103
TI  - Designing a quality assurance program: an approach that works.

PMID- 10259104
TI  - Environmental forces expand management slots for physicians.
AB  - Changes in the health care industry and health man-power have had a profound
      effect on the roles of physicians in hospital and health care management.
      Modified matrix and team approaches are methods by which physicians can be more
      effective in a variety of expanded opportunities.

PMID- 10259105
TI  - Feds propose medical staff redefinition.

PMID- 10259106
TI  - Development of a gentamicin monitoring service.

PMID- 10259107
TI  - Management issues in automating medical systems.
AB  - The nontechnical aspects of medical computing systems are as important as the
      technical. In order to understand why, it is important to consider the social
      context of systems, the human engineering necessary for medical systems to work,
      and the specifics of the man-machine interface. It is also necessary to plan for
      the change which comes with any new method. This paper contains a discussion of
      these topics, concluding with a set of guidelines for change-management which we
      feel organizes the data of years of experience into a systematic approach.

PMID- 10259108
TI  - Clinical engineering in the southeast.
AB  - A fully developed in-house clinical engineering program has much to offer to a
      large community hospital. In the southeast U.S., many community hospitals-600
      beds or fewer-have implemented partial programs and, as a result, have received
      only a partial return on their investment. A comprehensive program extends
      maintenance support to all patient-care devices, is intimately involved in the
      new device specification, evaluation, and selection process with the medical
      staff-standardizing whenever appropriate- and significantly involved in the
      continuing education program for in-house users of devices.

PMID- 10259109
TI  - A clinical internship program in biomedical engineering. Part I: Objectives of
      the program.
AB  - The need for, and specific objectives of, a clinical internship for biomedical
      engineering students are discussed in Part I. Through such an internship,
      participants can gain an appreciation for the role that engineers can play in
      quantifying and automating medical procedures. They also learn about the
      organizational structure of a clinical facility, the regulations, safety
      standards and accreditation requirements imposed on the health care industry, and
      the technological needs as envisioned by medical personnel. Finally, students
      become familiar with information flow in a medical facility, the units, codes and
      standards used to report diagnostic information, and current technology utilized
      in health care delivery, especially its limitations.

PMID- 10259110
TI  - Evaluating the mediating effects of social support upon life events and
      depressive symptoms.
AB  - Previous research has yielded inconsistent results regarding the mediating
      effects of social support upon psychiatric illness. Using data (N = 2029)
      gathered as part of a major epidemiologic study in the southeastern United
      States, the authors examine the relationships among depressive symptoms, social
      support, stressful life events, and socioeconomic status. As anticipated, direct
      effects were found for social support, stressful life events, and socioeconomic
      status upon depressive symptoms. However, when the data were analyzed via three
      way analysis of variance and multiple regression (including all possible
      interaction terms) analysis, no statistically significant interactive effects
      were found. The authors conclude that these findings clearly demonstrate direct
      effects of social support and stressful life events upon depressive symptoms.
      Respondents in the lower social support groups experience the greatest impact of
      stressful life events; in contrast, persons in high social support groups,
      although evidencing increased symptom scores with increasing numbers of life
      events, experience the buffering effect of social support by showing less severe
      distress.

PMID- 10259111
TI  - Social indicators and social structure.
AB  - The findings from seven factor analytic studies of social indicators at the
      subnational level constitute the starting point for this review of the
      relationship of social indicators, defined as measures of individual and family
      welfare, and social structure. This definition acknowledges the normative element
      in social indicators, but it does not specify the direction that they must move
      in order to be considered "good" or "bad." Three approaches to explaining social
      indicators are then reviewed: an indicator-specific model as exemplified by
      Anderson's analysis of infant mortality; an institution-specific model
      illustrated by Bidwell and Kasarda's study of the effectiveness of Colorado
      school districts; and a systemic-structural model, embodies in R. Young's studies
      of the social organization of the 48 states in relationship to social indicators.
      Although all three approaches have problems, the last is claimed to be the most
      heuristic.

PMID- 10259112
TI  - Social support and psychological disorder: a review.
AB  - With the rapid growth in the literature on social support and psychological
      disorder, a review of the area is in order. The present article describes current
      conceptualizations of social support, and presents a distillation of empirical
      evidence on the relationships among stress, social support, and psychological
      disorder. The structure of support links and the quality of the relationships
      they provide appear to be associated with a range of mental health issues.
      Methodological problems with current research are assessed, and suggestions for
      appropriate design and conceptualization are offered.

PMID- 10259113
TI  - The meaning of doing a good job: findings from a study of rural and urban mental
      health centers in the South.
AB  - This paper describes the development of a conceptual model concerning the
      relationship between the organization and utilization of staff in mental health
      centers, job satisfaction, and staff retention. In the rural and urban centers
      visited during the study, differences were found in the patterns of staff
      organization and utilization and in the meanings of "doing a good job." It is
      hypothesized that these meanings provide the framework in which staff members
      interpret their own job performances or, in other words, come to feel satisfied
      or dissatisfied with their work. It is further suggested that these meanings
      mediate any direct relationship between satisfaction and retention. This model
      has implications for future research of rural/urban differences, job
      satisfaction, and staff retention in mental health centers.

PMID- 10259114
TI  - The helper-therapy principle applied to weight management specialists.
AB  - One hundred twenty applicants to a weight management specialist training program
      were studied over a 33-month period. Following a nine-month training period,
      Specialists (N = 29; those leading at least one posttraining weight management
      group) were compared to Contact Controls (N = 31; persons participating in the
      weight management program, but not in the helper role) and No Contact Controls (N
      = 60; those not accepted into the training program and whose only contact with
      the program was for data collection purposes) in a test of the helper-therapy
      principle. The major question was, "What are the long-term physical,
      psychological, and behavioral effects on overweight and formerly overweight
      individuals involved in helping other persons manage their weight?" Data gathered
      at 12 and 24 months post-training revealed few differences between the total
      group of specialists and persons in the two control groups. However, when the
      data were analyzed by the amount of commitment to the specialist role, it was
      found that the Higher Involved Specialists (N = 16; those who led two or more
      weight management groups in the year posttraining) were significantly more likely
      to lose additional weight (or maintain earlier weight losses), to be more
      consistent in their adherence to the eating and activity levels advocated by the
      program, to feel better about themselves and their bodies, and to maintain their
      levels of general well-being than control subjects or the Lesser Involved
      Specialists. These latter individuals (N = 13) were significantly the worse for
      having gone through specialist training, but not fully carrying out the
      specialist role.

PMID- 10259115
TI  - The resident council: a key to independent living. A resident perspective.

PMID- 10259116
TI  - Independence means involvement with the larger community.

PMID- 10259118
TI  - The family's role in resident independence.

PMID- 10259119
TI  - Assistive devices: aids to functional independence.

PMID- 10259117
TI  - Legal and ethical issues in resident independence.

PMID- 10259120
TI  - Learned helplessness: a case for independence.

PMID- 10259121
TI  - Mt. Carmel: where we put life into your years, not just years into your life.

PMID- 10259122
TI  - Effective design for informal conversation.

PMID- 10259123
TI  - The challenge of ageism.

PMID- 10259124
TI  - The importance of physical therapy in fostering independence.

PMID- 10259125
TI  - The food service of the future is knowing when to purchase equipment.

PMID- 10259126
TI  - Health care advertising: a comparative analysis.

PMID- 10259127
TI  - Clinical pharmacy services for the chronically-ill patient in the community
      practice environment.

PMID- 10259128
TI  - Something may not be working in the hospital--but is it marketing?

PMID- 10259130
TI  - Marketing in the health care arena: some comments on O'Connor's evaluation of the
      discipline.

PMID- 10259129
TI  - Call for middle grounds.

PMID- 10259131
TI  - RN recruitment advertisements: an experimental study of nurses' response to ad
      content.

PMID- 10259132
TI  - Hospice in a long-term care facility: an innovative pattern of care.

PMID- 10259133
TI  - Administrator's role in prevention and care of decubitus ulcers.

PMID- 10259134
TI  - If it acts like a manager, it must be a manager.

PMID- 10259135
TI  - Community group leadership.

PMID- 10259136
TI  - Recruiting Black and Hispanic volunteers: a qualitative study of organizations'
      experiences.

PMID- 10259137
TI  - Utilization of volunteer family advocates in the emergency care unit waiting
      room.

PMID- 10259138
TI  - Self-help mutual aid: an idea whose time has come again.

PMID- 10259139
TI  - The use of management information systems in volunteer program management.

PMID- 10259140
TI  - Assessing the productivity of corporate staff services.

PMID- 10259141
TI  - Recognition and reward: keys to motivating supervisors.

PMID- 10259142
TI  - Management and the labor of love.

PMID- 10259144
TI  - How to make corporate identify work harder for the organization.

PMID- 10259145
TI  - Responsive managing: getting on with the job.

PMID- 10259143
TI  - Unusual weighting system assesses managerial applicants.

PMID- 10259146
TI  - In offices of the future...the productivity value of environment.

PMID- 10259147
TI  - Seven assumptions that block performance improvement.

PMID- 10259148
TI  - Why employee benefit programs need a 'performance' review.

PMID- 10259149
TI  - What to do about misfit supervisors. Part II: A 7-step solution to a difficult
      management problem.

PMID- 10259150
TI  - Crisis in data processing productivity...how to solve the information backlog.

PMID- 10259151
TI  - Controlling marketing research costs.

PMID- 10259152
TI  - Organizational leadership in turbulent times.

PMID- 10259153
TI  - Surviving the second industrial revolution. Where we are heading in the age of
      automation.

PMID- 10259154
TI  - Poor commercial service has forced growth in OPL's, panelist maintains.

PMID- 10259155
TI  - Getting control of your scrub clothes.

PMID- 10259156
TI  - Impact of TEFRA on professional corporations.

PMID- 10259157
TI  - The Center is ten years old. The Center for Research in Ambulatory Health Care
      Administration.

PMID- 10259158
TI  - Do healthcare administrators care less about health?
AB  - In a recent study conducted by the authors, Seattle-area managers disclosed a
      high incidence of discrimination against smokers at the hiring point, and
      expressed strong preferences for further restrictions on smoking in the
      workplace. Surprisingly, of the six management groups represented in the study,
      only healthcare administrators were acquiescent toward the presumed rights of
      smokers as employees. This anomaly, as well as other insights drawn from the
      research, is discussed in the article. Reader explanations to the apparent
      contradiction presented here are invited.

PMID- 10259159
TI  - Zeroing in on write-offs.
AB  - Although collection activities had been successful at the Diagnostic Clinic of
      Houston, the medical group felt the need to maximize the efficiency of the
      collections department by focusing on the procedures involved in writing off
      accounts. Once the group had identified problem areas in this procedure, it
      engaged in an evaluation process that involved establishing goals, appraising the
      system, and analyzing the elements of the procedure. A recommendation was made to
      and accepted by the group's board of directors concerning alleviating problem
      areas. The result was a most favorable cash position and the ability to
      accurately measure collection effectiveness.

PMID- 10259160
TI  - Selecting and installing an in-house computer system.
AB  - The traumatic experience of selecting and installing an in-house computer system
      can be eased by this guide through the forest of alternatives and sales claims
      confronting the prospective buyer. The authors have summarized problems common in
      the selection/installation process, and perhaps more important, they have
      detailed specific questions which should be asked in the decision-making process.
      The various selection criteria discussed include application software
      suitability, operating system software, equipment and its maintenance, ease of
      conversion, vendor experience and responsiveness, and cost considerations. By
      carefully investigating these factors as they relate to the many computer systems
      available, the buyer can reach a logical decision and anticipate a successful
      installation.

PMID- 10259161
TI  - Systems sophistication through mutual agreement.
AB  - While there is ample published material focusing on the concept of shared data
      processing systems, there has been little documentation of systems actually in
      use. The experience of the Loma Linda University Medical Center in developing and
      implementing a shared services system provides evidence that such an arrangement
      can be successful. Sharing data processing services can provide a level of
      systems sophistication not attainable by groups individually.

PMID- 10259162
TI  - Developing a patient information brochure.
AB  - In light of increasing consumer demands for information and the growing
      complexity of healthcare facilities, the need has arisen to present the public
      with useful information concerning your medical group. A patient information
      brochure can be a valuable public relations device as well as a time saver. It
      can serve as a written record of key policies and procedures and can also be a
      morale builder for patients and staff. If your medical group has not yet
      developed a patient information brochure, you will be able to glean many
      practical tips from this article. Drawing from experience, the author traces
      through the steps of developing the brochure--from exploring current models and
      choosing an appropriate team for the project, through production details.

PMID- 10259163
TI  - We've made a proven patient-pleaser even better.

PMID- 10259164
TI  - Most non-compliance is our fault.

PMID- 10259165
TI  - Who's really pulling the strings on health policy?

PMID- 10259166
TI  - The OBG standoff: more babies vs. more doctors.

PMID- 10259168
TI  - Why doctors shun nursing homes.

PMID- 10259167
TI  - Pulling the plug: could you be charged with murder?

PMID- 10259169
TI  - Blood banks move to bar AIDs carriers.

PMID- 10259170
TI  - Costs as well as cords are being cut in burgeoning birthing centers.

PMID- 10259171
TI  - Beeper-tagged patients roam till summoned.

PMID- 10259172
TI  - Hospital allowed to grossly overbill.

PMID- 10259173
TI  - Whatever happened to the nurse shortage?

PMID- 10259174
TI  - Rights for unconscious patient go before Legislature.

PMID- 10259175
TI  - Fetal versus maternal rights: who is the patient?

PMID- 10259176
TI  - Treatment decisions and the imperiled newborn.

PMID- 10259177
TI  - Tough times call for aware volunteers.

PMID- 10259178
TI  - Ethics and hospital decision making.

PMID- 10259179
TI  - Public hospitals may lose some, gain more through restructuring.

PMID- 10259180
TI  - DC's dilemma: close it or carry it.

PMID- 10259181
TI  - 'Austere' but 'attractive' addition takes pressure off crowded clinic.

PMID- 10259183
TI  - 'Spiritual' orientation gives system an edge in competitive San Antonio.

PMID- 10259182
TI  - Both hospitals and businesses must beware of coalitions' antitrust risks.

PMID- 10259184
TI  - 'Informed consent' for medical care also safeguards retarded patients.

PMID- 10259185
TI  - Hospital cash shortfalls spur creativity.

PMID- 10259186
TI  - If hospitals and physicians don't grab the PPO market, insurers will.

PMID- 10259187
TI  - NME cuts hospital costs 5%; bullish on expansion.

PMID- 10259188
TI  - Standardization may save $82 million.

PMID- 10259189
TI  - Investor ardor: hot today, but cool wave on the way?

PMID- 10259190
TI  - Tax act speeds automated merging of clinical and financial information.

PMID- 10259192
TI  - Ads counter negative headlines.

PMID- 10259191
TI  - Quality circles save $200,000; might mean edge in new payment schemes.

PMID- 10259193
TI  - Public hospitals trim back, branch out to stay alive.

PMID- 10259195
TI  - Pooling risks saves Adventists 24 million.

PMID- 10259194
TI  - Hospitals take precautions to guard employees against AIDS.

PMID- 10259196
TI  - Employer may be able to support age discrimination in pension plan.

PMID- 10259197
TI  - Refinancings may speed up as IRS lets arbitrage earnings cover fees.

PMID- 10259198
TI  - General Medical may trim national ambitions.

PMID- 10259199
TI  - Skyscraper might scratch merger.

PMID- 10259200
TI  - Unions copy chains' merger strategy.

PMID- 10259202
TI  - Lack of expertise, funding shackles marketing moves.

PMID- 10259201
TI  - Energy-managing system switches off up-front investment for hospitals.

PMID- 10259203
TI  - Competition getting even hotter.

PMID- 10259204
TI  - Hospital 'shopper' more crucial in today's competitive market.

PMID- 10259205
TI  - Help your physician 'brokers' make profits.

PMID- 10259206
TI  - Competition forces hospitals to 'humanize'.

PMID- 10259207
TI  - Marketing won't solve problems. Interview by Sally Berger.

PMID- 10259208
TI  - Risk management. Malpractice reform: NY's ready...

PMID- 10259209
TI  - Hospital buyers say groups don't harm seller relations.

PMID- 10259210
TI  - Nutritional services not expected to make menu of insurer coverages.

PMID- 10259211
TI  - Florida eyes plan to contain health care costs.

PMID- 10259212
TI  - Health tax for unemployed could cost $4 billion.

PMID- 10259213
TI  - Health care for the '80s.

PMID- 10259215
TI  - Hospitals in the middle.

PMID- 10259214
TI  - Preferred provider organization: a closer look.

PMID- 10259216
TI  - Conducting a wage and salary survey.

PMID- 10259217
TI  - Why employee motivation has declined in America.

PMID- 10259218
TI  - The disappearing right to terminate employees at will.

PMID- 10259219
TI  - Let's put appraisal back in performance appraisal: Part 2.

PMID- 10259220
TI  - The newest job in personnel: human resources data administrator.

PMID- 10259221
TI  - Should you establish a qualified cash or deferred arrangement?

PMID- 10259222
TI  - The power of positive management.

PMID- 10259223
TI  - Career development puts training in its place.

PMID- 10259224
TI  - New directions for the Social Security system.

PMID- 10259226
TI  - Implementing a health promotion program.

PMID- 10259225
TI  - What every manager should know about management consultants.

PMID- 10259227
TI  - Alternative work schedules increase employee satisfaction.

PMID- 10259228
TI  - A critical reevaluation of motivation, management, and productivity.

PMID- 10259229
TI  - Affirmative action goals: acknowledging the employer's interest.

PMID- 10259230
TI  - A counseling approach to employee burnout.

PMID- 10259231
TI  - Canadian Physiotherapy Association Congress/1982. The Enid Graham Memorial
      Lecture.

PMID- 10259233
TI  - Model for a statewide community-centered system.

PMID- 10259232
TI  - Judging the worth of one's work: physiotherapy as a profession in Canada.

PMID- 10259234
TI  - Finding the least restrictive environment.

PMID- 10259235
TI  - System prevents clients' 'falling through cracks'.

PMID- 10259236
TI  - Employee assistance programs: from the inside, from the outside.

PMID- 10259237
TI  - Constructive discipline.

PMID- 10259238
TI  - OSHA told to lower exposure standards. Stricter controls ordered for hospital
      sterilant.

PMID- 10259239
TI  - Gaining physician support: the problem and some practical solutions.

PMID- 10259240
TI  - Beyond the core bibliography: a guide to developing a consumer health library.

PMID- 10259241
TI  - Safety performance analysis.

PMID- 10259242
TI  - Consider a safety audit program.

PMID- 10259243
TI  - The world turned upside down: the contemporary revolution in state and local
      government capital financing.

PMID- 10259244
TI  - Evaluability assessment: from theory to practice in the Department of Health and
      Human Services.

PMID- 10259245
TI  - Installing management by objectives in a public agency: a comparison of Black and
      White managers, supervisors, and professionals.
AB  - This paper explores the prediction of King and Bass (1974) that black managers
      and supervisors may be more reluctant than whites to accept management programs
      such as management by objectives. Data were collected from 77 black and 61 white
      managers and professionals of the City of Detroit transportation system (D-DOT),
      after they had been involved with MBO for almost one year. Analyses of t-test
      results indicate that blacks assessed MBO as more helpful in their individual
      jobs and more positive for the organization than their white counterparts.
      Explanations derived from the racial demographics of the organization, the MBO
      installation, and characteristics of MBO as a management process in public
      agencies are given.

PMID- 10259246
TI  - Risk assessment in the policy-making process: environmental health and safety
      protection.
AB  - This article examines the extent to which differences exist in the relative
      degree of discretion permitted by the statutory mandates under which health risk
      assessments are conducted as a basis for regulatory action. Attention is focused
      on the Environmental Protection Agency and the Food and Drug Administration,
      because they are the lead federal regulatory agencies on most environmental
      health matters. The statutes are found to define risk, consider effects, identify
      target populations, and use benefit-cost analysis in a flexible way. But the
      burden of proof of risk typically is assigned in a more direct and stringent
      fashion. Overall, however, agencies are found to have substantial discretion in
      the manner in which risk assessments are incorporated into the policy process. A
      number of examples of efforts to reduce this flexibility are outlined and their
      implications for the future of the analysis of risks are delineated.

PMID- 10259247
TI  - Bureaucracy and cutting the cost of medical care.

PMID- 10259248
TI  - Identifying and treating suicidal patients in a general medical setting.

PMID- 10259249
TI  - Licensure, credentialing, or registration? Drawing the lines pro and con.
AB  - In California, legislation that would give respiratory therapists legal
      credentialing has a 50-50 chance of enactment, say proponents. Therapists in
      Michigan are pinning their hopes on title licensure. In Utah a licensing bill for
      RTs is being rewritten. Arguments by both sides of the issue are presented here.

PMID- 10259250
TI  - The role of the respiratory therapist in the NICU.
AB  - Neonatal respiratory therapy has emerged as a new specialization in recent years,
      owing to advances in medical knowledge such as those which have increased the
      survival rate for premature infants. Various factors define the scope of the
      neonatal respiratory therapist's role, which varies from one facility to another
      but can include involvement in delivery, transport, education, and research as
      well as ventilatory assistance and monitoring.

PMID- 10259251
TI  - A closer look at oxygen concentrators.
AB  - In the past ten years, oxygen concentrators have grown in popularity and in the
      diversity of available models--but not in size. Miniaturization has been the
      major trend. Important factors in the choice and evaluation of oxygen
      concentrators are the size of the unit, concentrations and air flows delivered,
      reliability, and cost.

PMID- 10259252
TI  - Subspecialties in respiratory therapy.

PMID- 10259253
TI  - Respiratory-ECG services department, Memorial Hospital of Union County, Ohio.
AB  - At the 108-bed hospital in Marysville, Ohio, as at many similar rural medical
      facilities, the functional of the respiratory therapists extend beyond the
      traditional bounds of this discipline. They include noninvasive cardiodiagnostic
      testing, stress testing, Holter monitoring, and pulmonary function testing.

PMID- 10259254
TI  - Fiberoptic bronchoscopy. Indications, training, and certification.
AB  - To assist hospital committees in maintaining high standards of practice in their
      facilities, the American College of Physicians has prepared a list of cognitive
      and procedural objectives which may serve as guidelines in evaluating physicians'
      performance of fiber-optic bronchoscopy. These are outlined here, along with
      indications, contraindications, and high-risk situations.

PMID- 10259255
TI  - Should respiratory therapists prescribe drugs?
AB  - In their move toward greater professionalism and responsibility, respiratory
      therapists are considering such issues as licensure, education standards,
      specialization, and prescribing drugs. In this article, views of both respiratory
      therapists and physicians on these issues are examined.

PMID- 10259256
TI  - An interview with the president of AART. Interview by Catherine A. Reade.

PMID- 10259257
TI  - Meeting the challenge of cost containment.

PMID- 10259259
TI  - Sick houses, sick offices.
AB  - The level of air pollution in some homes and offices exceeds the legal outdoor
      limits. The sources are many, including building materials, furnishings,
      insulation, gas appliances, cigarette smoking, and fireplaces. Efforts to
      conserve energy have resulted in the trapping of noxious gases and particulates
      inside.

PMID- 10259258
TI  - Self-help for asthmatic children.
AB  - One of the important causes of treatment failure in childhood asthma is poor
      compliance. The highly structured program to encourage self-help and thus improve
      compliance described here involves education and behavior modification (patient,
      parent, and health care team). Children as young as 6 years of age were found to
      be capable of participating in the program successfully.

PMID- 10259260
TI  - Respiratory services department at Presbyterian Intercommunity Hospital.
AB  - In 20 years, this department has grown from a small office with a staff of one to
      a facility staffed by 44 respiratory therapists and divided into four sections:
      respiratory therapy, respiratory laboratory, respiratory rehabilitation, and
      anesthesia. Computer programs complement the department's many services.

PMID- 10259261
TI  - Master file: success and the single operator.

PMID- 10259262
TI  - Hospital had a dream: to build award-winning foodservice facility.

PMID- 10259263
TI  - Expert shares tips, formulas for successful expansion.

PMID- 10259264
TI  - Communication with offices is important to ambulatory units.

PMID- 10259265
TI  - Segregation index: an orsametric for measuring discrimination against minorities.
AB  - Orsametrics, the science of data and measurement appropriate to decision-making
      models, was proposed by H. M. Wagner in 1971. This paper proposes an orsametric
      measuring the distance between the current distribution of minorities in the
      organization and the worst distribution that minorities could have, given a
      specified proportion of minorities present in the organization. Measurement of
      this distance via the absolute value norm leads to a constrained model in which a
      convex, absolute-value functional must be maximized. This is accomplished by
      means of an algorithm designed to take advantage of the special structural
      properties of the model. An example is provided to demonstrate how the
      segregation index can be used to track discrimination levels within an
      organization through time. (Orsametrics: public sector applications
      quantification of discriminatory hiring promotion practices; mathematical
      modelling-nonlinear, maximizing a convex function subject to linear constraints.

PMID- 10259266
TI  - Nursing home survey.

PMID- 10259267
TI  - Closed circuit TV uses in patient education.

PMID- 10259268
TI  - QA and the dietitian.

PMID- 10259269
TI  - Patient education: how to establish a low-cost program.

PMID- 10259270
TI  - Patient education: essential part of GP.

PMID- 10259271
TI  - Prevention: an organized team effort.

PMID- 10259272
TI  - Spinal injury learning series.

PMID- 10259273
TI  - Teaching patients via satellite.

PMID- 10259274
TI  - Transition: theory to practice.

PMID- 10259275
TI  - New anti-trust onslaught on the health care industry.

PMID- 10259276
TI  - Moderation in hospital expenses cuts industry inflation.

PMID- 10259277
TI  - If boards mean business, they'll refocus the governance function.
AB  - Emulating the business world will require hospitals to examine board structure,
      size, and composition. It also will require a reexamination of hospital
      management's structure, especially lines of authority and the relationships among
      organizational units. This article provides guidelines to facilitate such
      examinations.

PMID- 10259278
TI  - As I see it: change of hospital administrators.

PMID- 10259279
TI  - Third Grand Jury impaneled in 'murder by neglect' case.

PMID- 10259281
TI  - General Accounting Office. Mentally ill elderly underserved, study warns.

PMID- 10259280
TI  - Maintaining quality food service in the long-term care facility.

PMID- 10259282
TI  - Elderly access to packaging studied.

PMID- 10259283
TI  - The consultant's role in pharmacy practice.

PMID- 10259285
TI  - Credentialing policy held in abeyance.

PMID- 10259284
TI  - Hospital ships remain off schedule.

PMID- 10259286
TI  - Pertussis vaccine report. Controversy brings into question role, technique of
      public health.

PMID- 10259287
TI  - DoD seeking field material consistency.

PMID- 10259289
TI  - Many studies draw on heart registry.

PMID- 10259288
TI  - Materiel studies 'mission oriented'.

PMID- 10259290
TI  - Unit meets basic research needs.

PMID- 10259291
TI  - Overseas research international asset.

PMID- 10259293
TI  - Services urge hospital sizing formula change.

PMID- 10259292
TI  - Air Force 'preplacing' in Europe. Interview by Nancy Tomich.

PMID- 10259294
TI  - Supporters of federal involvement in HSA network dwindling steadily.

PMID- 10259295
TI  - HSA, HRA officially merge into 'leaner' organization.

PMID- 10259296
TI  - Teleradiology hailed as technique to conserve military's specialists.

PMID- 10259297
TI  - Standards sought for DoD surgeons.

PMID- 10259299
TI  - Pacemaker report. Government costs seen influenced by industry's marketing
      practices.

PMID- 10259298
TI  - Air Force hospital serves as 'hub'.

PMID- 10259300
TI  - 'Triangle' hospital at state of art.

PMID- 10259301
TI  - ADP plans mirror conflict in VA.

PMID- 10259302
TI  - 'Consent' model act developed.

PMID- 10259303
TI  - Organ retrieval system 'flies'.

PMID- 10259305
TI  - GAO urges phasing out IHS inpatient care at 9 hospitals.

PMID- 10259304
TI  - DoD plan funding may rise.

PMID- 10259306
TI  - FDA chief recommends 'tailored', patient-relevant drug information.

PMID- 10259307
TI  - Malpractice, credentialing reporting set.

PMID- 10259308
TI  - Tampering report. FDA, industry working to provide safe packages, without
      guarantee.

PMID- 10259309
TI  - Delaying disease 'efficient'.

PMID- 10259310
TI  - Wartime nursing supply not adequate.

PMID- 10259311
TI  - VA defends review of planning efforts.

PMID- 10259312
TI  - State health report. Funding cuts earmark 'new federalism'.

PMID- 10259313
TI  - NHSC report. Authorizing statute expires in '84; use of loan programs foreseen.

PMID- 10259314
TI  - Baby death prevention called 'cost-effective'.

PMID- 10259315
TI  - Program directed at prevention of infant deaths.

PMID- 10259317
TI  - Army total fitness program a success.

PMID- 10259316
TI  - 19 HHS programs accepted in states.

PMID- 10259318
TI  - USUHS hits goal; potential realized.

PMID- 10259319
TI  - FDA reforms drug approval system.

PMID- 10259320
TI  - AMA seeks unity within profession.

PMID- 10259321
TI  - Medical readiness marks AF efforts.

PMID- 10259322
TI  - NHLBI sets target on disease control.

PMID- 10259323
TI  - Navy transition brings progress.

PMID- 10259325
TI  - NIH will continue current strategies.

PMID- 10259324
TI  - Cancer prevention NCI's primary goal.

PMID- 10259326
TI  - Public health challenges addressed.

PMID- 10259327
TI  - Medical readiness DoD's main goal.

PMID- 10259328
TI  - 'Squeal rule' may be first Heckler test.

PMID- 10259330
TI  - Low-cost techniques urged for 'young lives'.

PMID- 10259329
TI  - Reauthorization attempt arousing intense emotion from both sides. Ethics
      Commission report.

PMID- 10259331
TI  - Report says 'general' nursing shortage over.

PMID- 10259332
TI  - The hospital cost impact of health care for illegal aliens.

PMID- 10259333
TI  - Psychotropic drug use in the elderly: optimal technique.

PMID- 10259334
TI  - Treatment and research of the chronic schizophrenic patient, Part III: Behavior
      therapy in the community treatment of schizophrenics.

PMID- 10259336
TI  - National Rehabilitation Hospital.

PMID- 10259335
TI  - An overview of certification by the American Certification Council for Medical
      Rehabilitation Therapists and Specialists.
AB  - The American Certification Council (formerly Registry) for Medical Rehabilitation
      Therapists and Specialists has been concerned with the professional recognition
      and development of rehabilitation therapists and specialists since 1953. Since
      1973, the Council has been working to upgrade its registration process to that of
      certification including the use of an examination. In 1980, the Council obtained
      Conditional Membership and national recognition in the National Commission of
      Health Certifying Agencies. During the past year, the Council has begun
      administering a certification examination and feels that all criteria for Regular
      Membership in the Commission has been met. The Council and the members still have
      much to do to improve and refine the certification and recertification programs
      in the years to come, but the author feels that a positive committment toward the
      professional growth and development of the various rehabilitation therapy and
      specialty occupations have already been accomplished.

PMID- 10259337
TI  - Job sample evaluation methodology.

PMID- 10259338
TI  - A statistical comparison of the emotional status of hospitalized versus
      nonhospitalized subjects: a pilot study.
AB  - It has been suggested that the health care system might be best assessed by the
      patient's own attitudes concerning the quality of service rendered (Wood, 1974).
      The purpose of this study is to analyze the psychosocial quality of the health
      service/hospital system in the greater Iowa City, Iowa area, and the relative
      emotional stability of hospitalized patients in several local hospitals.
      Specifically, a survey of 20 questions has been developed to assess (1) patient's
      attitudes and psychosocial outlook, (2) patient's self-perception. (3) situation
      generated feelings and (4) family/support group generated feelings. The
      comparative results of this experiment may indicate (1) the overall emotional
      status of hospitalized patients relative to non-hospitalized individuals and (2)
      the general psychosocial effectiveness of the hospital system (in the greater
      Iowa City. Iowa area). This information may be useful to both the medical/allied
      health student and the inexperienced clinician, relative to various preconceived
      notions concerning the emotional state of hospitalized patients, in general.

PMID- 10259339
TI  - Myths about the volunteer.

PMID- 10259341
TI  - The VA and the volunteer.

PMID- 10259340
TI  - 1982 National Rehabilitation Conference keynote address.

PMID- 10259342
TI  - Residency match-day arrives, to students' joy or despair.

PMID- 10259343
TI  - Nurses: the most human of professionals.

PMID- 10259344
TI  - Potential AIDS victims urged not to donate blood.

PMID- 10259345
TI  - AMA to file amicus brief in AAP suit.

PMID- 10259347
TI  - Prepaid plans offered for poor.

PMID- 10259346
TI  - Group defines society's health role. President's Commission on Ethical Problems
      in Medicine.

PMID- 10259348
TI  - ACP takes position on the Federal Trade Commission.

PMID- 10259349
TI  - MDs glimpse nuclear magnetic resonance in action...and hear about its possible
      uses.

PMID- 10259350
TI  - Communication can be vital to patient's health.

PMID- 10259351
TI  - FTC, medicine must cooperate.

PMID- 10259352
TI  - FTC scrutiny of health care to be debated again...

PMID- 10259353
TI  - Multiply your clout with a grassroots lobbying network.

PMID- 10259354
TI  - Cancer treatment: clinical trials vs. local teams.

PMID- 10259355
TI  - The new cost-control "coalitions": will big business run the show.

PMID- 10259357
TI  - A regimen for stress reduction.

PMID- 10259356
TI  - Three TV networks will begin beaming programs to hospitals this year.

PMID- 10259358
TI  - How to write--and recognize--quality instructor manuals.

PMID- 10259359
TI  - A capsule review of the health promotion literature of 1982.

PMID- 10259361
TI  - Fighting for the user.

PMID- 10259360
TI  - The human side of information's converging technology.

PMID- 10259362
TI  - Mental models: ways of looking at a system.

PMID- 10259363
TI  - What's ahead for secondary services.

PMID- 10259364
TI  - Self-service information that works.

PMID- 10259365
TI  - The house officer's role as a teacher.

PMID- 10259366
TI  - A hospital's liability for negligence.

PMID- 10259367
TI  - Teaching the house officer to teach.

PMID- 10259368
TI  - Blues lead in policies but lag in premium: study.

PMID- 10259370
TI  - Getting the facts on computerized data bases.

PMID- 10259369
TI  - Harvard offers hospital risk management course.

PMID- 10259371
TI  - EEOC drafting health plan rules.

PMID- 10259372
TI  - Health premium increase worries Illinois officials.

PMID- 10259373
TI  - Non-traditional clinic promotes total health care and patient involvement.
AB  - The Reach Community Health Centre in Vancouver offers total health care services
      to its mostly ethnic patient population. Their non-hierarchical administrative
      structure allows patients to practice self-determination in their care and staff
      members to share equal decision-making influence.

PMID- 10259374
TI  - Emergency medical systems significantly increase patient survival rates. Part 2.

PMID- 10259375
TI  - Patients' bills of rights can be legally dangerous to providers of health care
      services.

PMID- 10259376
TI  - Competence assurance.

PMID- 10259378
TI  - The Visiting Nurse Service of New York.

PMID- 10259377
TI  - Creating the popular will to save 14 lives a minute.

PMID- 10259379
TI  - Regulations with respect to the hospice legislation.

PMID- 10259380
TI  - GAO evaluates expanded home care services.

PMID- 10259381
TI  - NAHC (National Association for Home Care) appeals to U.S. Supreme Court to
      preserve ODR (Office of Direct Reimbursement).

PMID- 10259382
TI  - An automated pharmacy management system makes a difference.

PMID- 10259383
TI  - Pharmacy computerization: a rational step forward.
AB  - The decision was made and the Travenol computer system was installed and has
      since assisted the department of pharmacy in capping current labor expenditures,
      while increasing operating efficiencies. Technicians perform conditional order
      entry while pharmacists review and validate the orders. The resulting
      efficiencies have been readily translated into the benefits mentioned above. The
      enhanced services also include numerous clinical activities and the often
      neglected distribution responsibility. Another noteworthy benefit is the increase
      professionalism brought about by computerization of the department.

PMID- 10259384
TI  - Drug-drug interaction detection.

PMID- 10259385
TI  - Accounts receivable: credit and collections procedure.

PMID- 10259386
TI  - Drug interaction systems. Interview by Bill W. Childs.

PMID- 10259387
TI  - A primer on how to use a vectorscope.

PMID- 10259388
TI  - Testing for scan linearity.

PMID- 10259389
TI  - Whither the interactive videodisc?

PMID- 10259390
TI  - An all-purpose reaction form for teleconferencing.

PMID- 10259391
TI  - TV production and the bottom line--the video operations audit.

PMID- 10259392
TI  - What to cover in a production contract.

PMID- 10259393
TI  - BC/BS activity in alternate delivery systems.

PMID- 10259394
TI  - Historic Supreme Court decisions make clear that health care area is subject to
      antitrust scrutiny.

PMID- 10259395
TI  - Health care cost containment, communication are priorities for benefits managers,
      says Segal survey.

PMID- 10259396
TI  - Private health plans common in Canada.

PMID- 10259397
TI  - Forms design helps in administration of drug plan for Retail Clerks.

PMID- 10259398
TI  - The 'bottom line' after Connecticut v. Teal.

PMID- 10259399
TI  - Court acceptance of Uniform Guidelines provisions: the bottom line and the search
      for alternatives.

PMID- 10259400
TI  - Alternative selection procedures and the Uniform Guidelines: improving the
      quality of employer investigations.

PMID- 10259401
TI  - Strikes: strategy and tactics for managers.
AB  - The threat of a strike is a powerful weapon in the union's arsenal. Management,
      caught off-guard when a strike hits, can be faced with insurmountable problems
      regarding maintenance of business operations and may be put in a position of
      capitulating to labor's demands. To avert these problems and to be able to
      effectively cope with the impact of a walkout, management must have a plan of
      action well in advance of the strike. In the following article, the authors
      provide a detailed strategy for strike preparation and discuss the issues
      management must address in dealing with a potential strike.

PMID- 10259402
TI  - The legality of employee attitude surveys in union environments.
AB  - Employee attitude surveys are becoming an increasingly popular tool for
      employers. A host of legal implications, such as the circumstances under which
      they can be used, what they can ask, and whether or not they are a subject of
      mandatory bargaining, arise when surveys are conducted by companies that have an
      incumbent union or by companies that are involved in union-organizing campaigns.
      The following article describes the survey process, outlines some of the inherent
      advantages and pitfalls, and examines the legal questions raised when surveys are
      used by nonunion employers, by employers with incumbent unions, and by employers
      who are involved in union-organizing-campaigns. It concludes with recommendations
      for employers that undertake attitude surveys.

PMID- 10259403
TI  - Bargaining for concessions: what information must the employer provide?
AB  - Employers faced with the current bleak economic situation increasingly are
      demanding concessions from the unions representing their employees. Unions faced
      with such demands are fighting back by requesting confidential information from
      their employers concerning the need for concessions. In recent years, the scope
      of the information to which a union may be entitled has been expanded greatly.
      This article examines recent decisions and suggests some alternatives for
      avoiding disclosure of information to the union.

PMID- 10259404
TI  - New EM research institute hopes to coordinate lab, clinical data speedily.

PMID- 10259405
TI  - Who's responsible for 'abuse'?

PMID- 10259406
TI  - CT scanner-sharing setups are working well in three locations.

PMID- 10259407
TI  - Wooing ambulance crews one way to keep business.

PMID- 10259408
TI  - Taming the cost of health care.

PMID- 10259409
TI  - Death and dying: support systems.

PMID- 10259410
TI  - Attitudes and aging: US/USSR contrasted.

PMID- 10259411
TI  - Working with the family and environment.

PMID- 10259412
TI  - Biomedical aspects of aging and their relation to geriatric care.

PMID- 10259413
TI  - Nutrition and the older individual.

PMID- 10259414
TI  - Pharmacology of aging.

PMID- 10259415
TI  - Gerontological nursing.

PMID- 10259416
TI  - St. John Hospital's restaurant: the Courtyard.

PMID- 10259417
TI  - The coming of the mega-hospital.

PMID- 10259418
TI  - A decade in hospitals.

PMID- 10259419
TI  - A decade in nursing homes.

PMID- 10259420
TI  - How to turn a humble public service ad into a moneymaker.

PMID- 10259421
TI  - Computer, other services can be business-donated.

PMID- 10259422
TI  - Patient drug information from the health professionals.

PMID- 10259423
TI  - Formularies: conceptual and experimental factors related to product selection.

PMID- 10259424
TI  - Drug information service to community pharmacists: a survey of providers.

PMID- 10259425
TI  - Selector system design for the Iowa drug information service microfilm file.

PMID- 10259426
TI  - Physicians' sources of information about teratogenic effects of drugs.

PMID- 10259427
TI  - Inaugural of the Health Policy Forum and Proceedings of the Health Policy Forum
      on Foreign Medical Graduates in New York City, June 1-2, 1978.

PMID- 10259428
TI  - National policy toward the foreign medical graduate: the legislative history, the
      policy and how it will work.

PMID- 10259429
TI  - The number and specialty distribution of foreign medical graduate house staff in
      New York City teaching hospitals.

PMID- 10259430
TI  - The foreign medical graduate and graduate training in New York City hospitals.

PMID- 10259431
TI  - Transitional and long-range implications of reduction in house staff in New York
      City hospitals.

PMID- 10259432
TI  - Proceedings of the Health Policy Forum on Hospital Closures in New York City,
      October 26-27, 1978.

PMID- 10259433
TI  - Hospital closure: the federal government perspective.

PMID- 10259435
TI  - Hospital closures: the New York City experience.

PMID- 10259434
TI  - Viewpoints on hospital closure.

PMID- 10259436
TI  - State concerns and role in hospital closure.

PMID- 10259437
TI  - Indications, process and implications of hospital closure.

PMID- 10259438
TI  - Hospital closure: the Congressional perspective.

PMID- 10259439
TI  - Importance of a uniform licensing examination.

PMID- 10259440
TI  - Times of challenge and opportunity.

PMID- 10259441
TI  - Diasonics' winning ways to look inside you.

PMID- 10259442
TI  - Facing the uninsured: a new admitting dilemma.

PMID- 10259443
TI  - Admitting joins team to help in discharge planning.

PMID- 10259444
TI  - Admitting psychiatric patients: gear procedures to their needs.

PMID- 10259445
TI  - Admitting managers write their own professional standards and ethics.

PMID- 10259447
TI  - Infection control for admitters.

PMID- 10259446
TI  - Hospitalized travelers get help from ministering programs.

PMID- 10259448
TI  - Admitters market their hospitals to physicians' staffs.

PMID- 10259449
TI  - Career ladder program may improve turnover rate.

PMID- 10259450
TI  - Use care, tact and planning to admit paralyzed patients.

PMID- 10259451
TI  - New plain language forms mean patients give informed consent.

PMID- 10259453
TI  - An interview with Linda Lemon. Director of security at Maryview Hospital.

PMID- 10259452
TI  - Routine admitting methods not grist for patient lawsuits.

PMID- 10259454
TI  - Security staffing: making the most of your options.

PMID- 10259455
TI  - Improved communications can overcome QA obstacles.

PMID- 10259456
TI  - Home IV cancer chemotherapy benefits patients and hospital.

PMID- 10259457
TI  - Inpatient physical therapy programs must meet criteria.

PMID- 10259458
TI  - Unemployed receive free care in volunteer-staffed program.

PMID- 10259459
TI  - Child guidance center offers predivorce counseling.

PMID- 10259460
TI  - Pastoral education program serves clergy in the "Arklatex".

PMID- 10259461
TI  - Systems, commerce, and the caring tradition.

PMID- 10259462
TI  - Participation in Social Security: a social justice perspective.

PMID- 10259463
TI  - Lay-religious collaboration from three perspectives.

PMID- 10259464
TI  - Survey examines dying patients' image of God.

PMID- 10259465
TI  - Orientation programs prepare volunteers for patient contact.

PMID- 10259466
TI  - Expanded bereavement program focuses on children's needs.

PMID- 10259467
TI  - Preserving hospice values crucial with influx of Medicare dollars.

PMID- 10259468
TI  - Are Catholic hospitals morally responsible for surgical practices in associated
      office buildings?

PMID- 10259470
TI  - Credible witnesses, documentation necessary to support neglect charges.

PMID- 10259469
TI  - Private, nonprofit hospitals have right to manage physician appointments.

PMID- 10259471
TI  - Choose vendors who can help deliver patient care competitively.

PMID- 10259472
TI  - The importance of educational materials in product and supplier selection.

PMID- 10259473
TI  - Guarantees and warranties.

PMID- 10259474
TI  - What is the sales representative's role in a multihospital system?

PMID- 10259475
TI  - Ethics in business: problem identification and potential solutions.

PMID- 10259476
TI  - Evaluation of product samples.

PMID- 10259477
TI  - Packaging can make a good product better.

PMID- 10259478
TI  - Determining product quality.

PMID- 10259479
TI  - Effective warehousing and distribution practices.

PMID- 10259480
TI  - Your hospital brochure can sell your facilities. The time to use it is now!

PMID- 10259481
TI  - A new way to interest students in hospital related careers and a plentiful source
      of "that extra pair of hands".

PMID- 10259482
TI  - Hospital fills a radiotherapy void through sharing.

PMID- 10259483
TI  - Communication. Say what you mean!
AB  - The following suggestions are offered to improve your communication with
      coworkers and patients: 1. Don't use jargon when it isn't necessary. 2. Use
      feedback when seeking the meaning to a secondary message. 3. Key your messages to
      the level of understanding the receiver possesses. 4. Always realize your
      abstracting. 5. Do not always interpret message literally. Yes, in the beginning
      was the word. But when we interpret all words literally, we miss much of what is
      really being said. Ultimate meaning and awareness can only take place if we allow
      our intuition to come into focus. Sometimes it's best to literally "lose your
      mind" and "come to your senses."

PMID- 10259484
TI  - Risk management fights back--the hospital's response to the malpractice
      explosion.
AB  - The development of hospital Risk Management prevention programs will lead to
      improved patient care and reduce the number and cost of future medical
      malpractice actions. An effective Risk Management Program must gear itself toward
      improving patient care through identifying and reducing hospital risks. This, in
      turn, will tend to reduce mortality and morbidity, and, in time, reduce the
      number of claims filed against the hospital, as well as decreasing the liability
      in each case. The ultimate goal of a successful Risk Management Program is to
      both improve patient care, and to reduce the cost of medical malpractice for the
      institution.

PMID- 10259485
TI  - Another view of clinical engineering in a health care environment.

PMID- 10259486
TI  - How to improve communication in central service.

PMID- 10259487
TI  - Infection control. A patient on isolation.

PMID- 10259488
TI  - Management tools for the modern day health administrator. Part 2. Organizational
      tools.

PMID- 10259489
TI  - Stress management training for hospital supervisory personnel.
AB  - The overall goal of Stress Management Training is the re-orientation of people's
      typical stress reaction habits into new, more rational and assertive patterns of
      problem-solving. Participants gain new insights into what stress is and how it
      affects them. They learn skills which reduce stress to nondamaging levels. They
      learn to use their minds to productively solve problems and to manage their
      personal and professional lives to a better end.

PMID- 10259490
TI  - Evesham Day Hospital.

PMID- 10259491
TI  - Avoiding disappointment in MBO programs.

PMID- 10259492
TI  - Strategic career management--a missing link in management by objectives.

PMID- 10259493
TI  - DC District Court permanently enjoins HHS regulation.

PMID- 10259494
TI  - Quarterly tax report. Unrelated business income, Social Security amendments of
      1983, tax procedure, and IRS regulations.

PMID- 10259495
TI  - Recreation program is more than just play.

PMID- 10259496
TI  - Day centres--alternatives for action.

PMID- 10259497
TI  - Overcoming PR problems.

PMID- 10259498
TI  - Geriatrics--a future challenge.

PMID- 10259499
TI  - An oasis in times of need.

PMID- 10259500
TI  - IV infusion devices--make the right choice.

PMID- 10259501
TI  - Housley outlines clear path to product standardization.

PMID- 10259502
TI  - Performance measurement to become more important.

PMID- 10259504
TI  - Seminar tests purchasing law I.Q.

PMID- 10259503
TI  - "Listening' underscored as a communications tool.

PMID- 10259505
TI  - Telephone processing is "key' to special orders.

PMID- 10259506
TI  - Group purchasing: a blessing, a curse, or somewhere in between?

PMID- 10259507
TI  - Innovative alarms help monitor patients in bed.

PMID- 10259508
TI  - Q: Must a hospital permit nonMD health practitioners to render services in the
      hospital?

PMID- 10259509
TI  - Credentialing and quality of care.

PMID- 10259510
TI  - MDs and hospitals: conflict or partnership.
AB  - Hospitals and their medical staffs face separate and significant economic
      pressures. In working out their respective responses to these pressures, both
      will have to work hard to avert a collision of economic interests that could
      damage our health care system.

PMID- 10259511
TI  - Role of the chairman in the P&T committee.
AB  - The chairman of a P&T Committee has the power to set goals and priorities simply
      by the way he prepares for and disposes of committee business. A major goal of
      every P&T Committee is education, and it is the responsibility of the Committee
      chairman to create an educational atmosphere for the conduct of committee
      business so that ultimately good patient care will be accomplished.

PMID- 10259512
TI  - Clinical pharmacist impact on parenteral cephalosporin prescribing.
AB  - A study was undertaken to evaluate clinical pharmacist influence on parenteral
      cephalosporin prescribing patterns. Two intervention methods were evaluated: (1)
      publication of pharmacy newsletter for physicians containing specific
      recommendations and emphasizing the primary use of cefazolin, and (2) personal
      interaction between the clinical pharmacy staff and physicians promoting the
      recommendations outlined in the newsletter. These two methods were compared with
      each other as well as with an initial time span during which no influencing
      efforts were made. The effect of the pharmacy newsletter as a sole means of
      influencing physician prescribing of parenteral cephalosporins was minimal. The
      effect of pharmacist-physician interaction, either as a sole means of in
      conjunction with a pharmacy newsletter, resulted in an increased use of
      cefazolin. An annual cost savings of up to $11,265.88 was projected. The results
      indicate that physicians can be influenced in their prescribing of parenteral
      cephalosporins, leading to significant cost savings.

PMID- 10259513
TI  - Pharmaceutical sales representatives.

PMID- 10259514
TI  - Determinants of disenrollment: implications for HMO managers.

PMID- 10259515
TI  - Patient satisfaction with a family practice clinic: comparison of a questionnaire
      and an interview survey.

PMID- 10259517
TI  - Characteristics of outpatient room utilization.

PMID- 10259516
TI  - A comparison of responses to adolescent-oriented and traditional contraceptive
      programs.

PMID- 10259518
TI  - Patient care delivery in nursing homes: legal issues for owners and
      administrators. American Health Association.

PMID- 10259519
TI  - The interdependence of employee loyalty and increased productivity: you can't
      have one without the other.

PMID- 10259520
TI  - Using management trends to impact on cost efficiency and quality assurance.

PMID- 10259521
TI  - Taking charge of the future. Continuing case retirement centers: an expansion
      opportunity.

PMID- 10259522
TI  - Taking charge of the future. Adapting today's facility to meet tomorrow's needs.

PMID- 10259523
TI  - Cost effective quality food service.

PMID- 10259524
TI  - Managing your image.

PMID- 10259525
TI  - Reimbursement oriented budget systems.

PMID- 10259526
TI  - Quality circles: fad or management trend?

PMID- 10259527
TI  - Materials management: a success story at Sunny Acres.

PMID- 10259528
TI  - What does ACPE expect of ministry?

PMID- 10259529
TI  - A comparative evaluation of changes in basic clinical pastoral education students
      in different types of clinical settings as measured by the adjective check list
      and the experience scale.

PMID- 10259530
TI  - The new politics of national health insurance.

PMID- 10259531
TI  - National health insurance: an implementation perspective.

PMID- 10259532
TI  - How national health insurance will change health planning.

PMID- 10259533
TI  - A wellness model for national health insurance.

PMID- 10259534
TI  - Putting your best foot forward . . . TV exposure for management.

PMID- 10259535
TI  - The electronic office: how to make it user friendly.

PMID- 10259536
TI  - More companies shifting cost of medical care to employees.

PMID- 10259537
TI  - Have you got what it takes to get to the top?

PMID- 10259538
TI  - Psychiatry: the lost horizon: the erosion of human rights.

PMID- 10259539
TI  - Anaesthesiologist and the law.

PMID- 10259540
TI  - Medical instrumentation at Mount Sinai.

PMID- 10259541
TI  - Bubble memory at Miami Heart Institute.

PMID- 10259542
TI  - Annual buyers guide surveys. Biofeedback.

PMID- 10259543
TI  - Annual buyers guide surveys. Electrodes.

PMID- 10259544
TI  - Annual buyers guide surveys. Patient monitors.

PMID- 10259545
TI  - Annual buyers guide surveys. Stimulators/defibrillators.

PMID- 10259546
TI  - Is hospital or supplier of x-ray machine liable for accident injury?

PMID- 10259547
TI  - New medical device standards: how should hospitals respond?

PMID- 10259548
TI  - Ultrasonics for medical diagnostics. Part 7--Quality assurance (2).

PMID- 10259549
TI  - Instrumentation magnetic tape-recording: an overview.

PMID- 10259551
TI  - NMR imaging: an overview.

PMID- 10259550
TI  - EEG data recording.

PMID- 10259552
TI  - Respect for life--theological aspects.

PMID- 10259553
TI  - Appointment booking at Oldchurch Hospital, Romford.

PMID- 10259554
TI  - The work of the community physician in England.

PMID- 10259555
TI  - Monitoring and trends--the moving average.

PMID- 10259556
TI  - Information needs for the assessment of clinical performance in general practice.

PMID- 10259557
TI  - Korner proposals: the new facility returns.

PMID- 10259558
TI  - The patient information system.

PMID- 10259559
TI  - A district information service.

PMID- 10259561
TI  - HHS auditor wants required second opinions.

PMID- 10259560
TI  - The new 'informed patient'. Prescribers' pens are target of ads for the public.

PMID- 10259562
TI  - Four hospital pay systems held up as national models.

PMID- 10259563
TI  - Feds finalizing payment cuts for dialysis.

PMID- 10259564
TI  - Panel charges U.S. shirks duty to make "adequate' health care accessible to all.

PMID- 10259565
TI  - How doctors can help hospitals adjust to the technology pullback.

PMID- 10259566
TI  - Ways to be more assertive.

PMID- 10259567
TI  - Measuring work.

PMID- 10259568
TI  - Time: how to make a little a lot.

PMID- 10259569
TI  - Quality of worklife--1. A sense of belonging.

PMID- 10259570
TI  - Second annual guide to copiers.

PMID- 10259572
TI  - Tracking motivation. Surveys help gauge employee needs.

PMID- 10259571
TI  - Personnel. Every manager's responsibility.

PMID- 10259573
TI  - A quality atmosphere. Quality circles demand a supportive business philosophy.

PMID- 10259574
TI  - EEO: watch your next step.

PMID- 10259575
TI  - EEO: where we stand now.

PMID- 10259576
TI  - Cost cutting. A route to hidden profits.

PMID- 10259577
TI  - Physician recruitment: a five-step plan.

PMID- 10259578
TI  - Board responsibility for patient care: a prototype reporting system.

PMID- 10259579
TI  - Firing without shooting yourself in the foot.

PMID- 10259580
TI  - Better safe than sorry. Federal antitrust laws have a major impact.

PMID- 10259581
TI  - The urgent care craze.

PMID- 10259582
TI  - High-powered performance. Interview by Kelly F. Guncheon.

PMID- 10259583
TI  - The best defense is a good offense.

PMID- 10259584
TI  - HHS auditing chief tough on DME fraud.

PMID- 10259585
TI  - Hospital gift catalog is a 'capital' idea.

PMID- 10259586
TI  - The purposing of high-performing systems.
AB  - Vaill maintains that clarifying an organization's purposes is a prominent feature
      of all high-performing systems (HPSs). He defines HPSs as human systems that are
      doing dramatically better than other systems as measured by one or more criteria.
      Ten years' research on such systems is summarized in eight broad categories: (1)
      clarity of purposes, (2) member motivation, (3) teamwork, (4) leadership, (5)
      technology and innovation, (6) boundedness from the environment, (7) relationship
      to the environment, and (8) the unique ways in which the system "jells." HPSs are
      treated as unusually fertile settings for understanding how leaders of human
      systems engage in what is called "purposing"--a continuous stream of actions that
      has the effect of inducing clarity, consensus, and commitment regarding the
      organization's basic purposes. The article explores the personal qualities that
      enable HPS leaders to define and maintain a clear sense of purpose among all
      systems members. Three major characteristics are ascribed to such leaders: (1)
      the willingness to invest large amounts of time in the system, both in the sense
      of hour-to-hour and day-to-day time and in the sense of year-to-year and even
      decade-to-decade time; (2) the ability to develop and express deep feeling about
      the system, its purposes, the people in it, its history, and its future; and (3)
      the ability to focus on the issues and variables in the system that really make a
      difference in its performance. This is the Time-Feeling-Focus theory of HPS
      leadership.

PMID- 10259587
TI  - From skyhooks to walking sticks: on the road to nonrational decision making.
AB  - The amount of information that should be processed to reach a rational solution
      is so vast that it overwhelms our limited memory and analytic capacity. To
      grapple at all with real problems, we must shrink them to mind size. As Nobel
      Laureate Herbert Simon has suggested, we must learn to "satisfice." Using
      examples and a case history of managerial succession, Agnew and Brown demonstrate
      the importance of nonrational factors in decision making. "Skyhooks," their first
      major concept, are composed of an individual's strong beliefs and biases that
      appear almost as acts of faith without any obvious foundation. They help the
      exceptional executive operate on a limited set of alternatives. But while
      skyhooks give direction, they do not provide the means to reach a destination.
      Simpler conceptual models, or "walking sticks," are necessary to cover the rocky
      trails. Agnew and Brown offer four walking sticks that can be applied to
      managerial succession problems. The first walking stick considers executive
      decision making in three parts--nonrational, semirational, and rational--and
      covers the conditions in which each component comes into play. The second helps
      examine human resources as fixed or fluid and as assets or liabilities to develop
      a schema for manpower accounting in executive succession. Playing vs. talking a
      good executive game is the topic for walking stick three. The concern here is to
      distinguish the real players--who can manage systems--from the mere talkers, who
      can manage only fragments of systems. The fourth walking stick draws on the law
      of resource gravitation and crystallization, a law with implications for
      trainers: You can't fashion management training to fit all comers; instead, you
      must tailor it to what the trainees already are and know.

PMID- 10259588
TI  - Quality of work life: perspectives and directions.
AB  - The values that quality of work life (QWL) has brought to the workplace are in
      danger of being lost, say authors Nadler and Lawler; to avert this danger, they
      debunk several "definitions" of the concept that miss the point, give it a
      precise definition, and spell out ways to use it successfully. They delineate six
      factors that they believe separate more successful from less successful QWL
      efforts. The first success factor is a perception of need--that is, in successful
      efforts organization members actually perceive a problem. Second, the problem is
      salient to the organization. Third, a structure for participation is created.
      Fourth, rewards are provided both for the processes and for the outcomes of QWL
      activities. Fifth, multiple levels of management are involved. And, finally, QWL
      involves all organization members in a way that avoids "we-they" rivalries. With
      these factors in mind, the authors conclude that three major components of QWL
      efforts must be managed well if they are to succeed: (1) development of projects
      at different levels; (2) changes in management systems and structure; and (3)
      changes in senior management behavior--that is, if the QWL effort is to be
      credible to organization members, there must be some specific, tangible QWL
      activity in which senior managers participate.

PMID- 10259589
TI  - The controller's role in management.
AB  - A controller has two apparently contradictory responsibilities: (1) the
      management service responsibility of ensuring that specialist knowledge and
      expertise get proper consideration when business decisions and actions are taken,
      and (2) the custodial and monitoring responsibility of ensuring the accuracy of
      financial reporting and the integrity of internal control. The apparent
      contradiction is that the first responsibility requires active involvement in
      management while the second calls for a sense of independence from affiliated
      management. Sathe stresses that "strong" controllers overcome this dilemma by
      developing certain interpersonal skills. Such "strong" controllers thus have
      access to sensitive information and deliberations in progress--an access that
      permits them to take before-the-fact actions that stop ill-conceived, ill
      advised, or illegal decisions before they are taken. A controller who is not
      actively involved in decision making is not privy to such information and can
      exert only after-the-fact or reactive control. However, the costs of operating
      with a strong controller must be weighed against the potential benefits and
      compared with the benefits of alternate approaches.

PMID- 10259590
TI  - The evolution of Japanese management: lessons for U.S. managers.
AB  - To find the key to the success of Japanese economic performance since World War
      II, Marsland and Beer explore five main "environmental" factors used by Japanese
      firms to build a successful human resources management approach: Japanese social
      values, the structure of private enterprise, the structure of labor markets, the
      historic development of the Japanese employment system, and the structure of
      Japanese management. This discussion shows that post-war Japanese management,
      faced with rapid change, introduced new concepts and techniques that reinforced
      and maintained certain social values and traditions that fit well with human
      resources management objectives. This skillful blend of new ideas with
      traditional values enabled the Japanese to achieve superior economic performance.

PMID- 10259591
TI  - Learning from the Japanese: management in a resource-scarce world.
AB  - The principal value of studying the Japanese managerial system, according to
      Zussman, lies not in the prospect of copying it or of finding secrets for
      success, but in our ability to identify the relationship between the material
      resource position of an economy and the managerial systems that will be most
      effective in it. Zussman briefly discusses the historical development of the
      Japanese response to their resource-poor homeland and the principles they
      identified for success through the utilization of human resources--the one
      resource they had in abundance. He also cites the United States's historical
      response to its resource position as a source of our present economic
      difficulties. He contends that the structural changes required to cure our
      economic woes include eliminating the "entitlement" culture, developing better
      processes for employee selection, utilizing nonmonetary rewards, and adopting
      different criteria for selection and promotion of managers.

PMID- 10259593
TI  - The impact of collective action on hospitals. A report of the 1976 National Forum
      on Hospital and Health Affairs. Department of Health Administration of Duke
      University.

PMID- 10259592
TI  - New perspectives on hospital governance. A report of the 1981 National Forum on
      Hospital and Health Affairs. Department of Health Administration of Duke
      University.

PMID- 10259594
TI  - A decade of implementation: the multiple hospital management concept revisited. A
      report of the 1975 National Forum on Hospital and Health Affairs. Department of
      Health Administration of Duke University.

PMID- 10259595
TI  - Private sector coalitions: a fourth party in health care.

PMID- 10259597
TI  - A trustee's perspective on trusteeship.

PMID- 10259596
TI  - Contract management and its implications.

PMID- 10259598
TI  - The future directions of multiple unit management.

PMID- 10259599
TI  - Physician collective action: in quest of Pharos.

PMID- 10259600
TI  - The political realities of capital formation and capital allocation.

PMID- 10259601
TI  - The physician's perspective on coalitions.

PMID- 10259603
TI  - A fourth party in health care: background.

PMID- 10259602
TI  - The changing environment of hospital governance.

PMID- 10259604
TI  - The management perspective on coalitions.

PMID- 10259605
TI  - Collective actions by professional employees.

PMID- 10259606
TI  - The small hospital under multiple unit management.

PMID- 10259607
TI  - Current examples of active coalitions.

PMID- 10259608
TI  - Hospital governance and the community: a reexamination.

PMID- 10259609
TI  - Collective action by organized labor.

PMID- 10259610
TI  - The evolution of multiple hospital management.

PMID- 10259611
TI  - The politics of collective action.

PMID- 10259612
TI  - The interest of business and industry in health care.

PMID- 10259613
TI  - Hospital governance and government: perspectives and challenges.

PMID- 10259614
TI  - The economics of collective action.

PMID- 10259615
TI  - The investor owned approach.

PMID- 10259616
TI  - Coalitions and competition.

PMID- 10259617
TI  - Patient care and collective action.

PMID- 10259618
TI  - Physicians and hospital governance: a changing dynamic.

PMID- 10259619
TI  - The consortium approach.

PMID- 10259620
TI  - The regulation of collective action.

PMID- 10259621
TI  - Coalitions and competition.

PMID- 10259622
TI  - Other perspectives on private sector activities.

PMID- 10259623
TI  - Proper board-management relationships.

PMID- 10259624
TI  - Navy regionalization: an object lesson.

PMID- 10259625
TI  - Collective responses to collective actions.

PMID- 10259626
TI  - Private foundations' role in coalitions.

PMID- 10259627
TI  - Health care coalitions.

PMID- 10259628
TI  - Board relationships with other boards.

PMID- 10259629
TI  - The administrator and the future of collective actions.

PMID- 10259630
TI  - Changes in Church-operated systems.

PMID- 10259632
TI  - Hospital governance and the future.

PMID- 10259631
TI  - Business methods for containing medical costs.

PMID- 10259633
TI  - Hospital leaders as community leaders.

PMID- 10259634
TI  - Future implications: private sector coalitions.

PMID- 10259635
TI  - Wisconsin officials told of some abuses in health sales.

PMID- 10259636
TI  - Base projections on the 1980 Census report.

PMID- 10259638
TI  - The osteopathic difference.

PMID- 10259637
TI  - Physician & community input is key for success.

PMID- 10259639
TI  - Focus on management effectiveness. Personal letters increase possible collection
      results.

PMID- 10259640
TI  - The Social Security option--a controversial choice.

PMID- 10259641
TI  - Special issue on health care. Preface.

PMID- 10259642
TI  - Simulation of a health insurance market with adverse selection.
AB  - A health insurance market is examined in which individuals with a history of high
      utilization of health care services tend to select fee-for-service (FFS)
      insurance when offered a choice between FFS and health maintenance organizations
      (HMOs). In addition, HMOs are assumed to practice community rating of employee
      groups. Based on these observations and health plan enrollment and premium data
      from Minneapolis-St. Paul, a deterministic simulation model is constructed to
      predict equilibrium market shares and premiums for HMO and FFS insurers within a
      firm. Despite the fact that favorable selection enhances their ability to compete
      with FFS insurers, the model predicts that HMOs maximize profits at less than
      100% market share, and at a lower share than they could conceivably capture. That
      is, HMOs would not find it to their advantage to drive FFS insurers from the
      market even if they could. In all cases, however, the profit-maximizing HMO
      premium is greater than the experience-rated premium and, thus, the average
      health insurance premium per employee in firms offering both HMOs and FFS
      insurance is predicted to be greater than in firms offering one experience-rated
      plan. The model may be used to simulate the effects of varying the employer's
      method of contributing to health insurance premiums. Several contribution methods
      are compared. Employers who offer FFS and HMO insurance and pay the full cost of
      the lowest-cost plan are predicted to have lower average total premiums (employer
      plus employee contributions) than employers who pay any level percent of the cost
      of each plan.

PMID- 10259643
TI  - Application of multi-attribute utility theory to measure social preferences for
      health states.
AB  - A four-attribute health state classification system designed to uniquely
      categorize the health status of all individuals two years of age and over is
      presented. A social preference function defined over the health state
      classification system is required. Standard multi-attribute utility theory is
      investigated for the task, problems are identified and modifications to the
      standard method are proposed. The modified methods is field tested in a survey
      research project involving 112 home interviews. Results are presented and
      discussed in detail for both the social preference function and the performance
      of the modified method. A recommended social preference function is presented,
      complete with a range of uncertainty. The modified method is found to be
      applicable to the task--no insurmountable difficulties are encountered.
      Recommendations are presented, based on our experience, for other investigators
      who may be interested in reapplying the method in other studies.

PMID- 10259644
TI  - Conditional rate derivation in the presence of intervening variables using a
      Markov chain.
AB  - When conducting inferential and epidemiologic studies, researchers are often
      interested in the distribution of time until the occurrence of some specified
      event, a form of incidence calculation. Furthermore, this interest often extends
      to the effects of intervening factors on this distribution. In this paper we
      impose the assumption that the phenomena being investigated are governed by a
      stationary Markov chain and review how one may estimate the above distribution.
      We then introduce and relate two different methods of investigating the effects
      of intervening factors. In particular, we show how an investigator may evaluate
      the effect of potential intervention programs. Finally, we demonstrate the
      proposed methodology using data from a population study.

PMID- 10259645
TI  - An iterative estimation and validation procedure for specification of semi-Markov
      models with application to hospital patient flow.
AB  - This article presents a methodology to identify and specify a continuous time
      semi-Markov model of population flow within a network of service facilities. An
      iterative procedure of state space definition, population disaggregation, and
      parameter estimation leads to the specification of a model which satisfies the
      underlying semi-Markov assumptions. We also present a test of the impact of
      occupancy upon realizations of population flows. The procedure is applied to data
      describing the movement of obstetric patients in a large university teaching
      hospital. We use the model to predict length-of-stay distributions. Finally, we
      compare these results with those that would have been obtained without the
      procedure, and show the modified model to be superior.

PMID- 10259646
TI  - Estimating need and demand for prehospital care.
AB  - Models estimating demand and need for emergency transportation services are
      developed. These models can provide reliable estimates which can be used for
      planning purposes, by complementing and/or substituting for historical data. The
      model estimating demand requires only four independent variables: population in
      the area, employment in the area, and two indicators of socioeconomic status
      which can be obtained from census data. The model can be used to estimate demand
      according to 4 operational categories and 11 clinical categories. The parameters
      of the model are calibrated with 1979 data from 82 ambulance services covering
      over 200 minor civil divisions in Southwestern Pennsylvania. This model was
      tested with data from another 55 minor civil divisions, also in Southwestern
      Pennsylvania, and it provided good estimates to total demand. The model to
      estimate need evolves from the demand model. It enables planners to estimate
      unmet need occurring in the region. The effect of emergency transportation
      service (ETS) provider characteristics on demand was also investigated.
      Statistical tests show that, for purposes of forecasting demand, when the
      sociodemographic factors are taken into account, provider characteristics are not
      significant.

PMID- 10259647
TI  - Task interdependence and job design: test of a theory.
AB  - This paper develops the concept of task interdependence and integrates it in the
      Hackman and Oldham (1976) theory of job design. Two dimensions of initiated task
      interdependence and received task interdependence are developed as
      multidimensional concepts, each being made up of the elements of scope,
      resources, and criticality. A distinction is made between the two psychological
      states of experienced responsibility for one's own work and personal outcomes,
      and experienced responsibility for others' (dependents') work and personal
      outcomes for whom one initiates task interdependence. Autonomy is hypothesized to
      be related only to experienced responsibility for one's own work outcomes while
      initiated task interdependence is related to experienced responsibility for
      others' work outcomes. Initiated interdependence is also hypothesized to be
      positively related to the affective positive work and personal outcomes, while
      received task interdependence is negatively related to these variables. New
      subscales for the measurements of these constructs are developed and reliability
      and validity coefficients are reported. The substantive results give support to
      the motivating potential of initiated task interdependence. However, the results
      do not support the hypotheses associated with received task interdependence.

PMID- 10259648
TI  - The experimental effects of "autonomy" on performance and self-reports of
      satisfaction.
AB  - Though the job characteristics model proposed by Hackman and his associates has
      provided the impetus for a large number of correlational studies, few of any
      studies have involved the systematic manipulation of one or more of the five-core
      dimensions (job properties) while noting the performance outcomes. In this study,
      the autonomy dimension was experimentally varied (four levels) in a laboratory
      setting. Four groups of undergraduate students performed a job comprised of three
      tasks under varying degrees of autonomy while measures of performance,
      "perceptions" of task properties, and other self-reports were obtained. It was
      found, contrary to our hypothesis, that variations in autonomy produced a
      negative effect on quantity of performance and no effect on quality of
      performance, though subjects in the more autonomous conditions reported a higher
      level of autonomy. Reservations regarding the strategy of drawing causal
      inferences from correlational analyses are discussed.

PMID- 10259649
TI  - The nature of importance perceptions: a test of a cognitive model.
AB  - This study empirically examines an alternative conceptual approach to the nature
      of importance perceptions. Current interpretations of importance evaluations-
      demand, need, and value-based approaches--have been primarily connotative and
      continue to remain bereft of convincing logical or empirical support. Borrowing
      from social-psychological theories of cognitive structure, the study tests the
      usefulness of a conceptualization of importance perceptions which presents the
      construct as a function of cognitive centrality, dependence, criticalness, and
      temporary salience of factors and outcomes in the individual cognitive space. The
      model is examined over a wide range of factors with findings indicating that
      significant proportions of variance in importance rating/rankings may be thus
      explained. Implications for management theory and practices are discussed.

PMID- 10259650
TI  - Video medicus: cable TV tunes in to health care.

PMID- 10259651
TI  - Too many doctors?

PMID- 10259652
TI  - Radiation monitoring in the clinical laboratory--update.

PMID- 10259653
TI  - The Navajo Indian Hospital is making it on its own.

PMID- 10259654
TI  - Affordable quality: a matter of attitude.

PMID- 10259655
TI  - Quality control and therapeutic drug monitoring.
AB  - Dramatic improvements have been achieved in a relatively short time in the
      performance of therapeutic drug testing. The primary reasons for these advances
      have been the introduction of drug-specific immunoassays and, concomitantly, the
      availability of standards prepared in a biological matrix. For some drugs which
      are tested by other methods, such as the tricyclic antidepressants,
      interlaboratory variability is still excessively high. It is possible that this
      variability could be reduced through the proper preparation of serum-based
      standards. Manufacturers who provide quality control products could greatly
      assist the analyst by providing weighed-in target values for the drugs which have
      been added.

PMID- 10259656
TI  - A quality systems approach to laboratory assessment.

PMID- 10259657
TI  - Some aspects of TEFRA.

PMID- 10259658
TI  - Nurse recruiting: Part 1.

PMID- 10259659
TI  - Training megatrends.

PMID- 10259660
TI  - Creating a direct mail recruitment program.

PMID- 10259661
TI  - Conducting an employee attitude survey.

PMID- 10259662
TI  - Political action committees burgeoning: need reform?

PMID- 10259663
TI  - Who is poor? Who is truly needy?

PMID- 10259664
TI  - After the welfare state.

PMID- 10259665
TI  - Are volunteers worth the effort?

PMID- 10259666
TI  - The new federalism.

PMID- 10259667
TI  - Alcoholism: recovery in the workplace. Part 2.

PMID- 10259668
TI  - The states and children.

PMID- 10259669
TI  - Physical abuse of the elderly.
AB  - Physical abuse of the elderly is more common than appreciated. Physical abuse
      includes physical or sexual assault or depriving a person of life necessities. It
      occurs most often within the family system. Victims of abuse are usually elderly
      women who are dependent on caretakers. Abuse should be suspected when an elderly
      person presents at an emergency room or medical office in a battered or abused
      condition. Psychological issues surrounding abuse can be frustrating and complex.
      Casting the spotlight of publicity on physical abuse is helpful.

PMID- 10259670
TI  - Abuse of the elderly through fraud & deception.
AB  - Hard economic times combined with a longer life-span for the nation's elderly
      have resulted in substantial increases in abuse of the elderly through fraud and
      deception. Physical infirmities and reduced mental capacity make the elderly easy
      prey for unscrupulous individuals who view advancing age as an invitation to
      their own financial prosperity. Popular fraudulent practices and devices include
      "bait and switch" tactics, the "pigeon drop," and the "ponzy" scheme. The
      unwarranted transfer of an elderly person's property to a trusted friend or
      family member to "reduce taxes" or "avoid probate" may represent potential abuse,
      which can have devastating financial consequences in later years. Very often
      these abuses have national and international effects as distant family members
      summon financial and psychological support in the aftermath of the victim's
      anguish over such tragedies. This article identifies some of the areas of
      potential abuse and addresses available means of preventing their occurrence
      through timely legal advice and counsel.

PMID- 10259671
TI  - A low-cost evaluation of alcoholism treatment in a private psychiatric hospital
      program.
AB  - The authors designed a low-cost evaluation study to examine outcome on an
      alcoholism specialty unit of a private psychiatric hospital as well as to look at
      the effects of several post-treatment therapies. Using conservative criteria for
      good outcome, and accounting for the expected poorer outcome of non-respondents,
      they found that the program achieved a 58 percent success rate. Use of Alcoholics
      Anonymous and a covert sensitization exercise developed especially for the
      program were associated with better outcome in terms of drinking behavior post
      hospitalization. It should not be difficult to conduct a similar study in other
      treatment settings with a low research budget.

PMID- 10259672
TI  - Editorial: caring for the elderly.

PMID- 10259673
TI  - Treating the aged: how the public system affects the private system.
AB  - The elderly are an increasingly numerous group within the population. They have a
      high incidence of treatable psychiatric conditions, yet are psychiatrically
      underserved. This article reviews the experiences of the Douglas Gardens
      Community Mental Health Center of Miami Beach in treating older individuals
      living in the community. Over 12 percent of these patients needed psychiatric
      hospitalization in 1982 in private community facilities. Information about these
      patients and comparative data from a typical inpatient facility are described. A
      new trend seems to be emerging which will move the public sector further away
      from the treatment of the elderly. An opportunity for the private sector is,
      therefore, developing.

PMID- 10259674
TI  - An organizational model of a psychiatric hospital program for the elderly.
AB  - This article is a summary describing the program planning and initial experience
      of a new unit for geriatric psychiatry in a private psychiatric hospital. Elderly
      psychiatric patients, predominantly with diagnoses of depression, alcohol
      dependency, and dementia, but also other psychiatric illnesses, demonstrate more
      self-centeredness and less group awareness than do younger patients. Staff
      members often experience frustration, sadness, and anger in response to working
      with them. Major problems unique to a geriatric psychiatric unit include the
      paucity of adequate resources for post-discharge care and the necessity to plan
      an excellent medical support system.

PMID- 10259675
TI  - Electroconvulsive therapy in the elderly: an experiential report.
AB  - In this anecdotal account, the author finds electroconvulsive therapy to be a
      safe and effective treatment in depressed elderly patients, particularly those
      with histories of recurrent depressive episodes who fail to respond to good
      medication management. He reports that the use of ECT at Brawner Psychiatric
      Institute resulted in shorter hospitalization, decreased morbidity, and more cost
      effective care in this patient population.

PMID- 10259676
TI  - Trends in physician negotiations.

PMID- 10259677
TI  - The public's view as input for medical manpower planning.

PMID- 10259678
TI  - The impact of smoking on health, productivity, and earnings: a new collective
      bargaining frontier.

PMID- 10259679
TI  - The value of time and the use of medical care.

PMID- 10259680
TI  - An economic perspective on hospices.

PMID- 10259681
TI  - Antitrust scrutiny of the health professions: developing a framework for
      assessing private restraints.

PMID- 10259683
TI  - The implications of telephone deregulation.

PMID- 10259682
TI  - Executive turnover: results of a survey.

PMID- 10259684
TI  - Piedmont Medical: professional, but not institutional.

PMID- 10259685
TI  - Quality control of ambulatory care: a task for health departments.

PMID- 10259686
TI  - Community medicine in the United Kingdom. Medical education and an emerging
      specialty within the reorganized National Health Service.

PMID- 10259687
TI  - Social medicine. The advance of organized health services in America.

PMID- 10259688
TI  - The management of health care technology in nine countries. Introduction.

PMID- 10259689
TI  - The management of medical technology in the United Kingdom.

PMID- 10259690
TI  - Policy for medical technology in France.

PMID- 10259691
TI  - Technology assessment and diffusion in the health care sector in West Germany.

PMID- 10259693
TI  - Controlling medical technology in Sweden.

PMID- 10259692
TI  - Medical technology in the health care system of the Netherlands.

PMID- 10259694
TI  - The management of health care technology in nine countries. Summary and analysis.

PMID- 10259695
TI  - The management of medical technology in Canada.

PMID- 10259696
TI  - Australian health care systems and medical technology.

PMID- 10259697
TI  - Medical technology in Japan.

PMID- 10259698
TI  - Six steps to contemporary career development.

PMID- 10259699
TI  - Brainstorming: guidelines for generating ideas.

PMID- 10259700
TI  - Designing an effective stress-management training program.

PMID- 10259701
TI  - How to teach how to learn.

PMID- 10259702
TI  - But will they use training on the job?

PMID- 10259703
TI  - Interchange/a problem-solving forum: role as a hospital trustee.

PMID- 10259704
TI  - A modest proposal for defining the government's role in health care.
AB  - An industry leader and hospital trustee calls for the establishment of a national
      commission on health care including representatives from government, health care,
      private business, and labor. The commission's agenda includes an examination of a
      national health policy and its implications for state governments and the private
      sector.

PMID- 10259706
TI  - Credit assistance to small hospitals.

PMID- 10259705
TI  - Is your hospital a candidate for a merger or acquisition?
AB  - Decisions to buy or sell a hospital or to merge with another facility raise
      concerns for any institution, be it the buyer, the seller, or the proposed
      partner in the merger. To help trustees assess their options, this article
      presents profiles of the common characteristics shared by institutions that have
      been acquired and by those that have acquired other institutions.

PMID- 10259707
TI  - On the difference between service and servitude.
AB  - The environment calls for new relations between boards and administration. In
      this article, the author suggests a model where the board acts as the legislative
      branch of government and the CEO acts as the executive branch. Implicit in the
      model is the assumption that the CEO is a full partner of the board rather than
      its servant.

PMID- 10259708
TI  - As I see it: biomedical ethics.

PMID- 10259709
TI  - Organizing efforts targeted at Beverly.

PMID- 10259710
TI  - The coming of age of group purchasing.

PMID- 10259711
TI  - Menu planning in the nursing home.

PMID- 10259712
TI  - A citizen's affairs.

PMID- 10259713
TI  - Getting your story on cable TV.

PMID- 10259714
TI  - How about a volunteer telethon?

PMID- 10259715
TI  - How to tell your story with videotape.

PMID- 10259717
TI  - The making of a VOP (Voluntary Orientation Portfolio).

PMID- 10259716
TI  - How to train volunteers to 'sell' your organization.

PMID- 10259718
TI  - Volunteering in America, 1981-82.

PMID- 10259719
TI  - What you should know about the legal definition of 'volunteer'.

PMID- 10259720
TI  - Volunteering in times of challenge and change.

PMID- 10259721
TI  - Americans volunteer 1981. A Gallup survey on volunteering.

PMID- 10259722
TI  - American renewal: the citizen's role.

PMID- 10259723
TI  - Surviving the '80s: an alternative approach.

PMID- 10259724
TI  - Stimulating neighborhood involvement.

PMID- 10259725
TI  - Fund raising: how to ask for money.

PMID- 10259726
TI  - Resources for a new beginning: the private sector.

PMID- 10259727
TI  - Dollar value of volunteer time.

PMID- 10259728
TI  - The I CAN volunteer development program.

PMID- 10259729
TI  - Improving patient care--goal of NYC hospital visitors.

PMID- 10259730
TI  - Meeting the mental health needs of the elderly: issues and action steps.

PMID- 10259731
TI  - AoA (Administration on Aging) report includes national statistics on long-term
      care complaints.

PMID- 10259732
TI  - Aging organization focuses on disaster response.

PMID- 10259733
TI  - Physician and pharmacy student expectations of pharmacy practice.
AB  - This study was initiated to examine the attitudes of some of the future health
      care providers, family practice residents, toward various ambulatory pharmacy
      services. Pharmacy students were then asked to predict what the resident
      attitudes would be and the results were compared. This project addressed the
      following questions: (i) What are the expectations of family practice residents
      of what today's pharmacists should be doing? and (ii) How accurately can pharmacy
      students judge what the responses of the residents will be? The survey results
      indicated that the family practice residents' perceptions of certain pharmacist
      behaviors rated significantly higher than how the pharmacy students thought they
      would respond. Such behaviors included: (i) maintain and review patient profiles;
      (ii) counsel patients; (iii) take medication/allergy histories; (iv) provide
      therapeutic information to physicians; and (v) stock a wide variety of generic
      drugs. Most of these behaviors reflect direct involvement of the pharmacist in
      disseminating information to the patient and/or physician. Other expanded roles
      of the pharmacist such as triage, refill determination, reimbursement for
      consultation services, and chronic care management were given low priority.

PMID- 10259734
TI  - A pharmacy student searches for psychological predictors of patient compliance.
AB  - Pharmacists are becoming more involved in patient counseling and dosage regimen
      design in an attempt to improve patient compliance. A study was designed and
      implemented by an undergraduate pharmacy student in an attempt to gain experience
      in research methodology and to enhance individual clinical involvement. Forty
      patients, randomly selected at a community pharmacy and a family practice clinic,
      were administered a Myers-Briggs Type Indicator exam to assess the patient's
      degree of systematic preference. Refill dates for each patient's hypertensive
      medications were examined for six months in order to infer compliance. Results of
      the psychological exam did not accurately predict patient compliance or
      noncompliance. The student working with only minimal faculty guidance was able to
      design, implement, analyze, and describe the study. Colleges of pharmacy are
      encouraged to implement similar clinical research training projects for
      undergraduate students.

PMID- 10259735
TI  - Development and utility in externship of a questionnaire on attitudes toward
      professional roles of the pharmacist.
AB  - A sixty-six item questionnaire was developed to measure students' attitudes
      toward pharmacy as a profession, professional principles, and their preparation
      for the profession. It was administered to three consecutive year graduating
      classes (1978, 1979 and 1980) both pre- and postexternship so that changes in
      attitudes during the eight week experience program might be examined. Factor
      analysis was used to select items which could be combined to form scales
      (factors). The questionnaire yielded stable responses. The responses of the three
      classes to the scales were positive both before and after externship in regard to
      students' adherence to professional values. Mean responses on the scales showed
      some change during the 1980 externship; the most significant being that students
      felt better prepared for the profession after their externship.

PMID- 10259736
TI  - Panel urges MDs to promote self-care.

PMID- 10259737
TI  - Study on medical education financing due.

PMID- 10259739
TI  - Commission's guidelines affecting health policy.

PMID- 10259738
TI  - Choosing a computer: consultant's advice.

PMID- 10259740
TI  - Can you manage stress?

PMID- 10259741
TI  - Are you killing bacteria?

PMID- 10259742
TI  - Australia's health system: condition: unstable; prognosis: needs intensive care.
AB  - This paper is a discussion of the problems inherent in the development of a
      health policy in the political arena. Politicians should work towards a consensus
      health policy, in consultation with health professionals, hospital
      administrators, health insurance organisations, health care consumers and others.
      Any consensus health policy must address the issue of health care financing,
      define the responsibilities of Federal, State and local governments, provide for
      the special health care needs of disadvantaged groups, and ease the necessary
      transition from the current emphasis on acute care, to a system which gives high
      priority to preventive care, health education, individual and community
      responsibility for health maintenance, and appropriate levels of care.

PMID- 10259743
TI  - Consumers and health.

PMID- 10259744
TI  - Politics in health.
AB  - In the past, public discussion of health in the Australian media has almost
      entirely centred around the cost of health insurance. Hospitals have regarded the
      media as an unwelcome intrusion and now with changes in the emphasis of their
      roles in society, they are anxious to obtain good media publicity. Reaching out,
      rather than closing shop has involved appointing public relations officers and
      selling the hospital to society. But it is only one way of developing a positive
      image. The media is vulnerable as ever to a "good story". The prescription is
      simple . . . a good dose of the facts, dressed up with drama and bottled up as
      news and carefully handed over to the report of choice.

PMID- 10259745
TI  - Health policies in Australia 1970-1979: politics, rhetoric and substance.
AB  - Since the early 1970s there have been almost yearly reorganisations of the
      Australian health care system. These reorganisations provide an interesting case
      study for those who wish to distinguish the rhetoric and the reality of health
      planning in this country. This paper reviews the changes in the Australian health
      care system in the decade 1970-80. It examines the impact of these changes on the
      cost of health care, the use of medical services and the health of the
      population. Finally, the paper contrasts the available data with successive
      politically inspired attempts to mislead the community about the true basis and
      consequences of these changes.

PMID- 10259746
TI  - Health politics and the aged.
AB  - Politicians seeking office respond to sectional interests. Dr Last's paper
      discusses how our federal system allows division of responsibility and authority
      between Commonwealth, State and Local Governments, with none accepting
      responsibility for the system as a whole. Repeated Committees of Enquiry have
      recommended remedial action but no government has yet made a major commitment. Dr
      Last discusses how institutions may become the advocates whereby recommendations
      are implemented and health care services developed.

PMID- 10259747
TI  - Politics in health--the American experience.
AB  - By examining various trends of the hospital industry in the context of the
      American political and social system. Mr O'Leary comments on the expanding role
      of government in planning, financing and regulating health services in the US. As
      government has taken on a more powerful central role in American Health care, the
      hospital industry has become more active in the legislative and political arena.
      By activating physicians, boards, employees and the patient community to become
      more involved in the political process, hospitals have been able to have a
      stronger hand in shaping decisions which will affect the future health care
      delivery system in the States.

PMID- 10259748
TI  - Political platforms, pressure groups and the defence of health care in the 1980s.
AB  - With 14 major changes in health care financing since 1970, it is surely time to
      consider some basic principles and health policies that ought to be immutable--at
      least for longer than 10 months at a time. The paper reviews the federal health
      policies of the three major parties--and asks whether the various health sector
      interest groups can afford to leave consensus to the parliamentary system.

PMID- 10259749
TI  - Hospital associations & the political process.
AB  - Development of the concept of an association and its responsibilities to its
      members; examination of the diversity of influences (political and otherwise)
      within the Australian health system; the problem of dealing with short-term
      Ministers and untrained Oppositions; handling the nonissues and sorting out the
      real issues from a hospital association's point of view; defining then finding
      the persons to influence who will be staying around!

PMID- 10259750
TI  - Rural health issues.
AB  - Two related issues dominate any discussion on rural health--the provision and
      maintenance of rural health services, and the continuing political battle to
      retain and improve these services. This battle is exacerbated by the importance
      that country communities attach to the provision of a doctor, a hospital, aged
      persons' accommodation, etc. This importance reflects the need for these services
      in isolated areas--the status this gives the community and the employment these
      services provide. The community's elected representatives have to determine how
      to evaluate the competing claims by communities for hospitals or other
      facilities. The local politician becomes the focus for the community's hopes and
      fears.

PMID- 10259751
TI  - The establishment, progress and success of the Northern Territory's Aboriginal
      Health Worker training scheme.
AB  - The Northern Territory Health Service has been training Aboriginal Health Workers
      to perform primary health care since the late 1960s. They are now an integral
      part of the health team and are helping to shape one of the great success stories
      currently taking place in the health field in the Northern Territory. A 13-minute
      film based on recent activities of Health Workers at Millingimbi in Northern
      Arnhem Land will be shown. In this and other Aboriginal communities,
      responsibility for primary health care has been transferred to Aboriginal Health
      Workers with professional staff being withdrawn, and acting in a resource role
      when required.

PMID- 10259752
TI  - Economic issues in health policy.
AB  - This paper is a brief review of the economic implications of recent health policy
      decisions in Australia. Health expenditure as an aspect of social policy is
      considered, and the relationship between health expenditure and other public
      sector expenditure is examined with particular reference to social security and
      education. Economic considerations in achieving policy objectives, and the
      resource implications of alternative methods of financing are reviewed. Finally,
      some economic issues relating to possible future options for Australia are
      discussed.

PMID- 10259753
TI  - Politics and the medical profession.
AB  - For most of this century--particularly in the '40s, '50s and '60s--the emphasis
      among politicians and social planners has been on the provision of more and
      better health services. However, in the '70s a dramatic change of emphasis
      occurred and today most discussion of health care policy seems to relate to cost
      containment. Inevitably this has led to conflict. Aspects of conflict relating to
      the provision of health care will be discussed.

PMID- 10259754
TI  - Hospital politics--old and new.

PMID- 10259755
TI  - How to keep the politics out of a new health building.

PMID- 10259756
TI  - Political activity in health care.

PMID- 10259758
TI  - Consistency and consensus in Labor's health policy.
AB  - An examination of the consistent themes in Labor's health policies since 1970,
      particularly Medibank & the Hayden Health plan. Contrast this with the
      consistency of goals in Liberal health policy which have returned Australia to
      the 1970 starting point and the tortuous contradictory path pursued by Federal
      Liberal Government between 1976 and 1981. Illustrates the pursuit of consensus by
      Labor in the accommodations inherent in the Labor health plan with private fee
      for-service medicine, private hospitals and the private health funds. Contrast
      this with the inflexible Liberal determination to return to the status quo ante
      Medibank. Finally contrast the present Australian polarisation with the degree of
      consensus achieved in Canada around the Medicare programme.

PMID- 10259757
TI  - Serving customers and taxpayers.
AB  - The welfare interests of the disadvantaged and chronically ill are not
      incompatible with the interests the taxpayers have for an efficient health care
      system. Efficiency in health care means meeting the needs of the customer at the
      lowest possible cost to both customers and taxpayers. Experience, not ideology,
      informs us that the incentives for efficiency are stronger in competitive private
      enterprise than they are in public sector monopolies. Our task is to try to
      harness these forces wherever we can, if not by private sector provision then by
      the design of alternative incentive mechanisms for the public sector.

PMID- 10259759
TI  - Women and absenteeism: health or economics?

PMID- 10259760
TI  - Women and the use of health services.

PMID- 10259761
TI  - Time allocation, market work, and changes in female health.

PMID- 10259762
TI  - What you need to know about your hospital's competitive position. Part 2: Census
      data, consumer surveys and competitor information.

PMID- 10259763
TI  - The need for public involvement in medicine. Part 2: Political factors, consumer
      activism and approaches to change.

PMID- 10259764
TI  - 50 or more color prints an hour. In hospital photography, rush assignments are
      normal and cost-effectiveness a must.

PMID- 10259765
TI  - Building the manager's workbench.

PMID- 10259766
TI  - Teleconferencing--business or show biz?

PMID- 10259768
TI  - Walls.

PMID- 10259767
TI  - Health: a medical concern.

PMID- 10259769
TI  - Meeting the unique spiritual needs of the aging.

PMID- 10259770
TI  - Health forums: a new perspective on holism.

PMID- 10259771
TI  - The role of the philanthropic, church-related retirement community in the 80's.

PMID- 10259772
TI  - Association logo symbolizes ministries of members.

PMID- 10259773
TI  - How to measure your leadership potential.

PMID- 10259774
TI  - Making it through the holidaze: post-holiday distractions.

PMID- 10259775
TI  - Job descriptions: making subordinates accountable.

PMID- 10259776
TI  - Solving the staffing problem in hospitals.

PMID- 10259777
TI  - Motivating the underachiever.

PMID- 10259778
TI  - Learning to level with employees.

PMID- 10259780
TI  - Turning illness into a way of life.

PMID- 10259779
TI  - Debate on the boundary of life. Medical miracles and the patient's right to die.

PMID- 10259781
TI  - Stress: can we cope?

PMID- 10259782
TI  - Surgery for medical costs.

PMID- 10259783
TI  - New war on health costs.

PMID- 10259784
TI  - Showdown on smoking.

PMID- 10259785
TI  - Privacy Act of 1974; report of new routine uses--Health Care Financing
      Administration. Notification of new routine uses.
AB  - In accordance with 5 U.S.C. 552a(e)(11), we are proposing to add new routine uses
      applicable to the following notices of Systems of Records; (1) 09-70-0501,
      Carrier Medicare Claims Records, HHS/HCFA/BPO. (2) 09-70-0502, Health Insurance
      Master Records, HHS/HCFA/BPO. (3) 09-70-0503, Intermediary Medicare Claims
      Records, HHS/HCFA/BPO. We have provided background information about the routine
      uses in the "Supplementary Information" section below. We invite public comments
      on this proposal.

PMID- 10259786
TI  - Minimum guidelines and requirements for accessible design--Architectural and
      Transportation Barriers Compliance Board. Final rule.
AB  - The Architectural and Transportation Barriers Compliance Board hereby revises its
      "Minimum Guidelines and Requirements for Accessible Design" (guidelines and
      requirements). These revisions respond to concerns registered by certain Board
      members and to issues raised in comments submitted during the rulemaking process.
      The purpose of the revisions is to make the guidelines and requirements more cost
      effective and consistent with Federal and nationally recognized standards while
      still providing ready access and use. The guidelines and requirements, as
      revised, will provide a basis for consistent and improved accessibility standards
      to be issued under the Architectural Barriers Act by the General Services
      Administration, the Department of Housing and Urban Development, the Department
      of Defense, and the United States Postal Service. For clarity, the guidelines and
      requirements are published in their entirety with the revisions incorporated.

PMID- 10259787
TI  - Expanded phase out provisions of intermediate care facilities for the mentally
      retarded (ICFs/MR) correction plans--Health Care Financing Administration. Final
      rule.
AB  - This regulation authorizes Intermediate Care Facilities For the Mentally Retarded
      (ICFs/MR) to negotiate revisions to their 1977 correction plans for Life Safety
      Code, living, dining, and therapy area deficiencies under certain circumstances.
      Under this regulation, HCFA is authorized to approve revised correction plans
      when facilities have completed at least 25 percent of their original plans and
      agree to phase out an increased number of beds in previously certified units not
      already scheduled for phase out under existing correction plans. The timetable
      for the phase out and the actual number of beds to be phased out will be
      negotiated with target figures established for each six-month period of the plan.
      The total time for the plan cannot exceed five years from the effective date of
      this rule. Facilities are still required to meet the July 18, 1982 deadline for
      those items in existing plans which include construction or renovation of units
      that will remain in use after the phase out is completed. The intent of this
      regulation is to stimulate an overall reduction in the number of certified beds
      in large residential facilities. We hope that it will forestall further
      expenditures of capital funds for renovation of existing facilities or
      construction of new units where an expanded phase out of units is feasible.

PMID- 10259788
TI  - Privacy Act of 1974; Report on new system--Health and Human Services Department.
      Notification of report on new system. Health care program violations.
AB  - The Department of Health and Human Services (HHS) proposes to establish a new
      system of records entitled Health Care Program violations, HHS/OS/OIG, under the
      Privacy Act. Written comments will be received until September 27, 1982.

PMID- 10259789
TI  - Institutional Radiation Safety Committee--Nuclear Regulatory Commission. Final
      rule.
AB  - The Nuclear Regulatory Commission (NRC) is amending its regulations regarding
      hospitals licensed to use radioactive byproduct material for human applications.
      Currently, such a license requires that the hospital have a Medical Isotopes
      Committee to review clinical aspects of the use of radioactive materials within
      the hospital. The amendment requires instead a Radiation Safety Committee with a
      simplified membership that will focus on the radiation safety of workers and the
      general public. The rule change acknowledges the Food and Drug Administration's
      role in regulating the safety and effectiveness of radioactive drugs with respect
      to the patient. The membership of the new Radiation Safety Committee will include
      the hospital management and the nursing staff in decisions affecting radiation
      safety at the hospital and will be easier for smaller hospitals to recruit.

PMID- 10259790
TI  - Unified agenda of regulations--Department of Health and Human Services.
      Publication of unified agenda of regulations.
AB  - The President's February 17, 1981, Executive Order (12291) and the Regulatory
      Flexibility Act of 1980 require the Department to publish an agenda of
      significant regulations being developed and an indication of those regulatory
      actions that are being analyzed for their effect on small businesses. The
      Department published its last agenda on April 30, 1982.

PMID- 10259791
TI  - Minimum funding requirements and minimum funding excise taxes--Internal Revenue
      Service. Notice of proposed rulemaking.
AB  - This document contains proposed regulations relating to the minimum funding
      requirements for employee pension benefit plans, and to excise taxes for failure
      to meet the minimum funding standards. Changes to the applicable tax law were
      made by the Employee Retirement Income Security Act of 1974. The regulations
      would provide the public with guidance needed to comply with that Act and would
      affect all pension plans subject to the provisions of the Act. The proposed
      amendments would apply generally for plan years beginning after 1975, but earlier
      (or later) in the case of some plans as provided for meeting the minimum funding
      requirements under the Act. The proposed rules pertaining to the frequency of
      actuarial valuations, and to the time for making contributions, generally would
      not be effective prior to the publication of final regulations.

PMID- 10259792
TI  - Administration on Aging: SCAN data bases; activity notice--Office of Human
      Development Services, HHS. Announcement of availability of certain data bases for
      assumption at no cost to the federal government.
AB  - The Administration on Aging (AoA) announces that applications are now being
      accepted for assumption, dissemination and utilization of information in the SCAN
      Information System.

PMID- 10259793
TI  - Medicare program; criteria for defining skilled nursing facility under Section
      1861(j)(1) of the Social Security Act--Health Care Financing Administration.
      Notice of HCFA ruling.
AB  - This notice announces a HCFA ruling that restates HCFA's long-standing
      interpretation of what constitutes a skilled nursing facility under section
      1861(j)(1) of the Social Security Act.

PMID- 10259794
TI  - Use of personal sampling devices during inspection--Occupational Safety and
      Health Administration. Final rule.
AB  - This document amends 29 CFR 1903.7 to expressly authorize compliance officers to
      use personal sampling devices and to attach such devices to employees during the
      conduct of workplace inspections. This amendment is necessitated by conflicting
      judicial decisions as to whether the present regulation provides sufficient
      authorization for OSHA to use personal sampling devices.

PMID- 10259795
TI  - Treatment of certain hospital services; proposed rulemaking--Internal Revenue
      Service. Notice of proposed rulemaking.
AB  - This document contains proposed regulations relating to the treatment of certain
      hospital services furnished by a tax exempt hospital to other such hospitals.
      Changes to the applicable tax law were made by the Tax Reform Act of 1978. The
      proposed regulations would affect those tax exempt hospitals that furnish the
      services and would provide the furnishing hospitals with the guidance needed to
      determine their unrelated business taxable income.

PMID- 10259796
TI  - Hazardous waste management system--Environmental Protection Agency. Notice of
      regulatory reform actions; request for comments.
AB  - In response to Executive Order 12291 and the President's Task Force on Regulatory
      Relief, the Environmental Protection Agency is reviewing and reassessing the
      hazardous waste regulations developed under the Resource Conservation and
      Recovery Act (RCRA). A variety of activities are underway that will simplify
      procedures and reduce paperwork, modify existing regulations to make them more
      workable and cost effective, and control new wastes and new processes. The
      purpose of this notice is to inform the public of these activities and invite
      comments on the general approaches being taken.

PMID- 10259797
TI  - Medicare program: access to books, documents, and records of subcontractors-
      Health Care Financing Administration.
AB  - These regulations implement section 952 of the Omnibus Reconciliation Act of 1980
      (Pub. L. 96-499), which conditions Medicare reimbursement for the cost of
      services performed under certain contracts upon compliance with prescribed
      criteria. If a contract between a provider and a subcontractor covers services
      valued at or costing $10,000 or more over a 12-month period, Medicare
      reimbursement cannot be made for the services unless the contract includes a
      clause allowing the Secretary of Health and Human Services and the Comptroller
      General access to the contract and to the subcontractor's books, documents, and
      records necessary to verify the costs of the contract. The clause in the contract
      must also permit similar access top any subcontract between the subcontractor and
      a related organization of the subcontractor when the subcontract is worth or
      costs $10,000 or more over a 12-month period. These regulations specify the
      criteria and procedures that the Department will use to obtain access to affected
      books, documents, and records. The purpose of the legislation and these proposed
      regulations is to permit the Secretary and Comptroller General to make an
      accurate determination of the reasonable costs under these contracts.

PMID- 10259798
TI  - Evaluation of the administrative compliance costs and the impact of the inflation
      factor for Titles VI and XVI assisted facilities--Health Resources and Services
      Administration. Rule related notice; request for comments.
AB  - The purpose of this notice is to solicit comments on an evaluation plan which has
      been developed to examine the impact of the administrative compliance costs and
      the inflation factor on health facilities obligated under Titles VI and XVI of
      the Public Health Service Act to provide a reasonable volume of services to
      persons unable to pay.

PMID- 10259799
TI  - Medicare, Medicaid, and Maternal and Child Health Services Block Grant programs;
      civil money penalties and assessments for false or improper claims--Department of
      Health and Human Services. Notice of proposed rulemaking.
AB  - These proposed regulations are intended to strengthen the Department's ability to
      protect the health care financing programs against persons and organizations who
      defraud and abuse those programs. The regulations would specify procedures for
      implementing the authority provided to the Department by section 2105 of the
      Omnibus Budget Reconciliation Act of 1981 (Pub. L. 97-35), as amended by section
      137(b)(26) of the Tax Equity and Fiscal Responsibility Act of 1982 (Pub. L. 97
      248), to impose civil money penalties and assessments administratively for the
      filing of false or certain other improper claims in the Medicare, Medicaid, or
      Maternal and Child Health Services Block Grant programs. The statute also permits
      an individual upon whom the Department imposes a civil money penalty or
      assessment to be suspended from participation in the Medicare and Medicaid
      programs. Until enactment of the civil money penalties legislation, the federal
      government had to rely upon litigation under the False Claims Act or criminal
      proceedings in order to compel restitution of funds falsely or improperly claimed
      under HHS health care financing programs.

PMID- 10259800
TI  - Pharmaceutical Reimbursement Board; final maximum allowable cost (MAC)
      determinations for certain drug products--Health Care Financing Administration.
      Final notice.
AB  - The Pharmaceutical Reimbursement Board announces the suspension of the maximum
      allowable cost (MAC) limit on erythromycin stearate, oral tablets, 500 mg,
      effective November 17, 1982. The limit for this drug product was published in the
      Federal Register on December 11, 1978 (43 FR 57972) and became effective on
      January 25, 1979. This suspension of the MAC limit on erythromycin stearate, oral
      tablets, 500 mg, is based on general price increases by manufacturers that have
      occurred in the marketplace and the Board's concern that this drug product may no
      longer be widely and consistently available at the established MAC limit. The
      Pharmaceutical Reimbursement Board may reinstitute procedures to establish a new
      MAC limit on this drug product in the future.

PMID- 10259801
TI  - Health Resources and Services Administration; medical reimbursement rates for
      fiscal year 1983; inpatient and outpatient medical care.

PMID- 10259802
TI  - Evaluation of the impact and effectiveness of Title XVI uncompensated services
      assurance--Health Resources and Services Administration. Rule related notice.
AB  - The purpose of this notice is to solicit comments on an evaluation plan which has
      been developed to examine the impact and effectiveness of the regulations [42 CFR
      124.501 et seq.) governing the provision of uncompensated services by health
      facilities obligated under Titles VI and XVI of the Public Health Service Act to
      provide a reasonable volume of services to persons unable to pay.

PMID- 10259803
TI  - Exchange visitors program--criteria for evaluating comprehensive plan to reduce
      reliance on alien physicians--Public Health Service. Interim-final rule with
      request for comments.
AB  - These interim final regulations establish the criteria for evaluating the
      comprehensive plan by programs of graduate medical education or training to
      reduce reliance on alien physicians under Section 212(j)(2)(A)(ii) of the
      Immigration and Nationality Act as amended by Pub. L. 97-116.

PMID- 10259804
TI  - Cost principles for nonprofit organizations--Office of Management and Budget.
      Notice.
AB  - This notice offers interested parties an opportunity to comment on a proposed
      revision to Circular A-122, "Cost Principles for Nonprofit Organizations." The
      proposed revision establishes special provisions for costs related to political
      advocacy. Similar revisions are being simultaneously proposed for civilian and
      defense contractors through appropriate actions by the Department of Defense,
      NASA and GSA, the three agencies with authority to issue procurement regulations.
      The purpose of these proposals is to ensure that federal tax dollars are not
      used, directly or indirectly, for the support of political advocacy. Over the
      past 25 years, the volume of federal activity conducted through grantees and
      contractors has dramatically grown. Sound management of federal grants and
      contracts has correspondingly gained in importance. The responsibility of the
      President through OMB to improve the management of the executive branch of
      government with a view to efficient and economical service, and to fulfill other
      statutory and constitutional responsibilities, extends to issues of grant and
      contract management no less than to issues of direct federal activity.

PMID- 10259805
TI  - Administrative procedures and sanctions; questions and answers relating to the
      applicability to the petroleum violation escrow funds of regulations of the
      energy conservation programs--Department of Energy. Ruling.
AB  - The Department of Energy (DOE) Office of General Counsel issues the appended
      Ruling to respond to questions relating to the applicability to the petroleum
      violation escrow funds of the regulations of the energy conservation programs
      administered by DOE to which these funds can be distributed under Section 155 of
      the Further Continuing Appropriations Act, Fiscal Year 1983.

PMID- 10259806
TI  - Area health education center programs--Public Health Service. Final regulations.
AB  - These regulations set forth requirements for cooperative agreements entered into
      by the Secretary of Health and Human Services with schools of medicine or
      osteopathy for the planning, development, and operation of area health education
      center programs. The regulations conform provisions in 42 CFR Part 57, Subpart MM
      -Area Health Education Center Programs to Nurse Training Amendments of 1979 Pub.
      L. 96-76), the Federal Grant and Cooperative Agreement Act (Pub. L. 95-224), and
      the Omnibus Reconciliation Act of 1981 (Pub. L. 97-35). Also in response to
      public comments to the interim final regulations published in the Federal
      Register on November 27, 1978, clarification of several provisions were made to
      the final regulations.

PMID- 10259807
TI  - Eligibility of foreign medical schools under the guaranteed student loan program
      (GSLP)--Department of Education. Final regulations.
AB  - The Secretary issues regulations for the purpose of determining whether medical
      schools located outside the United States and Canada are eligible to apply for
      participation in the Guaranteed Student Loan Program (GSLP). Participation in the
      GSLP by a foreign medical school means that its students who are citizens or
      nationals of the United States may apply for loans from eligible lenders under
      that program. These regulations establish new procedures and criteria that will
      be used by the Secretary in determining eligibility.

PMID- 10259808
TI  - Public mobile radio services; regulatory policies and procedures for the Domestic
      Public Land Mobile Radio Service--Federal Communications Commission. Final rule.
AB  - Final policies and procedures concerning objective need showings are being
      adopted for applications requesting multiple new two-way channels and
      applications requesting additional channels for an existing system. The policies
      and procedures we had in the past were vague and did not provide applicants with
      sufficient information as to what was required in need showings before various
      types of applications could be granted. Thus, applicants requesting multiple new
      two-way frequencies or additional two-way channels for an existing system must
      show that the existing, projected or expected grade of service for the proposed
      facilities is .25 or greater, this will determine the number of new or additional
      channels granted.

PMID- 10259809
TI  - Medical reimbursements rates for fiscal year 1983; inpatient and outpatient
      medical care; correction.

PMID- 10259810
TI  - Standard-setting requirements for medical and nonmedical facilities where SSI
      recipients reside--Office of Human Development Services, HHS. Final rule with
      comment period.
AB  - This rule amends the standard-setting requirements for medical and nonmedical
      facilities where SSI recipients reside. (These requirements are known as Keys
      amendment regulations). This action is necessary because of the passage of the
      Omnibus Budget Reconciliation Act of 1981 which amended section 1616(e) of the
      Social Security Act and deleted reference to Title XX thereby removing social
      services plans as the vehicle for providing public notice of standards for
      certain facilities.

PMID- 10259811
TI  - Regulatory policies and procedures for the Domestic Public Land Mobile Radio
      Service--Federal Communications Commission. Proposed rule.
AB  - Policies and procedures concerning objective need showings for applications
      requesting an additional one-way frequency for one-way signaling stations are
      being proposed. The present rules do not provide applicants with sufficient
      information as to what is required in need showings before applications can be
      granted. Applicants requesting an additional one-way frequency must show that the
      existing or projected grade of service is .50 before an additional channel is
      granted. The proposed standards are concurrently being adopted as an interim
      rule.

PMID- 10259812
TI  - Exemption of certain research and demonstration projects from regulations for
      protection of human research subjects--Office of the Secretary, HHS. Final rule.
AB  - The Department of Health and Human Services (the Department or HHS) is including
      among the types of research specifically exempt from the application of the
      regulatory requirements of 45 CFR Part 46 (protection of human research subjects)
      research and demonstration projects conducted under the Social Security Act and
      other federal statutory authority and designed to study certain public benefit or
      service programs, the procedures for obtaining benefits or services under those
      programs, and possible changes or alternatives to those programs or procedures,
      including changes in methods or levels of payment. These demonstration and
      service projects are already subject to procedures which provide for extensive
      review by high level officials in various program administration offices. Review
      by an Institutional Review Board (IRB), as required under Part 46, would be
      duplicative and burdensome to state and local agencies and to other entities
      participating in demonstration projects. Removal of this unnecessary layer of
      review will not only reduce the cost of the projects but help to avoid
      unnecessary delays in project implementation. However, in order to ensure the
      continued protection of human subjects participating in such research activity,
      the Department is adding a specific requirement of written, informed consent in
      any instance, not reviewed by an IRB, in which the Secretary determines that the
      research activity presents a danger to the physical, mental or emotional well
      being of a participant.

PMID- 10259813
TI  - Amendment of the Commission's rule pursuant to its unregulatory program--Federal
      Communications Commission. Final rule.
AB  - The Federal Communications Commission is amending the Rules concerning the land
      mobile radio services so as to eliminate those that are now unnecessary or
      outdated and to bring others into agreement with rules that were amended
      previously in other rulemaking actions.

PMID- 10259814
TI  - Public inspection of exempt organization returns--Internal Revenue Service.
      Notice of proposed rulemaking.
AB  - This document contains proposed regulations relating to the public inspection of
      returns of certain tax exempt organizations. The regulations clarify the rules
      relating to the disclosure of certain information of exempt organizations.
      Additionally, the regulations reflect changes made by Pub. L. 96-603 and Pub. L.
      95-488.

PMID- 10259815
TI  - Loans to state and local development companies--Small Business Administration.
      Proposed rulemaking.
AB  - SBA proposes to amend 13 CFR 108.503--4(c) to limit SBA participation with tax
      exempt financing under the program authorized by section 503 of the Small
      Business Investment Act, 15 U.S.C. 697. Under the proposed rule, SBA would
      participate in the financing of a project which is also financed by tax-exempt
      obligations provided the repayment of the proceeds of SBA guaranteed financing is
      not subordinate to the repayment of the tax-exempt financing. This amendment
      would be in accordance with existing Federal policy which prohibits Federal
      agencies from directly or indirectly providing a guarantee to tax-exempt
      obligations.

PMID- 10259816
TI  - Sanctions applicable to letter of credit administration--Office of the Secretary,
      HHS. Proposed rule.
AB  - We are proposing regulations that would govern the imposition of sanctions
      against recipient organizations holding letters of credit under programs
      administered by the Department of Health and Human Services. The regulations
      would describe the conditions which may prompt the imposition of sanctions and
      would establish uniform procedures for providing affected recipient
      organizations: (1) Adequate notice of the grounds upon which proposed sanctions
      are based, (2) an opportunity to respond to the factual and legal bases of the
      proposed sanctions, and (3) a reasoned decision that articulates the factual and
      legal bases of the Department's final decision. We believe that these uniform
      procedures would be useful both as a sound management tool for the Department and
      as a guide to grantees and contractors.

PMID- 10259817
TI  - Additional protections for children involved as subjects in research--Department
      of Health and Human Services. Final rule.
AB  - The Department of Health and Human Services (Department or HHS)( is prescribing
      additional requirements for protection of children involved as subjects in
      research. These regulations adopt, with some changes, the recommendations of the
      National Commission for the Protection of Human Subjects of Biomedical and
      Behavioral Research (National Commission) as were presented in the notice of
      proposed rulemaking (NPRM) 43 FR 31786 which preceded this final rule.
      Specifically, these regulations impose certain added responsibilities on
      Institutional Review Boards (IRBs) depending on the degree of risk involved in
      the research and the extent that the research is likely to be a benefit to the
      subject or relate to a subject's illness.

PMID- 10259818
TI  - Access charges; MTS and WATS market structure--Federal Communications Commission.
      Final rule.
AB  - FCC, pursuant to the Fourth Supplemental Notice of Inquiry and Proposed
      Rulemaking published on June 21, 1982, at 47 FR 26668, adopts rules for the
      computation and assessment of end user and carrier's carrier access charges and
      the creation of an exchange carrier association to prepare access charge tariffs
      and distribute pooled access charge revenues. The Commission concluded that this
      action was necessary because existing methods of access compensation produced
      unlawful discrimination and preferences in interstate rates. These rules were
      designed to eliminate such unlawful discrimination and preferences.

PMID- 10259819
TI  - Accounting for long-term contract--Internal Revenue Service. Notice of proposed
      rulemaking.
AB  - This document contains proposed amendments to regulations under sections 446, 451
      and 471 of the Internal Revenue Code relating to accounting for long-term
      contracts. The proposed amendments would conform the regulations to section 229
      of the Tax Equity and Fiscal Responsibility Act of 1982 and would affect
      taxpayers who have long-term contracts whether or not they use a long-term
      contract method of accounting for such contracts.

PMID- 10259820
TI  - Top-heavy plans--Internal Revenue Service. Notice of proposed rulemaking.

PMID- 10259821
TI  - Revision of income criteria for eligibility for uncompensated services--Health
      Resources and Services Administration. Rule-related notice.
AB  - This notice announces the applicability of the recent revision of the poverty
      income guidelines to uncompensated services programs administered by health care
      facilities pursuant to Titles VI and XVI of the Public Health Service Act.

PMID- 10259822
TI  - Availability of funds for Community Health Centers (CHCs)--Health Resources and
      Services Administration. Notice.
AB  - Under the present Continuing Resolution, Pub. L. 97-377, providing funding for
      the Department of Health and Human Services, approximately $14 million are
      available for funding new CHCs and expanding existing CHCs. This notice contains
      information of interest to prospective applicants for such funding.

PMID- 10259823
TI  - Health maintenance organizations; amendments of 1981--Health Resources and
      Services Administration. Notice of proposed rulemaking.
AB  - This notice proposes to amend the Public Health Service rules on health
      maintenance organizations (HMOs) to conform with the 1981 amendments to the HMO
      statute regarding member protection in the event of insolvency, community rating
      by class, and primary care within the service area of a non-metropolitan HMO. In
      addition, this notice proposes: (a) to remove provisions of the rules that are
      considered unnecessary or burdensome, such as the regulatory specification of
      contractual provisions, and (b) to increase one of the regulatory limits on
      copayments to permit HMOs to become more competitive with alternative forms of
      health insurance.

PMID- 10259824
TI  - Miscellaneous amendments to the HHS procurement regulations--Department of Health
      and Human Services. Proposed rule.
AB  - The Office of the Secretary, Department of Health and Human Services is proposing
      to amend its procurement regulations by revising and updating the general
      provisions for use in fixed price and cost-reimbursement type contracts (HHS-314,
      -315, -315A, and -316) and related miscellaneous amendments. The revisions will
      result in the consolidation of all additions, removals and revisions to the
      general provisions. The effect of the amendment will be the updating of the
      Department's general provisions.

PMID- 10259825
TI  - Bell Operating Co.; furnishing of customer premises equipment, enhanced services
      and cellular communications services and North American Telecommunications
      Association--Federal Communications Commission. Proposed rule.
AB  - The Commission has issued a Notice of Proposed Rulemaking that addresses the
      questions of whether, following divestiture, Bell Operating Companies' offerings
      of enhanced services, customer premises equipment or cellular communications
      services should be subject to structural separation requirements and, if so,
      whether the degree of separation currently prescribed by Commission Rules should
      be modified to accommodate the effects of the BOCs' divestiture. The purpose of
      this proceeding is to determine whether the divestiture's structural separation
      of AT&T's monopoly activities and competitive activities renders the Commission's
      structural separation requirements unnecessary or unduly burdensome to the
      divested operating companies. If so, the Commission's structural separation
      requirements may be relaxed, eliminated or otherwise modified.

PMID- 10259826
TI  - Federal Employees Health Benefits Program; benefits for medically underserved
      areas--Office of Personnel Management. Final rule.
AB  - The Office of Personnel Management (OPM) is amending its regulations pertaining
      to benefits under the Federal Employees Health Benefits (FEHB) Program for
      individuals in medically underserved areas, these regulations are necessary to
      implement the FEHB law, as amended, which mandates special consideration for
      enrollees of certain FEHB plans who receive covered health service in States with
      critical shortages of primary care physicians.

PMID- 10259827
TI  - Health Financing Research and Demonstration grants; availability of funds for
      grants--Health Care Financing Administration. General notice.
AB  - This document announces additional priority subject areas for research and
      demonstration grants for fiscal year 1983, in addition to those included in the
      Federal Register on September 16, 1982 (47 FR 41090).

PMID- 10259828
TI  - Health systems agencies and state health planning and development agencies;
      certificate of need reviews--Health Resources and Services Administration. Notice
      regarding adjustment of the expenditure minimum for capital expenditures and the
      expenditure minimum for annual operating costs.
AB  - This notice provides necessary information for each State which chooses to adjust
      the capital expenditure and annual operating cost expenditure minimums that are
      used to determine whether proposals are subject to review under a State's
      certificate of need program. The notice also provides guidance to assist a State
      Health Planning and Development Agency (State Agency) in determining the exact
      minimum dollar figure it will use and in seeking further information.

PMID- 10259829
TI  - Doctors and FTC eye truce that would keep most antitrust powers.

PMID- 10259830
TI  - Hospitals' building and buying binge tied to cuts in federal planning aid.

PMID- 10259831
TI  - Financing health care: the unfinished agenda.

PMID- 10259832
TI  - Prescriptions for Baby Doe.

PMID- 10259833
TI  - The Public Health Service--suffering budget cuts in relative obscurity.

PMID- 10259834
TI  - Relative responsibility.

PMID- 10259835
TI  - Catastrophic health insurance.

PMID- 10259837
TI  - 'PPO'--three letters that may form one answer to runaway health costs.

PMID- 10259836
TI  - Health insurance for the unemployed and uninsured.

PMID- 10259838
TI  - On health issues, this business group is a leader, but is anyone following?

PMID- 10259839
TI  - Data base to allow firms to gauge health costs.

PMID- 10259840
TI  - Mail-order drugs can cut the cost of prescription plans.

PMID- 10259841
TI  - EEOC says employer plans must cover older workers.

PMID- 10259842
TI  - Employee attitude surveys.

PMID- 10259843
TI  - Big employers increasing health cost control: study.

PMID- 10259845
TI  - Captive dividends offsetting premium hikes for hospitals.

PMID- 10259844
TI  - O'Connell uses wide variety of risk-funding techniques.

PMID- 10259846
TI  - Sisters establish non-profit agencies to carry out works.

PMID- 10259847
TI  - Coalitions continue attack on health costs.

PMID- 10259848
TI  - Exhibitors focus on employee wellness.

PMID- 10259849
TI  - As Congress acts, benefit plans will change.

PMID- 10259850
TI  - Changes in law affect malpractice claims.

PMID- 10259852
TI  - Smoking rule doesn't worry employers in San Francisco.

PMID- 10259851
TI  - Unisex rates expensive for employers, insurers.

PMID- 10259853
TI  - Older workers' health care rules in limbo.

PMID- 10259854
TI  - But 'everybody' is self-funding health benefits.

PMID- 10259855
TI  - Benefit tax would burden self-insurers.

PMID- 10259856
TI  - Coalition attacks malpractice awards.

PMID- 10259857
TI  - Amateur auditors. Employers give workers incentive to review hospital bills.

PMID- 10259858
TI  - Titles and designations and the C.S.L.T.

PMID- 10259859
TI  - The development of an occupational therapy program in a solarium area.
AB  - This paper introduces the use of a solarium area, with primary emphasis on
      horticultural activities, as a medium within which a comprehensive Occupational
      Therapy program can be developed. The specific treatment goals of training in the
      use of energy conservation principles is outlined for the inpatient population of
      a rheumatology unit in an active treatment hospital. Other goals can be
      incorporated into this protocol. The unusually wide range of physical demands
      available and the opportunity to modify the patient's work style make the
      solarium area particularly relevant to physical Occupational Therapy.

PMID- 10259860
TI  - Professional negligence and the occupational therapist.
AB  - This paper will attempt to clarify the meaning of negligence. The difference
      between the negligent acts of a layman and a professional are defined and
      compared, as well as professional and non-professional occupations. The method of
      determining the standard by which occupational therapists are measured is
      discussed as well as the points the Courts consider when the standard is breached
      and harm to the patient results. Consideration is given to the gradual shift of
      responsibility from the physician to the health care professional, the ensuing
      legal implications, and the division of responsibility for negligence. The
      position of occupational therapists employed by health care facilities, in
      relation to the liability of the employer and the practitioner are outlined. The
      points discussed are illustrated by cases from the British, Canadian and American
      Courts.

PMID- 10259861
TI  - The medical oath.

PMID- 10259862
TI  - No resuscitation orders: the emerging consensus.

PMID- 10259863
TI  - Theology of health care and the Diocesan Church.

PMID- 10259865
TI  - The corporation on campus--supporting research with a commercial mission.

PMID- 10259864
TI  - The corporation on campus--balancing responsibility and innovation.

PMID- 10259866
TI  - Peer review--a study of reliability.

PMID- 10259867
TI  - Avoiding common hospice pitfalls.

PMID- 10259868
TI  - Current developments in hospice care.

PMID- 10259869
TI  - Carol Manning: a hospice case study.

PMID- 10259870
TI  - A tribute to George Sandora, Rev. Q. Gerald Roseberry, Mary-Audrey Mellor and the
      Hospice of the Valley.

PMID- 10259871
TI  - Hospital Home Health Care of California.

PMID- 10259872
TI  - Geriatric nurse practitioner--vital to hospice & home health.

PMID- 10259873
TI  - Quality assurance--calling a spade a spade.

PMID- 10259875
TI  - Hospital management trends: sharing services.

PMID- 10259874
TI  - The board's mandate--operating the hospital.

PMID- 10259876
TI  - Do not resuscitate orders--are they legal?

PMID- 10259877
TI  - Getting the message across in hard times.

PMID- 10259878
TI  - The Hawkesbury experiment.

PMID- 10259879
TI  - The human hospital.

PMID- 10259880
TI  - Defined-benefit retirement annuities: testing competitiveness.

PMID- 10259881
TI  - Research results: the effect of merit-pay practices on white collar performance.

PMID- 10259882
TI  - Internal labor markets and indirect pay discrimination.

PMID- 10259883
TI  - Bioethics: definition and importance for today.

PMID- 10259884
TI  - Managing organizational values.

PMID- 10259885
TI  - Mid-West Health Congress examines techniques for effective management.

PMID- 10259886
TI  - The enabling leader.

PMID- 10259888
TI  - Microcomputers for hospital materials management--can they do the job?

PMID- 10259887
TI  - Selecting a materials management system--make sure it's adequate.

PMID- 10259889
TI  - Material management: information system requirements.

PMID- 10259890
TI  - The delinquent account.

PMID- 10259891
TI  - Systems approach to discharge planning--monitoring the process.

PMID- 10259892
TI  - Discharge planning models. St. Mary Medical Center, Long Beach, CA.

PMID- 10259893
TI  - The discharge and care of the pediatric oncology patient.

PMID- 10259894
TI  - Hospice: a challenge to the community hospital.

PMID- 10259895
TI  - Evolution of a community program for the dying and their families.
AB  - A direct outcome of the death and dying movement has been the establishment of
      community programs designed to provide intervention services, support and
      education for the dying and their families and for the community at large. This
      paper discusses the evolution of such a program. Included in the discussion is a
      brief history, the nature of the program that evolved, problems related to
      community acceptance, and the current status and future of the program. Although
      the experiences of this program are to a degree unique, issues are raised that
      are likely to be common to many such community programs.

PMID- 10259896
TI  - Young mothers' communication about death with their children.
AB  - Young mothers' death-communication style and content patterns were determined by
      use of a simulation device in which a child's recorded voice posed questions or
      expressed reactions to a death situation. Eight different situations were
      constructed, depicting two each of four common reactions of children to a type of
      death occurrence (fear, curiosity, anger, fantasy/denial). Interviews were
      conducted with 100 mothers of young children who also responded spontaneously to
      each of the eight situations just as they might respond to their own children.
      Judges were able to place the women's recorded responses into both content and
      style categories. Content patterns were inconsistent; style (relationship)
      classifications appeared to be most consistent, with subjects falling into four
      predetermined style patterns (open-warm, open-cool, closed-warm, closed-cool) and
      one mixed category. Parents' reaction differences appeared only in the more ego
      involving situations in which the child displayed some emotions, whereas a
      majority of mothers responded similarly to the "developmental curiosity" of the
      child. Background and personality factors relating to communication styles were
      investigated; factors labeled "commitment to education" and "resistance to
      emotional discussion" discriminated most clearly among the five style groups.
      combined groups (open versus closed, warm versus cool) also revealed significant
      differences. Implications for parent education and for further research are
      discussed.

PMID- 10259897
TI  - consumer preparedness, knowledge, and opinions about practices and regulations of
      the funeral industry.
AB  - This study focuses on consumers' level of knowledge, opinions, and degree of
      preparedness concerning selected practices and regulations of the funeral
      industry. Questionnaires were returned by 75 percent of the sample of faculty and
      staff at a large university. Opinions of respondents rejected the status quo
      concerning various practices and regulations of the funeral industry, indicating
      a desire to support newly suggested changes in the industry. Preparedness scores
      indicated that almost 9 out of 10 of the respondents were quite unprepared for
      their own funerals. The mean achievement score regarding knowledge as measured by
      the Consumer Funeral Test, which was developed for this study, was 4.0,
      representing 57 percent correct. Significant statistical relationships existed
      between knowledge scores and the age, education, and sex of the respondents;
      those who were older and had more education scored higher, and men scored higher
      than women. No relationships existed, however, among knowledge, opinion, and
      preparedness scores and the demographic variables of age, education, income, sex,
      and religion, raising the fundamental question of the value of funeral
      information programs for consumers.

PMID- 10259898
TI  - Levels of death fear: a factor analysis.
AB  - This article reports principal components and factor analyses of the scores of 60
      high school and college students on the seven measures developed by Feifel and
      his colleagues to assess fear of death at the conscious, imagery, and
      nonconscious levels. The results did not support the presence of the three
      predicted levels. The best solution seemed to be the four-component or four
      factor solution. The first factor seemed to be a measure of conscious death fear.
      The other three factors were determined by combinations of the nonconscious
      measures, suggesting that these measures are assessing different aspects of the
      subjects' behavior relative to death.

PMID- 10259899
TI  - Dependents' pregnancy-related medical benefits and the Pregnancy Discrimination
      Act.

PMID- 10259900
TI  - The impact of regulation on pharmaceutical research expenditures: a dynamic
      approach.
AB  - This paper estimates the impact of federal regulation of drug quality on research
      spending by the pharmaceutical industry. The theoretical approach recognizes that
      the effects of these regulations on research spending depend upon the reactions
      of R&D decision makers and the information available during project selection.
      The information available to R&D decision makers in the 1960s suggests that it
      would have been difficult for them to forecast accurately regulatory effects on
      research profitability. As better information developed in the late 1960s and
      early 1970s, however, regulation had a significant effect on research spending.
      These differences in response are tested econometrically and prove to be
      empirically significant. The estimates of current regulatory effects on
      pharmaceutical R&D spending are quite large.

PMID- 10259901
TI  - Telling employees about health care cost controls.

PMID- 10259903
TI  - First all-labor health care coalition forms.

PMID- 10259902
TI  - Health care coalitions gain nationwide popularity but need cohesiveness, trust to
      work properly.

PMID- 10259904
TI  - Limiting your risks in the new Russian roulette--discharging employees.
AB  - Time was when an employer had the freedom to discharge employees for a good
      reason, a bad reason, or no reason at all. As more and more employees bring
      claims of "wrongful discharge" to courts, however, employers' discretion to
      terminate employees at will is being restricted. This is particularly so where
      cases are presented before juries, which tend to be more sympathetic to the
      employee's plight. In the following article, the author examines the
      circumstances under which courts are now finding employers responsible for
      wrongful discharge. He also discusses ways in which employers can limit their
      exposure to wrongful discharge claims.

PMID- 10259905
TI  - Dealing with a changed regulatory climate: OSHA under the Auchter administration.
AB  - Traditionally, the relationship between OSHA and the employer faced with an OSHA
      inspection has been an adversarial one. Employers have tended to perceive OSHA
      inspectors as nitpicking and antagonistic rather than helpful in performing their
      functions as agents monitoring occupational safety and health in the work place.
      With the appointment of Thorne Auchter as assistant secretary of labor for
      occupational safety and health, however, the climate for cooperation between
      employers and OSHA has substantially improved. Auchter has taken steps to improve
      the image of the Agency and its inspectors while at the same time correcting
      federal overregulation of the work place. In the following article, the author
      outlines the changes Auchter has brought to OSHA in his efforts at redirecting
      the Agency's operations. He also provides a step-by-step guide for employers to
      follow during an OSHA inspection.

PMID- 10259907
TI  - Tax Equity and Fiscal Responsibility Act of 1982: its impact on employee
      benefits.

PMID- 10259908
TI  - Hospitals, druggists, EP's at odds over DEA ruling.

PMID- 10259906
TI  - Dissemblers and EEO.

PMID- 10259909
TI  - Call-jumping, competition blamed for Atlanta citizen's death.

PMID- 10259910
TI  - The death of accountability--EMS evaluation in the era of block grants.

PMID- 10259911
TI  - BLS (basic life support) is not enough.

PMID- 10259912
TI  - A simple quantitative system for evaluation of state EMT instructors.

PMID- 10259913
TI  - Infection control.

PMID- 10259914
TI  - Trousers against shock.

PMID- 10259915
TI  - Life flight.

PMID- 10259916
TI  - Trauma centers: classification.

PMID- 10259918
TI  - The essence of good report writing.

PMID- 10259917
TI  - Emergency personnel encounter increasing violence and vandalism on runs. What are
      some solutions?

PMID- 10259919
TI  - EMT and paramedic training facilities.

PMID- 10259920
TI  - A new concept in CPR recertification training.

PMID- 10259921
TI  - Cost containment procedures.

PMID- 10259923
TI  - Working with cost containment...

PMID- 10259922
TI  - Contract management: is 50% of the hospital market within reach? Part 2.

PMID- 10259924
TI  - An integrated pest management concept for hospitals.

PMID- 10259925
TI  - Pharoah ants & methoprene.

PMID- 10259926
TI  - Contract management: is 50% of the hospital market within reach? Part 4.

PMID- 10259927
TI  - Budgets.

PMID- 10259928
TI  - Coping with budget cuts.

PMID- 10259929
TI  - How to make pest control your service instead of someone else's business.

PMID- 10259931
TI  - How to refuse a raise request.

PMID- 10259930
TI  - Floor care that works. The secret is the sealer and the system.

PMID- 10259932
TI  - Contract management: is 50% of the hospital market within reach? Part 5.

PMID- 10259933
TI  - Advances in floor care products & procedures.

PMID- 10259934
TI  - A break through in hard surface floor care.

PMID- 10259935
TI  - IPM offers varied menu to Houston corporations.

PMID- 10259936
TI  - Fed support for worksite health promotion continues.

PMID- 10259937
TI  - New nursing trends threaten LPNs' future.

PMID- 10259939
TI  - 9,000 New York home care workers win first contract.

PMID- 10259938
TI  - St. Barnabas nurses win it.

PMID- 10259940
TI  - 1199 to Reagan: 'don't gut hospital standards'.

PMID- 10259941
TI  - Cancer and hospital workers.

PMID- 10259942
TI  - The emotional cost of Reaganomics.

PMID- 10259943
TI  - N.Y. hospitals say 'no' to nuclear war plan.

PMID- 10259944
TI  - Organizing state hospital workers in West Virginia.

PMID- 10259945
TI  - Social workers under fire.

PMID- 10259946
TI  - National union seeks health coverage for unemployed.

PMID- 10259947
TI  - 3,200 Massachusetts professionals choose 1199.

PMID- 10259948
TI  - Quantitative analysis of a licensing examination using adverse impact.
AB  - Does licensure restrict entry fairly, or does it serve as a discriminatory
      barrier for minorities? The use of the concept of adverse impact, a legally
      mandated, quantitative tool to assess selection procedures, is a useful mechanism
      to make such determinations. The results of a study in Michigan of the nursing
      examination for licensure show how adverse impact may be used. The implications
      of the outcome of the adverse impact study weigh heavily not only on the nursing
      examination but also on the use of such tools in other health professions.

PMID- 10259949
TI  - The psychosocial functioning inventory.
AB  - The derivation and psychometric analyses of a general purpose outcome/survey
      instrument--the Psychosocial Functioning Inventory (PFI)--are described. The
      instrument contains scales designed to measure a wide array of constructs,
      including subjective well-being, social functioning, stressful events, treatment
      dependency/aftercare, and consumer satisfaction. Extensive reliability and
      validity analyses are reported, indicating reasonable reliability and validity
      for the PFI scales.

PMID- 10259950
TI  - A framework for viewing the process of standard setting.
AB  - The standard-setting literature is filled with contributions in which issues
      associated with standards are discussed and various methods for setting standards
      are presented and reviewed. Almost no attention has been given to guidelines for
      helping standard-setting groups or committees address the issues and technical
      matters that arise in selecting and implementing a standard-setting method and
      finally setting a standard (or standards). This article was prepared to describe
      sets of context-setting variables and technical matters associated with standard
      setting to assist groups or committees desiring to set standards in a systematic
      way.

PMID- 10259951
TI  - An evaluation of a cancer control outreach program in radiation therapy.
AB  - Using the methodology of retrospective chart review, this study in radiation
      therapy compared workup and treatment scores for two groups of community
      hospitals. The group that participated in clinical trials with a radiation
      therapy cooperative consortium was superior in several respects to a matched
      comparison set of hospitals. However, the superiority appears to have been in
      evidence before the program began. There are presumed to be selection mechanisms
      that operate to bring certain facilities into the clinical research effort, while
      excluding others.

PMID- 10259952
TI  - Measuring the instructional validity of clinical simulation problems.
AB  - Written clinical simulation problems in two formats--forced-choiced and essay-
      were used to test junior and senior medical students at the conclusion of their
      pediatric rotations. A comparison was made in the performance of students with
      varying levels of clinical experience. There seemed to be no consistent pattern
      of improvement with increased instructional time on the forced-choice management
      problems. Junior students did show improvement over time on the essay management
      problems, which also seemed to reflect the increased problem-solving and
      organizational skills of seniors in comparison to juniors. Correlations across
      problems and correlations between the clinical problem test and other measurement
      techniques were very weak, partly due to the low sampling reliability of clinical
      simulation problems. In this study, clinical simulation problems failed to
      demonstrate responsiveness to development and maturation in the problem-solving
      approach to patient care.

PMID- 10259953
TI  - Spatial rearrangement. Its effect on social environment in a renal dialysis
      clinic.
AB  - There has been little research on social environments created by spatial
      arrangements in health care and how these social environments may affect the
      nature of health care. This article describes changes in the social environment
      of a renal dialysis clinic that were created by an alteration in the spatial
      arrangements. It was found that changes occurred in the communication between
      staff and patients, the communication among patients, and the communication
      between patients and visitors. These changes in turn raised questions about the
      quality of care available to patients.

PMID- 10259954
TI  - Collecting mental health self-evaluations. Effectiveness and cost of three third
      party techniques.
AB  - The effectiveness and cost of three techniques for obtaining client ratings of
      their own levels of functioning were assessed in a private, outpatient, mental
      health clinic. Seventy-five clients were asked to rate the adequacy of their own
      functioning on vocational, family, social, personal, and overall dimensions.
      Clients were randomly assigned to (a) mail, (b) telephone, or (c) mail followed
      (if necessary) by telephone administration of the ratings questionnaire. Mail
      followed if necessary by phone administration was found to be more cost effective
      than either mail alone or telephone alone.

PMID- 10259955
TI  - A service delivery program and its evaluation. A case study in the sociology of
      applied research.
AB  - Descriptions are rare of instances in which true experimental designs have been
      implemented in evaluating ongoing programs. This article is a case study of a
      health service delivery program and the classical pretest-posttest randomized
      experiment that evaluated it. The main theses are (1) that the research developed
      was based on the values and interests of the persons and institutions involved,
      and concordance in interests and values among the several parties was responsible
      for success in implementing the rigorous experimental design; and (2) that the
      program being evaluated and the research evaluation affect each other in
      significant ways, some intended and others unanticipated.

PMID- 10259956
TI  - A systematic approach to increasing use of management-oriented program evaluation
      data.
AB  - With the implementation of Management Information Systems (MISs) in human service
      delivery settings, came the expectation that managers would make data-based
      decisions. There is substantial evidence, however, that this has not occurred.
      The present authors describe a systematic approach to correcting this deficiency.
      The approach involves a behavioral definition of management information use, the
      identification of disruptions in the behaviors comprising information use, and an
      intervention designed to reduce disruptions and promote use. Conclusions about
      the effectiveness of this approach gained from its implementation in a community
      mental health center are described.

PMID- 10259957
TI  - Evaluation and social policy. Some reflections on ideas and institutions.
AB  - This paper discusses the relationship between evaluation as a meta- and as a
      technical activity in the field of social policy, with special reference to the
      British experience. Evaluation as a meta-activity is defined to be the analysis
      of the values and criteria to be used: a process which assumes that the
      definition of problems is itself problematic. Evaluation as a technical activity
      is defined to be the application of agreed criteria to agreed policy problems.
      From this distinction, it is argued, some important implications flow for the
      role of the universities and the funding of research.

PMID- 10259958
TI  - The utilization of prevailing evaluation policy in the selection of performance
      measures.
AB  - This study considers the problem of inferring a functional evaluation criterion
      from existing performance measure policies. The objective is to develop a
      rational basis by which to adaptively evaluate a current best set of performance
      measures from alternative sets. The analysis is based on a matrix approach for
      relating system characteristics to performance measures across a set of
      activities. A procedure for ranking measure combinations which are candidate
      implementation alternatives is devised using this matrix representation and cost
      information. An example illustrating the procedure is presented.

PMID- 10259959
TI  - A multi-dimensional client satisfaction instrument.
AB  - Development of a client satisfaction measure through successive factor analyses
      is described. Five factors, each defined by five items and accounting for at
      least 11% of the total variance, were identified and replicated. A single second
      order factor also emerged in both studies. Reliability of the second order
      factor, and of three of the first order factors is sufficient for most purposes.
      The second order factor, which is a linear combination of the first order
      factors, was not significantly correlated with sex, age, race, or number of
      attempts made before receiving a client response. The distribution of scores was
      highly skewed, with most respondents scoring near the upper (satisfied) end.

PMID- 10259960
TI  - Evaluations of government programs.

PMID- 10259961
TI  - Research on implementation. Implications for evaluation practice and evaluation
      policy.

PMID- 10259962
TI  - Using macro variables in program evaluation.
AB  - This paper discusses the importance of using macro-level variables for program
      analysis. It is argued that three types of macro variables--cultural, economic,
      and demographic--provide a context for evaluation, and offer alternative
      explanations for the success or failure of a program. The problems of causality
      and availability of data are discussed. Macro variables are seen to be especially
      useful in "meta evaluation," and in integrating the results of specific program
      evaluations into general conclusions.

PMID- 10259963
TI  - The client satisfaction questionnaire. Psychometric properties and correlations
      with service utilization and psychotherapy outcome.
AB  - An 18-item version of the Client Satisfaction Questionnaire (CSQ-18) was included
      in an experimental study of the effects of pretherapy orientation on
      psychotherapy outcome. The psychometric properties of the CSQ-18 in this study
      were compared with earlier findings. In addition, the correlations of the CSQ-18
      with service utilization and psychotherapy outcome measures were examined.
      Results indicated that the CSQ-18 had high internal consistency (coefficient
      alpha = .91) and was substantially correlated with remainer-terminator status (rs
      = .61) and with number of therapy sessions attended in one month (r = .54). The
      CSQ-18 was also correlated with change in client-reported symptoms (r = -.35),
      indicating that greater satisfaction was associated with greater symptom
      reduction. Results also demonstrated that a subset of items from the scale (the
      CSQ-8) performed as well as the CSQ-18 and often better. The excellent
      performance of the CSQ-8, coupled with its brevity, suggests that it may be
      especially useful as a brief global measure of client satisfaction.

PMID- 10259964
TI  - On participant-observation as a component of evaluation. Strategies, constraints
      and issues.
AB  - Described here is a participant-observation strategy employed as one portion of
      the evaluation research at Family House, a residential treatment program for
      alcoholic mothers and their children. Major objectives of this leg of a two
      legged research design combining this approach with a more standard pre- and post
      test strategy were to document and analyze the processes of social development in
      the new "small society." The ethnographer acted as consultant, with "raw data"
      generated in the form of daily observations dictated on the rotating basis by
      staff members over a two-year period. The resulting narrative was coded and
      analyzed by the anthropologist, utilizing a phenomenological or interpretationist
      perspective which allowed the "native categories" of significance to emerge and
      guide the analysis. This novel research strategy is compared with standard
      ethnographic fieldwork, as well as with pre- and post-test design, in terms of
      its strengths and weaknesses. Strengths include access to an authentic "inside
      view" of Family House reality, as well as an unusually rich longitudinal record
      of daily life in the facility. Problems include danger of contaminating the data
      by means of the "feedback" provided to reward staff for their cooperation in the
      research effort. The author concludes, however, that since reactive effects are
      present in all designs, and since "feedback" is a normal feature of therapeutic
      milieux, validity is not unusually threatened. Finally, the purposes of
      evaluation research are scrutinized.

PMID- 10259965
TI  - Evaluating employee assistance programs. A review of methods, outcomes, and
      future directions.
AB  - Renewed interest in assisting troubled employees has led to an upsurge in the
      development of employee assistance programs, coupled with demands for
      demonstrable effectiveness. This review examines the nature and scope of these
      programs, their administrative and methodological context, and the types and
      outcomes of evaluation studies conducted thus far. Proposals for improving future
      investigations through a number of different approaches and strategies are then
      made.

PMID- 10259966
TI  - Evaluation in the community mental health centers program: a bold new reproach?
AB  - The Federal Community Mental Health Centers Program (CMHC)-from 1963 to 1981-was
      heralded as a revolution in mental health care. Championed by many, and severely
      criticized by others, the actual impact of the program on the nation's mental
      health remains unclear. The authorization to evaluate the CMHC Program came
      originally from congressional legislation (PL 90-174), and later from the
      policies and regulations of NIMH under a series of Federal laws, notably PL 94
      63. From 1976-1980, two dominant evaluation strategies were prevalent: funds
      expended by NIMH each year for studies of CMHC services or program-wide
      evaluations, and a much larger expenditure by CMHCs to conduct their own,
      independent evaluations following federal guidelines. As the Center's Program was
      turned over to the states in the form of block grants (PL 97-35), a group of
      professionals involved with setting and carrying out federal CMHC evaluation
      policy of both varieties met in public forum to debate the impact of these two
      evaluation approaches. While some participants cited gains in evaluation
      technology and impact upon local management of CMHCs, others found the lack of a
      coordinated and systematic approach to evaluating the CMHC Program to have been
      an opportunity missed. The impact of CMHC evaluation efforts are also discussed
      in terms of their major contribution to the field of evaluation research as a
      whole.

PMID- 10259967
TI  - Archival data in program evaluation and policy analysis.
AB  - Evaluators have typically avoided using existing data sets, choosing instead to
      collect their own information to maintain control over both the content and
      quality of the data. As demands on action researchers increase without provision
      for additional resources, primary data collection may become a luxury and the use
      of archival data may increase. Though archival data has practical and
      methodological advantages, there are limitations associated with the utilization
      of such information. The general problems with secondary data sources include the
      accuracy, acceptability and accessibility of the information. Following a
      discussion of these general problems, an example from the Civilian Health and
      Medical Program of the Uniformed Services (CHAMPUS) reimbursement data set is
      presented to illustrate specific difficulties with using archival data for
      evaluation research. Strategies are then presented for minimizing these
      difficulties, including determining the feasibility of utilization of such data
      sources, methods for assessing their accuracy and factors to consider in the data
      acquisition process.

PMID- 10259968
TI  - Pragmatic decisions in the evaluation of consumer satisfaction with mental health
      treatment.
AB  - This article examines pragmatic choices which must be made in conducting consumer
      satisfaction assessment of mental health treatment. It is argued that choices
      involving sample, format, and procedure for examining satisfaction may influence
      the results of such research, and must be considered when creating or evaluating
      these efforts. These choices are examined in detail.

PMID- 10259969
TI  - Outcome evaluation or treatment research?: A response to Ciarlo (1982).

PMID- 10259970
TI  - Outcome assessment in evaluation and treatment research: A response to Ciarlo and
      Hargreaves (1982).

PMID- 10259971
TI  - Assessing the efficacy of ombudsman services for the aged in long term care
      institutions.
AB  - Long term care ombudsman programs are a recently established component within the
      gerontological services continuum. Public policy in this area is not yet well
      defined and there is a conspicuous absence of systematic studies assessing the
      effectiveness of such program efforts. This research reports on the
      accomplishments of an urban based, volunteer nursing home ombudsman program.
      Survey findings show moderate levels of goal attainment in the policy and social
      relations domains and more promising results in the organizational/managerial
      sphere. The relationship between perceptions of program success and varying
      ombudsman role behaviors is underscored.

PMID- 10259972
TI  - Sharing income equally?

PMID- 10259973
TI  - Where are your group dollars going?

PMID- 10259974
TI  - For the group that has everything . . . except an administrator.

PMID- 10259975
TI  - Fuel for your satellite launch.

PMID- 10259976
TI  - Next cut: reimbursement for physician services.

PMID- 10259977
TI  - Echoes out of the past.

PMID- 10259979
TI  - Smaller investor-owned companies prepare for a role in changing hospital market.

PMID- 10259978
TI  - Multi-hospital systems: phenomenon of the past: wave of the future for industry.

PMID- 10259980
TI  - Two California hospitals expand community outreach with diversified health
      programs.

PMID- 10259981
TI  - The changing health care world: learning how to do things differently.

PMID- 10259982
TI  - New dimension is added to the education of materiel managers.

PMID- 10259983
TI  - Hospital support grows for a negotiated preferred rates system.

PMID- 10259984
TI  - Investor-owned hospital, U. of Miami starts "test tube baby" program.

PMID- 10259985
TI  - The 10 most common organizational problems: getting to their source.

PMID- 10259986
TI  - A grant for every purpose.

PMID- 10259987
TI  - Overview of impact of energy conservation on firesafety.
AB  - The controlling factors of the various phases of building fires, namely, ignition
      and initial fire spread, pre-flashover fire growth, fully developed fire, and
      intercompartmental fire spread, are examined together with the smoke problem that
      may be associated with any of them.

PMID- 10259989
TI  - Limitations of the 'dream' machine.

PMID- 10259988
TI  - The "three R's" of work.

PMID- 10259990
TI  - What's in the wind?

PMID- 10259991
TI  - The burdens & blessings of leftovers.

PMID- 10259992
TI  - How to improve nutrition in hospital menus.

PMID- 10259993
TI  - Who takes responsibility?

PMID- 10259994
TI  - Investing in your employees.

PMID- 10259995
TI  - The politics of feeding the elderly.

PMID- 10259996
TI  - Laguna Honda: a 115-year legacy.

PMID- 10259997
TI  - The Holmstad: a village within a village.

PMID- 10259998
TI  - A look at Social Security.

PMID- 10259999
TI  - 'Ship-shape' is no accident.

PMID- 10260000
TI  - New technologies media for fund raising are on the way.

PMID- 10260001
TI  - Word processing may promote better donor record use.

PMID- 10260002
TI  - Patient research ensures their needs are met.

PMID- 10260003
TI  - How to avoid pitfalls in fund raising direct (mail) response.

PMID- 10260004
TI  - Recession, Reagan dented non-profit armor in 1982.

PMID- 10260005
TI  - Development offices offer hospitals a high return.

PMID- 10260006
TI  - Improve communications with local TV news people.

PMID- 10260007
TI  - Major gift clubs boost income with marketing.

PMID- 10260008
TI  - How to find a foundation grant with little or no luck.

PMID- 10260009
TI  - Hospital fund raising...shake-up in health care will change development.

PMID- 10260010
TI  - Managing a small development office takes special skills.

PMID- 10260011
TI  - Telemarketing can work for social welfare agencies.

PMID- 10260012
TI  - The untapped resource: corporate matching gifts.

PMID- 10260013
TI  - 1983: the year for marketing.

PMID- 10260014
TI  - How the grass roots can raise funds in hard times.

PMID- 10260015
TI  - Can EFT cut the paper blizzard?

PMID- 10260016
TI  - Institutional review boards: informed consent and clinical trial ethics.

PMID- 10260017
TI  - FDA audit of investigators and sponsors.

PMID- 10260018
TI  - Evaluation of a new approach to geriatric drug education.

PMID- 10260019
TI  - Dissemination of drug information from a non-profit community hospital pharmacy.

PMID- 10260020
TI  - Good reporting practices.

PMID- 10260021
TI  - CAS information services for medicinal chemists.
AB  - In summary, the medicinal chemist has four new ways to access the information
      contained in the CAS database: CAS ONLINE, the only structure search system based
      on the entire CAS Registry database, and three printed services, CA SELECTS,
      BIOSIS/CAS SELECTS, and CAS Customer-Defined Information Services, which provide
      abstracts on specialized topics of interest.

PMID- 10260022
TI  - Profile of drug information centers in the United States.
AB  - Better than two-thirds of the DICs polled responded to the questionnaire, which
      represents a significant and representative profile of drug information services.
      The information from this survey was intended to compliment previous surveys and
      published works on DICs. For administrative purposes this collective profile of
      DICs provided useful information to anticipate and establish the location,
      staffing pattern, and service functions for a new drug information center. Future
      surveys should focus upon not only descriptive parameters of DICs, but also
      should allow and encourage subjective responses that would compare not only "how
      things are" but also "how things should be".

PMID- 10260023
TI  - Reducing drug therapy-induced hospitalization: impact of drug utilization review.

PMID- 10260024
TI  - Evaluation of factors influencing the patterns of use of drug and poison
      information resources.

PMID- 10260025
TI  - Self-help groups: what the health educator should know.

PMID- 10260026
TI  - Health education and death education: are they compatible?

PMID- 10260027
TI  - Relationships between wellness role modeling and professional training in health
      education.
AB  - The relationship between wellness role modeling and health education was examined
      in a university setting. Comparisons were made between the following groups: 1)
      new health science majors and advanced majors; 2) new health science majors and
      new majors in other fields; 3) advanced health science majors and advanced majors
      in other fields; and 4) health science education faculty and the previously
      tested groups. Each group responded to a valid and reliable wellness instrument
      (University of Wisconsin/La Crosse Wellness Inventory). Differences between
      groups were determined using means, analysis of variance and Scheffe's post-hoc
      test. Results indicated that no statistically significant difference existed
      among student groups indicating that just traditional academic exposure to health
      science/education does not produce positive role models. The faculty were
      significant potential role models but apparently failed to communicate this
      positive wellness philosophy to students.

PMID- 10260028
TI  - A three-dimensional model for teaching about hypertension.
AB  - We present a model of the cardiovascular system used to teach patients about the
      nature, risks, and treatment of hypertension. We designed the model to help
      providers explain abstract principles of cardiovascular function through graphic
      representations that patients can see, feel and hear. This article describes the
      model, discusses the concepts that providers can illustrate to patients, and
      includes an outline followed by providers of our community health centers in
      educating hypertensive patients.

PMID- 10260029
TI  - Incorporating a behavioral model in health education.
AB  - Understanding the concept of behavior formation is vital in facilitating health
      education effectively in any setting. Traditionally, the health education process
      was predicated on the cognitive domain. Consequently, other behavioral influences
      such as attitudes and intentions were not respectively addressed. Several
      multidimensional behavior models have been used by health educators to favorably
      influence human behavior. One specific model, based on one's knowledge (beliefs),
      attitudes, and intentions is particularly suited for educational settings. This
      model can be used to assess the validity of individual beliefs, nature of
      attitude, specificity of intentions and associated personal health behaviors.
      This assessment can serve as a major motivating factor to encourage persons to
      identify the quality of their current lifestyle and assume personal
      responsibility for their welfare.

PMID- 10260030
TI  - A scale to measure the humanistic attitudes of social work students.

PMID- 10260031
TI  - The social functioning exam: an assessment for stroke patients.

PMID- 10260032
TI  - Occupationally induced cancer susceptibility: regulating the risk.

PMID- 10260034
TI  - The limitations of written examinations for licensure.

PMID- 10260033
TI  - The privilege of self-critical analysis.

PMID- 10260036
TI  - Foreign medical graduate examination in the medical sciences.

PMID- 10260035
TI  - Progress toward the new FLEX program.

PMID- 10260037
TI  - Educational standards of overseas medical schools--the perspective of a foreign
      medical graduate.

PMID- 10260038
TI  - Clinical clerkships in New York State for foreign medical students.

PMID- 10260039
TI  - Way out front in nursing homes.

PMID- 10260040
TI  - Health benefits come under the knife.

PMID- 10260041
TI  - Responses to a hospital marketing inventory.

PMID- 10260043
TI  - Search for an economic order.

PMID- 10260042
TI  - Interview with Kenneth Clarke.

PMID- 10260044
TI  - Stepping stones to normal life.

PMID- 10260045
TI  - Manpower log-jam.

PMID- 10260046
TI  - Planning resources.

PMID- 10260047
TI  - A sense of freedom.

PMID- 10260048
TI  - Blood pressure transducers.

PMID- 10260049
TI  - Dilemma of Tadworth Court.

PMID- 10260050
TI  - Healthy profits?

PMID- 10260051
TI  - Tender trap.

PMID- 10260052
TI  - Juggling babies and resources.

PMID- 10260053
TI  - Training in the field.

PMID- 10260054
TI  - Ringing the changes.

PMID- 10260055
TI  - The Victoria strategy.

PMID- 10260056
TI  - Plugging into the data-base.

PMID- 10260057
TI  - Where did the missing 8m pounds go?

PMID- 10260058
TI  - Home comforts.

PMID- 10260059
TI  - How to rank computer projects.
AB  - When it comes to deciding which project proposals should get the nod, top
      executives, information systems managers, and users often have conflicting views.
      None of these should make the choice alone, says this author. With the IS manager
      as coordinator, users and top executives can contribute to an eight-step process
      that will reconcile differing perspectives and permit an orderly ranking of
      projects. Such a structured approach helps managers to make a more effective use
      of IS resources because it includes other elements relative to the priority
      setting process, rather than just those that are purely financial.

PMID- 10260060
TI  - Should not-for-profits go into business?
AB  - To the manager of the not-for-profit organization, the idea of entering into a
      business venture might seem heretical. The precedent has been set, however, and
      numbers of not-for-profits are currently earning substantial amounts of income
      through long-term for profit enterprises that have continuity with the
      organization's prime mission. The author of this article cautions managers of not
      for-profits that an earned-income venture can be a miserable failure unless the
      organization meets certain conditions: a product to sell, managerial talent,
      trustee support, an entrepreneurial spirit, and money or the ability to get it.
      He then describes nine issues managers should consider before undertaking earned
      income projects.

PMID- 10260061
TI  - What is the cost to you of conserved energy?

PMID- 10260062
TI  - The unit administrator--his power base.

PMID- 10260063
TI  - Preparing the way for effective unit management groups in Wandsworth.

PMID- 10260065
TI  - Chief Officer development: an area of neglect.

PMID- 10260064
TI  - NHS manpower in perspective (3).

PMID- 10260066
TI  - Unfair dismissals and the NHS: the evidence from Scotland.

PMID- 10260067
TI  - Manpower planning--a new interest.

PMID- 10260068
TI  - Pay determination--the King's Fund approach.

PMID- 10260069
TI  - Women in management in the NHS.

PMID- 10260070
TI  - The National Health Service Training Authority--a training innovation.

PMID- 10260071
TI  - Buying food by computer.

PMID- 10260072
TI  - HPM's annual price indexes.

PMID- 10260073
TI  - Rethinking warehousing strategies.

PMID- 10260074
TI  - Sutures discounts are up...but so are prices.

PMID- 10260075
TI  - Battle between disposable, reusable supplies intensifies.

PMID- 10260076
TI  - Maternal and child health policies: toward coalition advocacy.

PMID- 10260078
TI  - A problem clinic to help admitters reduce uncollectable accounts.

PMID- 10260077
TI  - Clear admitting policy manuals help internal, external users.

PMID- 10260079
TI  - On-line system given admitters ready access to bed information.

PMID- 10260080
TI  - Flood activates disaster plans at New Orleans hospital.

PMID- 10260082
TI  - Conducting package and locker inspections.

PMID- 10260081
TI  - An interview with: Richard Balcom.

PMID- 10260083
TI  - Money and management: the NHS in the 1980s.

PMID- 10260084
TI  - The administrator and operational research.

PMID- 10260085
TI  - The development of unit management team issues.

PMID- 10260086
TI  - A review of casualty services in general practitioner hospitals in
      Gloucestershire.

PMID- 10260087
TI  - Is anyone out there listening? Official enquiries into psychiatric hospitals-
      Part 2.

PMID- 10260088
TI  - Computer policy for district health authorities.

PMID- 10260089
TI  - The developing crisis in medical manpower--part 2.

PMID- 10260090
TI  - Umbilical stump cultures detect IC violations.

PMID- 10260091
TI  - Teddy bear fights infections at NCI.

PMID- 10260092
TI  - ICPs can be resources for emergency paramedics.

PMID- 10260093
TI  - Infection control measures given for cardiac catheterization labs.

PMID- 10260094
TI  - Home IV programs cut LOS without adverse effects.

PMID- 10260095
TI  - PPOs must offer strong UR and QA programs in addition to discounts.

PMID- 10260096
TI  - California associations' QA criteria.

PMID- 10260097
TI  - Financial climate will spur shorter surgical stays.

PMID- 10260098
TI  - Radiology reviews can produce meaningful results.

PMID- 10260099
TI  - Many x-rays are unnecessary, WHO report says.

PMID- 10260100
TI  - Insurers zeroing in on stays for alcohol-induced disease.

PMID- 10260101
TI  - UR professionals may be sued for early discharges.

PMID- 10260102
TI  - Credentialing all hospital employees reduces legal risks.

PMID- 10260103
TI  - Pioneer home IV antibiotic program leads the way.

PMID- 10260104
TI  - Appropriate uses of blood achieved through peer reviews.

PMID- 10260105
TI  - Statement on in vitro fertilization.

PMID- 10260106
TI  - Counselor helps families in critical care waiting area.

PMID- 10260107
TI  - Day care program brings young and old together.

PMID- 10260108
TI  - Art form promotes self-expression for mental health patients.

PMID- 10260109
TI  - Spiritual growth and the healing community.

PMID- 10260110
TI  - Religious-lay colleagueship: a shared spirituality of service.

PMID- 10260111
TI  - Two hospitals' experience in applying Evaluative Criteria principles.

PMID- 10260112
TI  - Life care expands scope for health care facilities.

PMID- 10260113
TI  - An interview with Stewart W. Laird, Chairman, CHA Board of Trustees.

PMID- 10260114
TI  - An interview with Rev. Everett MacNeil, CHAC President.

PMID- 10260115
TI  - HHS planner says incentives package will promote appropriate use.

PMID- 10260116
TI  - May a Catholic health facility provide amniocentesis?

PMID- 10260117
TI  - Physician must disclose procedure's risks to assist patient's decision making.

PMID- 10260118
TI  - Evidence of deficiencies backs state's order to close nursing home.

PMID- 10260119
TI  - "Humanize" sickness, treat sick as creatures of God.

PMID- 10260121
TI  - Hospital marketing in the eighties.

PMID- 10260120
TI  - Management tools for the modern day health administration. Part 3--controlling
      tools.

PMID- 10260122
TI  - Manufacturer-hospital collaboration to improve patient care quality.

PMID- 10260123
TI  - Fly in nurse service helps hospitals and nurses.

PMID- 10260124
TI  - Magnet hospitals demonstrate how to recruit and retain R.N.'s.

PMID- 10260125
TI  - Overcoming communication blocks.

PMID- 10260127
TI  - Development of an effective leadership style.

PMID- 10260126
TI  - We are part of the whole.

PMID- 10260128
TI  - Guarding against dogmatic thinking during management training.

PMID- 10260129
TI  - The scientific approach to management--early stages. Part 2.

PMID- 10260130
TI  - Infection control Q's and A's: recommending a new procedure.

PMID- 10260131
TI  - Occupational exposure to ethylene oxide: OSHA's new proposed rule--a document
      whose time has come!

PMID- 10260132
TI  - The future of ETO. The view from central service.

PMID- 10260133
TI  - Re-sterilizing disposables--the viewpoint from central service.

PMID- 10260134
TI  - The importance of coordination between O.R. & C.S.

PMID- 10260135
TI  - How hospitals "market position" themselves to stimulate patient flow.

PMID- 10260136
TI  - The whys of corporate giving.

PMID- 10260137
TI  - The funding crisis: implications for the survival of human service institutions.
AB  - At a time when human service providers should be priming their technologies to
      meet the emerging needs of a new age, they appear to be fighting for their very
      survival. New governmental priorities have reduced the Welfare State to a new
      level of pauperism, where both public and private services scurry for scarce
      resources. In the midst of these changes, serious questions emerge regarding who
      is ultimately responsible. That is, for maintaining acceptable standards of human
      dignity and rights despite government preoccupation with budget-balancing.
      Traditional advocates in the form of civil rights community organizations and
      organized labor groups do not appear to be available for the task. And recent
      changes in conventional primary group systems such as the family and the
      neighborhood complicate the matter of identifying appropriate leaders for
      mobilizing any form of "grass roots" movement. Despite what appears to be a bleak
      future for the human services, there is little question about their survival. The
      issue is, in what form and at what level of quality will they survive. If current
      trends continue, they will most certainly be incapable of meeting even basic
      human needs in the future. Funding in its current form may be a moot issue.
      Ultimately, it may be those who are dependent upon service systems who will
      determine their own survival.

PMID- 10260138
TI  - Corporate philanthropy: a social investment decision making framework. A model
      for evaluating corporate support of social ventures.

PMID- 10260139
TI  - The grants clinic. Prospectuses and milestone charts.

PMID- 10260141
TI  - Purchasing--an open door policy.

PMID- 10260140
TI  - AHA files amicus curiae brief in antitrust/exclusive contract action.

PMID- 10260142
TI  - Are you ready to make a commitment?

PMID- 10260143
TI  - Porters are people too!

PMID- 10260144
TI  - The annual hospital yawn.

PMID- 10260146
TI  - Directory of products.

PMID- 10260145
TI  - Is your life insurance inflation proof?

PMID- 10260147
TI  - A medical dilemma.

PMID- 10260148
TI  - Roles of clinical microbiology in infection control delineated.

PMID- 10260150
TI  - Future directions of infection control envisioned.

PMID- 10260149
TI  - Blood test developed to identify individuals at high risk for AIDS.

PMID- 10260151
TI  - Psychiatric day hospitalization: multiple perspectives on outcome.
AB  - Patients admitted over a three year period to a psychiatric day hospital were
      followed in order to: 1) substantiate the findings of other studies supportive of
      the short to intermediate term efficacy of psychiatric day hospitalization; 2)
      examine outcome on a number of dimensions and from a variety of perspectives; 3)
      examine issues relating to the differential efficacy of psychiatric day
      hospitalization; 4) discuss implications of the above factors in regards to
      planning effective day hospital programs.

PMID- 10260152
TI  - A naturalistic assessment of partial-hospital treatment.
AB  - Three hundred fifty-eight consecutive admissions to 13 partial hospitals were
      evaluated over an 8-month period. The design of the study focused on an
      unobstrusive measurement process involving clinical judgment of outcome. Analyses
      revealed that the clinical judgment process generated data which were both
      reliable and valid. The results of the study indicate that partial-hospital
      treatment is most effective for chronic and acute schizophrenic conditions,
      paranoid schizophrenia, and affective disorders and least so far patients
      diagnosed as adjustment disorders. Patients in the organic and neurotic
      diagnostic categories tended to remain stable. As in previous research, the
      pretreatment levels of the dependent variables were the best predictors of
      improvement, but the present study also reveals that progressive amounts of
      partial-hospital treatment lead to a greater improvement in patient functioning.

PMID- 10260153
TI  - Behavioral and psychodynamic approaches to milieu therapy in an adolescent day
      hospital.
AB  - The day-hospital concept had its beginning in the 1930s and has gained greater
      impact in recent years because of changes in public-health policy and in
      traditional psychiatric attitudes. The main therapeutic medium of day hospitals
      is based on an original concept combining treatment and readaptation in a
      specially designed therapeutic milieu. A therapeutic milieu is built according to
      a given theoretical approach. At the Geha Psychiatric Hospital in Petah Tiqva,
      Israel, the day-care department for adolescents is built according to a
      combination of the behaviorist and psychoanalytical approaches.

PMID- 10260154
TI  - Group treatment of depression and withdrawal at a day-treatment center.
AB  - This article presents a group treatment for depression and withdrawal for a day
      treatment population. Patients chose potentially pleasurable activities to engage
      in outside the center each week. Multiple imagery trials and group sharing were
      used to evoke and amplify pleasurable emotional responses. The procedure is
      presented in detail. Patients responded with a 64% performance of new pleasurable
      activities and with an improved mood within the sessions.

PMID- 10260155
TI  - A forecast for the future.

PMID- 10260156
TI  - Role of education in preserving traditional cultures and as development factor.
AB  - Independent of international assistance, the socioeconomic development and
      improvement of national health have been insignificant in several poor countries
      during the last 10-20 years. The main problems of these countries are
      multidisciplinary matters, both regarding causative factors and solutions. In the
      field of health, high priority medical problems are not found in the curative
      sector of medicine but rather within prevention, with environmental sanitation,
      water supply, family planning and nutrition. These are the most profitable fields
      for internal support as well as international assistance, offering lasting
      development effects and acceptable cost-benefit relations. Primary school
      education is of major importance in that it provides local tribal youngsters to
      be selected for training as auxiliary health workers for staffing of the chain of
      rural dispensaries, which seems to be the key to national health development, and
      to the WHO goal "health for all by the year 2000." In several developing
      countries, locally recruited youth with 5-7 years of primary education already
      constitute indispensable links between professional health services and delicate
      issues such as birth control and - usually illiterate - rural population.

PMID- 10260157
TI  - The effects of implementation problems on certificate of need decisions in
      Illinois.
AB  - There has been a lack of appreciation of the complexities of implementing
      certificate of need (CON) programs and, further, the effects of those
      implementation problems on the program's effectiveness. This study describes
      implementation problems and presents some evidence of their impact on approval
      rates in one state. Start-up phase problems included non-reviewable projects,
      exempted projects and pre-emptive actions by the hospitals to avoid the
      regulations. It is estimated that these problems raised the program's approval
      rate by 12 percent and resulted in approximately +310 million of capital costs
      and an unknown increase in operating costs. Two problems of continuing
      implementation are identified. The first concerns the availability and
      specification of the standards and criteria for project review. The second
      problem is the lack of significant compliance mechanisms. The Reagan
      administration has made massive cuts in support for health planning and CON
      programs. The rationale for these cuts is based on the belief that CON has not
      been effective in reducing the escalation of hospital costs. This article
      indicates some of the reasons for its impotence.

PMID- 10260158
TI  - Preventive services: an educational or political issue?
AB  - A major concern about health care in the United States, as we move into the
      1980s, is the spiraling cost of such services. Thoughts and efforts surrounding
      the issues of how to control those costs have ranged from the establishment of
      different payment mechanisms and "professional services review" of care quality
      to means of avoiding the need for health care in the first place. If we are to
      alternate our approach to traditional health care, then we must bring the
      consumer back into the position of responsibility. This will call for a
      rethinking of our attitude toward intervention and prevention measures. This
      article looks at some of the issues and controversy which presently surround the
      implementation of the "prevention" concepts. The author suggests the answer lies
      with increased participation from both patient-consumer and the health
      professional.

PMID- 10260159
TI  - Nonprofits: check your attention to customers.

PMID- 10260160
TI  - Market research points out donor perceptions.

PMID- 10260161
TI  - The changing relationship between business and the family.

PMID- 10260163
TI  - Let a thousand (or at least 50) coalitions bloom.

PMID- 10260162
TI  - Marketing for nonprofits: "buzz word" or good idea?

PMID- 10260164
TI  - Self-dealing by public charities.

PMID- 10260165
TI  - A private revolt. The rise of agency nursing.

PMID- 10260166
TI  - Maggie Kuhn: "All of us are in this together". Interview by Hal Strelnick.

PMID- 10260167
TI  - Who cares for health care? The first two years of Reagan Administration health
      policy.

PMID- 10260168
TI  - Two eastern groups to share pharmacy contracts.

PMID- 10260169
TI  - Selecting surgeons' gloves.

PMID- 10260170
TI  - Legal traps in buying your computer: how to avoid them.

PMID- 10260171
TI  - Materials school under discussion.

PMID- 10260172
TI  - EPA puts freeze on disinfectant testing.

PMID- 10260173
TI  - The ethics of contracting.

PMID- 10260174
TI  - UB-82 seen as cost reducer.

PMID- 10260175
TI  - Purchasing, cultures merge at interfaith.

PMID- 10260176
TI  - Communication: face-to-face is best.

PMID- 10260177
TI  - Managing your retirement.

PMID- 10260178
TI  - Give them incentive to stay.

PMID- 10260180
TI  - Ethical conduct in the measure of excellence: how to survive in the eighties.

PMID- 10260179
TI  - Train staff members to assume more responsibility.

PMID- 10260181
TI  - Attitudes toward hospitals and selfcare propensities.

PMID- 10260182
TI  - 1983 Malcolm T. MacEachern Memorial Lecture, 26th Congress on Administration,
      Chicago, IL., March 4, 1983.

PMID- 10260183
TI  - Hospice care: two health care facilities take a unique approach.

PMID- 10260184
TI  - Hospital characteristics attractive to physicians and the consumers: implications
      for public general hospitals.

PMID- 10260185
TI  - Quality assurance for terminally ill.

PMID- 10260186
TI  - Ethics for hospital administrators.

PMID- 10260187
TI  - Court-ordered guidelines regulate psychotropic drugs.

PMID- 10260188
TI  - Individual case launches statewide mental health probe.

PMID- 10260189
TI  - Avoid creating hospital liability in credentialing, consent.

PMID- 10260190
TI  - Defense costs increase faster than settlements, awards.

PMID- 10260191
TI  - Reduce high obstetrical risks with expert's strategies.

PMID- 10260193
TI  - Plaintiff's bar discloses liability strategies.

PMID- 10260192
TI  - 'Hospital watch': staff, public cooperate to spot crime.

PMID- 10260194
TI  - Aggressive peer review, RM cut high surgical claims.

PMID- 10260195
TI  - Liability for risk disclosure.

PMID- 10260197
TI  - Age: a growing P & T concern.

PMID- 10260196
TI  - CAT scanners pose radiation risk to patients.

PMID- 10260198
TI  - Impact of parenteral cephalosporin regulation on pharmacy costs.

PMID- 10260199
TI  - The Pharmacy and Therapeutics Committee Part 1: overview.
AB  - The Pharmacy and Therapeutics (P & T) Committee is an important medical staff
      advisory group. As the primary, formal communication link between the pharmacy
      and medical staff, the P & T Committee is of particular importance to the
      department of pharmacy services. All matters pertaining to the use of medications
      within the institution, including pharmacy programs, must be reviewed and
      approved through the committee. In addition, medication formulary data is
      reviewed through the committee and recommendations are offered to the medical
      staff. Such a wide diversification of involvement and activity necessitates the
      effective communication between all committee members. An active involvement in
      the committee by the department of pharmacy services is vital in order to develop
      a contemporary and progressive institutional pharmacy program. This series of
      four articles will address several important aspects of the committee's
      operation, including committee formation, mechanics, operation, and problem
      solving.

PMID- 10260200
TI  - Philosophy and practice of the P & T Committee.

PMID- 10260201
TI  - Drug usage in newborn intensive care units.
AB  - A national survey of neonatal intensive care units (NICUs) was undertaken to
      obtain information concerning drug usage, dosages, methods of administration,
      incidence of drug-induced phlebitis, and drug reference sources. Antimicrobial
      agents are the most frequently used drugs in NICUs. Dosages reported by NICUs
      generally agreed with dosage recommendations by the manufacturer and literature
      citations. A 10% estimate of phlebitis was the consensus report by NICUs. Calcium
      gluconate was implicated most often as causing phlebitis, and most NICUs reported
      that drugs are not mixed with hyperalimentation solutions. The Pharmacy and
      Therapeutic Committee should review drug dosages in neonates and establish
      policies for intravenous drug administration methods and rates to ensure uniform
      initial doses and to provide a consensus among clinicians using these
      medications.

PMID- 10260202
TI  - Mission, role, and functions of the P & T Committee.
AB  - This introductory article in a series on P & T Committees discusses the mission,
      role, and function of the committee in a hospital. With increasing complexity of
      drug therapy, the committee's mission has evolved into a multifaceted program
      related to promotion of rational and safe drug therapy within the institution.
      Components of the mission, the committee's responsibilities and functions,
      including formulary, policies and procedures, drug utilization review, drug
      administration, investigational drug studies, and education, are introduced and
      briefly discussed in terms of their role in the institution, accreditation
      standards, and published standards of practice. Future articles will provide
      fuller consideration of these topics.

PMID- 10260203
TI  - A drug information pharmacist--an essential resource.

PMID- 10260204
TI  - The foremost problems associated with formulary management.

PMID- 10260205
TI  - "Drugroomists".

PMID- 10260206
TI  - 1700 medical abbreviations: convenience at the expense of communications and
      safety.

PMID- 10260207
TI  - Providing drug information to health professionals and consumers: role and
      responsibility of the pharmaceutical manufacturer.
AB  - There is no law requiring any pharmaceutical firm to maintain a drug information
      center for their products. The package insert that accompanies the product is all
      that is legally mandated. Roche and other drug manufacturers provide these
      services because they believe it is in their own best interest and that of the
      users of their products to do so. Pharmacists are currently involved in providing
      drug information in numerous settings, particularly health sciences schools,
      hospitals, colleges, federal agencies and associations, as well as corporations.
      To date, they have been frequent users of company drug information services. It
      is hoped this discussion will stimulate anyone in need of product information to
      contact the manufacturer. They have the most complete data available on their
      products and are generally willing to share their information with other drug
      information services, practitioners and, in a more limited way, consumers.

PMID- 10260208
TI  - Is our medication error rate acceptable? .

PMID- 10260209
TI  - Antineoplastic drug-use process at a rural hospital.
AB  - This article describes the antineoplastic drug-use process and monitoring
      activities performed by the Department of Pharmacy at a 225-bed rural hospital.
      Documents developed and used in the process assist the pharmacist in assessing
      drug-related toxicity, in making recommendations for laboratory or system
      studies, and for organizing a therapeutic rationale for inpatients and out
      patients. Involvement of pharmacists in oncology in rural or small institutions
      can be essential for maximal therapeutic monitoring and quality patient care. The
      importance of monitoring antineoplastics on a per patient basis is highlighted.

PMID- 10260210
TI  - The pre-employment interview in the hospital pharmacy.
AB  - The personal interview is generally used as a pre-employment screening technique
      by hospital pharmacy directors. The effectiveness of this interaction can be
      maximized by explicitly identifying the objectives to be accomplished by the
      interview, carefully preparing a collection of questions through which the
      objectives are achieved, and creating an environment which promotes a free
      flowing exchange of information. Some sample objectives and questions are
      offered. Different types of questions and their appropriate use are presented.
      Thoroughly planning and carefully conducting the pre-employment interview will
      optimize the time spent in this valuable activity.

PMID- 10260211
TI  - Balancing workload and staffing in satellite pharmacies by using a patient acuity
      index.
AB  - The assignment of beds to satellite pharmacies is based primarily on proximity.
      Assignment will usually be by nursing unit to encourage more effective
      communication among the patient, doctor, nurse, and pharmacist. Usually, an equal
      number of beds is assigned to each satellite. Recognizing that some nursing units
      (e.g., Intensive Care Units) place greater demands on pharmacy resources than
      others makes it obvious that there is a need for a system to measure the
      consumption of pharmacy resources by patient acuity. This article tells how such
      a measure was conceived, developed, and applied.

PMID- 10260212
TI  - Leadership: the management of meaning.

PMID- 10260213
TI  - The uncertain future of the leadership concept: revisions and clarifications.

PMID- 10260214
TI  - Leadership and boundary management.

PMID- 10260215
TI  - Increasing work satisfaction through organizational change: a longitudinal study
      of nursing educators.

PMID- 10260216
TI  - Leading and following volunteers: implications for a changing society.

PMID- 10260217
TI  - Team building and the problem of regression: the personal management interview as
      an intervention.
AB  - This article describes the characteristics of a Personal Management Interview
      (PMI) and reports the results of its implementation in 16 different
      organizational contexts. Based upon Group Behavior Inventory and personal
      interview data collected from 208 participants (135 experimental and 71
      comparison group members), the results show that the implementation of regular
      PMIs can prevent the regression or fade-out which often occurs after off-site
      team-building sessions.

PMID- 10260218
TI  - Sound levels in emergency medical service.
AB  - Sound levels in an emergency medical service vehicle were measured during the
      summer of 1981. Excessive levels were found in the driver's compartment with the
      siren operating. Personnel measured showed low frequency hearing loss in the same
      range as the siren's operating frequencies.

PMID- 10260219
TI  - Increasing foodservice effectiveness in preventing outbreaks--customer and
      quality considerations.

PMID- 10260220
TI  - The unity of environmental and personal health in life and science.

PMID- 10260222
TI  - Digging out in Denver.

PMID- 10260221
TI  - Vending self-regulation protects foods, public health.
AB  - For 25 years, the food and beverage vending industry has protected the public
      health through self-regulation and standards. During that time, very few cases of
      foodborne illness have been reported to be caused by foods sold through vending
      machines. New commissary audits usher in the second 25 years of public health
      protection by the vending industry.

PMID- 10260223
TI  - Financial strategies for surviving the '80s. Part 1.

PMID- 10260224
TI  - The misinformed public. A study measures public knowledge of emergency medical
      services.

PMID- 10260225
TI  - Effects of a music therapy program upon awareness of mood in music, group
      cohesion, and self-esteem among hospitalized adolescent patients.
AB  - Subjects for this study were 13 hospitalized patients given the diagnosis of
      adjustment reaction to adolescence. The subjects were randomly divided into
      experimental and control groups. The experimental period consisted of 18 1-hour
      sessions. Subjects in the control group did not attend music therapy activities.
      Experimental subjects engaged in group discussions concerning moods and emotions
      in music, expression and identification of body language, story composition to
      recorded music, and drawing to music. Four types of pre and posttests were
      administered: agreement on mood or emotion expressed in music as measured by an
      adjective checklist; sociograms to measure group cohesion; the number of pronouns
      expressing group feelings ("we, our"); and scores of the Coopersmith Self-Esteem
      Inventory. Significant differences in favor of experimental subjects were found
      on the adjective checklist (p = .01) and the group versus personal pronouns (p
      less than .05). The group cohesion measure approached significance (p = .062).

PMID- 10260226
TI  - Primary measures of music audiation scores in an institutionalized elderly
      population.
AB  - The purpose of this study was to determine whether persons at various age levels
      in an institutionalized elderly population vary significantly in their musical
      aptitudes as indicated by their scores on the Primary Measures of Music Audiation
      test. (Gordon, 1979). Age was not related to either tonal subtest, rhythm
      subtest, or composite test scores. In addition, this study attempted to determine
      which of the following variables were related to or predictive of PMMA scores:
      (a) musical experience and training, along with current musical activity levels;
      (b) frequency of music listening; (c) general morale; (d) sex; (e) care home
      classification; (f) location of the care home; (g) duration of
      institutionalization; and (h) location for the majority of one's life. No
      attribute variables were found to be related to PMMA scores. This result differs
      from that found in a study of variables related to Musical Aptitude Profile
      (Gordon, 1965) scores in noninstitutionalized, Caucasian, elderly female subjects
      (Gibbons, Note 1).

PMID- 10260227
TI  - A hospital throughput model in the context of long waiting lists.
AB  - In a public health system, one of the problems is the size of the waiting list
      for admission to hospital. This research involves establishing a method of
      analysing the general surgery waiting list problem at hospital and district
      level. While there are many aspects to such a study, this paper concentrates on a
      linear programming model to plan the aggregate throughput of the general surgical
      department. Preliminary results from applying the techniques to actual health
      districts in the United Kingdom are reported.

PMID- 10260228
TI  - A model of medical record storage.
AB  - A model is developed to describe the growth of a medical records store subject to
      rules for microfilming or disposing of record files when they have not been used
      within a given period of time. Separate projections are given for the number of
      files in the system and for the volume of file contents. The model allows
      different microfilm policies to be compared and aids the long term planning of
      storage facilities.

PMID- 10260229
TI  - Incremental evaluation of risky choices.
AB  - This paper compares the incremental method of valuation and its possible effects
      on choices analysed through utility theory with similar zero-base valuations.
      Analysis shows how biases can arise using incremental valuations in situations
      with decreasing risk aversion. This could be important in certain circumstances,
      e.g. delegated decision-making in cases where the total value of an organisation
      is unknown to the decision-maker or difficult to quantify.

PMID- 10260230
TI  - Testing three phase models of burn-out: mappings on a cluster of worksite
      descriptors.

PMID- 10260231
TI  - The politics of legislative interference in certificate of need decisions.

PMID- 10260232
TI  - Approaches to health planning theory: a critical appraisal.

PMID- 10260233
TI  - The effects of change in organizational structure on services in a public health
      nursing agency.

PMID- 10260235
TI  - Deinstitutionalization following Pennhurst State School v. Halderman.

PMID- 10260234
TI  - State Title XX planning effort and local agency management of human resources.

PMID- 10260236
TI  - Pay equity and comparable worth.

PMID- 10260237
TI  - The rights of nonsmokers in the workplace: recent developments.

PMID- 10260238
TI  - Suggestions and comments on the future direction of the NLRB.

PMID- 10260239
TI  - What behavior constitutes sexual harassment?

PMID- 10260240
TI  - Capitalizing on national self-interest: the management of international
      telecommunication conflict by the International Telecommunication Union.

PMID- 10260241
TI  - The future of volunteerism: impetus for a strong foundation.

PMID- 10260242
TI  - Barter and collaboration: expanding our horizons.

PMID- 10260243
TI  - Photocopying equipment.

PMID- 10260244
TI  - High-speed telefacsimile in libraries.

PMID- 10260245
TI  - Word processors for libraries.

PMID- 10260246
TI  - Library & medical associations oppose Excerpta Medica.

PMID- 10260247
TI  - Temperature of water not a factor in bacteria control, study indicates.

PMID- 10260248
TI  - Findings in low-temperature study may have big impact on hospitals.

PMID- 10260249
TI  - Healthcare infection control: a surgeon talks about the role of laundry in
      bacteria control.

PMID- 10260251
TI  - Manager raises 'linen awareness' at Wichita's Wesley Medical Center.

PMID- 10260250
TI  - Governor endorses moratorium on hospital construction in NY.

PMID- 10260252
TI  - Only laboratory devoted to testing hospital disinfectants closed by EPA.

PMID- 10260253
TI  - Consultant to laundry managers: ignore energy conservation at your own expense.

PMID- 10260254
TI  - Bill in Congress poses threat to makers of reusable textiles.

PMID- 10260255
TI  - Reducing stress levels of employees may lead to greater productivity.

PMID- 10260257
TI  - Medical Electronics buyers guide 1982, Part 3: electric thermometers, patient
      scales, pumps, infusion & autotransfusion devices, syringes, feeders,
      transient/surge protection, ultrasonic equipment.

PMID- 10260256
TI  - Illinois hospital completes laundry: seeks outside institutional customers.

PMID- 10260258
TI  - Ultrasonics for medical diagnostics. Part 5--calibration--the AIUM 100MM test
      object.

PMID- 10260259
TI  - Designing a quality thermodilution catheter.

PMID- 10260261
TI  - Transient overvoltage protection.

PMID- 10260260
TI  - AC power for electronic equipment.

PMID- 10260262
TI  - Medical Electronics buyers guide 1982, Part 6: electrical safety and test
      equipment, neonatal/pediatric equipment, pulmonary-respiratory, stimulators,
      stress test/ergometers.

PMID- 10260263
TI  - Isolated power: the controversy continues.

PMID- 10260264
TI  - Hospital uses fiberoptics to communicate in hostile environment.

PMID- 10260265
TI  - Hospital and incubator manufacturer sued by parents of premature baby with
      central nervous disorder.

PMID- 10260266
TI  - Medical Electronics buyers guide 1983, Part 1: chromotography, coulometric
      titrators, electrophoresis, electrosurgery, Holter ECG, iontophoresis,
      osmometers, radiation detection/radiology, refractometers.

PMID- 10260267
TI  - Isolation monitoring in the hospital.

PMID- 10260268
TI  - Pulmonary function analyzer.

PMID- 10260269
TI  - Leprosy work--the Bethany experience.

PMID- 10260270
TI  - Formulating an alternative rural health care.

PMID- 10260271
TI  - "Blossoms of the Dust". (A new initiative in community health programme).

PMID- 10260272
TI  - A nurse by any other name.

PMID- 10260273
TI  - Will to live versus death wish.

PMID- 10260274
TI  - Risk strategy in rural obstetrics.

PMID- 10260275
TI  - Government white paper on data protection.

PMID- 10260276
TI  - "My new job isn't working out!".

PMID- 10260278
TI  - Winds of change in the marketing of medical devices.

PMID- 10260277
TI  - Tree trends will dominate pharmacy practice.

PMID- 10260279
TI  - The Commissioner looks back at Tylenol and ahead to improved procedures.

PMID- 10260280
TI  - A standout exhibit will keep paying its way.

PMID- 10260281
TI  - Administrators & managers: a definition of their roles.

PMID- 10260283
TI  - Quality of worklife. Part 2: making quality work.

PMID- 10260282
TI  - What you should know about negotiating.

PMID- 10260284
TI  - Cost containment: why not try an idea bank?

PMID- 10260285
TI  - The reality of the second-string blood banker.

PMID- 10260286
TI  - Cost containment: the squeeze gets tighter.

PMID- 10260287
TI  - Cost containment: tactics for the 80s.

PMID- 10260288
TI  - How to lead a problem-solving meeting.

PMID- 10260289
TI  - Caution on the slippery road to competitive bidding.

PMID- 10260290
TI  - The impact of nonrevenue-producing activities.

PMID- 10260291
TI  - How we reduced identification errors.

PMID- 10260292
TI  - Techs, tots, and fingersticks--without tears.

PMID- 10260293
TI  - Getting at the roots of laboratory stress.

PMID- 10260294
TI  - Pathologists must delegate--not abdicate.

PMID- 10260295
TI  - Computer selection for the non-computer expert.

PMID- 10260296
TI  - An experiment in staff development.

PMID- 10260298
TI  - Tracking the course of test orders and reports.

PMID- 10260297
TI  - A tool for translating QC data into clinical practice.

PMID- 10260299
TI  - Flint area's oncology program fills gaps in care.

PMID- 10260300
TI  - Home health care: a sound alternative.

PMID- 10260301
TI  - Local agencies prevent breaks in services.

PMID- 10260302
TI  - A model for hospital-contracted home care.

PMID- 10260303
TI  - Home care program reaches urban community.

PMID- 10260304
TI  - Adding a hospice: issues to consider.

PMID- 10260305
TI  - Competition for acquisition of psychiatric hospitals heats up.

PMID- 10260306
TI  - M.D.s, hospitals beat out systems in the alternative service market.

PMID- 10260307
TI  - Nursing home chains scramble for more private-paying patients.

PMID- 10260308
TI  - Firms converge on home care market.

PMID- 10260309
TI  - HMOs run path of consolidation.

PMID- 10260310
TI  - Kidney dialysis chains downshift.

PMID- 10260311
TI  - Attack being mounted against court's 'antitrust' branding of M.D. contract.

PMID- 10260312
TI  - Seemingly innocuous statements may promise trouble for hospitals.

PMID- 10260313
TI  - High interest rates aren't helping HELPs.

PMID- 10260315
TI  - Panel acts as technology safety valve.

PMID- 10260314
TI  - Happy with your system? Survey asks.

PMID- 10260316
TI  - Payment changes pit M.D.s vs. hospitals.

PMID- 10260317
TI  - Fixed payment rates force hospitals to reassess ICUs.

PMID- 10260318
TI  - The race is on.

PMID- 10260319
TI  - Public hospitals must scrap tertiary role, and stress 'health,' not 'care'.

PMID- 10260320
TI  - WV hospitals bristle at rate setting.

PMID- 10260321
TI  - Hospitals can pull in extra 5% profit by marketing their slack lab capacity.

PMID- 10260322
TI  - Mall motif turns office building/clinic into medical arts shopping center.

PMID- 10260323
TI  - Micros keep tabs on non-stock items.

PMID- 10260325
TI  - Surge in tax-exempt bonds spurs 66% boost in feasibility studies.

PMID- 10260324
TI  - Multi-units are ready to boost their market share.

PMID- 10260326
TI  - Stock issues jump as prices rise.

PMID- 10260327
TI  - VHA's for-profit spin-off opens equity market for its members.

PMID- 10260328
TI  - Regs muddy re-funding analysis.

PMID- 10260329
TI  - Tax-exempt bonds' interest rates will stabilize, hiking volume to record high.

PMID- 10260330
TI  - Hospitals aim PPOs at own workers.

PMID- 10260331
TI  - After 18 years on healthcare scene, trustee is wary of restructuring 'fad'.

PMID- 10260332
TI  - Right to set staff privileges affirmed.

PMID- 10260333
TI  - Health planning still desirable: CBO.

PMID- 10260334
TI  - Leading hospital system, alliance open new umbrella over competitive Sun Belt.

PMID- 10260335
TI  - For-profits join nonprofits on new deals.

PMID- 10260336
TI  - Rural for-profits make small profits.

PMID- 10260337
TI  - Multiunit may get along better with M.D.s.

PMID- 10260339
TI  - NAPPH plugs psychiatric benefits to employers.

PMID- 10260338
TI  - The going's slow for mini-conglomerate.

PMID- 10260340
TI  - Alternative healthcare firms' stock is hot.

PMID- 10260341
TI  - Cole seeks data on execs' salaries.

PMID- 10260342
TI  - Struggling religious hospitals are searching for ways to 'keep the faith'.

PMID- 10260343
TI  - Outcry over 'Baby Doe' may revive little-used hospital ethics committee.

PMID- 10260344
TI  - Robots may give a hand in healthcare.

PMID- 10260345
TI  - Micro offers big power to small facilities.

PMID- 10260346
TI  - Computer is key factor is risk studies.

PMID- 10260347
TI  - Congress gets Reagan's proposals for 'constraining' health care cost.

PMID- 10260348
TI  - CIGNA sets up health cost containment fund.

PMID- 10260349
TI  - Blues' HMOs enrollment increases to 1.2 million.

PMID- 10260350
TI  - The trend in group health benefits.

PMID- 10260352
TI  - Flexible benefits: are the fears for real?

PMID- 10260351
TI  - Eyeing group health rate hikes.

PMID- 10260353
TI  - Employees don't know benefit costs.

PMID- 10260354
TI  - Group buyers eyeing claims costs.

PMID- 10260355
TI  - Jobless health care gap not wide.

PMID- 10260356
TI  - Insurers, doctors, join to fight new threat to health care costs.

PMID- 10260357
TI  - Can't provide insurance for unemployed, HIAA says.

PMID- 10260358
TI  - Innovation in controlling prescription costs.

PMID- 10260359
TI  - A winning concept in hospital relations.

PMID- 10260360
TI  - Hospital chaplaincy--a contributor to wellness.

PMID- 10260361
TI  - Wholistic medicine--yesterday, today, tomorrow.

PMID- 10260362
TI  - Dollars, dignity & security. Maintaining non-union status.

PMID- 10260363
TI  - The CEO at risk.

PMID- 10260365
TI  - Utility and decision strategies: a second look at the rational decision maker.
AB  - The concept of bounded rationality underlies most behavioral, descriptive
      decision theory. The implications of limited cognitive capacity have been
      extensively explored; however, there have been few attempts to understand the
      means by which decisions made under these constraints remain rational. Some
      propositions with regard to the ways in which utility considerations guide
      decision strategies are presented and tested. The results provide some evidence
      that the decision maker uses strategies that are relatively likely to enhance the
      utility of the final choice, even when utility maximization is not feasible.

PMID- 10260364
TI  - Optimal locations for a class of nonlinear, single-facility location problems on
      a network.
AB  - This paper investigates a class of single-facility location problems on an
      arbitrary network. Necessary and sufficient conditions are obtained for
      characterizing locally optimal locations with respect to a certain nonlinear
      objective function. This approach produces a number of new results for locating a
      facility on an arbitrary network, and in addition it unifies several known
      results for the special case of tree networks. It also suggests algorithmic
      procedures for obtaining such optimal locations.

PMID- 10260366
TI  - Role perceptions and behavior of the immediate superior: moderating effects on
      the prediction of leadership effectiveness.
AB  - The relationship between role conflict or role ambiguity and behavior of the
      immediate superior is investigated. It is hypothesized that behaviors which are
      associated with subordinates' role perceptions will moderate the relationship
      between subordinates' ability and their performance. First- and second-level
      leaders were asked to provide data on their job attitudes, co-worker relations,
      and experience. Respondents were also given a short test of intelligence, and
      their job performance was rated by knowledgeable superiors. Results show that
      boss behavior creating role conflict for first-level leaders was a significant
      moderator for these leaders' ability and performance correlations. For second
      level leaders, boss behavior which created role ambiguity was a significant
      moderator of ability and performance correlations. It is concluded that
      experience has a positive relationship with performance when stress is high and
      that intelligence has a positive relationship with performance only when stress
      is low. It is further argued that stress with the boss is best described as
      behavior which leads to role conflict and ambiguity for subordinates in
      leadership positions. Implications for role theory and leadership theory are
      discussed.

PMID- 10260367
TI  - A new American body count? Assessing federal health budget cuts.

PMID- 10260368
TI  - Policy and the physician-patient relationship.

PMID- 10260369
TI  - Local projects that help.

PMID- 10260370
TI  - Fighting hard times with free care.

PMID- 10260371
TI  - Has the FP a competitive edge?

PMID- 10260372
TI  - Breast cancer: the long weeks of therapy.

PMID- 10260374
TI  - Developing subordinates: critical to managers and their organizations.

PMID- 10260373
TI  - When the news is bad: leveling with employees.
AB  - It is apparent that managers or others who must deliver bad news must perform two
      functions: First, he or she must deliver the news and make certain that the
      message is received and understood by the recipient. To accomplish this the
      deliverer must be blunt and provide specific details. If this part of the job is
      done well, the recipient will realize that there is a real threat and will move
      on to decide how to cope with the threat. At this point the second function comes
      into play, and another person's help may be effective. The second function
      involves providing the recipient of the bad news with information that will help
      him or her cope with the event. Because the deliverer of the bad news may be
      tainted in the recipient's mind with the onus of being the cause of that event,
      another person may be more successful in filling the role of compassionate helper
      -that is, someone who can help the recipient deal with the psychological issues
      and rationally evaluate the alternatives available.

PMID- 10260375
TI  - EEO alert: watch out for discrimination in discharge decisions.

PMID- 10260376
TI  - A five role system for motivating improved performance.

PMID- 10260377
TI  - Flexible benefits are a key to better employee relations.

PMID- 10260378
TI  - OSHA's cancer prevention policy: where did it come from and where is it going?

PMID- 10260380
TI  - Will career plateauing become a bigger problem?

PMID- 10260379
TI  - Successful communications between supervisors and employees.

PMID- 10260382
TI  - Using television to improve the social behavior of institutionalized children.
AB  - This field experiment assessed the effects of a "TV diet" composed of ten
      prosocial programs on the social behavior of eight-to-eighteen year old
      behaviorally disordered youngsters who were institutionalized in a state
      psychiatric facility. The influence of a post-viewing group discussion which
      highlighted the televised positive messages was also examined. The prosocial diet
      resulted in the youngsters behaving more altruistically, less verbally
      aggressive, and less destructively relative to those exposed to the control diet
      containing programs the youngsters typically viewed. The post-viewing discussion
      reduced the effectiveness of the prosocial programming but mitigated some of the
      negative effects of the control diet.

PMID- 10260381
TI  - Mother-infant interaction and child development after rooming-in: comparison of
      high-risk and low-risk mothers.
AB  - One hundred and seventy-two low-income women were interviewed prenatally to
      determine risk for later mistreatment of their children. High-risk and low-risk
      women were then randomly assigned at delivery to either limited or extended
      postpartum contact with their newborns over the first two days after birth.
      Mother-infant interaction observations were performed at 48 hours and at one,
      three, six, twelve and eighteen months postpartum. Infants were tested at nine
      months with the Bayley Scales of Infant Development. Results indicated that
      outcome following extended mother-infant postpartum contact varies with maternal
      risk status and measures employed for evaluation. Low-risk extended-contact
      mother-infant pairs differed from low-risk controls in observed interaction while
      high-risk extended-contact and controls did not differ from each other in
      interaction. High-risk extended-contact infants were more advanced in motor
      development than control infants at nine months, however, while low-risk extended
      contact and control infants did not differ in development.

PMID- 10260383
TI  - Mass media campaigns for health promotion.
AB  - Television has the potential to have positive influences on health-related
      behaviors. This article presents three successful and two unsuccessful televised
      health campaigns. Some considerations for the design of effective health
      campaigns using television and other media are discussed.

PMID- 10260384
TI  - Applications of interactive television to prevention programming.
AB  - The development of interactive television provides expanded opportunities for
      prevention research and practice. Three key prevention strategies are (1)
      intervening with populations at risk, (2) training caregivers, and (3) building
      competent communities. This paper describes these applications of interactive
      television. Three interactive systems--Berks Community Television in Reading,
      Pennsylvania; QUBE in Columbus, Ohio; and Hi-Ovis in Japan--are discussed in the
      context of their contributions to the promotion of competent communities.

PMID- 10260385
TI  - Using television to reach older people with prevention messages: the Over Easy
      experiment.
AB  - Results are presented from the 1978 multi-method national summative evaluation of
      the goal-directed television program, Over Easy. Targeted to persons 55 years of
      age and older, and setting informational, attitudinal and behavioral objectives,
      the Over Easy program successfully communicated prevention information, conveyed
      a positive philosophy of aging, and encouraged target group utilization of
      existing social services. Three design features of the Over Easy intervention are
      recommended for future social interventions attempted through television.

PMID- 10260386
TI  - Communication strategies for anticipating and managing conflict.

PMID- 10260387
TI  - English in the workplace: a rule or an option?

PMID- 10260388
TI  - Minimizing communication breakdowns between male and female managers.

PMID- 10260389
TI  - A tool for evaluating and controlling the management of human resources.

PMID- 10260390
TI  - Sexual harassment--a growing problem in the workplace.

PMID- 10260391
TI  - Training and developing women managers: are they really a special case?

PMID- 10260392
TI  - Using performance appraisals to enhance training programs.

PMID- 10260393
TI  - Coaching the executive: can you teach an old dog new tricks?

PMID- 10260394
TI  - Assisting employees with personal problems.

PMID- 10260396
TI  - Human resource management has come of age.

PMID- 10260395
TI  - Creating an employee information system.

PMID- 10260397
TI  - Objective-based human resource planning.

PMID- 10260398
TI  - Performance appraisal for the '80s.

PMID- 10260399
TI  - Physician referral service campaign.

PMID- 10260400
TI  - Crisis management #1. Using the unexpected to good advantage.

PMID- 10260401
TI  - Joint venture: adult school and hospital.

PMID- 10260402
TI  - Confrontation politics.

PMID- 10260404
TI  - Launching a logo.

PMID- 10260403
TI  - Double-duty brochure.

PMID- 10260405
TI  - A flexible logo that works for all it's worth.

PMID- 10260407
TI  - Building campaign for patients.

PMID- 10260406
TI  - Logos in multiples of 9000.

PMID- 10260408
TI  - Hospital company store.

PMID- 10260409
TI  - Gallery.

PMID- 10260410
TI  - Teaching communications skills.

PMID- 10260411
TI  - Blood pressure screening.

PMID- 10260412
TI  - Humor for hospital public relations.

PMID- 10260413
TI  - Keeping industrial friends.

PMID- 10260414
TI  - Hospital booth at a city fair.

PMID- 10260415
TI  - Dedication celebration.

PMID- 10260416
TI  - Introducing new equipment.

PMID- 10260417
TI  - Mall walking.

PMID- 10260418
TI  - Do we still need to segment the market into communities served, different ethnic
      groups, physicians, nurses, and so on?

PMID- 10260419
TI  - Health fair with superstar.

PMID- 10260420
TI  - But will it sell? A marketing approach to program design.

PMID- 10260421
TI  - Research goals nipped in the bud, project blossoms into thriving community
      program.

PMID- 10260422
TI  - What makes a patient education program effective?

PMID- 10260423
TI  - Safety promotion campaigns can work: one company's success story.

PMID- 10260424
TI  - Employee involvement: its implications for improved safety management.

PMID- 10260425
TI  - Picking the right practice for yourself.

PMID- 10260426
TI  - Why doctors choose to join a union.

PMID- 10260427
TI  - MDs weather competition from clinics and ERs.

PMID- 10260428
TI  - Living with the buyers' market in medicine.

PMID- 10260429
TI  - Proposed health cuts in Reagan budget will harm American Indians, APA tells
      Congress.

PMID- 10260430
TI  - Public hearings and public preferences: the case of the White House Conference on
      Families.
AB  - To provide input into Arizona's participation in the White House Conference on
      Families, the Arizona Governor's Council on Children, Youth, and Families
      commissioned a random statewide survey to assess the relative priority given to
      41 selected family-related needs and preferences for institutional responses to
      those needs. A similar survey was administered to participants at each of six
      regional public hearings held throughout the state prior to the 1980 White House
      Conference on Families. A comparison of the two surveys provides an opportunity
      to test the representativeness of public hearings participants with respect to
      the population from which they were drawn. Fundamental differences in the
      priorities of these two samples cast considerable doubt on the assumption that
      public hearings are an effective means of gauging public sentiment.

PMID- 10260431
TI  - Public attitudes toward life and death.
AB  - Opinion trends in this country indicate sharp divisions in public sentiment over
      a number of life-taking actions. While legal abortion and capital punishment
      clearly head a list, a number of other issues have gained national attention in
      recent years. The present paper explores the structure of belief systems giving
      rise to normative conflicts of this kind. Of particular interest is the notion of
      a "pro-life" or other generic life orientation (e.g., the alleged "right-to-die"
      orientation of those who favor "mercy killings" in the case of terminally ill
      patients) as a possible explanation for public attitudes toward specific issues
      such as suicide and euthanasia. The present analysis assesses the empirical
      claims associated with such a model. The results offer qualified support for the
      existence of generic value orientations as revealed by public attitudes toward
      legal abortion, suicide, euthanasia, and capital punishment.

PMID- 10260432
TI  - RRT meets RDD: statistical strategies for assuring response privacy in telephone
      surveys.
AB  - Despite its growing role in survey research, the telephone survey has been
      largely neglected with respect to the design and testing of statistical
      procedures for assuring response privacy (e.g., randomized response techniques).
      This paper demonstrates that such procedures are no less feasible to administer
      in telephone surveys than in face-to-face surveys. Both randomized response
      techniques and alternatives to randomized response are considered.

PMID- 10260433
TI  - Gain-sharing pay plans: in quest of a more stable economy.

PMID- 10260434
TI  - Investor-owned hospitals: Rx for success.

PMID- 10260435
TI  - St. Elsewhere: is it St. Anywhere?

PMID- 10260436
TI  - Psychiatry under suspended animation.

PMID- 10260437
TI  - Federal statistics: the effect of program cuts on availability, utility and
      quality.
AB  - Cutbacks in U.S. federal statistical programs have attracted considerable
      attention during the past year, particularly those that have been associated with
      efforts to reduce federal government expenditures. However, there have been a
      variety of changes during the past several years that intentionally or
      unintentionally have had the effect of reducing federal data resources. Among the
      legislative actions have been the Paperwork Reduction Act of 1980, which has
      affected statistical, as well as administrative, data collection. There have also
      been changes in philosophy concerning the role of the federal government,
      including both deregulation and the new federalism, that imply a substantial
      change in federal data collection activities. In addition, the Administration's
      announced intention to institute user charges will affect the availability of
      federal statistics. This article reviews some of these changes as seen from the
      perspective of users of federal statistics who have presented testimony to
      congressional committees during the past year. It identifies and classifies the
      principal concerns of these users and provides a guide to the literature.

PMID- 10260438
TI  - Avoiding errors in spirometry.
AB  - Routine measurements of vital capacity, forced expired volume in one second, and
      forced expiratory flow are easy to make, and so are errors in these measurements.
      Even if the technologist observes all the rules in performing the tests, there is
      still a potential source of error in the machine.

PMID- 10260439
TI  - Facility report: Holston Valley Hospital and Medical Center.
AB  - Part of an expanding institution, the respiratory services department at Holston
      Valley Hospital and Medical Center, Kingsport, Tenn, performs an impressive
      number and variety of procedures. Twelve-hour shifts and a new school of
      respiratory therapy are unique aspects.

PMID- 10260440
TI  - Security: melding lessons of the past with trends of the future.

PMID- 10260441
TI  - Taking up the LTD cost containment challenge.

PMID- 10260443
TI  - The holistic logic of Chinese medicine.

PMID- 10260442
TI  - Tailoring claims service to your individual needs.

PMID- 10260444
TI  - High-tech healing.

PMID- 10260445
TI  - Computer art aids surgeons.

PMID- 10260446
TI  - Diagnosing organizational decision making through responsibility charting.
AB  - Decision making within many organizations is becoming increasingly complex and
      difficult to manage. This article describes a technique called "Responsibility
      Charting" which can be used as a basis for understanding and improving decision
      making, and for enhancing the quality of communication within an organization.
      The authors present a case study to illustrate the types of analyses possible
      with this technique.

PMID- 10260447
TI  - Strategic selection: matching executives to business conditions.
AB  - Each business situation requires that executives have a specific set of
      management skills and characteristics to make the business successful. As
      businesses adapt their strategies and organizational structures to a changing
      environment, this set of managerial characteristics must also change: a company
      may discover its executives are not as suited to manage under the new conditions
      as they were under the old. The authors contend that executive selection should
      be linked to strategy, and they present a framework for assessing the managerial
      characteristics required by various strategic business situations.

PMID- 10260448
TI  - Business, society, and the Reagan revolution.
AB  - When Ronald Reagan first came to power two years ago, many Americans believed
      that his administration would bring about dramatic and fundamental changes in
      American politics. In this paper, the author contends that although it is still
      too early to fully assess the effects of "Reaganism" on the country in general,
      it is not too early to evaluate the results in terms of the altered relationships
      between government, business, and society. The author goes on to say that the
      1982 congressional election results already show that the American people are
      fast becoming disillusioned with the Reagan administration. In conclusion, the
      author maintains that only when the U.S. chooses a visionary leader who is
      capable of defining--or redefining--"progress." will American politics undergo a
      real revolutionary change.

PMID- 10260449
TI  - Intervention with high-risk infants and toddlers.
AB  - This early intervention program serves children and parents. It includes a
      therapeutic infant day care center and a mother-child interaction group.
      Counseling is also provided for families with children in the center and for
      families with children under three years of age in the community.

PMID- 10260450
TI  - Brief interviews: approaches, techniques, and effectiveness.
AB  - A study of brief-contact interviews at a psychiatric hospital by social workers
      indicated that such interviews can reduce long client waiting lists and increase
      case loads without adding to cost. Their effectiveness requires skill and
      judgment by highly-trained and experienced workers.

PMID- 10260451
TI  - Public policies and family outcomes: empirical evidence or ideology?
AB  - Research findings and other data dealing with government policies and programs
      such as Social Security, supplemental security income, welfare reform,
      deinstitutionalization, abortion, and compensatory preschool education show that
      these programs have promoted family well-being and not hindered family interests.

PMID- 10260452
TI  - Service workers' responses to abuse of the elderly.
AB  - The social service providers and physicians who encounter elder abuse have
      several potential avenues of intervention open to them in helping the elderly.
      Practice and training issues are discussed that are relevant for improving
      interventions and referrals in cases of family abuse of the elderly.

PMID- 10260453
TI  - Intervention with heart attack patients and families.
AB  - Workers who attend to a stage model of acute illness can create linkage with
      other problems and events to effectuate a comprehensive and dynamic plan of
      intervention. A systematized approach is proposed to effectively understand the
      psychological reactions to illness manifested by heart attack patients and their
      families.

PMID- 10260454
TI  - Fund raising and agency development.

PMID- 10260455
TI  - Reality construction, reality exploration and treatment in two therapeutic
      communities.
AB  - Data collected by participant observation in two contrasting types of therapeutic
      community are compared to reveal broad similarities in the treatment process. In
      both communities treatment was centrally concerned with reality construction:
      patients/residents learned to follow, assimilate and reproduce accounts of the
      community structure and prescriptions for behaviour, and these accounts and
      prescriptions reflexively constituted the social world of patients/residents.
      Further, in both communities staff recognised and made deliberate therapeutic use
      of an aspect of accounts and behavioural prescriptions much reported on in
      sociological literature, namely their essentially contingent and defeasible
      character. Thus, alongside processes of reality construction we note processes of
      reality exploration, whereby patients/residents are encouraged to inspect
      apparently contradictory prescriptions and accounts within the socially
      constructed reality of the communities. Staff believed that, in coming to terms
      with the contingent and defeasible character of accounts and prescriptions within
      the community, patients/residents would be able to deal with the contingent and
      defeasible character of social life outside the community less pathogenically.

PMID- 10260456
TI  - Chronic illness as biographical disruption.
AB  - The paper is based on semi-structured interviews with a series of rheumatoid
      arthritis patients. Chronic illness is conceptualised as a particular type of
      disruptive event. This disruption highlights the resources (cognitive and
      material) available to individuals, modes of explanation for pain and suffering,
      continuities and discontinuities between professional and lay thought, and
      sources of variation in experience.

PMID- 10260457
TI  - Organisation of ambulatory care by consumers.
AB  - This paper deals with how consumers arrange their ambulatory care in a system
      such as the United States which offers many possible choices. Patterns of the
      different affiliations (sources) that people maintain throughout the year for
      ambulatory care are formed. The data were obtained in interviews in a sample
      survey of Rhode Island households conducted in 1974. Although most people in the
      sample (89.5 per cent) cluster with one to three sources of care, there were over
      80 people with four or more affiliations. For those persons with a large number
      of affiliations, the provider sets become quite varied. Two conceptual typologies
      are formed, one focusing on type (private physicians versus places) and the other
      focusing on both the speciality of the physicians involved and the number of
      different affiliations involved. The United States, at least in theory, maintains
      a 'free market' health care system. Are there limitations of choice imposed by
      differential distributions of knowledge, income or age? A wide array of social,
      demographic, and illness variables were examined to determine their relationship
      to the patterns.

PMID- 10260458
TI  - The process of neutralisation and the uncertainties of cystic fibrosis.
AB  - The epidemiological uncertainties of a terminal illness would seem to prohibit
      the ritual exchange of faith and hope between patient and medical personnel.
      However, after interviews with people involved in cystic fibrosis networks, I
      argue that there exists a process of neutralising five epidemiological
      uncertainties of this disease: (1) aetiology; (2) genetics; (3) treatment; (4)
      societal reaction and (5) life expectancy. This process consists of five
      techniques corresponding to these five epidemiological uncertainties,
      respectively: (1) the modification of question; (2) the promise of research; (3)
      the uniqueness of each case; (4) the comparison with others and (5) the lack of
      an alternative to therapy. Neutralising the epidemiological uncertainties of this
      disease serves to support the swaying edifice of faith and hope and enables the
      people within the network to devote themselves to compliance with cystic fibrosis
      therapy.

PMID- 10260459
TI  - Sentimental work in the technologized hospital.
AB  - Sentiment is frequently involved in work either to get work done efficiently or
      because of humanistic considerations. This paper explores several questions: Are
      there different kinds of sentimental work? How is sentimental work carried out?
      When and where is it done; when not? Who does it? What is its relation to other
      types of work? When is it likely to be in focus for the workers? When is it
      visible, when invisible and to whom? What are its consequences: for work, staff,
      client and organization? The illustrative materials used in this paper are taken
      from research on the impact of technology on medical work in hospitals.

PMID- 10260460
TI  - Chancers, pests and poor wee souls: problems of legitimation in psychiatric
      nursing.
AB  - This paper explores the relationship between psychiatric nurses and 'problem'
      patients as a means of commenting on the occupation of psychiatric nursing.
      Proceeding from a detailed examination of the case of one particularly
      problematic female patient, and drawing on a body of observational and interview
      data relating mainly, though not exclusively, to nursing activity on two very
      different psychiatric wards, we argue that what is critical in determining
      nurses' categorization of some patients as 'problems' is not so much the level or
      nature of patients' demands, as much previous work has suggested, but rather the
      patient's willingness to legitimate the nurses' therapeutic aspirations.
      Possessing neither readily identifiable technical skills nor unambiguous
      authority, the psychiatric nurse must look to her dealings with patients to
      sustain a viable professional identity. 'Problem' patients are those who call
      attention to the fragility of nursing authority by rejecting, implicitly or
      explicitly, the special services that the psychiatric nurse stands ready to
      provide.

PMID- 10260461
TI  - Perinatal mortality: the current debate.
AB  - Using the parliamentary 'Short Report' on perinatal and neonatal mortality as a
      focus for analysis, this paper attempts a critical examination of recent trends
      in perinatal health policy debate, and suggests a polemical explanation of such
      trends. The paper begins by outlining the major concerns of current debate and
      unravelling the assumptions and apparent contradictions in both 'official' and
      popular arguments. It then utilises a framework and perspective adopted by Lewis
      in her recently published analysis of Edwardian maternal and infant welfare
      policy, in an attempt to make sense of the major contradictions identified. The
      importance of considering the ideological 'ends' of social policy movements--in
      this instance, a restating of the ideology of motherhood--over and above
      purported societal 'needs'--i.e. a reduction in perinatal mortality rates--is
      highlighted.

PMID- 10260462
TI  - Negotiation and the structure of discourse in medical consultation.
AB  - Using audio tape recordings of consultations between mid-level providers and
      patients in a health maintenance organization, a model of medical negotiation is
      presented. This model conceptualizes negotiation as a process in which mid-level
      providers and patients introduce their perspectives on the definition and
      treatment of medical problems by linking together units of discourse (acts,
      turns, sequences and phases). This model clearly locates negotiation in
      observable activities of interactants and demonstrates how the process changes
      over the course of an encounter as provider and patient participate in the taking
      of a medical history, the performance of a physical examination, and the
      discussion of the problem and treatment. Because of the formal yet flexible
      nature of this model, it lends itself for use in comparative studies of medical
      practitioner-patient negotiation.

PMID- 10260463
TI  - Advocacy: a conceptualization for social work practice.

PMID- 10260464
TI  - Ethical dilemmas in social work practice.

PMID- 10260465
TI  - The new mixed economy of welfare: public and private.

PMID- 10260467
TI  - The mischievous medical model.

PMID- 10260466
TI  - Conceptualizing self-evaluation of clinical practice.

PMID- 10260468
TI  - Social workers, strikes, and service to clients.

PMID- 10260469
TI  - The contemporary social work record.

PMID- 10260470
TI  - Raising the self-esteem of mentally impaired nursing home residents.

PMID- 10260471
TI  - Markov models and the utilization of mental health services: a study of
      endogenously depressed patients.
AB  - Patients in the mental health care system typically make more or less irregularly
      spaced visits to psychiatrists, both within and between episodes of a given
      illness. A Markov model is constructed which can predict the utilization of
      psychiatric services for such patients. Unlike previous Markov models of
      utilization, the current model takes as its starting point a model of an actual
      disease, specifically, endogenous depression. It is shown how one can estimate
      the parameters of both the model of utilization and the model of depression using
      data which were collected for clinical research purposes. The models provide
      reasonable fits to the data. Several applications of the models are worked out.
      In addition to predicting the utilization of mental health services, the models
      can be used to predict incidence, prevalence and recovery rates and to predict
      the changes in utilization which parallel changes in treatment regimens.

PMID- 10260472
TI  - Competitive bidding and voucher payments for implementing the new federalism with
      special emphasis on programs for the aging.
AB  - Principles from the economics of decentralization are applied to the planning and
      budgeting of social services for the elderly. The standard model of corporate
      decentralized planning and budgeting is extended to allow different levels of
      government to pursue qualitatively different goals. A safety-net voucher plan is
      also proposed to protect the most vunerable population from possible termination
      of services due to poorly formulated local plans. Such a decentralized planning
      and budgeting system would make Federal and State influence on local plans
      proportional to their contribution to total expenditures.

PMID- 10260473
TI  - Analysis of cost and coverage of government financed primary health care services
      in Tanzania.
AB  - A method for cost analysis is presented and applied to Primary Health Care
      Services in Tanzania. Primary care utilization figures are combined with budget
      and cost data to arrive at estimates of per capita and per visit cost. Data for
      analysis of geographical coverage, health care needs, and utilization are most
      readily available for the MCH sector of Primary Health Care Services, the most
      important health care sector in LDCs, which is used in this paper as a proxy for
      estimating health care needs and utilization. The importance of separating
      appropriately identified investment costs from recurrent costs is illustrated.
      Speedy implementation of health care for all requires assistance for investment
      costs, the recurrent costs of appropriately designed Primary Health Care Services
      being within the reach of developing nations themselves.

PMID- 10260474
TI  - Should health service providers be strictly liable for product-related injuries?
      A legal and economic analysis.

PMID- 10260475
TI  - Medical-legal agreement on brain death: an assessment of the Uniform
      Determination of Death Act.

PMID- 10260476
TI  - Smoke control.

PMID- 10260477
TI  - Detectors.

PMID- 10260479
TI  - Strategic public management and productivity: a "firehouse theory".

PMID- 10260478
TI  - Fire safety & electronics.

PMID- 10260480
TI  - Hospital fund raising.

PMID- 10260481
TI  - "What you do ahead to time is what counts most".

PMID- 10260482
TI  - The negative side of promotion from within.

PMID- 10260483
TI  - Breaking the language barrier.

PMID- 10260484
TI  - Financial watch.

PMID- 10260485
TI  - Involving consumers in decision-making.

PMID- 10260486
TI  - Big profit in private hospitals.

PMID- 10260487
TI  - The policy implications of self-care.

PMID- 10260488
TI  - An immodest proposal.

PMID- 10260489
TI  - A universal infection control problem: clean up in the operating room.

PMID- 10260490
TI  - A vital link in reaching for recognition. An in-depth study of licensure and
      certification.

PMID- 10260491
TI  - Surgical technologists--professional or not?

PMID- 10260492
TI  - Music and soap operas at work: background or distraction?

PMID- 10260493
TI  - Treating cancer with heat.

PMID- 10260494
TI  - Computers and a new world order.

PMID- 10260495
TI  - Danger: T.R. at work.
AB  - State credential processes may require applicant groups to specify the dangers to
      the public and clients of unregulated practice. A model for the equitable display
      of therapeutic recreation concerns is proposed as well as a classification of
      negative worker behaviors. The self-study process described has implications for
      education, personnel justifications and the development of standards and ethics.

PMID- 10260496
TI  - Quality analysis in therapeutic recreation curricula.
AB  - Within the last several years therapeutic recreation has witnessed an increasing
      concern over the quality of professional preparation programs. Unfortunately, few
      efforts have really focused on improving the depth of preparation although the
      scope of preparation is fairly well documented by accreditation criteria. Quality
      analysis elucidates curricula by considering: (1) the depth of competence
      desired, (2) the barriers to acquiring said knowledge and (3) who is responsible
      for disseminating the knowledge to students. Furthermore, quality analysis
      relative to therapeutic recreation curricula currently requires consideration of
      material from other disciplines and therapeutic recreation's unique perspective
      on traditional areas of learning. A competency cluster including knowledge
      related to anatomy, physiology, disabilities and limitations imposed by the
      disabling conditions and medical terminology was used as an example of quality
      analysis. Quality analysis revealed that the aforesaid competency cluster is not
      presently being transmitted adequately to students and that therapeutic
      recreation educators' need to assume more responsibility for disseminating
      knowledge related to the competencies discussed.

PMID- 10260498
TI  - National Council for Therapeutic Recreation Certification--certification
      standards for therapeutic recreation personnel.

PMID- 10260497
TI  - An assessment of treatment enjoyment and effectiveness in psychiatric
      hospitalization.
AB  - A study examining treatment enjoyment and effectiveness revealed significant
      correlations in twelve of thirteen identified therapies. Based on an assessment
      as reported by twenty-four psychiatric inpatients, levels of treatment
      effectiveness increased during the course of hospitalization. It is concluded
      that therapeutic recreation plays a significant role in the over-all socializing
      process characterized by increasing levels of enjoyment in interpersonal
      relationships which are perceived as significantly related to positive treatment
      outcome.

PMID- 10260499
TI  - Assessment interviewing techniques: a useful tool in developing individual
      program plans.
AB  - This article presents a number of interviewing techniques that can complement
      other assessment tools and assist recreation therapists in achieving their
      intended goals. An interviewing guide is also presented which may be used to help
      direct an assessment interview and insure that essential interview points are
      covered.

PMID- 10260500
TI  - Diagnostic testing in the emergency department.

PMID- 10260501
TI  - Emergency department radiology.

PMID- 10260502
TI  - Controlling pharmacy inventory...for bottom-line results.

PMID- 10260503
TI  - QA and problem solving: working together.

PMID- 10260504
TI  - Justifying a full-time pharmacist in your smaller hospital.

PMID- 10260505
TI  - The institutional pharmacist and infection control.

PMID- 10260506
TI  - How secure is your pharmacy?

PMID- 10260507
TI  - Surgical pharmacy satellite operations.

PMID- 10260508
TI  - Denial of staff privileges: a hospital's discretion.

PMID- 10260509
TI  - The perfect system.

PMID- 10260510
TI  - Freestanding "emergency" care centers. Diagnosis: a misnomer?

PMID- 10260511
TI  - Developing a central information source.

PMID- 10260512
TI  - Health maintenance organizations: a brief history of the HMO in Texas.

PMID- 10260513
TI  - Home health care. Perspectives for hospital pharmacy services.

PMID- 10260514
TI  - The integration of QA and risk management.

PMID- 10260515
TI  - Outpatient facilities present special concerns for IC practitioners.

PMID- 10260516
TI  - Medical malpractice and the statute of limitations: an absolute two-year cutoff
      date?

PMID- 10260517
TI  - The responsibility for financing. Part 3.

PMID- 10260518
TI  - How do you find qualified personnel for your hospital?

PMID- 10260519
TI  - Pooled credit plans offer financing alternatives to independent hospitals.
AB  - Using the collective financial strength of a group of not-for-profit health care
      institutions to finance capital needs has become an increasingly popular concept.
      This article discusses the significant advantages and disadvantages of the
      concept, provides an overview of the development of multi-institutional financing
      arrangements, and describes the generic forms of credit poolings. It also
      outlines three broad areas of inquiry to be explored by potential participants
      before entering a pooled credit arrangement: the relationships among
      participants, the availability of assets to support debt, and corporate planning
      and strategy.

PMID- 10260520
TI  - Lower interest rates mean that a refinancing might save a bundle.
AB  - Two recent developments provide compelling reasons for hospitals to consider
      refinancing or advance refunding their existing debt: the precipitous fall in
      interest rates since August 1982 and the outcome of recent litigation that
      permits hospitals to recoup the issuance costs of refinancing or refunding bonds.
      These favorable developments, coupled with increasing concern over restrictive
      covenants, will cause many hospitals to evaluate a refunding sometime this year.

PMID- 10260521
TI  - It's time to return to basics and renew philanthropy efforts.
AB  - Boards' inattention--rather than any lack of interest by donors--may account for
      the slippage (by percentage) of philanthropy as a source  of hospital capital.
      Actually, total giving is up, and the author maintains that it's time for
      hospital boards to reexamine their efforts at philanthropy. A focus on individual
      and corporate giving is recommended.

PMID- 10260522
TI  - Manufacturers' tips on paper product quality.

PMID- 10260524
TI  - Nursing home industry launches voting programs for patients.

PMID- 10260523
TI  - Purchasers' views on buying paper goods.

PMID- 10260525
TI  - Ohio nursing home becomes politically oriented.

PMID- 10260526
TI  - The consultant dietitian and the social worker.

PMID- 10260527
TI  - Mass. examines home care: how it affects the family.

PMID- 10260528
TI  - Deregulation moratorium imposed by Congress.

PMID- 10260529
TI  - HHS study calls mandated dual participation unfeasible.

PMID- 10260530
TI  - Nursing home costs rose 17.4%, last year.

PMID- 10260531
TI  - Government grants exemptions to hospitals.

PMID- 10260532
TI  - Doctors' nursing home visit patterns exposed in study.

PMID- 10260533
TI  - Stalled regulations may surface shortly.

PMID- 10260534
TI  - New Congress addressing Social Security's woes.

PMID- 10260535
TI  - Dentists sink teeth into nursing home calls.

PMID- 10260536
TI  - Nutrition and the decubitus ulcer.

PMID- 10260537
TI  - Behind the explosion in self-help groups.

PMID- 10260538
TI  - If you live to be 100--it won't be unusual.

PMID- 10260539
TI  - If you want to donate a body organ.

PMID- 10260540
TI  - Criminally insane turned loose too soon?

PMID- 10260541
TI  - Who'll watch the kids? Working parents' worry.

PMID- 10260542
TI  - Group urges cuts in federal facilities.

PMID- 10260543
TI  - Vet center prospects improving.

PMID- 10260544
TI  - Claiming whistleblowing irrelevant, U.S. alludes to TV show in VA case.

PMID- 10260545
TI  - New approaches to revenue centers. Cost and expense reduction.

PMID- 10260546
TI  - How to plan for a productive and satisfactory meeting.

PMID- 10260547
TI  - Helpful hints for designing a successful volunteer conference.

PMID- 10260548
TI  - Child abuse programs.

PMID- 10260549
TI  - Taking the mystery out of volunteer publications.

PMID- 10260551
TI  - The Islamic Code of Medical Ethics.

PMID- 10260550
TI  - Psychiatric sequelae of torture, and implications for torture.

PMID- 10260552
TI  - Preferred provider organizations.

PMID- 10260553
TI  - Family medicine today: a dialogue with the American Academy of Family Physicians.

PMID- 10260554
TI  - Future family physicians get early community contact in Morehouse curriculum.
AB  - The pre-clinical curriculum of the Morehouse School of Medicine is unique in
      several ways. One of the ways in which this curriculum is unique is the manner in
      which it has involved practicing physicians in the education of medical students
      during their first two years of medical school. Throughout the country, many
      physicians have expressed an interest in this involvement of community physicians
      in the teaching of medical students during what might be their most
      impressionable period of development. The article which follows describes
      concisely the development of Community Medicine and Family Practice at the
      Morehouse School of Medicine, highlighting the issues which relate to the role of
      community physicians in the teaching of medical students during the pre-clinical
      years. It is the contention of Morehouse officials that the involvement of
      practicing physicians in the early education of medical students is very
      important and that it does not necessitate a compromise of the basic science
      education which is taking place at this time.

PMID- 10260555
TI  - Introducing AHA's Center for Urban Hospitals.

PMID- 10260556
TI  - Wellness and prevention: educating the family and contacts.
AB  - Historically, the healing arts have been devoted to curing those already sick.
      Only in recent decades has disease prevention by vaccination, quarantine,
      regulation of food, water and drugs, proper garbage and water disposal and health
      education become procedures utilized by the medical and allied health
      practitioners. Today, maintenance of wellness is the novel but desirable role to
      be undertaken by health professionals. To do this, doctors and allied health
      personnel must become conversant with information from many scientific and social
      disciplines, must become skillful communicators and teachers, and must be
      personal examples of wellness. This role - especially of education and
      communication - must be carried out not only with clients but also with the
      family and contacts of patients.

PMID- 10260557
TI  - 'The future of urban hospitals'.

PMID- 10260558
TI  - A call for advocacy and rededication to "health care for all".

PMID- 10260559
TI  - Project health care at Bellevue Hospital.
AB  - Project Health Care is a program which uses college students considering careers
      in health care, as summer volunteers in the Emergency Department of a large,
      municipal hospital. It began with a small group in 1981, and was expanded the
      following year to include 16 students. The program was designed to provide
      opportunities for service and observation in various out-patient settings,
      seminars, lectures and individual and group projects. The project benefitted all
      participants. For the Emergency Department staff it stimulated better
      communication with non-professionals; for the hospital it provided intelligent,
      enthusiastic volunteer help while aiding community relations, and for the
      volunteers it provided an opportunity to make educated career decisions.

PMID- 10260560
TI  - A critique of Theory Z.
AB  - Ouchi's Theory Z prescribes how employees should be motivated for increased
      productivity. Based on the theoretical work of Emile Durkheim, it views the
      modern large corporation as a communal alternative to the shortcomings of other
      institutions in industrial mass society. Ouchi's assertion that Japan is the
      industrial society in which Theory Z has flourished received limited support from
      research findings. Moreover, Ouchi's grounding of the theory in humanistic
      management seem unwarranted.

PMID- 10260561
TI  - The hypothesized effects of ability in the turnover process.
AB  - Findings from studies that have investigated the relationship between task
      relevant ability and turnover have been inconsistent. A process model is
      presented that suggests that ability may be related to turnover through the
      individual's perception of both the ease and desirability of movement. The
      potential effect of ability on the turnover process and its practical and
      theoretical implications are discussed.

PMID- 10260563
TI  - The business of the polygraph. How and why companies use the 'lie detector'. And
      why civil libertarians are distressed.

PMID- 10260562
TI  - A systems paradigm of organizational adaptations to the social environment.
AB  - In order to define generic research questions and to develop a typology of
      organizational social performance concepts, a systems paradigm for organizational
      adaptations to social environments is advocated. The active distinction between
      descriptive, normative, and evaluative inquiry is emphasized. Organizational
      social responsibility, social responsiveness, and social responses are defined in
      context of the systems paradigm. In addition, a categorical model of
      organizational social responses that directly affect the quality of work life and
      the quantity of life is outlined.

PMID- 10260564
TI  - The price of giving. Charity begins with the tax laws.

PMID- 10260565
TI  - The Social Security Fix.

PMID- 10260566
TI  - The relationship among perceptual similarity, sex, and performance ratings in
      manager-subordinate dyads.
AB  - The relationship of perceptual similarity and sex in both manager and subordinate
      performance appraisals within manager-subordinate dyads was investigated.
      Perceptual similarity accounted for a sizable percentage of performance rating
      variance. Significantly lower performance appraisals were found in dyads in which
      there was mutual perceptual dissimilarity between managers and subordinates.

PMID- 10260567
TI  - Job and life satisfactions: a causal analysis of their relationships.

PMID- 10260568
TI  - Drug utilization in general and family practice by characteristics of physicians
      and office visits: National Ambulatory Medical Care Survey, 1980.

PMID- 10260569
TI  - 1981 summary: National Ambulatory Medical Care Survey.

PMID- 10260570
TI  - Utilization of psychotropic drugs in office-based ambulatory care: National
      Ambulatory Medical Care Survey, 1980 and 1981.

PMID- 10260571
TI  - Fine arts gallery in retirement center nurtures creativity.

PMID- 10260572
TI  - Rx for recreation: part of the doctor's role.

PMID- 10260573
TI  - Reaching the confused and withdrawn through music.

PMID- 10260574
TI  - New health hazards in sealed buildings.

PMID- 10260575
TI  - Art therapy with two quadriplegic patients.

PMID- 10260576
TI  - Children's self-images before, during, and after psychiatric hospitalization.

PMID- 10260577
TI  - Training the "clinical scientist" through a combined industrial/academic
      fellowship.
AB  - A novel two-year fellowship program is described which provides specialized
      training both in clinical drug research and drug development methodology for
      pharmacists with previous clinical experience. Pharmaceutical industry,
      university and hospital research facilities are used as the training
      laboratories, and collectively offer theoretical as well as practical research
      skills development. Traditional didactic and laboratory training are provided
      within university and hospital environments with emphasis in the conduct of
      clinical trials. Extramural experience with pharmaceutical industry provides a
      corollary experience which includes exposure to ethical, legal and regulatory
      issues involving both investigational and marketed drugs. Following successful
      completion of the fellowship, the pharmacist is expected to have developed the
      fundamental skills necessary for a career in academia, pharmaceutical industry,
      or clinical practice.

PMID- 10260578
TI  - The development and evaluation of an interdisciplinary health training program: a
      pharmacy perspective.
AB  - This program integrates training with the clinical interdisciplinary aspects of
      health care by directly involving pharmacy and other health professional students
      in an on-going team model of health care delivery. The training program model
      allows pharmacy students to learn the conceptual basis of team care and to
      experience directly how this concept is applied in an ambulatory health care
      setting. Learning strategies include specialty and team delivery of health care,
      participation in weekly interdisciplinary team training seminars, involvement in
      problem-solving and other skill building activities, and development of an
      interdisciplinary team project. Program evaluation results have indicated that
      students perceive that the interdisciplinary training increased their knowledge
      and positive attitudes towards interdisciplinary teams. The training also
      increased their sensitivity to patients, and enhanced the understanding of the
      problems of delivering health care to an urban community. The results have also
      shown that through this structured interdisciplinary experience, students
      reported having a better understanding of the roles of other health professionals
      and a greater awareness of how these different roles are integrated into a health
      care team.

PMID- 10260579
TI  - The use of patient instructors to teach interviewing skills.
AB  - A program which utilizes patient instructors (PI) to teach and evaluate
      interviewing skills of pharmacy students is described. The PIs were programmed
      with a history of either hypertension, chronic pulmonary disease, or congestive
      heart failure. Content areas within each history included past and present drug
      therapy, adverse drug reactions, drug interactions, as well as socioeconomic and
      other factors affecting therapy. The interviews were done with small groups of
      students and followed by PI evaluation of interview content and process. The
      majority of students felt the experience helped them assess and improve their
      interviewing skills and agreed the program should continue. The advantages of
      utilizing PIs to teach interviewing skills are discussed.

PMID- 10260580
TI  - Computers will become indispensable, MDs say.

PMID- 10260581
TI  - Minnesota insurer signs hospital contracts. Under the PPO type plan,
      participating subscribers will get a 7% cut in premiums.

PMID- 10260583
TI  - Economist predicts decade of hospital closings and MD income erosion.

PMID- 10260582
TI  - Medical care access, costs debated.

PMID- 10260584
TI  - Growth rate of HMOs is slowing down.

PMID- 10260585
TI  - To stem costs, impose 'discipline', New York freezing hospital construction for 1
      year.

PMID- 10260586
TI  - Adopt-a-school. Six Chicago-area hospitals have 'adopted' elementary and high
      schools to teach youngsters about medicine.

PMID- 10260588
TI  - Watch quality, official tells HMOs.

PMID- 10260587
TI  - Costs mark debate on artificial heart.

PMID- 10260589
TI  - U.S. management firm launches experiment with Canadian hospital.

PMID- 10260590
TI  - New California PPOs producing tumult among physicians.

PMID- 10260591
TI  - Diagnostic patients get free room at hospital.

PMID- 10260592
TI  - Economic realities altering profession, medical leaders told.

PMID- 10260593
TI  - Hospitals face N.Y. building moratorium.

PMID- 10260594
TI  - Linen control.

PMID- 10260595
TI  - Growing from within.

PMID- 10260596
TI  - The year ahead.

PMID- 10260597
TI  - Entering our profession through the back door.

PMID- 10260598
TI  - A co-op that is run like a rental plant.

PMID- 10260599
TI  - The cost involved.

PMID- 10260600
TI  - Barriers and microbial penetration.

PMID- 10260601
TI  - Run tests before deciding.

PMID- 10260602
TI  - An upgraded linen control system drastically reduced linen losses.

PMID- 10260603
TI  - Linen security. Don't lock the door too late.

PMID- 10260604
TI  - The institutional market. The rental viewpoint.

PMID- 10260605
TI  - The institutional market. The laundry manager's viewpoint.

PMID- 10260606
TI  - Minor adjustments.

PMID- 10260607
TI  - Laundry managers accept column ideas.

PMID- 10260610
TI  - Hospitals find past recruitment of nurses too successful.

PMID- 10260609
TI  - An experiment in continuing medical education.

PMID- 10260608
TI  - The 'magic asterisk' revisited...staying the course: what it means for US public
      health.

PMID- 10260611
TI  - The federal government's regulatory challenge...who is running medicine?

PMID- 10260612
TI  - Johns Hopkins planner urges changes in US health care policies.

PMID- 10260613
TI  - Emergency room radiology. Profile of a typical facility and preliminary report on
      a dedicated system.
AB  - According to a questionnaire survey of emergency room satellite radiologic units
      in US hospitals, the criteria for optimal radiologic service to seriously ill and
      injured patients seen in hospital emergency areas are not being satisfied. The
      survey identifies the salient characteristics of this growing sector of
      radiologic practice and points to the need for a dedicated emergency room
      roentgenographic system.

PMID- 10260614
TI  - The radiology administrator as personnel manager.

PMID- 10260615
TI  - Microcomputer-assisted evaluation of pediatric echocardiograms.

PMID- 10260616
TI  - Computers in ultrasound practice.
AB  - As computerization becomes pervasive in medical practice, direct physician
      computer interaction can be expected to increase. With respect to ultrasound,
      physicians can use computers in the measurement, interpretation, reporting,
      filing, and retrieval of data. Such use will increase as a growing number of well
      designed packages and network capabilities become available.

PMID- 10260617
TI  - Diagnostic ultrasound: hazardous or safe?

PMID- 10260618
TI  - Trials and tribulations of the radiology administrator: interdepartmental
      relations.
AB  - Many interdepartmental problems stem from a lack of understanding of just how the
      radiology department works. In this article, radiology administrators discuss
      their approaches to improving interdepartmental relations. These include one-on
      one talks with department heads and supervisors, orientation meetings, and
      meetings of department heads.

PMID- 10260619
TI  - Choosing a film-screen combination for polytomography.
AB  - The results of a study of nine film-screen combinations seem to indicate that it
      is possible to reduce the radiation dose for polytomography without loss of
      diagnostic quality. The reduction in radiation exposure can be substantial when
      16 to 25 exposures are taken in a routine study. Benefits in addition to the
      lower patient dose are lower tube heat loading and longer tube life.

PMID- 10260621
TI  - Results of testing of an angiographic catheter.
AB  - A catheter composed of two dissimilar plastics has been found to be virtually
      indestructible under severe experimental conditions. Compared with four other
      types of commercially available catheters, it rates well in terms of flow rate,
      bursting strength, memory, radiodensity, and thrombogenicity.

PMID- 10260620
TI  - Conventional tomography with a digital vascular imaging system.
AB  - Digital conventional tomography may be performed using a digital vascular imaging
      (DVI) system. Digital synthesis and removal of blur from multiple tomographic
      sections were accomplished by computer with a single motion of the source
      receptor (x-ray tube-image intensifier) complex. Tomographic application of a DVI
      system was evaluated by phantom simulations.

PMID- 10260622
TI  - A tale of two companies.

PMID- 10260623
TI  - Clinical issues of middle age and later life.
AB  - Mental health problems of middle and late life are the focus of this article.
      Among topics discussed are adjustment reactions to mid-life, late-life
      transitions, and stressful life events. Emerging mental health problems during
      this period are considered as a function of increased stress that is not mediated
      by social supports or effective strategies in coping. Sex differences in
      adjustive tasks during mid-life and the later years are presented. The impact of
      family dynamics on mental health is considered. Age-related differences in
      specific types of mental disorders, including organic problems, schizophrenia,
      and depression, are reviewed. Sexual problems, substance abuse, and psychosomatic
      problems are reviewed in the context of clinical problems during middle and late
      life. Diversity and individual differences in responses to the stresses of life
      transitions are emphasized while psychosocial strengths of older persons that
      promote mental health are portrayed.

PMID- 10260624
TI  - Death and survivorship: the final transition.
AB  - In spite of some recent increases in services for bereaved persons, the
      availability of such services is minimal. The process of grieving itself takes
      place in time in several ways: the extent to which the death is sudden, expected,
      and timely; the passage of time from the beginning of anticipatory grieving
      before the actual death through the diminishing effects of the loss over an
      extended period of time; and the age and stage in life of the grieving persons.
      During the grieving process the survivors often develop physical and health
      problems, face psychological and emotional distress, encounter difficulties with
      social relationships, and must cope with numerous practical issues. The
      subsequent adjustment of widows and widowers appears to be related to the extent
      to which there had been the opportunity for open communication. Whether widows
      fare better than widowers after the death is uncertain; research has provided
      conflicting results and equally conflicting interpretations of the results.

PMID- 10260625
TI  - Transitions and models of intervention.
AB  - All transitions are associated with change. People, basically conservative by
      nature, tend to resist change. Any intervention needs to consider that reactions
      to a transition are affected by prior experience, by the way transitions are
      viewed in an individual's social network, and by what learning opportunities are
      available. Responses can be viewed as typical under the circumstances, with rites
      of passage and helpers available to guide people in coping; or they can be viewed
      as a result of deficits in the individual for which treatment is prescribed. To
      facilitate change, seen as an expected event, individuals need to be linked to
      resources and information. They need role models and legitimation of their
      feelings. Learning, at such times of stress, seems to be facilitated by the
      availability of a peer, in the sense that the helper has had a similar
      experience. This help is available in mutual help groups. However, many kinds of
      help need to be available. The goal of any help is to empower the individual to
      cope in ways that promote growth and change.

PMID- 10260626
TI  - Intergovernmental redirection.
AB  - Intergovernmental reformers have long attempted to remedy the system's more
      apparent defects, especially the recent buildup in federal-state-local relations
      as Washington's involvement became broader and deeper. These remedies have
      included incremental and procedural changes, rationalization of federal aid and
      program delivery instruments, and total overhaul of the system through functional
      realignment. Efforts in the past have proved only marginally successful,
      essentially due to the fact that Congress had become the dominant architect and
      defender of the system. The world of intergovernmental relations changed
      dramatically from 1978 on, due to the poor performance of the economy, antitax
      and antispending sentiment, public-sector retrenchment, and fiscal deterioration
      at the federal level. Decentralization, competition, and fragmentation
      characterize the contemporary do-it-yourself federalism. President Reagan's
      proposed swap, turnback, and trust-fund package of New Federalism seeks to
      capture these changes in a system realignment. I examine these changes in light
      of whither intergovernmental relations go in the 1980s.

PMID- 10260627
TI  - Finding people. Eight steps to better employment interviews.

PMID- 10260628
TI  - Telemarketing fund raising by phone.

PMID- 10260629
TI  - Can we repair the cracks in the Social Security system?

PMID- 10260630
TI  - OMB considers changes in statutes covering nonprofit lobbying.

PMID- 10260631
TI  - The IRS. Benevolent guide or antagonist?. Interview by Jonathan Walters.

PMID- 10260632
TI  - Safety in hospitals.

PMID- 10260633
TI  - What is the value of a Geriatric Assessment Unit in a teaching hospital? A
      comparative study of the management of elderly inpatients.
AB  - This study at the Flinders Medical Centre, compared the management of 50 elderly
      patients, admitted acutely ill to the Geriatric Assessment Unit, with the
      management of 50 elderly patients admitted, under similar circumstances, to other
      medical units in the Centre. Patients under the care of the Geriatric Unit had a
      comparable mean length of stay, were on less medication at discharge, and were
      more likely to return home to their pre-admission accommodation, compared with
      patients admitted to other medical units. The multidisciplinary approach adopted
      in such units, coupled with increased utilization of community based services,
      appears to significantly limit rates of referral to institutional care.

PMID- 10260634
TI  - Are you planning to care properly for Big Brother's parents?

PMID- 10260636
TI  - Towards a career structure.

PMID- 10260635
TI  - Living-in parents: the hidden costs.

PMID- 10260637
TI  - Plugging the dollar drain.

PMID- 10260638
TI  - Life-support systems: some moral reflections.

PMID- 10260639
TI  - The ethical challenges of surgical training programs.

PMID- 10260640
TI  - Modern medicine and the price of success.

PMID- 10260641
TI  - President's commission offers guidelines on life-support therapy.

PMID- 10260642
TI  - Guri Dam: the challenge of trauma care.

PMID- 10260643
TI  - Involvement in trauma care by ACS Fellows: a national survey.

PMID- 10260644
TI  - Negative references and legal liability.

PMID- 10260645
TI  - Looking beyond individual productivity.

PMID- 10260646
TI  - Getting commitment by soliciting employee ideas.

PMID- 10260647
TI  - Union organizing in the 1980s: the strike.

PMID- 10260648
TI  - More and better results through concentration.

PMID- 10260649
TI  - Stalking the big bad wolf.

PMID- 10260650
TI  - Overcoming resistance to change.

PMID- 10260651
TI  - Cafeteria incentive plans: a new way to motivate.

PMID- 10260652
TI  - How to delegate successfully.

PMID- 10260653
TI  - Applying the management process to your work day.

PMID- 10260654
TI  - How am I doing?

PMID- 10260655
TI  - What you need to know to be a supervisor.

PMID- 10260656
TI  - Why supervisors don't delegate and employees won't accept responsibility.

PMID- 10260657
TI  - This matter of discipline.

PMID- 10260658
TI  - Five steps to improving employee performance.

PMID- 10260660
TI  - Prescription for profits.

PMID- 10260659
TI  - Heal thyself.

PMID- 10260661
TI  - Prognosis: steady improvement but the nation's health-care system still lags
      behind the West's. Japan.

PMID- 10260662
TI  - The Court stands by abortion.

PMID- 10260663
TI  - The panic over AIDS.

PMID- 10260664
TI  - Keeping the patient in stitches.

PMID- 10260665
TI  - Privacy Act of 1974; notification of new routine use--Public Health Service.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new routine use
      permitting disclosure to contractors of information in the Privacy Act system of
      records 09-35-0044, "Health Professions Planning and Evaluation," HHS/HRA/OA.

PMID- 10260666
TI  - Social Security Amendments of 1983--Public Health Service. Notice of changes in
      the review thresholds under Section 1122.
AB  - This notice provides information on the Social Security Amendments of 1983 (Pub.
      L. 98-21) which were effective upon enactment on April 20, 1983. Under Section
      1122 of the Social Security Act, the expenditure threshold for reviews of capital
      expenditures is changed from $100,000 to $600,000 and an exemption from review is
      provided for HMOs (and similar entities) if certain conditions are met. In
      addition, the amendments require all hospitals participating in the Medicare
      program to provide their overall 3-year capital expenditure plans to the
      designated planning agency or other appropriate health planning agency in the
      State.

PMID- 10260667
TI  - Child abuse and neglect prevention and treatment program--Office of Human
      Development Services. Final rule.
AB  - The Department of Health and Human Services is issuing final regulations to
      implement the amendments to the Child Abuse Prevention and Treatment Act
      contained in Title 1 of the Child Abuse Prevention and Treatment and Adoption
      Reform Act of 1978, Pub. L. 95-266, as amended. The regulations also clarify,
      simplify and eliminate where repetitive of the statute, the rules governing the
      Child Abuse and Neglect Prevention and Treatment Program and those related to the
      coordination of Federal activities related to child abuse and neglect.

PMID- 10260668
TI  - Health Care Financing Administration--statement of organization, functions, and
      delegations of authority.

PMID- 10260669
TI  - Federal Employees Health Benefits Program--Office of Personnel Management. Final
      rule.
AB  - These regulations call for the simultaneous submission of Federal Employees
      Health Benefit (FEHB) carriers' benefit and rate proposals. The regulations will
      permit an assessment of the impact of benefit and rate proposals on both the
      Government and enrollees in a more timely and orderly fashion than is possible
      with the present FEHB contract negotiation cycle.

PMID- 10260670
TI  - Procurement regulations--Office of Personnel Management. Final rule.
AB  - These regulations call for the simultaneous submission of Federal Employees
      Health Benefit (FEHB) carriers' benefit and rate proposals. The regulations will
      permit an assessment of the impact of benefit and rate proposals on both the
      Government and enrollees in a more timely and orderly fashion than is possible
      with the present FEHB contract negotiation cycle.

PMID- 10260672
TI  - Additional federal allotments to states for social services expenditures pursuant
      to the Title XX-Block Grants to States for Social Services--Office of Human
      Development Services, HHS.
AB  - Section 2003 of the Social Security Act, as amended, authorizes $2.45 billion for
      allocation to the States for Social Services Block Grants--Fiscal Year 1983.
      Public Law 98-8, enacted March 245, 1983, appropriates an additional $225 million
      for Fiscal Year 1983. This notice contains State allotments and explanations of
      how the allotments were determined; conditions for receipt of these funds and
      other information.

PMID- 10260671
TI  - Occupational exposure to ethylene oxide--Occupational Safety and Health
      Administration. Proposed rule and notice of hearing.
AB  - By this notice, the Occupational Safety and Health Administration (OSHA) is
      proposing to amend its existing occupational standard that regulates employee
      exposure to ethylene oxide (EtO). The basis for this action is a determination by
      the Assistant Secretary, based on animal and human data, that exposure to EtO at
      OSHA's current permissible exposure limit (PEL) of 50 parts EtO per million parts
      of air (50 ppm) as an eight (8)-hour time-weighted average (TWA) is inadequate
      for employee health protection. OSHA proposes to reduce the PEL for EtO to a TWA
      of 1 ppm. An "action level" of 0.5 ppm as a TWA is included in the proposal as a
      mechanism for exempting an employer from the obligation to comply with certain
      requirements, such as employee exposure monitoring and medical surveillance, in
      instances where the employer can demonstrate that the employees exposures are at
      very low levels. The proposal would provide for among other requirements certain
      methods of exposure control, personal protective equipment, measurement of
      employee exposures, training, medical surveillance, signs and labels, regulated
      areas, emergency procedures and recordkeeping.

PMID- 10260673
TI  - Health maintenance organizations--Public Health Service. Interim rule with
      request for comments.
AB  - This notice amends the Public Health Service regulations on Federal qualification
      of health maintenance organizations [HMOs]. The purpose is to provide greater
      flexibility for already existing prepaid health care delivery systems to become
      transitionally qualified HMOs. Adoption of this amendment wil allow entities
      operating these systems to satisfy the requirement that basic health services be
      provided to members by demonstrating that members enrolled at the time of
      transitional qualification receive hospital services or are insured for hospital
      services through an arrangement not made by the HMO.

PMID- 10260674
TI  - Nondiscrimination on the basis of handicap in the provision of health care to
      handicapped infants--Office of the Secretary, HHS. Notice of court order
      declaring rule invalid.
AB  - This notice is to advise that the interim final rule issued by the Department of
      Health and Human Services on March 7, 1983, 48 FR 9630, concerning discrimination
      in the provision of health care to handicapped infants, has been declared invalid
      and has no further force and effect.

PMID- 10260675
TI  - Grants to state health planning and development agencies determination of
      population of the states--Health Resources and Services Administration.
AB  - This notice provides the population figures the Department will use when it
      determines the amount of grants to State Health Planning and Development Agencies
      (State Agencies).

PMID- 10260676
TI  - Malpractice pool stops payments on claims.

PMID- 10260677
TI  - Before you sign PPO contract, do homework.

PMID- 10260678
TI  - States considering ways to cap health costs.

PMID- 10260679
TI  - Arizona employers leading health cost battle.

PMID- 10260680
TI  - Pennsylvania willing to try competition before regulation.

PMID- 10260681
TI  - San Diego employers behind push for local PPO.

PMID- 10260682
TI  - Florida looking at several ways to cut costs.

PMID- 10260683
TI  - West Virginia sets up rate commission.

PMID- 10260685
TI  - Blues dominate group benefit market: study.

PMID- 10260684
TI  - Canadians have two health benefit sources.

PMID- 10260686
TI  - Are you prepared for the approaching boom of elderly patients?

PMID- 10260687
TI  - Catch-22 is alive and well and defining Canada's emergency medical system. Part
      1.

PMID- 10260688
TI  - Avoid malpractice suits by communicating with your patients.

PMID- 10260689
TI  - The act of profession.

PMID- 10260690
TI  - A clear definition of objectives is key in establishing a registered charity.

PMID- 10260691
TI  - Avoid libel suits by knowing the legal limits of defamation.

PMID- 10260692
TI  - Office design guidelines.

PMID- 10260693
TI  - Put less talk and more action into your meetings.

PMID- 10260694
TI  - You can break down the barriers of age discrimination.

PMID- 10260695
TI  - Should you be a Good Samaritan in the U.S.?

PMID- 10260697
TI  - Medical records should be your best defence.

PMID- 10260696
TI  - The Schweitzer hospital in Haiti needs you.

PMID- 10260698
TI  - AIDS: bringing the gay patient out of the closet.

PMID- 10260699
TI  - Reflections of a visiting physician. Interview by Ellen M. Gardner.

PMID- 10260700
TI  - Identification and prevention of infections in the critically ill trauma
      population.

PMID- 10260701
TI  - Autotransfusion in trauma.

PMID- 10260703
TI  - The importance of building trust and credibility.

PMID- 10260702
TI  - Plato's Protagoras: professional models, ethical concerns.

PMID- 10260704
TI  - Functions and techniques of employee evaluations.

PMID- 10260705
TI  - Policy and procedure manual. Patient counseling.

PMID- 10260706
TI  - Implementation of a hospital pharmacy drug product selection program.

PMID- 10260707
TI  - Burnout: possible? probable? preventable?

PMID- 10260708
TI  - Sterilization and the mentally retarded.

PMID- 10260709
TI  - VNA of Dallas--a model of modern home health care.

PMID- 10260710
TI  - Home care and adult protective services.

PMID- 10260711
TI  - Clinical engineering trends for 1983.

PMID- 10260712
TI  - Preventing equipment-related incidents.

PMID- 10260714
TI  - Ethylene oxide (ETO) emergency plan.

PMID- 10260713
TI  - Risk management reporting.

PMID- 10260715
TI  - Safety checklists.

PMID- 10260716
TI  - Defibrillator discharge unit "boom box".

PMID- 10260717
TI  - Ethylene oxide and nitrous oxide waste gas monitoring--a BMET manual.

PMID- 10260718
TI  - Pay compression: causes, results and possible solutions.

PMID- 10260719
TI  - Costing out a wage and benefit package.
AB  - Labor costs represent the largest single cost of operation for most
      organizations. For the unionized employer, the compensation package is determined
      during contract negotiations. It is important for both union and management
      negotiators to be able to identify the cost of a proposed agreement. Both parties
      to a contract should know whether a proposed compensation package is consistent
      with an organization's ability to pay. In addition, when "trading" demands, both
      parties should be aware of the cost of the demands being traded. An approach to
      costing out a labor agreement has been presented in this article. While it can be
      described as the standard approach, it is subject to several criticisms.
      Typically, it is applied in a way that assumes that history will repeat itself.
      In addition, it focuses on the direct cost of a proposed compensation package.
      While this is certainly relevant, the impact of the compensation package on
      organization profits is more important. Finally, the time value of money is not
      taken into account. This would be important if a multi-year contract is being
      negotiated. While there are legitimate concerns about the approach presented
      here, our objective is to provide the reader with a basic approach to costing out
      a wage and benefit package. Anyone involved in contract negotiations or, in the
      nonunion firm, anyone responsible for administering a wage and benefit program,
      should be aware of the problems that we have described and seek out reference
      materials to provide guidance in addressing them.

PMID- 10260720
TI  - The role of thermography in breast cancer.

PMID- 10260721
TI  - Patient controlled analgesia.

PMID- 10260723
TI  - Health fairs are more than a community relations scheme; they save dollars and
      detect health problems early.

PMID- 10260722
TI  - Hospitals sponsor half of all child-care centers--but that doesn't match the
      need.

PMID- 10260724
TI  - Preferred provider organizations.

PMID- 10260725
TI  - Comparable worth. Will focusing on the value of work performed increase RN job
      satisfaction?

PMID- 10260726
TI  - Inhouse rebuilding and maintenance program meets the requirements of a busy CCU.

PMID- 10260727
TI  - Patient opinion surveys. Effective marketing tool--or ego tripping?

PMID- 10260728
TI  - Self-insuring employee health benefits continues to be a cost-effective option.

PMID- 10260729
TI  - Employee opinion surveys.

PMID- 10260730
TI  - A check-in time schedule for reservation patients eases the traffic jam in
      admitting--and elsewhere.

PMID- 10260731
TI  - Emergency rooms. The challenge of free-standing competitors--and non-paying
      patients.

PMID- 10260732
TI  - Workup of the hypertensive patient.

PMID- 10260733
TI  - Cardiac pacing for the young at heart.

PMID- 10260734
TI  - Spotlight on transcutaneous monitoring.

PMID- 10260735
TI  - Neonatal blood pressure. More than cuffs and stethoscopes.

PMID- 10260736
TI  - Pulmonary function laboratory, the Mason Clinic.
AB  - This laboratory, equipped to perform more than a score of different tests,
      provides diagnostic support for 125 board-certified physicians in joint private
      practice and for the 320-bed Virginia Mason Hospital. Nearly half of the 50
      outpatients seen each day in the laboratory have been referred by physicians
      outside the Seattle area.

PMID- 10260737
TI  - On-line computer analysis of hemodynamic data.
AB  - As we come more and more to depend on computers, we need assurance of their
      reliability and accuracy. Toward this end, a comparison of computer and manual
      analyses of hemodynamic data was undertaken. The results, reported here, support
      computer reliability.

PMID- 10260738
TI  - Effective catheterization laboratory management.
AB  - Managing a catheterization laboratory requires both attention to basic managerial
      principles and consideration of the difficulties that operating a highly
      specialized, state-of-the-art technical facility presents. Paying careful
      attention to communication, staff development, and budgeting will help avert
      potential problems.

PMID- 10260739
TI  - Transmitting echocardiograms by telephone.
AB  - The feasibility of sending echocardiographic tracings to distant places by means
      of telephonic facsimile equipment has been investigated, and the quality of the
      transmitted copies was found to be acceptable. Three models were used for
      transmission, and although they presently have some technical limitations, use of
      satellites promises to enhance their capacity. Use of the already available
      technology will allow remotely located echocardiographers to benefit from the
      expertise of consultants in this field. Rapid telephonic access to referral
      centers, especially for difficult cases, will prevent potential interpretation
      errors and will give the referring physicians another tool for upgrading their
      interpretative skills. Transmission of echocardiographic tracings could thus
      become another means of continuing medical education in a constantly evolving
      field.

PMID- 10260740
TI  - The ATS proficiency testing program for blood gas laboratories.

PMID- 10260741
TI  - HISSG--tackling healthcare information system problems together.

PMID- 10260742
TI  - Word processing in healthcare: guidelines and a case study.
AB  - If controlling or reducing healthcare costs while providing the best possible
      patient service is your goal, then word processing is an auxiliary method of
      information processing that you should examine closely. Handled properly, word
      processing delivers significant benefits: improved collections, increased cash
      flow, reduced paperwork, increased donations to healthcare foundations, improved
      productivity and improved document quality. Mishandled, word processing does
      little more than provide you with expensive typewriters.

PMID- 10260743
TI  - Getting the most from word processing.
AB  - Users of word processing in healthcare organizations do not get the productivity
      they should with today's word processing technology. The technology performs
      well, better each year, but healthcare users haven't organized their operations
      to maximize productivity. Out-of-date ideas about office work, lack of organized
      direction in the use of word processing technology and a continuing resistance to
      change all contribute to the loss of potential productivity increases from word
      processing in healthcare organizations.

PMID- 10260745
TI  - Physicians and computers: trends for the 80's. Interview by O. George Kennedy.

PMID- 10260744
TI  - A few observations that may explain high DP costs.

PMID- 10260746
TI  - Focus: Great Britain . . . a second look. Interview by Karen M. Richards.

PMID- 10260747
TI  - Healthcare ferment aids hospital design community.

PMID- 10260748
TI  - Atria brings future look to hospital expansion.

PMID- 10260749
TI  - Health consortium's CAD system unites competing architects.

PMID- 10260750
TI  - $30 million nursing home serves human needs, adheres to codes.

PMID- 10260751
TI  - It's child's play for Kenosha kids in healthcare tower.

PMID- 10260752
TI  - Healthcare facilities colors keyed to standards.

PMID- 10260753
TI  - Controlled patient movement vital in healthcare seating.

PMID- 10260754
TI  - A scenario on discharge planning.

PMID- 10260755
TI  - Continuity of care: a view from California.

PMID- 10260756
TI  - The cancer ward: scapegoating revisited.

PMID- 10260757
TI  - Right-and left-brain approaches to death education.
AB  - Some recent advances in the understanding of brain function are considered in
      terms of their potential impact on death education. The notion of right- and left
      brain cognitive styles is examined in terms of the pedagogic impact it may have
      on an individual's capacity to understand and therefore be educated on the
      subject of death. The idea that the human brain (mind?) relates to death in two
      diametrically opposed ways is discussed and a holistic death educational format
      is proposed based on the synthesis of these two oppositional styles.

PMID- 10260758
TI  - Group health plans improving in Belgium.

PMID- 10260759
TI  - Administration tax cap proposal criticized.

PMID- 10260760
TI  - Study investigates costs of various cancer treatments.

PMID- 10260761
TI  - Learning how to purchase good medical care can produce managed health care costs.

PMID- 10260762
TI  - Hospice program seen as health care alternative.

PMID- 10260763
TI  - Quality assurance, reasonable cost are goals of preferred provider group, medical
      advisory plan.

PMID- 10260764
TI  - Business coalitions use slow approach to wellness.

PMID- 10260765
TI  - Reviewing potential of second-opinion programs.

PMID- 10260766
TI  - Health care data collection: putting the right numbers in and getting usable
      numbers out.

PMID- 10260767
TI  - Diagnoses and procedures form basis of data.

PMID- 10260768
TI  - Collecting health statistics a national concern.

PMID- 10260769
TI  - Changing established behavior to cut health costs.

PMID- 10260770
TI  - Physician involvement, careful scrutiny, changes in game's rules needed for cost
      containment.

PMID- 10260771
TI  - EEOC regulations for older workers' health plans create problems for employers
      and administrators.

PMID- 10260773
TI  - Slight rise in NIH budget; approval seems likely.

PMID- 10260772
TI  - Transillumination helpful in the speedy diagnosing of neonates.

PMID- 10260774
TI  - Freestanding emergency centers.

PMID- 10260775
TI  - The National Association of Freestanding Emergency Centers.

PMID- 10260776
TI  - Alcohol-related emergencies.

PMID- 10260777
TI  - How to save money on your radio purchases.

PMID- 10260779
TI  - Trauma centers: operations.

PMID- 10260778
TI  - Disclosure or non-disclosure: that is the question.

PMID- 10260780
TI  - Chart auditing.

PMID- 10260781
TI  - The future of EMS communications.

PMID- 10260782
TI  - Portable radio communications for emergency medical services.

PMID- 10260783
TI  - EMS interconnect.

PMID- 10260784
TI  - Using learning contracts for EMT instruction.

PMID- 10260785
TI  - Getting the most mattress for your money.

PMID- 10260786
TI  - The control of mattress rotation.

PMID- 10260787
TI  - Contract management: is 50% of the hospital market within reach? Part 1.

PMID- 10260788
TI  - "No-wax" floorings. Illusion, science fiction or fact?

PMID- 10260789
TI  - Caring for resilient and hard floors.

PMID- 10260790
TI  - Why all the sudden interest in quality?

PMID- 10260791
TI  - Quality assurance--a case in point.

PMID- 10260792
TI  - The role of computers in environmental services and its impact on patient care.

PMID- 10260793
TI  - The selection and evaluation of supplies.

PMID- 10260794
TI  - Standards.

PMID- 10260795
TI  - The challenge in a changing health care environment.

PMID- 10260796
TI  - Failure to establish standards.

PMID- 10260797
TI  - Is there a MedFirst office in your community?

PMID- 10260798
TI  - Fee-for-service and prepay MDs.

PMID- 10260799
TI  - From equal share to 70% productivity.

PMID- 10260800
TI  - Why administrators sometimes fail.

PMID- 10260801
TI  - Put the zip to work.

PMID- 10260802
TI  - Bye-bye to the buy-out blues.

PMID- 10260803
TI  - The Chrysler story: how an ailing American firm is tackling health care cost
      problem.

PMID- 10260804
TI  - The health care industry and antitrust: a continuing exploration.

PMID- 10260805
TI  - Investor-owned hospital establishes first burn center in Hawaii.

PMID- 10260806
TI  - "Little Sneaker" gives Texas hospital its first quadruplets.

PMID- 10260807
TI  - Real-world problems with zoned evacuation.

PMID- 10260808
TI  - Aspects of stochastic modeling for structural firesafety.
AB  - A brief review is presented of methods for stochastic modeling of fires of
      sufficient severity to threaten the structural safety of buildings. Information
      is provided on the rate of fire occurrences according to the floor area at risk
      for the major occupancy types.

PMID- 10260810
TI  - Throw away the rules.

PMID- 10260809
TI  - A logic-tree approach to the St. Crispin Hospital fire.
AB  - Fatality or injury due to fire is an aspect of the working of an entire system.
      That is, casualty due to fire represents a failure of a system and ultimately,
      this includes the social system within which we live. As part of such a
      consideration, many different techniques and models may be used, and one such
      technique is that of logic-tree analysis.

PMID- 10260811
TI  - The high cost of crime.

PMID- 10260812
TI  - Why Glenyce Feeney stands alone.

PMID- 10260813
TI  - How to involve hospital patients in the foodservice.

PMID- 10260815
TI  - From the other side of the tray.

PMID- 10260814
TI  - How to prevent hospital malnutrition.

PMID- 10260816
TI  - Herrick Hospital: dining facilities.

PMID- 10260817
TI  - Competitors and colleagues.

PMID- 10260818
TI  - Barry Hutchings. Hospitals. Interview by Nancy Madlin.

PMID- 10260819
TI  - Set up a foundation to aid hospital fund raising.
AB  - The proliferation of government regulations are increasingly impinging on non
      profit hospitals' ability to maneuver financially. The formation of a hospital
      foundation can help sequester assets, and spur fund raising while protecting tax
      exempt status.

PMID- 10260820
TI  - Market audits can give a competitive edge.

PMID- 10260821
TI  - Corporate philanthropy poised for takeoff.

PMID- 10260822
TI  - Giving up 11.7% despite gloomy economic backdrop.

PMID- 10260823
TI  - Team building may enhance development effectiveness.

PMID- 10260824
TI  - Developing a sensible fund raising strategy.

PMID- 10260825
TI  - Postal rate increases hinge on Commission, courts, board.

PMID- 10260826
TI  - Cable watch out! DBS is on the way!

PMID- 10260827
TI  - Use direct mail ... in planned giving.

PMID- 10260828
TI  - Development councils will solicit if board won't.

PMID- 10260829
TI  - Delivering health education programs: a model.
AB  - The OPT/EVALUATE delivery model provides a system for applying principles of
      organizational management to the problems of administering health education.
      Whether one is a new health educator, or part of a health education team, solving
      operational problems calls for expertise in a variety of fields. Most health
      educators are not prepared for program administration functions. The article
      includes a diagram of the OPT/EVALUATE model and an Action Step Checklist. The
      checklist may be for professional self-assessment, for guiding internships and on
      the-job training experiences, or for systematically coordinating a health
      education project. Each section of the checklist is explained in the article with
      resources for further reading. Individuals can adapt the OPT/EVALUATE model to
      their own work setting and target populations. The importance of the checklist
      steps will vary from project to project. Some specific steps may need to be
      added.

PMID- 10260831
TI  - Health policy and the tobacco subsidy.

PMID- 10260830
TI  - A perspective on non-formal education for health: the research potential of
      health fairs.
AB  - The proliferation of health fairs provides a unique opportunity for the
      incorporation of research protocols into nonformal educational situations. One
      such fair, designed as a first step in implementing a health risk reduction
      program for a target population of parents and teachers of handicapped children,
      served as a catalyst for a comprehensive analysis of research possibilities. The
      health fair was organized and operated by faculty and graduate students of the
      University of Texas School of Public Health, following goals established by an
      advisory committee, which included representatives of the target population.
      Following the fair, there was an evaluation by participants, designers,
      implementers, and observers. This evaluation led to a more comprehensive
      assessment of health fairs in general as potential sites for research. The
      extensive feedback and indepth analyses generated a series of questions
      compatible with research paradigms.

PMID- 10260832
TI  - Rape prevention through health education.
AB  - Rape is one of the fastest rising, yet most under-reported crimes in the United
      States. The effects of rape can result in various physical, logical and legal
      complications in the life of the victim. This paper presents an overview of rape,
      including the definition and etiology of rape, rape myths, physical and
      psychological problems related to rape, treatment procedures, and most
      importantly, measures in health education that can help reduce the probability of
      rape occurrence. Reducing the likelihood that an individual will become a rape
      victim is an objective of preventive health education. This article can help
      people learn what rape encompasses, how it is likely to occur, and how to prevent
      or cope with such an experience.

PMID- 10260833
TI  - Social networks as a means of health maintenance.

PMID- 10260834
TI  - Preparing health educators for the workplace: a university-health insurance
      company alliance.
AB  - The workplace is a relatively recent and an increasingly recognized setting for
      health education. In this article, philosophical and economic reasons for this
      movement of health education in the workplace are cited. Currently the workplace
      is one of the fastest growing markets for health education. In most institutions,
      preparing health educators for the workplace has not been adequately addressed.
      Consequently, an experimental course entitled "Health Promotion and Educational
      Strategies for the Workplace" was developed and taught at The Ohio State
      University in the summer of 1981. Besides an extensive reading list and lively
      class discussions, the course was team-taught primarily by a health education
      faculty member and a health insurance program manager/health educator.

PMID- 10260835
TI  - Death education coverage in selected health education books and periodicals.
AB  - This article represents an attempt to ascertain the quantity of death and dying
      literature within selected health education periodicals and introductory health
      education books during the past 7 years. The study is part of an ongoing effort
      by the author to determine relationships between health education and death
      education. Approximately two-thirds of the general health education books
      reviewed now include chapters or sections on death-related phenomena. Four
      nationally refereed periodicals, viewed by the author as most useful to the
      health educator, have also been publishing a considerable number of death
      education pieces in recent years. Involvement by health educators, via the
      publication of death and dying information, should be viewed as a positive
      gesture toward achieving multidisciplinary goals within death education.

PMID- 10260837
TI  - Death education: enhancing competence across the life span.
AB  - Life is full of major and minor events analogous to dying and death that few
      people realize exist. Throughout life there are a variety of loss situations
      (e.g., death of a pet, divorce, loss of a job, retirement, death of a friend or
      relative, etc.) that help to prepare individuals for their own death. If death
      educators can enhance the life skills necessary to cope with these life events,
      then perhaps, the individual will be better able to cope with their own death and
      the death of a significant other. This paper will present an overview of the
      basic tenets of life span intervention, provide a discussion of life skills
      directly related to dying and death, and suggest key points of positive
      intervention.

PMID- 10260836
TI  - The search for meaning and its potential for affecting growth in bereaved
      parents.
AB  - Because of the unique relationship between parent and child, the death of a child
      is a profound human loss which ultimately sends bereaved parents into a deep and
      painful existential "search for meaning." This search may ultimately be a key
      factor in a positive "growth" versus a negative "despair" resolution of the grief
      experience. This paper examines data from open-ended questions collected in three
      separate studies which asked bereaved parents in various ways to describe
      themselves. The purpose of this descriptive analysis was to seek clues in these
      self-descriptions regarding both positive and negative resolutions following the
      death of a child. Although the findings must be considered with caution because
      of convenience sample and the indirect methods of data collection, the findings
      indicate that many of the comments given by the parents suggest potentially
      positive outcomes.

PMID- 10260838
TI  - Exercises about death: facts, fiction, and values.
AB  - Our concern in this paper is to examine exercises about death of the sort that
      are commonly used at the outset of death education courses and hospice training
      programs. We describe a variety of these exercises and report data from a
      representative sample of those which we have used in our own courses and
      workshops. Three issues are singled out for discussion: 1) compliance in the
      doing of these exercises; 2) content in the responses (especially as concerns
      timing or manner of death and focus of concern); and 3) interpretation of results
      (e.g., limitations of such exercises, shifts between expectations and desires,
      "realism," and alterations when additional considerations are introduced). Our
      conclusion is that we must be cautious in giving two much weight to the
      ostensible results of such exercises, either as regards personal significance or
      as research projects. Nevertheless, as we show, there is value in the process
      itself when seen in the light of a proper understanding of the goals of a death
      related educational or training program.

PMID- 10260839
TI  - Living, loving and losing: implications for health and well-being.
AB  - Living, loving and losing - we live, we love and we lose - this is an integral
      part of life's unending circle. Throughout the lifecycle, we are confronted
      continually with experiences of loss and separation. The loss of a loved one
      through separation, divorce, or death is one of the most difficult experiences to
      be dealt with in a lifetime. How do we cope with the "crisis of loss" in our
      lives? If education is supposed to prepare one for life, then Death Education is
      crucial in assisting individuals to cope with "myriad loss issues." This paper
      will explore the implications of loss for health and well-being, and briefly
      review some of the research findings regarding the negative impact of grief and
      bereavement upon health. The stages of the grief process will be cited,
      mentioning some of the barriers to grief resolution. Most importantly, the
      positive aspects of loss upon life and health will be elaborated.

PMID- 10260840
TI  - The use of the computer in education: focusing on nutrition.
AB  - The past few years have brought about renewed recognition of the important
      interrelationships between diet and disease. The disheartening popularity of food
      fads and highly questionable products is a signal that the health consumer not
      only views this as an important area but also has found professional sources of
      health guidance to be inadequate. With the increasing importance of nutrition as
      a national health priority, technological advances should be used to translate
      knowledge of nutrition to the public more efficiently.

PMID- 10260841
TI  - A psychosocial model of health behavior: implications for nutrition education,
      research and policy.
AB  - The paper presents a multidimensional psychological model of determinants of
      health behavior, tested empirically in three countries to ascertain its validity.
      The model postulates that given that ethnic, socioeconomic, and biological
      statuses (exogenous variables) are homogeneous, a health risk-taking behavior in
      a population is a function of direct, additive, and interaction effects of five
      categories of independent variables both internal to the persons and external in
      the action environment. Although the model is tested on contraceptive behavior,
      it is argued that the determinants and basic processes of this risk-taking
      behavior are similar to those involved in other health risk behaviors and that
      the five basic factors identified affect nutritional behaviors as well. The paper
      presents several broad implications on the model for nutrition education and
      research; but holds that specific implications could be best derived by the
      specialists in nutrition field.

PMID- 10260842
TI  - Focusing on nutrition education: an essential for cancer prevention.

PMID- 10260844
TI  - The Federation of State Medical Boards: past--present--future.

PMID- 10260843
TI  - The role of nutrition in maintaining health and preventing disease.
AB  - Health is much more than the absence of disease. It is a positive quality,
      emphasizing physical, social, intellectual, emotional, and spiritual well being.
      Optimum nutrition, providing all nutrients in both kind and amount, is the
      cornerstone of good health and the cutting edge of prevention. The foods we eat,
      and the nutrients they should provide, are the most important continuing
      environmental factors influencing our growth, development, functional abilities,
      and health. Nutritional knowledge, with education of both the general public, and
      particularly health professionals is critical if we are to succeed in
      significantly reducing the excessive premature morbidity and mortality from our
      leading killer diseases - heart disease, cancer, and stroke. How we structure our
      lifestyles, with proper nutrition, health habit discipline, and exercise
      programming, will have a great influence on personal health, and will help reduce
      our current catastrophic medical care expenditures.

PMID- 10260845
TI  - Curbing drug-related problems.

PMID- 10260846
TI  - Organized medicine's expectations of medical licensing boards.

PMID- 10260847
TI  - The 1982 Herbert M. Platter luncheon address. Federal-state opportunities in
      health policy.

PMID- 10260848
TI  - Recent developments in the assessment of physician competence.

PMID- 10260849
TI  - Relationship of medical licensure and specialty certification.

PMID- 10260850
TI  - Due process in disciplinary actions.

PMID- 10260851
TI  - Washington reins in the dialysis business.

PMID- 10260852
TI  - Good writing: source of power for hospital public relations people.

PMID- 10260853
TI  - The consumer customer is making independent purchasing decisions more than ever
      before.

PMID- 10260854
TI  - Legal liability. The risk headache.

PMID- 10260855
TI  - Flexible budgeting.

PMID- 10260857
TI  - Low energy hospital.

PMID- 10260858
TI  - Mental health data. Saved from the scrapheap?

PMID- 10260856
TI  - Health planning. Removing the straitjacket.

PMID- 10260859
TI  - 'Stem doctor' melting pot.

PMID- 10260860
TI  - US medical corporations. Overpriced and over here?

PMID- 10260861
TI  - Computers go on drug watch.

PMID- 10260863
TI  - Appeals behind closed doors.

PMID- 10260862
TI  - Networking for health.

PMID- 10260864
TI  - Tender plant branches out.

PMID- 10260865
TI  - Fringe benefits for the NHS.

PMID- 10260866
TI  - Twelve steps to zero.

PMID- 10260868
TI  - Health Advisory Service. Some progress but could do better.

PMID- 10260867
TI  - Starting from scratch.

PMID- 10260869
TI  - When the doors close on the dependent.

PMID- 10260870
TI  - A tag on the telephone.

PMID- 10260871
TI  - Saved by the bell.

PMID- 10260872
TI  - In touch with the patient.

PMID- 10260873
TI  - Officers on commission.

PMID- 10260874
TI  - From Barclay to Black.

PMID- 10260875
TI  - Christening the cruciform.

PMID- 10260876
TI  - Too many patient cuts?

PMID- 10260877
TI  - Wizards with figures.

PMID- 10260878
TI  - Coming out in the wash.

PMID- 10260879
TI  - A model solution.

PMID- 10260880
TI  - Nurses given health lessons.

PMID- 10260881
TI  - Day care made simple.

PMID- 10260882
TI  - What's cooking in Brent?

PMID- 10260883
TI  - Winning the lift game.

PMID- 10260884
TI  - Calling on the catalyst.

PMID- 10260885
TI  - Proof of the pudding.

PMID- 10260886
TI  - Have hospital, will travel.

PMID- 10260887
TI  - Computer use in materials management: where, exactly, are we?

PMID- 10260888
TI  - Exchange cart vs. PAR stock: which is the best distribution system? Part IV.

PMID- 10260889
TI  - The materials management-financial administration partnership.

PMID- 10260890
TI  - Rate of salary growth slow in 1983.

PMID- 10260891
TI  - This new medical information card could save your life.

PMID- 10260892
TI  - Cost-effective patient-care decisions is goal for new training.

PMID- 10260893
TI  - Who will control health care?
AB  - American medicine could be consumed by conflict in the years to come, says a
      Stanford University professor. The "battle" for control of health care pits
      teaching hospitals against community hospitals, and physicians against hospital
      management.

PMID- 10260894
TI  - Proposed legislation creates "community nursing centers".

PMID- 10260896
TI  - 25 hidden costs found in data processing.

PMID- 10260895
TI  - For the home health agency--selecting the right computer system now.

PMID- 10260897
TI  - Stressing "information" aspect of data processing.

PMID- 10260898
TI  - 'Service' is agency's name.

PMID- 10260899
TI  - Data processing professionals detail the growing importance of computer usage.

PMID- 10260900
TI  - Home health agency enters computer era.

PMID- 10260901
TI  - An interview with: James Hopkin.

PMID- 10260902
TI  - Pre-employment screening: no easy way out.

PMID- 10260903
TI  - 'Hospital watch' teaches employees, neighbors crime awareness/prevention.

PMID- 10260904
TI  - Proper morgue security prevents costly employee mistakes, reduces thefts.

PMID- 10260905
TI  - An interview with: Thomas Seals.

PMID- 10260906
TI  - The new challenge: productivity.

PMID- 10260907
TI  - Bar soap becomes contaminated under in-use conditions.

PMID- 10260908
TI  - Progress and problems with hospitals in developing countries.

PMID- 10260910
TI  - Joint venture tendering.

PMID- 10260909
TI  - Bonus for hospitals from heat recovery.

PMID- 10260911
TI  - An incinerator flue that failed twice.

PMID- 10260912
TI  - Problems--maintenance and operations.

PMID- 10260913
TI  - Planned preventative maintenance systems.

PMID- 10260914
TI  - Measured term contracting.

PMID- 10260916
TI  - Overlooking the incinerator?

PMID- 10260915
TI  - Direct labour in competition.

PMID- 10260917
TI  - Mortuary design--a long way to go.

PMID- 10260918
TI  - The future management of property.

PMID- 10260921
TI  - Upgrading the Samaritan.

PMID- 10260920
TI  - Cardiology centre project.

PMID- 10260919
TI  - Modern warehouse design.

PMID- 10260922
TI  - Unit for the mentally handicapped.

PMID- 10260923
TI  - Quality, not quantity, is the hallmark of good public relations.

PMID- 10260924
TI  - Hospital planning--listen to the market and develop consensus.

PMID- 10260925
TI  - A socio-medical study of infant mortality among disadvantaged blacks.
AB  - This report profiles the woman at highest risk of a low birthweight delivery and
      infant death, in a generally disadvantaged, Black population in a major
      northeastern city which maintains one of the highest infant mortality rates in
      the nation. It discusses the existence of a very high risk subpopulation which
      contributes disproportionately and repeatedly to the infant and perinatal death
      statistics. If adequately identified, these women can be subject to intervention
      programs. Results show that within an inner-city Black population, where
      educational levels are relatively low and much of the reproductive segment is
      young and unmarried, the standard identification criteria of age, education, and
      marital status do not vary with poor pregnancy outcome. Furthermore, certain
      factors associated stereotypically with inner city lifestyle, such as drug abuse
      and venereal disease, also fail to distinguish women having normal and very low
      birthweight infants. Instead, alcoholism, smoking, low maternal weight at
      delivery, hypertension history, migrant status, ineffective contraception,
      prenatal care, violence, and relatively poor psychological adjustments and social
      support systems distinguish the study samples.

PMID- 10260926
TI  - Citizen participation in neighborhood health centers for the poor: the politics
      of reform organizational change, 1965-77.
AB  - Through a longitudinal study of neighborhood health centers for the poor in the
      United States, this paper presents an analysis of the political economy of change
      within reform organizations. In the final accounting, we seek to explain the
      shift in the role of poor people participating in health care decision making
      from that of program developer and change agent to the role of program
      restrictor. We conceptualize the neighborhood health center (NHC) as a reform
      organization whose initial objective was to use health care as a tool for
      achieving political and economic development within low-income rural and urban
      communities. The analysis, based on a prospective study of NHCs between 1965 and
      1977, using interviews with citizen board members, NHC project administrators,
      NHC physicians, HEW decision elites, and oral history interviews with former
      Office of Economic Opportunity (OEO) administrators and directors, exemplifies
      the generic social organizational problem of how social, political, economic, and
      ideological forces shape the emergence and performance of a new reform
      organization.

PMID- 10260927
TI  - Willingness to assist one's elderly parents: responses from United States and
      Japanese families.

PMID- 10260928
TI  - The differential construction of social reality in chronically ill children: an
      interpretive perspective.

PMID- 10260929
TI  - Levels of analysis and levels of need: cultural factors and the assessment of
      need for alcoholism treatment services in an urban community.
AB  - This is a case study in techniques for combining qualitative and quantitative
      data in local community service needs assessments. Problems in available
      administrative statistics when applied to local communities are illustrated and
      discussed. Supplementation of epidemiologic estimates and utilization statistics
      with ethnographic, historical, and sample survey data is shown.

PMID- 10260930
TI  - Alaskan villagers' views on problem drinking: "those who forget".
AB  - Statewide statistics suggest that problems relating to alcohol abuse represent a
      major public health problem for Native Alaskans but very little is known about
      alcohol use on a community level, due to deficient reporting mechanisms and a
      lack of relevant research. The research reported here was designed to begin to
      fill this stated need. Alcohol use patterns, the extent of drinking, and
      associated problems as perceived by residents of two Alaskan Eskimo villages are
      documented. The structure and effects of alcohol programs in the villages, which
      represent local attempts to manage alcohol, are also examined. The research
      demonstrates that it cannot be assumed that all Native Alaskan communities have
      the same scale of drinking and consequent problems. Differential response to
      alcohol programs, which have essentially the same structure, is demonstrated and
      related to the recent development of contrasting levels of community organization
      in the two villages, which share a common cultural tradition. The utility of a
      comparative case study approach in examining alcohol problems in Native American
      communities and the need for expanded research for informed alcohol program
      planning and implementation are emphasized.

PMID- 10260931
TI  - Social exchange and power in the care of the institutionalized aged.

PMID- 10260933
TI  - The pressure to conform: a study of foster grandparents at a state institution.

PMID- 10260932
TI  - Responsibilities of anthropological researchers in psychiatric clinical settings.

PMID- 10260934
TI  - Experiential learning can improve the performance appraisal process.

PMID- 10260935
TI  - The other face of performance appraisal.

PMID- 10260936
TI  - Beyond orientation: assimilating new employees.

PMID- 10260937
TI  - U.S. Supreme Court tax decisions have implications for tax-exempt hospitals:
      lobbying activities and violations of public policy.

PMID- 10260938
TI  - Illinois adopts total brain death definition of death.

PMID- 10260939
TI  - HHS reissues "Baby Doe" regulations; provider concerns remain unaddressed.

PMID- 10260940
TI  - U.S. Supreme Court determines labor law cases.

PMID- 10260941
TI  - Do you know where your patients are?

PMID- 10260943
TI  - Demand quality.

PMID- 10260942
TI  - Malpractice--are you covered?

PMID- 10260944
TI  - Communicate through committees.

PMID- 10260945
TI  - Computerized drug delivery--a bit of preventive medicine.

PMID- 10260946
TI  - Updating manuals is good policy.

PMID- 10260948
TI  - Take pride in our system.

PMID- 10260947
TI  - New measures keep you on the safe side.

PMID- 10260949
TI  - On the brink of disaster.

PMID- 10260950
TI  - Financial planning and management of health programmes in India.
AB  - In this paper, the author deals with the financial planning and control of health
      programmes in India. The techniques of cost-effectiveness analysis and of
      performance budgeting are highly useful aids to management for implementation of
      monitoring and review of performance of the programmes are also essential for
      gauging the progress.

PMID- 10260951
TI  - Some theoretical models in the study of health behaviour: implications for health
      systems in India.
AB  - This paper attempts to highlight some of the presently accepted models of health,
      behaviour and their usage in explaining illness, sickness and utilisation
      behaviour. The limitations of each of the model have also been described. Finally
      an attempt has been made to visualise the applicability of such models on Indian
      health system. A viable model already tested has been proposed to assess the
      social patterns of seeking medical care in rural setting in India.

PMID- 10260952
TI  - Mathematical models and their applications in medicine and health.
AB  - Mathematical models have great potentialities as regards their utility in
      different disciplines of medicine and health. This paper attempts to elucidate
      their uses in the field. A brief mention of some models has also been made.
      Mathematical models are useful in epidemiologic research, planning and evaluation
      of preventive and control programmes, clinical trials, measurement of health,
      cost-benefit analysis, diagnosis of patients and in maximizing effectiveness of
      operations aimed at attaining specified goals within existing resources.

PMID- 10260953
TI  - Communication system between District Health Office and Primary Health Centre.
AB  - This is a pilot study undertaken by the authors to analyse the communication
      system as prevalent in health services at District Health Office (DHO) and five
      Primary Health Centres (PHCs) under it. The five PHCs were randomly selected
      under DHO Bellary. The authors study the nature of communication of
      correspondences pertaining to establishment matters, health intelligence and
      health activities for the first quarter of the financial year between the DHO and
      PHCs level, pinpoint deficiencies and list out suggestions.

PMID- 10260954
TI  - Perceived morbidity, utilisation of health services and factors affecting it in a
      rural area.
AB  - A survey of perceived morbidity was carried out in rural population in eight
      villages and four wards of Saoner town, covering a total population of 8,876. The
      nature of illness was assessed by weekly visits to the families. History
      regarding treatment taken for disease and its source was taken. The overall
      incidence of perceived morbidity was 176.35 spells of sickness per 1000
      population per month. Health care agency was contacted for 36.7 per cent spells
      of sickness. Utilisation of health services was found to be affected
      significantly by factors like age (chi 2 = 138.36), literacy (chi 2 = 14.123),
      type of occupation (chi 2 = 433.74), nature of illness (chi 2 = 83.578) and
      accessibility of health services. A health behaviour model of the population has
      also been discussed in this paper.

PMID- 10260955
TI  - A methodology for estimating ambulance requirements.
AB  - Provision of adequate size of Ambulance fleet is a matter of concern for any
      hospital. For estimating ambulance requirements queuing analysis was used in this
      study. In this analysis incidence of long waiting times rather than mean waiting
      times were taken as the basis for estimating ambulance requirements in keeping
      with the desired service level.

PMID- 10260956
TI  - Tribal health programme.
AB  - In June 1978, the Department of Social Welfare, Government of Maharashtra,
      commissioned the Centre for Development Studies and Activities (CDSA), Pune, to
      prepare an Action Programme for the Improvement of Health in the Tribal Areas of
      Maharashtra. The following is the brief report submitted by CDSA.

PMID- 10260959
TI  - A prescription from the door doctor.

PMID- 10260958
TI  - Tolsma would like to see corporations reach out with health promotion efforts to
      employee families. Interview by Lawrence M. O'Rourke.

PMID- 10260957
TI  - Proposed U.S. Health Promotion Office would spend $36.5 million in four years for
      clearinghouse, grants: NIH would have assistant director for prevention.

PMID- 10260960
TI  - Armed-unarmed.

PMID- 10260961
TI  - "Attitude" is the basic cause of employee theft and negative performance.

PMID- 10260963
TI  - Recruitment of a hospital director of security: hiring a key member of the
      management team.

PMID- 10260962
TI  - Healthcare security international.

PMID- 10260965
TI  - Nursing background a plus for some material managers.

PMID- 10260964
TI  - Nationwide buying group helps market shared services.

PMID- 10260966
TI  - Local autonomy is key to HCA material program.

PMID- 10260967
TI  - National Center for Health Services Research--reorganization.

PMID- 10260968
TI  - State health manpower planning in the 1980s.
AB  - Despite the importance of the state role in health manpower, past studies have
      documented fragmentation of effort, isolation of health manpower planning from
      other health policy channels and a relatively low level of interest in manpower
      issues on the part of state and local health planners. In evaluating the current
      capabilities of state level agencies to undertake increased responsibility for
      health manpower planning, this paper: 1) assesses the level of interest and
      involvement of state health planning and development agencies (SHPDAs) in health
      manpower planning; 2 (examines health manpower policy issues in states as
      evidenced in state health plans; and 3) describes the policy environment in which
      state health manpower planning is currently conducted.

PMID- 10260969
TI  - Patterns of doctoral education among nurses and the development of nursing as a
      profession.

PMID- 10260970
TI  - Uses of ambulatory health/mental health utilization data in organized health care
      settings.
AB  - A follow-up assessing uses of findings from NIMH-supported research on health and
      mental health services utilization in organized health care settings revealed a
      range of applications across the study sites. The research, conducted primarily
      for national policy purposes, had an impact on study sites in the following
      areas: clinician perceptions and attitudes about mental health services provided;
      program directions; fiscal policy; and further related research. Research team
      composition and dissemination of study findings are discussed in relation to the
      applications made.

PMID- 10260971
TI  - The impact of an evaluation of hospital accreditation.
AB  - One of the conditions under which public hospitals in New South Wales were
      allowed to participate in the Hospital accreditation program was that the program
      itself be evaluated. The evaluation was funded by the W.K. Kellogg Foundation of
      Battle Creek Michigan, USA. This article describes the principle results of the
      evaluation and assesses the impact that the evaluation had on the program and
      relevant decision makers.

PMID- 10260972
TI  - Living with your neighbour.

PMID- 10260973
TI  - User fees: the experience of one large hospital with a market disincentive.

PMID- 10260974
TI  - Education for health services administrators: an international study.

PMID- 10260975
TI  - Alternatives to institutionalization.

PMID- 10260976
TI  - The teaching nursing home: development of a Canadian model.

PMID- 10260977
TI  - The future is here . . . in your TV.

PMID- 10260978
TI  - Dealing with differences.

PMID- 10260979
TI  - Strong leadership improves performance.

PMID- 10260980
TI  - Collections people need your support.

PMID- 10260982
TI  - Malpractice liability continues to expand.
AB  - Increasingly, the courts are holding hospitals liable for medical malpractice,
      especially in cases involving either physician-hospital contractual arrangements
      or selection and review of hospital medical staff.

PMID- 10260981
TI  - A new way to train.

PMID- 10260983
TI  - Ethics committees: trend for troubling times.

PMID- 10260984
TI  - Ethicist in the hospital: the Cleveland Clinic experience.
AB  - Having an ethicist as a member of the adjunct staff helped physicians, nurses,
      and other professional staff members more fully recognize and appreciate the
      ethical implications of medical practice.

PMID- 10260985
TI  - How the public views hospitals.

PMID- 10260986
TI  - Coping with new reimbursement regs.

PMID- 10260987
TI  - PPOs: should physicians do it themselves?

PMID- 10260988
TI  - The P & T Committee Part 2: involvement by pharmacy, medical, and nursing
      personnel.
AB  - An active and enthusiastic participation by all members of the P & T Committee
      greatly improves committee effectiveness and productivity. Specific
      responsibilities for the physician, pharmacist, and nursing members of the
      committee are presented and discussed. In addition, the importance of open
      communication among committee members is reviewed. Examples of problems that may
      develop and suggested solutions are also presented.

PMID- 10260989
TI  - Hospital labor cost savings in dispensing analgesics: controlled versus
      noncontrolled.
AB  - Indications for some nonsteroidal anti-inflammatory drugs as analgesics in mild
      to moderate pain have contributed to their increased usage in hospitals. Since
      controlled substance drugs with lower acquisition costs have been the mainstay of
      analgesic therapy, it has been questioned whether there are possible cost of
      distribution advantages in using a noncontrolled substance instead of a
      controlled substance analgesic. The difference in labor costs involved in
      dispensing the oral noncontrolled substance, ibuprofen, as compared to the oral
      controlled substance, acetaminophen with codeine, was investigated using time and
      motion study techniques. Results indicate that at Bronson Methodist Hospital,
      there was a +0.79 labor cost savings involved in the daily dispensing of six
      doses of the noncontrolled substance versus the controlled substance analgesic.

PMID- 10260990
TI  - Using a microcomputer to support an I.V. admixture service.
AB  - Acquisition of a microcomputer and a high-speed printer enabled the authors'
      pharmacy to automate the production of I.V. additive labels. This automation
      freed 0.5 FTEs of pharmacy personnel time for other duties. This low-cost
      microcomputer and printer has proven to be sufficient equipment for the support
      of an I.V. admixture program with time-saving and cost-saving applications.

PMID- 10260991
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--part 1.

PMID- 10260992
TI  - Characterization of the research papers of U.S. medical schools.
AB  - An investigation of the relationship between National Institutes of Health (NIH)
      funding and the quantity and nature of biomedical publications is reported for
      120 U.S. medical school complexes. A correlation of 0.95 was found between the
      amount of NIH funds received and the number of biomedical publications from the
      medical schools. Medical school ranks based on bibliometric measures were found
      to correlate at the 0.80-0.90 level with ranks based on peer assessments of the
      schools. The characteristics of the medical school papers varied with the type of
      school. The average citation influence per paper increased with the publication
      size of the schools. This was true even when factors such as public versus
      private control, geographic region, average research level (from basic to
      clinical), and subject emphasis were controlled. The positive relationship
      between number of papers from a school and its citation influence holds within
      individual research levels and within subfields.

PMID- 10260993
TI  - Office automation technology and functions: an overview.
AB  - Office automation is the progeny of technological imperatives coupled with
      bureaucratic realities. Advances in computer, photographic, and telecommunication
      technologies have made it possible to collect, edit, store, distribute, and copy
      documentary information at ever decreasing cost. The need for training,
      acceptance, cooperation, and effective use of the technology has filtered out
      many proposed systems. This article describes the opportunities and limitations
      inherent in the technologies, focusing on media conversions and equipment
      compatibility. It also describes the differing needs of convenience users and
      dedicated users, document preparers, and archivists. The systems that are
      emerging for use within organizations are compared to systems for use in
      communication between organizations.

PMID- 10260995
TI  - Old and new models for office automation.
AB  - The emerging generation of office automation systems combines new and existing
      software and procedures. While managers may be able to select from a broad array
      of software tools, they may also be required to use certain others. This article
      discusses organization design as the context for office automation; mature
      computer-based systems as one application of organization design variables; and
      emerging office automation systems as another application of those variables. The
      article concludes that Management Information System models developed for mature
      systems may be helpful where the use of software application is required for the
      individual worker; diffusion of innovation models recently developed for
      computing systems may be helpful where the type of software is optional for the
      individual worker.

PMID- 10260994
TI  - Human communication needs and organizational productivity: the potential impact
      of office automation.
AB  - Much of what white collar workers do in offices is communication-related. White
      collar workers make up the majority of the labor force in the United States today
      and the majority of current labor costs. Because office automation represents
      more productive structured techniques for handling both written and oral
      communication, office automation therefore offers the potential to make
      organizations more productive by improving organizational communication. This
      article: (1) defines communication, (2) identifies the potential benefits to be
      realized from implementing office automation, and (3) offers caveats related to
      the implementation of office automation systems. Realization of the benefits of
      office automation depends upon the degree to which new modes of communication may
      be successfully substituted for traditional modes.

PMID- 10260996
TI  - Intervention in a loosely organized system: an encounter with non-being.

PMID- 10260997
TI  - Nurse scheduling with a microcomputer.

PMID- 10260998
TI  - Family practice after-hours telephone use.

PMID- 10260999
TI  - Measuring patient waiting time in a practice setting: a comparison of methods.

PMID- 10261000
TI  - Economic analysis of a dental hygienist in the hospital.

PMID- 10261001
TI  - Ambulatory cardiac services in a free-standing facility.

PMID- 10261002
TI  - The Hazard Infant Care Project: problems of innovation and continuity.

PMID- 10261003
TI  - Health policy implications of treatment differences among physicians.

PMID- 10261004
TI  - The organization of a pain center.

PMID- 10261006
TI  - Looking at consumer relations Minnesota style.

PMID- 10261005
TI  - Hospital-based ambulatory care: organizational issues for academic health
      centers.

PMID- 10261007
TI  - Community benefits from resident fund-raiser.

PMID- 10261008
TI  - Legislative Work Day gives policymakers first-hand look.

PMID- 10261009
TI  - Volunteer escorts smooth resident move.

PMID- 10261010
TI  - The ombudsman and the nursing home: a healthy alliance?

PMID- 10261011
TI  - A reporter's view on nursing homes. Interview by Michael R. Codel.

PMID- 10261012
TI  - Community relations in a public non-profit nursing home.

PMID- 10261013
TI  - A consumer perspective.

PMID- 10261014
TI  - Nursing home design for community relations.

PMID- 10261015
TI  - The what and why of consumer relations.

PMID- 10261016
TI  - The physician's role in caring for the elderly.

PMID- 10261017
TI  - Consumer advocates and nursing homes: a success story.

PMID- 10261018
TI  - The challenge of organized advocacy.

PMID- 10261019
TI  - At Good Samaritan, quality comes first.

PMID- 10261021
TI  - Toward a working partnership.

PMID- 10261020
TI  - Grandparents Day.

PMID- 10261022
TI  - The proper way to live: remarks on the teaching of hospital administration.

PMID- 10261023
TI  - Epidemiology: application to health services.

PMID- 10261024
TI  - A consultant's perspective on needed executive behavioral modifications and
      health administration course content.

PMID- 10261025
TI  - Employment patterns of baccalaureate health administration program graduates.
AB  - Baccalaureate education for health administration has a rather short history.
      However, the growth in both the number of programs and graduates indicates that
      it is an established concept. The data base provided by the survey of
      baccalaureate graduates will be instrumental in the next phase of the AUPHA
      project: the identification of academic programmatic structure and content
      necessary to provide the foundation of competency for baccalaureate health
      services administration education.

PMID- 10261026
TI  - The role of research in health administration education.

PMID- 10261027
TI  - Alternative compensation incentives for stimulating improved productivity.

PMID- 10261028
TI  - State of the art in health care management simulation games.

PMID- 10261029
TI  - Review of professional society role delineations for health services
      administration curriculum design applications.

PMID- 10261030
TI  - Reorganizing the Latin American health sector: a contribution to education in the
      administration of health services.

PMID- 10261031
TI  - Health planning education: a study of its current status.

PMID- 10261032
TI  - Health administration education.

PMID- 10261033
TI  - Professional education.

PMID- 10261034
TI  - Computer management of prehospital information.

PMID- 10261035
TI  - The diabetic patient. New methods of control bring fresh hope.

PMID- 10261036
TI  - Back to basics. Measuring the effects of continuing education.

PMID- 10261038
TI  - Billings, collections and accounts receivable. Part 2.

PMID- 10261037
TI  - Picking a winner. Candidate selection process for paramedic training.

PMID- 10261039
TI  - Cultural considerations.

PMID- 10261040
TI  - System status management. The strategy of ambulance placement.

PMID- 10261041
TI  - Creating financial stability. Part 3.

PMID- 10261042
TI  - Characteristics of the extended care patient in a VA neuropsychiatric medical
      center.

PMID- 10261043
TI  - Enhancing long-term care education by building relationships between university
      faculty and administrators.

PMID- 10261044
TI  - Traveling dentistry.

PMID- 10261045
TI  - A fund raising protocol for augmenting nursing home revenues.

PMID- 10261046
TI  - The nursing home resident: some legal considerations.

PMID- 10261047
TI  - Microfilm and the law.

PMID- 10261048
TI  - Project ELF (Eliminate Legal size Files): the 25% solution to business expenses!

PMID- 10261049
TI  - Online COM catalog to revolutionize library service and efficiency.

PMID- 10261050
TI  - The economics of information processing.

PMID- 10261051
TI  - SOM: a redefinition of a concept and a market.

PMID- 10261052
TI  - Focus on human factors when managing change.

PMID- 10261053
TI  - The impact of digital storage on micrographics storage.

PMID- 10261054
TI  - Micrographics standardization in the United States.

PMID- 10261055
TI  - The grapefruit diet.
AB  - According to major research studies, 50 percent of all distributed data
      processing is really distributed document delivery. Up to 70 percent of all
      telephone calls do not reach the intended party, resulting in what has been aptly
      called, "telephone tag." Electronic mail is a rapidly emerging technology using
      computers and telecommunications networks to transmit notes, messages and
      documents instantaneously. Online information systems for document management,
      distribution and retrieval is an area of electronic mail far more powerful.
      Computer teleconferencing, as it is often called, allows for ongoing meetings
      online with persons from remote locations without regard to time zone
      limitations. This article will focus on the definitions of computer
      teleconferencing and other new "online" technologies, and how they will impact
      document development, management and distribution. It is based on the author's
      presentation at the 1983 NMA Annual Conference & Exposition in Philadelphia.

PMID- 10261056
TI  - Selling new technologies to top management.

PMID- 10261057
TI  - Office automation . . . the human equation.

PMID- 10261058
TI  - Electronic filing in the '80s.

PMID- 10261060
TI  - Religious mainstreaming of mentally retarded clients into the community.

PMID- 10261059
TI  - The user-vendor partnership: a successful marriage of convenience.

PMID- 10261061
TI  - A psychological and faith approach to grief counseling.

PMID- 10261062
TI  - Pastoral initiative: why wait for George/Georgia to do it?

PMID- 10261063
TI  - An analysis of pastoral counseling supervisors: their identities, roles and
      resources.

PMID- 10261064
TI  - Standards: a view from the past and prospects for the future.

PMID- 10261065
TI  - Putting a price on radiation.

PMID- 10261066
TI  - How nonprofits grow: a model.
AB  - When nonprofit organizations operate in a field of service that might otherwise
      be provided by government or by for-profit organizations, such as schools,
      hospitals, or museums, their decisions on the type and amount of services to be
      delivered are motivated by factors that are quite distinctive. Because they must
      operate on a break-even basis with revenues raised on a voluntary basis,
      nonprofit organizations typically take on activities from which they derive no
      satisfaction in order to subsidize activities that they regard as of higher
      value. As a result, the mix of services they offer and the charges they impose
      will generally be quite different from those of a government institution or a for
      profit organization.

PMID- 10261067
TI  - Why most private hospitals are nonprofit.
AB  - In recent decades, restrictions that have been imposed on hospitals organized for
      profit have served to restructure the industry, generating a constant trend
      toward nonprofit organizations. Small proprietary hospitals in particular have
      disappeared while corporate chains have come to dominate what is left of the for
      profit hospital sector. The trend toward nonprofit hospitals is not explained by
      the failure of the health service markets and is not the result of a desire to
      serve the public interest more effectively. Although a number of arguments have
      been advanced to explain the shift, the hypothesis that seems most consistent
      with the existing evidence is that the nonprofit form of organization serves most
      effectively to strengthen the restrictive character of the market for physicians'
      services and thereby to serve the individual economic interests of the
      physicians.

PMID- 10261068
TI  - Public or private health services?
AB  - For many years economists writing on the delivery of health services dusted off
      the traditional promarket analyses of textbooks and applied them uncritically to
      the health care industry. Specialists in health care today are far more cautious.
      From the medical side there has been an increasing interest in the economic
      implications of health care organization and medical practice. Good research
      drawing on the skills of economists and other specialists is rapidly growing.
      This research offers little support either to those who reason abstractly from a
      market ideology or to those who are uncritically committed to socialized health
      care.

PMID- 10261069
TI  - The hospital accident and emergency department: what is its role?
AB  - The problem over the use of accident and emergency departments is portrayed in
      terms of a typical conflict between professional and lay needs. However, in
      contrast with the more common image of the professional hospital doctor
      successfully developing both structural and interactional strategies for
      maintaining professional dominance over the patient, it is argued that the
      structural characteristics of the accident and emergency department pose control
      problems for the profession. These control problems have been exacerbated by
      developments in other areas of the health service and have led to the development
      of policies which emphasize both clinical and social elements of patient need.
      Although there is apparent recognition by providers of the importance of taking
      into account patient need, the proposed policies are based on professional images
      of how patients 'ought' to use the service. What is clearly lacking is
      comprehensive data on how the public and the community wishes to use the service
      and how they actually use the service. Data from national and local studies on
      patient felt needs and patient demand for the hospital accident and emergency
      departments are presented and the implications for policy are discussed.

PMID- 10261070
TI  - Social mobility and the interpretation of social class mortality differentials.
AB  - The discussion of health inequalities in Britain (e.g. in the Black Report) has
      been conducted largely on the basis of social class mortality differentials
      measured by achieved social class and not by social class of origin. It is shown
      in this paper that social class mortality differentials by achieved social class
      are not invariant to the rate of social mobility and that the use of them is
      likely to result in a biased measure of trends in health inequalities when the
      absolute rate of social mobility varies over time. It is further shown that if,
      as is likely, health status is a factor systematically affecting the probability
      for an individual of upward or downward social mobility, then an increase in the
      rate of social mobility may well result in constant or widening social class
      mortality differentials by achieved social class even if the differentials are
      narrowing when measured by social class of origin. It is claimed that this
      process may well explain why the observed social class mortality differentials,
      which are measured by achieved social class, have not fallen in Britain during
      the post-1945 period.

PMID- 10261071
TI  - Education and health care: does the industrial model still exist?

PMID- 10261072
TI  - Employment discrimination in management by objectives systems.

PMID- 10261073
TI  - Accounts receivable post discharge procedure.

PMID- 10261074
TI  - Business office productivity: a practical program for improvement.

PMID- 10261075
TI  - Third party insurance follow up.

PMID- 10261076
TI  - Business services procedures manual.

PMID- 10261077
TI  - A matter of semantics.

PMID- 10261078
TI  - Competing for health care dollars.

PMID- 10261079
TI  - General compensation policy.

PMID- 10261080
TI  - The selection of cathode ray tube (CRT) terminals for library applications.

PMID- 10261081
TI  - Computer output microform catalog readers.

PMID- 10261082
TI  - The bibliographic utilities: progress and problems.

PMID- 10261083
TI  - Why medical groups are in the best position to control costs. Part 1.

PMID- 10261084
TI  - Team management.

PMID- 10261085
TI  - Emergicenters. Opportunity or threat?
AB  - Political, social, and economic pressures on the healthcare industry are
      resulting in the development of new approaches to the delivery of quality health
      care to consumers. One of the newest responses to these change forces has been
      the development and proliferation of freestanding emergency centers. This article
      examines the underlying causes behind their development, describes the distinct
      services and strengths of the "emergicenter" concept, and shows how medical group
      practices can turn a potential competitive threat into an opportunity for future
      growth.

PMID- 10261086
TI  - Stress management. What do you do to relax?
AB  - Stress has been identified as a leading cause of disease in our society. The
      dynamics of the healthcare administration profession cause managers to be easy
      victims of this contemporary disorder. Many people realize that an antidote to
      stress is leisure-time hobbies. To find out what managers do with their leisure
      time, MGMA conducted an informal poll of Association members. Their responses
      were enlightening, interesting, and sometimes amusing. Some managers share
      similar interests, while some are quite unique.

PMID- 10261087
TI  - A branch clinic planted firmly in the community.
AB  - LP Medical Specialists decided to open a branch clinic in response to pronounced
      community need. While building a branch clinic facility was initially intended
      for future implementation, the community's immediate need prompted the group to
      establish the branch in a temporary facility. By leasing a vacated school
      building which was transformed into a medical clinic through the addition of
      demountable partitions, the group was able to expand its services and establish
      its image as a caring provider in the community--all while justifying
      expenditures that would not detract from the group's plans to build a future
      permanent facility.

PMID- 10261088
TI  - The nonproductive senior employee.
AB  - A common and difficult problem for medical group managers is what to do with the
      long-term employee who is suffering decreased productivity. In light of the
      legal, humanitarian, cost, political, and many other considerations of the
      situation, the author discusses the available alternatives--retraining, transfer,
      early retirement, and termination.

PMID- 10261090
TI  - Start priming for the fight to control our fees.

PMID- 10261089
TI  - Landscape planning for good looks and affordable maintenance.
AB  - Attractive landscaping can contribute considerably to a medical group's overall
      image. There is more that goes into landscaping property than selecting greenery
      that suits the design of the building. Landscaping is a living thing that must be
      maintained. Unless it is properly planned and attended, the expensive greenery
      can become an eyesore.

PMID- 10261091
TI  - Nurses don't get mad. They get even.

PMID- 10261092
TI  - Power for medical instruments.

PMID- 10261093
TI  - Medical Electronics buyers guide 1982, Part 4: Balances and microbalances, blood
      cell counters, blood chemistry, blood coagulation, blood gas, blood pH, heart
      rate meters, hematocrit, recorders.

PMID- 10261094
TI  - Stimulator enjoined from interstate commerce as "relaxacizor", without medical
      supervision.

PMID- 10261096
TI  - Ambulatory cardiac monitoring.

PMID- 10261095
TI  - Ultrasonics for medical diagnostics. Part 6--Quality assurance.

PMID- 10261097
TI  - Power protection for biomedical equipment.

PMID- 10261098
TI  - Leprosy--a physical disease with a mental problem.

PMID- 10261099
TI  - Councils for Health Promotion.

PMID- 10261100
TI  - Rx for those hiring headaches.

PMID- 10261102
TI  - The pharmacist as prescriber: update on a California experiment.

PMID- 10261101
TI  - Pharmacy needs "accountability statutes".

PMID- 10261103
TI  - Study confirms efficacy of helicopter ambulances.

PMID- 10261104
TI  - Significance of earnings gulf between fee-for-service and HMO physicians
      questioned.

PMID- 10261105
TI  - 'Baby Doe' hotline signs come down after ruling.

PMID- 10261106
TI  - Physicians compete in shade of hospital satellite clinics.

PMID- 10261107
TI  - Collision course.

PMID- 10261108
TI  - Z--from theory to practice.

PMID- 10261109
TI  - Productivity--mandate for management.

PMID- 10261110
TI  - A "QUEST" for productivity.

PMID- 10261111
TI  - Managers rate their skills.

PMID- 10261112
TI  - Awakening to office automation.

PMID- 10261113
TI  - Delicate delegation.

PMID- 10261114
TI  - Theory "Z" or "E"?

PMID- 10261115
TI  - How to cut costs--tips for all times.

PMID- 10261116
TI  - Don't buy digital archiving systems yet, but keep tabs on developments.

PMID- 10261117
TI  - Healthcare heads for revolutionary changes in organization, delivery.

PMID- 10261119
TI  - CFO post may become pivotal.

PMID- 10261118
TI  - Hospital boards should abandon medical staff 'self-governance'.

PMID- 10261120
TI  - Prepare for 'sobering' layoffs.

PMID- 10261121
TI  - Georgia may slam on the brakes to MedFirst's booming business.

PMID- 10261122
TI  - Network expands groups' markets.

PMID- 10261123
TI  - Novice risk manager becomes a pioneer.

PMID- 10261125
TI  - Vendors shift software to micros.

PMID- 10261124
TI  - Buying role gains importance.

PMID- 10261126
TI  - Dietary units cite purchasing, delivery in efforts to pare costs.

PMID- 10261127
TI  - Hospitals must mint attractive pay plans that also comply with tax code.

PMID- 10261128
TI  - Court shields 'blindfolded' records.

PMID- 10261129
TI  - Future looks bright for 4 companies issuing stock to finance expansion.

PMID- 10261130
TI  - Tax changes may hike equipment costs.

PMID- 10261132
TI  - Preferred providers: aggressive payers push Twin Cities hospitals to the wall for
      discounts.

PMID- 10261131
TI  - HHS task force calms Congress.

PMID- 10261133
TI  - Companies spurn providers' PPOs.

PMID- 10261134
TI  - CA's rush to form PPOs shows move toward 'pure and simple' competition.

PMID- 10261135
TI  - Clinics prepare growth strategies to strengthen their magnetic pull.

PMID- 10261136
TI  - Health care at critical junctures.

PMID- 10261138
TI  - Marketing hospitals to the public.

PMID- 10261137
TI  - Experts see declines in X-ray good outlays.

PMID- 10261139
TI  - The relationship between productivity and cost containment.

PMID- 10261140
TI  - The concept of productivity.

PMID- 10261141
TI  - Increasing patient satisfaction.

PMID- 10261142
TI  - Productivity and the voluntary effort.

PMID- 10261143
TI  - New approaches in the urban setting.

PMID- 10261144
TI  - Productivity through sharing.

PMID- 10261145
TI  - The place of marketing in hospital management.

PMID- 10261146
TI  - The new medical arts approach.

PMID- 10261147
TI  - Marketing to physicians.

PMID- 10261149
TI  - The administrator and productivity.

PMID- 10261148
TI  - Medical center innovations.

PMID- 10261150
TI  - Influencing the employee relationship.

PMID- 10261151
TI  - The future of vertically linked organizations.

PMID- 10261152
TI  - Institutionwide productivity measures.

PMID- 10261154
TI  - Productivity and the administrator: an agenda.

PMID- 10261153
TI  - The importance of the market.

PMID- 10261155
TI  - Improving buyer acceptance.

PMID- 10261156
TI  - Marketing the hospital to government agencies.

PMID- 10261157
TI  - Marketing: an emerging management challenge.

PMID- 10261159
TI  - Health care containment works, survey shows.

PMID- 10261158
TI  - Lawmakers act on jobless health care and high costs.

PMID- 10261160
TI  - Mental health cover not costly: Rand study.

PMID- 10261161
TI  - House will vote on bill to provide health insurance for unemployed.

PMID- 10261162
TI  - A hospital reorganization examined.

PMID- 10261163
TI  - The network. A hospital positioning strategy.

PMID- 10261164
TI  - Alliance--one response to non-profit needs.

PMID- 10261165
TI  - Associations tomorrow--educators or brokers?

PMID- 10261166
TI  - Interdepartmental relationships and the patient business office.

PMID- 10261167
TI  - Maintaining control of accounts receivable.

PMID- 10261169
TI  - Comments of the American College of Pathologists on proposed regulations on
      payment for physician services in institutional practice.

PMID- 10261168
TI  - The pathologist and the hospital clinical laboratory.
AB  - In this article, the author conceptualizes problems in pathology through the
      perspective of a wide angle lens. He explores how the role of the clinical
      pathologist evolved into what it is now as well as what, in his view, it ideally
      should be. The author encourages his peers to analyze, critique, and comment on
      the opinion he sets forth in the following pages.

PMID- 10261170
TI  - Standards for laboratory accreditation.
AB  - After years of review by all of the CAP resource and other committees and
      councils, the Commission on Laboratory Accreditation developed a revised
      Standards for Accreditation of Medical Laboratories (Last revision, 1974). They
      were approved by the House of Delegates and, in the February issue of Pathologist
      '82, comments were solicited from the entire membership. Presented in the
      following pages are the final Standards for Laboratory Accreditation, which the
      Board of Governors adopted as CAP policy at its Sept. 2-4 meeting in Traverse
      City, Mich.

PMID- 10261171
TI  - Metamorphosis of a dinosaur or the future role of the clinical pathologist.
AB  - Proposing that pathology reorganize, the author introduces a role model for
      clinical pathology that contains skills and capabilities not currently offered in
      the clinical practice of medicine. This proposed rebuilding of a clinical
      discipline, to avoid continued degradation of the pathologist's role in the
      practice of medicine, will require teaching institutions to instill a new concept
      of clinical pathology, and the author pinpoints the tool that will be required to
      make this urgently needed transition to a new type of practice.

PMID- 10261172
TI  - Avoiding legal challenge.
AB  - Protection from medical lawsuits requires that pathologists and laboratory staff
      adhere to certain standards and policies. Moreover, at this crucial time for
      pathologists, it is important that those who wish to develop a clinical
      consultant practice understand the additional factors that become relevant. The
      author discusses the physician-patient relationship, including informed consent,
      emergencies, patient records and confidentiality, and offers some general
      recommendations.

PMID- 10261173
TI  - Supply and demand: how many pathologists are needed?
AB  - Three different approaches have been used to determine what the supply and demand
      of pathologists will be in future years. Reviewed in this article are the three
      manpower studies and the surprising results they yielded.

PMID- 10261174
TI  - Can the laboratory director find the pathologists he needs?
AB  - Is the pathologist seeking a job the kind of pathologist the laboratory director
      wants to hire? The author of this article emphasizes that all pathologists, not
      just residency training program directors, must be aware of changing needs if new
      pathologists are to possess the necessary qualifications for practice in the
      1980s and 1990s.

PMID- 10261175
TI  - Competition for the health dollar: the pathologist's share.
AB  - Price competition in health care services is the wave of the future. Undeniably,
      the rate of increase in health care costs must be reduced. Federal and state
      regulations designed to contain these costs have not proven effective. In this
      article the author explains why he believes open competition is the solution to
      this critical problem, and how Public Law 97-248 will help bring about this
      movement.

PMID- 10261177
TI  - Survival of a specialty.

PMID- 10261176
TI  - View of the young pathologist: a wavering future.
AB  - What will be the fate of future generations of hospital-based pathologists? In
      the next few years, the author of this article foresees a new breed of MD
      emerging from the laboratory. This up-and-coming pathologist must be a skilled
      practitioner of medicine, yet one who wears many hats. He must have earned the
      respect of his clinical colleagues, kept abreast of the rapidly changing
      technology at his disposal, and discovered a balance for the role pathology must
      play for the patient and society.

PMID- 10261178
TI  - Annual report of a pathology department.
AB  - In this article, the author explains the management and public relations benefits
      of the Annual Report, who should prepare which components, and what professional,
      technical, and financial information each component of the report should contain.

PMID- 10261179
TI  - Acquisition alternatives for capital equipment.
AB  - Today, with the high cost of laboratory equipment and the ever-increasing rate of
      obsolescence, it is important for laboratory directors to be aware of the
      alternatives for acquiring capital equipment. The author of this article reviews
      five mechanisms for acquiring capital equipment for hospital laboratories and
      discusses advantages and disadvantages of each.

PMID- 10261180
TI  - Focusing on the laboratory, not the computer.
AB  - Much time and effort is spent comparing laboratory computer systems; the process
      is not unlike that of shopping for an automated chemistry analyzer. But the
      authors believe too little effort is expended in examining and understanding the
      laboratory functions that are to be computerized and, as a consequence, computer
      purchases fail to reach expectations. Here, they emphasize the importance of
      evaluating laboratory functions, particularly the area of communication and
      record keeping.

PMID- 10261181
TI  - Challenges and prospects in cancer patient education.

PMID- 10261182
TI  - Brooklyn Oncology Patient Education Program.

PMID- 10261183
TI  - Helping patients accept personal responsibility.

PMID- 10261184
TI  - Information processing: the role of memory.

PMID- 10261186
TI  - Patient education: specialty or sub-discipline?

PMID- 10261185
TI  - Status of patient education: notes from the trenches.

PMID- 10261187
TI  - Anticoagulant pt ed.

PMID- 10261188
TI  - Self-efficacy theory.

PMID- 10261189
TI  - Starting a patient newsletter.

PMID- 10261190
TI  - FECs offer high quality care and convenience.

PMID- 10261191
TI  - Can't find a doctor? Try an ambulatory care center.

PMID- 10261192
TI  - Why MedFirst Physician Care is best for you and your family.

PMID- 10261193
TI  - Need family-oriented care? Try a family practice center.

PMID- 10261194
TI  - Here's what an independent nurse practitioner can offer.

PMID- 10261195
TI  - A hospital emergency department is still best for acute care.

PMID- 10261196
TI  - Why informed consumers are choosing HMOs.

PMID- 10261197
TI  - What's new in CT scanning.

PMID- 10261198
TI  - National needs for support of categorical programs of patient care and patient
      education.

PMID- 10261199
TI  - Individual health counselling and education: emerging directions from current
      theory, research, and practice.

PMID- 10261200
TI  - Using attitudes and subjective norms to predict pharmacist counselling behaviors.
AB  - This field study examines the applicability of the central components of Fishbein
      and Ajzen's model for the prediction of behavior to the medication counselling
      activities of community pharmacists. The findings from a sample of 40 pharmacists
      provide support for the attitudes-subjective norms model. Both the attitude and
      subjective norm measures are significant predictors of behavior for verbal
      instruction provided and the length of encounter time. Each of the other
      behaviors examined--written instruction provided, monitoring activity, and
      pharmacist approachability--is weakly to moderately influenced by one of the two
      independent variables.

PMID- 10261202
TI  - Strategies for resolving conflict: their functional and dysfunctional sides.
AB  - Conflict in the workplace can have a beneficial effect. That is if appropriately
      resolved, it plays an important part in effective problem solving, according to
      author Michele Stimac, associate dean, curriculum and instruction, and professor
      at Pepperdine University Graduate School of Education and Psychology. She
      advocates confrontation--by way of negotiation rather than brute force--as the
      best way to resolve conflict, heal wounds, reconcile the parties involved, and
      give the resolution long life. But she adds that if a person who has though
      through when, where, and how to confront someone foresees only disaster,
      avoidance is the best path to take. The emphasis here is on strategy. Avoiding
      confrontation, for example, is not a strategic move unless it is backed by
      considered judgment. Stimac lays out these basic tenets for engaging in sound
      negotiation: (1) The confrontation should take place in neutral territory. (2)
      The parties should actively listen to each other. (3) Each should assert his or
      her right to fair treatment. (4) Each must allow the other to retain his or her
      dignity. (5) The parties should seek a consensus on the issues inconflict, their
      resolution, and the means of reducing any tension that results from the
      resolution. (6) The parties should exhibit a spirit of give and take--that is, of
      compromise. (7) They should seek satisfaction for all involved.

PMID- 10261201
TI  - Retrenchment: layoff procedures in a nonprofit organization.
AB  - One of the most unsettling experiences that human resources and other managers
      must face is a large-scale employee layoff. Authors Robert Fuller, national
      director of personnel, Cassandra Jordan, assistant director of personnel, and
      Robert Anderson, employment and training manager--all at the Legal Services
      Corporation--show how careful management planning, extensive staff involvement,
      and well-planned counseling and outplacement services helped employees of Legal
      Services Corporation wheather such a layoff. As the first step, the planning
      committee (personnel director, equal employment opportunity director, and general
      counsel) recommended that the corporation conduct staff education about layoffs
      for all employees, that a representative employee task force be established to
      develop specific details of the layoff plan, and that the corporation hire an
      experienced person to help staff members implement the plan. Members of the task
      force, who were elected by staff members (except for one additional member who
      was selected to ensure proper representation of minority groups and women), made
      specific recommendations on the way to determine seniority and bumping rights.
      The task force also dealt with such issues as method of notification, an appeals
      procedure, reemployment rights, the counseling and outplacement services. The
      task force also considered the issue of "willingness to leave".

PMID- 10261203
TI  - O.B. Mod.: Meeting the productivity challenge with human resources management.
AB  - With its roots in modern behaviorist psychology, O.B. Mod. is a human resources
      management technique aimed at improving job-related behaviors that are observable
      and measurable, such as absenteeism or tardiness, or toward behavior products,
      such as quality or quantity of work. O.B. Mod calls for intervention to encourage
      desirable performance behavior and discourage undesirable behavior. The major
      intervention strategy involves (1) feedback on the critical performance-related
      behavior and (2) positive reinforcement for progress and attainment.

PMID- 10261204
TI  - TEFRA: how employers plan to cope with changes.

PMID- 10261205
TI  - Preventing employee burnout.
AB  - Burnout, a condition that is affecting an increasing number of employees in
      industry today, can transform top-performing employees into indifferent,
      frequently absent, ineffective workers. What can human resources managers do to
      help prevent burnout among employees? Authors Susan E. Jackson, assistant
      professor of organizational psychology in the psychology department at the
      University of Maryland, and Randall S. Schuler, associate professor of personnel
      and human resources management in the department of management at New York
      University, suggest three specific approaches to preventing burnout. One of
      these, anticipatory socialization programs, is a way of preventing "reality
      shock" from sending idealistic new employees with unrealistic expectations about
      a job into burnout. The philosophy underlying anticipatory socialization programs
      holds that reality shock should be experienced before the individual begins his
      or her first full-time job- and, further, that it should be experienced in a
      context that permits and encourages the development of constructive strategies
      for coping with the unexpected reality.

PMID- 10261206
TI  - A do-it-yourself guide to group problem solving.
AB  - The use of QC (quality control) circles and other group problem-solving
      techniques has been hindered by a general lack of group-process skills among
      managers and prospective group leaders, according to author Ernesto Poza,
      president of E. J. Poza Associates, Inc. Thus many organization feel they must
      hire consultants to help implement group processes--an expensive prospect indeed.
      As he explains here, however, the author has developed a five-step do-it-yourself
      approach that will enable employee groups to solve organizational problems on
      their own. With the aid of his step-by-step explanation, human resources managers
      should gain enough "expertise" to use this approach themselves and to train
      others to use it. The steps include problem identification, brain-storming, cause
      and-effect analysis, force-field analysis, and action planning and
      implementation.

PMID- 10261207
TI  - Compensation and benefits: prescriptions for reducing health care costs.

PMID- 10261208
TI  - Recruitment.

PMID- 10261209
TI  - Let management development score for your organization.

PMID- 10261210
TI  - Communicating through the news media.

PMID- 10261211
TI  - Preventing and defending EEO charges.

PMID- 10261212
TI  - Job application forms: a hazardous employment practice.

PMID- 10261213
TI  - The other side of the smoking worker controversy.

PMID- 10261214
TI  - Realities of successful employee discipline.

PMID- 10261215
TI  - Developing a readable employee handbook.

PMID- 10261216
TI  - Worksite health promotion can be cost-effective.

PMID- 10261217
TI  - A primer on self-funding health care benefits.

PMID- 10261218
TI  - The design and evaluation of alternative work schedules.

PMID- 10261220
TI  - Trade-off analysis finds the best reward combinations.

PMID- 10261219
TI  - Morale management.

PMID- 10261221
TI  - Communicate your benefits program through an employee fair.

PMID- 10261222
TI  - Rewarding employees for not using sick leave.

PMID- 10261223
TI  - Design effective incentive plans.

PMID- 10261224
TI  - Recognition is still a top motivator.

PMID- 10261225
TI  - Shift work has complex effects on lifestyles and work habits.

PMID- 10261227
TI  - Your two challenging roles encompass drug expert & patient helper.

PMID- 10261226
TI  - Patient education project advises people what to ask pharmacists.

PMID- 10261228
TI  - How our pharmacists act as poison control specialists.

PMID- 10261229
TI  - Excessive refills.

PMID- 10261230
TI  - How we make pharmacists a key ingredient in a paramedic pack plan.

PMID- 10261231
TI  - How our pharmacists sift through and sort out drug therapy.

PMID- 10261233
TI  - In 90.5% of cases, Iowa consultant pharmacists also provide vendor pharmacy
      services.

PMID- 10261232
TI  - Here's why the pharmacist should know the role of the nurse practitioner.

PMID- 10261234
TI  - What we advise patients is as important as the medication we provide.

PMID- 10261235
TI  - Criminal OTC tampering: challenge and response.

PMID- 10261236
TI  - Religious discrimination?

PMID- 10261237
TI  - 10 more newsletters dramatize the hospital pharmacist's expanding role.

PMID- 10261238
TI  - Has Alabama's tough law helped to curb pharmacy robberies?

PMID- 10261239
TI  - What two services do hospital pharmacists evaluate as most important?

PMID- 10261240
TI  - 10 tips to help you evaluate patient education materials.

PMID- 10261241
TI  - How our red Rolodex file helps to curb drug interactions.

PMID- 10261243
TI  - Day treatment program.

PMID- 10261242
TI  - Physical therapy competencies: a market study.
AB  - As an initial step toward curricula reevaluation and change, this study was
      designed to develop a list of competencies, applicable for entry-level physical
      therapists and appropriate to the present-day rehabilitation needs in the
      province of Quebec. A comprehensive set of competence statements or items
      concerning physical therapy practice was compiled. These were subsequently
      edited, field tested and, through the mechanism of a questionnaire, sent to
      practising physical therapists in Quebec for verification and rating. The level
      of-importance ratings in professional practice of the 224 competence statements
      or items (which had been grouped into 11 categories encompassing ethics,
      evaluation, treatment skills, research, professional growth, administrative
      skills and theoretical knowledge) gave indications as to their applicability in
      the work market. The ratings of importance of each category were further analyzed
      in relation to the respondent's years of professional practice, place of
      training, type of position held, and work setting. Only for the variables years
      of experience and place of training were there any significant differences in
      importance ratings. The response ratings given to the competence statements and
      the categories can result in the determining of possible directions for
      educational curricula changes that would meet market demands, both at the
      undergraduate and graduate levels as well as in the area of continuing education
      programs.

PMID- 10261244
TI  - Outreach in Jerusalem.

PMID- 10261245
TI  - Community service in a brown bag.

PMID- 10261246
TI  - Expansion. Getting the news to the community.

PMID- 10261247
TI  - Using marketing research: studies in image.

PMID- 10261248
TI  - Patient memos.

PMID- 10261249
TI  - The Kidney Kookbook.

PMID- 10261251
TI  - The twenty tasks of a hospital marketer.

PMID- 10261250
TI  - Evaluating nurse recruitment literature.

PMID- 10261252
TI  - Exercising for two.

PMID- 10261253
TI  - Prestige club.

PMID- 10261254
TI  - Computer communications.

PMID- 10261255
TI  - M*A*S*H. Bashing for a telethon.

PMID- 10261256
TI  - Mall health services.

PMID- 10261257
TI  - What steps should we take when developing an employee risk reduction program?

PMID- 10261258
TI  - Little people's hospital.

PMID- 10261259
TI  - APA task force issues report on long-term care facilities.

PMID- 10261260
TI  - Brief psychotherapy shown to reduce utilization of medical resources; evidence
      still ignored.

PMID- 10261261
TI  - After deinstitutionalization: planning for the future.

PMID- 10261262
TI  - Alcoholism insurance benefits may reduce health care use.

PMID- 10261264
TI  - Research shows short-term psychiatric hospitalization more effective than long
      term in many cases.

PMID- 10261263
TI  - The burgeoning of employee assistance programs: psychiatry moves into a new
      arena.

PMID- 10261265
TI  - Court rules hospital should have controlled patient making homicidal threats.

PMID- 10261266
TI  - Court finds NY's commitment laws constitutional.

PMID- 10261268
TI  - Commitment guide expected to influence new state laws.

PMID- 10261267
TI  - Ohio law restricts admitting privileges to medical staff.

PMID- 10261269
TI  - Selling "psychiatric products': APA meeting examines issues.

PMID- 10261270
TI  - Intercontinental communication.

PMID- 10261271
TI  - Creative approaches to institutional internal medicine.

PMID- 10261272
TI  - Hospital marketing: can it help?

PMID- 10261273
TI  - Hospital hotline.

PMID- 10261274
TI  - Why practitioners must be good writers.

PMID- 10261276
TI  - Welfare and the new dignity.

PMID- 10261275
TI  - Media and agenda setting: effects on the public, interest group leaders, policy
      makers, and policy.
AB  - Using an experimental design built around a single media event, the authors
      explored the impact of the media upon the general public, policy makers, interest
      group leaders, and public policy. The results suggested that the media influenced
      views about issue importance among the general public and government policy
      makers. The study suggests, however, that it was not this change in public
      opinion which led to subsequent policy changes. Instead, policy change resulted
      from collaboration between journalists and government staff members.

PMID- 10261277
TI  - Man's best friend...and then some.

PMID- 10261278
TI  - Charity war in Washington.

PMID- 10261279
TI  - Health care reform and market discipline--federalism strikes back.

PMID- 10261280
TI  - Health benefits for the jobless: the middle class cashes in.

PMID- 10261281
TI  - Implications of recent mortality trends for the size and composition of the
      population over 65.
AB  - Recent mortality declines have been concentrated at the older ages and in the
      degenerative diseases. In order to examine the implications for the future of
      continuation of this mortality decline, cause-specific mortality rates by age are
      projected to the year 2000 assuming that the cause-specific rates of decline
      experienced during the past decade continue. The projection shows that if such
      rates of decline persist, by the year 2000 there will be a substantial increase
      in life expectancy at ages 65 and above and the number of people now over age 65
      will be almost 4 million greater than that now officially projected by the U.S.
      government.

PMID- 10261282
TI  - Toward an inventory of U.S. health care data bases.
AB  - Because researchers have lacked convenient and comprehensive sources of
      information about data available to them from the health care data bases
      maintained by others in their field, many health care data collection activities
      are unnecessarily duplicative and many data bases have not been fully exploited.
      This paper presents the preliminary results of work by the Hospital Data Center
      of the American Hospital Association on an inventory of current (1976 to the
      present), nonbibliographic, computer-readable data bases containing national
      health care information that have been collected by organizations and agencies
      throughout the United States and that are, or can be, made available to outside
      researchers. The 30 public and private sector organizations identified as having
      such data bases are listed, together with the titles and main subject areas of
      their 112 data bases.

PMID- 10261283
TI  - What makes a great lunch.

PMID- 10261284
TI  - Health care. Hospital admissions are down, Medicare and Medicaid reimbursement
      are shrinking, and competition is fierce.

PMID- 10261285
TI  - Bethesda Memorial's tranquil setting is just what the doctor ordered.

PMID- 10261286
TI  - Cook-chill system solves problems of space and time for Boston hospital.

PMID- 10261287
TI  - Inside a buying decision. Part II.

PMID- 10261288
TI  - Texas Dept. of Mental Health, Austin, Texas.

PMID- 10261289
TI  - Health claims administration: is computerization the answer?

PMID- 10261290
TI  - The 10 commandments for choosing and using consultants.

PMID- 10261292
TI  - QA adherence helps avoid medical-legal problems.

PMID- 10261291
TI  - Ford finds containing health costs is no Sunday drive.

PMID- 10261293
TI  - Experts' opinions vary on necessary tests for SDS.

PMID- 10261295
TI  - Project Orbis' DC-8 jet provides SDS to patients worldwide.

PMID- 10261294
TI  - Preparedness is the key for managing catastrophies.

PMID- 10261296
TI  - Legal issues and accreditation.

PMID- 10261297
TI  - Cultural assumptions and productivity: the United States and China.
AB  - Based on the premise that the study of another culture is a useful tool for
      learning about one's own environment, the author compares and contrasts major
      cultural characteristics of the U.S. and China. Although he guards against the
      idea of blindly adopting major Chinese cultural assumptions, the author feels
      that the U.S. may benefit economically by looking toward China to find new
      insights and fresh approaches to help the U.S. better cope with prevalent
      economic ills--low productivity and lack of innovation in the work force.

PMID- 10261298
TI  - Plateauing and productivity.
AB  - Managers find it very frustrating to reach a point in their careers when
      promotions are no longer possible. As the number of people entering management
      increases, the phenomenon of "plateauing" becomes a significant concern for
      organizations. The author contends that plateauing is a complex problem, often
      involving factors both internal and external to the organization. To address this
      difficult issue, she describes several innovative interventions for coping with
      this dilemma.

PMID- 10261299
TI  - Helping elderly couples in crisis.

PMID- 10261300
TI  - Enabling in the eighties: the client advocacy group.

PMID- 10261301
TI  - Fee and missed appointments as transference issues.

PMID- 10261302
TI  - The missing system in social work's application of systems theory.

PMID- 10261303
TI  - Roles of the professional in mutual aid groups.

PMID- 10261304
TI  - Group work that supports adult victims of childhood incest.

PMID- 10261305
TI  - The anomaly, the chronic patient and the play of medical power.
AB  - In the middle of the twentieth century, the anomaly, the person whose body
      suffered the effects of an accident and who elicited a compassionate response
      designed to protect the anomaly from the effects of the accident, disappeared.
      The 'disabled', the 'handicapped', and the 'chronic patient' replaced the anomaly
      in medical discourse. This change is reflected in specific, technical aspects of
      medicine - medicine's understanding and treatment of two anomalous bodies - and
      in general medical ideology and the organization of medical care. The change
      extended the medical gaze to the most intimate aspects of life and to the fine
      seams of society where the anomaly used to wander. We must understand this change
      as part of the paradoxical play of medical power. Medical power became more
      totalizing, integrative and rapidly responsive just as it became more
      unobtrusive, humane and liberating.

PMID- 10261307
TI  - Honesty tools.

PMID- 10261306
TI  - Is the nursing shortage over?

PMID- 10261308
TI  - Linen management.

PMID- 10261309
TI  - Textile standards. Task force drafts voluntary standards.

PMID- 10261310
TI  - The shaky foundations of quality circles.

PMID- 10261311
TI  - How to interview for information.

PMID- 10261312
TI  - The snake-oil syndrome (and how to fight it).

PMID- 10261314
TI  - Computer teleconferencing: the meeting that keeps on meeting.

PMID- 10261313
TI  - Testing: return of the prodigal process.

PMID- 10261315
TI  - Putting the person-to-person touch into teleconferencing.

PMID- 10261316
TI  - From whence the theory?

PMID- 10261317
TI  - Autoclaves and the sterile supply manager.

PMID- 10261318
TI  - Sterile medical disposable packaging.

PMID- 10261319
TI  - Storage and sterility maintenance.

PMID- 10261320
TI  - Sterilising with steam and formaldehyde.

PMID- 10261321
TI  - Fibrescope decontamination.

PMID- 10261322
TI  - The central sterile supply department, the Princess Elizabeth Hospital, Guernsey.

PMID- 10261323
TI  - The establishment of the Supply Council; its philosophies and what they mean to
      the NHS.

PMID- 10261324
TI  - Processing heat-sensitive instruments and materials by low-temperature steam and
      formaldehyde.

PMID- 10261325
TI  - The Foundation course for sterile services managers. Cardiff--September 1981.

PMID- 10261326
TI  - Notes on low temperature steam and formaldehyde.

PMID- 10261327
TI  - Methods of decontamination of anaesthetic equipment: daily sessional exchange of
      circuits.
AB  - Sampling of untreated anaesthetic circuits showed heavy bacterial contamination.
      Daily or twice daily sessional exchange of circuits (i.e. use of one circuit for
      up to nine patients) considerably reduced the extent of contamination. Equipment
      was effectively treated by steam at high or low temperature or by immersion in
      glutaraldehyde. Steam at high temperature (134 degrees C) damaged reservoir bags
      on repeated treatment, whereas low temperature steam (68 degrees C) was
      satisfactory. Treatment with glutaraldehyde was also satisfactory, but slightly
      less reliable and its smell was difficult to remove from the equipment after
      repeated immersion.

PMID- 10261328
TI  - Raw material controls used in the manufacture of sterile, single-use, medical
      devices.

PMID- 10261329
TI  - Dutch public health and environmental hygiene draft law on the trade of
      sterilized medical products.

PMID- 10261330
TI  - Computers in C.S.S.D.

PMID- 10261331
TI  - Sterile supply in U.S.A. and U.K.

PMID- 10261332
TI  - The needs for sterile supply in the community.

PMID- 10261333
TI  - The needs of sterile supply within the community as seen by the engineer.

PMID- 10261334
TI  - Sterile supplies for the primary care doctor.

PMID- 10261335
TI  - The role of the hospital microbiologist in sterile supply and quality control.

PMID- 10261336
TI  - Air-generation of aerosols.

PMID- 10261337
TI  - Air in the operating room.

PMID- 10261338
TI  - Bacterial aerosols in the hospital.

PMID- 10261339
TI  - Some problems in field evaluation of hand disinfection.

PMID- 10261340
TI  - Definition and evaluation of sterility.

PMID- 10261341
TI  - Factors influencing the design of LTSF machines.

PMID- 10261342
TI  - Aspects of control of infection in the community.

PMID- 10261343
TI  - The cost of infection.
AB  - A recent cross-sectional survey of 43 hospitals in the U.K. indicated that at any
      one time over 19% of all patients are likely to have an infection. Nearly half of
      those (9.2%) having acquired that infection during their stay in hospital. Of
      these hospital-acquired infections, 2.8% were of the urinary-tract, 1.7% were
      wounds and 1.5% were of the lower respiratory-tract (Meers et al, 1981).

PMID- 10261344
TI  - Foundation course in sterile supply services management.

PMID- 10261345
TI  - CSSD and the law.

PMID- 10261346
TI  - CSSD and the law of negligence.

PMID- 10261347
TI  - Sterilising techniques used in the field.

PMID- 10261348
TI  - The application of microprocessors to sterilizers.

PMID- 10261349
TI  - Hospital sterilizing and disinfection units--our future.

PMID- 10261350
TI  - Evaluation of both local exhaust and cycle purges to reduce operator exposure and
      environmental levels of ethylene oxide.
AB  - A local exhaust manifold was attached to two different tabletop ethylene oxide
      sterilizers. One tabletop sterilizer had a built-in cycle purge feature, while
      the other had the standard single terminal vacuum cycle. Operator exposure and
      environmental levels of ethylene oxide were determined with and without local
      exhaust, and with and without purge cycle. Results from both charcoal tube
      collection samples and infra-red analysis clearly demonstrated the benefit of a
      local exhaust coupled with cycle purge in reducing operator exposure to and
      environmental contamination by ethylene oxide to nearly undetectable levels.

PMID- 10261351
TI  - Evaluation of an ethylene oxide sterilizer.
AB  - Ethylene oxide gas can be used under controlled conditions to sterilize heat and
      moisture sensitive articles, particularly those which cannot be steam sterilized
      or immersed in disinfectants. The ethylene oxide process is essentially one of
      sterilization and all micro-organisms, including bacterial spores, are destroyed.

PMID- 10261352
TI  - T.S.T.--a new range of indicator devices for autoclaving processes.
AB  - Simple process indicators, usually relying on a colour change, are widely used as
      an aid to user assessment of the success or otherwise of autoclaving processes.
      Ideally, a process indicator should be capable of indicating not only that
      heating in steam has occurred but that heating has been maintained at a correct
      level for a suitable period of time. Furthermore, it would be preferable if any
      colour changes were abrupt rather than gradual throughout the period of heating.

PMID- 10261354
TI  - Charity wrong choice of words.

PMID- 10261353
TI  - Survey results profile averager PR person.

PMID- 10261355
TI  - Equivalencies for disaster drills.

PMID- 10261356
TI  - If an apple a day keeps the doctor...what will make one stay?

PMID- 10261357
TI  - Programming a stop to computer fraud.

PMID- 10261358
TI  - 'No one will know' attitude causes unnecessary risks.

PMID- 10261359
TI  - Panic and payment.

PMID- 10261360
TI  - Health planning subject to careful anti-trust scrutiny.

PMID- 10261361
TI  - 68th Texas legislature in brief.

PMID- 10261362
TI  - Newest public health enemy: AIDS.

PMID- 10261363
TI  - Emergency rooms revisited.

PMID- 10261365
TI  - Disasters demand immediate PR action.

PMID- 10261364
TI  - As the public sees it . . .

PMID- 10261366
TI  - Regular meeting attendance.

PMID- 10261367
TI  - What's behind the changes in today's hospital services?
AB  - Diversification and corporate restructuring have captured the imagination of more
      than a few hospital boards recently. In large measure, this movement can be
      explained as the attempt of health care facilities to cope with two seemingly
      contradictory sets of forces: one pulling patients out of the hospital and the
      other making patients who are placed in the hospital more dependent on its
      services.

PMID- 10261368
TI  - How to develop strategies to serve the aging health care consumer.
AB  - This article provides a framework for trustees to evaluate the impacts of an
      aging population and analyze opportunities for their hospitals to serve the needs
      of the elderly market. It focuses on identifying and analyzing the many aging
      related market opportunities available to hospitals, and it describes a process
      for developing diversification strategies in aging-related products/services.

PMID- 10261369
TI  - Are hospitals and physicians allies or rivals in ambulatory care?
AB  - Diversification into ambulatory care can pit the hospital against physicians,
      primarily because of competition for this growing segment of the health care
      market. The author provides an overview of the growth of ambulatory care services
      and suggests strategies for boards to ease tensions and promote cooperation,
      especially through joint ventures with the hospital's medical staff.

PMID- 10261370
TI  - A trustee with two hats: bridging the public-private gap. Interview by Emily
      Friedman.
AB  - John H. Stroger Jr. is a trustee of both a large, county hospital (Cook County)
      and a private, community hospital (South Shore) in Chicago. Here, he discusses
      how governance concerns differ in the two settings, evaluates the contract
      management experience of Cook County Hospital, and speculates on what effect
      financing cutbacks will have on the partnership of public-private urban hospitals
      serving the poor.

PMID- 10261371
TI  - Stable economy will ease transition to prospective pricing.

PMID- 10261372
TI  - Swing-bed rule draws industry ire.

PMID- 10261373
TI  - The dietetics service--preparing for a survey.

PMID- 10261374
TI  - Seattle groups fight over rating system.

PMID- 10261375
TI  - Dr. Robert Butler to head new geriatrics department.

PMID- 10261376
TI  - And they call it puppy love.

PMID- 10261377
TI  - Removing motivation blocks.

PMID- 10261378
TI  - Schedule substances.

PMID- 10261379
TI  - Feeding the geriatric patient.

PMID- 10261380
TI  - Maximizing benefit plans for nursing home employees.

PMID- 10261381
TI  - Economics, politics curb bed expansion, encourage nursing home consolidation.

PMID- 10261382
TI  - The exploding field of laser-beam surgery.

PMID- 10261383
TI  - As AIDS scare hits nation's blood supply.

PMID- 10261384
TI  - Restrictions tightened to cut CHAMPUS cost.

PMID- 10261385
TI  - For VA medical care, bottom line is quality.

PMID- 10261386
TI  - Center sought to plan for large-scale crises.

PMID- 10261387
TI  - Group calls for patient role in decisions.

PMID- 10261388
TI  - Health care of U.S. troops in Korea centered at Army's facility in Seoul.

PMID- 10261389
TI  - Defense Health Agency 'feasible'.

PMID- 10261390
TI  - Medical malpractice claims leveled at Air Force, Army.

PMID- 10261391
TI  - Genetic testing conducted by major U.S. companies.

PMID- 10261392
TI  - El Salvador medical aid called 'humanitarian'.

PMID- 10261393
TI  - Oregon considering public health insurance.

PMID- 10261394
TI  - California patients win right to refuse institutional drugs.

PMID- 10261395
TI  - Recession seen taking toll on health benefits.

PMID- 10261396
TI  - Policymakers viewing AIDS as infection.

PMID- 10261397
TI  - U.S. Medicine interviews Dr. Kenneth Dickie.

PMID- 10261398
TI  - Female veterans call care from VA elusive, substandard, insensitive.

PMID- 10261399
TI  - Set of 'biases' seen determining who can receive renal dialysis.

PMID- 10261400
TI  - CMCHS being expanded. 'Civilian disaster network' set.

PMID- 10261401
TI  - ICU guidelines. Care levels defined.

PMID- 10261402
TI  - Professional associations fearful of rule on 'handicapped' infants.

PMID- 10261403
TI  - 'Standard' combat supplies defined.

PMID- 10261404
TI  - Bill connects 'Baby Doe,' child abuse.

PMID- 10261405
TI  - Ethics and professionalism the integrated way.

PMID- 10261406
TI  - Improving your program through evaluation.

PMID- 10261407
TI  - The value of a volunteer questionnaire.

PMID- 10261408
TI  - Perspectives. Can capital costs be capped?

PMID- 10261409
TI  - Perspectives. Doctor surplus breeds new practice forms.

PMID- 10261410
TI  - Perspectives. Health planning uncertainty continues.

PMID- 10261411
TI  - The Declaration of Helsinki.

PMID- 10261412
TI  - Ethics for the doctors of the world.

PMID- 10261413
TI  - Health care manpower: current status in Australia.

PMID- 10261414
TI  - Health care manpower in a rapidly changing world.

PMID- 10261415
TI  - Medical ethics and group practice.

PMID- 10261416
TI  - 'Baby Doe' controversy continuing.

PMID- 10261417
TI  - Competition for hospital privileges seen rising.

PMID- 10261418
TI  - Profile of Les Spero and United Service Company.

PMID- 10261419
TI  - Illinois launderers to fight temperature law.

PMID- 10261420
TI  - Informed consent: a contradictory doctrine for MDs, reports lecturer Jay Katz.

PMID- 10261421
TI  - Pediatrics society opposes hotline, supports local review in "Baby Doe" cases.

PMID- 10261422
TI  - FDA sends note to 36 million urging them to know more about medications.

PMID- 10261423
TI  - The aging of the population and health services.
AB  - The demographic revolution--engendered in large part by modern medicine--which
      has led to the extraordinary and continuing increase in the number and proportion
      of elderly persons in the population has profound implications for health
      services. The elderly are disproportionately heavy utilizers of health care,
      primarily because of the prevalence of chronic disease. In the United States most
      health care for the elderly is financed through public funds, and costs have been
      increasing at an alarming rate. There is wide consensus that, for all the
      excellence of performance of the medical care system in treating acute episodes,
      care of chronic disease is frequently unsatisfactory in both quality and cost.
      Given the demographic imperatives, reform of mechanisms for chronic care is thus
      essential.

PMID- 10261424
TI  - Quality, cost, and clinical decisions.
AB  - Clinical decisions require determining the objectives of care as well as
      selecting and implementing a strategy of care. At the very least the optimal
      strategy balances the expected benefit and harm from technical interventions.
      Health care practitioners tend to specify optimal strategies based on what they
      consider to be best for patients, without regard to monetary cost. This is an
      absolutist definition of quality. Individuals may place different valuations on
      the outcomes, are concerned with the monetary costs to themselves, and are
      particularly sensitive to the attributes of the interpersonal relationship with
      the practitioners. Including all of these leads to an individualized definition
      of the quality of care. But this specification of quality may be in conflict with
      a social definition of quality, which takes into account social as well as
      individual monetary costs, externalities, and the social distribution of quality.
      The health care professions may respond to the conflict in several ways, which
      are described in this article as evasion, rejection and confrontation,
      anticipation, advocacy, active complicity, passive complicity, and ambiguous
      adaptations.

PMID- 10261425
TI  - How many physicians are enough?
AB  - Although it is difficult to ascertain whether or not the nation faces an
      oversupply of physicians in the coming decades, there is no doubt that a health
      care system can be operated more effectively with a taut supply of medical
      personnel than with a loose supply. The perception of severe specialty and
      geographic imbalance, which informed national health policy during the 1960s and
      1970s, has been modified by evidence of a significant redistribution in the
      supply. Increasing numbers of practitioners are likely to effect further
      escalation in the costs of physician services and total expenditures for health
      care, even if--in conformity with classical laws of supply and demand--individual
      physicians' incomes and the relative economic advantage of the profession were to
      decline. Since the objective of improved access has to a considerable extent been
      realized, the principal benefit of the loosened supply in the future will be to
      facilitate the initiation of innovative practice modes and alternative health
      care delivery systems that offer the potential of improved efficiency and
      quality.

PMID- 10261426
TI  - Industrial rationalization of a cottage industry: multi-institutional hospital
      systems.
AB  - The environment facing hospitals, generally supportive until the 1970s, may now
      be characterized as complex, turbulent, and constrained. In response to such
      environmental conditions, hospitals have adopted new strategies and structures.
      The strategies, described as corporate rationalization, have led away from the
      traditional structure of freestanding, autonomous hospitals and toward the
      formation of multi-institutional systems. These systems are designed to provide
      sufficient strength to cope with the environment, to acquire scarce and valued
      resources, to allow organizational stability, to achieve organizational purpose,
      to enable growth and/or survival, and to enhance market position. The impact of
      multi-hospital systems is viewed in two major areas: acquisition, retention, and
      utilization of economic and human resources, and organizational, political, and
      social factors.

PMID- 10261427
TI  - Health care policy: lessons from the past and issues of the future.
AB  - Liberal distributional values, the increasingly powerful capacity of medicine to
      provide more and better care, and concern about the health hazards of an
      industrial society fueled the vast expansion of the health care sector during the
      last 20 years. That growth was facilitated by a growing economy. The current
      health policy debate at one level reexamines the distributional bases of
      entitlement programs, and at another seeks alternative resource allocation
      mechanisms to reduce the cost of health care. This article has two themes. First,
      distributional and allocational policies are shown to be intrinsically related,
      so that the health policy debate is fundamentally a clash between liberal and
      libertarian values. Second, the inexorable social forces driving the health care
      system are shown to be the aging of the population and the rapid expansion of
      technology. The resulting dynamics imply the further growth of the health sector,
      now in the environment of a sluggish economy. Future policies will have to
      struggle with how to ration scarce health resources and how to reorient the
      health care sector to the problems of the aged.

PMID- 10261428
TI  - The competition strategy for medical care.
AB  - This article reviews the so-called competition strategy for medical care. It sets
      out the policy goals of the strategy and the problems in the present medical and
      insurance system that it seeks to address. It then describes several distinct
      formulations of the competition strategy, showing that it is not a single, rigid,
      monolithic approach, but rather a flexible combination of market-oriented
      approaches. Finally, it briefly discusses the technical and political problems
      and prospects of the strategy.

PMID- 10261429
TI  - Competition and health care policy: experience and expectations.
AB  - Since 1970 federal policymakers have tried to strengthen competition and
      incentive-based market forces as alternatives to regulation in containing health
      costs. The effort to stimulate the growth of health maintenance organizations
      (HMOs) throughout the country has had limited results, and federal plans to
      promote competition by enacting changes in the health insurance market have so
      far come to little. Coalitions in some localities have shown growing interest in
      flexible HMO variants, however, and the intellectual force of the HMO critique of
      mainstream practices remains strong. Moreover, the federal government has shown
      new interest in prospective reimbursement of hospitals--a proposal that draws
      from both HMOs--competition--and hospital rate-setting programs--regulation--the
      element of prospectivity.

PMID- 10261430
TI  - Incomplete vertical integration in the health care industry: pseudomarkets and
      pseudopolicies.
AB  - Most economic relationships are either arm's-length exchange transactions, each
      party seeking his or her own interest, or command structures, such as a firm or
      public agency, integrating joint efforts toward a common goal. The health care
      industry, however, displays a pattern of incomplete vertical integration-
      relationships which are neither truly arm's-length nor completely hierarchical.
      The doctor-patient relationship is archetypical. Physicians appear to sell
      services in private markets; yet they reach through the exchange process to
      direct the consumer-patient's utilization decisions, implicity undertaking to act
      in the patient's interest, and thus integrate forward. But they also integrate
      backward to control the public regulatory process--self-government--and some
      forms of insurance. The health care systems of different countries--Canada, the
      United Kingdom, and the United States--can be interpreted as different patterns
      of incomplete integration among five basic classes of transactors: consumer
      patients, first-line providers, second-line providers, insurers, and governments.
      Each system of linkage has characteristic strengths and weaknesses. Nowhere,
      however, do we find a predominance of arm's-length market relationships. Where
      they exist, markets in health care are usually pseudomarkets dominated by one
      side of the transaction. The rhetoric of market relationships serves principally
      to obscure political struggles over shifting patterns of integration.

PMID- 10261431
TI  - New federalism and health policy.
AB  - The making of health policy in the United States is a complex process that
      involves the private and public sectors, including multiple levels of government.
      Five characteristics of the policy process are identified, which establish the
      means by which policies are formulated and which affect the nature of the
      policies that emerge. These characteristics include (1) the relationship of the
      government to the private sector; (2) the distribution of authority and
      responsibility within a federal system of government; (3) the relationship
      between policy formation and implementation; (4) a pluralistic ideology as the
      basis of politics; and (5) incrementalism as the strategy for reform. The article
      focuses on the impact on health policy of the distribution of authority and
      responsibility within the federal system, particularly the impact of new
      federalism policies as they emerged during the past decade. The effects of dual
      federalism, cooperative federalism, creative federalism, and new federalism are
      examined in relation to health policies. The article concludes with an
      examination of the challenge to long-established values and health policies posed
      by new federalism.

PMID- 10261432
TI  - Creative Leaders: they generate the magic that best results. Interview by
      Jonathan Walters.

PMID- 10261434
TI  - Enlightened persuasion or how to get people to see things your way.

PMID- 10261433
TI  - Your legal responsibilities as a member of the board.

PMID- 10261435
TI  - Selecting an advertising agency: look before you leap.

PMID- 10261436
TI  - Stalking the elusive computer.

PMID- 10261437
TI  - How major MD groups negotiate. Medical muscle.

PMID- 10261438
TI  - What you need to know about your hospital's competitive position: a guide to
      planning, executing and evaluating marketing audits for hospital administrators.
      Part I.

PMID- 10261439
TI  - The need for public involvement in medicine: the national economy and the public
      interest necessitate increased consumer activity in monitoring medical practices.
      Part I.

PMID- 10261440
TI  - Audio teleconferencing: a simple, frugal alternative.

PMID- 10261441
TI  - Exploring the potential of computer-assisted medical illustration.

PMID- 10261442
TI  - The group insurance myth revisited.

PMID- 10261443
TI  - Over the short haul: some effects of automating health claims.

PMID- 10261444
TI  - Essential equipment for ambulances. Committee on Trauma, American College of
      Surgeons, revised, May 1983.

PMID- 10261445
TI  - Time: a manager's most important asset.

PMID- 10261446
TI  - Seven rules for disciplining problem employees.

PMID- 10261447
TI  - Giving instructions that get followed.

PMID- 10261448
TI  - Resolving differences.

PMID- 10261449
TI  - Making fringe benefits pay.

PMID- 10261450
TI  - Self-appraisals: the next stage in performance evaluations.

PMID- 10261451
TI  - Group problem solving: how to be an effective participant.

PMID- 10261452
TI  - A more systematic approach to employee development.

PMID- 10261453
TI  - The principal players in your organization's information system.

PMID- 10261454
TI  - Let's get a handle on QWL.

PMID- 10261456
TI  - Child abuse: the ultimate betrayal.

PMID- 10261455
TI  - Private violence.

PMID- 10261457
TI  - Wife beating: the silent crime.

PMID- 10261458
TI  - Rape: the sexual weapon.

PMID- 10261459
TI  - How to beat hospital costs.

PMID- 10261460
TI  - Plague again.

PMID- 10261461
TI  - Gay America in transition.

PMID- 10261462
TI  - The new era of transplants.

PMID- 10261463
TI  - New wave computer crime.

PMID- 10261464
TI  - Family obligations.

PMID- 10261465
TI  - Pharmaceutical Reimbursement Board; maximum allowable cost (MAC) limits and
      announcement of public hearing--HCFA. Proposed notice.
AB  - The Pharmaceutical Reimbursement Board (PRB) proposes maximum allowable cost
      limits on the drugs specified below and announces a public hearing with regard to
      these proposed MAC limits.

PMID- 10261466
TI  - Grants, loans and loan guarantees for construction and modernization of hospitals
      and medical facilities--PHS. Reinstatement of rule.
AB  - This rule amends Title 42 of the Code of Federal Regulations by reinstating the
      provision at Section 53.134 concerning notification of the Department of the
      transfer of a medical facility assisted under Title VI of the Public Health
      Service Act (the Hill-Burton Act) or termination of services provided in the
      facility. The provision was incorrectly deleted in a rule published on August 6,
      1979, 44 FR 45946.

PMID- 10261467
TI  - Pharmaceutical Reimbursement Board; rinal maximum allowable cost (MAC)
      determinations for certain drug products--HCFA. Final notice for maximum
      allowable cost determinations.

PMID- 10261468
TI  - Governing body requirements for health systems agencies--PHS. Final rule.
AB  - This rule amends the portion of the Health Systems Agency Designation and Funding
      Regulation (March 26, 1976) prescribing the composition of health systems agency
      governing bodies and deletes the subsection of that regulation which limits the
      number of consecutive years a governing body member may serve. This rule is being
      issued pursuant to a court order.

PMID- 10261469
TI  - Grants to state health planning and development agencies determination of
      population of the states.

PMID- 10261470
TI  - Voluntary protection programs to supplement enforcement and to provide safe and
      healthful working conditions--OSHA. Notice of implementation of revised voluntary
      protection programs.
AB  - OSHA announces the implementation of three Voluntary Protection Programs. The
      programs, revised from the January 19, 1982, notice in the Federal Register (47
      FR 2796), seek out and recognize exemplary safety and health programs as a means
      of expanding worker protection. Companies, general contractors, and small
      business organizations which meet specified programmatic safety and health
      criteria, which go beyond OSHA standards in providing safe and healthful
      workplaces for their employees, and which want to do more than is required to
      help the agency accomplish the goals of the Act are the applicants OSHA seeks for
      these voluntary programs. In return, OSHA will remove participants from general
      schedule inspection lists and give priority attention to any which request a
      variance. The programs are called "Star." "Try," and "Praise."

PMID- 10261471
TI  - Block grant programs--Office of the Secretary, HHS. Final rules.
AB  - These rules implement seven block grant programs established by the Omnibus
      Budget Reconciliation Act of 1981 (Pub. L. 97-35). The block grants replace a
      large number of programs now administered by the Federal Government, transfer
      primary responsibility for their administration to the States, and confer
      substantial discretion on the States as to use of the block grant funds.

PMID- 10261472
TI  - Federal Old-Age, Survivors, and Disability Insurance and Supplemental Security
      Income for the Aged, Blind and Disabled; representative payment--SSA. Final rule.
AB  - These final regulations reorganize and restate in simpler language our
      regulations on representative payment under titles II, Old-Age, Survivors, and
      Disability Insurance (OASDI), and XVI, Supplemental Security Income for the Aged,
      Blind, and Disabled (SSI) of the Social Security Act. These regulations (1)
      explain representative payment; (2) state when title II and title XVI benefits
      will be paid to a representative payee rather than directly to the entitled
      person; (3) indicate the procedure we follow in selecting a representative payee;
      (4) specify the responsibilities of a representative payee; and (5) clarify our
      responsibilities to the beneficiary when we make payments to a representative
      payee on his or her behalf.

PMID- 10261474
TI  - Recombinant DNA research; actions under guidelines--NIH. Notice of actions under
      NIH guidelines for research.
AB  - This notice sets forth actions taken by the Director, National Institute of
      Allergy and Infectious Diseases, by authority of the Director, NIH, under the
      April 1982 Guidelines for Research Involving Recombinant DNA Molecules (47 FR
      17180).

PMID- 10261473
TI  - Health maintenance organizations--PHS. Final regulations.
AB  - This rule amends the Public Health Service regulations on qualification of health
      maintenance organizations (HMOs). Changes are made in the procedural requirements
      for entities to obtain qualification as federally qualified HMOs. These changes
      include requirements relating to Freedom of Information requests and deletion of
      the fair hearing provision. Adoption of these amendments will update the
      requirements for HMOs seeking Federal qualification.

PMID- 10261475
TI  - Guidelines for research involving recombinant DNA molecules.

PMID- 10261476
TI  - Private Land Mobile Radio Services--Federal Communications Commission. Final
      rule.
AB  - The Commission adopts a Second Report and Order releasing reserved radio spectrum
      in the 806-821/851-866 MHz bands for Private Land Mobile Radio Service use. The
      rules adopted provide enhanced flexibility in radio system design and user
      options. The action is necessary to satisfy land mobile spectrum needs across the
      country.

PMID- 10261477
TI  - Health financing research and demonstration grants; availability of funds for
      grants--HCFA. General notice.
AB  - This notice announces the availability of HCFA funds for certain priority
      research and demonstration grants for fiscal year 1983. It contains information
      about the subject areas for grants that will be given priority, project
      requirements, application procedures, amounts and duration of grants, and waiver
      of state plan requirements for demonstration projects. HCFA makes funds available
      for activities that will help to resolve major health financing policy and
      program issues or to develop innovative methods for the administration of
      Medicare and Medicaid.

PMID- 10261478
TI  - Equipment acquired under public assistance programs--HHS. Final rule.
AB  - This rule revises and consolidates current HHS regulations concerning Federal
      financial participation in the cost of equipment under HHS supported public
      assistance programs. The rule also revises and consolidates current regulations
      on the management and disposition of equipment under these programs. The rule
      would permit State public assistance agencies to claim the cost of most of their
      equipment acquired at the time of purchase rather than depreciating the equipment
      over its useful life as required by the current regulations. This change would
      allow these agencies to claim Federal financial participation in the cost of the
      equipment at an earlier date than under the current regulations and would
      simplify the accounting requirements associated with the equipment.

PMID- 10261479
TI  - Exemption of certain research and demonstration projects from regulations for
      protection of human research subjects--DHHS. Notice of proposed rulemaking.
AB  - The Department of Health and Human Services (the Department or HHS) is proposing
      to include among the types of research specifically exempt from the application
      of the regulatory requirements of 45 CFR Part 46 (protection of human research
      subjects), research and demonstration projects conducted under the Social
      Security Act and other Federal statutory authority and designed to study certain
      public benefit or service programs, the procedures for obtaining benefits or
      services under those programs, and possible changes or alternatives to those
      programs or procedures, including changes in methods or levels of payment. This
      proposed amendment to the revised final regulations for protection of human
      research subjects (published January 26, 1981) would, in effect, restore to the
      regulations an exemption included in the initial notice of proposed rulemaking
      (NPRM) (published August 14, 1979). These demonstration and service projects are
      already subject to procedures which provide for extensive review by high level
      officials in various program administration offices. Review by an IRB would be
      duplicative and burdensome to state and local agencies and to other entities
      participating in demonstration projects. Removal of an unnecessary layer of
      review will not only reduce the cost of the projects but help to avoid
      unnecessary delays in project implementation.

PMID- 10261480
TI  - Medical device reporting--FDA. Reproposal.
AB  - The Food and Drug Administration (FDA) is issuing a revised proposal to require
      manufacturers and importers of medical devices to report to FDA whenever the
      manufacturer or importer has information that reasonably suggests, or a person
      alleges and the manufacturer or importer is aware of the allegation, that a
      device has caused or contributed to a death or serious injury or that a device
      has malfunctioned, if a recurrence of the malfunction is likely to cause or
      contribute to a death or serious injury. After FDA analyzes the results of its
      manufacturer complaint file inspection program, the agency will consider whether
      any reports in addition to those proposed in this rule are necessary and, if so,
      will propose additional reporting requirements.

PMID- 10261481
TI  - Prescriptions; dispensing controlled substances in institutional practitioner
      emergency rooms--Drug Enforcement Administration, Justice. Withdrawal of proposed
      rule.
AB  - A Notice of Proposed Rulemaking published on September 17, 1982, would have
      amended Part 1306 of Title 21 of the Code of Federal Regulations to permit
      hospital emergency room personnel to dispense controlled substances to
      nonpatients when alternate pharmacy services were not available. This proposed
      action was initiated in response to requests from various state agencies and
      hospitals. After assessing the comments and objections to the proposal, the Drug
      Enforcement Administration (DEA) has determined that the need for the proposed
      rule change has not been established at this time and the proposal is therefore
      withdrawn for further study.

PMID- 10261483
TI  - Standards for the accreditation of educational programs for and the credentialing
      of radiologic personnel--PHS. Notice of proposed rulemaking.
AB  - These proposed regulations would establish standards for the accreditation of
      educational programs for radiologic personnel, and for the credentialing of such
      persons. These standards are proposed as part of the implementation of the
      Consumer-Patient Radiation Health and Safety Act of 1981 (Title IX of Pub. L. 97
      35), which requires their promulgation by regulation. The standards are voluntary
      for States and are intended to encourage the adoption of uniform accreditation
      and credentialing procedures.

PMID- 10261482
TI  - Privacy Act of 1974; proposed new routine uses--PHS. Notification of new routine
      uses permitting disclosure of information from four Privacy Act systems of
      records.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish new routine uses permitting
      disclosure of information from four Privacy Act systems of records maintained by
      the National Institutes of Health (NIH): 09-25-0008, "Administration: Radiation
      Workers Monitoring, HHS/NIH/ORS"; 09-25-0010, "Research Resources: Registry of
      Individuals Potentially Exposed to Microbial Agents, HHS/NIH/NCI"; 09-25-0077,
      "Clinical Research: Biological Carcinogenesis Branch Human Specimen Program,
      HHS/NIH/NCI"; and 09-25-0099, "Clinical Research: Patient Medical Records,
      HHS/NIH/CC." The NIH Office of Research Services (ORS) is responsible for the
      first of these systems. The National Cancer Institute (NCI), a component of NIH,
      maintains the second and third systems of records. The NIH Clinical Center (CC)
      maintains the fourth system. The new routine uses will allow disclosure to
      contractors for routine records keeping and processing activities. These
      disclosures will be wholly compatible with the purposes of these systems, as
      discussed below.

PMID- 10261484
TI  - Third party billing for cost and care provided by Indian Health Service--HRSA
      Options for Indian Health Service.
AB  - The notice sets forth a discussion of major approaches under consideration by the
      Health Resources and Services Administration (HRSA) to implement the
      Administration's proposed Fiscal Year 1984 budget with respect to expanding the
      billing and collection for services provided by the IHS from insurance companies
      and other sources.

PMID- 10261485
TI  - New examination for alien foreign medical graduates Visa requirement.

PMID- 10261486
TI  - Miscellaneous amendments to the HHS procurement regulations--HHS. Final rule.
AB  - The Office of the Secretary, Department of Health and Human Services is amending
      its procurement regulations by revising and updating the general provisions for
      use in fixed price and cost-reimbursement type contracts (HHS-314,-315,-315A, and
      316) and related miscellaneous amendments. The revisions will result in the
      consolidation of all additions, removals and revisions to the general provisions.
      The effect of the amendment will be the updating of the Department's general
      provisions.

PMID- 10261487
TI  - Privacy Act of 1974; clarification of record system notice--Office of the
      Assistant Secretary for Personnel Administration, HHS. Notice of changes to
      routine uses.
AB  - The Department is giving notice that it is deleting some and clarifying other
      existing routine use disclosures, clarifying the categories of individuals
      covered by the system, adding a restriction of the policy on access to the system
      by non-record subjects and non-Employee Counseling Service staff, and updating
      the list of system managers for the Privacy Act record system notice: 09-90-0010
      Employee Counseling Service Program Records, HHS/OS/ASPER. Records in this system
      contain information on employees who have been counseled by the Employee
      Counseling Services for alcohol abuse, drug abuse or emotional problems.

PMID- 10261488
TI  - Protection of human subjects; reports of the President's Commission for the Study
      of Ethical Problems in Medicine and Biomedical and Behavioral Research--Office of
      the Assistant Secretary for Health, HHS. Notice of availability of reports.
AB  - This notice summarizes the reports of the President's Commission for the Study of
      Ethical Problems in Medicine and Biomedical and Behavioral Research, provides
      information on how these reports may be obtained, and requests public comment on
      the reports. The following summaries are intended to highlight conclusions and
      recommendations and do not provide in themselves complete information. It is
      strongly suggested that interested persons obtain complete copies of reports in
      order to fully understand the context in which various conclusions and
      recommendations were made.

PMID- 10261489
TI  - Radiological health; evaluation of radiation exposure in diagnostic radiology
      examinations; availability of draft recommendations--FDA. Notice.
AB  - The Food and Drug Administration (FDA) announces the availability for public
      review and comment of draft recommendations on evaluation of radiation exposure
      in diagnostic radiology examinations, prepared by FDA's National Center for
      Devices and Radiological Health (NCDRH). In addition to the draft
      recommendations, FDA is making available background information, rationale, and
      NCDRH's response to comments that were received on a notice of inquiry regarding
      the need for and content of such recommendations. FDA is also encouraging private
      groups and individuals to join in the research efforts needed to develop further
      technique/exposure guidance and suggests a number of principles to be followed in
      these efforts so all interested parties may achieve consistent and useful
      results. Final recommendations, when developed, will be published as a technical
      report in NCDRH's radiation recommendation series.

PMID- 10261490
TI  - Limitation on federal participation for capital expenditures--PHS. Notice of
      proposed rulemaking.
AB  - Section 1122 of the Social Security Act, "Limitation on Federal Participation for
      Capital Expenditures," establishes under which the Secretary may deny Federal
      reimbursement under titles XVIII and XIX of the Act for expenses related to
      capital expenditures by or on behalf of health care facilities (1) which the
      health planning agency designated for a State has found to be inconsistent with
      standards, criteria, or plans developed under the Public Health Service Act, or
      (2) for which the designated planning agency was not provided notification as
      required. These proposed regulations include changes in the regulations now
      codified at 42 CFR Part 100 based on (1) the proposed amendments to the
      regulations published in the Federal Register on March 19, 1976, and comments
      submitted in response to that Notice, (2) the amendments to Title XV of the
      Public Health Service Act enacted by the Health Planning and Resources
      Development Amendments of 1979 (Pub. L. 96-79), the Health Programs Extension Act
      of 1980 (Pub. L. 96-538), and the Omnibus Budget Reconciliation Act of 1981 (Pub.
      L. 97-35), and (3) the amendments to section 1122 enacted by the Health
      Maintenance Organization Amendments of 1978 (Pub. L. 95-559), the Omnibus Budget
      Reconciliation Act of 1981 (Pub. L. 97-35), and the Social Security Amendments of
      1983 (Pub. L. 98-21). Interested persons are invited to submit written comments
      and suggestions concerning this Notice of Proposed Rulemaking (NPRM).

PMID- 10261491
TI  - Health systems agency and state health planning and development agency reviews;
      certificate of need programs--PHS. Notice of proposed rulemaking.
AB  - The Assistant Secretary for Health, with the approval of the Secretary of Health
      and Human Services, proposes to amend the regulations governing certificates of
      need reviews by State health planning and development agencies (State Agencies)
      and health systems agencies (HSAs). The proposed amendments would accomplish two
      tasks: (1) Implement amendments to the Public Health Service Act made by the
      Health Programs Extension Act of 1980 (Pub. L. 96-538) and the Omnibus Budget
      Reconciliation Act of 1981 (Pub. L. 97-35) and (2) reduce Federal regulatory
      burdens. Under the provisions of Title XV of the Public Health Service Act, the
      planning agencies are required to administer certificate of need programs
      consistent with the Secretary's regulations, under which they review and
      determine the need for proposed capital expenditures, institutional health
      services and major medical equipment. These regulations set forth proposed
      changes to the requirements for satisfactory certificate of need programs.
      Interested persons are invited to submit written comments and recommendations
      concerning these proposed rules as well as suggestions for alternative methods of
      implementing any of the provisions of the amendments that affect the requirements
      for certificate of need programs.

PMID- 10261492
TI  - Medicare and Medicaid programs; health care financing issues; solicitation of
      applications for a research center--HCFA. General notice.
AB  - HCFA is soliciting applications for a research center to participate in the study
      of health care financing issues. This project will be funded under the
      Cooperative Research or Demonstration Projects provisions of section 1110 of the
      Social Security Act. This solicitation contains information about research center
      functions, project requirements, application procedures, criteria to be used in
      reviewing applications, and the amount and duration of awards.

PMID- 10261493
TI  - Social Security benefits and supplemental security income; disability termination
      hearings at the reconsideration level--SSA. Notice of proposed rulemaking.
AB  - We are proposing regulatory changes to carry out a requirement of Pub. L. 97-455
      (enacted on January 12, 1983). That legislation requires several changes in the
      procedures used by the Social Security Administration (SSA) to conduct periodic
      reviews of disability cases for continuing eligibility. The proposed regulations
      would implement Sections 4 and 5 of the new law, which require SSA to make a face
      to-face evidentiary hearing available in connection with the reconsideration of
      any initial determination that an individual receiving disability benefits under
      title II of the Social Security Act (the Act) is not now disabled. We also
      propose to make the new reconsideration procedure available in blindness and
      disability termination cases in the Supplemental Security Income (SSI) program
      under title XVI of the Act, pursuant to the Secretary's broad rulemaking
      authority in the SSI program. Although Congress has not specifically required
      that we do so, it is customary to extend legislative improvements in the title II
      disability program to comparable SSI cases, since the medical eligibility
      requirements in both programs are quite similar. Moreover, the proposed inclusion
      of SSI blindness and disability termination cases would promote effective program
      administration by providing a uniform appeal procedure in the two programs. We
      believe that this new procedure will make the reconsideration level more
      meaningful in blindness and disability termination cases, that beneficiaries
      affected by these termination decisions will be better served and that the
      overall quality of the decisionmaking process will also be improved.

PMID- 10261494
TI  - Social Security benefits; disability insurance benefits; deductions, reductions,
      and nonpayments of benefits--SSA. Final rules with comment period.
AB  - These regulations amend the existing regulations under which Social Security
      benefits payable to a disabled worker and his or her family may be reduced
      because of the worker's concurrent entitlement to workers' compensation benefits.
      They provide that entitlement to certain other public disability benefits may
      reduce the disability benefits paid by Social Security; that the reduction
      applies to the first month of concurrent entitlement regardless of the month in
      which we are notified of entitlement to the public disability benefit; and that
      the reduction applies to all months of concurrent entitlement until the disabled
      worker attains age 65. These regulations also provide that where a public
      disability law or plan provides for reduction of the public disability benefit on
      the basis of entitlement to Social Security disability insurance benefits that
      provision will preclude reduction of the Social Security benefits but only if it
      was in effect on February 18, 1981. These regulations implement section 2208 of
      the Omnibus Budget Reconciliation Act of 1981 (Pub. L. 97-35).

PMID- 10261495
TI  - General and procurement by negotiation--DHHS. Proposed rule.
AB  - The Office of the Secretary, Department of Health and Human Services, is
      proposing to amend 41 CFR 3-1.453, Establishment of cost rates, to identify
      officials delegated authority to approve indirect cost rates and special rates
      for commercial organizations. Part 3-3, Procurement by negotiation, is proposed
      to be amended by adding a new Subpart 3-3.7. Negotiated overhead rates, which
      sets forth policies and procedures concerning the approval of indirect cost rates
      and special rates for use in the pricing and administration of contracts.

PMID- 10261496
TI  - Privacy Act; exempt record system--Office of the Secretary, DHHS. Notice of
      proposed rulemaking.
AB  - The Office for Civil Rights of the Department of Health and Human Services
      maintains a system of records entitled "Complaint Files and Log. HHS/OS/OCR." The
      Department intends to exempt this system from certain provisions of the Privacy
      Act, 5 U.S.C. 552a. The proposed exemption is authorized by subsection (k)(2) of
      the Privacy Act, which applies to investigative materials compiled for law
      enforcement purposes. The Office for Civil Rights (OCR) is authorized to gather
      information for civil and administrative law enforcement purposes pursuant to
      several statutes requiring nondiscrimination in programs or activities receiving
      Federal financial assistance. In order to maintain the integrity of the OCR
      investigative process and to access to complete and accurate information, the
      Department proposes to exempt this system, under subsection (k)(2), from the
      notification, access, correction and amendment provisions of the Privacy Act. The
      Department is requesting public comments on the proposed exemption.

PMID- 10261497
TI  - Privacy Act of 1974; report of routine use--Social Security Administration. New
      routine use disclosure.
AB  - In accordance with the Privacy Act (5 U.S.C. 552a(e)(11)), we are issuing public
      notice of our intent to establish a new routine use of information we maintain in
      the majority of our systems of records. The proposed routine use will enable us
      to disclose information, as necessary, when utilizing a contractor or other
      Federal agency to assist in the efficient administration of our programs.

PMID- 10261498
TI  - List of primary care, dental and psychiatric health manpower shortage areas
      designated under Section 332 of the Public Health Service Act.
AB  - This notice provides a list, updated as of December 31, 1982, of primary care,
      dental, and psychiatric health manpower shortage areas designated by the
      Secretary of Health and Human Services under the authority of section 332 of the
      Public Health Service Act.

PMID- 10261499
TI  - Deregulation of mobile customer premises equipment--FCC. Proposed rule.
AB  - In this Notice, the Commission proposes to deregulate all mobile telephone
      customer premises equipment (CPE). In the Second Computer Inquiry, the Commission
      directed common carriers to offer CPE on a nontariffed basis separate from their
      transmission offerings. However, the Commission expressly excluded mobile CPE
      from the scope of its decision. In this proceeding, the Commission will consider
      whether to conform the treatment of mobile CPE with its treatment of all other
      CPE.

PMID- 10261500
TI  - Reagan budget cuts leave non-profits slashing staff, scrambling for help.

PMID- 10261502
TI  - Self-insuring health benefits.

PMID- 10261501
TI  - Notice to federal publication users: supply is down and prices are up.

PMID- 10261503
TI  - Practising in the North can renew your sense of purpose.

PMID- 10261505
TI  - Behavioral medicine: an idea whose time is coming?

PMID- 10261506
TI  - The pyjama game: placement in pyjamas in Canadian psychiatric hospitals.

PMID- 10261504
TI  - The Stephen Dawson case: judging the right to survive.

PMID- 10261507
TI  - Secondary prevention in child psychiatry: an overview with ideas for action.

PMID- 10261508
TI  - Model policy: suction collection equipment. Nursing service policies and
      procedures.

PMID- 10261510
TI  - The revised Social Security law.

PMID- 10261509
TI  - Medical gas systems.

PMID- 10261511
TI  - Home care, who will benefit: the payor, the provider or the patient?

PMID- 10261512
TI  - Restructuring materials management may look tough, but one hospital's labor bore
      fruit--and saved dollars.

PMID- 10261513
TI  - Physical & mental problems turn into 'occupational illness'.

PMID- 10261515
TI  - Health maintenance organizations.

PMID- 10261514
TI  - Group purchasing program helps participating hospitals save thousands.

PMID- 10261516
TI  - Legal aspects of health care licensing and credentialing gain prominence.

PMID- 10261517
TI  - Survey discloses options used for reducing personnel costs.

PMID- 10261518
TI  - On-line I.D. card embossing in four University of California medical centers.

PMID- 10261519
TI  - Hospital computer trends for the 1980's.

PMID- 10261520
TI  - Computers in British healthcare.

PMID- 10261521
TI  - Developing a materials management system.

PMID- 10261522
TI  - From the basement to executive row.

PMID- 10261523
TI  - An uninformed buyer--a thought process.

PMID- 10261524
TI  - 'Save taxpayer dollars' is strict mandate to government designers.

PMID- 10261526
TI  - HMO: an acronym here to stay.

PMID- 10261525
TI  - ITV at Mercy Hospital--healthy and growing.

PMID- 10261527
TI  - Preferred provider organizations.

PMID- 10261528
TI  - Hospital cost containment: a payer's prognosis.

PMID- 10261529
TI  - 'Flying hospital' ready for OR procedures after 700-mile trips.

PMID- 10261530
TI  - 4th-year students enthusiastic about EM clerkships.

PMID- 10261531
TI  - Atlantis: a disaster simulation exercise for training purposes.

PMID- 10261532
TI  - Computers in emergency planning.

PMID- 10261533
TI  - Development of a computerized trauma registry.

PMID- 10261534
TI  - Patient assessment--a new approach.

PMID- 10261535
TI  - Survival EMS.

PMID- 10261536
TI  - Alabama EMS communications.

PMID- 10261537
TI  - Trauma centers: rationale.

PMID- 10261538
TI  - Private ambulance. The third party problem.

PMID- 10261539
TI  - EMS management: improving communication through active listening.

PMID- 10261540
TI  - We must change to survive!

PMID- 10261541
TI  - Keeping weather out and traffic moving.

PMID- 10261542
TI  - The bonnet method of carpet care: take a second look!

PMID- 10261543
TI  - The selection and evaluation of supplies.

PMID- 10261544
TI  - Carpet cleaning. What you really need to know.

PMID- 10261545
TI  - Environmental services carpet specification.

PMID- 10261546
TI  - The "image makers". Who are they?

PMID- 10261547
TI  - Take the right steps to prevent slips, trips and falls.

PMID- 10261548
TI  - Meeting responsibility: a safety program for housekeeping.

PMID- 10261549
TI  - House of hidden hazards.

PMID- 10261550
TI  - Hospital program blends lifestyle, occupational health.

PMID- 10261551
TI  - The Travelers--insuring health promotion.

PMID- 10261552
TI  - Selecting an effective smoking cessation program.

PMID- 10261553
TI  - Statistics unnecessary--Bonne Bell knows its program works.

PMID- 10261554
TI  - A simple technique for collecting, analyzing, and interpreting evaluative data.
AB  - Best Liked/Least Liked (BL/LL) is a straightforward technique for collecting
      information used in evaluation. The technique is composed of stages (data
      collection, data analysis, and data interpretation) that are characterized by the
      ease with which they are accomplished. Further, the technique admits of
      flexibility in both range of applicability (some achievement testing and the
      measuring of effect) and scope of use (it can be narrowly focused or used to
      collect information on unintended outcomes). The technique is described here and
      examples are presented of its use both narrowly and broadly focused, and in
      service of both achievement testing and affective measurement.

PMID- 10261556
TI  - Obtaining generalizability coefficients for clinical evaluations.
AB  - This article discusses the determination of reliability coefficients for clinical
      evaluation forms by use of generalizability theory. This method is contrasted to
      some of the commonly used measures of interobserver agreement, interobserver
      reliability, and classical reliability. The value of this method in terms of
      making recommendations, such as the number of judges and the number of items on a
      form, in order to improve reliability is illustrated by two examples. Also, the
      difference between norm-referenced decisions and criterion-referenced decisions
      in determining reliability with this method is presented.

PMID- 10261555
TI  - An evaluation of the impact of a continuing education course in diabetes.
AB  - This article represents the results of an evaluation of a continuing education
      program for dietitians. The evaluation was built into the program at its
      inception and involved an assessment of participant satisfaction, short-term
      knowledge gain and a follow-up assessment of self-reported behavior change. The
      results of this evaluation indicate that the course did, indeed, impact on both
      knowledge and behavior. In addition, however, the evaluation also uncovered some
      problems in planning which minimized the potential impact of this course. These
      results suggest that there should be increased attention to rigorous educational
      needs assessment and both process and impact program evaluations in order to
      determine approaches to education that could make more effective use of the
      resources available for continuing education in health care.

PMID- 10261557
TI  - Physical health and self-esteem.

PMID- 10261559
TI  - The evaluation of self-esteem.

PMID- 10261558
TI  - Self-esteem through the life span.

PMID- 10261560
TI  - Enhancement of self-esteem in children and adolescents.

PMID- 10261561
TI  - Enhancement of self-esteem in adults.

PMID- 10261562
TI  - Future needs for self-esteem research and services.

PMID- 10261563
TI  - Update: marketing at Lovelace.

PMID- 10261564
TI  - Introducing Preferred Providers of America.

PMID- 10261566
TI  - A "cutback" play in health stocks.

PMID- 10261565
TI  - A descriptive analysis of knowledge about breast cancer.

PMID- 10261567
TI  - Humidification alternatives for air conditioning.

PMID- 10261568
TI  - First certificate of need inventory released.

PMID- 10261569
TI  - Health care supervision: a special kind of management?

PMID- 10261570
TI  - Technology: guiding the hand that leads us.

PMID- 10261571
TI  - Does an effective clinician make an effective manager?

PMID- 10261572
TI  - Interviewing skills: selecting the right candidate.

PMID- 10261573
TI  - The departmental budgeting process.

PMID- 10261574
TI  - The supervisor as a responsible listener.

PMID- 10261575
TI  - Hospital purchasing: meeting the challenges of the 1980s.

PMID- 10261576
TI  - Nontraditional work schedules: their use in the health care setting.

PMID- 10261577
TI  - Job descriptions: development and use.

PMID- 10261578
TI  - The visible supervisor.

PMID- 10261579
TI  - Team nursing for today's hospital.

PMID- 10261580
TI  - Liability and the supervisor.

PMID- 10261581
TI  - The health care management triad: MBO, performance appraisal and compensation.

PMID- 10261582
TI  - Productivity and the supervisor.

PMID- 10261583
TI  - A supervisory challenge: the difficult employee.

PMID- 10261584
TI  - Effective control of absenteeism.

PMID- 10261585
TI  - Women in health care management.

PMID- 10261586
TI  - Value analysis: every supervisor's responsibility.

PMID- 10261587
TI  - Supervisor, manage yourself.

PMID- 10261588
TI  - The overly dependent employee.

PMID- 10261589
TI  - Introducing change effectively.

PMID- 10261590
TI  - Perceptive communications.

PMID- 10261591
TI  - The head nurse as a first-line manager.

PMID- 10261592
TI  - Organizational relationships: how the parts make up the system.

PMID- 10261593
TI  - Emergency planning. Preparing for nuclear war.

PMID- 10261594
TI  - Waste disposal: smoke, smuts and sharps.

PMID- 10261595
TI  - Building contracts: proof of the pudding.

PMID- 10261596
TI  - Tailor made budgeting.

PMID- 10261597
TI  - Explaining the house rules.

PMID- 10261598
TI  - Caring for refugees: life and death on North West Frontier.

PMID- 10261599
TI  - Supplies: facing up to the challenge.

PMID- 10261600
TI  - Administration at work, Part 1. Balancing the act.

PMID- 10261601
TI  - Computer systems: a mix of modules.

PMID- 10261602
TI  - Development in computers: French lessons.

PMID- 10261603
TI  - Employment law: getting the contract right.

PMID- 10261604
TI  - Caring for the elderly: old and the new.

PMID- 10261606
TI  - Maternity care compared.

PMID- 10261605
TI  - Administration at work, Part 2. Catering cookie crumbles.

PMID- 10261607
TI  - Planning alternative services: changing places.

PMID- 10261608
TI  - Administration at work, Part 3. Are doctors managing?

PMID- 10261609
TI  - Wizardry in Wessex. Interview by Alison Hyde.

PMID- 10261610
TI  - Patients' monies: think now buy later.

PMID- 10261611
TI  - Joint planning: Surrey with the forum on top.

PMID- 10261612
TI  - On the road to health.

PMID- 10261613
TI  - Administration at work, Part 4. Covering their tracks.

PMID- 10261614
TI  - Private health care: can't pay, must wait.

PMID- 10261616
TI  - Estate management: opportunity cost knocks.

PMID- 10261615
TI  - Law and the patients: subject to attack.

PMID- 10261617
TI  - Estate management: ground rules for the sales rush.

PMID- 10261618
TI  - Health education: getting across the facts of life.

PMID- 10261619
TI  - Administration at work, Part 5. Imagining the unimaginable.

PMID- 10261620
TI  - Employment law: burden of proof.

PMID- 10261621
TI  - Cardiac rehabilitation: lift up your hearts.

PMID- 10261622
TI  - Mental health law: protect and surmise.

PMID- 10261623
TI  - Hospital clothing: dressing up the theatre.

PMID- 10261624
TI  - Cutting hospitals down to size.

PMID- 10261626
TI  - Health education: pointing the way.

PMID- 10261625
TI  - Ward design: a mix of methods.

PMID- 10261627
TI  - Will Big Brother be watching those days off?

PMID- 10261628
TI  - Learning to love the DIY sick note.

PMID- 10261629
TI  - Aids for the educator.

PMID- 10261630
TI  - Estate management: property boom beckons.

PMID- 10261631
TI  - Watch around the clock.

PMID- 10261632
TI  - Hospital information: redundant data?

PMID- 10261634
TI  - Health in WHO's hands.

PMID- 10261633
TI  - Health education: choices for health.

PMID- 10261635
TI  - Fast food with everything.

PMID- 10261636
TI  - On-the-job training.

PMID- 10261637
TI  - Trouble over the time sheets.

PMID- 10261639
TI  - NHS training: planning for performance.

PMID- 10261638
TI  - NHS training: development agents.

PMID- 10261640
TI  - Hospital information: help over HAA hurdles.

PMID- 10261641
TI  - Contract catering: a price for a job.

PMID- 10261642
TI  - Who cares for machines?

PMID- 10261643
TI  - Coping with the cancer crisis.

PMID- 10261644
TI  - Immigrant health care: a little help from their friends.

PMID- 10261645
TI  - Data protection: confidence trick.

PMID- 10261646
TI  - Employment law: reorganisation's odd man out.

PMID- 10261647
TI  - Nursing organisation, Part 1. When the organisation needs a check-up.

PMID- 10261648
TI  - The gentle touch.

PMID- 10261649
TI  - Screen test scores high.

PMID- 10261650
TI  - Carry on caring for the staff.

PMID- 10261651
TI  - One-stop health shop.

PMID- 10261652
TI  - Anatomy of a medical complaint.

PMID- 10261653
TI  - Nursing organisation, Part 2. Tangled web of responsibility.

PMID- 10261654
TI  - High tech for hire.

PMID- 10261655
TI  - Hearings with hearsay.

PMID- 10261656
TI  - Nursing organisation, Part 3. Power to the sisters.

PMID- 10261657
TI  - Are unit administrators and directors of nursing services making the grade?

PMID- 10261658
TI  - The contribution of the education centres to stronger unit management.

PMID- 10261659
TI  - Strengthening unit management--the Solihull experience.

PMID- 10261660
TI  - What are the chances for stronger unit management?

PMID- 10261661
TI  - Financial management--a critical factor for effective delegation units.

PMID- 10261662
TI  - Pay determination in the NHS--a system for the future.

PMID- 10261663
TI  - The Review Body on Doctors' and Dentists' Remuneration--some lessons for the
      nurses?

PMID- 10261664
TI  - Interview with Rodney Bickerstaffe, General Secretary of NUPE.

PMID- 10261665
TI  - Test your knowledge of negotiating principles.

PMID- 10261666
TI  - Is it legal for a hospital to purchase supplies for physicians to use in their
      own offices?

PMID- 10261667
TI  - Drug price inflation slows but competition is limited.

PMID- 10261668
TI  - Should purchasing groups offer warehousing to their members?

PMID- 10261669
TI  - Reusable vs. disposable O.R. linen: which is really cheaper?

PMID- 10261670
TI  - Administrative support: the key to effective materials management.

PMID- 10261671
TI  - Gannon University offers purchasing/materials management correspondence course.

PMID- 10261673
TI  - The mechanics of a post payment audit.

PMID- 10261672
TI  - Reimbursement: the trend towards management contracts.

PMID- 10261674
TI  - "Revolution" occurring in health care system, believes Deputy Administrator.

PMID- 10261675
TI  - Hospitals should no longer be viewed as acute inpatient providers, says AHA
      expert.

PMID- 10261676
TI  - Federal antitrust laws and hospital concerns.

PMID- 10261677
TI  - Survey of small hospitals reveals admitting concerns.

PMID- 10261678
TI  - Admitters double collections using expert strategies.

PMID- 10261679
TI  - Very Important Patient card trims time spent in admitting.

PMID- 10261680
TI  - Admitters devise ways to get discharge notice from nursing.

PMID- 10261682
TI  - Experts give strategies for facing change without stress.

PMID- 10261681
TI  - Admitters can find medical records with tracking system.

PMID- 10261683
TI  - Medicolegal advice to admitters: don't turn away poor ER patients.

PMID- 10261684
TI  - Admitters can help flag credit risk patients.

PMID- 10261685
TI  - An interview with Gary Urbanowicz.

PMID- 10261686
TI  - Protecting against infant kidnapping.

PMID- 10261688
TI  - Health service building in the Northern Region.

PMID- 10261687
TI  - Profile of the Northern Region.

PMID- 10261689
TI  - Priorities in Newcastle--characters in a northern landscape.

PMID- 10261690
TI  - Services for the mentally handicapped in Newcastle--an adventure in partnership.

PMID- 10261691
TI  - How efficient is the NHS?

PMID- 10261692
TI  - Microcomputing resources for management in the NHS. Report of a survey.

PMID- 10261693
TI  - Equity and an equal opportunity for treatment.

PMID- 10261694
TI  - A cook-freeze catering system for peripheral units.

PMID- 10261695
TI  - The role of the clinical representative on the unit management team.

PMID- 10261696
TI  - Catering in hospitals.

PMID- 10261697
TI  - Being businesslike.

PMID- 10261698
TI  - The search for a new pay system.

PMID- 10261699
TI  - Administrative manpower in the NHS: the 1979 survey.

PMID- 10261700
TI  - National computer strategy--is it achievable?

PMID- 10261701
TI  - Value for money in computers--an economic appraisal.

PMID- 10261702
TI  - Successful forecasting for service planning.

PMID- 10261703
TI  - Efficiency in the NHS. A regional chairman's view.

PMID- 10261704
TI  - Hospitals-towards 2000. The development of the Mt. Druitt Community Hospital.

PMID- 10261706
TI  - The Korner Report and its implementation.

PMID- 10261705
TI  - The NHS and the consumer.

PMID- 10261707
TI  - A miracle in Brooklyn.

PMID- 10261708
TI  - Serving the poor: positive approaches from across the nation.

PMID- 10261709
TI  - Colorado nurses train while patients sleep.

PMID- 10261710
TI  - The hospital and megatrends. Part 2.

PMID- 10261712
TI  - Carner's codes. Directors.

PMID- 10261711
TI  - Health care manager's notebook. Managing growth.

PMID- 10261713
TI  - Layoffs: hospitals must be aware of age discrimination issues when laying off
      employees.

PMID- 10261714
TI  - ICPs face pressures from cost containment.

PMID- 10261715
TI  - Problems identified for ICPs who do antibiotic review.

PMID- 10261716
TI  - Energy saving from very high temperature refuse burning.

PMID- 10261717
TI  - Health care design--the role of works staff.

PMID- 10261718
TI  - Unique solutions to infection control procedure deficiencies.

PMID- 10261720
TI  - Prompt drug distribution called vital part of quality assurance.

PMID- 10261719
TI  - UR and MR responsibilities to increase under new Mass. law.

PMID- 10261721
TI  - Charges and countercharges continue in pacemaker dispute.

PMID- 10261722
TI  - Antibiotic monitors needed to prevent inappropriate uses.

PMID- 10261723
TI  - Cost containment can preserve quality of care.

PMID- 10261724
TI  - Education called key to rational antibiotic use.

PMID- 10261725
TI  - "Charge Doctor' policy ends buck-passing among physicians.

PMID- 10261726
TI  - Reviews of surgical complications pay off in several different ways.

PMID- 10261727
TI  - Three Supreme Court rulings nullify several abortion restrictions.

PMID- 10261728
TI  - Residence offers alternatives to unwed mothers.

PMID- 10261729
TI  - SMHC system evaluates model's effectiveness.

PMID- 10261730
TI  - Protestant clergy discuss pastoral care issues.

PMID- 10261731
TI  - Physician-administrator collaboration slows hospital cost increases.

PMID- 10261732
TI  - Christian approaches to employee performance problems.

PMID- 10261733
TI  - The Eucharist in health care settings: some pastoral care issues.

PMID- 10261735
TI  - Employer attention to employee complaints may avert labor disputes.

PMID- 10261734
TI  - Shelter for homeless demonstrates hospital's mission.

PMID- 10261736
TI  - Most hospital records subject to pretrial discovery by adversaries.

PMID- 10261737
TI  - Vicariously liable hospitals may obtain indemnity from contract physicians.

PMID- 10261738
TI  - Jesus: Model of ministry.

PMID- 10261739
TI  - Urban hospital survives by corporate, medical merger.

PMID- 10261740
TI  - Family/staff conferences open communication, resolve problems.

PMID- 10261742
TI  - Should Catholic health facilities encourage organ donations?

PMID- 10261741
TI  - Employee committees enhance communications, productivity.

PMID- 10261743
TI  - Lack of timely cesarean delivery constitutes actionable negligence.

PMID- 10261745
TI  - Hospitals have limited liability for unforeseeable violent acts.

PMID- 10261744
TI  - Full disclosure required of manufacturer selling older equipment.

PMID- 10261747
TI  - Perspectives on standardization. A materiel manager's perspective.

PMID- 10261746
TI  - State association heads foster Catholic values, care for poor.

PMID- 10261748
TI  - Policies and procedures for product evaluation and standardization.

PMID- 10261749
TI  - Who makes up the standardization committee?

PMID- 10261750
TI  - Making the standardization committee effective.

PMID- 10261751
TI  - A supply price index for single hospitals: development and application.

PMID- 10261752
TI  - Determining the effectiveness of the standardization process.

PMID- 10261753
TI  - Perspectives on standardization. A vendor's perspective.

PMID- 10261754
TI  - Materiel distribution system: a step-by-step description.

PMID- 10261755
TI  - Evaluation and selection of computerized alternatives for hospital materiel
      control.

PMID- 10261756
TI  - The product standardization process: structuring for effectiveness.

PMID- 10261757
TI  - The future of product evaluation.

PMID- 10261758
TI  - Major functions, proper size and membership of the product evaluation and
      standardization committee.

PMID- 10261759
TI  - Bioprosthetic heart valves: current status.

PMID- 10261760
TI  - Building a referral base.

PMID- 10261761
TI  - The CCU and coronary artery disease mortality.

PMID- 10261762
TI  - Starting in practice--Part 1. Determining location and getting acclimated.
      Interview by George Pattison and Janice Jencarelli.

PMID- 10261763
TI  - Psychology: implications for health care design.

PMID- 10261765
TI  - Wildcat strike held protected activity.

PMID- 10261764
TI  - No freedom of religion violation in NLRB certification of bargaining unit in
      church hospital.

PMID- 10261766
TI  - Wisconsin and Maine adopt mandatory rate-setting systems to control hospital
      costs.

PMID- 10261767
TI  - California upholds hospital requirement that physicians obtain malpractice
      insurance with a "recognized insurance company".

PMID- 10261768
TI  - Computerization: when and how much?

PMID- 10261769
TI  - Prepare for the change.

PMID- 10261770
TI  - It works: advice for your internal medicine practice.

PMID- 10261771
TI  - 100,000 health fair volunteers offer $100 million in health education services.
      Congress calls on American people to take advantage of screening opportunities.

PMID- 10261772
TI  - No golden door: the health care and non-care of the undocumented.

PMID- 10261773
TI  - Look out for number one. Illegal practices in the "ethical" medical supply
      industry.

PMID- 10261774
TI  - Survey finds EtO users 'informed' on gas' risks.

PMID- 10261775
TI  - NME emphasizes committed volume.

PMID- 10261776
TI  - New concepts in managing meetings.

PMID- 10261777
TI  - Product evaluation is cost-effective.

PMID- 10261778
TI  - Reduce stress, increase productivity.

PMID- 10261779
TI  - Accentuate the positive: eliminate the negative.

PMID- 10261780
TI  - Control hazards before they cause problems.

PMID- 10261781
TI  - Incident reporting systems: risk management components.

PMID- 10261782
TI  - Improved psychiatric records cut liability.

PMID- 10261783
TI  - Importance of two-way communication.

PMID- 10261784
TI  - Using hospital records to prove liability.

PMID- 10261785
TI  - Cut risk, save money with hospital-wide credentialing.

PMID- 10261787
TI  - Medicine and management: an evolving partnership.

PMID- 10261786
TI  - Salaried doctors.

PMID- 10261788
TI  - One 'secret' to a successful reorganization: communication.

PMID- 10261789
TI  - Hospital cost controls will stifle new drug technology.

PMID- 10261790
TI  - Other viewpoints on the effects of cost controls.

PMID- 10261791
TI  - Controlling moxalactam and cefotaxime use with a target drug program.
AB  - A target drug program was utilized to prevent increasing costs associated with
      inappropriate use of moxalactam and cefotaxime. The cost saving abilities of
      pharmacists in this regard were calculated. Pharmacists consulted with physicians
      each time these drugs were prescribed to encourage cefazolin substitution when
      appropriate. Records of all cephalosporin piggyback doses dispensed were
      maintained along with quarterly purchase data. Excess costs of utilizing third
      generation cephalosporins in place of cefazolin were calculated for various usage
      levels. Actual third-generation usage was compared to usage predicted if no
      target program was in place, and cost saving was calculated. During the study
      period, combined moxalactam and cefotaxime use averaged 3.2% of total
      cephalosporin use at a cost of $4109 per month. Based on an expected predicted
      usage of 20% to 40%, an annualized cost savings of $91,071 to $202,815 was
      achieved. Clinical pharmacists were very effective in preventing inappropriate
      use of moxalactam and cefotaxime, preventing a rise in drug costs.

PMID- 10261792
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--part 2.

PMID- 10261793
TI  - First-year research findings from multihospital systems project.

PMID- 10261794
TI  - The strategic side of dividends.

PMID- 10261795
TI  - Achieving the potential of decision support systems.

PMID- 10261796
TI  - Reward preferences of nurses: a marketing concept viewpoint.
AB  - A survey of 500 nurses in a midwestern urban area was conducted to determine
      their preferences for intrinsic and extrinsic rewards in their jobs. This study
      indicates that in light of the expectancy/valence principle of motivation,
      hospitals and other employers of nursing services that individualize reward
      offerings should be in a much better position to recruit, and retain, nurses.

PMID- 10261797
TI  - Patient ties to ambulatory care providers: the concept of provider loyalty.
AB  - This paper introduces a cognitive measure of provider loyalty. Correlates of
      provider loyalty are investigated, and results are presented comparing provider
      loyalty with traditionally used measures of patient ties for predicting interest
      in and choice of a new health care provider. Implications for planning and
      marketing new forms of ambulatory care delivery systems are discussed and
      directions for future research are suggested.

PMID- 10261798
TI  - Improving the distribution of health care services by understanding nurse job
      choice decisions.
AB  - The application of multi-attribute choice models in the field of nursing provides
      a method for health care administrators to use in coping with the high level of
      turnover and nurse shortage. By segmenting respondents via multi-attribute model
      importance characteristics, the problems of reducing turnover and attracting
      nurses can be approached with greater efficiency and effectiveness. This study
      found that the use of multi-attribute models for predicting employment, and for
      segmenting and nurses' attitudes toward hospital employment, can be applied in a
      meaningful and usable fashion.

PMID- 10261799
TI  - Legal guidelines to health services marketing: issues & checklists.

PMID- 10261801
TI  - A community marketing survey of a proposed ambulatory care facility.

PMID- 10261800
TI  - Marketing hyperopia.

PMID- 10261802
TI  - Managers rank competence and integrity as most-desired values.

PMID- 10261803
TI  - The pros and cons of participative management.

PMID- 10261804
TI  - A Socratic dialogue on participative management.

PMID- 10261805
TI  - Why quality circles failed at 21 firms.

PMID- 10261806
TI  - How good a time-killer are you?

PMID- 10261807
TI  - Coaching...a management tool for a more effective work performance.

PMID- 10261808
TI  - How to set up a corporate wellness program.

PMID- 10261810
TI  - NJ hospital completes renovation of laundry at cost of $750,000.

PMID- 10261809
TI  - Day care: still waiting its turn as a standard benefit.

PMID- 10261811
TI  - Newly renovated prison laundry to service county nursing home.

PMID- 10261812
TI  - Safety feature in hospital beds may be eliminated following death in Illinois.

PMID- 10261813
TI  - The Knife and Gun Club: as usual, an emergency.

PMID- 10261814
TI  - Medic Alert: Dr. Collins' good idea.

PMID- 10261815
TI  - Ethical decisions in medicine.

PMID- 10261817
TI  - Evaluating your personal management style.
AB  - Every medical group manager develops his own managerial leadership style. This
      style is based on personal background and education, an individual conception of
      what management and leadership are, and analysis and application of management
      theory. The author identifies many responsibilities that an administrator must
      assume to effectively manage--responsibilities which are closely tied to employee
      motivation. Motivational theories are discussed, as well as the application of
      techniques based on principles. The author has also distilled what he considers
      to be the essential qualities of a successful management style.

PMID- 10261816
TI  - Whatever happened to medical unions?

PMID- 10261818
TI  - Mediation. A problem-solving strategy.
AB  - The medical group manager is an organizational problem solver. By using the
      centuries-old technique of mediation, the manager can increase the likelihood of
      achieving constructive results from problems. Mediation is not a vague counseling
      device; it is a process with clearly outlined stages requiring specific skills:
      restructuring, development of alternatives, agreement, and implementation. The
      goal of mediation is a "win-win" situation in which the adversaries have been
      guided to determine for themselves how they can both get what they want. By
      cultivating the art of mediation, the manager can become a more effective problem
      solver and foster an atmosphere of ongoing harmony in the medical group.

PMID- 10261819
TI  - Purchasing chemotherapeutic drugs from independent pharmaceutical firms.
AB  - The advent of a centralized chemotherapy department at a single-specialty private
      clinic solved many existing problems, but created a significant new one-
      purchasing the increased amount of necessary chemotherapeutic drugs. Sufficient
      quantities became difficult to procure, the cost fluctuated inexplicably, and too
      often expired drugs were received. Doctors, nurses, and patients alike became
      more and more frustrated, and the problem threatened the viability of the
      department. In this case study, the author relates the process of entering into
      purchasing agreements with independent pharmaceutical companies and a wholesale
      supply house, and the results of this arrangement.

PMID- 10261820
TI  - The 9 ingredients of high productivity.
AB  - At a time when many groups are experiencing financial trauma, it has become
      mandatory to step back and review some of the basics of medical group practice
      operation. A fundamental of paramount importance to every group practice is high
      productivity. Similarities have been observed in nine specific areas among groups
      that are ranked consistently in the upper ten percentile of productivity:
      marketing strategy, workload scheduling, management environment, physician
      compensation plan, clinic layout, systems and procedures, staff support of
      personnel management, ancillary departments, and financial management. By
      summarizing the common characteristics in these nine areas found in groups that
      are consistently highly productive, the author has mapped out a road to success.
      If your group is experiencing financial problems, or perhaps just experiencing
      more slippage than you would like to admit, this article provides the perfect
      opportunity for you to sit back, take stock, and zero in on areas that could use
      some work.

PMID- 10261821
TI  - Managing and selling change.
AB  - The successful achievement of change has become a hallmark of the effective
      medical group manager. In the face of the inevitability of change, as dictated by
      the rapidly progressing healthcare industry and business environment, every
      manager must take a firm grip on the change process. The author presents an in
      depth analysis of change, including a point-by-point description of the process
      and discussion of technical and systematic preparation, proper presentation and
      implementation, anticipation of personnel and priority problems, and behavioral
      implications. Out of this multitude of considerations comes a collection of
      wisdoms regarding the change process that will be useful to every manager as he
      implements change and prepares his organization for the future.

PMID- 10261822
TI  - Financing through leasing equipment.
AB  - Long-range planning through the acquisition of capital equipment basically
      involves considering two alternatives--buy or lease. Choosing which of these
      alternatives is more advantageous for a medical group will depend upon a number
      of factors including the specific financial terms associated with the purchase or
      lease of the equipment, potential technological obsolescence of the equipment,
      and the financial posture of the group at the time of the decision.

PMID- 10261823
TI  - Advice leads to success. The Durwood Medical Clinic, Inc.
AB  - When the Durwood Medical Clinic, Inc. of Charlotte, North Carolina, decided to
      either expand its existing facility or construct a new clinic, it sought the
      advice of administrators who had experienced the same situation. The group was
      advised to obtain assistance from experienced facility planners early in the
      project. By following the advice of consultants and builders, the group created
      not only a beautiful new building, but one that also was completed ahead of time
      and within budget.

PMID- 10261824
TI  - Won by losing.
AB  - We are living in a fitness-conscious society. There is greater emphasis on
      looking and feeling our best. Though this is not a new concept, many more people
      are becoming involved in weight reduction and exercise programs. Some of these
      programs have been successful while others have failed. The experience of one
      medical group that sponsored a competitive team weight loss program is offered.
      The program provided just the incentive and support that its employees needed to
      make a commitment to their health. It also proved to be a great morale booster.

PMID- 10261825
TI  - National health insurance--what price survival?

PMID- 10261826
TI  - The state of automated information systems in ambulatory health care.
AB  - The development of moderately priced microprocessors has led to a new and complex
      set of information processing alternatives within the healthcare sector. Small
      group practices and some solo practitioners now find it technologically possible
      and economically feasible to automate some parts of their information system.
      With the introduction of this new and highly complicated technology comes a
      series of opportunities and problems for the healthcare consumer and provider.
      The article examines a number of the issues related to computer utilization in
      the ambulatory care setting.

PMID- 10261827
TI  - Wading through computerese.
AB  - Minicomputers, microcomputers, supercomputers, disks, disk drives, diskettes,
      bits, bytes, input, output, COBOL, FORTRAN, RPG, memory, "K", CRT, CRU, etc.,
      etc. What does all this mean, and more importantly, what can it do for you, the
      medical group manager, possibly faced with your first hard decision regarding the
      use of computers in the day-to-day business of running your medical group? The
      author provides a glossary of these and many other terms for you and puts them in
      proper perspective so you are more easily able to wade through the morass of
      computerese jargon. Further, a number of considerations are presented which will
      give you a base from which to operate, and a series of questions are presented
      relative to each of the considerations. Your answers will generate enough
      information relative to any system to enable you to make a reasoned decision
      about that system. It is not the intent of this article to tell you which system
      is best--you must judge that for yourself as you evaluate the questions and
      considerations presented in the light of your unique setting.

PMID- 10261828
TI  - The data processing dilemma.
AB  - With the inevitability of automation at hand, today's medical groups must face
      the data processing dilemma with objectivity and thoroughness. The author
      sketches a background of the evolution of data processing for medical groups and
      briefly reviews the factors involved in the decision of whether to use a service
      bureau or buy a computer system. The essence of this article, however, is a
      discussion of the development of an RFP. A detailed outline of the elements
      necessary to include is provided, and format, distribution, and evaluation of
      proposals are all addressed. In conclusion, important considerations in the final
      selection, negotiation, and conversion processes are presented.

PMID- 10261829
TI  - Don't treat the symptoms.
AB  - All too often, managers base their decisions about purchasing computers on
      perceptions of needs rather than on examination of real needs and the factors
      which generated those needs. By thoroughly documenting and reviewing the group's
      present activities for potential computer application, the manager can make a
      well-informed study of possible solutions, and eventually assess which software
      packages will best meet the group's needs.

PMID- 10261830
TI  - The electronic medical assistant.
AB  - While the applications of computers for administrative procedures in the medical
      group practice is widely accepted, use of the computer for compiling purely
      clinical data has merit as well. A Denver-based physician shares his experience
      of using computers for such manual procedures as taking medical histories,
      generations of the physical examination record, diagnostic assessments, drug
      interaction searches, disease indexing, health education programs, and more.

PMID- 10261831
TI  - The competitive edge--group or solo practice?
AB  - Although the general public has viewed the introduction of automation into
      business activities as depersonalizing, the Laconia Clinic addressed the issue of
      the patient/clinic relationship with a program of personalization through
      automation. In answer to competition from solo practitioners, the clinic
      developed an automated information traffic system combined with personal
      interaction.

PMID- 10261832
TI  - Consider a microcomputer.
AB  - Although computers have proven to be effective tools in managing the
      administrative aspects of a medical group practice, many groups are hesitant to
      invest in this new technology. They are concerned about huge capital expenditures
      for equipment, the consequences of the implementation period, and failures that
      many groups are reported to have experienced in this endeavor. Microcomputers are
      a low-cost method through which a medical group can experiment with computerized
      information systems without taking the risk of total conversion from a manual to
      an automated system. The experience of the Sterling Heights Center in
      implementing a microcomputer is helpful to any group considering such a system.

PMID- 10261833
TI  - Custom design.
AB  - The most successful software programs are those that are developed through close
      interaction between programmers and industry professionals. The Cape Girardeau
      Surgical Clinic found that custom-tailored programs resulted in proper billing
      and handling of its patient population.

PMID- 10261834
TI  - The right to die in peace.

PMID- 10261836
TI  - Health within reach: some missing links in development.

PMID- 10261835
TI  - In praise of the dai as a promoter of primary health care.

PMID- 10261837
TI  - The problems of health and hospital organisations in India--some administrative
      change--(change in structural-functional approach).

PMID- 10261838
TI  - Trent RHA patient administration computer systems.

PMID- 10261839
TI  - Computerised patient administration system--second generation.

PMID- 10261840
TI  - The computer--friend or foe?

PMID- 10261841
TI  - Real world awaits chief residents in emerging class of '83.

PMID- 10261842
TI  - Activist PAC formed as alternate medical voice on health issues.

PMID- 10261843
TI  - Trade restraint suit filed against AMA.

PMID- 10261844
TI  - Guidelines for recall of blood from AIDS donors? FDA says no.

PMID- 10261845
TI  - Doctors hope cut-rate 'preferred provider' organizations can fill empty waiting
      rooms.

PMID- 10261846
TI  - Generating revenues beyond taxation.

PMID- 10261847
TI  - How cost accounting can help local governments.

PMID- 10261848
TI  - Eyeball to eyeball with indirect costs.

PMID- 10261849
TI  - Focus on litigation support. Part 1: The rules of the game.

PMID- 10261850
TI  - Focus on litigation support. Part 2: How to use an expert witness.

PMID- 10261851
TI  - Focus on litigation support. Part 3: How to be an expert witness.

PMID- 10261852
TI  - Healthy, wealthy, and wise.

PMID- 10261853
TI  - Medicine on the move.

PMID- 10261854
TI  - Can employers cut the cost of health benefits?

PMID- 10261855
TI  - Sizing up your staff.

PMID- 10261856
TI  - The medical-industrial complex.

PMID- 10261857
TI  - Visible means of support.

PMID- 10261858
TI  - High tech anxiety.

PMID- 10261859
TI  - Using quality circles to spot and solve lab problems.

PMID- 10261860
TI  - Is your lab ready for quality circles?

PMID- 10261861
TI  - Build productivity into your work environment.

PMID- 10261862
TI  - Preparing for a potential personnel shortage.

PMID- 10261863
TI  - Salary survey: how chief techs compare with other hospital managers.

PMID- 10261864
TI  - Continuing education records made easy.

PMID- 10261865
TI  - For better performance, try applied job descriptions.

PMID- 10261866
TI  - Plotting a course for laboratory improvements.

PMID- 10261867
TI  - Cost containment in microbiology.

PMID- 10261868
TI  - Volunteers: keeping the heart in health care.

PMID- 10261869
TI  - How to groom a new supervisor.

PMID- 10261870
TI  - A close-up look at the CLT proficiency exam.

PMID- 10261871
TI  - You can change self-defeating attitudes.

PMID- 10261872
TI  - Professional image: a self-fulfilling prophecy.

PMID- 10261873
TI  - When imminent death is inevitable.

PMID- 10261874
TI  - We have an image problem. Part I.

PMID- 10261875
TI  - Shoring up a shaky image. Part II.

PMID- 10261876
TI  - A look at the high attrition rate among technologists.

PMID- 10261878
TI  - Dress up the profession.

PMID- 10261877
TI  - Troubleshooting lab-nursing service problems.

PMID- 10261879
TI  - Quality assurance training in the RIA lab.

PMID- 10261880
TI  - An alternative to Social Security: hospitals have a choice.

PMID- 10261881
TI  - The benefits buzz word: cafeteria plans.

PMID- 10261882
TI  - New system at DMC for spinal patients.

PMID- 10261884
TI  - A new era is here.

PMID- 10261883
TI  - Malpractice premiums will reach new high.

PMID- 10261885
TI  - Hospital information in planning and control.

PMID- 10261886
TI  - Competitive forces in hospital care: the physician's, administrator's roles.

PMID- 10261887
TI  - Decision support systems in hospitals.

PMID- 10261888
TI  - The MHA Interactive Data System: an overview.

PMID- 10261889
TI  - New MHA data system to answer key questions for management.

PMID- 10261890
TI  - Employee selection based on susceptibility to occupational illness.

PMID- 10261891
TI  - Contract management/shared services survey. Hire/fire power is key to profits.

PMID- 10261892
TI  - Contract management/shared services survey. Managers save hospitals money, but
      some may drop contractors.

PMID- 10261893
TI  - Contract management/shared services survey. Shared service activity might spurt
      in '83 after sluggish '82.

PMID- 10261894
TI  - Contract management/shared services survey. 'Super-group' slashes prices.

PMID- 10261895
TI  - Contract management/shared services survey. Hospital alliance forays widen the
      realm of shared services.

PMID- 10261896
TI  - Public hospitals need good offense to resist takeovers by for-profits.

PMID- 10261897
TI  - Need more M.D.s? Here's how to tell.

PMID- 10261898
TI  - Don't panic over pension plan ruling.

PMID- 10261899
TI  - Baxter shows hospitals how to use cost data to prepare for price competition.

PMID- 10261900
TI  - Armed with real cost data, hospitals target least costly way to provide care.

PMID- 10261901
TI  - System meets challenge of competition while it helps out inner city hospitals.

PMID- 10261902
TI  - NMR dilemma: should a hospital be a technology 'leader' or 'follower'?

PMID- 10261903
TI  - Start-up woes inherent in high tech.

PMID- 10261904
TI  - Networks cut costs, reliance on vendor.

PMID- 10261905
TI  - Competition's stiff, but interiors aren't.

PMID- 10261906
TI  - Contract management/shared services survey. Use of management contracts climbs
      16.7%; clients up 7.1%.

PMID- 10261907
TI  - Contract management/shared services survey. Contract revenue shooting up 21%.

PMID- 10261908
TI  - Small group teaching via telephone in continuing medical education.
AB  - Small (three to five members) group teleconferences led by consultants were used
      as one part of educational follow-up to individual medical audit studies in
      hypertension. The original studies were carried out in the offices of 51 private
      practice physicians. A number of techniques were used to improve physician
      acceptance of the teleconference method. Before the teleconference, participants
      received biographical information about the consultant as well as an outline
      describing how the call was to be structured. In practice, a varied format was
      used, beginning with questions from the physicians, followed by the consultant's
      discussion of study results, and ending with a period during which the physicians
      had an opportunity to raise additional questions. Evaluation of the calls showed
      that most physicians thought their study results had been kept anonymous by the
      consultant. Most thought the length of time (usually one hour) was satisfactory,
      and most agreed that they learned both from the consultant and other group
      members. Of all the educational components in the audit study (record review
      results, articles, or patient education materials), the telephone conference by
      far received the highest acceptance score.

PMID- 10261909
TI  - An assessment of an operational educational accountability system for continuing
      education in the health professions.

PMID- 10261910
TI  - Competencies for continuing education faculty in the health professions.
AB  - Formal pre- and postdoctoral health professional education and continuing health
      professional education are different in their designs, contents, and respective
      student bodies. Faculty must, therefore, acquire and use an appropriate teaching
      approach for each group. The competencies necessary in a continuing education
      setting may be unique to this setting or they may be modifications of skills used
      in the formal setting. They include: assessing needs, designing curricula,
      employing a learner-centered approach, insuring relevance, establishing a
      learning set, using flexible and varied methods, individualizing, and evaluating.
      This paper provides descriptions of rationales for these competencies.

PMID- 10261911
TI  - Abortion politics and public policy.

PMID- 10261912
TI  - The nursing home industry; at the center of change.

PMID- 10261913
TI  - Nursing home buying group comes of age.

PMID- 10261914
TI  - Career dynamics: managing the superior/subordinate relationship.
AB  - Building on research and writing in the fields of career management and mentor
      relationships, Baird and Kram analyze the superior-subordinate relationship as an
      exchange to which each party brings different needs and resources. They point out
      that this relationship can be productive and satisfying--both for the parties
      concerned and for the organization--when the needs of one party match the
      resources of the other. The article includes a checklist for analyzing how the
      superior-subordinate relationship operates as an exchange and how the resources
      of the parties mesh or fail to mesh. They do on to show how the superior
      subordinate relationship and the needs of the parties change as each moves
      through individual career and life cycles. What was once a productive
      relationship may, in time, become unproductive, or vice versa. In any event, its
      dynamic nature requires that it be managed. Baird and Kram suggest five steps for
      managing the relationship as it moves through these changes: (1) Recognizing that
      the relationship is an exchange; (2) identifying clearly one's own as well as the
      other party's needs; (3) understanding how the subordinate's and boss's needs fit
      together and recognizing that the relationship is likely to change; (4)
      understanding the constraints under which the boss operates; (5) establishing a
      feedback and evaluation process for continuously assessing the relationship.

PMID- 10261915
TI  - Keeping them up in the air safely.

PMID- 10261916
TI  - Portable ladders. National Safety Council.

PMID- 10261917
TI  - Guidelines for fire extinguishers.

PMID- 10261918
TI  - How to stretch your security dollar.

PMID- 10261919
TI  - Security's bottom line--fire prevention.

PMID- 10261920
TI  - Developing a fire safety surveillance checklist.

PMID- 10261922
TI  - For cradle-to-grave protection assign hazardous materials duty.

PMID- 10261921
TI  - Union helps establish local burn unit.

PMID- 10261923
TI  - Health cover pooling bill gains the approval of NAIC.

PMID- 10261925
TI  - Supreme Court bans bias in pregnancy benefits.

PMID- 10261926
TI  - 'Phenomenal growth' in PPOs cited by Pru exec.

PMID- 10261924
TI  - Insurers join the opposition to tax cap on health premiums.

PMID- 10261927
TI  - Partisan battle lines being drawn over health cover for unemployed.

PMID- 10261928
TI  - Professor calls for national health insurance.

PMID- 10261930
TI  - UB-82 and state uniform billing committees.

PMID- 10261929
TI  - Pacific Mutual launches attack on health costs.

PMID- 10261931
TI  - Adult preoperative education program.

PMID- 10261932
TI  - The new technology: boon or boondoggle?

PMID- 10261933
TI  - Promoting self-control in patients.

PMID- 10261934
TI  - Consumer rights education: where are we going?

PMID- 10261935
TI  - The expanding rights of unrepresented employees.

PMID- 10261936
TI  - Nurse recruiting: Part 2.

PMID- 10261937
TI  - Choosing the proper training medium.

PMID- 10261938
TI  - Two alternatives to traditional sick leave programs.

PMID- 10261939
TI  - Planning for recruitment advertising: Part 1.

PMID- 10261941
TI  - Brainstorming as a flexible management tool.

PMID- 10261940
TI  - Coordination of benefits: uncovering buried treasure.

PMID- 10261942
TI  - How important is interpersonal communication?

PMID- 10261943
TI  - The employer's role in alcoholism assistance.

PMID- 10261944
TI  - Prevention research in field settings: a guide for practitioners.
AB  - The need for research in prevention has never been greater, while the support for
      such research is declining. A partnership between prevention practitioners and
      researchers is recommended. To play an active role in this resource network
      practitioners must learn more about the applied research process. This paper
      describes the major phases of that process and discusses the decisions which
      practitioners must make at each research step. The paper makes recommendations
      for conducting research on a shoestring budget and emphasizes special problems
      encountered in field settings.

PMID- 10261946
TI  - Special roles of mental health professionals in self-help group development.
AB  - Provision of services to self-help/mutual aid groups is a natural outgrowth of
      the goals, objectives and activities of consultation and education (C & E)
      departments of community mental health centers. The C & E services of the
      Ravenswood Community Mental Health Center has, during the past several years,
      provided several forms of assistance to a variety of developing and established
      self-help groups in the Chicago area. Through this experience, the roles of
      mental health professionals in facilitating the development and maintenance of
      self-help groups have been explored. The provision of assistance at several
      stages of group development without challenging the autonomy and voluntary nature
      of self-help groups is a basic requirement for all professionals involved in
      group development. With careful recognition of the needs and nature of such
      groups, mutually satisfactory long-term relationships can be established between
      self-help groups and mental health professionals.

PMID- 10261945
TI  - Stress, coping, and Black mental health: preliminary findings from a national
      study.
AB  - Despite the fact that blacks are disproportionately exposed to social conditions
      considered to be antecedents of psychiatric disorder, epidemiologic studies have
      not conclusively demonstrated that blacks exhibit higher rates of mental illness
      than whites. The present paper employed a research approach which considered not
      only rates of psychological distress, but also the stressors that blacks face and
      the various coping strategies used to adapt to those stressors. The data were
      obtained from the National Survey of Black Americans, the first study of a
      national probability sample of the adult black population. The information on
      mental health and coping was collected within the context of a single stressful
      personal problem. The analysis indicates that prayer was an extremely important
      coping response used by blacks especially among those making less than $10,000,
      above the age of 55 and women. The informal social network was used quite
      extensively as a means of coping with problems. This was true for all
      sociodemographic groups studied. The young (18-34) were less likely than those
      age 35 and above to seek professional help, while women were more likely than men
      to seek formal assistance. Income was not related to professional help seeking.
      With respect to the use of specific professional help sources, hospital emergency
      rooms, private physicians and ministers were used most frequently. The
      implications of these findings for research on black mental health and primary
      prevention are discussed.

PMID- 10261947
TI  - Couples counseling for the elderly.

PMID- 10261948
TI  - Rural mental health. A battered women's network.

PMID- 10261949
TI  - Rural mental health. A partnership with physicians.

PMID- 10261950
TI  - Natural helpers seminar.

PMID- 10261951
TI  - Expanded information/referral services.

PMID- 10261952
TI  - Oral histories. A nursing home project.

PMID- 10261953
TI  - A continuum of health care.

PMID- 10261955
TI  - Licensing and credentialing of health care providers.

PMID- 10261954
TI  - Emergency department medical history: principles and techniques.

PMID- 10261956
TI  - Drug noncompliance in the elderly.

PMID- 10261958
TI  - The Pride Long Term Home Health Care Institute of St. Vincent's Hospital.

PMID- 10261957
TI  - The Chicago Five Hospital Homebound Elderly Program: a long term home care model.

PMID- 10261959
TI  - A study of discharge delays in Rhode Island hospitals.

PMID- 10261960
TI  - Home health care for the rural elderly: experiences in Florida and Kentucky.

PMID- 10261961
TI  - The role of the family in long term home health care.

PMID- 10261962
TI  - Teaching about home care in a geriatric education program: problem or panacea?

PMID- 10261963
TI  - On Lok Senior Health Services--a community care organization for dependent
      adults.

PMID- 10261964
TI  - Life care retirement centers: a concept in development.

PMID- 10261965
TI  - Financing home care with home equity.

PMID- 10261966
TI  - Public speaking: replace insecurity with persuasiveness.

PMID- 10261967
TI  - How to write general and scientific papers: an outline.

PMID- 10261968
TI  - Purchasing dilemma: replace or refurbish.
AB  - X-ray systems reach a point when they no longer function properly, and a decision
      must be made as to whether to repair, replace or refurbish. Factors influencing
      this decision are the condition and performance of the system and its
      relationship to other apparatus in the department. Improvements in performance
      are often possible through the use of better tubes, collimators, generators,
      intensifiers and other major components. Consideration may also be given to
      applying newer technologies in digital imaging and beam filtration.

PMID- 10261969
TI  - The relationship of organizational needs to leadership styles.
AB  - Technologists bring to the radiology department individual needs which are
      incorporated into their work environment. These needs can be termed "satisfiers";
      they can also be categorized. The ability to recognize individual or group needs
      gives a manager the opportunity to alter leadership style in conjunction with the
      situation. The ability to satisfy needs can be a beneficial tool towards group
      motivation for goal attainment.

PMID- 10261970
TI  - Quality circles: a tool for the radiology administrator.
AB  - Quality Circles, a type of "international process consultation," can be of great
      assistance in dealing with conflicts, employee turnover and low productivity in
      radiology departments. Radiology administrators need to know how to implement
      Quality Circles in their departments and realize its associated benefits. Quality
      Circles could establish the needed psychological interdependence among
      radiographers as well as other staff in the hospital.

PMID- 10261971
TI  - Health care data in the United States.
AB  - This article serves as an introduction to the following article, An Inventory of
      U.S. Health Care Data Bases. As an introduction, this article-reviews the
      characteristics of U.lS. Health Care Data. These characteristics include a lack
      of common definition and uniformity of reporting of observations, systems that
      are sometimes duplicative, and a resistance to data sharing on the part of
      collecting agencies, arising from the pluralistic American health care economy.
      Yet federal, state, and local governments as well as private organizations need
      health data to operate and evaluate their programs. Moreover, recent shifts to
      block grants and cutbacks in federal funding without accountability requirements
      will adversely affect our ability to adequately monitor the impact of these
      programs on the nation's health. The article discusses these data issues, but
      also emphasizes the need for coordination between the government and private
      sectors.

PMID- 10261972
TI  - An inventory of U.S. health care data bases.
AB  - This inventory presents brief descriptions of 144 current (1976-1982)
      nonbibliographic, computer-readable data bases containing national health care
      information that have been collected by public and private sector organizations
      and agencies throughout the United States and that are available to researchers
      outside the sponsoring organization. The descriptions include information about
      sponsors, purpose and scope, sampling procedures, frequency, and availability;
      they also include Medical Subject Headings (MeSH) indicating the content of each
      data base. In addition, names and telephone numbers of persons to be contacted
      for further information are provided. The descriptions are indexed by data base
      titles and by MeSH terms.

PMID- 10261973
TI  - Rehabilitation of patients with chronic respiratory disease.
AB  - The difficulties that face the patient with chronic respiratory disease are
      complex and interrelated. Caring for such patients requires a holistic approach,
      including psychologic support and education of patient and family, combined with
      physical therapy, administration of bronchodilators, and oxygen therapy.

PMID- 10261974
TI  - Transporting patients with respiratory emergencies.
AB  - The victim of a traffic accident, a person with severe respiratory distress
      secondary to chronic pulmonary disease, and a tiny neonate born in a hospital
      lacking the necessary facilities for intensive care all can benefit from recent
      developments in ground and air emergency transport.

PMID- 10261975
TI  - Options for ventilating the pediatric patient. Part 2. Choosing the right
      technique.
AB  - The recommendations set forth here are based partly on empirical clinical data
      and partly on physiologic principles. Because both sources of information are
      incomplete, some of the advice offered will doubtless prove incorrect. The
      techniques must be individualized, and this requires first a good understanding
      of the pathophysiology involved and then a process of manipulation of variables
      with careful monitoring of their effect by appropriate "dependent variables."
      Optimal ventilator management is possible only with a good working relationship
      among physician, nurse, and respiratory technologist.

PMID- 10261976
TI  - St. Joseph Mercy Hospital's renovation.

PMID- 10261977
TI  - Expert shares tips for writing policy manuals.

PMID- 10261978
TI  - Government and voluntary agency relationships.
AB  - The concept of "voluntary agency" is being radically but almost imperceptibly
      revised under the press of events in the world of social welfare organization and
      finance. The term now embraces traditional nonprofit social agencies, proprietary
      agencies offering similar services often financed by the public sector, social
      programs financed by industry for its employees, and the family as a primary
      service provider. This evolution demands a major reconsideration of the new
      relationship between government and the voluntary agency.

PMID- 10261979
TI  - Policy sources of worker dissatisfactions: the case of human services in aging.
AB  - This article explores job dissatisfaction experienced by service providers in the
      field of aging and the policy sources of such dissatisfactions. Workers
      interviewed identified four major areas of complaint about their jobs: lack of
      resources, agency problems, mandates and regulations, and client characteristics.
      Such problems, it is argued, are associated with specific characteristics of
      policies under which the respondents work. These characteristics include the
      symbolic nature of legislation, policy ambiguity, universal entitlement, and
      calculated fragmentation. Whether or not policy changes should be made to
      alleviate worker dissatisfactions is discussed in the concluding section of the
      article.

PMID- 10261980
TI  - Managing 'minor' disorders: pathways to a hospital accident and emergency
      department.
AB  - Empirical research examining the decision-making processes involved in the
      management of problematic signs and symptoms has either focused on a specific
      condition or examined more general decision rules. The problem with these
      approaches is the difficulty in identifying which elements are specific to
      certain complaints and which are more generally applicable. The study presented
      here shows a comparison of the processes involved in the decision to seek medical
      care for sufferers with different types of complaint. This comparison identified
      various different elements in the decision-making processes which were shown to
      have considerable implications for their pattern of help-seeking behaviour and
      their pathways to the hospital accident and emergency department.

PMID- 10261981
TI  - Loss of self: a fundamental form of suffering in the chronically ill.
AB  - Physical pain, psychological distress and the deleterious effects of medical
      procedures all cause the chronically ill to suffer as they experience their
      illnesses. However, a narrow medicalized view of suffering, solely defined as
      physical discomfort, ignores or minimizes the broader significance of the
      suffering experienced by debilitated chronically ill adults. A fundamental form
      of that suffering is the loss of self in chronically ill persons who observe
      their former self-images crumbling away without the simultaneous development of
      equally valued new ones. As a result of their illnesses, these individuals suffer
      from (1) leading restricted lives, (2) experiencing social isolation, (3) being
      discredited and (4) burdening others. Each of these four scores of suffering is
      analysed in relation to its effects on the consciousness of the ill person. The
      data are drawn from a qualitative study of 57 chronically ill persons with varied
      diagnoses.

PMID- 10261983
TI  - Viewpoint: sociology and medicine: a polemic.

PMID- 10261982
TI  - Class, perceptions of 'disordered' behaviour, and suggestions for therapy: a tri
      cultural comparison.
AB  - This paper presents findings from a tri-cultural study in which we argue that
      class differences pertain not only to rates of mental illness but also to
      recognition of symptoms of mental illness and to recommendations concerning what
      should be done by those exhibiting 'disordered behaviour'. It is hypothesized
      that regardless of respondent's cultural background, the extent to which a
      deviant behaviour will be defined as a mental health problem, and professional
      therapy will be suggested as a source of help for that problem, will be
      positively related to class. Findings from a sample selected from two small West
      Texas communities, and samples selected from Durango, Mexico, and Juiz de Fora,
      Brazil, indicate strong support for the first prediction only among the West
      Texas sample, whereas the second hypothesis concerning therapy suggestions is
      strongly supported among respondents in all three cultural settings. We conclude
      that these class differences in perceptions and suggestions concerning five
      examples of 'disordered' behaviours read to respondents relate to conditions of
      lower-class life in general. Particularly, structural support found for our
      hypothesis leads us to suggest a need for informal, nonbureaucratic mental health
      care systems created to serve lower-class populations residing in class-oriented
      societies, regardless of cultural differences which may exist among these
      societies.

PMID- 10261984
TI  - Retrofit electrical systems for greater reliability.

PMID- 10261985
TI  - From the illusion of quality assurance to the reality of accountability: don't
      miss out on the action!

PMID- 10261986
TI  - Overdosing on medical technology.

PMID- 10261987
TI  - Too many boards neglect the import of labor on the hospital's success.
AB  - Although human capital is decisive in the success of the hospital, the absence of
      an agenda item dealing with human capital characterizes too many board meetings.
      The author suggests several possible actions, including the development of board
      policies on human capital, a broadening of perspectives to embrace "an arithmetic
      of quality," and visibility for key staff members at board meetings.

PMID- 10261988
TI  - How to shape incentive plans for the hospital's top executives.
AB  - Surprisingly few hospital boards use incentive payment plans for their top
      executives. In this article, the author provides a rationale for their use,
      reviews various incentive plan formats, and suggests a sample incentive contract.

PMID- 10261989
TI  - Does your board have labor policies for cutbacks, wages, and unions?
AB  - The author suggests that it is time for boards' strategic planning committees to
      examine their hospitals' labor policies and merge their planning and personnel
      needs. Considerations concerning cutbacks, wages and benefits, and relationships
      with unions are discussed.

PMID- 10261990
TI  - Trustees' growing role in development explored at 'Future Options' meeting.

PMID- 10261991
TI  - As I see it: proper role of the board, the CEO, and the medical staff.

PMID- 10261992
TI  - Social Security plan digested by industry.

PMID- 10261993
TI  - Facility tests new computerized patient care management system.

PMID- 10261995
TI  - Dining program promotes dietary, mental health.

PMID- 10261994
TI  - New game turns therapy into fun.

PMID- 10261996
TI  - How to visit loved ones in a nursing home.

PMID- 10261997
TI  - Study shows respite care helps homes and families.

PMID- 10261998
TI  - Geriatric pharmacy needs assessed in Alabama.

PMID- 10262000
TI  - States explore new inspection tools.

PMID- 10261999
TI  - Family responsibility: who should foot the bill!

PMID- 10262001
TI  - Bill children for parents' nursing care?

PMID- 10262002
TI  - Conscience, curiosity and compassion.

PMID- 10262003
TI  - Perspectives. Transplant technology outpaces policies.

PMID- 10262004
TI  - Perspectives. AIDS and the blood supply.

PMID- 10262005
TI  - Care of the elderly in New Zealand.

PMID- 10262006
TI  - Care of the elderly in the USA.

PMID- 10262007
TI  - Caring for the aged in Australia.

PMID- 10262008
TI  - Care of the elderly in the United Kingdom.

PMID- 10262009
TI  - Care of the elderly in the Netherlands.

PMID- 10262010
TI  - Meeting the challenge of an aging population in Sweden.

PMID- 10262011
TI  - Health care in the Mexican Republic.

PMID- 10262012
TI  - Health care in English cities.

PMID- 10262013
TI  - Health care in Indian cities.

PMID- 10262014
TI  - Innovations in health care delivery in two large cities of the United States.

PMID- 10262015
TI  - Hospital practice in large cities in Canada.

PMID- 10262016
TI  - Health care in the county of Stockholm.

PMID- 10262017
TI  - The urban poor are also sick.

PMID- 10262018
TI  - The Centre for Research into Physical Resources for Health (CIRFS).

PMID- 10262019
TI  - Design trends in USA.

PMID- 10262020
TI  - Design trends in Sweden.

PMID- 10262021
TI  - Design trends within the U.K. for new hospital buildings.

PMID- 10262022
TI  - The hospital of the future.

PMID- 10262023
TI  - Computers in health care in Canada.

PMID- 10262025
TI  - Computerised information systems in health care in Latin America.

PMID- 10262024
TI  - Computers in health care in the United Kingdom.

PMID- 10262026
TI  - Report on the 15th IHF special study visit. Computerised hospital information
      systems.

PMID- 10262027
TI  - The Central Department of Information on Emergencies and Disasters (CIPEC).

PMID- 10262028
TI  - Computers in the public hospitals in France.

PMID- 10262029
TI  - Encouraging trends in hypertension control.

PMID- 10262030
TI  - A role for churches in hypertension management.

PMID- 10262031
TI  - Selection, training, and utilization of health counselors in the management of
      high blood pressure.

PMID- 10262032
TI  - An overview of the 1980 National Master Facility Inventory Survey of nursing and
      related care homes.

PMID- 10262034
TI  - Medical advances raise ethical questions.

PMID- 10262033
TI  - A renaissance for human services: marketing for survival.

PMID- 10262035
TI  - Resources urged for elderly.

PMID- 10262036
TI  - Emergency center group hits AMA guidelines.

PMID- 10262037
TI  - In Washington, D.C. all-out attack launched on infant mortality.

PMID- 10262038
TI  - Good marketing is consistent with good medical care: seminar.

PMID- 10262039
TI  - System offers Lifeline to elderly, disabled.

PMID- 10262041
TI  - In danger of closing: one hospital's story.

PMID- 10262040
TI  - Interest booms in home health care.

PMID- 10262042
TI  - NMR: state of the art in medical imaging.
AB  - The future of NMR imaging in medicine seems bright. Absence of known biologic
      hazard, lack of moving parts, and ability to measure multiple tissue parameters
      should make it the study of choice in many clinical situations, while its ability
      to create detailed tomographic images in any plane, with both anatomic detail and
      tissue specificity, should revolutionize diagnostic radiology. The additional
      information gained about metabolic processes in vivo may well change our entire
      understanding of health and disease.

PMID- 10262043
TI  - American Hospital Radiology Administrators: a decade of progress.
AB  - The AHRA in ten years has made much progress toward accomplishing its goals. The
      organization has established standards for professional conduct in hospital
      radiology department administration, fostered communication with other
      professional organizations, and expanded educational services to its members.

PMID- 10262044
TI  - Trials and tribulations of the radiology administrator: purchasing.
AB  - Half or more of a radiology department budget typically is taken up by supplies
      and capital equipment. Purchasing procedures differ for the two kinds of items,
      and so too does the role of the radiology administrator. Responses to Applied
      Radiology's survey of radiology administrators indicate that the differences are
      mainly due to the different degrees of involvement by radiologists and hospital
      administrators.

PMID- 10262045
TI  - The potential for computerization of ultrasound images.

PMID- 10262046
TI  - The dollars and sense of silver recovery.

PMID- 10262047
TI  - The patterns of care study: a specialty effort to improve care.
AB  - The Patterns of Care Study is a comprehensive ongoing review of radiation therapy
      practice in the United States. Outcome studies have established national
      benchmarks for six cancer sites. Analysis of the factors influencing recurrence
      and complications have established important causal relationships that the
      radiation oncologist can manipulate to improve results. Care processes have been
      identified, and outcome correlations established.

PMID- 10262048
TI  - Should radiology administrators have MBAs?

PMID- 10262049
TI  - ARRT job analysis project.

PMID- 10262050
TI  - Improving productivity in the x-ray film file room.
AB  - A film filing system using color coding of the last two digits of assigned
      numbers was compared with a system designed around the current film file and
      readily available patient identifiers: name, sex, and date of examination. In the
      FASD system (filed alphabetically by sex and date), films are filed in time units
      by date of last activity and within these time units by sex and last name. The
      FASD system was shown to cut in half the routine work of film filing.

PMID- 10262051
TI  - Standard costing and flexible budgeting applied to a radiology department.

PMID- 10262053
TI  - The importance of cooperation.

PMID- 10262052
TI  - NMR debuts in community hospital.

PMID- 10262054
TI  - NHS administration--are we getting the best graduates?

PMID- 10262055
TI  - Portables: finding a market niche.

PMID- 10262056
TI  - Using a hospital cancer registry effectively in a cancer management program.

PMID- 10262057
TI  - Uses of tumor-registry data in program planning and administration.

PMID- 10262058
TI  - The field liaison program: why bother?

PMID- 10262060
TI  - Alternate workstyles: a solution to productivity problems?

PMID- 10262059
TI  - Delegation without fear.

PMID- 10262061
TI  - Attitudes that work against you.

PMID- 10262062
TI  - How to give feedback.

PMID- 10262063
TI  - How to prepare for an arbitration hearing.

PMID- 10262064
TI  - How to be an effective QC leader.

PMID- 10262065
TI  - The technician-turned-manager.

PMID- 10262066
TI  - Who owns Barney Clark's legacy?

PMID- 10262067
TI  - The stormy legacy of Baby Doe.

PMID- 10262068
TI  - Suffer the little children?

PMID- 10262069
TI  - Revision of health service area boundaries; interim regulation--PHS.
AB  - This notice sets forth interim rules establishing criteria, procedures and
      requirements for the revision of existing health service area boundaries under
      section 1511(b)(4) of the Public Health Service Act, as amended by the Health
      Planning and Resources Development Amendments of 1979, Pub. L. 96-79. Interested
      persons are invited to submit written comments and suggestions concerning these
      interim rules.

PMID- 10262070
TI  - Health maintenance organizations--PHS. Notice, July.
AB  - This notice sets forth the names, addresses, service areas, and dates of
      qualification of entities determined by the Secretary to be qualified health
      maintenance organizations [HMOs]. In addition, this notice reports a service area
      expansion and name changes of previously qualified HMOs.

PMID- 10262071
TI  - Dispensing controlled substances in institutional practitioner emergency rooms-
      Drug Enforcement Administration. Notice of proposed rulemaking.
AB  - This is a proposal to amend Part 1306 of Title 21 of the Code of Federal
      Regulations to permit hospital emergency room personnel to dispense controlled
      substances to nonpatients when alternative pharmacy services are not available.
      Only persons authorized to dispense under state law would be permitted to
      dispense under the proposed regulation. Under current DEA regulations only
      physicians, medical or other persons acting as agents or employees under their
      direct supervision, or pharmacists filling their prescriptions, may dispense
      controlled substances. A physician may not call a local hospital emergency room
      and ask that personnel there dispense controlled substances to a patient whom the
      physician is sending over for that purpose alone. DEA has received numerous
      comments from members of the medical community and from state regulatory agencies
      concerning this matter. This proposal seeks to remedy the situation.

PMID- 10262072
TI  - Revised federal allotments to states for social services expenditures pursuant to
      the Title XX--Social Services Block Grant Act; promulgation for fiscal year 1983
      HHS. Revised notification.
AB  - Public Law 97-248, enacted September 3, 1982, among other things, amended Sec.
      1101(a) of the Social Security Act, as amended, (Act) to define the term State
      when used in Title XX to no longer include American Samoa and the Trust Territory
      of the Pacific Islands. The Federal allotments to States for social services
      under Section 2003 of the Act which were promulgated in Vol. 46, No. 229 of the
      Federal Register page 58186 on November 30, 1981, included American Samoa and the
      Trust Territory of the Pacific Islands. Accordingly, the promulgation contained
      in such document is rescinded and the promulgation, as revised, is set forth in
      this issuance.

PMID- 10262073
TI  - Privacy Act of 1974; systems of records: annual publication--HCFA. Annual
      republication of notices of systems of records.
AB  - In accordance with 5 U.S.C. 552(e)(4), we are publishing notices of systems of
      records which HCFA maintains. The notices are complete as of August 10, 1982 and
      do not contain any new routine uses or new material which would require a report
      to Congress and the Office of Management and Budget as described in OMB Circular
      A-108. The notices do, however, contain editorial and general clarifying changes
      which make them accurate and complete. If any errors appear in this publication,
      we will publish corrections in a later issue of the Federal Register.

PMID- 10262074
TI  - Privacy Act of 1974; annual publication of systems of records--NIH. Privacy Act;
      annual republication of notices systems of records.
AB  - The National Institutes of Health (NIH) is publishing this document to meet the
      requirement of the Privacy Act (5 U.S.C. 552a(3)(4)) to publish a notice
      describing the existence and character of each system of records at least once a
      year. This publication covers systems of records for which NIH is responsible.
      This publication includes notices for new systems of records which have been
      published since the 1981 annual compilation. In addition, many of the notices
      which were published in the last annual publication have been modified to clarify
      the descriptions and to ensure that they are complete, accurate and timely. None
      of these changes requires a report of altered system to be sent to the Congress
      and the Office of Management and Budget. The notices are complete and accurate as
      of August 13, 1982.

PMID- 10262075
TI  - New drug and antibiotic regulations--FDA. Proposed rule.
AB  - The Food and Drug Administration (FDA) is proposing to revise its regulations
      governing the approval for marketing of new drugs and antibiotic drugs for human
      use. FDA is taking this action to improve the efficiency of the agency's drug
      approval process and to improve the agency's dealings with applicants for
      marketing approval of new drugs and antibiotic drugs, while still maintaining the
      high level of public health protection the drug approval process now provides.
      The improvements will help applicants prepare and submit higher quality
      applications and permit FDA to review them more efficiently and with fewer
      delays. This will benefit consumers through earlier availability of drugs and
      benefit applicants by permitting earlier marketing of new drugs and antibiotics.
      This action is one part of a larger effort by FDA to review all facets of the
      agency's drug approval process.

PMID- 10262076
TI  - Protection of human subjects; compensating for research injuries; request for
      comments on report of the President's Commission for the Study of Ethical
      Problems in Medicine and Biomedical and Behavioral Research.
AB  - This notice requests public comment on the Report of the President's Commission
      for the Study of Ethical Problems in Medicine and Biomedical and Behavioral
      Research entitled "compensating Research Subjects," which was issued in June
      1982.

PMID- 10262077
TI  - Grants and subgrants to for-profit organizations--HHS. Final rules.
AB  - This announces HHS's final decision to make for-profit organizations eligible for
      grants in all programs in which grants to those organizations are consistent with
      legislative intent and program purposes. For all such programs which we have
      identified and which still have regulatory bars to grants to for-profit
      organizations, this removes the bars. This also (1) makes HHS's Department-wide
      grants administration regulations, 45 CFR Part 74, apply to grants and subgrants
      to for-profit organizations and (2) adds to those regulations additional
      provisions for grants and subgrants to for-profit organizations. These actions
      reflect a reversal of the long standing HHS policy of not making grants to for
      profit organizations even in programs where they are not barred by law. The new
      policy is intended to increase competition. This is likely to help the affected
      HHS programs achieve their objectives better, because they will be able to select
      from among a greater number of proposed projects.

PMID- 10262078
TI  - Federal allotments to states for social services expenditures pursuant to the
      Title XX-Social Services Block Grant Act; promulgation for fiscal year 1984-HHS.
      Notification of allocation of Title XX.
AB  - This issuance sets forth the individual allotments to States for Fiscal Year 1984
      pursuant to Title XX of the Social Security Act, as amended. The allotments to
      the States published herein are based upon the authorization set forth in Section
      2003 of the Act and are contingent upon congressional appropriations actions for
      the fiscal year. If the Congress enacts and the President approves an amount
      different from the authorization, the allotments would be adjusted
      proportionately.

PMID- 10262079
TI  - Consultation with state and local officiaLs prior to awarding community health
      center grants--PHS. Notice.
AB  - Section 1923 of the Public Health Service (PHS) Act (42 U.S.C. 300y-2) requires
      that if a State does not apply for a Primary Care Block Grant under section 1924
      of the PHS Act (42 U.S.C. 300y-3), or does not qualify for such a grant, the
      Secretary of Health and Human Services will use those funds not allotted to
      States participating in the block grant to make grants under section 330 of the
      PHS Act (42 U.S.C. 254c) to individual community health centers (CHCs). Section
      1923 also requires that the Secretary consult with the chief executive officer of
      the State and with appropriate local officials before making such grants for
      community health centers in a State. This notice describes the manner in which
      the Health Resources and Services Administration (HRSA) will fulfill the
      requirement for consultation. In addition, it solicits comments from local
      officials regarding CHCs in their areas.

PMID- 10262080
TI  - Privacy Act of 1974; exempt record system--HHS. Final rule.
AB  - The Office of the Secretary of the Department of Health and Human Services is
      amending its Privacy Act Regulations to exempt the system of records, "Civil and
      Administrative Investigative Files of the Inspector General, HHS/OS/OIG," from
      certain provisions of the Privacy Act. This exemption is authorized by subsection
      (k)(2) of the Privacy Act, which applies to investigative materials compiled for
      law enforcement purposes. The Office of Inspector General (OIG) is authorized to
      gather information for Civil and administrative law enforcement purposes under
      Pub. L. 94-505, establishing the HHS Office of Inspector General, and section
      1128A of the Social Security Act, authorizing civil money penalties for the
      filing of false claims in certain health care financing programs. In order to
      maintain the integrity of the OIG investigative process and to assure that the
      OIG will be able to obtain access to complete and accurate information, the
      Department is exempting this system, under subsection (k)(2), from the
      notification, access, correction and amendment provisions of the Privacy Act.

PMID- 10262081
TI  - Procurement forms and administrative matters--HHS. Proposed rule.
AB  - The Office of the Secretary, Department of Health and Human Services, is
      proposing to amend 41 CFR Part 3-50, Administrative matters, by adding a new
      subpart, 3-50.8, Determination of Adequacy of Contractors' Accounting and Billing
      Systems and Preparation of Invoices. This new subpart will establish uniform
      Departmental billing and financial reporting requirements for inclusion in cost
      reimbursement type contracts. The objective of the new subpart are: (a)
      Streamlining the reporting of financial data; (b) establishing the requirements
      for determination of the adequacy of a contractor's accounting and billing
      system; and (c) establishing guidelines for the preparation of invoices for cost
      reimbursement type contracts. Part 3-16, Procurement Forms, will be amended by
      the addition of three subsections to Subpart 3-16.9, Illustration of Forms. These
      subsections illustrate the financial reporting form and contain instructions for
      filling out the form and preparing invoices under cost reimbursement type
      contracts. When issued as a final rule, this regulation will supersede
      Procurement Circular HEW-78.1, Billing Instructions and Financial Reporting
      Requirements dated April 12, 1978, except for Section 3-50.803(b). Paragraph 3
      50.803(b) has been superseded by Procurement Circular HHS 82.04, Prompt Payment,
      dated October 1, 1982.

PMID- 10262082
TI  - Nondiscrimination on the basis of age in programs or activities receiving federal
      financial assistance from HHS. Final rules.
AB  - These final regulations implement provisions of the Age Discrimination Act of
      1975, and the general, governmentwide regulation published in the Federal
      Register on June 12, 1979, codified at 45 CFR Part 90. The Age Discrimination Act
      of 1975 prohibits discrimination on the basis of age in programs or activities
      receiving federal financial assistance. The Act also contains certain exceptions
      that permit, under limited circumstances, use of age distinctions or factors
      other than age that may have a disproportionate effect on the basis of age. The
      Act applies to persons of all ages. These final regulations are designed to guide
      the actions of recipients of financial assistance from HHS. The regulations
      incorporate the basic standards for determining what is age discrimination that
      were set forth in the general regulations. They discuss the responsibilities of
      HHS recipients and the investigations, conciliation and enforcement procedures
      HHS will use to ensure compliance with the Act.

PMID- 10262083
TI  - Privacy Act of 1974; systems of records, table of contents/index for the annual
      republication--HHS.
AB  - On October 13, 1982, the Department made its annual republication of notices of
      systems of records to meet the requirements of 5 U.S.C. 552(e)(4). In order to
      assist the public, the Department publishes a consolidated lists of systems
      numbers, names, and Federal Register (FR) page numbers for the October 13 issue,
      as well as a subject/key word index.

PMID- 10262084
TI  - Privacy Act of 1974; altered system of records--PHS. Notification of altered
      Privacy Act system of records 09-25-0074.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to alter system of records 09-25-0074,
      "Clinical Research: Veterans Administration Bladder and Prostate Cancer Clinical
      Trials, HHS/NIH/NCI." The purpose of the alteration is to modify an existing
      system of records into an umbrella system by broadening both the categories of
      individuals under this system and the purposes for which the system is used. The
      names of the system of records is also being changed to reflect the alteration.
      The new name is "Clinical Research: Division of Cancer Biology and Diagnosis
      Patient Trials, HHS/NIH/NCI."

PMID- 10262085
TI  - Privacy Act of 1974; notification of new system of records--PHS. Notification of
      new system of records, "Health Resources and Services Administration Loan
      Repayment/Debt Management Records System.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new system of records
      entitled "Health Resources and Services Administration Loan Repayment/Debt
      Management Records System, HHS/HRSA/OA," 09-15-0045. PHS invites interested
      persons to submit comments on the proposed routine use established for the new
      system of records on or before August 10, 1983.

PMID- 10262086
TI  - Medicaid program; early and periodic screening, diagnosis, and treatment (EPSDT)
      program--HCFA. Proposed rule.
AB  - This proposal would modify present regulations to conform to recent legislative
      changes enacted by section 2181 of Pub. L. 97-35, the Omnibus Budget
      Reconciliation Act of 1981. That section eliminates the penalty which reduces by
      one percent Federal funds for a States's Title IV-A program, Aid to Families with
      Dependent Children (AFDC), for any quarter during which a State fails to: (1)
      inform all AFDC families of the availability of early and periodic screening,
      diagnosis, and treatment EPSDT services; (2) provide or arrange for requested
      screening services; and (3) arrange for corrective treatment of health problems
      found. In addition, section 2181 mandates that States incorporate these three
      requirements into their State Medicaid plan with respect to all EPSDT eligibles.
      Further, this proposed rule would modify current Medicaid EPSDT regulations to
      reflect Congressional intent that States should continue to develop fully
      effective EPSDT programs; however, current requirements which entail a large
      volume of paperwork should be significantly streamlined.

PMID- 10262087
TI  - State hazardous waste programs; procedures for revision of state RCRA programs-
      EPA. Proposed rule.
AB  - EPA is today proposing to amend its requirements under 40 CFR 271.21(e) (formerly
      Section 123.13(e)) for the approval and revision of authorized state hazardous
      waste programs. One purpose is to ensure that states applying for final
      authorization under the Resource Conservation and Recovery Act of 1976, as
      amended, (RCRA) do not have to revise their programs and applications to respond
      to federal regulatory changes occurring while the states' applications are being
      prepared or processed. The second purpose is to provide all authorized states
      with one full year (or two years, if there is a need for state legislative
      action) from the effective date of amended federal regulations to make the
      revisions in their programs required by such federal amendments. This action
      would provide the state with an additional six months since the existing
      regulation requires that program revisions be made within one year (or two years)
      after the promulgation of amended federal regulations.

PMID- 10262088
TI  - Health Education Assistance Loan (HEAL) program--PHS. Final regulations.
AB  - These regulations set forth the requirements for participating in the Health
      Education Assistance Loan (HEAL) program, a Federal program of insured loans to
      students in schools of medicine, osteopathic medicine, dentistry, podiatric
      medicine, public health, pharmacy, veterinary medicine, optometry, and
      chiropractic, and graduate students in health administration and clinical
      psychology.

PMID- 10262089
TI  - Privacy Act of 1974; system of records--PHS. Waiver of advance notice period for
      a new system of records.
AB  - FR Doc. 83-18581, appearing at page 31738 in the issue of Monday, July 11, 1983,
      provided notification of a new system of records proposed by the Health Resources
      and Services Administration (HRSA). That system is 09-15-0045, "Health Resources
      and Services Administration Loan Repayment/Debt Management Records System,
      HHS/HRSA/OA." The document stated that the Public Health Service had requested
      that the Office of Management and Budget (OMB) grant a waiver of the usual
      requirement that a system of records not be put into effect until 60 days after
      the report is sent to OMB and the Congress OMB granted the requested waiver on
      August 3, 1983. Accordingly, the new system of records, 09-15-0045, became
      effective upon the date of the waiver except for the routine uses established for
      the system. They became effective August 11, 1983, following the public comment
      period. However, in response to a comment received from the responsible oversight
      committee of the U.S. House of Representatives, we are adding a routine use to
      permit disclosure of information from these records to the General Accounting
      Office (GAO) and OMB for auditing financial obligations. We are also modifying
      one of the existing routine uses. PHS invites interested parties to submit
      comments on the proposed new routine use on or before September 29, 1983. In
      accordance with the Debt Collection Act of 1982 (Pub. L. 97-365), we are also
      adding the "special disclosure" statement. This statement does not require a
      public comment period.

PMID- 10262090
TI  - Hill-Burton health facilities; review--HRSA. Notice of review.
AB  - This notice announces a review of institutions and organizations which have
      received grants under the Hill-Burton Program (Title VI of the Public Health
      Service Act, 42 U.S.C. 291 et seq.) for the construction or modernization of
      hospitals or other health facilities.

PMID- 10262091
TI  - Private sector moves in as Washington ends its financial assistance for HMOs.

PMID- 10262092
TI  - Canada's Medicare flight.

PMID- 10262093
TI  - Educate workers about health costs.

PMID- 10262094
TI  - Employer-sponsored PPOs attract attention.

PMID- 10262096
TI  - HMO exposures. One plan structure could trigger liability suits.

PMID- 10262095
TI  - Florida tightens HMO financial standards.

PMID- 10262098
TI  - Group health plans trigger many E&O claims.

PMID- 10262097
TI  - BC/BS top choice in four benefit areas.

PMID- 10262099
TI  - Florida comp pool turns its attention to health coverage.

PMID- 10262100
TI  - A data management tool for reporting productivity.
AB  - Hospital-based occupational therapy departments in the 1980's must be able to
      report productivity levels in terms of cost-effectiveness. Only the most
      efficient programmes are likely to succeed in this era of budgetary constraints.
      A data retrieval model. operating in a hospital-based occupational therapy
      department is described. The model reports departmental productivity and data for
      making cost estimates related to direct and indirect patient care by diagnostic
      category. In addition, the system shows individual therapists' input and output.
      This data system has made possible monthly management statements that provide an
      overview of productivity and indicate the complexity of occupational therapy
      services for specific diagnostic categories within an acute-care paediatric
      hospital.

PMID- 10262101
TI  - A study of attitudes towards work: possible implications for delegating
      responsibility.
AB  - An extensive survey was conducted among Ontario occupational therapists and
      auxillary personnel (assistants and aides). Part of the survey requested that
      members of each of the two groups rate its own group and the other group with
      respect to attitudes about motivation toward work and response to work. Numerous
      demographic characteristics were identified as well. Results show that both
      occupational therapists and auxillary personnel believe they are motivated
      primarily by the challenges of their jobs. Auxillary personnel rate occupational
      therapists very much as they rate themselves. However, occupational therapists
      believe auxillary personnel are motivated not by the challenge of their job but
      rather by money and job security issues. Implications of these findings are
      discussed.

PMID- 10262102
TI  - Repeat analysis in radiology: a method of quality control.

PMID- 10262104
TI  - What your writing shows...

PMID- 10262103
TI  - How to pick winners--getting the facts on the table.

PMID- 10262105
TI  - Disease in the elderly: social factors.

PMID- 10262106
TI  - How to pick winners--going beyond the obvious.

PMID- 10262108
TI  - Provincial pharmacy associations define methods of negotiating with government.

PMID- 10262107
TI  - Increasing radiographer productivity by an incentive point system.
AB  - Because of a very low technologist productivity in their Radiology Department,
      the authors describe a Productive Point System they developed and implemented to
      solve this personnel problem. After establishing the average time required to
      perform all exams, point credits (one point for every ten minutes utilized) were
      assigned to each exam performed, thereby determining an index of production. A
      Productive Index of 80% was considered realistic and was the equivalent of 192
      points for a 40-hour work week. From 1975 to 1978 personal productivity increased
      from 79% to 113%. This resulted in an average yearly fiscal savings of over
      $20,000.00 for this three-year period. There was also a significant improvement
      in exam efficiency and quality, job attitude, personnel morale, and public
      relations. This program was highly successful because technologist acceptance and
      cooperation was complete, and this occurred mainly because the system supports
      the normal occupational goals and expectations of technologists.

PMID- 10262109
TI  - Where, oh where is the wisdom that the health-care system needs?

PMID- 10262110
TI  - Clinical application of the hand-held computer in respiratory intensive care.

PMID- 10262111
TI  - Medicare a courageous step now in jeopardy?

PMID- 10262112
TI  - Health care system in Canada and social justice.

PMID- 10262114
TI  - Health is the business of the church.

PMID- 10262113
TI  - Catholic hospitals in today's Canada.

PMID- 10262115
TI  - What is a Catholic hospital?

PMID- 10262116
TI  - Ministry to the sick: how one diocese organized its program.

PMID- 10262117
TI  - A study of the healing church and its ministry: the health care apostolate.

PMID- 10262118
TI  - The health professional: a person who cares.

PMID- 10262119
TI  - To prolong life or let die.

PMID- 10262121
TI  - Bioethics in the 80's: social consequences for physicians.

PMID- 10262120
TI  - Patches of hope.

PMID- 10262122
TI  - Statement on the proposed "Canada Health Act". Catholic Health Association of
      Canada.

PMID- 10262123
TI  - The moral decision: notes on pastoral counselling.

PMID- 10262124
TI  - Proposals to promote the viability and leadership of the Catholic health care
      facility in Canada.

PMID- 10262125
TI  - Evaluation of a preadmission preparation program: goals clarification as the
      first step.
AB  - Support for the importance of psychological preparation for pediatric patients
      and their families prior to hospitalization has resulted in the widespread
      development of preadmission preparation programs. Research aimed at evaluating
      these preparation programs has typically not utilized a systematic program
      evaluation approach. This study uses a qualitative method of goal clarification
      as a first step in evaluating one specific preparation program. Structured
      interviews were conducted with 20 respondents, 19 of whom were staff members at
      Children's Hospital National Medical Center in Washington, D.C. Interview
      questions consisted of two major categories: (1) specific program goals and the
      means to accomplish them; (2) personal views on the impact of hospitalization and
      effects of preparation. Responses were grouped according to common themes and are
      reported in a descriptive format. The importance of goal clarification is
      stressed, both as an evaluation tool and as an intervention in itself.

PMID- 10262126
TI  - Academic programming for child life education: a case study.
AB  - The Child Life Education Program at Case Western Reserve University provides a
      case study of the development of an innovative academic program for health
      professionals. This article describes the process of curriculum development and
      the integration of the curriculum into an existing academic program. The
      interdisciplinary and individualized nature of the program increases the
      likelihood of meeting the unique needs of health care workers. From the
      institutional perspective, benefits include improved communication between
      students, faculty, and departments, often resulting in expanded learning
      experiences and flexible approaches to the utilization of existing resources
      within a university.

PMID- 10262127
TI  - Coping with feelings: seriously ill children, their families, and hospital staff.
AB  - Leukemia, aplastic anemia, sickle cell anemia, hemophilia, lymphoma,
      neuroblastoma, rhabdomyosarcoma, renal failure, cystic fibrosis, scoliosis,
      diabetes, and asthma. These are only a few of the many chronic diseases or
      handicapping conditions confronting children today. Little attention has been
      paid to children's emotional reactions to illness and hospitalization, important
      facets of the healing process. In the first part of this paper, children's
      characteristic emotional reactions to hospitalization are discussed within a
      developmental framework. Next, some of the emotional reactions elicited in
      hospital staff and parents by seriously ill children are discussed. It is hoped
      that an elucidation of the types of feelings hospitalized children experience,
      and the kinds of emotional responses they elicit in adult caretakers, can lead to
      more sensitive and effective child care-giving in hospital settings.

PMID- 10262128
TI  - For parents and children only: a parent-child educational library.
AB  - A Parent-Child Education Library was developed at a children's hospital to help
      fill the gap in communication between staff and families. The written materials
      supplement the staff's verbal explanations. Materials include both medical and
      other child-related, educational topics. The library was approved by the medical
      staff and is funded by donations. Counseling has become an appropriate adjunct to
      the library, as parents and/or children share their problems and feelings. The
      library is a service provided by the Child Life Program.

PMID- 10262129
TI  - Supervising child life students: practices of hospital supervisors.
AB  - This paper describes the supervision practices of hospital-based child life
      supervisors. Interviews were conducted with 10 hospital supervisors and focused
      on several dimensions of the supervisory process. Supervision practices varied
      widely on all dimensions and it was clear that there was no common method of
      supervision. Implications for the training of child life professionals are
      discussed.

PMID- 10262130
TI  - Parent created tape recordings for hospitalized children.

PMID- 10262131
TI  - Effects of hospitalization on young children: implications of two theories.
AB  - In this article the effects of hospitalization on the young child are analyzed
      from the perspective of two theoretical models of development. The first model,
      the critical periods model, asserts that there is an hypothesized critical period
      for the development of certain skills and competencies. In this model early
      experiences are crucial to the skills which either cannot develop or develop with
      much difficulty after the critical period has passed. The second model is a
      transactional model of development which asserts that, although early experiences
      are important, each interaction of the child and the environment makes a
      difference in development and only through continuous assessment of these
      transactions can we determine how the child changes and evolves. Data from
      studies of the effects of hospitalization on children are used to illustrate the
      utility of these models in the study and management of children who are
      hospitalized.

PMID- 10262132
TI  - A ten-year comparison of fathers' and mothers' reactions toward their
      hospitalized adolescents.
AB  - Difficulties confronting parents of hospitalized adolescents are reviewed.
      Fathers' and mothers' reactions to their child's illness and hospitalization are
      compared to those of 10 years ago. Differences in attitudes and behavior over the
      decade are believed to be more attributable to the cultural climate than to the
      variability in the sample. The more pronounced changes were found among fathers,
      who currently showed less hostility toward the hospital and patient and a greater
      ability to express a range of feelings. Compared to 10 years ago, the fathers
      were more motivated to visit by concern than by duty and evidenced greater ease
      on the ward and more involvement with their children. Paternal and maternal roles
      appeared to overlap far more than previously, to the benefit to both.

PMID- 10262133
TI  - Child life workers: facilitating their growth and development.
AB  - "Professionalization" of child life workers has potentially many benefits for
      workers and for the children and families they serve. An additional critical
      factor in enhancing job satisfaction, effectiveness, and retention is recognition
      of and facilitation of each worker's professional development. A development
      framework, based on the theory and research of Erikson (1963) and Katz (1972), is
      presented, as well as supportive strategies and training sources, to provide a
      structure for understanding and helping the "developing" child life worker.

PMID- 10262134
TI  - The unique role of the child life worker in children's health care settings.
AB  - The author expresses his concern that many child-life workers are not aware of
      the uniqueness of their role in child health care settings. He comments on four
      ways in which he perceives the child life worker's role to be unique. He
      concludes that the child life worker is irreplaceable in the child health care
      environment.

PMID- 10262135
TI  - Nurses' perceptions of pediatric nursing functions.
AB  - The purpose of this study was to describe nurses' perceptions of the importance
      of pediatric nursing functions and to determine if there were differences in
      perceptions of nurses in managerial, clinical, and teaching positions. Subjects
      were 125 pediatric nurses in managerial, clinical, and teaching positions.
      Respondents were asked to rate the importance of 43 nursing functions on a 9
      point scale ranging from highly important to not at all important. Mean ratings
      of pediatric nursing functions were determined and one-way analyses of variance
      performed. The five nursing functions perceived to be most important were, in
      order of ranking: (a) providing emotional support of children, (b) recognizing
      significant physical deviations, (c) implementing nursing interventions, (d)
      preparing children psychologically for procedures and surgery, and (e)
      identifying nursing problems. Significant differences were found between groups
      in perceptions of the importance of 23 nursing functions, mainly in the areas of
      psychosocial care, teaching, and nursing process. Most differences were between
      the teaching and managerial groups or between teaching and the managerial and
      clinical groups combined. Differences in perceptions of the importance of a
      number of nursing functions, though not great, suggest a need for more dialogue
      between managers, teachers, and clinicians.

PMID- 10262136
TI  - Play and play areas for hospitalized children.
AB  - Play is critical to children's development in social, cognitive, and affective
      domains. Children actively construct meaning through playful interaction with
      people and objects. Play materials and environments in turn, affect the level,
      structure and content of children's play. The following article discusses these
      issues and the application of contemporary architectural design and current
      research findings on play environments to the special problems of hospitalized
      children. Concerns related to separation from family and routine, unfamiliar
      hospital personnel and procedure, institutionalization, and temporary immobility
      can be constructively dealt with by thoughtful planning for children's play.
      Specific suggestions with respect to designing play spaces in hospitals are
      offered based on current theory and research.

PMID- 10262137
TI  - Sibling visitation--what do we know about it?

PMID- 10262138
TI  - The myth of formal operations: rethinking adolescent cognition in clinical
      contexts.
AB  - There has been growing interest in the application of Piaget's theory to
      understanding children's thinking in clinical contexts. However, many such
      applications have been naive and accompanied by misconceptions. The present
      article deals specifically with the period of formal operations and its
      usefulness in understanding adolescent thinking. Literature is reviewed which
      leads to the conclusion that the formal operations concept has little clinical
      explanatory power. Formal operations represents an ideal description of
      intellectual competence, whereas clinicians must deal with factors influencing
      actual performance. Three performance factors are described which are especially
      relevant to understanding cognition in clinical situations.

PMID- 10262139
TI  - Utilization of child health services by children in single-parent and two-parent
      families.
AB  - With the increase in single-parent families, questions have been raised
      concerning the adequacy of the access to care for children residing in these
      families. A year of visits to primary health care sources are compared for a
      random sample of elementary school children residing with one of two-parent
      families. Contrary to expectations concerning the medical disenfranchisement of
      single-parent children when socioeconomic status, ethnicity, and children and
      youth project enrollment are controlled, no differences are found in use/nonuse
      of facilities or range of visits. Further studies should take into account
      parental employment as a separate and possibly more important factor than number
      of parents in the home when studying use of pediatric services.

PMID- 10262140
TI  - Student nurses' attitudes toward children's health rights: implications for
      advocacy.
AB  - Student nurses were asked to consider a 10-year-old male clinic patient with
      urinary tract infections when responding to the Children's Rights Attitude Scale.
      Participants were also informed that the child's parents reported symptoms and
      complied with treatment. Attitudes were more favorable toward extending rights to
      receive health services than they were toward extending rights to make health
      related decisions. The more concerned student nurses perceived the child's
      parents to be, the less willing they were to extend rights for special health
      services. Participants can be expected to be advocates for child health services
      but not for children's rights to act on their health decisions.

PMID- 10262141
TI  - Eight practices of good supervisors.
AB  - Eight practices of good supervisors are described and elaborated upon. Issues
      such as building relationships, fostering good communication, individualizing
      supervision, planning for supervision, and supervisory self-evaluation are
      discussed.

PMID- 10262142
TI  - Child behavior management training for parents of chronically ill children: a
      professional activity in need of research.
AB  - Parents of chronically ill children are often referred to professionals for help
      in managing problematic behaviors of the children. One very popular treatment
      approach is to train such parents in child behavior management skills.
      Surprisingly, hardly any research has been reported upon the development,
      implementation, or evaluation of child behavior management training in such
      cases. Some research strategies are suggested.

PMID- 10262143
TI  - Cultural differences in groups of parents of children with cancer: English- and
      Spanish-speaking.
AB  - Therapeutic groups of parents of children with cancer have been seen as
      potentially helpful to those parents who utilize the groups. The authors report
      on a study of the differing content raised in two parent groups, one English
      speaking and one Spanish-speaking.

PMID- 10262144
TI  - Renewed dignity in the care of suicidal adolescents: the Suicide Sitter program.

PMID- 10262145
TI  - Parenting the chronically ill child in the hospital: issues and concerns.
AB  - Chronic childhood illness and hospitalization are stressful events within the
      family unit. Parental response to the crisis of hospitalization profoundly
      affects the child's recovery process. This article discusses a team approach
      toward assessing and understanding parental reactions, methods of offering
      assistance and guidance, and basic issues and problems concerning staff-parent
      relationships. The focus is on the pediatric health care "team" as an agent for
      aiding families.

PMID- 10262146
TI  - Sources of parental stress in pediatric intensive care units.
AB  - This study utilized an inductive approach to identify sources of stress
      experienced by parents when a child is admitted to a pediatric intensive care
      unit. Based on a thorough review of the literature, clinical observations, and
      interviews with parents of children recently discharged from a pediatric
      intensive care unit, 79 items defining eight dimensions of pediatric intensive
      care stressors were identified. Suggestions are made for intervention strategies
      that can be utilized in an attempt to minimize parental stress.

PMID- 10262147
TI  - Parenting stress and the utilization of pediatric services.
AB  - Parents' level of stress as measured by the Parenting Stress Index is examined in
      relation to the utilization of pediatric medical services for children between
      the ages of 1 and 48 months. The six categories of medical services considered
      were: Well Visits, Sick Visits, Infections, Diarrhea and Vomiting, Traumatic
      Injuries, and Other Medical Services. For the first 18 months of age no
      significant mean difference between stress groups and medical utilization was
      found. Significant correlations and mean differences were found for the 19- to 24
      and the 25- to 48-month age groups in relation to the traumatic injury
      criterion. Moderate parenting stress is interpreted as potentially adaptive in
      relation to reducing traumatic injuries.

PMID- 10262148
TI  - School age children: are their needs recognized and met in the hospital setting?
AB  - School age children are relatively self-sufficient and independent. With this in
      mind the question arose as to whether their concerns were recognized in the
      hospital setting or whether it was taken for granted they would verbalize their
      needs. A preliminary survey was done to see if there were specific concerns in
      this age group and if the concerns were realized and met. It was felt that
      hospitalization generates anxiety and needs that health team members do not
      always recognize or take into consideration. The survey demonstrated some
      definite concerns. After an inservice program the questionnaire was administered
      a second time. There was a decrease in the needs and concerns expressed. Care
      givers need to be aware of the threats and concerns of children in order to
      alleviate them.

PMID- 10262149
TI  - Preschool hospital tours.
AB  - Many hospitals have programs for planned admissions for children and adults. Very
      few offer preparation for unplanned ones, yet children have emergency admissions
      to hospital. A weekly hospital tour has been started recently for community
      preschool groups to meet this need. Feedback has been very positive. From those
      on the tours so far, three have had emergency admissions and parents report that
      the children evidence very good adjustment to the hospital. It is hoped that
      similar child education programs could be offered in other communities and the
      benefits extended to more children.

PMID- 10262150
TI  - Preadmission programs: development, implementation and evaluation.
AB  - Preparation of children for hospitalization is utilized to mitigate the stresses
      which may accompany the experience. Preadmission programs provide preparation for
      the patient and family on a prehospital basis. The authors describe the
      development of family-centered, developmentally based programs which foster
      continuity and consistency in a large, pediatric tertiary care setting.
      Implementation and evaluation of the programs which contribute to quality patient
      care are discussed.

PMID- 10262151
TI  - The effectiveness of a preoperation preparation program in reducing anxiety in
      children.
AB  - A study to assess the effectiveness of a preoperative preparation program on the
      child and family was undertaken. Three groups of mothers and children who were to
      undergo tonsillo-adenoidectomy were tested, pre- and postoperatively, using a
      questionnaire and IPAT Anxiety Scale. Differences were noted in the socioeconomic
      and educational backgrounds of the mothers who came of their own accord, those
      who were telephoned and those who did not attend the preoperative program. These
      differences affected the parents' expectations of the program and their
      explanations to the children. Children's, but not mothers', anxiety appeared to
      reduced by attendance at the program. The IPAT Anxiety Scale revealed that the
      anxiety of mothers of children who did not attend the preoperative preparation
      program was the highest of all three groups.

PMID- 10262152
TI  - A factor analysis of the informational concerns of adolescent cancer patients.
AB  - To acquire insights into the number and nature of different underlying concerns
      that motivated individual adolescent cancer patients' responses to health
      information items previously studied by Levenson and associates, exploratory
      factor analysis methodology was employed. Ten major aspects of the content domain
      emerged as important information needs of individual cancer patients: physical
      appearance, current treatment concerns, nonspecific cancer information, future
      outlook, familial implications, communication, health behavior, near-term
      expectations, teenage identification, and use of medications. Most factors failed
      to consistently relate to patient age, sex, race or diagnosis. Discussion focuses
      on the implications and suggested application of outcomes.

PMID- 10262153
TI  - Meeting the psychological needs of hospitalized adolescents: a look at England.
AB  - Great Britain has been in the forefront in the development of programs for
      meeting the psychological needs of the hospitalized young child. A visit to four
      medical hospitals in England, hospitals selected for their advanced adolescent
      programs, revealed that advances for older youth have not kept pace with those
      for younger. Social, economic, and psychodynamic reasons for their slower growth
      are discussed an implications for future development drawn.

PMID- 10262154
TI  - Art experience and hospitalized children.
AB  - This paper explores the utility of the art experience in helping children cope
      with the stressful situation of hospitalization. A brief historical overview of
      the developments in this field is presented. In the art experience, similar
      aspects of the activity of play are expanded. They are: (a) the use of
      metaphorical thinking, (b) the use of concrete, sensuous materials, and (c) the
      use of physical activity. These are described and the creative process is
      suggested as an alternative mode of thought. The possibilities of using the art
      experience with children under stress are presented, as well as the description
      of the benefits of the art object to both staff and child. The benefits of the
      art experience as a safe place for expression of unacceptable feelings and
      fantasies and for the facilitation of communication between child and staff are
      also suggested.

PMID- 10262155
TI  - Humanizing the physical environment of an inpatient pediatric division: two
      creative expressive components.

PMID- 10262156
TI  - Closed circuit television: a unique tool.
AB  - A closed circuit television station was instituted within the Children's Hospital
      of Winnipeg in April 1981. The station broadcasts commercial-free children's
      programming throughout the day with the highlight of the schedule being a 1-hour
      live broadcast each weekday. The personal, interactive format of the live program
      has made the show a unique and effective tool for reaching patients, helping
      individual patients accept different aspects of their care, teaching the children
      about the hospital, and simply boosting morale through making each child a part
      of the program.

PMID- 10262157
TI  - Music therapy: meeting the psychosocial needs of hospitalized children.
AB  - Music therapy offers a unique approach for reducing the stresses of
      hospitalization for children. By meeting important psychosocial needs, music
      therapy lessens anxiety, aids adaptation and contributes to making the hospital
      experience a more positive one. The use of music therapy is described and
      illustrated with three patients all of whom underwent painful and prolonged
      hospitalization with immobilization and severe movement restriction.

PMID- 10262158
TI  - Special books for special children.
AB  - Simple books written for an individual child can assist that child in coping with
      unusual and potentially stressful medical problems. The philosophy, techniques,
      and process of writing this type of book are shared, as well as examples of
      illustrations and text from two books written for preschool children: one with a
      glycogen storage problem and one requiring a hand amputation. The article serves
      as a guide and encouragement to others involved with the emotional care of
      children to consider this technique as a complement to preparation and hospital
      play.

PMID- 10262159
TI  - Fun in the sun: an outdoor program in a health care setting.
AB  - The Children's Hospital of Eastern Ontario in Ottawa, Ontario, has had a
      supervised playground program for the past 6 years, which is available to
      inpatients, outpatients, and their visitors. This paper describes playground
      staff and volunteer prerequisites, the role of interdisciplinary involvement,
      equipment and materials, factors to consider when planning outdoor activities,
      and the activities found to be most useful. The authors' purpose is not to give
      the recipe for an ideal playground program, but rather to stimulate interest in
      the desirability of playground programs in health care settings through the
      description of one such facility.

PMID- 10262160
TI  - Development of pediatric secondary psychosocial care in a health maintenance
      organization.
AB  - A pediatric secondary psychosocial service was developed to provide easy access
      to brief, focused, problem-oriented psychosocial care for children and their
      parents on referral from their primary care providers. The intent was to support
      parents' efforts at resolving their families' difficulties. Support was provided
      for patients with needs beyond the realm of primary care, so as to avoid
      deterioration in functioning and the need for tertiary care. During the first 6
      months 243 children were seen for a wide range of behavioral, emotional, and
      social relationship difficulties. Evaluation revealed strong support by referring
      providers, parents, and psychosocial staff. Subsequent developments and plans are
      discussed.

PMID- 10262161
TI  - Normalization: meeting growth and development needs of children in a pediatric
      intensive care unit.

PMID- 10262163
TI  - Policy and procedure manual: medication quality assurance rounds.

PMID- 10262162
TI  - Dialogues with hospital pharmacists.

PMID- 10262164
TI  - Tips and techniques: nurses' evaluation of pharmacy services.

PMID- 10262165
TI  - Pharmacy-controlled drug administration: a proposed solution to the nursing
      shortage.

PMID- 10262166
TI  - NAHC reports results of computer services survey.

PMID- 10262167
TI  - Computer contracts: let the buyer beware.

PMID- 10262169
TI  - Alternative approaches to computerization.

PMID- 10262168
TI  - Making the right choice.

PMID- 10262170
TI  - Data processing companies speak to home health.

PMID- 10262171
TI  - Five Hospital Homebound Elderly Program--success in long term home care.

PMID- 10262172
TI  - The maintenance of high ethical standards in the conduct of research.

PMID- 10262173
TI  - General clinical research centers: a program in jeopardy.

PMID- 10262174
TI  - Randomized clinical trials, consent and the therapeutic relationship.

PMID- 10262175
TI  - An academic medical career within the VA medical centers: pros and cons.

PMID- 10262177
TI  - Health research funding for the NIH: a proposal for fiscal year 1984.

PMID- 10262176
TI  - An ethical issue in biomedical research: the involvement of minors in informed
      and third party consent.

PMID- 10262178
TI  - Surgical wound infections.

PMID- 10262179
TI  - Alcohol in perspective.

PMID- 10262180
TI  - Adult day-care centers: a trend that bears watching--and perhaps action.

PMID- 10262181
TI  - Implementing layoffs and reductions in staff.

PMID- 10262183
TI  - A businessman's view of health care.

PMID- 10262182
TI  - A hospital cost containment program.

PMID- 10262184
TI  - Spreading the good word about hospitals.

PMID- 10262185
TI  - Good patient relations crucial to hospital survival.

PMID- 10262186
TI  - Marketing your hospital: getting staff on board through in-service education.

PMID- 10262188
TI  - Handling antineoplastic drugs--whom do we protect?

PMID- 10262187
TI  - Authentic management: critical skills for hospital productivity improvement.

PMID- 10262189
TI  - Recent developments in drug delivery.
AB  - Some recent innovative approaches to drug delivery have demonstrated that the
      administration of drugs can be more rigidly controlled with respect to the rate
      and amount of drug delivered to sites of action than from the conventional dosage
      forms. One category of controlled release referred to as programmed drug delivery
      primarily involves the application of polymers of defined specifications to
      release agents from either non-bioerodible membrane-controlled systems or
      bioerodible and non-bioerodible matrices. Also included here are the pro-drugs,
      inactive derivatives of drugs which are transformed into the active form in vivo
      but possess improved solubility, stability and disposition properties, yielding
      more efficient action and fewer side effects. Thus, exploitation of several
      routes of administration have resulted in products which are inserted
      ophtalmically, rectally or vaginally, implanted subcutaneously, taken orally or
      applied topically to achieve transdermal delivery of drugs to the systemic
      circulation. In several cases, release is designed to follow zero-order kinetics
      to achieve control of therapeutic plasma concentrations for prolonged time
      periods. Targeting of drugs by carrier is another form of controlled release
      technology. Normally administered intravenously, carriers such as liposomes,
      nanoparticles, microspheres, human cells and linear macromolecules are finding
      application in treating disease states with drugs which previously were
      unavailable to treatment.

PMID- 10262190
TI  - Compliance with guidelines for monitoring aminoglycoside therapy.
AB  - One hundred and twenty-one patients receiving 140 courses of aminoglycoside
      therapy (76% gentamicin and 24% tobramycin) were retrospectively studied to
      assess the monitoring practices for these drugs. Compliance with specific items
      of the monitoring guidelines ranged from 16 to 93%. An education program
      regarding aminoglycoside monitoring, particularly the use of serum aminoglycoside
      concentrations, is necessary in the study institutions.

PMID- 10262191
TI  - The implementation of comprehensive critical care pharmacy services through the
      development of a 24-hour satellite pharmacy.
AB  - This report details the evolution of pharmacy services within the critical care
      areas of a large general hospital. The program began with the assignment of a
      clinical pharmacist to the intensive care unit and now includes a staff of six
      pharmacists operating from a 24-hour satellite pharmacy dedicated to critical
      care services. In the process a system has been developed which allows all staff
      to function in an integrated distributive-clinical role, eliminating the
      distinction between pharmacists performing these two separate functions. The
      system provides for total unit dose and IV admixture services as well as in-depth
      clinical monitoring, drug information and research responsibilities. Early
      impressions validate the success of this approach and objective evaluation,
      including the auditing of clinical input, is underway.

PMID- 10262192
TI  - Public relations for the pharmacy department.

PMID- 10262193
TI  - BP monitoring on the move.
AB  - For the past two decades, researchers have been experimenting with improvements
      and variations on the traditional mercury manometer. Many of these are now in
      common use, but the state of the art is still in flux as new automatic and
      manual, ambulatory and stationary BP monitoring systems are developed for
      research and diagnosis.

PMID- 10262194
TI  - Database lab systems come of age at Skokie Valley.

PMID- 10262195
TI  - Screening criteria. Shortening the RFP process.

PMID- 10262196
TI  - The Parkland On-Line Information System (POIS) associate concept.

PMID- 10262197
TI  - A review of turnkey laboratory systems.

PMID- 10262198
TI  - Choosing the physician's computer.

PMID- 10262199
TI  - Automatic food service: the meal of the future?

PMID- 10262200
TI  - Discharge planning models: the Long Island College Hospital, Brooklyn, NY.

PMID- 10262201
TI  - Patient teaching in the emergency department.

PMID- 10262202
TI  - Discharge planning for the emergency department social worker.

PMID- 10262203
TI  - State laws and court decisions define use of medical records to protect
      employee's privacy.

PMID- 10262204
TI  - Hundreds of freestanding centers now operate.

PMID- 10262205
TI  - Benefits for hospital workers generally below par.

PMID- 10262206
TI  - Federal health plan studied as competitive model.

PMID- 10262207
TI  - Examining hospice programs as cost-cutters.

PMID- 10262208
TI  - Nation's hospitals ill-prepared for major disasters, study says.

PMID- 10262209
TI  - Type of charging system can affect reimbursement.

PMID- 10262210
TI  - Disaster drills essential to minimize 'turf' issues, organizational problems.

PMID- 10262211
TI  - ED abuse and follow-up: one physician's opinion.

PMID- 10262212
TI  - Alcohol abuse merits closer ED attention.

PMID- 10262213
TI  - Billing: no one pays if not asked.

PMID- 10262214
TI  - Prevention, trauma centers, research could cut down high cost of trauma.

PMID- 10262215
TI  - AMA's approval of FEC guidelines called restraint of trade by NAFEC.

PMID- 10262216
TI  - Poor still have access to Detroit EDs but not to hospitals, due to money woes.

PMID- 10262217
TI  - Need, demand, supply.
AB  - Ideally, health needs should arouse a proportionate and appropriate demand for
      health care, which can then be supplied in a systematic way. In real life, this
      desirable process is distorted by faulty perception of actual need; by failure of
      even perceived need to generate demand, while at the same time demands are made
      which bear little relation to need; and finally by the inappropriateness of some
      service provision to either need or demand. One approach to making a more
      objective assessment of what is needed in service provision is described, in the
      shape of a system of five indices of the burden cast by various types of illness
      on sufferers and on the health services.

PMID- 10262218
TI  - Health care policy today: making way for the libertarians?

PMID- 10262221
TI  - Effectiveness and efficiency of health services.

PMID- 10262220
TI  - A national approach to health service management information services.

PMID- 10262219
TI  - Effects of cost-sharing in health care.
AB  - This article gives an introduction to the literature dealing with cost-sharing in
      health care and focuses on the question: does a change in cost-sharing have any
      impact on the demand for medical care, keeping all other things equal? And if so,
      to what degree? The main empirical results in the health care economics
      literature are reviewed and some important studies are discussed. One conclusion
      on which all studies agree is that an increase of the out-of-pocket price results
      in a reduction of the demand for the medical care in question. There are many
      indications that this money price-effect is the larger the lower the time-price,
      the lower the income, the less urgent the medical care is and the more influence
      the patient has on the decision to receive medical care. Finally, there are
      indications that cost-sharing for out-patient services reduces the
      hospitalization rate.

PMID- 10262222
TI  - The changing character of quality assurance: activities in acute care hospitals.

PMID- 10262223
TI  - The problems related to confidentiality and effectiveness of health care.
AB  - The problem of the impact of confidentiality on health effectiveness is discussed
      along five points: (1) Communication facilities between health departments are
      main features of health information systems. (2) Efforts, costs, limits of data
      protection. The privacy violation risks have to be related to the data protection
      costs. (3) Paradox of the fundamental rights to confidentiality regarding privacy
      of the individual and the preponderant interest of the State. (4) Facing the
      increasing health costs, the need for medical and hospital control systems is
      assessed. (5) New benefits in medicine and in the quality of care are partly the
      results of more or less extensive studies in epidemiology at national levels. The
      general conclusion is concerned with the risks that the computer could become an
      instrumental substitute for human reason with the progressive drop out of
      responsibility of health officers.

PMID- 10262224
TI  - Inequalities in health in Britain. A critique of the report of a research working
      party.

PMID- 10262225
TI  - Acoustic design in videoconferencing facilities.

PMID- 10262226
TI  - The National Hospital Union in 1983. Ten years of struggle, ten years of
      progress.

PMID- 10262227
TI  - Materials managers told to be bottom line conscious in new system.

PMID- 10262228
TI  - Unity in a competitive world.

PMID- 10262230
TI  - Company executive keeps military ties as a chief nurse in Air Guard.

PMID- 10262229
TI  - Surgery, lens implant restore sight to eye blinded 23 years.

PMID- 10262231
TI  - For fee or charity?

PMID- 10262232
TI  - Council challenges IRS on trustee liability.

PMID- 10262233
TI  - Six trends shaping philanthropy's future.

PMID- 10262235
TI  - Grantees' overhead costs: should foundations pay?

PMID- 10262234
TI  - Money isn't everything.

PMID- 10262236
TI  - Giving more and liking it more.

PMID- 10262237
TI  - Deaths from fire in sprinkler-protected buildings.

PMID- 10262238
TI  - How to boost the image of hospital foodservice.

PMID- 10262239
TI  - Cancer center doubles net income after appeal overhaul.
AB  - Memorial Sloan-Kettering Cancer Center wanted a herd of higher quality donors.
      Following concentrated efforts with list segmentation, data processing, mailing
      packages with a human interest slant, and a change in renewal strategy, the
      center reached its goal. When it was over, the development department had turned
      a simple annual giving campaign into a refreshing multiple gift appeal.

PMID- 10262240
TI  - Non-profits need development orientation to survive.

PMID- 10262241
TI  - American Cancer Society's market planning process.

PMID- 10262242
TI  - Non-business marketing becoming required strategy.

PMID- 10262244
TI  - Questions to include in the marketing audit.

PMID- 10262243
TI  - Marketing for fund raisers: developing a new sensibility.

PMID- 10262245
TI  - "Fair" support by employees spurs hospital UW drive.

PMID- 10262246
TI  - Wanted: more trustees with certain wallop.

PMID- 10262247
TI  - Life cycle marketing of a medical building.

PMID- 10262249
TI  - Auditing clinical research data: objectives, applications and results.
AB  - Formal auditing of clinical research data has become a standard contemporary
      practice within the pharmaceutical industry. Its basic purpose is to provide
      documentation relevant to an assessment of the quality and integrity of data
      collected in the course of a clinical trial. This paper outlines the audit
      procedures developed within one major pharmaceutical firm. These procedures
      require an intensive investigation of internal and external aspects of study
      management, records management, data entry, data analysis and statistical report
      preparation. A qualitative evaluation of the results achieved by this auditing
      procedure are presented.

PMID- 10262248
TI  - Quality assurance operations: good clinical practices.
AB  - The pharmaceutical industry sponsor bears the ultimate responsibility for the
      verification of all clinical data submitted to the FDA in support of a New Drug
      Application (NDA). The author provides an overview of a systematic approach to
      providing quality assurance for all clinical data collected in the course of
      human trials with research compounds. This systemic approach includes such
      features as: Standard Operating Procedures Manuals, the development of a quality
      assurance function within the organization, detailed documentation for all
      monitoring activities, careful assessment of all clinical research data
      collected, and an emphasis on preventive measures that can be introduced to
      assure the quality of subsequent research data.

PMID- 10262250
TI  - HMO-employer contracts.

PMID- 10262251
TI  - HMO development in the U.S. and Brazil.

PMID- 10262252
TI  - The impact of insurance coverage on use of out-of-plan emergency services. One
      HMO's experience.

PMID- 10262253
TI  - Evaluating the impact of prevention programs aimed at children.

PMID- 10262255
TI  - The propriety of judicial deference to corporate boards of directors.

PMID- 10262254
TI  - Tax policy and equipment leasing after TEFRA.
AB  - The Tax Equity and Fiscal Responsibility Act of 1982 substantially modified the
      "safe harbor" leasing provisions enacted by the Economic Recovery Tax Act of
      1981. In this Comment, Professors Warren and Auerbach argue that the
      modifications did not remedy the defects they identified in an earlier Article
      and that a new category of "finance leases" may prove to be nearly as valuable
      for some taxpayers as were safe harbor leases before the 1982 changes.

PMID- 10262256
TI  - SmithKline's ulcer medicine "holy war".

PMID- 10262257
TI  - A new marketing concept: bring consumers into partnership with the health care
      system.

PMID- 10262258
TI  - The future isn't what it used to be.

PMID- 10262259
TI  - VAV and heat recovery in a medical center.

PMID- 10262260
TI  - Price tag for home-based services for elderly could be billions, CBO says.

PMID- 10262261
TI  - Hospital stays vary from coast to coast.

PMID- 10262262
TI  - Korner Report. Bridging the information gap.

PMID- 10262263
TI  - Syringe pumps.

PMID- 10262264
TI  - Recovery rooms: dangerous slumbers.

PMID- 10262265
TI  - Finance: day of judgement.

PMID- 10262266
TI  - Secure units: caring behind locked doors.

PMID- 10262267
TI  - Compensation, jobs, and gender.

PMID- 10262268
TI  - Managing for efficiency, managing for equity.
AB  - It is a truism that not all managers do the same things in the same ways. Less
      often recognized, however, is the fact that the essential tasks and goals of
      management are not everywhere the same. Indeed, so unlike each other are the two
      primary systems of management--the "technocratic" and the "political"--that they
      consistently vary in the implicit contract offered to participants, the career
      path of members, the use of organizational structure, the choice of purpose, and
      the allocation of resources, but also provides a conceptual framework for
      understanding why they happen and what can be done to prevent their happening in
      the future.

PMID- 10262269
TI  - Case of the disputed dismissal.
AB  - Managers in the United States, acting in anger, indignation, frustration, or even
      error, fire many capable employees every year. In some of these cases, the
      managers act unfairly. Perplexing questions arise when the story of an
      unjustified discharge catches the public's eye. Does an organization have an
      obligation to manage equitably as well as efficiently? It is conceivable that
      every man and woman has a right to a job, and, if so, is this right a factor that
      managers must weigh in deciding to lay off an employee who doesn't "fit in"? The
      employee in this case "Adrian Reese," is an outspoken health official who
      irritates the city manager and members of the "Marshall City" board of health.
      Like most HBR cases, this is based on a real situation. As the problem unfolds,
      readers may find the circumstances and the characters familiar. And yet they may
      be surprised at the outcome, as truth is stranger than fiction.

PMID- 10262270
TI  - The allocation of units of medical time in relation to medical staff
      establishments.

PMID- 10262271
TI  - The developing IHSA education programme.

PMID- 10262272
TI  - The challenge of medical manpower planning.

PMID- 10262273
TI  - Interview with Trevor Clay. General Secretary, Royal College of Nursing.

PMID- 10262274
TI  - Observations on the implications of Korner Working Group on Manpower.

PMID- 10262275
TI  - Hospital supply prices continue to outpace general rate of inflation.

PMID- 10262276
TI  - Buying for the clinical laboratory.

PMID- 10262277
TI  - Costs of home health care causes concern. Reagan administration opposes
      expansion.

PMID- 10262278
TI  - Are reimbursement appeals worth effort?

PMID- 10262279
TI  - Reimbursement: knowing where you stand.

PMID- 10262280
TI  - Taping bed reservations: careful planning paid off.

PMID- 10262281
TI  - Are admitters liable in suits against impaired physicians?

PMID- 10262282
TI  - Screen applicants' backs to reduce injuries.

PMID- 10262283
TI  - Hospitals find not everyone wants HB vaccine.

PMID- 10262284
TI  - NIOSH establishes task force on hospital occupational hazards.

PMID- 10262285
TI  - Foodborne GI infections still a problem.

PMID- 10262286
TI  - Educating pregnant staff called 'best' policy.

PMID- 10262287
TI  - Fight AIDS fears with IC measures, information.

PMID- 10262288
TI  - Preplacement screenings help gauge general employee health.

PMID- 10262289
TI  - Handwashing, food handling care limit diarrheal diseases.

PMID- 10262290
TI  - Baltimore hospital employee succumbs to AIDS.

PMID- 10262291
TI  - Money, time may be barriers to meeting new EtO rule.

PMID- 10262293
TI  - Trouble: some observations on drainage and sanitation.

PMID- 10262292
TI  - Hospitals put priority on TB, hepatitis screening for OR staff.

PMID- 10262294
TI  - Alternative contract methods in use in the NHS. Management contracting.

PMID- 10262295
TI  - Tragedy shows need for cautious discharge planning.

PMID- 10262296
TI  - Center provides day care, health services to elderly.

PMID- 10262297
TI  - Child abuse program focuses on parents' problems.

PMID- 10262298
TI  - Building a healthy society: a Catholic challenge for the future.

PMID- 10262299
TI  - Archdiocese, hospital cooperate in corporate reorganization.

PMID- 10262300
TI  - CHA study reveals Catholic hospitals' deep involvement with HMOs.

PMID- 10262301
TI  - Ethics committees and ethicists in Catholic hospitals.

PMID- 10262302
TI  - Retreat for chronically ill patients emphasizes "spiritual rehabilitation".

PMID- 10262303
TI  - Social justice issues: considerations on rights and responsibilities.

PMID- 10262304
TI  - Hospital's liability for OR accidents emphasizes need for adequate insurance.

PMID- 10262305
TI  - Hospital has absolute control over staff privileges.

PMID- 10262306
TI  - A conservative health care plan for the unemployed.

PMID- 10262307
TI  - Prehospital coronary care: does it save lives?

PMID- 10262308
TI  - How to evaluate the effectiveness and efficiency of your hospital's operations.

PMID- 10262310
TI  - Management tools for the modern day health administrator. Part 4. Communicating
      tools.

PMID- 10262309
TI  - A case involving a nurse acquiring an infection from a patient and the M.D.'s
      responsibility.

PMID- 10262311
TI  - Responsibility of management.

PMID- 10262312
TI  - How to increase employee productivity. Quality control circles can help hospitals
      improve care, reduce costs, boost morale.

PMID- 10262313
TI  - Theory of organization.

PMID- 10262314
TI  - What are Pareto diagrams?

PMID- 10262315
TI  - Sterilization assurance system cuts central supply costs.

PMID- 10262316
TI  - Three steps to identifying or justifying C.S. personnel needs.

PMID- 10262317
TI  - An effective case cart system for a large university.

PMID- 10262318
TI  - Central service questions and answers. The necessity for cleaning surgical
      instruments prior to sterilization.

PMID- 10262320
TI  - A director of nurses assesses the progress of CS.

PMID- 10262319
TI  - Expectations and considerations when you introduce a case cart system.

PMID- 10262321
TI  - Marketing a new program begins inside your own hospital.

PMID- 10262322
TI  - Amsterdam medical complex.

PMID- 10262323
TI  - The importance of visual environment.

PMID- 10262324
TI  - State legal initiatives. Health planning status reported by AHA's Office of
      Public Policy Analysis.

PMID- 10262326
TI  - Changes in Wisconsin's Certificate-Of-Need Law; challenged moratorium extended.

PMID- 10262325
TI  - West Virginia passes law requiring 40% consumer representation on nonprofit
      hospital boards.

PMID- 10262327
TI  - Coalitions perspective: Zenith program emphasizes employee as part of health care
      team.

PMID- 10262328
TI  - AHA files "Baby Doe" comments; criticizes proposed rule.

PMID- 10262329
TI  - Hospitals and community-oriented programs for the elderly.
AB  - Five case studies are presented of hospitals which have become involved in
      developing community-oriented programs for elderly persons. The reasons behind
      the new hospital interest in the elderly are complex, ranging from idealistic to
      self-interested reasons. Major actors involved in initiating interest in
      hospitals varies greatly from hospital to hospital. Advantages and disadvantages
      of hospital involvement are presented.

PMID- 10262330
TI  - The medical day care program in New Jersey.
AB  - This article discusses the growth of Medical Day Care as a Title XIX funded
      service in New Jersey. It also examines the licensure requirements of the program
      under the Department of Health and the standards for certification under
      Medicaid. Two studies of participants attending medical day care centers are
      reported. One study examines 406 persons in six centers, providing a profile of
      the population served. The second study reviews the cost of care of 52
      participants over a one and one-half year period, comparing total cost of care
      with institutional care, concluding that medical day care is much less expensive.

PMID- 10262331
TI  - Off-hour telephone calls to a geriatric home care team.
AB  - This is a study of off-hour telephone calls to a physician/nurse
      practitioner/social worker team available on a round-the-clock basis to a
      population, averaging 54 in number, of chronically or terminally ill home-bound
      elderly patients. Most calls could reasonably be considered urgent and
      appropriate, and only about three per month necessitated immediate home visits:
      the off-hours time demand is not excessive and can be managed with appropriate
      practice organization and provider-patient understanding.

PMID- 10262332
TI  - Nurses and social workers in home health care: identifying and resolving turf
      conflict.
AB  - A survey of role perceptions of nurses and social workers employed in home health
      care in Washington State indicated potential turf conflict in a number of roles
      involved in home care of elderly patients. Nurses tended to perceive themselves
      capable of all patient-directed tasks and perceived few professional tasks in
      home health care as the unique domain of social work. This attitude was in sharp
      contrast to social workers' perceptions, particularly regarding tasks in the
      psychosocial area. Strategies for identifying and overcoming professional turf
      conflict in home health care agencies are discussed.

PMID- 10262333
TI  - Evaluating the home care service needs of the elderly: a research note.

PMID- 10262334
TI  - Policy responses to schizophrenia: support for the vulnerable family.

PMID- 10262336
TI  - A program of evaluation and research for hospital based home care.
AB  - A program of evaluation and research has been developed and initiated in a large
      Hospital Based Home Care Program which principally serves chronically-ill,
      elderly veterans. Program evaluation is based on data from an automated home care
      information system developed for this purpose. The information system is based on
      the Long-Term Health Care Minimum Data Set, a nationally-recommended data set
      which describes patient demographics and physical and mental health status, and
      health services provided. Home care and related costs per visit and per patient
      day have been identified. A proposed, experimental research protocol identifies
      health status outcomes and health care costs of home care and alternative modes
      of long-term health care.

PMID- 10262335
TI  - Design issues for evaluations of community care demonstrations.
AB  - The evaluation of community care demonstrations poses a number of interdependent
      program and methodological design choices. Whether or not the program to be
      tested has a system-wide mission, for example, determines whether the program
      should be implemented on a small or large scale. This in turn has important
      implications for whether a randomized or a comparison site design is the
      appropriate evaluation methodology. This paper examines the relation between
      system-wide mission and scale considerations, on the one hand, and appropriate
      choice of methodology, on the other. It concludes that a small scale program with
      a randomized evaluation design is easiest to implement, costs less, and is more
      likely to provide defensible answers to a limited set of policy questions than a
      large scale program with a system-wide mission evaluated using a comparison site
      methodology. Despite the greater difficulty and cost of a large scale
      demonstration, however, such a demonstration should be seriously considered
      whenever increased funding makes it a feasible option, because it is able to
      address a number of significant policy questions that cannot be answered within
      the constraints of a small scale demonstration.

PMID- 10262337
TI  - Home care for the dying: homemakers' perspectives.
AB  - Homemakers are important members of the health care team providing hospice care
      at home, yet there is little information about their views and experiences. This
      paper summarizes findings of a survey of homemakers working with a newly
      developed program for providing home care for dying patients and their families.
      Results indicate that homemakers perform multiple roles, which they report tend
      to be more demanding physically and psychosocially than other kinds of
      homemaking. Being able to provide comfort in a time of extreme need is satisfying
      to homemakers, although frustrations exist as well. Implications for program
      planning and future research are discussed.

PMID- 10262338
TI  - A time-motion study of patient care activities of a geriatric home care team.
AB  - A self-administered time-motion study of the activities of a home care team,
      consisting of physician, nurse practitioner and social worker is reported. The
      patients were home-bound, chronically or terminally ill and largely elderly, and
      the physician and nurse practitioner were available by telephone and for
      emergency visits on a 24-hour, 7 day per week basis. A systematic sample of 24
      hour calendar days was studied; the average team patient census was 54 (the team
      had other clinical responsibilities in addition). Time spent on travel, home
      visits and on team conferencing and consultation was higher than in other
      practices, as might be expected. Full-time equivalent requirements for this type
      of care program were extrapolated to come to approximately one physician and
      social worker and one and one-half nurse practitioner per 100 patients. A truer
      estimate of actual costs of provision of team services to home-bound patients can
      be provided by this method than by the usual calculation of charges based only on
      actual home visits.

PMID- 10262339
TI  - Home health care: will the past predict the future?

PMID- 10262340
TI  - Malpractice claims for infections analyzed.

PMID- 10262341
TI  - Voluntary rubella vaccination program described.

PMID- 10262342
TI  - It Works. Developing a personnel manual.

PMID- 10262344
TI  - VHA wins first round in antitrust battle.

PMID- 10262345
TI  - Budgeting cost increases: a self-fulfilling prophecy.

PMID- 10262346
TI  - Hospital group purchasing--a rebuttal.

PMID- 10262347
TI  - Vendor certification--the benefits are worth the effort.

PMID- 10262348
TI  - Hospital or hotel? There may be a choice.

PMID- 10262349
TI  - New linen policy saves dollars and makes sense.

PMID- 10262350
TI  - Integrated medical equipment management.

PMID- 10262351
TI  - Bar coding system makes exchange carts obsolete.

PMID- 10262352
TI  - Group buying: where are we going?

PMID- 10262353
TI  - Developing the work group.

PMID- 10262354
TI  - Theft in the hospital.

PMID- 10262355
TI  - Impressions of marketplace competition in the Twin Cities.

PMID- 10262357
TI  - Macro-marketing in health care.

PMID- 10262358
TI  - Healthcare marketing and the regional model.

PMID- 10262356
TI  - Physician-centered marketing: a practical step to hospital survival.

PMID- 10262359
TI  - Market strategies for hospitals in a competitive environment.

PMID- 10262360
TI  - Fire preparedness program pays off for WA hospital.

PMID- 10262362
TI  - Cooperation will conquer competition.

PMID- 10262361
TI  - Not all physicians are embracing a new 'corporate sector' in health care.

PMID- 10262363
TI  - AHA convention consensus: physicians crucial to hospitals' viability.

PMID- 10262364
TI  - A new formulary statement and formulary service.

PMID- 10262365
TI  - Use of nonsteroidal anti-inflammatory drugs in a rheumatologic outpatient clinic.

PMID- 10262366
TI  - Evaluating the quality of patient education in a self-medication teaching
      program.

PMID- 10262367
TI  - P & T committees and the hospital formulary.

PMID- 10262368
TI  - Chicago Tylenol poisonings: Mississippi hospitals' thoughts and actions.

PMID- 10262369
TI  - Analysis of drug information questions on a decentralized pharmacy service unit.
AB  - The pharmaceutical services at Rhode Island Hospital integrate the decentralized
      distribution role of the pharmacist with the provision of patient-specific drug
      information. This service is backed up by a Drug Information Center (DIC). A
      study to analyze the inquiries addressed to pharmacists assigned to a
      decentralized unit (PSU) was conducted over a 30-day period. The survey tabulated
      what kind of requests were made, if they could be answered with the information
      available on the patient care unit, and what action was taken as a result of the
      information provided. When the requests were categorized according to the type of
      information, the PSUs and the DICs top three categories were the same. Only 3.8%
      of the requests for information on the PSU could not be answered using the
      references available on the unit. Fifty one per cent of the requests received by
      the PSU were acted upon by the inquirer exactly according to the information
      provided by the pharmacist.

PMID- 10262370
TI  - Twenty-four hour a day pharmacy service in hospitals with less than 300 beds-
      Part 3.

PMID- 10262371
TI  - A perspective from the Knowledge Base Research Program (KBRP).

PMID- 10262372
TI  - Social dimensions of changing office technology.

PMID- 10262373
TI  - Washington State Medical Association. Guidelines for patient access to medical
      records.

PMID- 10262374
TI  - Manager and evaluator views of program evaluation.
AB  - This article presents the results of a 1979 national survey of federally funded
      community mental health centers (CMHCs). The directors and chief program
      evaluators of 323 CMHCs returned questionnaires which allow comparisons of the
      opinions of the center managers and their evaluators regarding accountability and
      evaluation and the level and knowledge of center evaluation staff. The CMHC
      directors and evaluators are also compared to a random sample of community
      psychologists and four other criterion groups of professionals regarding their
      responses to three items of the service provider accountability subscale of the
      Human Service Ideology scale.

PMID- 10262375
TI  - Factors related to job stability of direct-care staff of residential facilities
      for mentally retarded people.
AB  - Direct-care staff turnover has frequently been cited as a major problem in the
      management of both public and nonpublic residential facilities. This article
      reports on a follow-up study of over 100 direct-care staff one year after an
      initial interview. Staff members were employees of facilities in a national,
      stratified random sample of public and nonpublic facilities. Demographic,
      experiential, job satisfaction, geographical, and institutional factors related
      to occupational status at the time of the follow-up are reported.

PMID- 10262376
TI  - Delivery of rape-related services in CMHCs: an initial study.
AB  - A questionnaire designed to assess how rape-related services are delivered was
      mailed to directors of 34 federally funded comprehensive Community Mental Health
      Centers (CMHCs) in Missouri and Illinois. Responses were received from 18 CMHCs.
      Results indicated that rape-related services were offered by approximately three
      quarters of the respondents, who reported delivering primarily clinical services.

PMID- 10262377
TI  - Training community-based, Asian-American mental health personnel in behavior
      modification.
AB  - Sixteen Asian-American and Pacific Island mental health professionals received 10
      weekly, 2-hour training sessions on behavior modification and its application, in
      particular, to Asian-American clients. A three-fold assessment of the training
      results revealed: a) a significant increase in knowledge of behavior modification
      principles, b) a significant increase in ability to accomplish a behavioral
      analysis and behavioral treatment plan, and c) a significant increase in one of
      three attitudes toward behavior modification: oriented activity. In general, the
      training was rated highly and, perhaps more importantly, was viewed as having
      relevance for this particular minority population which often under utilizes
      mental health services. The training model and needs for further consultation and
      supervision were discussed.

PMID- 10262378
TI  - The ambulance report as legal document.

PMID- 10262379
TI  - Championship mania. Testing an interagency command operation.

PMID- 10262380
TI  - Financial strategies for surviving the 80's. Part 4. Cost Control.

PMID- 10262381
TI  - Collapse of Coalinga.

PMID- 10262382
TI  - A better mousetrap. What makes up the "perfect" triage tag?

PMID- 10262383
TI  - Analyzing triage tag samples.

PMID- 10262384
TI  - An ounce of intervention. Developing a standard training program for behaviorial
      emergencies.

PMID- 10262385
TI  - The public/private interface.

PMID- 10262386
TI  - "Do not resuscitate" administrative and ethical considerations in prehospital
      arrests.

PMID- 10262388
TI  - Employ the best. A guide to paramedic selection.

PMID- 10262387
TI  - Trauma care. Evaluating effectiveness with the injury severity score.

PMID- 10262389
TI  - Development and implementation of a music/activity therapy intake assessment for
      psychiatric patients. Part I: initial standardization procedures on data from
      university students.
AB  - The stimulus for the Music/Activity Therapy Intake Assessment was a recent
      publication by the Joint Commission on Accreditation of Hospitals requiring for
      activity services, "assessment of the patient's needs, interests, life
      experiences, capacities, and deficiencies" (1981, p. 126). The Assessment was
      written in the spring of 1982 and contains four sections: Activity Preference,
      Organizational involvement, Attitude Survey, and Post-Interview Observations. The
      purpose of the present study was to investigate the psychometric properties of
      the Attitude Survey. The Attitude Survey was administered to 214 university
      students enrolled in three areas of study: human science, performance, and
      liberal arts. Results show that each of the three scales in the Survey is
      internally consistent (.63 to .74), that each scale measures a single large
      dimension, and that two of the three scales significantly discriminate between
      groups of students (p less than .05). The authors conclude that the Attitude
      Survey possesses adequate psychometric properties to justify its continued use as
      part of the Music/Activity Intake Assessment.

PMID- 10262390
TI  - Clinical pastoral counseling: an Australian model.

PMID- 10262391
TI  - The beginning of clinical pastoral care in the Philippines.

PMID- 10262392
TI  - Private agencies for public purposes: some new perspectives on policy making in
      health insurance between the wars.
AB  - The approved societies, who were charged with the administration of health
      insurance in Britain, have long been blamed for the failure of the scheme to
      expand its coverage or scope in the interwar period. This paper takes a closer
      look at the administrative process and argues that societies were more vulnerable
      to central regulation than is commonly thought and were unable to resist cuts in
      public subsidies and extensions in liability introduced at their expense. They
      provided a convenient scapegoat for policies emanating primarily from the
      economic orthodoxy subscribed to by both government and the Treasury, modified to
      protect the unemployed during the slump. Health insurance policy was dominated to
      a large extent by the Government Actuary, who aimed to guarantee the cost
      effectiveness of the scheme. This paper also shows how administrative definitions
      and practices affected the classification of claimants to state social insurance
      at this time. It re-establishes the major weaknesses of the system, arguing that-
      in the light of recent discussions about reviving a system of national health
      insurance--we have much to learn from looking again at the experience of the
      interwar period.

PMID- 10262393
TI  - Vitek and beyond: the empirical context of prison-to-hospital transfers.

PMID- 10262394
TI  - Major current issues concerning civil commitment criteria.

PMID- 10262395
TI  - Inappropriate patient confinement and appropriate state advocacy.

PMID- 10262396
TI  - Hospitalization, arrest, or discharge: important legal and clinical issues in the
      emergency evaluation of persons believed dangerous to others.

PMID- 10262397
TI  - Following the leader: how to link management style to subordinate personalities.

PMID- 10262398
TI  - Organizing a corporate philanthropy program.

PMID- 10262400
TI  - Why are in-house laundries closing?

PMID- 10262399
TI  - Loss, mishandling of personal laundry major complaint in PA nursing homes.

PMID- 10262401
TI  - Thermal-oil system helps slash hospital laundry's energy costs.

PMID- 10262402
TI  - Non-profit hospital co-op laundry now profit-making linen exchange.

PMID- 10262403
TI  - Illinois to revamp legislation will simplify nursing home law.

PMID- 10262404
TI  - Hospital co-op to buy water soluble bags as part of settlement with striking
      workers.

PMID- 10262405
TI  - If an A-plant blows, what can a doctor do?

PMID- 10262406
TI  - Why medical groups are in the best position to control costs. Part two.

PMID- 10262407
TI  - Specialized ratio analysis.
AB  - Many common management techniques have little use in managing a medical group
      practice. Ratio analysis, however, can easily be adapted to the group practice
      setting. Acting as broad-gauge indicators, financial ratios provide an early
      warning of potential problems and can be very useful in planning for future
      operations. The author has gathered a collection of financial ratios which were
      developed by participants at an education seminar presented for the Virginia
      Medical Group Management Association. Classified according to the human element,
      system component, and financial factor, the ratios provide a good sampling of
      measurements relevant to medical group practices and can serve as an example for
      custom-tailoring a ratio analysis system for your medical group.

PMID- 10262408
TI  - Merger. A response to increasing competition.
AB  - Two group practices in Wisconsin, the East Madison Clinic and the Dean Clinic,
      chose the path of merger to meet the demands of the competitive healthcare
      environment. The key-issues which had to be addressed before the merger could
      take place are presented, including: redesign of the earnings distribution
      formula for the groups, determination of quality assurance mechanisms for the new
      and larger organization, the effect on administration, considerations in
      announcing the merger to the public, and many more. Given the unique set of
      circumstances surrounding the two groups, merger has proven to be a very
      successful venture and has led to the realization of multiple benefits for the
      new organization.

PMID- 10262409
TI  - Are you managing a future national medical practice?
AB  - Are you a futuristic medical group manager? Do you dream of being president of a
      national medical practice? This entrepreneurial look at the group practice
      marketplace encourages managers to rise to the challenge of competition. A
      national medical practice represents the supreme challenge for a futuristic
      medical group manager. The author gives his insights to marketplace forces and
      clues about how the challenged manager can expand his group on a regional or
      national basis.

PMID- 10262410
TI  - A workable buy-in/out strategy.
AB  - Many medical groups experience dilemma in negotiating buy-in agreements between
      owners and non-owner group members of clinic property. Anything less than broad
      based ownership can promote a divisive undercurrent within the organization and
      the group's very perpetuity may be held in jeopardy. The author offers a
      complicated financing strategy which redistributes building equity, thereby
      reducing buy-in value.

PMID- 10262411
TI  - A medical group on Embassy Row.

PMID- 10262412
TI  - Office of the future. Clinic style.
AB  - With technology as the driving force, there are many changes occurring in medical
      group offices. The medical office of the future is a concept which encompasses
      the total office -- the interrelationship of all pieces of equipment. This focus
      on the total office will mean improved productivity and effectiveness not only in
      clerical areas, but in managerial and physician areas as well. The author
      examines some of the technology that is being developed today in voice and text
      processing and communication. Each medical group must analyze its present and
      future needs and then implement advanced concepts to meet those needs.

PMID- 10262413
TI  - Maintaining medical records.
AB  - In addition to being a required legal document, the medical record is a necessary
      tool for continuity of care and accurate billing. Its proper appearance,
      organization, and completeness are essential to good management. A series of
      steps have been set down in this nuts-and bolts article, providing the
      administrator with a systematic guide for efficient medical record maintenance.

PMID- 10262414
TI  - Moving. Ain't it great?
AB  - Group practice administrators often say that they do not want to "reinvent the
      wheel," but simply want to use it after it has been tested and perfected. In this
      humorously written and very informative article, an administrator relates his
      group's building and moving experience and, looking in retrospect, imparts many
      constructive comments as well. The reader no doubt will identify mistakes made
      and may even take exception to the methodology used. If, however, this experience
      in moving can provoke either positive or negative observations, then perhaps
      other administrators will be able to avoid reinventing the wheel when it comes
      time for a move to a new facility.

PMID- 10262415
TI  - Hospitals that still want doctors.

PMID- 10262416
TI  - . . . And other competition you'll face in 1983.

PMID- 10262418
TI  - Ethical dilemma: should I break patient confidentiality?

PMID- 10262417
TI  - Would you really want to join the PPO movement?

PMID- 10262419
TI  - Would this service help your patients?

PMID- 10262420
TI  - Cable Health programming lures prescription advertisers.

PMID- 10262421
TI  - Third annual guide. Copiers.

PMID- 10262422
TI  - The goal-oriented job evaluation.

PMID- 10262423
TI  - Detailing and quantifying job performance.

PMID- 10262424
TI  - Guide to a good management library.

PMID- 10262425
TI  - Don't overlook phlebotomy QC.

PMID- 10262426
TI  - Giving and handling criticism.

PMID- 10262427
TI  - How a color code kept our reports from vanishing.

PMID- 10262428
TI  - Improving our professional credibility.

PMID- 10262429
TI  - Rx for the elderly: a little time and tenderness.

PMID- 10262430
TI  - Emerging developments in laboratory technology.

PMID- 10262431
TI  - Genetic screening: a medicolegal time bomb?

PMID- 10262432
TI  - Pay raises: merit or seniority?

PMID- 10262433
TI  - Plugging the lab into a computer network.

PMID- 10262434
TI  - An overall laboratory communication plan.

PMID- 10262435
TI  - A guide to progressive disciplinary measures.

PMID- 10262437
TI  - Career ladder encourages better nursing care.

PMID- 10262436
TI  - Interview: a physician/administrator talks about physicians in today's hospitals.

PMID- 10262438
TI  - ALRMM: an approach to productivity monitoring.

PMID- 10262439
TI  - Staffing a new hospital.

PMID- 10262440
TI  - Quality circles work for hospitals.

PMID- 10262441
TI  - Human development as a catalyst for change.

PMID- 10262443
TI  - Physical therapists: too few now, fewer tomorrow.

PMID- 10262442
TI  - Credentialing system enhances quality, cuts costs.

PMID- 10262444
TI  - Manpower: a view of changing needs.

PMID- 10262445
TI  - OSHA pushes EtO limit too fast: AHA.

PMID- 10262446
TI  - Market predictions give CHI an edge in rug-of-war for healthcare dollars.

PMID- 10262447
TI  - Hospital information systems: more computer firms entering already crowded
      hospital market.

PMID- 10262449
TI  - Hospital information systems: terminal becoming bedside tool.

PMID- 10262448
TI  - Hospital information systems: hospitals' reliance on in-house systems expected to
      increase.

PMID- 10262450
TI  - Food service: subtle change in menu, delivery can beef up kitchen productivity.

PMID- 10262451
TI  - Food service: comparing 'apples and oranges' isn't a problem with formal RFPs.

PMID- 10262452
TI  - Food service: evaluation can be keen weapon for defending capital purchase.

PMID- 10262453
TI  - Trends may intensify M.D.-CEO tensions.

PMID- 10262454
TI  - Court ruling on tax-free status casts shadow on common financing strategy.

PMID- 10262455
TI  - Hospitals balk as interest creeps up.

PMID- 10262456
TI  - AMI is guilty in antitrust case: FTC.

PMID- 10262457
TI  - OMB's support of House planning bill opens new road to compromise.

PMID- 10262458
TI  - Hospitals must lead development of morally difficult rationing policy.

PMID- 10262459
TI  - Competition closing gap between I.V. prices groups pay.

PMID- 10262460
TI  - Competitive buying groups pluck hospitals from each others' regions.

PMID- 10262461
TI  - Some hospitals 'shoot from the hip,' but others use research to target marketing.

PMID- 10262462
TI  - Prescription for health costs.

PMID- 10262464
TI  - The due process of effective management.

PMID- 10262463
TI  - Blues seek sane balance in medical economics.

PMID- 10262465
TI  - Economic aspects of primary health care.

PMID- 10262466
TI  - The health care plight of illegal immigrants.

PMID- 10262467
TI  - Recession ills. Physicians respond with free health care.

PMID- 10262469
TI  - Pharmacist certification program.

PMID- 10262468
TI  - Government intervention: "the Baby Doe rule".

PMID- 10262470
TI  - Group discussion methods.

PMID- 10262471
TI  - Readiness to learn in patient education.

PMID- 10262473
TI  - Hospital-based health information center.

PMID- 10262472
TI  - Informed consent in perspective.

PMID- 10262474
TI  - A synthesis of methods.

PMID- 10262475
TI  - Social support and health.

PMID- 10262476
TI  - The physician oversupply: implications for patient education.

PMID- 10262477
TI  - Marketing and health education.

PMID- 10262478
TI  - Primary prevention for children: a framework for the assessment of need.
AB  - This paper discusses the role of needs assessment procedures in the development
      of effective primary prevention strategies for children and youth. A number of
      techniques which may be employed in the assessment of need for such services are
      presented and their strengths and limitations for such application are discussed.
      Particular problems for needs assessment planning and implementation stemming
      from differences in the goals and objectives of preventive, as opposed to more
      traditional mental health services for children, are elaborated and possible
      strategies for their resolution suggested.

PMID- 10262479
TI  - A needs assessment of human service agencies in an urban community.

PMID- 10262480
TI  - Needs assessment and community development: an ideological perspective.
AB  - Many practitioners of the social sciences have fostered the value-free,
      apolitical and ahistorical character of their disciplines. This position distorts
      the real perception that should permeate the theory, methodology, techniques and
      practices of the social sciences. This paper, by examining the method of needs
      assessment, focuses on the undesirability of preserving this point of view. Needs
      assessment is discussed as a political process for the organization, mobilization
      and consciousness-raising of groups and communities.

PMID- 10262481
TI  - Mental health needs assessment approaches: a case for applied epidemiology.
AB  - This paper briefly describes the political and social factors which have prompted
      the rapid development of needs assessment as a research activity. It also
      suggests reasons for the likelihood of continuing assessment mandates through the
      1980s. The five most commonly employed needs assessment methodologies are
      outlined and a critique is offered for each. The major focus of the paper is on
      the development and uses of an applied epidemiologic survey assessment model
      which has been designed and tested extensively by the authors in a variety of
      geographic areas and agency settings. Illustrations of how field survey data can
      be presented for enumerating mental health needs are also presented.

PMID- 10262482
TI  - Plugging health promotion into the cable TV boom.

PMID- 10262483
TI  - Program builds self-reliance, self-care skills in unique approach to promoting
      health.

PMID- 10262484
TI  - The central risk organization.

PMID- 10262485
TI  - Dealing with elderly patients' special needs.

PMID- 10262487
TI  - The politics of hospital privileges.

PMID- 10262486
TI  - House calls: how big a comeback?

PMID- 10262488
TI  - Incompetent physicians: a legal mine field.

PMID- 10262489
TI  - Malpractice liability and your staff.

PMID- 10262490
TI  - How recent court rulings are affecting staff privileges.

PMID- 10262491
TI  - 10-point checklist to prevent malpractice claims.

PMID- 10262492
TI  - The freestanding ER: a growing competitor.

PMID- 10262493
TI  - Court ruling threatens reimbursement increases.

PMID- 10262494
TI  - Malpractice liabilities in referrals.

PMID- 10262495
TI  - The Urban Community Family Medicine Home Visit Program at Thomas Jefferson
      University Hospital.

PMID- 10262496
TI  - Supporting the homemaker-home health aide as a valuable player on the home care
      team.

PMID- 10262497
TI  - The National Homecaring Council's standards for paraprofessional services: a
      critical guide.

PMID- 10262498
TI  - Homemaker-home health aides as members of the home care team.

PMID- 10262499
TI  - Children of psychotic mothers may benefit from home care.

PMID- 10262500
TI  - Persons mentally ill and retarded need better care.

PMID- 10262501
TI  - Establishing a management system: the interaction of power shifts and personality
      under federal MBO.

PMID- 10262502
TI  - Challenging responsibility: patient education.

PMID- 10262503
TI  - Evolution of the work ethnic.

PMID- 10262504
TI  - Electrolytic fixer.
AB  - Interest in the recovery of silver from radiographic film generates a need to
      understand the operating procedures of recovery units utilizing the electrolytic
      fixer principle. Tailing or terminal units and recirculation units using
      electrolysis are evaluated. Difficulties encountered in the number of Coulombs
      applied to a specific amount of fixer are discussed. Reduction of sulfiding as a
      result of electrolysis and variations in film volumes are noted. The quantity and
      quality of silver collected can be improved by being aware of alterations in
      chemical activity used in a silver recovery program.

PMID- 10262505
TI  - Technology update: automated microfilm retrieval.

PMID- 10262506
TI  - The Es of radiology management: planning for the future.

PMID- 10262508
TI  - A clinical study of an automatic exposure control for portable radiography.

PMID- 10262507
TI  - Position control: a system of labor containment.

PMID- 10262509
TI  - Tapping a valuable resource--the employee.

PMID- 10262510
TI  - Policy for pregnant radiology employees.

PMID- 10262511
TI  - Radiology as an information system.

PMID- 10262512
TI  - Establishing clinical privilege standards for future hospital practitioners.

PMID- 10262513
TI  - Mammography for the small community hospital.

PMID- 10262514
TI  - Impact of manual and computer-assisted PACS for automated PACS.
AB  - Considerations of totally electronic picture archiving system (PACS) often
      neglect the fact that every radiology practice currently has some system for
      storing and retrieving images and related alphanumeric data. Although these
      systems are usually manual, many departments now use on-line computers to help
      manage film flow. In either event, the creation of electronic PACS can be viewed
      as a classic data processing problem of automating an existing system, and the
      conversion should proceed through the usual steps of documenting the existing
      system in detail, and conducting feasibility studies and cost-benefit analyses.
      Documenting current systems should be facilitated by computer-assisted PACS-
      particularly documenting transaction volumes which can be provided as a by
      product of radiology information management systems. Similarly cost-benefit
      analysis should be facilitated, although the cost/benefit ratio may be less
      favorable when comparing automated to computer-assisted PACS. Finally,
      information management features such as those provided by current on-line
      radiology systems provide a framework necessary to realize the full benefits of
      automated PACS.

PMID- 10262515
TI  - Legal forum: the role of product liability in medical malpractice.

PMID- 10262516
TI  - AIDS a plague of fear.

PMID- 10262517
TI  - The child abuse program in a child guidance center.
AB  - This paper is a case example of how one private child guidance clinic responded
      to problems of child abuse seen in the clinic and how the center moved from the
      "micro-level" of treating individual victims and their families to the "macro
      level" of education and community involvement. The authors show how case-by-case
      treatment of abused families can be used as a guide for program development and
      community education.

PMID- 10262518
TI  - Program evaluation using a patient opinion survey: one hospital's experience.
AB  - This article describes the development of a Patient Opinion Survey (POS) for
      hospitalized adolescents and adults at a private psychiatric hospital. In
      addition to patient satisfaction with treatment, patient perception of the
      importance of various treatment modalities (individual therapy, group therapy,
      medication, etc.) was also assessed. Results are discussed in regard to
      adolescent and adult differences in satisfaction, degree of satisfaction
      expressed by patients at our facility compared with degree of satisfaction
      expressed by patients in other institutions, and implications of patients'
      perceptions of the relative importance of different treatment modalities for
      future research.

PMID- 10262519
TI  - Pitfalls in geriatric drug therapy.

PMID- 10262520
TI  - Litigation over loss of staff privileges.

PMID- 10262521
TI  - Vascular prostheses today.

PMID- 10262522
TI  - Genetic counseling and congenital heart disease.

PMID- 10262523
TI  - CPR: the pioneers.

PMID- 10262524
TI  - EIL financial responsibility comes of age.

PMID- 10262525
TI  - The new era of microcomputers: developing the expertise.

PMID- 10262526
TI  - Health care cost containment needs more than lip-service cooperation.

PMID- 10262527
TI  - New block approach smoothes OR scheduling.

PMID- 10262528
TI  - Flying eye doctors.

PMID- 10262529
TI  - Survival skills for working with potentially violent clients.

PMID- 10262530
TI  - The older generation: what is due, what is owed.

PMID- 10262531
TI  - The therapeutic process in clinical social work.

PMID- 10262532
TI  - Doing more with less.

PMID- 10262533
TI  - The development of forensic social work.

PMID- 10262534
TI  - Potential savings from the adoption of nurse practitioner technology in the
      Canadian health care system.
AB  - An investigation is reported of the potential for reducing aggregate medical
      costs by the introduction of nurse practitioners into the Canadian health care
      system to an extent consistent with demonstrated safety and effectiveness. A cost
      model is developed for this purpose and estimates of its parameters are provided.
      The cost model is coupled with a demographic projection model and potential cost
      reductions are simulated over the period 1980-2050, under alternative
      assumptions. Results suggest that savings could have been in the range 10-15% in
      1980 for medical services as a whole, and 16-24% for ambulatory services. The
      estimated savings percentages are quite insensitive to projected changes in the
      age structure of the Canadian population.

PMID- 10262535
TI  - Indicators for planning of health services: assessing impacts of social and
      health care factors on population health.
AB  - Community health planning requires identification of the level of access to care
      and factors which affect the differentials in use of health services. In
      formulating strategies or alternatives for planning, some assessment of the
      current level or patterns of health services must be made. It is this element of
      the planning process that is addressed in this paper. In this study sixty-five
      specifically designated areas (medical market areas) in the Province of Quebec,
      Canada were selected. The analysis was performed using data obtained from a large
      scale study of physicians' responses to the introduction of universal medical
      care insurance in Quebec. Our analysis offered an opportunity to observe the
      impact of Medicare on access to care for those thought to be underserved.

PMID- 10262536
TI  - Hospital peer review committees: privileges of confidentiality and immunity.

PMID- 10262537
TI  - Security systems.

PMID- 10262538
TI  - Plumbing fixtures in special environments.

PMID- 10262539
TI  - Talkback telephone network. Techniques of providing library continuing education.
AB  - Four lectures on solving medical reference requests were given over a talkback
      telephone teleconference network which links 110 hospitals throughout the state.
      Participants in the course were librarians in nonurban public libraries, systems
      libraries, and small hospital libraries. Professional librarians as well as
      library personnel with little training took the course. Techniques were developed
      for providing continuing education over this telephone network to individuals
      located in remote areas. These techniques are described including analysis of
      their advantages and disadvantages.

PMID- 10262541
TI  - Licensure vs. certification.

PMID- 10262540
TI  - Hepatitis B: an environmental hazard.

PMID- 10262542
TI  - Cost reimbursement: reusables versus disposables.

PMID- 10262543
TI  - New evidence on low temperature laundering.

PMID- 10262544
TI  - How to conduct a needs assessment for computer-literacy training.

PMID- 10262546
TI  - The quality practitioner.

PMID- 10262545
TI  - Training technology's next frontier: on-the-job performance objectives.

PMID- 10262547
TI  - An introduction to word processing.

PMID- 10262548
TI  - Word processing: productivity measurement.

PMID- 10262549
TI  - Ergonomics: the people factor.

PMID- 10262550
TI  - Enhancing word processing productivity with an optical character reader.

PMID- 10262552
TI  - Coping with word processing equipment vendor selection.

PMID- 10262551
TI  - Competency issues for the 1980s.

PMID- 10262553
TI  - Outside transcription services: a cost-effective alternative to in-house word
      processing.

PMID- 10262554
TI  - Adoption and the right to inspect medical records.

PMID- 10262555
TI  - Continuing education in infection control.

PMID- 10262556
TI  - Feedback, follow-up part of QA.

PMID- 10262558
TI  - An era in retrospect.

PMID- 10262557
TI  - Management training after hours. The hospital's hidden resource.

PMID- 10262559
TI  - Continuing medical education. How to make the most of your program.

PMID- 10262561
TI  - The logistics of a hospital name change.

PMID- 10262560
TI  - Organizational communication. The role of the administrator in human relations
      training.

PMID- 10262562
TI  - Hidden benefits of continuing education.

PMID- 10262563
TI  - Terminating a physician: his right to be heard.

PMID- 10262564
TI  - Teleconferencing.

PMID- 10262565
TI  - Competence-based study: it's not what you know but how you use it.

PMID- 10262567
TI  - Hospital advertising--is it ethical?

PMID- 10262566
TI  - Advertising is effective means of telling the hospital story.

PMID- 10262568
TI  - Choosing the right media for the job.

PMID- 10262569
TI  - QA and the credentialing mechanism.

PMID- 10262570
TI  - Orientation: making the strange less strange.

PMID- 10262571
TI  - Specialty advertising: a friendly medium.

PMID- 10262572
TI  - Healthy employees: the first line of defense.

PMID- 10262573
TI  - Selecting and working with an advertising agency.

PMID- 10262574
TI  - Community fitness goal focused on Gamefield.

PMID- 10262575
TI  - Radio. Promoting a hospital wellness program: Brackenridge Hospital, Austin.

PMID- 10262576
TI  - Television. Promoting hospital services: the Institute for Rehabilitation and
      Research, Houston.

PMID- 10262578
TI  - Whatever happened to the PSA?

PMID- 10262579
TI  - Health care advertising.

PMID- 10262577
TI  - Print. Promoting a physician referral service: Twelve Oaks Hospital, Houston.

PMID- 10262580
TI  - AIDS: facts may prevent panic.

PMID- 10262581
TI  - Interchange/A problem-solving forum.

PMID- 10262582
TI  - Rhode Island's experience with budgets negotiated in advance.

PMID- 10262583
TI  - Cooperative effort helps a small hospital recruit physicians.
AB  - To attract physicians to its community, a Wisconsin hospital began a recruitment
      program in cooperation with three area clinics, led by the hospital's board
      committee on physician recruitment. Key to the success of the process is a site
      visit to the community. The authors detail the process that led seven new
      physicians to relocate to the area within a single year.

PMID- 10262584
TI  - Recruitment assumes you know what you want, so learn from the past.
AB  - Henry Ford Hospital in Detroit has a full-time, salaried medical staff. Yet its
      program to monitor physician recruitment and retention may interest the boards of
      other hospitals without a large number of salaried physicians that are engaged in
      recruitment activities. Key to the program is the establishment of a profile of
      the background characteristics of physician recruits.

PMID- 10262585
TI  - "Medicine has overdrawn its credit" in American Society by Alvin P. Sanoff.

PMID- 10262586
TI  - When employees turn into thieves.

PMID- 10262587
TI  - If you have to care for your aging parents.

PMID- 10262589
TI  - Soaring hospital costs.

PMID- 10262588
TI  - A new understanding about death.

PMID- 10262590
TI  - Matching skills keeps pros in tune, turned on.

PMID- 10262591
TI  - Suicide 'epidemic' spurs support and prevention programs.

PMID- 10262592
TI  - Position control means better management and more recognition.

PMID- 10262593
TI  - Perspectives. Technology: who shall judge?

PMID- 10262594
TI  - Perspectives. Preferred providers proliferate.

PMID- 10262595
TI  - Perspectives. FTC facing an uncertain future.

PMID- 10262596
TI  - Perspectives. Debate widens over scope of practice.

PMID- 10262597
TI  - Perspectives. Baby Doe: HHS, Congress & the courts.

PMID- 10262598
TI  - The Declaration of Sydney: towards a revision?

PMID- 10262599
TI  - Advertising--a test case.

PMID- 10262600
TI  - Public health programming for Hansen's disease.

PMID- 10262601
TI  - Health care manpower in India: current status and deployment.

PMID- 10262602
TI  - Equal access to urban hospital care: threats and responses.

PMID- 10262603
TI  - Good Samaritan laws: can a hospital be the scene of an emergency?

PMID- 10262604
TI  - Shared hospital services--growing practice for "cost avoidance".

PMID- 10262605
TI  - CDC update: acquired immunodeficiency syndrome (AIDS) update--United States.

PMID- 10262606
TI  - Philadelphia area hospitals conduct campaign against underfunding.

PMID- 10262607
TI  - Update: Henry Ford Hospital's chronic disease care program.

PMID- 10262608
TI  - Patient noncompliance: a model with implications for treatment.

PMID- 10262609
TI  - The role of goal acceptance in goal setting and task performance.
AB  - Goal setting has been widely used to enhance work motivation. This paper
      discusses the importance of goal acceptance in moderating goal setting effects
      and shows how workers' acceptance of goals can be influenced at various stages of
      the progression from goal setting to goal attainment. A heuristic organization of
      goal acceptance strategies is proposed as a basis for extending the theoretical
      framework underlying goal setting research.

PMID- 10262610
TI  - Computers can't walk or talk. That's the problem with management information
      systems.

PMID- 10262611
TI  - Thinking the unthinkable about genetic screening.

PMID- 10262612
TI  - Getting along with the boss.

PMID- 10262613
TI  - When you offer people a free lunch, they don't eat at McDonald's. They go to the
      Ritz.

PMID- 10262614
TI  - Cusp catastrophe model of employee turnover.
AB  - A cusp catastrophe model is developed to explain job turnover of nursing
      employees. The temporal dynamics of the catastrophe model suggest that leavers
      experience lower organization commitment than do stayers prior to termination.
      Leavers' perceptions of job tension and commitment appear to cross the threshold
      levels prior to the termination dates.

PMID- 10262615
TI  - Note on tension discharge rate as an employee health status predictor.

PMID- 10262616
TI  - When to say "No" to an interested volunteer: the screening process.

PMID- 10262617
TI  - The Veterans Administration voluntary service program.

PMID- 10262618
TI  - Volunteers support legislation for health insurance coverage.

PMID- 10262619
TI  - AA volunteers provide support to inpatients.

PMID- 10262621
TI  - 'Test-tube' baby clinics on rise.

PMID- 10262620
TI  - Art therapy: what it is and what it is not.

PMID- 10262622
TI  - Computer network to aid multihospital group's internal communication.

PMID- 10262623
TI  - MDs conduct ICU rounds using home computers.

PMID- 10262624
TI  - Computer intruders endanger care.

PMID- 10262625
TI  - For terminating treatment MDs face unprecedented murder charge.

PMID- 10262626
TI  - Rehabbing of a laundry increases its productivity.

PMID- 10262628
TI  - 10 ways to generate meeting publicity.

PMID- 10262627
TI  - New use of method cuts hospital losses.

PMID- 10262629
TI  - Closures deal jobs blow to executives.

PMID- 10262630
TI  - The very many ways to throw some light on patient rooms.

PMID- 10262631
TI  - TB controversy unresolved, claims expert.

PMID- 10262632
TI  - Who needs good medical records?

PMID- 10262633
TI  - NHS planning.

PMID- 10262634
TI  - Training needs.

PMID- 10262635
TI  - A review of outcome studies.

PMID- 10262636
TI  - Keeping them well is good business too.
AB  - Many hospitals today regard motivating people to take better care of themselves,
      and teaching them how, to be as much a part of their mission as repairing the
      damage when they don't.

PMID- 10262638
TI  - Can your department produce TV commercials?

PMID- 10262637
TI  - Expanding media production capabilities with volunteers.

PMID- 10262639
TI  - Using video to monitor patients during EEGs.

PMID- 10262640
TI  - Getting motivated employees to perform.

PMID- 10262641
TI  - Coping with sexual harassment.

PMID- 10262642
TI  - What supervisors should know about discipline.

PMID- 10262643
TI  - The big business of medicine.

PMID- 10262644
TI  - Availability of information and records to the public; fees for providing
      information and records; procedures and appeals--SSA. Notice of proposed
      rulemaking.
AB  - The Social Security Administration (SSA) announces proposed changes in the fees
      it charges for providing records from its files and record related services.
      These proposed changes will conform SSA's fee schedule to that recently published
      by the Department of Health and Human Services (HHS). The proposed rules also
      implement the discretion given the Secretary of Health and Human Services by
      section 2207 of the Omnibus Budget Reconciliation Act of 1981 to charge the full
      cost of providing certain information and records. The proposed rules do not
      change SSA's longstanding policy of generally not charging an individual for
      information needed to assure that our records concerning her or him are correct.
      In preparing these amendments, we deleted from SSA's rules several provisions
      concerning Medicare information. The Health Care Financing Administration (HCFA)
      has published separate regulations governing the availability of Medicare
      information and records. We have also clarified the rules for handling requests
      for information about individuals under the Privacy Act and the Freedom of
      Information Act (FOIA) and incorporated HHS' recent rules on who has authority to
      release or deny records in this revised material.

PMID- 10262645
TI  - Discontinuation of approval of modifications in notes, guaranteed under Title VI
      or VII of the Public Health Service Act, proposed to permit use of the notes as
      collateral for tax-exempt financings--PHS. Final rule.
AB  - The Department of Health and Human Services (HHS) adds a new section to
      regulations for making and guaranteeing loans for construction and modernization
      of hospitals and medical facilities and to regulations for guaranteeing loans for
      the construction of teaching facilities for health professions personnel. Under
      these regulations HHS will not approve the modification of the terms of an
      existing loan guaranteed under Title VI or Title VII of the Public Health Service
      (PHS) Act if the modification would permit use of the guarantee (or guaranteed
      loan) as collateral for tax-exempt financing.

PMID- 10262646
TI  - Pharmaceutical Reimbursement Board; suspension of maximum allowable cost limits
      on specific drug products--HCFA.
AB  - The Pharmaceutical Reimbursement Board announces the suspension of the Maximum
      allowable cost (MAC) limit on penicillin G potassium, oral tablets, 800 mu,
      effective August 18, 1963. The limit for this drug product was published on
      December 11, 1978 (43 FR 57972) and became effective on October 15, 1979. The
      suspension of the MAC limit on penicillin G potassium, oral tablets, 800 mu,
      results from the unavailability of this product in the marketplace at or below
      the MAC limit. The Pharmaceutical Reimbursement Board may establish a new MAC
      limit on this drug product in the future.

PMID- 10262647
TI  - Health maintenance organizations--PHS. Final rule; confirmation of interim rule.
AB  - This document finalizes, without change, the interim rule published on January
      12, 1983, that amends the Public Health Service regulations on Federal
      qualification of health maintence organizations (HMOs) to provide for greater
      flexibility for already existing prepaid health care delivery systems to become
      transitionally qualified HMOs.

PMID- 10262649
TI  - Health Care Financing Administration--Statement of organization, functions, and
      delegations of authority.

PMID- 10262648
TI  - Implementation of the Equal Access to Justice Act in agency proceedings--HHS.
      Final rule.
AB  - These regulations implement the Equal Access to Justice Act, 5 U.S.C. 504 and 504
      note, for the Department of Health and Human Services. They describe the
      circumstances under which the Department may award attorney fees and certain
      other expenses to eligible individuals and entities who prevail over the
      Department in specified administrative proceedings where the Department's
      position in the proceeding was not substantially justified.

PMID- 10262650
TI  - Department of Health and Human Services--unified agenda of regulations.
      Publication of unified agenda of regulations.
AB  - The President's February 17, 1981, Executive Order (12291) and the Regulatory
      Flexibility Act of 1980 require the Department to publish an agenda of
      significant regulations being developed and an indication of those regulatory
      actions that are being analyzed for their effect on small businesses. The
      Department published its last agenda on April 25, 1983.

PMID- 10262651
TI  - The inflating factors in health care.

PMID- 10262652
TI  - Will new rules help lower health care costs?

PMID- 10262654
TI  - Not many PPOs actually providing care.

PMID- 10262653
TI  - Employers ambivalent about big PPO push.

PMID- 10262655
TI  - Is it your duty or privilege to take an active role in suicide assistance?

PMID- 10262656
TI  - Are you prepared to invest in a medical office building?

PMID- 10262657
TI  - Make your partnership work by adhering to a well-defined agreement.

PMID- 10262658
TI  - Options for the future--will you survive?

PMID- 10262659
TI  - Provincial breakdown of pharmacists and pharmacies in Canada: 1983.

PMID- 10262660
TI  - Supportive group action for women: a self-help strategy.
AB  - A major goal of the demonstration project described was to test a model of self
      help and voluntary support in developing groups for female single parents.
      Community meetings, study programs, and related experiential strategies were used
      to promote coping skills and strategies; access to resources; decision-making
      learning and responsibility; social contacts and networking; work skills and
      employment opportunities. The effectiveness of the model, which emphasized self
      help, consumer power, and accessibility, was reflected in increased membership,
      self-awareness and confidence, leadership, employment and development of
      community resources. Initial individual contact, informal contracting, and
      community support were seen as important factors in the project's success.

PMID- 10262661
TI  - Mental health services: stalemate in development.

PMID- 10262662
TI  - Whither prevention?

PMID- 10262663
TI  - An indigenous mental health program in remote Northwestern Ontario: development
      and training.
AB  - This paper describes a shift in the focus of mental health services to remote
      Indian villages in Northwestern Ontario. Traditional indigenous counsellors are
      assuming control of this service, previously offered by non-Indian outsiders. The
      resources of the Federal Sioux Lookout Zone Hospital and psychiatrists from the
      University of Toronto are used in the ongoing training of the counsellors.
      Challenges encountered by outside non-Indian professionals providing relevant
      training and consultation to the area's natural helpers are described. This
      unique program has enjoyed enthusiastic acceptance by local people in helping
      positions.

PMID- 10262664
TI  - Requiem for an era.

PMID- 10262666
TI  - Who administered mental health? Fifty years of community mental health services
      in Alberta.

PMID- 10262665
TI  - The team approach: for or against the patient?

PMID- 10262667
TI  - The future of mental health services in Canada: trends and challenges.

PMID- 10262668
TI  - Cautiousness, risk, and informed consent in clinical geriatrics.

PMID- 10262669
TI  - Adequate health research funding: a justifiable imperative.
AB  - The position paper that follows was developed by an ad hoc committee comprised of
      representatives of national organizations interested in biomedical and behavioral
      research including the Association of American Medical Colleges, the Association
      of American Universities, the Delegation for Basic Biomedical Research, and the
      National Committee for Medical Research and Education. The development of this
      document represented a unique attempt to reach a consensus among the diverse
      segments of the research community on the level of funding necessary to preserve
      the integrity of the health research enterprise. This paper was subsequently
      endorsed by 58 major organizations with a commitment to maintaining a strong
      national research program. The AFCR Public Policy Committee endorsed this
      position paper on July 10, 1982. It is worthy of note that although recent trends
      in health research funding are cause for concern, this situation will worsen in
      the future because of the recent passage of the Small Business Innovation
      Development Act. This bill will require all federal agencies, including the NIH,
      to "set-aside" 1.25% of their R&D budgets for allocation to small businesses. The
      FY 1983 projections in this position paper do not include estimates of the impact
      of this recent legislation.

PMID- 10262670
TI  - Home care: a long overdue alternative.

PMID- 10262671
TI  - Public receivership: an administrative tool for the '80s.

PMID- 10262672
TI  - Abortion: following the legal guidelines.

PMID- 10262673
TI  - Facing economic realities--what role do trustees play?

PMID- 10262675
TI  - Accreditation: new standards published.

PMID- 10262676
TI  - The dollars in wellness.

PMID- 10262674
TI  - Accreditation is not frightening!

PMID- 10262677
TI  - Information systems: the importance of 'fit'.

PMID- 10262679
TI  - A paperless system for administrative effectiveness in medical billing.

PMID- 10262678
TI  - Extemporaneous dosage preparations for pediatrics.
AB  - Extemporaneous dosage preparations for pediatrics are described including method
      of compounding, storage, stability and classification with respect to reliability
      of expiry date information. Information from the literature as well as our
      experience at The Hospital for Sick Children are discussed and presented in
      tabular format.

PMID- 10262680
TI  - An information system for HMOs: designed from the ground up.

PMID- 10262682
TI  - Focus: France...a second look. Interview by Karen M. Richards.

PMID- 10262681
TI  - Microcomputers and food service management.

PMID- 10262683
TI  - Inevitability of a new practice associate.

PMID- 10262684
TI  - The emerging healthcare information systems environment.

PMID- 10262685
TI  - Micronetworking: an administrative approach to managing.

PMID- 10262686
TI  - Futuristic clinic management--computers keeping the bottom line up.
AB  - This article emphasizes the need for medical groups to stop reacting and start
      initiating. Every problem--be it competition, adverse legislation or declining
      patient visits--offers offsetting opportunities. Find these opportunities and one
      has a competitive edge. Futuristic or prospective management sows the profit of
      tomorrow through sound business decisions today.

PMID- 10262687
TI  - Healthcare computer trends. Interview by Bill W. Childs.

PMID- 10262689
TI  - SCAMC: the growth in information transfer.

PMID- 10262688
TI  - Focus: Canada. Interview by Karen M Richards.

PMID- 10262690
TI  - A chief financial officer's views on financial modeling.

PMID- 10262691
TI  - Caveat emptor.

PMID- 10262692
TI  - Mental health training and the hospice community: a national survey.
AB  - This article summarizes a national survey of the hospice community. Respondents
      provided detailed information in the following areas: (a) What formal mental
      health training is provided for staff members? (b) Who conducts this training?
      (c) What areas are covered and where would more training be useful? (d) How is
      the training conducted--what formats and teaching materials are used? and (e) How
      much training do staff members receive? The results of the survey indicate that
      the hospice community is making a concerted effort to meet the mental health
      training needs of its paid staff members and volunteers. However, more than half
      of the hospices surveyed expressed a need for further training in 26 of the 33
      issues and skills covered in the questionnaire, and many reported a need for a
      more systematic and comprehensive mental health curriculum. The findings point to
      several areas of particularly great need and provide a basis for the development
      of future mental health training in the hospice community.

PMID- 10262693
TI  - The viability of pediatric hospices: a case study.
AB  - This paper identifies the special characteristics needed by hospices caring for
      terminally ill children. It is based on a feasibility study conducted in 1979 for
      a pediatric hospital in New York City. From the analysis of statistical data and
      confidential interviews with health care professionals in the hospital and in the
      community, the study concludes that the needs of terminally ill children and
      their families are not being met currently and that the hospice is as appropriate
      for children as for adults. Three major differences in emphasis are noted,
      however. First, support of the family suffering the death of a child is of prime
      importance, because the grief is devastating and long lasting and because the
      number of family members affected is usually large. Second, the hospice emphasis
      on home care is even more imperative for children than for adults as it more
      significantly benefits both child and family; home care can be facilitated
      through supplementary care components such as day care. Third, there is a major
      need for both professional and public education in caring for terminally ill
      children and their families and in coping with childhood death. The author
      concludes that further research is needed in all aspects of pediatric terminal
      care.

PMID- 10262694
TI  - Hospice--an education center for professionals.
AB  - The need for further improved professional training in the care of the dying is
      now being recognized by doctors themselves, and increasingly they are turning to
      hospices for such education. The ways in which such training might be provided
      are outlined and some of the problems discussed in the light of British
      experience. It is suggested that no major hospice program should ever be
      initiated unless it incorporates an education program aimed to meet the
      deficiencies revealed in recent studies.

PMID- 10262695
TI  - Gestalt therapy with the dying patient: integrative work using clay, poetry
      therapy, and creative media.
AB  - This is a report on death therapy with a 36-year-old cancer patient. Gestalt
      therapy and creative media (clay, poetry, and colors) were used to facilitate an
      integration of life and to give the person a sense of balance with life. The
      author tries to communicate his thoughts and feelings as they were during the
      course of the therapy, to show that counseling the dying means walking along a
      stretch of the path together. The companion-therapist cannot avoid his own
      perplexity and confusion by simply falling back on his professional role. Once he
      has become involved in an interpersonal relationship, he does not treat the
      patient as some kind of object. With the aid of transcripts taken from tape
      recordings, the integrating effect of using gestalt dialogue, and fantasy work
      becomes evident.

PMID- 10262696
TI  - Patients' trust and the quality of physicians.
AB  - Patients are uncertain of physicians' quality but learn about the quality of
      particular physicians through experience in treatment. Patients come to trust
      physicians who have served them well. This paper explores the economic
      consequences of patients' learning and trust within a model of the market for
      physicians' services. In a market equilibrium, there are too many incompetent
      physicians in practice. Surprisingly, even the more competent physicians have an
      interest in preventing patients from judging quality except through experience.
      As we show, all physicians, including the most competent, may oppose steps to
      inform patients of physicians' quality.

PMID- 10262697
TI  - The supply of physician services: a comment.

PMID- 10262699
TI  - Hospital pensions well funded and in good health.

PMID- 10262698
TI  - Videotape and computers in cardiology.

PMID- 10262700
TI  - Comprehensive statutory health care system covers vast majority of German
      employees.

PMID- 10262701
TI  - Limitations on an employer's right to discipline and discharge employees.
AB  - An employer's prerogative to discipline and discharge its employees has been
      substantially infringed by the courts, state legislatures, Congress, and
      governmental agencies. In its recent Materials Research decision, the National
      Labor Relations Board has expanded the Weingarten principle by limiting the
      employer's ability to conduct investigatory and disciplinary interviews of
      nonunion employees. In addition, state courts and legislatures have begun to
      scrutinize the grounds for an employer's discharge of an employee, and Congress
      has statutorily prohibited the discipline or discharge of employees who "blow the
      whistle" on their employers under certain circumstances. This article will
      evaluate recent developments in this area of law and explore their impact on an
      employer's right to discipline and discharge its employees.

PMID- 10262702
TI  - Protected activities of nonunion employees.
AB  - The vast majority of American workers are nonunion and therefore unprotected by
      many of the mechanisms established through collective bargaining. They are
      protected to some degree, however, by a number of statutes and evolving legal
      doctrines that limit the employer's right to hire, fire, or otherwise discipline
      its nonunion people. The most elemental of these limitations is embodies in the
      National Labor Relations Act: section 7 protects the concerted activities of
      nonunion employees, section 8(a)(1) makes it an unfair labor practice for an
      employer to interfere with the section 7 rights of its employees; and section
      10(c) grants the National Labor Relations Board broad remedial powers to correct
      violations, including the power to reinstate workers with or without back pay.
      The following article will examine this basic protection of nonunion employees
      and will point out those areas in which the Board has attempted to expand the
      scope of section 7's protection.

PMID- 10262703
TI  - Narrowing an employer's right to present views, arguments, or opinions against
      union representation.

PMID- 10262704
TI  - Confidentiality of medical information in employer and plan records.

PMID- 10262705
TI  - The legal right to die.

PMID- 10262706
TI  - Hospital EDs face 'sink-or-swim' time as urgent care center competition rises.
      Interview by Jean McCann.

PMID- 10262707
TI  - The user's role in misuse of ED equipment.

PMID- 10262708
TI  - How an ED is notified of disaster often overlooked in planning stage.

PMID- 10262709
TI  - Assessing differences in chemical disaster proneness: the Community Chemical
      Hazard Vulnerability Inventory.
AB  - The increase in accidents with dangerous chemicals makes it incumbent upon
      community and regional planners to deal systematically with this problem. The
      first step invariably involves the assessment of the likelihood and type of
      incident which may impact a given area so that disasters may be averted or, at
      least, their effects mitigated. This paper presents one such assessment scheme,
      the Community Chemical Hazard Vulnerability Inventory (CCHVI). This instrument,
      aside from considering the type and volume of substances posing a threat to a
      designated area, considers the physical and human resources available, as well as
      the general state of readiness of the area (including such things as the
      interface of emergency-related organizations). The use of such vulnerability
      assessment instruments allows local emergency planners to identify particular
      dangers within their communities and permits regional planners to allocate funds
      for planning according to relative needs.

PMID- 10262710
TI  - Isolation procedures.

PMID- 10262711
TI  - Surviving the performance appraisal.

PMID- 10262712
TI  - Elements of staffing.

PMID- 10262713
TI  - Controlling employee absenteeism.

PMID- 10262714
TI  - Disciplining the problem employee.

PMID- 10262715
TI  - Sterilization: an efficient way to dispose of infectious waste.

PMID- 10262716
TI  - Contract management: another point of view.

PMID- 10262717
TI  - The legal impact on waste disposal.

PMID- 10262718
TI  - What does the administrator expect from the executive housekeeper and what should
      the executive housekeeper expect from the administrator?

PMID- 10262719
TI  - A decade of doing video with disturbed adolescents.

PMID- 10262720
TI  - Video at an Air Force hospital.

PMID- 10262721
TI  - Career preferences of doctors qualifying in 1974-1980: a comparison of pre
      registration findings.

PMID- 10262722
TI  - Medical and dental staffing prospects in the NHS in England and Wales, 1982.

PMID- 10262723
TI  - Specialized services for the non-institutionalized patient with epilepsy:
      developments in the US and the UK.
AB  - Services for the non-institutionalized patients with epilepsy have been the
      subject of a number of government sponsored reports. The recommended expansion in
      specialized services (for example, the special centres and the hospital-based
      epilepsy units) has not come about, and, as a result, services for epilepsy in
      the UK do not conform to the highest international standards. This paper reviews
      recent US findings with regard to the cost of epilepsy: contrasts recent
      developments in the US with those in the UK: emphasizes the need for further
      audit of the hospital facilities in this country: outlines the role of
      specialized epilepsy services and the structure these services might take in the
      UK.

PMID- 10262724
TI  - Sales trends and survey findings: a study of smoking in 15 OECD countries.
AB  - Annual data on tobacco sales and recent information from surveys have been used
      to investigate smoking trends and patterns in 15 countries in the Organization
      for Economic Cooperation and Development (OECD). These national smoking profiles
      illustrate wide variations among countries in the consumption of tobacco per
      adult in the population and in the percentage of male and female smokers in the
      population. The sales data also illustrate that the development of the market for
      tobacco goods has displayed marked differences over time from one country to
      another.

PMID- 10262725
TI  - Chinatown Health Clinic.

PMID- 10262726
TI  - Quality assurance. An overview.

PMID- 10262727
TI  - The evaluation of the quality of health care. A lay perspective.
AB  - The careful selection of a physician or hospital is important to the quality of
      health care received. Unfortunately, our present medical/health system does not
      provide laypeople with the opportunity to take active, informed roles in choosing
      their own medical care. In order to make such decisions, laypeople need to have
      more useful information concerning the quality of their medical providers.
      Nonprofessional users of the system should become more actively involved in the
      evaluation of hospitals and physicians. In doing so, people will not only improve
      their health, but also help to restructure the medical system into one that is
      more efficient and responsive to their needs.

PMID- 10262728
TI  - Quality assurance and program evaluation.
AB  - Some common forces have led to increased attention to quality assurance and
      program evaluation in the United States. However, these two types of public
      accountability have developed relatively independently, resulting in somewhat
      different but related approaches to examining health care. The similarities and
      differences between quality-of-case assurance and program evaluation are
      discussed as related to their definitions and approaches to data collection and
      utilization. Pressures to integrate quality assurance and program evaluation and
      evidence of a convergence in the two types of assessment activities are also
      presented. The article concludes with a discussion of the future role of the
      states and localities in assuming responsibility for these two types of
      accountability.

PMID- 10262729
TI  - Planning for program effectiveness in quality assurance.
AB  - Quality assurance programs are now a fact of life in health care institutions,
      yet the effectiveness of these programs in improving care is unproven. Reports of
      quality assurance activities rarely discuss "remedy implementation" or the
      outcome of such attempts. Effectiveness does not flow naturally from sound
      methodology or documentation but is the most challenging part of the program.
      This article examines reasons for this difficulty, and the authors recommend
      strategies for improving problem resolution and increasing the influence of the
      program in the organization. They urge attention to program implementation and
      emphasize active participation by clinicians, patients, administration, and
      staff. This broad representation promotes examination of a wide range of patient
      care issues as well as medical audits, allows the program to enlist support for
      change, and enables the program to anticipate and make timely contributions to
      the decisions of policymaking groups.

PMID- 10262730
TI  - Data sources for health care quality evaluation.
AB  - The central purpose of this article is to review the major approaches to
      evaluation of health care quality in terms of its use of different data sources.
      The areas of application, advantages, and disadvantages of seven data sources are
      presented, including direct observation, clinical records, record abstracts,
      clinical and administrative staff survey, patient survey, significant others
      survey, and population survey. Then the selection of data sources is discussed as
      this process is influenced by the answers to seven critical questions concerning
      the context of the quality assurance effort.

PMID- 10262732
TI  - Market and evaluation roles in quality assurance.
AB  - Competitive markets and formal evaluations offer distinctly different mechanisms
      for controlling the quality of care based on patients' choices as consumers and
      applied scientific methods, respectively. As the difficulty of acquiring relevant
      information and its skewness toward providers becomes greater, the need for
      evaluations increases. Thus the complexities of medical care tend to limit the
      range of the market. Markets, however, provide information on value,
      accommodating differences in patient preferences and cost conditions not readily
      obtained with formal evaluations. Through incentives, markets integrate the
      evaluation and control functions and may create greater efficiency and
      responsiveness. A variety of organizational structures for quality assurance are
      available, and formal evaluations are often incorporated within a market context.
      The policy task addressed here is to specify how, as conditions vary, greater
      reliance should be placed on market competition or on formal evaluations and
      external regulation.

PMID- 10262731
TI  - The cost of quality assurance in medicine.
AB  - Cost analysis has been frequently neglected in program evaluations but is
      currently of high relevance in policy decisions on quality assurance in medicine.
      The Ambulatory Care Medical Audit Demonstration (ACMAD) Project implemented and
      evaluated a program of medical record-based quality assurance in eleven sites for
      nine medical topics. Total direct costs for the project were $1.22 million over
      five years; indirect costs, $694,000. A computerized data system enabled
      disaggregation of the cost data by person, timing, type of work, project phase,
      health topic, health center, and research or operational nature. Of the costs
      incurred, 79% were for operational reasons, with 21% incurred for research
      reasons. Costs per audited case were 31% higher in hospitals than in neighborhood
      health centers. Audit topics of low per-case costs tended to have automated case
      findings, straightforward and limited abstracting, little need to examine
      multiple visits, and a low proportion of case-found patients ineligible for
      audit.

PMID- 10262733
TI  - Assessment of the clinical quality of health care. Search for a reliable method.
AB  - Rating systems and criteria, developed for peer review, were used for evaluation
      of dental care as part of a study to determine the feasibility of using computers
      as a first-level screening mechanism for quality assurance. Ten dentists were
      trained and standardized in the use of the system, and 646 patients received full
      mouth examinations by two examiners. Disagreements were resolved by joint
      examination. More than 22,000 individual judgments were recorded. Of all dental
      services evaluated, 91.5% were rated satisfactory. Data on subratings, Range of
      Excellence versus Range of Acceptability and Replace for Prevention (future
      damage likely) versus Replace Statim (damage now occurring) are also presented,
      together with interexaminer agreement levels. The rating system permitted full
      mouth examination by two trained examiners, including resolution of
      disagreements, to be carried out in an average of 24 minutes. The system is
      suitable for verification of computer screening of treatment records for quality
      assurance.

PMID- 10262734
TI  - Mental health quality assurance. Development of the American Psychological
      Association/CHAMPUS program.
AB  - In this article, quality assurance efforts in the field of mental health are
      discussed, especially concerning the reviews of outpatient clinical services. The
      recently established American Psychological Association APA/CHAMPUS program is
      described in detail, a national program of peer review that is illustrative of
      the major conceptual and professional issues inherent in the mental health
      quality assurance process. Throughout the article, comparisons are made between
      quality assurance in the medicine and mental health fields.

PMID- 10262735
TI  - Quality of care assessment in long-term care facilities.
AB  - Quality of care assessment is in a rather rudimentary state of development in
      most long-term health care settings. Some of the mandates and initiatives in this
      area of evaluation are described and discussed. A few caveats are presented and
      suggestions made as to appropriate approaches to quality assessment in chronic
      care facilities, which are different in many respects from the more traditional
      approaches used in acute care hospitals. Of particular importance, and at the
      same time of greatest difficulty, is the assessment of quality of life in
      institutions where many patients spend the remainder of their lives.

PMID- 10262737
TI  - Quality assessment and monitoring. Retrospect and prospect.
AB  - A commentary on the papers in the two special issues on Quality Assurance which
      shows how they contribute to some important conceptual, methodological, and
      policy issues. These issues pertain to the definition of quality; the distinction
      between quality assessment and program evaluation; the role of the market in
      regulating the quality of care; the role of more direct consumer participation in
      defining and assessing quality; professional responsibility for quality; the
      applicability of the structure-process-outcome paradigm to quality assessment;
      the format, methods of formulation, and validity of the criteria; probability
      sampling and purposive selection of the topics to be assessed; problems of
      scaling and measurement; the applicability of industrial control methods to
      quality monitoring; bringing about behavior change in response to the findings of
      quality monitoring; measuring the costs and benefits of quality assessment
      methods, including a consideration of their screening efficiency; and the
      relationship between quality monitoring and cost containment through competition
      or by other means.

PMID- 10262739
TI  - Three die in Texas nursing home fire.

PMID- 10262736
TI  - Analytic procedures for evaluating health care. Statistical control charts.
AB  - The concern for quality of health care motivates evaluation programs designed to
      monitor the health care system, patient outcome, and provider expertise. An array
      of audit methods and instruments for evaluating professional and institutional
      performance has been developed. Although evaluation is viewed by many as the
      basis for accountability and improvement of health care, few are aware that most
      existing evaluation programs are really data-collecting systems. Very little if
      any, analysis of the data is done with the objective of optimizing the system.
      The "sampling with intervention" procedures often used to monitor the health care
      delivery system are primarily directed toward the individual patient while the
      system and provider continue to operate in the established mode. This article
      outlines analytic procedures for interpreting evaluation data generated by
      quality control and audit systems. Five common univariate statistical quality
      control charts are described.

PMID- 10262738
TI  - Handrails.

PMID- 10262740
TI  - Promising improvements in health care firesafety.

PMID- 10262741
TI  - Hospital and fire department unite to design new Code Red program.

PMID- 10262742
TI  - Fire evacuation: an in-service program.

PMID- 10262743
TI  - How to increase satisfaction with nursing home meals.

PMID- 10262744
TI  - St. Elizabeth's Hospital: The Garden Inn.

PMID- 10262745
TI  - Room service at the hospital.

PMID- 10262746
TI  - The micro in food service.

PMID- 10262747
TI  - If you go micro ...

PMID- 10262749
TI  - The transition begins.

PMID- 10262748
TI  - Inside quality circles.

PMID- 10262750
TI  - "The future is today".

PMID- 10262751
TI  - Staff cafeteria: Columbia Hospital for Women.

PMID- 10262752
TI  - How to improve nutrition in hospital menus.

PMID- 10262753
TI  - Health care system tests videotex in rural America.
AB  - In a videotex field test conducted last year, Lutheran Hospitals and Homes
      Society participated by providing health awareness programming and other
      information. As this interactive medium grows, so does the potential for
      electronic fund raising through direct contributions via on-line banking
      transactions.

PMID- 10262754
TI  - Community assessment: an essential component of practice.

PMID- 10262755
TI  - Differences in perception of health status and health needs between refugees and
      physicians providing care.

PMID- 10262756
TI  - Travels of a health educator.

PMID- 10262757
TI  - Health education and the microcomputer connection.

PMID- 10262758
TI  - The 1983 Herbert M. Platter luncheon address. Problem physicians are hazardous to
      a community's health.

PMID- 10262759
TI  - Writing for dangerous drugs.

PMID- 10262760
TI  - Concerns regarding foreign medical graduates--update on activities in Michigan.

PMID- 10262761
TI  - Concerns regarding foreign medical graduates--update on activities in New Jersey.

PMID- 10262762
TI  - Caduceus confusion or Aesculapius explained.

PMID- 10262763
TI  - Air conditioning design for a fixed humidity environment.

PMID- 10262764
TI  - Public hospitals call for federal unemployment health insurance program.

PMID- 10262765
TI  - Maimonides Medical Center goes prime vendor.

PMID- 10262766
TI  - Legal recourse for vendor nonperformance.

PMID- 10262767
TI  - The weekly shortage list.

PMID- 10262768
TI  - Establishing a prime carrier program.

PMID- 10262769
TI  - Distributing office supplies by exchange cart.

PMID- 10262770
TI  - An interview with: Ted Olson.

PMID- 10262771
TI  - Establishing loss controls at the loading dock.

PMID- 10262772
TI  - An interview with: Charles Sennewald, CPP.

PMID- 10262773
TI  - Protecting your administrators and other key personnel from kidnapping,
      extortion, physical attacks.

PMID- 10262774
TI  - AWHERF pioneers a rural alliance: year one.

PMID- 10262775
TI  - Rural affiliations. Why are large systems interested in rural hospitals? What do
      they offer? And what are they looking for?

PMID- 10262776
TI  - Coalinga. The earthquake, the aftermath and the hospital's pivotal role.

PMID- 10262778
TI  - Carner's codes, chapter 9. Physicians.

PMID- 10262777
TI  - Options for rural hospitals. Local and regional approaches to identifying health
      care needs and sharing services.

PMID- 10262779
TI  - How to deal with the impact of: alternate providers.

PMID- 10262780
TI  - Energy consumption and energy saving in health care.

PMID- 10262781
TI  - Safety in kitchens.

PMID- 10262782
TI  - Preventing Legionnaires' disease.

PMID- 10262784
TI  - Britain's first all-electric hospital--early operational experience.

PMID- 10262783
TI  - Actualisation of hospital buildings: problems and work methodologies.

PMID- 10262785
TI  - Microprocessor-based event recording--the key to managing more numerous, more
      sophisticated hospital systems.

PMID- 10262786
TI  - General parameters of medical space planning.

PMID- 10262787
TI  - The United Way and the issue of admissions.

PMID- 10262788
TI  - Motivate staff with inservice education.

PMID- 10262789
TI  - Student nurses provide relief.

PMID- 10262790
TI  - Keep morale high and turnover rates low.

PMID- 10262791
TI  - Critical care nurses form national society.

PMID- 10262792
TI  - Communication is key in design planning.

PMID- 10262793
TI  - Hospital guidelines on AIDS developed at UCSF.

PMID- 10262794
TI  - Treatment outcomes in a day treatment program.
AB  - A sample of 63 psychiatric patients consecutively admitted to an adult day
      treatment program was evaluated with the Colorado Client Assessment Record (CCAR)
      within 2 weeks of their admission, at regular 90-day intervals, and/or upon
      discharge from the program. Trained raters using the CCAR made functional
      assessment ratings of patients on nine behaviorally-anchored scales. A unique
      feature of this study was that patients' primary therapists were asked to
      identify the three CCAR dimensions which represented their targeted treatment
      goals. Purposes of this study were twofold. The first concern was to establish
      the validity of this instrument in monitoring the level of functioning of a young
      and chronically impaired sample. The second goal was to assess the clinical
      outcome of patients in the day treatment program. Results showed the CCAR to be a
      valid measure of patients' level of functioning. Further results indicated that
      the functional ratings on the three targeted treatment goals exhibited
      statistically significant improvement from admission to follow-up or discharge.
      Findings further suggest that patients' motivation for treatment at the time of
      admission may be important for achieving successful clinical outcome. This
      investigation, by establishing the validity and utility of the CCAR for a
      chronically impaired psychiatric population, lays the foundation for continued
      monitoring of clinical outcome and program evaluation.

PMID- 10262795
TI  - How to negotiate successfully a reimbursement contract for day hospital services.
AB  - Reimbursement from third-party payers has been identified as a major problem
      facing partial hospitalization programs. This paper provides an overview of the
      process by which a contract to reimburse for day hospital services in a general
      hospital setting was negotiated with the Department of Social Services and
      Housing in the State of Hawaii. The paper details the specific program
      development, the determination of direct and indirect cost components, the
      establishment of costs and charges, the comparative cost data developed, and the
      nature of the negotiations that ensued with the Department of Social Services and
      Housing in the State of Hawaii.

PMID- 10262796
TI  - A survey of partial hospitalization programs in the state of Indiana.
AB  - This article presents normative data on the day-to-day operation of partial
      hospitalization programs affiliated with mental health centers in the State of
      Indiana. This network of programs was surveyed with regard to (1) the community
      settings and locations of their facilities as well as their accessibility to
      patients, (2) the organizational structure within which the programs operate, (3)
      their staffing, (4) the characteristics of the patient population they serve, (5)
      their admission and case management procedures and the nature of their clinical
      programming, (6) their referral source network, (7) their funding sources, and
      (8) the extent and nature of their program evaluation and program promotion
      efforts. Generalizations suggested by the survey data are discussed in an attempt
      to highlight possible trends in the field at large.

PMID- 10262797
TI  - The development of a partial hospitalization program evaluation tool.
AB  - This article discusses the development of a program evaluation tool for partial
      hospitals. Although it recognizes the many differences between programs, it
      attempts to identify the commonalities that constitute quality programming. It
      was developed for use as part of the consultative process, however, it can also
      be used for self-evaluation purposes.

PMID- 10262799
TI  - In the interest of quality care.

PMID- 10262798
TI  - Are hospitals still the doctor's workshop?

PMID- 10262800
TI  - Let a committee decide.

PMID- 10262801
TI  - Podiatrists: competent and qualified.

PMID- 10262802
TI  - Privileges for limited-license practitioners: how the state laws stack up.

PMID- 10262803
TI  - Taking a seat on the hospital board. How to do it--and why.

PMID- 10262804
TI  - Making the most of consultations.

PMID- 10262806
TI  - An introduction to capital campaigns.

PMID- 10262805
TI  - Preparing and training volunteers to ask for money.

PMID- 10262807
TI  - How & why to hire a consultant.

PMID- 10262808
TI  - "Take care": the legal duties of board members.

PMID- 10262809
TI  - Asking for money.

PMID- 10262810
TI  - Building a mailing list.

PMID- 10262811
TI  - United Way's role in community problem solving.

PMID- 10262812
TI  - Improving security through effective report writing and forms.

PMID- 10262813
TI  - Cadet training in a professional security setting.

PMID- 10262814
TI  - The hospital supervisor: safeguard to care or threat to autonomy?

PMID- 10262815
TI  - Health care in the welfare state.

PMID- 10262816
TI  - The people of the world of nursing administration.

PMID- 10262817
TI  - On medical morals and ethics.

PMID- 10262818
TI  - Supervising women in nontraditional jobs.

PMID- 10262819
TI  - Hiring: the secret of success.

PMID- 10262820
TI  - Theory Z: a useful tool for hospital management or another fad?

PMID- 10262821
TI  - The who, how, when and why of the promotion decision: a middle management
      perspective in hospitals.

PMID- 10262822
TI  - Influence structures in community hospitals: a decision contingency model.

PMID- 10262823
TI  - A fresh start for life long professional learning: reuniting the faculty
      practitioner partnership.

PMID- 10262824
TI  - What ails our hospitals? Financial distress in the 1980s.

PMID- 10262825
TI  - The role of hospitals in health promotion: an administrative diagnosis.

PMID- 10262826
TI  - The administrative residency in a multi-institutional system.

PMID- 10262827
TI  - Formulary management through therapeutic substitution: factors behind the
      decision.

PMID- 10262828
TI  - Implementing and maintaining a viable formulary.

PMID- 10262829
TI  - Interdisciplinary grand rounds. Legal consequences of prescribing an approved
      drug for a non-approved use: cimetidine; a case in point.

PMID- 10262830
TI  - Developing a strategy for managing the hospital's growing technology.
AB  - Successful hospital CEOs, administrators and department heads skilled at their
      professions, face a major challenge from the onslaught of rapidly developing
      medical instrumentation technology. To meet this rapidly growing challenge, they
      must identify their needs, survey their resources, and take positive action now
      to develop the necessary clinical engineering and equipment control programs to
      cope cost effectively with the future. This article provides an overview of the
      fundamental problem for the hospital administrator, suggests a direction toward
      solution, and provides a primer on the resources available to effectively deal
      with, if not solve, the enormous problem posed by the ever increasing technology
      dependence of health care.

PMID- 10262831
TI  - A display device for biomedical signals.
AB  - The design of a 20-segment LED display device is presented. The display visually
      indicates peak levels of slowly changing biomedical data. Its fullscale
      indication is adjustable from +0.5 to +12.5 volts. The segments can be activated
      in either a dot or a bar mode, and upper-limit sensing can be indicated by an
      audio tone and/or a flashing display.

PMID- 10262832
TI  - A clinical internship program in biomedical engineering, Part II: Administration
      of the program.
AB  - This paper discusses the administration of a clinical internship for biomedical
      engineering students. The interns rotate through sequences of hospital services,
      divided into four sets, separated by intervening elective periods, and spread
      over different clinical facilities. Rotations include orientation conferences,
      counseling sessions with staff personnel, and on-the-job training in each
      hospital service. Students keep logs of their experiences and submit service
      reports summarizing each rotation. They also write brief reports illustrating
      engineering contributions to health care delivery. The reports are graded and
      serve, together with staff and faculty evaluations, to rate the students' overall
      performance in the program.

PMID- 10262833
TI  - A standards primer.

PMID- 10262834
TI  - Emerging problems in clinical engineering education.
AB  - Following an analysis of the differences between Clinical Engineering educational
      programs and classical engineering education, emerging difficulties in Clinical
      Engineering education are examined. A shortage of Clinical Engineers is projected
      along with a possible impact on the nation's hospitals in the next decade.
      Solutions for these difficulties are proposed.

PMID- 10262835
TI  - Improving health and medical care in the United States: a foundation's early
      experience.

PMID- 10262836
TI  - The community hospital program--some lessons learned.

PMID- 10262837
TI  - Potential patients and loyal users: access to care in community-hospital
      sponsored group practices.

PMID- 10262838
TI  - Opportunities for institutional providers in ambulatory care.

PMID- 10262839
TI  - Planning for primary care: a case study in population-based demand forecasting.

PMID- 10262841
TI  - Planning a fire inspection that works for you.

PMID- 10262840
TI  - Anatomy of a medical group: the Mercy Hospital story.

PMID- 10262842
TI  - Fire research can lower health care costs.

PMID- 10262843
TI  - How staff responds during fire incidents.

PMID- 10262844
TI  - Effective training means interested staff.

PMID- 10262846
TI  - Proper planning, quick thinking and community cooperation save lines.

PMID- 10262845
TI  - Facing disaster and winning. The University Nursing Home fire: a clear case of
      being prepared.

PMID- 10262847
TI  - Coping with Mother Nature's temper tantrums.

PMID- 10262848
TI  - Security within the health care facility.

PMID- 10262849
TI  - Residential care life safety--protecting people from fire.

PMID- 10262850
TI  - Beyond the Life Safety Code.

PMID- 10262851
TI  - Emergency preparedness for an elephant?

PMID- 10262852
TI  - Facing disaster and winning. A Fire Department's view in retrospect.

PMID- 10262853
TI  - Administrators gain management tool in quest for quality.

PMID- 10262855
TI  - Identifying consumer segments in health services markets: an application of
      conjoint and cluster analyses to the ambulatory care pharmacy market.
AB  - Because of increasing competition, it is becoming more important that health care
      providers pursue consumer-based market segmentation strategies. This paper
      presents a methodology for identifying and describing consumer segments in health
      service markets, and demonstrates the use of the methodology by presenting a
      study of consumer segments in the ambulatory care pharmacy market.

PMID- 10262854
TI  - Efficiency and effectiveness rating systems for field employees.

PMID- 10262856
TI  - Selecting a public accounting firm: a hospital study and heuristic model.

PMID- 10262857
TI  - Candid observations on the status of health services marketing.

PMID- 10262858
TI  - A marketing approach to nurse recruitment and retention: OPT.

PMID- 10262859
TI  - Designing new outpatient health services: linking service features to subjective
      consumer perceptions.
AB  - Planners of new outpatient health services deal with objectively-defined features
      such as hours of operation and use of nurse practitioners, while consumers
      evaluate these services based on subjective perceptions such as quality and
      convenience. This research uses a multivariate approach to measure the
      relationships between features and perceptions, and illustrates how these
      measurements can be used to design new health services.

PMID- 10262860
TI  - Equity and efficiency in the allocation of the personal social services.
AB  - This paper investigates two issues of equity in the receipt of the home help
      service, one about territorial justice, the other about sex discrimination. It
      uses GHS data for 1980. An argument is developed about the efficiency with which
      services are targeted on persons who by normative criteria would appear to have
      most need of them. Efficiency is of two types: horizontal efficiency, the
      proportion of persons judged in need who receive services; and vertical
      efficiency, the proportion of services allocated to persons judged in need. The
      findings are that there is evidence of inequity both between different areas and
      between the sexes. Metropolitan areas are advantaged compared with rural areas,
      and this cannot be explained by differences in social support nor by the
      availability of other domiciliary services. Among the elderly living alone,
      neither sex is advantaged, but in elderly married couple households the home help
      service is more frequently provided in the case of a husband caring for a
      disabled wife than in the case of a wife caring for a disabled husband.

PMID- 10262861
TI  - Gender and social policy: the impact of the public expenditure cuts and reactions
      to them.
AB  - In social policy research the gender dimension has been relatively neglected in
      Britain. The attempt to selectively reduce public spending is examined with
      reference to its objective impact on men and women using official statistics and
      specialist reports. In addition, on the basis of a large-scale interview survey
      the subjective impact of and political reactions to the cuts are analysed by
      gender. The main findings are that this current social policy negatively affects
      women as both public sector workers and consumers more than men. Political
      reactions to the cuts were extensive but unrelated to gender per se. However,
      when one controls for economic activity and related variables, gender differences
      in terms of both political attitudes and behaviour were insignificant compared to
      the contrast between the economically active and inactive. The main social policy
      implication is that the restructuring of the welfare state hits women first and
      foremost.

PMID- 10262862
TI  - Economic and social policies under the Reagan Administration.

PMID- 10262863
TI  - Health and stress management education in three federal agencies.

PMID- 10262864
TI  - Involving physicians in hospital cost containment: developing an action research
      strategy.

PMID- 10262866
TI  - Enhancement of health care settings: the theory and practice of organizational
      development--a symposium. Introduction: in search of the ultimate treatment.

PMID- 10262865
TI  - Developing managers to develop organizations.

PMID- 10262867
TI  - Organizational development in the health care field: a confrontational team
      building design.

PMID- 10262868
TI  - Flexitime in an army center.

PMID- 10262869
TI  - Microfiche readers for libraries.

PMID- 10262870
TI  - Telecommunication technologies for libraries: a basic guide.

PMID- 10262871
TI  - Wide screen television projection systems.

PMID- 10262872
TI  - Online information in the health sciences.

PMID- 10262873
TI  - Managing change in health care organizations.

PMID- 10262874
TI  - Lawsuit blocks management shift in Walter Reed Hospital laundry.

PMID- 10262875
TI  - Are you a visible laundry manager?

PMID- 10262876
TI  - Illinois hospital laundry manager fights to change state temperature regulation.

PMID- 10262877
TI  - Develop your human resources and become a better manager.

PMID- 10262878
TI  - Coast hospital laundry manager calls yellow alert on AIDS linen.

PMID- 10262879
TI  - By concentrating on four vital areas you can become a good manager.

PMID- 10262880
TI  - Nursing home administrator contends 'laundry one of the hardest problems.'.

PMID- 10262881
TI  - Afghan resistance hospitals.

PMID- 10262882
TI  - Risk management in medical groups.

PMID- 10262883
TI  - Richard S. Schweiker: an exclusive interview. Interview by F. Kenneth Ackerman,
      Jr. and Robert J. Saner II.

PMID- 10262884
TI  - A prescription for medical group managers and physicians.
AB  - We are on the verge of revolutionary changes in the healthcare profession. It is
      essential that managers and physicians take individual responsibility for
      becoming involved in the political process leading to these changes. Though this
      is a time-consuming task, it is one we cannot afford to shirk as each and every
      one of us will certainly be affected.

PMID- 10262885
TI  - Public affairs and the Mayo Clinic.

PMID- 10262886
TI  - Affecting legislation on the state level--the experiences of MMGMA and MAC.
AB  - Since many political battles over healthcare legislation occur at the state
      level, it is vital that medical groups become involved with key groups and
      legislators in their states. The experiences of Minnesota and California managers
      in rallying behind healthcare legislation is offered as an example to other
      states, as well as a history of MGMA's involvement with national healthcare
      issues.

PMID- 10262887
TI  - The advisor's observations: questions and answers with David A. Winston.
      Interview by Mark G. Brataas.

PMID- 10262888
TI  - Optimizing your effectiveness with the board.

PMID- 10262890
TI  - Telemedicine keeps Newfoundland airwaves buzzing.

PMID- 10262889
TI  - Two medical groups in Washington, DC.

PMID- 10262891
TI  - Implementing pharmacy services in a family practice.
AB  - As medical groups compete for patients in the healthcare marketplace, they will
      continue to evaluate ways to control costs and expand services. One alternative
      to a traditional family practice is offered at the South Omaha Family Practice
      Clinic--a model group practice that includes on-site pharmacy services. Designed
      and maintained by the University of Nebraska College of Medicine, the group's
      medical and pharmacy services provide continuity of patient care through an
      integration of medical and prescription records.

PMID- 10262892
TI  - PPOs. Implications for management.
AB  - The development of preferred provider organization (PPOs) is relatively recent-
      largely since 1980--and there is little definitive experience to date. The PPO
      concept does, however, address the major concerns of all involved in health care
      today: the cost of medical care, the projected physician surplus, and increased
      competition. It provides a way of working with major purchasers of health care,
      within the context of a fee-for-service practice, to jointly address these
      concerns. While PPOs are unlikely to be the "wave of the future" (any more than
      HMOs were), the concept contains idea which are likely to be of continuing value
      to medical group managers, as they seek to improve the competitive status of
      their groups. The author addresses the present situation, implementation of a
      PPO, alternatives available to medical groups, and implications for medical group
      management.

PMID- 10262893
TI  - In-house laboratory testing.
AB  - By adding ancillary services such as in-house laboratory testing, the St. Cloud
      Medical Group has taken a step towards meeting the challenge of today's rising
      costs and increased competition. The purchase of a discrete clinical analyzer has
      improved patient service in many ways, and has also increased clinic efficiency
      and profitability.

PMID- 10262894
TI  - A new, and growing, malpractice threat.

PMID- 10262896
TI  - When your patient is angry at your hospital.

PMID- 10262895
TI  - How we've learned to live with full-time ER doctors.

PMID- 10262897
TI  - Melvin Belli: don't let informed consent backfire.

PMID- 10262898
TI  - Community health worker's training, a new vision of the Diocese of Dumka.

PMID- 10262899
TI  - Urban health workers in search of a role.

PMID- 10262901
TI  - Hospital pharmacy continues to expand.

PMID- 10262900
TI  - Woman-to-woman sharing of knowledge, skill and confidence.

PMID- 10262902
TI  - Don't overlook the nurse practitioner.

PMID- 10262903
TI  - Now CME on open-channel TV.

PMID- 10262904
TI  - Four productive uses of teleconferencing.

PMID- 10262905
TI  - There's more than medicine to health-care promotion.

PMID- 10262906
TI  - Nosocomial infections: washing away the problem.

PMID- 10262907
TI  - When employees help manage.

PMID- 10262908
TI  - Absence of bias. How to interview impartially for the "best fit".

PMID- 10262909
TI  - How one state lab group made a difference.

PMID- 10262910
TI  - Marketing strategies for the nonprofit blood center.

PMID- 10262911
TI  - Mark-sense makes sense in microbiology.

PMID- 10262912
TI  - A systematic guide to understanding behavior.

PMID- 10262913
TI  - No one catches this second shift off guard.

PMID- 10262914
TI  - HCFA task force recommends national fee schedule for independent labs.

PMID- 10262915
TI  - Telethon reaps pledges of blood, not money.

PMID- 10262916
TI  - Does your lab need an employee liaison committee?

PMID- 10262917
TI  - Updating your laboratory computer.

PMID- 10262918
TI  - The day the blood supply almost stopped.

PMID- 10262919
TI  - How to evaluate a manufacturer's commitment to cost containment.

PMID- 10262920
TI  - Making the most of supervisor's meetings.

PMID- 10262921
TI  - A tool for better lab-medical staff relations.

PMID- 10262922
TI  - How to cope with frustration--yours and others'.

PMID- 10262923
TI  - Acquiring basic instrument troubleshooting skills.

PMID- 10262924
TI  - You can't motivate unless you communicate.

PMID- 10262925
TI  - Disaster blood usage: a case history.

PMID- 10262926
TI  - Olympics medical care program gets feet wet.

PMID- 10262927
TI  - Social Security reform bill: what it does.

PMID- 10262928
TI  - Blues point to cost savings of hospice care.

PMID- 10262929
TI  - PA. Blues offer jobless lower rates.

PMID- 10262930
TI  - FTC, insurer support bill fostering PPO development.

PMID- 10262931
TI  - A case for CEO contracts.

PMID- 10262932
TI  - Externship eases entry into nursing.

PMID- 10262933
TI  - Osteopathic hospital statistics, 1981-1982.

PMID- 10262934
TI  - An interview with Richard A. Strano, AOHA president.

PMID- 10262935
TI  - Stability and coherence of health experts' upper and lower subjective
      probabilities about dose-response functions.
AB  - As part of a method for assessing health risks associated with primary National
      Ambient Air Quality Standards. T. B. Feagans and W. F. Biller (Research Triangle
      Park, North Carolina. EPA Office of Air Quality Planning and Standards, May 1981)
      developed a technique for encoding experts' subjective probabilities regarding
      dose--response functions. The encoding technique is based on B. O. Koopman's
      (Bulletin of the American Mathematical Society, 1940, 46, 763-764; Annals of
      Mathematics, 1940, 41, 269-292) probability theory, which does not require
      probabilities to be sharp, but rather allows lower and upper probabilities to be
      associated with an event. Uncertainty about a dose--response function can be
      expressed either in terms of the response rate expected at a given concentration
      or, conversely, in terms of the concentration expected to support a given
      response rate. Feagans and Biller (1981, cited above) derive the relation between
      the two conditional probabilities, which is easily extended to upper and lower
      conditional probabilities. These relations were treated as coherence requirements
      in an experiment utilizing four ozone and four lead experts as subjects, each
      providing judgments on two separate occasions. Four subjects strongly satisfied
      the coherence requirements in both conditions. and three more did no in the
      second session only. The eighth subject also improved in Session 2. Encoded
      probabilities were highly correlated between the two sessions, but changed from
      the first to the second in a manner that improved coherence and reflected greater
      attention to certain parameters of the dose--response function.

PMID- 10262936
TI  - Public relations is everyone's business.

PMID- 10262937
TI  - AIDS. Turmoil in the medical profession.

PMID- 10262938
TI  - Techniques in urology patient education.

PMID- 10262940
TI  - Use of lay persons as patient educators.

PMID- 10262939
TI  - Center for your good health.

PMID- 10262941
TI  - Social support and health: programmatic implications.

PMID- 10262942
TI  - Discussion groups.

PMID- 10262943
TI  - You, your patient, and the ICU.

PMID- 10262944
TI  - The three faces of personnel--or, PAIR department activities as seen by
      executives, line managers, and personnel directors.
AB  - More so than most other departments, the personnel department shares
      responsibility for its activities--notably with executives and line managers. But
      the division of responsibility is far from clear-cut, and where to draw the line
      is subject to controversy, as seen in this discussion of survey results on the
      viewpoints of 326 PAIR directors, 162 executives, and 217 line managers. The
      survey was conducted by the authors, all from Arizona State University: George W.
      Bohlander, associate professor of management; Harold C. White, professor of
      management; and Michael N. Wolfe, assistant professor. They queried the three
      groups on four major activities--setting policy, counseling and advising line
      managers, providing services, and controlling personnel activities in other
      departments--and 17 duties. The responses are broken down according to degree of
      unionization in respondent firms. Discrepancies among the viewpoints of the three
      groups suggest a need for two kinds of programs, say the authors: one to
      communicate to an organization's line managers and executives the role actually
      performed by the PAIR department and the other to instruct them on PAIR's
      potential for greater contribution.

PMID- 10262945
TI  - Can skyrocketing employee healthcare costs be contained?

PMID- 10262946
TI  - The HRIS: what capabilities must it have?
AB  - Unfortunately, there are no commonly accepted standards to guide personnel
      managers in evaluating HRIS (human resources information system) software. Until
      such standards developed, the advice offered here by author Sidney H. Simon
      (manager of personnel information systems and benefits administration of Bechtel
      Power Corporation) will stand the personnel manager in good stead. Focusing on
      the minimum capabilities that any HRIS should possess, he discusses the basic
      functions of input, data maintenance, and output in terms of both standard and
      optional items. This is not to say, however, that the personnel manager need do
      no homework. Simon emphasizes the importance having carefully and accurately
      defined the data required to support a company's personnel functions before
      software evaluation even begins. And he notes that human resources managers will
      have to familiarize themselves with some of the data processing terminology in
      use, just as the data processors have to familiarize themselves with personnel
      terminology. Simon illustrates the text with eight exhibits that clarify the
      functions explained to help the reader translate the concepts involved in terms
      of his or her organization's needs.

PMID- 10262947
TI  - Health care cost containment.

PMID- 10262948
TI  - Calculating merit increases: a structured approach.
AB  - Determining the amount of salary increase appropriate for each employee poses a
      major dilemma for many human resources managers and/or compensation managers (not
      to mention the employee's supervisor). This task requires complying with the
      company's compensation philosophy, meeting market competition, and rewarding
      employees fairly and equitably. Authors William W. Seithel, vice president,
      personnel of the Midwest Stock Exchange, Inc., and Jeff S. Emans, director,
      employee compensation of the Kemper Group, describe a method for pinpointing a
      salary rate increase that is not only structured enough to move people through
      the salary range in accordance with a reward philosophy, but precise enough to
      provide a basis for projecting costs and flexible enough to meet the needs of
      various performance levels. The method entails the use of a structured matrix
      that spells out the target percentage raises for various levels of performance.
      By using both the matrix-which is constructed to meet the individual company's
      needs-and a guide chart provided by the authors, it is possible to calculate a
      specific percentage increase for each employee. The manager who uses this system
      will find that the matrix is a mechanism for control as well as a means for
      projecting costs.

PMID- 10262949
TI  - Between language extremists: find a happy medium for business memos.
AB  - As business communicators, human resources managers must convey messages to many
      different people-their subordinates, upper-level management, all employees, or
      the public. In performing this function, human resources managers, like most
      managers, frequently find themselves caught in the conflict between language
      purists and language libertines. Author Ronald Dulek, associate professor and
      coordinator of management communications, and James Suchan, assistant professor
      of management communications-both at the university of Alabama-contend that on
      way out of this dilemma is to use two touchstones (clarity and persona) for
      determining the appropriate language to use in writing corporate communications.
      Thus, while it is imperative that managers maintain their "persona,' or image by,
      for example, making sure that their subjects and verbs agree, it may be perfectly
      all right for them to use split infinitives or to end sentences with preposition
      almost everyone does-as long as the message is clear and the language conveys the
      image they wish to project. Such a touchstone approach gives managers a checklist
      for evaluating and guiding others' prose and evaluating and defending their own.
      Human resources managers, in particular, can incorporate this approach in
      training.

PMID- 10262950
TI  - Monitoring your food service program.

PMID- 10262951
TI  - Screening optical scanners for personnel.

PMID- 10262952
TI  - Effective manpower planning.

PMID- 10262954
TI  - Choosing the right vending service program.

PMID- 10262953
TI  - An action plan for dealing with employment agencies.

PMID- 10262955
TI  - A manager's guide to selection interviewing.

PMID- 10262956
TI  - Evaluating a food services vendor.

PMID- 10262957
TI  - Policy and procedure statements that communicate.

PMID- 10262958
TI  - Exit interviews: don't just say goodbye.

PMID- 10262959
TI  - The lost art of writing an employment ad. Good advertising can be more effective
      than other recruitment tools.

PMID- 10262960
TI  - Avoid the 'quick fix' approach to productivity problems.

PMID- 10262961
TI  - A coordinated approach to motivation can increase productivity.

PMID- 10262962
TI  - Exploring the relationships between motivation, satisfaction and performance.

PMID- 10262963
TI  - The analytical element is important to an HRIS.

PMID- 10262964
TI  - Ensuring privacy and accuracy of computerized employee record systems.

PMID- 10262965
TI  - How to take a 'common sense' approach to lobbying.

PMID- 10262966
TI  - Chief hospital pharmacists: how they rate wholesalers' services.

PMID- 10262967
TI  - Home health care pharmacy: why it represents a new, exciting practice.

PMID- 10262968
TI  - How to properly fit a patient for a wheelchair.

PMID- 10262970
TI  - Rx fee in Utah rises if drug quantity extends beyond 30 days.

PMID- 10262969
TI  - How we teach patients to properly take their discharge medications.

PMID- 10262971
TI  - 29 pharmacists served with Project Hope to boost health in lesser-developed
      nations.

PMID- 10262973
TI  - 1983 Enid Graham Memorial Lecture.

PMID- 10262972
TI  - Evaluating the effects of reflex-inhibiting patterns among hemiplegic patients
      using EMG biofeedback.
AB  - Bobath's hypothesis--that the reflex-inhibiting patterns (RIP)s of a hemiplegic
      patient's non-exercising limb will prevent an abnormal increase in the muscle
      tone while the ipsilateral limb is being exercised--is examined in this study
      with the aid of an EMG biofeedback unit. Recordings were taken of the biceps
      brachii muscle of 15 patients during performance of lower extremity exercise, and
      from the medial gastrocnemius muscle of 12 patients during performance of an
      upper extremity exercise. Each muscle was examined six times in the same session:
      three of these repetitions being conducted in a RIP, the other three in a neutral
      position. The highest EMG values recorded in each of the two test situations were
      compared. The results did not point to a definite relationship between the RIPs
      and the electrical activity of the test muscles. Bobath's claim that there exists
      a consistent trend relating RIPs to reduction of muscle tone is therefore placed
      in doubt. Further research using objective techniques is required as a means of
      exploring this issue.

PMID- 10262974
TI  - Progressing toward professionalization: the role of continuing education.
AB  - The traditional term professionalism--variously linked to such characteristics as
      an "organized body of knowledge", or a "closely-knit association of people with a
      high degree of communication"--has been described recently as a static concept.
      It is professionalization--the dynamic process of refinement through which the
      character and spirit of a profession is made real and operative--which is more
      relevant. Part of that process is quite obviously the application of new
      knowledge which today is growing at an increasing rate. Note this paradox: that
      although each profession grows by accentuating its own distinctive knowledge,
      that very specialization leads in turn to the need for closer relationships with
      allied professions. Equally important is each profession's need to continue to
      redefine its relationship with its clients. Continuing education is an essential
      tool in both of these tasks. Recent studies elicited a variety of reasons for the
      professional's interest and engagement in continuing education: to become better
      informed; to gain personal enrichment; to achieve career advancement; to satisfy
      individual curiosity; to fulfill an employer's requirements; to qualify for
      licensure; to meet new people; or to break out of a routine. Typically,
      continuing education is promoted by professional schools, university extension
      divisions, employing agencies, the professional association itself--and even its
      commercial suppliers. Physiotherapists ought reasonably to ask themselves these
      questions: What goals are to be sought in the ensuing five years? Which of these
      can be met through continuing education? What barriers to continuing education
      now exist? What methodology and delivery of continuing education will best serve
      the profession? How can this educational thrust be harnessed to improve
      physiotherapists' relationships with other professionals--and the general public?

PMID- 10262975
TI  - Implementing and evaluating continuing professional education: elements of a
      strategy.

PMID- 10262976
TI  - Malpractice: a perspective for physiotherapists.
AB  - A malpractice action--one aspect of the application of legal principles known as
      the law of torts--is a means whereby an injured party may seek compensation for
      harm caused by another party. The primary function of the law of torts is to
      determine whether the injurer is under a legal obligation to provide compensation
      to the injured for some loss due to negligent or faulty conduct. A malpractice
      action against a physiotherapist involves a plaintiff patient who has been
      injured, a defendant physiotherapist who stands accused of having caused an
      injury, and a determination as to whether or not the physiotherapist should bear
      the loss. In order to establish the liability in negligence, a plaintiff must
      satisfy four requirements: duty of care, breach of standard of care, causation,
      and damage. In this paper, a case study of malpractice action against a
      physiotherapist is outlined as an example of the type of arguments used by both
      the plaintiff and the defendant. Malpractice actions are an important means of
      controlling the standards of all health professionals. Because increasingly
      complicated technology and increased pressures on health care professionals are
      unlikely to reduce the number of accidents, the malpractice action will continue
      to provide recourse for those patients injured by lapses from the requisite
      standards of a profession. The threat of a malpractice action alone, however, is
      not enough to ensure high professional and ethical standards.

PMID- 10262977
TI  - Energy conservation hazards in buildings.

PMID- 10262978
TI  - Inhalation injury--a major burn complication.
AB  - Inhalation injury results from exposure to the toxic gases, chemicals, and
      particulate matter of smoke to the respiratory tract. New synthetic materials
      have increased the toxicity of chemicals in smoke and added to the complexity of
      inhalation injuries. Clinical diagnosis is often difficult, but a high index of
      suspicion in victims of certain fire situations, coupled with early diagnostic
      bronchoscopy, will identify most victims. Prior to early bronchoscopy, the
      mortality rates for the combination of inhalation injury and body surface burn
      ranged from 75% to 90%. Early diagnosis, expectant management, and meticulous
      aseptic techniques can decrease the mortality rate to less than 30%.

PMID- 10262979
TI  - 10 ways to profit from patient feedback.

PMID- 10262980
TI  - Quiz: risks in treating the terminally ill.

PMID- 10262981
TI  - Malpractice countersuits won by physicians.

PMID- 10262982
TI  - Legal issues loom for PPOs.

PMID- 10262983
TI  - Auditing your counselor's performance.

PMID- 10262984
TI  - The women's hospital: the other side.

PMID- 10262985
TI  - Psychological testing: can it help you hire the right person?

PMID- 10262986
TI  - Getting the most from your research.

PMID- 10262987
TI  - 10 criteria for getting good research.

PMID- 10262988
TI  - Diagnosing the doctor.

PMID- 10262989
TI  - Legal aspects of infectious disease practice.

PMID- 10262990
TI  - The battle for home care reimbursement. Will RTs be ready once it is won?
AB  - RTs wil have many contributions to make to the home health care team when their
      role is officially recognized and reimbursed. Training for the special needs of
      home care patients, including problems of dependence and motivation, is already a
      part of many RT training programs.

PMID- 10262991
TI  - A fiberoptic bronchoscopy assistant program.
AB  - The increased popularity of bronchoscopy performed outside the operating room has
      created a need for the bronchoscopy assistant service. The Stanford (Calif)
      University service is described here as a guide for departments establishing a
      bronchoscopy assistant service or restructuring an existing one.

PMID- 10262992
TI  - Liquid versus nonliquid heparinization of blood samples.
AB  - Recent studies demonstrate that liquid heparinization of blood samples causes
      errors in PCO2 that range from 6% to 40%. Various nonliquid forms of heparin are
      available as alternatives.

PMID- 10262993
TI  - Taking the initiative to cut health care costs. Report on a policy change to
      limit bronchopulmonary segmental drainage.
AB  - Before the study reported here began, the number of bronchopulmonary segmental
      drainage procedures performed each month at the University of Maryland Hospital
      averaged 7,200. Adoption of a policy allowing unnecessary treatment to be stopped
      on the basis of therapeutic objectives reduced this figure by more than two
      thirds, to a present level under 2,000. Comparison of the incidence of pulmonary
      infection and the average length of hospital stay during the six months before
      and the six months after the policy change showed no appreciable change.

PMID- 10262994
TI  - Chronology of respiratory therapy for a burn victim.

PMID- 10262995
TI  - Redefining death. Are we any closer to a consensus?
AB  - As medical and technologic advances blur the once-distinct lines between life and
      death, legal scholars and physicians struggle to maintain a consistent and
      ethical definition of death. Pressures created by the possibility of organ
      donation and the problem of terminally ill patients or those in chronic
      vegetative states further complicate the question.

PMID- 10262996
TI  - Department of Pulmonary Medicine, St. Mary's Hospital, West Palm Beach, Fla.

PMID- 10262997
TI  - ECG testing as a function of the respiratory therapy department.
AB  - The merger of cardiopulmonary and respiratory therapy services is under way, and
      the trend toward consolidation is likely to continue. Future-minded respiratory
      therapists are banking on cardiopulmonary skills to contribute to career growth.

PMID- 10262998
TI  - Practical aspects of quality assurance.
AB  - Half the task of setting up a quality assurance program is selling the idea to
      departments and enlisting committee members with positive attitudes to seek out
      and help solve problems.

PMID- 10262999
TI  - A four-day workweek. A retrospective evaluation.
AB  - Respiratory therapy managers are expected to provide quality patient care while
      keeping operational expenses at a minimum. One method that has been proposed for
      achieving this objective is a four-day workweek. Such a system was tried at
      Samaritan Hospital, Troy, NY, with disappointing results.

PMID- 10263000
TI  - Deciding who should receive outpatient oxygen therapy.
AB  - Comprehensive treatment of advanced chronic airway obstruction includes
      consideration of outpatient oxygen therapy. A physician's decision as to whether
      a patient should receive this form of therapy rests on the clinical and
      investigative information that defines the benefits and problems.

PMID- 10263001
TI  - Options for ventilating the pediatric patient. Part 3. Circuits and
      humidification systems.
AB  - How important is the ventilator circuit and the humidification system? What
      problems are created by relatively high compliance circuits? Is circuit volume
      "steal" important when the level of water in the humidifier changes? What is the
      state of the art for pediatric ventilators?

PMID- 10263002
TI  - Will quality circles work in American foodservice operations?

PMID- 10263003
TI  - Defining the role of the physician: medical education, tradition, and the legal
      process.

PMID- 10263004
TI  - Tomorrow's hospitals.

PMID- 10263005
TI  - Fire safety. Protecting people and buildings.

PMID- 10263006
TI  - Greenville Memorial: tertiary care with humanism.

PMID- 10263007
TI  - Contracting: alternatives for dietary management.

PMID- 10263008
TI  - The threat of malpractice.

PMID- 10263009
TI  - Hospital malpractice: coming South.

PMID- 10263010
TI  - Computerized system streamlines communications.

PMID- 10263011
TI  - How to cut hospital forms costs.

PMID- 10263012
TI  - Producing power and reducing costs.

PMID- 10263013
TI  - The care and use of surgical instruments.

PMID- 10263014
TI  - How to find, select, and use a consultant.

PMID- 10263015
TI  - Leaders of the new phase.

PMID- 10263016
TI  - A linen security system that works.

PMID- 10263017
TI  - Behavioral and psychological crisis in emergency medical services.

PMID- 10263018
TI  - Abused or neglected children in the emergency department.

PMID- 10263019
TI  - Psychiatric and mental health services in disaster relief.

PMID- 10263020
TI  - Legal aspects of behavioral and psychological emergencies.

PMID- 10263021
TI  - Emergency services for psychological and behavioral emergencies.

PMID- 10263022
TI  - Management of behavioral emergencies in the hospital emergency department.

PMID- 10263023
TI  - Special considerations of emergency physicians, radiologists, x-rays, and legal
      liability.

PMID- 10263024
TI  - Training budgets '83: a case of the blahs.

PMID- 10263025
TI  - Lutheran General makes the most of human resources.

PMID- 10263026
TI  - Cooperative training: getting more for less.

PMID- 10263027
TI  - Should supervisors be counselors?

PMID- 10263028
TI  - Multihospital systems in Texas. Trends and developments.

PMID- 10263029
TI  - Perspectives on multis. On the for-profit side...

PMID- 10263030
TI  - Perspectives on multis. On the not-for-profit side...

PMID- 10263031
TI  - Viewpoint on multis. From an administrator whose hospital is system-affiliated.

PMID- 10263032
TI  - Viewpoint on multis. From an administrator whose hospital is independent.

PMID- 10263033
TI  - Marketing, public relations...lessons the multis can teach Texas hospitals.

PMID- 10263034
TI  - New case changes medical disclosure law.

PMID- 10263035
TI  - Administration. Art or science?

PMID- 10263036
TI  - Program emphasizes importance of documentation.

PMID- 10263038
TI  - Government report shows nursing home numbers up.

PMID- 10263037
TI  - FTC study: nursing home trade rule not needed.

PMID- 10263039
TI  - IDB curbs resurrected.

PMID- 10263040
TI  - Nursing homes as centers for continuum of care.

PMID- 10263041
TI  - Equal rate law spurs survival techniques.

PMID- 10263042
TI  - Proper fire safety plans: the difference between life and death.

PMID- 10263043
TI  - Environmental design: a can do philosophy.

PMID- 10263044
TI  - As fringe benefits go under the gun.

PMID- 10263045
TI  - Big buildup in extended care beds approved using new local process.

PMID- 10263046
TI  - Preparedness drills urged in hospitals.

PMID- 10263047
TI  - The politicalization of institutions. The responsibilities of multinational
      corporations.

PMID- 10263049
TI  - Designing volunteer jobs for results.

PMID- 10263048
TI  - The need for board errors and omissions insurance.

PMID- 10263050
TI  - Children should be seen and heard--as volunteers.

PMID- 10263052
TI  - Perspectives. States respond to capital question.

PMID- 10263051
TI  - Planning a funding search. How to identify a foundation that could fund your
      project.

PMID- 10263053
TI  - Perspectives. Uninsured, unemployed under scrutiny.

PMID- 10263054
TI  - Perspectives. Family planning: surviving the Reagan agenda.

PMID- 10263056
TI  - Perspectives. Has hospital deregulation failed?

PMID- 10263055
TI  - Perspectives. Capital financing in the 1980s.

PMID- 10263057
TI  - Perspectives. Reagan budget: competition, more cuts.

PMID- 10263058
TI  - A theory of organizational response to regulation: the case of hospitals.
AB  - This paper presents a general theory of organizational response to regulation, a
      theory that integrates adaptation and mutual selection perspectives. Two major
      forms of regulation in the hospital industry, certificate of need and rate
      review, are examined. Hypotheses are derived concerning the nature and timing of
      the various adjustments hospitals make both in internal organizational
      arrangements and in patterns of interorganizational activity in the face of
      regulatory constraints. Suggestions and data sources for testing the theory are
      presented.

PMID- 10263059
TI  - Employer-employee based quality circles in Japan: human resource policy
      implications for American firms.
AB  - This paper traces the development of the quality circle in Japan with reference
      to such traditions as permanent employment, nenko (seniority-based compensation),
      enterprise unionism, and management paternalism. Quality circles are examined as
      tools for motivating employees, reducing labor turnover, effecting employee
      "career expansion," and allowing employee participation in job redesign.

PMID- 10263060
TI  - Motivating the client/employee system as a service production strategy.
AB  - Productivity improvement in service organizations is of major concern to managers
      as one way of countering escalating costs. In service organizations in which the
      client/customer is directly involved in the production function, improved
      performance can be secured by viewing the client/customer as a "partial"
      employee. This proposition in turn leads to the suggestion that productivity
      gains can be realized for services by expanding conventional motivation concepts
      to include the client/customer.

PMID- 10263061
TI  - Work and nonwork influences on health: a research agenda using inability to leave
      as a critical variable.
AB  - A basic path analytic model of stressor-health relationships is formulated from a
      multidisciplinary literature base. Work, nonwork, and individual difference
      variables act as exogenous stressors influencing endogenous job and life
      satisfaction variables, which are then posited to influence health variables.
      Inability to leave is added to the model as a means of more completely
      integrating a research framework investigating work and nonwork influences on
      health.

PMID- 10263062
TI  - The stress of excellence. Why our best decision-makers may face the greatest risk
      of heart attacks.

PMID- 10263063
TI  - Causal attributions, affect, and expectations for a day's work performance.
AB  - Two studies were conducted to explore the relationships between perceived job
      performance, causal attributions, employee affect, and expectations for a day's
      work. In both studies, causal categories derived from previous attribution
      research were found to correspond with employee job explanations. However,
      results somewhat inconsistent with previous laboratory studies were obtained.

PMID- 10263064
TI  - Strategic power relationships in contemporary profit and nonprofit hospitals.
AB  - A comparative analysis of the intraorganizational power distributions of
      strategic decision makers in profit and nonprofit institutions was conducted to
      assess the effect of the institution's economic orientation. Hypotheses are
      tested, and the usefulness of an organization's economic orientation as a major
      strategic contingency variable is discussed.

PMID- 10263065
TI  - Organizational cosmopolitanism and innovativeness.

PMID- 10263066
TI  - Sex differences in job satisfaction revisted.

PMID- 10263067
TI  - A measure of styles of handling interpersonal conflict.

PMID- 10263068
TI  - Americans needing help to function at home.

PMID- 10263069
TI  - Utilization of short-stay hospitals by adolescents: United States, 1980.

PMID- 10263070
TI  - Day care center brings new perspective to Mt. Vernon elderly.

PMID- 10263071
TI  - Technology promises increased convenience and challenges to the nation's elderly.

PMID- 10263072
TI  - Counselor's role: the impact of the microcomputer.

PMID- 10263073
TI  - Rehabilitation--whose responsibility?

PMID- 10263074
TI  - Treatment setting or service station.

PMID- 10263075
TI  - An evaluation of psychological tests in the selection process for EEG technician
      trainees.

PMID- 10263076
TI  - Behavioral techniques for use with noncompliant children in the EEG laboratory.

PMID- 10263077
TI  - American Medical News at 25: looking back, ahead.

PMID- 10263078
TI  - Two PPOs get good reviews from Justice.

PMID- 10263079
TI  - Medicare financing at issue in Canada.

PMID- 10263080
TI  - The laundry: a well tuned instrument.

PMID- 10263081
TI  - Good distribution is vital to institutions.

PMID- 10263082
TI  - Co-op's guidelines solve linen problems.

PMID- 10263083
TI  - Proposed abortion laws analyzed by the College.

PMID- 10263084
TI  - Lawmakers concur with ACP on key aspects of debate.

PMID- 10263085
TI  - Assessing clinical competence: a five-year experiment comes to an end.

PMID- 10263086
TI  - Two-way teleconferencing: room design comes first.

PMID- 10263088
TI  - The Menninger Foundation, Topeka, Kansas. Bricks in the service of brains.

PMID- 10263087
TI  - For health care providers too: an outlook of stressful--but hopeful--change.

PMID- 10263089
TI  - The Arbour Hospital, Jamaica Plain, Massachusetts. Designed to 'fit in'.

PMID- 10263090
TI  - Wyman-Gordon Pavilion Ingalls Memorial Hospital, Harvey, Illinois. A hybrid
      hospital and home.

PMID- 10263092
TI  - How to buy...a dental insurance policy.

PMID- 10263091
TI  - The Cleveland Clinic, Cleveland, Ohio.

PMID- 10263093
TI  - Test your ability to handle conflict.

PMID- 10263094
TI  - Neuro linguistic programming--an aid to management.
AB  - This is an article that asks two questions. Do you presently, get what you want
      with the people who work for you and with you? Are you able to easily understand
      what they are asking or telling you and do you easily find ways to communicate
      your intentions and requirements to them? If you answered no to any of the three
      parts of these two questions then this article will have information of interest
      to you. Neuro Linguistic Programming or NLP as it is usually referred to is
      without doubt the most powerful communication model, to have emerged for use in
      management, during the last decade. It takes the elements of everyday behaviour
      patterns and makes them available to any serious student.

PMID- 10263096
TI  - Hospital cost inflation: the influence of the annual budget.
AB  - The prevailing assumption has been that decisions made by doctors and hospitals
      have caused massive inflation in hospital costs. Data of the five Western
      Australian teaching hospitals over the decade 1970/71 to 1980/81 suggests that it
      has been funding decisions by the State Government which have had the major
      effect on actual cost experience. Current funding arrangements appear to give
      Government very effective control, but create no incentives for hospital
      efficiency. If efficiency is to become the dominant strategy, alternative
      hospital funding mechanisms must be designed.

PMID- 10263097
TI  - Hospital and prehospital resources for optimal care of the injured patient.
      Committee on Trauma, American College of Surgeons.

PMID- 10263095
TI  - How are you, nurse?
AB  - Nurses are not very well, according to a survey conducted among nurses in the
      northern region of Sydney. Smoking is the most common health risk. Fifty per cent
      of nurses smoke. This rate is double that of the population living in Northern
      Sydney. A tobacco knowledge questionnaire indicated nurses are not as well
      informed as they could be about the health consequences of smoking. As well,
      heavy smokers report the highest amount of severe anxiety. Nurses, especially
      young nurses, report considerable anxiety generated by the nursing profession and
      depression is common, specifically among the younger nurses. Sixteen per cent of
      nurses are severely overweight, 42% over 30 years of age are substantially
      overweight. Nurses also take more sleeping tablets and exercise less than people
      in the general population and are also more prone to respiratory tract
      infections, headaches and backaches. Some explanations of the poor health status
      of nurses are offered and ways of improving the health of nurses discussed.

PMID- 10263098
TI  - Alcohol abuse, road trauma, and the role of medical professionals.

PMID- 10263099
TI  - Cost-containment proposals.

PMID- 10263101
TI  - Technology assessment: a look at initiatives.

PMID- 10263100
TI  - Liability under the extension doctrine.

PMID- 10263102
TI  - Relative value studies: a historical perspective.

PMID- 10263103
TI  - Unraveling the causes of poor performance.

PMID- 10263105
TI  - Performance coaching: hitting the bull's-eye.

PMID- 10263104
TI  - The quality of work relationships: a matter of supervisory style.

PMID- 10263106
TI  - How well do you hear?

PMID- 10263107
TI  - Planning for the loss of a key employee.

PMID- 10263108
TI  - Grievance handling: how to carry the ball.

PMID- 10263109
TI  - An appraisal system that yields results.

PMID- 10263110
TI  - Cardiology City, U.S.S.R.

PMID- 10263111
TI  - A chance for young fathers.

PMID- 10263112
TI  - Baby Doe's legal fate.

PMID- 10263113
TI  - The case of Baby Jane Doe.

PMID- 10263114
TI  - Federal allotments to states for social services expenditures pursuant to the
      Title XX-Social Services Block Grant Act; promulgation for fiscal year 1985--HHS.
AB  - This issuance sets forth the individual allotments to States for Fiscal Year 1985
      pursuant to Title XX of the Social Security Act, as amended. The allotments to
      the States published herein are based upon the authorization set forth in Section
      2003 of the Act and are contingent upon congressional appropriations actions for
      the fiscal year. If the Congress enacts and the President approves an amount
      different from the authorization, the allotments would be adjusted
      proportionately.

PMID- 10263115
TI  - Program grants for black lung clinics--PHS. Notice of proposed rulemaking.
AB  - The Public Health Service proposed to revise the regulations governing the grants
      program for black lung clinics established under section 427(a) of the Federal
      Mine Safety and Health Act of 1977. The revision is in keeping with the
      Department of Health and Human Services' desire to remove as many programmatic
      burdens and restrictions from grantees as possible, while maintaining program
      integrity.

PMID- 10263116
TI  - Health financing research and demonstration grants; availability of funds for
      grants--HCFA. General notice.
AB  - This notice announces the availability of HCFA funds for certain priority
      research and demonstration grants for the Federal fiscal year 1984. It contains
      information about the subject areas for grants that will be given priority,
      project requirements, application procedures, amounts and duration of grants, and
      waiver of State plan requirements for demonstration projects. HCFA makes funds
      available for activities that will help to resolve major health financing program
      issues or to develop innovative methods for the administration of Medicare and
      Medicaid.

PMID- 10263117
TI  - Debarment, suspension, and ineligibility--DHHS. Proposed rule.
AB  - The Office of the Secretary, Department of Health and Human Services, is
      proposing to amend 41 CFR 3-1.6, Debarred, Suspended, and Ineligible Bidders, to
      implement the provisions of Federal Procurement Regulations [FPR] Temporary
      Regulation 65, Debarment, Suspension and Ineligibility of Government Contractors.

PMID- 10263118
TI  - Privacy Act of 1974; proposed new routine uses--PHS. Notification of new routine
      uses permitting disclosures of information from five Privacy Act systems of
      records.
AB  - In accordance with the requirements of the Privacy Act, PHS is publishing notice
      of a proposal to establish 24 new routine uses permitting disclosure of
      information from five Privacy Act systems of records maintained by the Department
      of Health and Human Services, Office of the Assistant Secretary for Health,
      Office of Management, which include: 09-37-0002, "PHS Commissioned Corps
      Personnel Records, HHS/OASH/OM". 09-37-0003, "PHS Commissioned Corps Medical
      Records, HHS/OASH/OM"; 09-37-0005, "PHS Commissioned Corps Board Proceedings,
      HHS/OASH/OM"; 09-37-0006, "PHS Commissioned Corps Grievance, Non-Board and Pre
      Board Involuntary Retirement/Separation, and Disciplinary Files, HHS/OASH/OM";
      and 09-37-0008, "PHS Commissioned Corps Unofficial Personnel Files and Other
      Station Files, HHS/OASH/OM". Some of the routine uses added to system notice 09
      37-0005 do not apply to that portion of the system that includes the Board for
      Correction of PHS Commissioned Corps Records. When a routine use does not apply
      to that portion of the system, the description of the new routine use will
      include a statement to that effect. When the routine use does apply to the Board
      for Correction of PHS Commissioned Corps Records, no additional statement will be
      made.

PMID- 10263119
TI  - Rural Development Loan Fund--Office of Community Services. HHS. Proposed rule.
AB  - The Secretary of Health and Human Services proposes new regulations governing the
      Rural Development Loan Fund [RDLF]. These regulations embody changes in existing
      regulations [45 CFR Subpart 1076.50] including a new definition of "rural" and
      certain amendments and refinements to clarify and make more specific the
      requirements of the regulations with a view toward strengthening the
      administration of the program.

PMID- 10263120
TI  - Indian health--PHS. Proposed rule.
AB  - The Department of Health and Human Services (HHS) is proposing to make technical
      amendments to Indian Health Service (IHS) grant regulations to make them conform
      to HHS regulations on grant administration, thereby eliminating duplication and
      conflict within the regulations.

PMID- 10263122
TI  - Twin Cities' employers compare hospital costs.

PMID- 10263121
TI  - Physicians faced with ballooning malpractice rates.

PMID- 10263123
TI  - PPOs not just a passing fad.

PMID- 10263124
TI  - Health care costs don't worry Canadian firms.

PMID- 10263125
TI  - Protect your patients from expensive out-of-province referrals.

PMID- 10263126
TI  - The Doukhobor furor: what would you have done?

PMID- 10263127
TI  - Bacteremia in a Veterans Administration Medical Center (1961-1981).
AB  - Laboratory data on blood cultures were reviewed for the period 1961-1981. Blood
      cultures accounted for 18% of all bacterial cultures. Nine percent of all blood
      cultures were positive for growth, including pathogens and contaminants. Of
      these, 21% wer contaiminants. Staphylococcus epidermidis was the most common
      contaminant while Escherichia coli and Staphylococcus aureus were the most
      frequently occurring pathogens, respectively. Four percent of all positive blood
      cultures, involving pathogens, had multiple organisms with E. coli the most
      common. There was no drastic change in the frequency of occurrence of Gram
      negative or positive isolates over the years, but certain pathogens like Proteus
      mirabilis, Serratia sp. and Group A Streptococci were more common from 1971-81
      than 1961-70. One percent of all patients with positive blood cultures had the
      same organism for two months or longer. Analysis of these longer occurring
      infections yielded a mean of 15, median of 7 and range of 2-87 months. E. coli
      was the most common pathogen in these chronic infections, followed by S. aureus
      and Streptococcus pneumoniae, respectively.

PMID- 10263128
TI  - Laying off employees, "a tough job" reflections from four hospital
      administrators.

PMID- 10263129
TI  - Human life--its value and sanctity.

PMID- 10263130
TI  - Humanizing health care.

PMID- 10263132
TI  - Policy and procedure manual. Discipline--criteria for warning, probation, and
      dismissal.

PMID- 10263131
TI  - Right to die legislation: an experience to be avoided in Canada?

PMID- 10263133
TI  - Pharmacist role in a family medical residency program.

PMID- 10263134
TI  - National Association for Home Care (NAHC) hospice survey results.

PMID- 10263136
TI  - President Reagan and Mrs. Reagan show special interest in home care.

PMID- 10263135
TI  - Quality assurance: a team approach.

PMID- 10263138
TI  - The construction of the NIH budget for FY 1984.

PMID- 10263137
TI  - Perinatal home care--report on a Blue Cross and home care effort.

PMID- 10263139
TI  - An attempt to regulate medical decision making.

PMID- 10263140
TI  - The National Institutes of Health: a noble experiment.

PMID- 10263141
TI  - Confidentiality, informed consent and untoward social consequences in research on
      a "new killer disease" (AIDS).

PMID- 10263142
TI  - Fundraising--new ideas bring dramatic results.

PMID- 10263143
TI  - Coping with constraints: employee relations. Part 2.

PMID- 10263145
TI  - Trustee accountability in the crunch.

PMID- 10263144
TI  - Community relations: a wise investment.

PMID- 10263146
TI  - Hemostatic clips.

PMID- 10263147
TI  - Silver-impregnated porcine xenograft for damaged or missing skin.

PMID- 10263148
TI  - Hospital discovers that the best way to control energy costs is to build its own
      power plant.

PMID- 10263149
TI  - Changes ahead for the health-care industry. Unless hospitals begin to act soon,
      there may be no future for many.

PMID- 10263150
TI  - Economic grand rounds focus physician attention on how much it costs hospital to
      treat patients.

PMID- 10263151
TI  - Flexible compensation. Individual benefits package can mean substantial savings.

PMID- 10263152
TI  - Don't give up on quality circles.

PMID- 10263153
TI  - Maximizing the yield from blood cultures in suspected infective endocarditis.
AB  - The laboratory test of paramount importance in patients with suspected infective
      endocarditis is blood culture. This article considers the generations-old problem
      of the timing and frequency of these cultures, describes techniques to increase
      their yield, and outlines measures to take whenever special cultures fail to
      identify the etiologic agent.

PMID- 10263154
TI  - Balloon atrial septostomy with echocardiographic guidance.
AB  - At the Childrens Hospital National Medical Center, Washington, DC, two
      dimensional echocardiography has been used to guide balloon atrial septostomy in
      17 neonates with cyanotic congenital heart disease and has proved helpful in
      minimizing the risks associated with this procedure.

PMID- 10263155
TI  - Cardiovascular Fitness and Rehabilitation Program, Sinai Hospital of Detroit.
AB  - Rehabilitation of persons with cardiac disease involves restoring and maintaining
      optimal physical, psychologic, occupational, social, and recreational status. It
      is based on the belief that adequate physical fitness and reduction of
      psychologic symptoms, including depression and poor self-image, can be attained
      by physical conditioning and education. The hospital-based and extended community
      center program of Sinai Hospital of Detroit provides the environment for this
      effort.

PMID- 10263156
TI  - Technologic explosion pumps new life into Holter monitoring.
AB  - When ambulatory ECG monitoring was introduced in 1947, few observers could
      predict the instrument's potential. Today, private physicians, large medical
      centers, and isolated rural facilities are becoming increasingly more dependent
      on Holter monitoring's varied diagnostic uses. While the choices in diaries,
      recorders, and scanners continue to multiply at a fast pace, some experts worry
      that some options may be gimmicks rather than vital improvements.

PMID- 10263157
TI  - On-line nursing care plans by nursing diagnosis.

PMID- 10263158
TI  - Nurse in computerland.

PMID- 10263159
TI  - Nursing should be a revenue-producing center.

PMID- 10263160
TI  - A nursing management information system case history.

PMID- 10263161
TI  - "... On the next roll of the dice".

PMID- 10263163
TI  - The case for computer literacy.

PMID- 10263162
TI  - Nursings role in computerization.

PMID- 10263164
TI  - What makes a preferred provider group preferred?

PMID- 10263165
TI  - Zenith employees have choice of dental options.

PMID- 10263166
TI  - Prevention: a technical and political issue.

PMID- 10263167
TI  - The hospital financing system of the Federal Republic of Germany.
AB  - This paper deals with the present hospital financing system of the Federal
      Republic of Germany. The structure of the financing system is treated as well as
      the actual financing process, and, as far as possible, both are also
      quantitatively described. The first section contains a description of the
      structure, and is concerned with the major institutions participating in the
      hospital financing system:--the hospitals are described according to ownership,
      number of beds, specialization, personnel, regional distribution and utilization;
      -the health insurance system is illustrated by the two major institutions, i.e.
      statutory and private health insurance agencies, and its effect on hospital
      financing is explained;--the regulation of the hospital financing system by the
      federal political system is discussed;--finally, the major economic functions of
      the institutions involved are summarized; the interrelations of hospital care and
      the ambulatory sector are also mentioned. The second section contains a detailed
      description of the actual financing process, which can be classified according to
      the sections of financing:--the basic system of the German hospital financing law
      is introduced;--in the section on investment costs, public grants and their
      allocation, which are closely related to hospital planning, are discussed;--in
      the section on operating costs, full cost reimbursement as the basic principle,
      the structure of costs, the elements and the mechanism of operating cost
      financing, the actual prices, the financing of private patients' care and special
      services are described;--a short view of accounting balances, i.e. the
      differences between costs and financing of hospital services which result in
      profits or deficits, is given. A few considerations on the evaluation of the
      financing system conclude the paper.

PMID- 10263168
TI  - Balance sheet of health organisation reform in Italy.

PMID- 10263169
TI  - Transporting databanks of medical information from one location to another.
AB  - If ever clinical information systems, particularly those used to support decision
      making, are to become of more than local value, there is an urgent need to
      develop 'transportable' databanks of information - that is to say, databanks
      which can be utilised for one purpose or another at different locations
      geographically without degradation of their effectiveness. This presentation
      discusses the problems caused by the need to develop 'transportable' databanks.
      First, the rationale for their need and for their use is discussed. It is pointed
      out that increasing mobility of patients and doctors demands increasing
      standardisation and harmonisation of clinical terminology and databanks of
      information. Next, the present situation is reviewed in some detail. The current
      lack of 'transportable' databanks is described, and the effects of this set out.
      Specifically, the factors which prevent current databanks being used outside
      their own centre of origin are listed; such as differences of hardware and
      software, differences in perceived and actual needs, inadequate sampling,
      analysis and testing, and geographical variation in disease spectra and disease
      presentation. The consequence of this need is a need to develop and test multi
      national databanks of information, and this presentation next defines what is
      needed in order to produce such databanks. Areas discussed include the definition
      of the clinical problem, construction of proformata and collection of data,
      matrix construction and testing, and finally wide distribution. In conclusion,
      the presentation defines some of the future perceived needs in respect of
      databanks and some of the problems which will arise in their construction. It is
      concluded that action is necessary now on a multinational basis in order to
      develop the databanks of information - truly transportable - which will have
      become mandatory by the 1990's.

PMID- 10263170
TI  - What the National Hospital Union means to its members.

PMID- 10263171
TI  - Seattle nurses prove 'unity is power'.

PMID- 10263172
TI  - Poisoning: epidemiology and prevention.

PMID- 10263173
TI  - Infectious diseases: a question of priorities.

PMID- 10263174
TI  - Drug therapy and monitoring: a team responsibility.

PMID- 10263175
TI  - Graying population means rosier fund raising ahead.

PMID- 10263176
TI  - Financial analysis & planning: tools for non-profit organizations.

PMID- 10263177
TI  - How to maximize the return from your operational budget.

PMID- 10263178
TI  - Copy makes difference in this Salvation Army appeal.

PMID- 10263179
TI  - Examining the role of a hospital trustee.

PMID- 10263180
TI  - FLEX Task Force I update.

PMID- 10263181
TI  - Improving the examination for state medical licensure.

PMID- 10263183
TI  - Hospital marketing: what are we trying to accomplish?

PMID- 10263184
TI  - A message for the hospital leader: marketing begins at the top.

PMID- 10263182
TI  - The "snitch law".

PMID- 10263185
TI  - The Maternity Center Coalition of Greater Philadelphia.

PMID- 10263186
TI  - Beyond economics: the health costs of unemployment.

PMID- 10263187
TI  - The Mereworth repair kit.

PMID- 10263188
TI  - Risen in the East.

PMID- 10263189
TI  - Hope in Harlem.

PMID- 10263190
TI  - Emergency planning.

PMID- 10263191
TI  - The down to earth approach.

PMID- 10263192
TI  - Hospital porters: lost empires. Interview by Cherrill Hicks.

PMID- 10263193
TI  - FPC spending: the cash limits medicine.

PMID- 10263194
TI  - Fire precautions: taking stock of skills.

PMID- 10263195
TI  - It's your line to the health computer.

PMID- 10263196
TI  - Victoria's volunteer force.

PMID- 10263198
TI  - A profile of today's hospital director of materials management. Part I.

PMID- 10263197
TI  - Hospital capital equipment acquisition: improving decision making.

PMID- 10263199
TI  - Ten commandments of management for supervisors to follow.

PMID- 10263200
TI  - Survey helps clear the air on smoking policies.

PMID- 10263202
TI  - Costs, competition, compassion: issues for a changing health-care system.

PMID- 10263201
TI  - An effective off-the-job program brings tangible benefits.

PMID- 10263203
TI  - The best of times, the worst of times for health care.

PMID- 10263204
TI  - Fund raising can be fun, profitable.

PMID- 10263205
TI  - Communication system helps home patients keep in 'touch' with care unit.

PMID- 10263206
TI  - Senior citizens have more to fear from family, caregivers than from violent
      criminals.

PMID- 10263208
TI  - DME competition from home care 'unfair'.

PMID- 10263207
TI  - Era of stiff home health competition expected.

PMID- 10263209
TI  - Can a not-for-profit agency be sold?

PMID- 10263210
TI  - HHAs benefit from owning, here's how!

PMID- 10263211
TI  - Meeting the home care respiratory therapy challenge, expert explains.

PMID- 10263212
TI  - Iowa. For profits can't compete for state grants.

PMID- 10263214
TI  - Chronic obstructive pulmonary disease: its definitions, its management, and its
      scope.

PMID- 10263213
TI  - Marketing: more than a passing word, crucial to home health agency operations,
      expert says.

PMID- 10263215
TI  - The legal responsibilities of nurses and their limits of duty explained by
      attorney.

PMID- 10263216
TI  - Visiting nurse service keeps respiratory patients out of hospitals and in their
      homes.

PMID- 10263217
TI  - Philadelphia home health experiencing market boom.

PMID- 10263218
TI  - What do general managers do and how do they do it?. Interview by Joe Flower.

PMID- 10263220
TI  - Families of patients find Providence in Anchorage.

PMID- 10263219
TI  - Shirt-sleeve congress.

PMID- 10263221
TI  - Technology and the health industry.

PMID- 10263222
TI  - Market strategy.

PMID- 10263223
TI  - Carner's codes. Innovation.

PMID- 10263224
TI  - Health care manager's notebook. Portfolio approach to HRD.

PMID- 10263225
TI  - The middle manager's compensation outlook.

PMID- 10263226
TI  - Should hospital water be checked for Legionella?

PMID- 10263227
TI  - Price reporting may benefit consumers, payers, providers.

PMID- 10263228
TI  - Area agencies cooperate in teenage pregnancy program.

PMID- 10263229
TI  - Heat-recovery incinerator contributes to energy-conservation effort.

PMID- 10263230
TI  - Physicians' views of Catholic hospitals: a roundtable.

PMID- 10263231
TI  - Federal mandate confers status, exacts price from ethics group.

PMID- 10263232
TI  - Presidential Ethics Commission: its strengths, weaknesses.

PMID- 10263233
TI  - Basing ethical decisions on love for others, intimacy with God.

PMID- 10263234
TI  - Bill specifies health coverage for unemployed, uninsured workers.

PMID- 10263235
TI  - Basis for nursing ethics: paternalism, consumerism, or advocacy.

PMID- 10263236
TI  - Hospital initiatives in care for the elderly.

PMID- 10263237
TI  - When should Catholic facilities permit withdrawal of life-sustaining procedures?

PMID- 10263239
TI  - CEO's challenge: using resources for the greater good.

PMID- 10263238
TI  - Special employment arrangements should be documented.

PMID- 10263240
TI  - Church as steward: our healing heritage.

PMID- 10263241
TI  - Stewardship: service, management, advocacy.

PMID- 10263242
TI  - Marketing outpatient services as competition increases.

PMID- 10263243
TI  - Written relocation assistance policy helps hospitals' executive recruiting.

PMID- 10263244
TI  - Legal restrictions govern employee communications groups.

PMID- 10263245
TI  - Consortium's hospice volunteer training boosts professionalism, cooperation.

PMID- 10263246
TI  - Questionnaire encourages children in hospital to express feelings.

PMID- 10263248
TI  - Positions with different responsibilities warrant unequal wages.

PMID- 10263247
TI  - How should Catholic hospitals treat an anencephalic fetus?

PMID- 10263249
TI  - Employment contract protects against exploitation of recruitment services.

PMID- 10263250
TI  - Communication programs aid employee-administration dialogue.

PMID- 10263251
TI  - Outpatient program teaches patients to manage diabetes.

PMID- 10263252
TI  - Systematic evaluation of the purchasing function.

PMID- 10263253
TI  - Materiel management: the need for a systems approach.

PMID- 10263254
TI  - The materiel management system: maze or magic?

PMID- 10263255
TI  - Implementing an automated inventory system.

PMID- 10263256
TI  - Toward task support systems for hospital operations.

PMID- 10263257
TI  - The central processing department: its history and function.

PMID- 10263258
TI  - A systems approach to the control of reusable items.

PMID- 10263259
TI  - Management of an inventory cycle in a health care setting.

PMID- 10263261
TI  - Hospital maintenance storeroom design and control.

PMID- 10263260
TI  - Inventory control systems in the hospital pharmacy.

PMID- 10263262
TI  - Streamlining a policy and procedure system.

PMID- 10263263
TI  - Evaluation of the effectiveness and efficiency of health service operations. Part
      III: Evaluation of the chief executive officer.

PMID- 10263264
TI  - Telecommunications provides key to cost-effective security.

PMID- 10263265
TI  - Health care trustees and the union dilemma.

PMID- 10263266
TI  - Alternative scheduling in departments other than nursing services.

PMID- 10263267
TI  - The real, unique reasons for low nursing salaries.

PMID- 10263268
TI  - The small hospital administrator as Q.A. coordinator.

PMID- 10263269
TI  - The power of stratified sampling: an aid for estimating attendance at hospital
      functions.

PMID- 10263270
TI  - Summary of the issues presented at the OSHA hearing on ETO.

PMID- 10263272
TI  - Another look at C.S. training.

PMID- 10263271
TI  - How to reduce the AIDS hysteria in central service.

PMID- 10263273
TI  - A central supply in transition.

PMID- 10263275
TI  - Disposing of hospital waste.

PMID- 10263276
TI  - Waste compaction in hospital.

PMID- 10263274
TI  - How to forecast to contain your variable costs.

PMID- 10263277
TI  - The development of the incinerator.

PMID- 10263279
TI  - The Orpington Hospital Canada Wing opening.

PMID- 10263278
TI  - Stoke Mandeville National Spinal Injuries Centre.

PMID- 10263280
TI  - The ethnophysiology and folk dietetics of pregnancy: a case study from South
      India.
AB  - The contingency between notions of ethnophysiology and the folk dietetics of
      pregnancy are examined in a region of South India. Attention is focused on lay
      perceptions of essential body processes and health concerns during pregnancy.
      Preventive and promotive health strategies employed during pregnancy by the rural
      poor which involve diet are considered. The tendency for rural South Indian women
      to prefer smaller babies and the relationship of this preference to dietary
      behavior are considered in relation to both concepts of the appropriate quality
      and quantity of food to eat during pregnancy and the concepts of baby space and
      baby strength. Nutritional ramifications of alternative food consumption patterns
      are considered. The importance of understanding indigenous health concerns and
      notions of ethnophysiology when introducing public health programs is highlighted
      by a discussion of why many pregnant women are reluctant to comply with iron
      sulfate, tetanus toxoid, and vitamin therapy as currently presented by primary
      health care staff.

PMID- 10263281
TI  - The politics of health care in Nicaragua before and after the Revolution of 1979.

PMID- 10263282
TI  - ERISA, not state law, governs employee vacation benefits.

PMID- 10263283
TI  - Illustrative rate-setting cases from states with all-payer programs.

PMID- 10263284
TI  - FICA refunds on tax-deferred annuity contributions under Rowan.

PMID- 10263285
TI  - AHA files amicus brief with NLRB regarding hospital bargaining units.

PMID- 10263286
TI  - Open meeting statutes updated.

PMID- 10263287
TI  - Court casts doubt on enforcement authority for equal pay, age acts.

PMID- 10263288
TI  - Supreme Court decides important labor cases.

PMID- 10263289
TI  - The 1983-84 Supreme Court term: important decisions will affect hospitals.

PMID- 10263290
TI  - Challenge to state licensure agency: Ronwin v. State Bar of Arizona.

PMID- 10263291
TI  - The 1983 Supreme Court abortion decisions: impact on hospitals, a conflict with
      Baby Doe?

PMID- 10263292
TI  - Tax cases important to tax-exempt hospitals reviewed.

PMID- 10263293
TI  - National data base on health care coalitions shows an increase of 38
      organizations over nine months.

PMID- 10263294
TI  - State laws to date remove impediments to PPO development--an update of state
      legislative activity.

PMID- 10263296
TI  - California court restrains criminal prosecution of M.D.s.

PMID- 10263295
TI  - Court enjoins completion of a hospital parking lot because affiliated holding
      company failed to obtain a CON.

PMID- 10263297
TI  - An update: Federal Trade Commission antitrust initiatives in the health care
      sector.

PMID- 10263298
TI  - Court of Appeals upholds 1979 Hill-Burton regulations.

PMID- 10263299
TI  - U.S. Supreme Court hears oral arguments in antitrust/exclusive contract action.

PMID- 10263300
TI  - Responsibilities of hospital in-house legal counsel.

PMID- 10263301
TI  - Arizona business coalition seek initiative to impose rate-setting and CON on
      Arizona hospitals.

PMID- 10263303
TI  - Nosocomial infections in the elderly described.

PMID- 10263302
TI  - California, Illinois enact methods to allow patients the right to refuse
      treatment.

PMID- 10263304
TI  - Computer basics for nonprofit organizations.

PMID- 10263305
TI  - Prime numbers: a guide to telephone fundraising.

PMID- 10263306
TI  - MMs sway grows faster than pay.

PMID- 10263307
TI  - How to succeed at health care forms management.

PMID- 10263309
TI  - Product standardization: can it be accomplished?

PMID- 10263308
TI  - Zero exposure: a comprehensive approach to voluntarily reduce ethylene oxide
      exposure.

PMID- 10263310
TI  - A vendor ethics code.

PMID- 10263311
TI  - The pharmacy depot program in group purchasing.

PMID- 10263313
TI  - Measurements to boost productivity.

PMID- 10263312
TI  - Getting beyond the language barrier.

PMID- 10263314
TI  - Alter physician performance with successful strategies.

PMID- 10263315
TI  - Two case histories underline need for documentation of patient consent.

PMID- 10263316
TI  - Multiple explosions pinpoint hospital's disaster needs.

PMID- 10263318
TI  - Consent forms, as written, confuse patients, study says.

PMID- 10263317
TI  - Changes in mortality rate may signal increased risk.

PMID- 10263319
TI  - Surgical, birth injuries top list of claim causes.

PMID- 10263320
TI  - Want a DSA facility? Try a limited partnership.

PMID- 10263321
TI  - The antitrust implications of medical staffing decisions.

PMID- 10263322
TI  - Credentialing: a testing ground for health care change.

PMID- 10263323
TI  - Contractual relationships between hospitals and physicians. American Hospital
      Association.

PMID- 10263324
TI  - How to promote hospice to hospital medical staffs.
AB  - Integration of hospice into the health care system rather than in isolation is
      often critical for program success. When hospice is seen as part of a continuum
      of care, medical staffs will much more readily accept the addition of hospice as
      a specialized hospital service.

PMID- 10263326
TI  - The P & T Committee secretary as facilitator.

PMID- 10263325
TI  - Antibiotic control in Veterans Administration Medical Centers.

PMID- 10263327
TI  - Trends in health care delivery.

PMID- 10263328
TI  - Trends in health care delivery.

PMID- 10263329
TI  - The iceperson cometh: cryonics, law and medicine.
AB  - The "New Biology" has already made profound impact on the law. Cryonics and
      genetic engineering represent technological triumphs. The natural, organic
      process of dying is being replaced by a humanly engineered technological process
      for living. The dying phase of life is prolonged until biological knowledge is
      available to reverse the dying phase and restore the living phase. Both cryonics
      and genetic engineering in their attempts to replace the organic process with the
      technological process disturb the delicate balance of the triad of life which
      each individual experiences--faith, health, and justice. Since law is a basic
      tool to achieve justice among human beings, how should it respond to the health
      argument of the cryonics' physician who views death as a disease which is
      curable? How should the law respond to the faith questions surrounding the
      cryonics patient? What am I? A block of ice. Who am I? A living, comatose patient
      or a dormant, static body with the possibility of a reverter. Why am I? A new
      human being now endowed with immortality through the triumph of life over death
      founded on man's current faith in the God called Technology. Cryonics through its
      unbalancing of the traditional triad of life poses formidable challenges to the
      major institutions of faith, health and justice. The practitioners in these
      institutions: clergy, physicians and lawyers must now reassess the rules of the
      game of life be they religious, medical or legal. This article offers insights to
      begin this reassessment.

PMID- 10263330
TI  - DHHS human subjects protection: the new regulations revisited.
AB  - In January of 1981 DHHS released its revised regulations for the protection of
      human subjects. These new regulations established five categories of federally
      funded research--primarily in the educational, social and behavioral sciences-
      which, at local Institutional Review Board (IRB) US ISSN (0193-7758) 1168 option,
      could be made exempt from mandated peer review. A survey of the 562 member IRB
      system was conducted to determine, among other things, what policies individual
      review boards had established with regard to these optionally exempted
      categories. 341 (61%) of the IRBs responded to the survey. Results indicate that
      the IRBs have overwhelmingly opted to maintain review procedures at some level in
      each of the "exempted" categories and that these procedures, as well as the other
      DHHS standards, are being applied almost universally to all research regardless
      of funding source. This article presents data on IRBs and their implications for
      the educational, social and behavioral sciences.

PMID- 10263331
TI  - Interdisciplinary grand rounds: hospice care.

PMID- 10263332
TI  - Pennsylvania Senate Bill 361: direct third party reimbursement to nurse-midwives.

PMID- 10263333
TI  - Power and skill: a hospital administrator's view of nursing.

PMID- 10263334
TI  - The forgotten rights of defective newborns.

PMID- 10263335
TI  - Pharmacy--quo vadis?

PMID- 10263336
TI  - Interview: Senator John Glenn on low level radiation.

PMID- 10263337
TI  - MIS development in American industry.

PMID- 10263338
TI  - Effective board development: five areas for concern.

PMID- 10263339
TI  - Hospital telemetry monitoring systems.
AB  - Hospital cardiac care systems frequently provide multiple-channel cardiac
      monitoring by telemetry for a second phase of cardiac recuperation from a
      myocardial infarction. This article describes the engineering and clinical
      considerations in selecting, designing, and operating telemetry systems in a
      clinical setting.

PMID- 10263340
TI  - Sweep-frequency marker generator for blood pressure transducer testing.
AB  - A circuit which places accurate frequency calibrations on swept-frequency
      recordings is presented. This circuit is useful in the calibration of direct
      blood pressure transducers and will have applications in the testing of other
      biological transducers as well. The design range of 1 Hz to 128 square root 2 Hz
      is suitable for testing a broad range of biological transducers and systems. The
      circuit basically measures the periods between successive zero crossings. Pulses
      are generated that may be recorded on a swept-frequency strip chart record of an
      individual transducer. A series of sixteen marker pulses indicates 1 Hz, square
      root 2 Hz, 2 Hz, 2 square root 2 Hz, up to 128 square root 2 Hz. A special wide
      pulse at 16 Hz distinguishes the marker pulses.

PMID- 10263342
TI  - The measurement of quality in community life: introduction to the special issue.

PMID- 10263341
TI  - Adaptation and the quality of life in work and family settings.
AB  - The paper describes the development of scales to assess the perceived social
      environmental quality of work and family settings. The use of these scales in
      comparing and contrasting work and family settings and in examining their role as
      contexts for adaptation and growth is illustrated. Some tentative conclusions
      about social-environmental influences on individual and family adaptation are
      drawn and practical applications for planning ecologically oriented interventions
      are discussed.

PMID- 10263343
TI  - Quality of life as the criterion for need assessment and community psychology.
AB  - A "QOL-Contribution" model for resource allocation decisions is proposed that
      integrates concepts and values from community psychology, need assessment, and
      quality of life (QOL) studies. QOL is taken as the criterion for establishing the
      goodness-of-fit between a population and its environment. It is assumed that the
      characteristics of a given human group interact with the resources and the
      stressors of its environment, with its level of QOL as the result. The utility
      and the implications of the model for resource decisions are demonstrated with
      data from a statewide need assessment. In this application, different life
      domains, and different program targets within life domains, are prioritized
      according to their relative contributions to QOL. The findings for mental health
      and employment illustrate the specificity of the model's application. The model
      is then restated as the general task, and a unifying theme, for community
      psychology.

PMID- 10263344
TI  - Psychosocial predictors of service utilization among Cuban-American elders.
AB  - The utilization of service by Cuban-American elders is studied in light of the
      informal network and sociodemographic hypotheses extant in the current
      literature. In addition, the effects of psychological variables are assessed. The
      data from questionnaires administered to 88 Cuban-American elderly give partial
      support for findings previously obtained with elderly subjects. However, the
      results suggest that unidimensional hypotheses are inadequate for explaining
      service utilization. More complex models that account for multidimensional
      interactions between population-specific variables must be developed to guide
      future research and practice.

PMID- 10263345
TI  - Assessing Hispanic mental health needs: issues and recommendations.
AB  - This article is based on the premise that culture-specific needs assessment
      methodologies are necessary to obtain accurate, valid, and reliable results when
      studies are conducted in culturally different groups. Accordingly, the literature
      on needs assessment and on Hispanic psychology is reviewed, creating a synthesis
      prescriptive of the best strategies for the assessment of mental health needs of
      Hispanic populations. Traditional needs assessment methods are discussed in the
      context of the types of changes that must be made to render them culturally
      acceptable and useful with Hispanics. Conceptually, the important issue is that
      of being sensitive to the interplay between the effectiveness of the methodology
      and its impact within a given cultural setting.

PMID- 10263346
TI  - Culturally sensitive and effective psychologists: a challenge for the 1980s.
AB  - A random sample of accredited graduate psychology departments and internship
      programs were surveyed to examine current efforts at integrating ethnic minority
      content into curricula and training. Additional information was sought on faculty
      development efforts and needs relative to integration of such content. Of the 121
      department chair respondents, 80 affirmed inclusion of ethnic minority content in
      curricula. Integration was mainly found through provision of elective courses.
      Seventy internship directors responded, with 45 acknowledging ethnic minority
      content in their programs. However, only 36% of this content was found in "most
      of the program." Over 30% of both the departments and internship programs
      reported no efforts to integrate ethnic minority content into curricula or
      training. Faculty development efforts in both the academic and applied settings
      were also found to be minimal. However, the need existed to provide faculty with
      basic resource materials, guidelines, and approaches, as well as training in
      integrating ethnic minority content. Department chairs perceived summer
      institutes for faculty as a mechanism for fulfilling ethnic minority content
      requirements. Internship directors perceived continuing education programs as
      most advantageous. Issues regarding the implications of the apparent dearth of
      ethnic minority content in psychology are discussed.

PMID- 10263347
TI  - The Indian Health Service. A comprehensive health care delivery program.

PMID- 10263348
TI  - Housing and health. The role of the environmental health practitioner.
AB  - From a health standpoint, the residential environment is both the dwelling and
      its associated areas. The dwelling and related area are interrelated both in
      terms of sanitation problems affecting physical health and other problems
      affecting mental health. The residential environment certainly represents a
      complicated public health problem. The issue of inadequate shelter has been
      addressed throughout history, but the relationship of shelter and health brings
      it to our attention now. It is estimated that one out of every four persons in
      our nation lives with some kind of shelter deficiency. The Federal Housing Act of
      1949 was instrumental in creating an awareness that the quality of shelter and
      the surrounding environment has a great influence upon the physical and mental
      health and well-being of each individual. When the Housing Act of 1949 was
      passed, the American Public Health Association Committee on the Hygiene of
      Housing acknowledged the role public health agencies would have in eliminating
      and preventing health hazards associated with substandard dwellings. It also
      recognized the need for a formal code to establish minimum standards for the
      condition and maintenance of dwellings.

PMID- 10263349
TI  - Health considerations for improving human well-being in the 1980s.

PMID- 10263350
TI  - Microcomputers and quantitative methods in the health services administration
      program: an experiment.

PMID- 10263351
TI  - Health administration education: what next?

PMID- 10263353
TI  - Primary health care: assessing projects.

PMID- 10263352
TI  - Personnel resources and training needs: the education and training of the
      hospital management in Austria.

PMID- 10263354
TI  - Developing the infrastructure of education for a changing environment.

PMID- 10263355
TI  - Report of the Board of Directors, AUPHA.

PMID- 10263356
TI  - The hypothermic code. CPR controversy revisited.

PMID- 10263357
TI  - ARC answers Alicia.

PMID- 10263359
TI  - EMS volunteers.

PMID- 10263358
TI  - Windows of vulnerability.

PMID- 10263360
TI  - Pitfalls in disaster management.

PMID- 10263361
TI  - Simulation in training.

PMID- 10263362
TI  - Patient rights versus patient care.

PMID- 10263363
TI  - Infection control. EMS reacts--and overreacts--to the AIDS panic.

PMID- 10263364
TI  - Fund raising: opportunity or hassle?

PMID- 10263365
TI  - A first response system, rural style.

PMID- 10263366
TI  - Fire service EMS training.

PMID- 10263367
TI  - Funding an ambulance service.

PMID- 10263368
TI  - Basic principles for new role development: a ten-year experience.

PMID- 10263370
TI  - GNP role development: problems and potentials.

PMID- 10263369
TI  - GNP role development: what makes the difference?

PMID- 10263371
TI  - The role of the nurse practitioner.

PMID- 10263372
TI  - Institutional perspectives.

PMID- 10263373
TI  - Use of a GNP in the expanded nursing home.

PMID- 10263374
TI  - GNP: the right person at the right time.

PMID- 10263375
TI  - GNP effectiveness in a rehabilitation center.
AB  - Gerontological nurse practitioners have proved to be of immense value to patient
      care in a moderate sized (124-bed), busy (100 percent capacity), long-term care
      facility. A program that was established to handle a staffing problem with
      financial constraints has worked very well in providing extended medical services
      to a demanding patient load. GNPs have successfully been integrated into the
      facility with wide acceptance by the hospital staff and the clinic physicians to
      whom the facility's patients are referred when needed.

PMID- 10263376
TI  - Quality improvement at Desert Life Health Care Center.

PMID- 10263377
TI  - Desert Life Health Care Center.

PMID- 10263378
TI  - The GNP role in a large, multi-level facility.

PMID- 10263379
TI  - GNP--the bloom of Rose Arbor Manor.

PMID- 10263380
TI  - Crista Senior Community.

PMID- 10263381
TI  - GNP: curriculum and training.

PMID- 10263382
TI  - Projects and demonstrations relating to long-term care.

PMID- 10263383
TI  - Organizational options and future directions.

PMID- 10263384
TI  - The AAPC: the beginning years, 1963-1965.

PMID- 10263386
TI  - Manual for staff doctors, 1983. Japan Hospital Association.

PMID- 10263385
TI  - Toward envisioning the future of pastoral counseling and AAPC.

PMID- 10263387
TI  - Overview of Japanese health insurance.

PMID- 10263388
TI  - The situation of Japanese hospitals in the next ten years: preventive medicine,
      health promotion, and the hospital network.

PMID- 10263389
TI  - Time series trend of the clinical departments of general hospitals in Japan.

PMID- 10263390
TI  - Efficient hospital management.

PMID- 10263391
TI  - The effect of a low-calorie diet on the quality and quantity of breast milk.

PMID- 10263392
TI  - Accounting standards for hospitals.

PMID- 10263393
TI  - Performance-based certification in volunteer administration.

PMID- 10263394
TI  - Security problems proliferates along with personal computers.

PMID- 10263395
TI  - The importance of management input in the development of information systems
      security.

PMID- 10263396
TI  - Companies prescribe major revisions in medical benefits programs to cut soaring
      healthcare costs.

PMID- 10263397
TI  - Re: Clarke Institute of Psychiatry and Catholic Children's Aid Society of
      Metropolitan Toronto et al.

PMID- 10263398
TI  - White v Turner et al--physician and surgeon.

PMID- 10263399
TI  - Psychiatry: the lost horizon. The erosion of human rights.

PMID- 10263401
TI  - Castro's medicine. An on-the-scene report.

PMID- 10263400
TI  - PINCO: personal information and confidentiality controls.
AB  - Legislation is required now in order to get proper controls on personal
      information and confidentiality in the near future when the need for it,
      particularly in relation to the development of third generation computers, will
      be more clearly perceived in Britain than it is at the moment. If action is taken
      now, PINCO controls can be introduced more cheaply and efficiently than will be
      the case if urgent action has to be taken later.

PMID- 10263402
TI  - We can't afford to prolong so many hopeless lives.

PMID- 10263404
TI  - A $100,000 warning to insurers: don't second-guess M.D.s.

PMID- 10263403
TI  - Deaf patients hear me loud and clear.

PMID- 10263405
TI  - Midwifery: the latest growth industry.

PMID- 10263406
TI  - Malpractice reform gets a powerful boost.

PMID- 10263407
TI  - How doctors kicked out a hospital board.

PMID- 10263408
TI  - Doctor competition: more battles spill over into court.

PMID- 10263409
TI  - Could someone be stealing from your hospital?

PMID- 10263410
TI  - Malpractice pressure spreads along new fronts.

PMID- 10263412
TI  - Will this law resolve the informed-consent dilemma?

PMID- 10263411
TI  - How PPOs turn doctor against doctor.

PMID- 10263413
TI  - What the new Congress will do to doctors.

PMID- 10263414
TI  - What dying patients fear most.

PMID- 10263416
TI  - Who really cares about saving medical costs? Nobody!

PMID- 10263415
TI  - Is this the ultimate step in quality control?

PMID- 10263417
TI  - Is any attorney worth a $4.4 million fee?

PMID- 10263418
TI  - How a lawyer can poke holes in good medical records.

PMID- 10263419
TI  - A self-policing program that works.

PMID- 10263421
TI  - Will the PPO movement freeze you out?

PMID- 10263420
TI  - Writing medication orders that won't get you sued.

PMID- 10263422
TI  - Ultrasonic wheelchair control.

PMID- 10263423
TI  - Medical equipment buyers guide 1983, Part 2: Blood flowmeters, blood pressure
      instruments, cardiac output meters, ECG-EEG-EMG, pacemakers, scanners, imaging
      and accessories.

PMID- 10263425
TI  - Medical equipment buyers guide 1983, Part 3: ECG transmitters/receivers,
      electronic thermometers, patient scales, pumps, infusion and autotransfusion
      devices, syringes, transient/surge protectors, ultrasonics.

PMID- 10263424
TI  - Electrical safety in medical environments.

PMID- 10263426
TI  - Technology for hospitals.

PMID- 10263427
TI  - Electronic balance calibrates pipettes.

PMID- 10263428
TI  - Medical equipment buyers guide, Part 4: Balances and microbalances, blood cell
      counters, blood chemistry, blood coagulation, blood gas, blood pH, ECG analyzers,
      heart rate meters, hematocrit, recorders.

PMID- 10263430
TI  - Medical equipment buyers guide, Part 5: Biofeedback, catheters and
      catheterization, electrodes for ECG, EEG, EMG, ENG, patient monitors,
      stimulators, defibrillators.

PMID- 10263429
TI  - Recording films.

PMID- 10263431
TI  - Acquisition of a laboratory information system.

PMID- 10263432
TI  - Spine-injured moving from nursing homes into life's mainstream.

PMID- 10263433
TI  - The doctor's dilemma: the rights of the critically ill.

PMID- 10263434
TI  - All but one Mobile hospital ER bars indigents on weekends.

PMID- 10263435
TI  - Total recall.

PMID- 10263436
TI  - How to rebuild your P & P manual.

PMID- 10263437
TI  - Going the distance.

PMID- 10263439
TI  - Computer advances make hospital systems more vulnerable to break-ins.

PMID- 10263438
TI  - Deducting the cost of smoking cessation programs under Internal Revenue Code
      Section 213.

PMID- 10263440
TI  - Vendors bet on different strategies to overcome NMR's cost problems.

PMID- 10263441
TI  - Patient monitors getting 'smarter'.

PMID- 10263442
TI  - Interest in satellites starts to soar.

PMID- 10263444
TI  - Bonnabel serves haute technology.

PMID- 10263443
TI  - Space is tight, costly for new technology.

PMID- 10263445
TI  - Planning now for the possibility of layoffs can temper turmoil, trauma.

PMID- 10263446
TI  - IRS may let nonprofit hospitals take advantage of 'profit sharing' plan.

PMID- 10263447
TI  - 'Group boycott' claim fails, but buying contract still faces antitrust challenge.

PMID- 10263448
TI  - Conflicting market forces promise erratic behavior in interest rates.

PMID- 10263450
TI  - States may ax emergicenters' growth.

PMID- 10263449
TI  - Hospitals that start their own PPOs ease sting of discounts, survey finds.

PMID- 10263451
TI  - Emergicenters serve HMO enrollees.

PMID- 10263452
TI  - Lifemark shuns freestanding centers.

PMID- 10263453
TI  - Think of the patients.

PMID- 10263454
TI  - Pressure to pare length of stay may pose liability pitfalls for hospitals.

PMID- 10263456
TI  - Competition is heating up hospitals' desire for market research projects.

PMID- 10263455
TI  - Healthcare entices venture capital firms.

PMID- 10263457
TI  - Parkside is 'for-profit' in name only.

PMID- 10263458
TI  - FTC plans new probe of nursing homes.

PMID- 10263459
TI  - Profits can bloom from unused land.

PMID- 10263460
TI  - Hospital's circular, pod design hits snags, but 'pros far outweigh cons'.

PMID- 10263461
TI  - 26% predict compensation hike; 27% foresee stability or decline.

PMID- 10263462
TI  - Purchasing group spurs formation of consortium of drug wholesalers.

PMID- 10263463
TI  - Freestanding centers seeking slice of radiology, computer businesses.

PMID- 10263465
TI  - Competitive Memphis hospitals use television to focus on bigger market.

PMID- 10263464
TI  - Shuttle cars hit some bumps, but other design elements run smoothly.

PMID- 10263466
TI  - Hospitals should address specific markets in their direct mail efforts.

PMID- 10263467
TI  - Scared hospitals cower behind rate setting to fend off prospective pay.

PMID- 10263468
TI  - Chairman's in middle of cost debate.

PMID- 10263469
TI  - Issuers wrap up variable-rate packages.

PMID- 10263470
TI  - AMI and Lifemark forge $1 billion merger deal.

PMID- 10263471
TI  - DC opens hospital doors to non-M.D.s.

PMID- 10263472
TI  - Case-strapped hospital, county clash.

PMID- 10263474
TI  - HealthWest's team uses management specialties to cook up new ventures.

PMID- 10263473
TI  - Ex-administrator hauls board to court over its 'capricious' act of firing him.

PMID- 10263475
TI  - Compensation. Hospitals pare pay hikes, but real income hits record high.

PMID- 10263476
TI  - Choosing partners for a marathon dance.

PMID- 10263477
TI  - Playing the ratings game.

PMID- 10263478
TI  - Education to the nth degree.

PMID- 10263480
TI  - One market's loss, another market's gain.

PMID- 10263479
TI  - Bar code meeting recommends task force, creates a council.

PMID- 10263481
TI  - Hospital or hotel? There may be a choice.

PMID- 10263482
TI  - Health care delivery: a system in transition. Health Industry Manufacturers
      Association.

PMID- 10263483
TI  - A 'maverick' speaks--again.

PMID- 10263484
TI  - Group sees FTC as pivotal in walk-in clinics' growth.

PMID- 10263485
TI  - NME emphasizes committed volume.

PMID- 10263486
TI  - FECs: a fast track market. National Association of Freestanding Emergency
      Centers.

PMID- 10263487
TI  - 'Phased' EtO plan is needed, says AHA.

PMID- 10263488
TI  - A market marked by optimism: more and better products for treating pressure
      sores.

PMID- 10263489
TI  - QAS Microbiology Program--monitoring antimicrobic disc susceptibility tests.

PMID- 10263490
TI  - The Standards Laboratory and clinical standard solutions.

PMID- 10263491
TI  - Selecting instrumentation and reagents for the coagulation laboratory.
AB  - The selection of appropriate instrumentation and reagents for the coagulation
      laboratory is a difficult task for pathologists who do not devote a significant
      portion of their time to hemostatic problems. In this article, the authors
      outline a systematic approach to evaluating instruments and reagents. Using this
      approach, an informed individualized decision can be made.

PMID- 10263492
TI  - Decisions related to automation in microbiology.
AB  - The selection of instruments for the microbiology laboratory poses unique
      problems. The author of this article recommends useful steps in this process.

PMID- 10263493
TI  - Selecting equipment and reagents: a personal experience and process.
AB  - The selection of laboratory equipment and reagents, whatever the section of the
      laboratory, is not a momentary decision. In this article the author shares his
      personal experience which emphasizes an ongoing process involving collaboration
      with the entire staff. Emphasis is placed on assessing the medical needs of the
      institution and the unique characteristics of the laboratory personnel, space,
      and financial resources. The author asserts that the process must be personalized
      to make a satisfactory selection of instrumentation and reagent systems.

PMID- 10263494
TI  - Blood bankers send out AIDS alert.

PMID- 10263495
TI  - Pathology through the looking glass.

PMID- 10263496
TI  - The plight of clinical pathology: contributing factors.

PMID- 10263497
TI  - Hospital corporations and multi-hospital arrangements.
AB  - There has been a recent trend toward consolidation of hospitals into multi
      institutional systems. This article states reasons for this trend and explains
      how it influences the health care field. The author also describes his own
      company which, being the largest of such systems, affects a proportionally large
      number of pathologists and is a major trend-setter. Pathologists would be well
      advised to familiarize themselves with this phenomenon. This article is based on
      a lecture given last year to the American Pathology Foundation.

PMID- 10263498
TI  - Manpower supply and demand in pathology.
AB  - Recently physicians, the federal government, and medical specialty societies have
      shown increasing interest in manpower needs in medicine and in the medical
      specialties. Since 1976 the Joint Task Force on Pathology Manpower of the
      American Society of Clinical Pathologists, the College of American Pathologists,
      and the Association of Pathology Chairmen has completed and published three
      reports on pathology manpower supply and demand. The results of these studies
      agree with a recently completed study by a federally mandated commission. These
      studies show pathology manpower in the early 1980s is in good balance between
      supply and demand. They also indicate this equilibrium will continue until 1990
      unless unanticipated changes in supply and demand take place.

PMID- 10263499
TI  - Candidate methods for hematology quality control.

PMID- 10263500
TI  - Marketing the hospital laboratory.

PMID- 10263501
TI  - How one hospital laboratory system marketed its clinical laboratory services.
AB  - The authors of this article describe their successful experience, not only with
      the merging of two hospital laboratories, but with marketing their services to
      the offices of physicians on their medical staffs.

PMID- 10263502
TI  - Avoid conflict: know the legal implications.
AB  - This article addresses many of the legal ramifications of marketing hospital
      laboratory services to clients other than hospital patients.

PMID- 10263503
TI  - Your role in the diagnosis and management of AIDS.

PMID- 10263504
TI  - Microbiological safety cabinetry.
AB  - This article presents a brief history of the safety cabinet, with emphasis on the
      Class II Laminar Flow Biological Safety Cabinet. The why, what, how, and when of
      cabinet operation, purchase, certification, HEPA filters, and cabinet working
      techniques are explained thoroughly.

PMID- 10263505
TI  - Nosocomial patient-related laboratory abuse.
AB  - Improper and excessive use of laboratory procedures constitute a significant
      waste of money. This article describes a number of common forms of laboratory
      abuse and attempts to alleviate the headaches with a dash of humor.

PMID- 10263506
TI  - Health education programs for childhood asthma.

PMID- 10263507
TI  - Innovations in patient education. Instructional classes in a psychiatric
      hospital.

PMID- 10263508
TI  - Designing patient education in an office practice.

PMID- 10263510
TI  - Using digital subtraction angiography.

PMID- 10263509
TI  - Planning a family asthma program.

PMID- 10263511
TI  - Helping your patient live with epilepsy.

PMID- 10263512
TI  - Appraisal scales that measure performance outcomes and job results.
AB  - The major deficiency with most common graphic performance-appraisal scales is
      their emphasis on retrospective evaluation and documentation, rather than on
      communication and education. So charges author Roger Plachy, management
      consultant, who advocates instead the use of the Performance Outcome Appraisal
      Scale (POAS) or the Jobs Results Appraisal Scale (JRAS). The focus of the POAS is
      away from the employee and toward behavior outcomes so as to minimize personal
      defensive reactions and to emphasize a performance standard or level of
      management expectation for the job responsibility or dimension. A conceptual
      difference separates POAS from other rating scales--that is, it is based on the
      belief that although the product of the procedure is a job plan and performance
      appraisal, the nature of the process is communication. The emphasis is not on
      judging behavior, but on teaching employees to think in terms of which job
      performance outcomes are really important to the organization. The JRAS is
      identical to the POAS in structure, but it starts with the desired job results as
      defined in the job description, rather than with performance outcomes.

PMID- 10263513
TI  - A guide to job-related employment interviewing.

PMID- 10263514
TI  - A comparison of results-oriented and trait-based performance appraisals.

PMID- 10263515
TI  - Employee control is an important option in variable work schedules.

PMID- 10263516
TI  - How to judge your day care options.

PMID- 10263517
TI  - Does the polygraph provide valid information about an applicant? The polygraph: a
      questionable personnel tool.

PMID- 10263518
TI  - Patient education in the hospital health-care setting.
AB  - The implementation of patient education within the hospital setting can be
      justified for a variety of reasons. The rationale for implementing patient
      education can be justified in terms of escalating emphasis on consumerism and
      informed participation on the part of the health-care recipient, the support of
      federal legislation, the support of hospital regulatory bodies, the support of
      third-party insurance carriers and private foundations, increased cooperation and
      compliance on the part of the patient, reduced stress levels for the hospitalized
      patient, and the improvement of staff-patient relationships. All of these serve
      as a database that justifies the integration of patient education within hospital
      care services. Patient education is the responsibility of the existing health
      care system. In many instances, patient education is still not being approached
      in a serious manner. Therefore this paper attempts to provide a number of reasons
      health-care professionals functioning within the hospital setting should
      implement this process.

PMID- 10263519
TI  - Resolution 8219: Reimbursement for patient education services. American Public
      Health Association.

PMID- 10263520
TI  - Assessing adolescent health needs: a factor analytic approach.
AB  - Advances in technology are rapidly expanding health educators' resources for
      presenting information tailored to meet individual health needs and interests. A
      self-administered questionnaire was given to 510 youths in grades 6 through 9 to
      ascertain adolescents' health concerns and thus develop more appropriate
      educational programs. Smoking, diet and weight control, physical fitness, and
      general health items were included. Factor analysis methods identified ten
      concerns; smoking, weight control, exercise effects, peer approval of appearance,
      preparatory health behaviors, planning and maintaining a personal health program,
      feeling good about oneself, communication issues, comparisons with others, and
      resistance to negative peer influences. Sex and grade were significantly
      associated with particular responses. Recommendations include the value of
      addressing each area of the content domain as it relates to health lessons to
      ensure that information is relevant to the needs and interests of individual
      adolescents.

PMID- 10263521
TI  - Prenatal education for the Spanish speaking: an evaluation.
AB  - A Spanish-language prenatal health-education program of classes in four topic
      areas was conducted for randomly selected pregnant women. The topics included
      newborn care, labor and delivery, family planning, and dental health care. A
      questionnaire was administered to the participants after they had attended all
      four sessions and at the end of their 36th week of gestation. A matched group of
      control women received the same questions soon after entering the program and
      before attending any classes. Women attending the health-education classes
      demonstrated significantly greater knowledge of the subjects covered than did
      those not taking the classes. Insights gained from the study suggest potential
      approaches for working with such a population with respect to cultural
      considerations, evaluation question construction, and question selection.

PMID- 10263522
TI  - Professional disclosure in the counseling profession: a review of the literature.
AB  - Professional disclosure is a vehicle by which clients can become informed about
      the services they may receive in a professional setting, including those in the
      allied health fields. This paper reviews the literature on professional
      disclosure from the viewpoints of shaping client expectations, promoting
      counselor accountability, and being ethically responsible. A written professional
      disclosure statement can be provided that satisfies these requirements.

PMID- 10263523
TI  - Clubhouse in the city.

PMID- 10263525
TI  - Home treatment for families.

PMID- 10263524
TI  - Helping families manage mental illness.

PMID- 10263526
TI  - Curbing the exploitation of children.

PMID- 10263527
TI  - Center for people in a new environment.

PMID- 10263528
TI  - Learning the hard way how to sell wellness services to the corporate market.

PMID- 10263529
TI  - Motivating change: one alternative to the health hazard appraisal.

PMID- 10263531
TI  - Deinstitutionalization: may work for some, but still has problems.

PMID- 10263530
TI  - More competition, antitrust laws will not lead to better care.

PMID- 10263532
TI  - APA against D.C. bill to allow psychologists hospital privileges.

PMID- 10263533
TI  - Involuntary patient treatment left to California M.D.'s.

PMID- 10263534
TI  - Threat of more malpractice suits may be facing psychiatrists.

PMID- 10263536
TI  - Commitment criteria expansion recommended, but can state hospitals handle more
      patients?

PMID- 10263535
TI  - AMA Commissioner, former President speaks on JCAH proposed medical staff
      standard. Interview by Barbara Herrington.

PMID- 10263537
TI  - Treating victims of AIDS poses challenge to psychiatrists. Part 1.

PMID- 10263538
TI  - Doctors taking own advice, institutional survey shows.

PMID- 10263539
TI  - 'AIDS panic' brings lonely life to patients, gays.

PMID- 10263540
TI  - Court rules that danger warnings must be given.

PMID- 10263541
TI  - Use of MH benefits may be tied to coinsurance more than Rand found, economists
      suggest.

PMID- 10263542
TI  - California seeks funds to probe PPO possibility.

PMID- 10263543
TI  - Survey challenges claims of lower costs by investor-owned hospitals.

PMID- 10263544
TI  - Social support networks seen as essential to withdrawn, isolated patients.

PMID- 10263546
TI  - Court approves forced medication if rights protected.

PMID- 10263545
TI  - Characteristics of mental health service utilizers, costs described in U.S.
      Public Health Service report.

PMID- 10263547
TI  - NIMH finds rate of cuts slowing in state hospitals.

PMID- 10263548
TI  - The implicit assumptions of television research: an analysis of the 1982 NIMH
      report on television and behavior.
AB  - The authors analyze some of the assumptions underlying most current research on
      television. They emphasize the dependence on (1) an individual rather than an
      institutional level of analysis; (2) a model of research utilization that pays
      little explicit attention to where sources of leverage lie for changes in
      programming; (3) extremely simple models of the selection processes associated
      with different levels of television viewing; and (4) uncritical appraisals of the
      consequences of effects that many would call small or modest. These issues are
      illustrated by a general discussion of the NIMH report on Television and Behavior
      and specific discussion of "mainstreaming" and the effects of television
      violence. In 1972, POQ's editors invited Leo Bogart to prepare an extended review
      article of the Surgeon-General's Study of Television and Social Behavior (POQ
      36:491-521). When the 10-year follow-up study was released by NIMH in 1982, the
      editors asked Thomas D. Cook, a distinguished psychologist noted for his research
      on television, to perform the same function.

PMID- 10263549
TI  - The homeless of New York.

PMID- 10263550
TI  - A radiology manager's view of marketing.

PMID- 10263551
TI  - Draft recommendations for evaluation of radiation exposure in diagnostic
      radiology examinations.

PMID- 10263552
TI  - 1983 Statistical Resources Committee survey/Part 1. American Hospital Radiology
      Administrators.

PMID- 10263553
TI  - Applying the FELT system: upgrading and utilization of radiology personnel.
AB  - In summary, the need for a strong foundation cannot be over emphasized. The staff
      quality and team atmosphere within a department of radiologic services are
      essential to the success of a program; the results we experienced at Dover
      General Hospital could not have evolved if either of these factors were not
      attained. Once a program has passed the FELT System criteria, it should be
      presented and implemented as soon as possible. Once in place, it should be
      reviewed periodically, and input by all affected staff will be helpful in the
      evaluation. Modification may be necessary as the department grows and technology
      changes, but the basic system should never change if the FELT System has been
      utilized. It is my opinion that the FELT System process is a managerial tool that
      can be utilized at any program at any level of management. Positive reinforcement
      inherent in the FELT System is essential to the growth and success of the
      decision-making process.

PMID- 10263554
TI  - DSM-III and structural diagnosis of borderline patients.
AB  - This study compared diagnoses arrived at through a structural interview developed
      by Kernberg which assesses levels of personality organization with those arrived
      at using DSM-III criteria of signs and symptoms among a group of hospitalized
      patients. Complete agreement was reached in 61 percent of the cases. Among the
      cases in which there was disagreement, 39 percent could nevertheless be
      considered to be compatible within the two systems, while the remaining cases
      were not. Discussion is directed to the different facets of clinical material
      addressed with each of these two diagnostic approaches, their discrepancies, and
      the underlying relationship between the two systems.

PMID- 10263555
TI  - Opening the door on a locked psychiatric unit.
AB  - A therapeutic milieu on acute locked psychiatric units is difficult to establish
      and maintain. The stigma of being on a locked unit and the absence of a
      sufficiently compelling goal around which patients can mobilize as a group are
      two factors that contribute to this difficulty. By opening the door under
      specific conditions, we were able to affect both these factors significantly. In
      this article, we describe the issue of feasibility, the technical devices
      employed, and seven months' experience with this system.

PMID- 10263556
TI  - The William C. Menninger Memorial Lecture 1983. The National Association of
      Private Psychiatric Hospitals and its golden anniversary in American psychiatry.

PMID- 10263557
TI  - Japanese productivity: adapting to changing comparative advantage in the face of
      lifetime employment commitments.
AB  - This article examines one of the possible sources of Japan's productivity growth-
      industrial policy. The policy actively encourages the transfer of resources,
      including labor, out of what are considered to be declining industries and
      sectors, and into industries and sectors considered to be expanding. At the same
      time, job security is guaranteed for a significant proportion of the labor force,
      and the article seeks to explain how Japanese "lifetime employment" can be
      maintained in the presence of the country's industrial policy.

PMID- 10263559
TI  - Human service cutbacks and the mental health of the poor.

PMID- 10263558
TI  - Budget cuts and human services: one community's experience.

PMID- 10263560
TI  - Skills and tactics in hospital practice.

PMID- 10263561
TI  - Group therapy with patients in the waiting room of an oncology clinic.

PMID- 10263562
TI  - The right to die and substituted judgment in Texas.

PMID- 10263563
TI  - The private sector moves in: the union response.

PMID- 10263564
TI  - The most common emerging model for localizing "quality assurance" in the hospital
      organization.

PMID- 10263565
TI  - THRM forum: influence and the medical record practitioner.

PMID- 10263566
TI  - Implementing productivity improvements.

PMID- 10263567
TI  - Measuring productivity in medical record departments.

PMID- 10263568
TI  - A labor productivity monitoring system in the medical record department.

PMID- 10263569
TI  - Monitoring system and realistic work standards: keys to improving transcription
      productivity.

PMID- 10263570
TI  - Establishing objective performance standards.

PMID- 10263571
TI  - Medical record work standards: some practical aspects.

PMID- 10263572
TI  - Workload and staffing in the medical records department at Church Hospital.

PMID- 10263573
TI  - Medical record department productivity standards: a case study.

PMID- 10263574
TI  - State investigations of disabled or impaired physicians and the right to inspect
      medical records.

PMID- 10263575
TI  - Alliances: linkages to walk tightrope between autonomy and efficiency.

PMID- 10263576
TI  - Guidelines can resolve turf battles between local and corporate boards.
AB  - The relationship of a local board that is a member of a multihospital system with
      the corporate board of the system is a confusing one for trustees. This article
      provides a model for the distribution of power between corporate and local boards
      of hospitals that are owned or leased by a multihospital corporation.

PMID- 10263577
TI  - Contract management: legal issues in delegation and supervision.
AB  - Whatever the justification, the decision of a hospital board to enter into a
      management agreement is a significant one not to be undertaken without careful
      deliberation. An important component in that decision is consideration of the
      managerial functions to be delegated, and this process raises potential legal
      issues for the hospital trustee. This article examines those issues, identifies
      questions that a hospital board should address, and suggests some steps that
      trustees can take to minimize problems.

PMID- 10263578
TI  - Six cardinal rules to help boards solve top management problems.
AB  - The board, administration, and medical staff have distinct roles to play in
      hospital leadership. Only when each group knows and sticks to its proper role can
      a hospital hope to meet its major objectives.

PMID- 10263579
TI  - General economic recovery signals productivity increases for hospitals.

PMID- 10263581
TI  - Maintaining familiarity within a nursing home.

PMID- 10263580
TI  - Blue Cross clearinghouse helps locate SNF beds.

PMID- 10263582
TI  - New computers simplify nursing home management.

PMID- 10263583
TI  - Choosing the right telephone system.

PMID- 10263584
TI  - New health center bridges care gap.

PMID- 10263586
TI  - Hospital costs state by state.

PMID- 10263585
TI  - Self-help group aids adult child and parent.

PMID- 10263587
TI  - Known welfare fraud is only "tip of iceberg".

PMID- 10263588
TI  - DoD survey of community hospitals sparks concern.

PMID- 10263589
TI  - Prenatal, postnatal services seen important in preventive medicine.

PMID- 10263590
TI  - HHS renews proposal on infant 'protection'.

PMID- 10263591
TI  - Resident allocation could be improved.

PMID- 10263592
TI  - Research training commitment vital.

PMID- 10263593
TI  - VA, DoD in agreement on sharing guidelines.

PMID- 10263594
TI  - Critics claim rules harm dialysis care.

PMID- 10263596
TI  - Blood shortage fails to materialize.

PMID- 10263595
TI  - Koop says physicians misjudging 'Baby Doe'.

PMID- 10263597
TI  - U.S. Medicine interviews William R. Gemma.

PMID- 10263598
TI  - Reforms for FEHBP proposed.

PMID- 10263599
TI  - Hospitals' joint clinical trials could raise policy influence.

PMID- 10263600
TI  - Financial, staffing setbacks continue to plague hospital.

PMID- 10263601
TI  - Perspectives. Can doctors and hospitals MeSH?

PMID- 10263602
TI  - The role of hospitals in the strategy for health for all by the year 2000.

PMID- 10263603
TI  - Teaching hospital and community: development of a comprehensive health care plan.

PMID- 10263604
TI  - The health service in a big city: planning initiatives.

PMID- 10263605
TI  - Management and delivery of health care in Colombo, Sri Lanka.

PMID- 10263606
TI  - Nursing in urban settings: are we responsive to the needs?

PMID- 10263607
TI  - Primary health care in the State of Mexico.

PMID- 10263608
TI  - Primary health care in urban areas: WHO's dilemma.

PMID- 10263609
TI  - Summary of Group 4: Innovations in the planning, management and delivery of
      health care in big cities.

PMID- 10263610
TI  - New trends in Western Europe for hospital planning.

PMID- 10263611
TI  - Design of a hospital within a health plan: the Altebrat Programme.

PMID- 10263613
TI  - Summary of Group 2: Design for efficiency, economy and humanity in hospitals.

PMID- 10263612
TI  - Environmental psychology and hospital design.

PMID- 10263614
TI  - Physician supply, protective pricing and implications for hospital medical
      staffs.

PMID- 10263615
TI  - Psychiatric malpractice: liability for suicide and attempted self-destruction.
AB  - One of the many observations of changes in doctor-patient relationships is in
      regard to psychiatric problems. First, patients have become more sophisticated in
      their comprehension of these problems and have become more willing than
      previously to talk about these conditions and simultaneously to be managed for
      these problems by primary care physicians--sometimes in preference to a
      psychiatrist. Secondly, primary care physicians have changed their perceptions of
      patients' psychiatric problems. They have developed a greater comprehension of
      these problems--particularly as they relate to somatic complaints. One result of
      this has been that physicians are now able to detect these problems and to
      intervene before the problem reaches serious proportions. One of these
      psychiatric disasters is suicide, and it is to this subject that this article is
      devoted. Obviously, it is a subject as applicable and important to the primary
      care physician as it is to the psychiatrist, as both encounter patients in
      situations and with conditions that have the potential for leading to self
      destruction.

PMID- 10263616
TI  - Social issues in perinatal screening for sickle cell anemia.
AB  - We are living in a time of fascinating scientific achievement in the biomedical
      field of genetics. The revolutionary methodologies of this biomedical technology
      produce new ideas and new options for the quality of our life. While this paper
      is focused on prenatal testing for sickle cell anemia, it simultaneously
      illustrates the general complexity of public health issues and points out that
      some emerging scientific values may be more harmful than beneficial to the public
      because they are inappropriate priorities and do not deal with problems that
      truly affect the public's health. Special attention is given to issues of ethical
      significance demonstrating that scientific objectives have been emphasized and
      that beneficence and respect for persons are principles that have been neglected
      in Prenatal Sickle Cell interventions. Lastly, this paper advocates social policy
      to protect the at risk groups from what may become irresponsible public health
      paternalism.

PMID- 10263617
TI  - New York City's Poison Control Center: a systematic approach to a complex
      problem.
AB  - A pooling of public and private resources has created a regional poison control
      system which provides information and education to the medical and lay
      communities of metropolitan New York City. An overview of the poisoning problem
      on a national scale is followed by a description of the operations by the Center,
      and a special volunteer effort.

PMID- 10263618
TI  - Reaching women problem drinkers through a multimedia information campaign.

PMID- 10263619
TI  - Training employees and supervisors to increase use of EAPs by women.

PMID- 10263620
TI  - Women alcoholics in management: issues in identification.

PMID- 10263621
TI  - Women in the workplace: an overview of NIAAA's Occupational Alcoholism
      Demonstration Project.

PMID- 10263622
TI  - Affecting attitudes and assumptions about women and alcohol problems.

PMID- 10263623
TI  - Treatment services for youth. A comprehensive treatment approach.

PMID- 10263624
TI  - Job analysis and placement in vocational rehabilitation.

PMID- 10263625
TI  - Teaching principles of geriatrics through a home health care rotation.
AB  - To provide pharmacy students with ambulatory geriatric training, the University
      of Georgia School of Pharmacy developed a clinical rotation in home health care.
      This one-week experience in which students encounter patients in the home
      environment is offered as part of the four-week required clinical clerkship.
      While in the home setting the student is exposed to the various medical, social,
      and economic problems of the elderly and in turn provides the patient with
      nondispensing pharmaceutical services such as drug use review, drug histories,
      and patient education. The patients' medication regimens are discussed
      prospectively and retrospectively at daily conferences with the clinical
      preceptor and student peers. Students have evaluated the program as valuable in
      improving their communication skills and their knowledge of drugs and diseases of
      the geriatric patient.

PMID- 10263626
TI  - Evaluating risk taking propensity as a predictor of the outcome dimensions of
      medication history taking.
AB  - Medication history taking is a commonly discussed factor in the role of the
      pharmacist. Effective and efficient interviewing skills are important since they
      can be influential in affecting the quality of the medication history. Level of
      risk taking has been related to many factors which affect personal interaction.
      The objective of this study was to relate level of risk taking to the successful
      outcome of the medication history interview. Outcome dimensions of the medication
      interview were defined as successful completion and unsuccessful completion.
      Senior pharmacy students were observed and rated relative to the performance
      criteria of effectiveness and efficiency in acquiring patient medication
      histories over an eight-week period in an ambulatory medicine clinic. A
      significant Kendall Coefficient of Concordance indicated that the judges involved
      applied essentially the same standards in ranking the subjects. Subjects were
      administered a six-item questionnaire, the Choice Dilemmas Questionnaire (CDQ),
      which measured their risk taking propensity. There were significant differences
      in mean levels of risk taking between the groups rated as high and low in terms
      of effectiveness and efficiency. Effective and efficient interviewers, who
      successfully completed interviews, were significantly higher in risk taking
      propensity. Tetrachoric r indicated the CDQ was efficient in distinguishing the
      criterion groups.

PMID- 10263627
TI  - 'Wrongful birth' lawsuits raise complex social issues.

PMID- 10263628
TI  - A thoroughbred plant.

PMID- 10263629
TI  - Reagonomics: a change in thinking needed.

PMID- 10263630
TI  - Individualized instruction and evaluative rationale.
AB  - Students of radiologic technology must be competent both academically and in
      clinical practice, and as professionals they will be held accountable for the
      quality of their practice. Evaluation and accountability are inseparable elements
      in their education.

PMID- 10263631
TI  - Mayo Clinic and Medical School Biodynamics Research Unit.
AB  - The facilities that make up the Mayo Biodynamics Research Unit include the
      dynamic spatial reconstructor (DSR), which when fully operational will generate
      raw data at 200 million samples per second. Processing of these data will require
      a computer capable of several billion arithmetic operations per second.

PMID- 10263632
TI  - Introduction to computer hardware and internal representation.
AB  - This article begins with a discussion of some of the electronics basic to
      computers. From this somewhat "atomic" level, it proceeds to describe various
      sections of the computer itself and the representation of numbers and other data
      inside the computer. Finally, multiple-user systems are reviewed.

PMID- 10263633
TI  - Leasing versus buying equipment.
AB  - For the upgrading of equipment that is necessary in radiologic practice, leasing
      is more convenient and less expensive than buying. Changes in tax laws, embodied
      in the Economic Recovery Act of 1981, have increased tax benefits of this
      arrangement.

PMID- 10263635
TI  - On understanding changing marketplaces, and changing tactics for getting things
      built.

PMID- 10263634
TI  - Lighting those visual display terminals--in the cause of the operator's comfort.

PMID- 10263636
TI  - The care and feeding of speakers.

PMID- 10263637
TI  - How to introduce your main speaker.

PMID- 10263639
TI  - Health spin-off from work in radio-astronomy.

PMID- 10263638
TI  - Telecommunications technology: equipment, transmission, & management.

PMID- 10263640
TI  - Scheme to save hospitals millions a year.

PMID- 10263641
TI  - Electricity load management.

PMID- 10263642
TI  - Business communication, Part 3: Successful meeting a business rarity.

PMID- 10263643
TI  - Nurses launch attack on Richmond Report.

PMID- 10263644
TI  - One chef's crusade for interesting food in hospitals.

PMID- 10263645
TI  - The chasm between admin and nursing.

PMID- 10263646
TI  - South Australia report. Now is the time for tough, crucial decisions.

PMID- 10263647
TI  - Medicare threat to hospital system.

PMID- 10263648
TI  - Are staff the casualty in the casualty ward?

PMID- 10263649
TI  - States approve Medicare deal.

PMID- 10263650
TI  - Coming to terms with occupancies.

PMID- 10263651
TI  - AHA fears Medicare 'exodus'.

PMID- 10263652
TI  - Psych wards: a report from the inside.

PMID- 10263653
TI  - Westmead solves records problem.

PMID- 10263654
TI  - Are modern health service information trends really threatening ethical
      standards?

PMID- 10263655
TI  - Housing designed for special needs.

PMID- 10263656
TI  - Soaring atria bring sunlight and space into a high-tech hospital.

PMID- 10263657
TI  - Staff management and motivation.

PMID- 10263658
TI  - Patient use of CCTV.

PMID- 10263659
TI  - The missing link in cost containment.

PMID- 10263661
TI  - Taking control of health care costs.

PMID- 10263660
TI  - What price fringe benefits?

PMID- 10263662
TI  - Accident and health premiums 1982.

PMID- 10263663
TI  - Challenges.

PMID- 10263664
TI  - Dealing with employees' personality conflicts.

PMID- 10263665
TI  - Five steps to making performance appraisal writing easier.

PMID- 10263666
TI  - Privacy Act of 1974; system of records--PHS. Notification of establishment of a
      new Privacy Act system of records 09-25-0154, "Biomedical Research: Records of
      Subjects in Cancer Research.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new Privacy Act system of
      records 09-25-0154, "Biomedical Research: Records of Subjects in Cancer Studies
      of the Division of Resources, Centers and Community Activities," HHS/NIH/NCI. We
      are also proposing routine uses for this system. The Division of Resources,
      Centers and Community Activities (DRCCA) in the National Cancer Institute (NCI)
      will use this system of records to support research on the causes and prevention
      of cancer.

PMID- 10263667
TI  - Recombinant DNA research: actions under the guidelines--NIH. Notice of actions
      under NIH guidelines for research involving recombinant DNA molecules.
AB  - This notice sets forth actions taken by the Director, National Institute of
      Allergy and infectious Diseases (NIAID), by authority of the Director. NIH, under
      the June 1983 NIH Guidelines for Research Involving Recombinant DNA Molecules (48
      FR 24556).

PMID- 10263668
TI  - Revised federal allotments to states for social services expenditures pursuant to
      Title XX--Social Services Block Grant Act; promulgation for fiscal year 1984-
      HHS. Notification.
AB  - The Federal allotments of +2.5 billion to States for social services under
      Section 2003 of the Social Security Act (Act) which were published in the Federal
      Register November 26, 1982 (47 FR 53502) were based upon the authorization set
      forth in Section 2003 of the Act at that time and were contingent upon
      Congressional appropriations actions for the fiscal year. Public Law 98-135,
      enacted October 24, 1983, amended Section 2003 of the Act, by increasing the
      authorization to +2.7 billion for Fiscal Year 1984 and each succeeding fiscal
      year. The allocation of this authorized amount for Fiscal Year 1984 is shown in
      Column 1 of the table below, and it too is contingent upon Congressional
      appropriations actions. Public Law 98-139, enacted October 13, 1983 appropriates
      +2.675 billion for allocation to the States under Section 2003 of the Act for
      Fiscal Year 1984. The allocation of this appropriated amount is shown in Column 2
      of the table below. Accordingly, the promulgation made in 47 FR 53502, November
      26, 1982, is rescinded and the promulgation, as revised, is set forth in Column 2
      of the table below.

PMID- 10263669
TI  - Privacy Act of 1974; annual publication of records--NIH.
AB  - The National Institutes of Health (NIH) is publishing this document to establish
      changes to notices of systems of records which have been revised following a
      comprehensive review of all systems of records maintained by NIH. None of these
      changes requires a report of altered system to be sent to the Congress and the
      Office of Management and Budget. The notices are complete and accurate as of
      August 26, 1983. Furthermore, we are summarizing additions of new systems which
      have been published since the last annual publication, establishment of new
      routine uses, and deletions of old systems terminated since the 1982 publication.
      We are also publishing a complete list of all systems of records which NIH
      currently maintains.

PMID- 10263670
TI  - Privacy Act of 1974; annual publication of systems of records--PHS.
AB  - This preamble summarizes significant changes to systems of individually
      identifiable records which have occurred since the 1982 annual publication.
      Notices of modified systems of records currently maintained by HRSA follow this
      preamble. The notices include modifications for the purpose of clarity,
      timeliness, and correctness, as of August 19, 1983. None of the modifications
      being made at this time meet the OMB criteria for a new or altered system report,
      or a period of public comment.

PMID- 10263671
TI  - Privacy Act of 1974; annual publication of systems of records--FDA.
AB  - FDA is publishing this document to meet requirements of Pub. L. 97-375, the
      Congressional Reports Elimination Act. This new statute amends the Privacy Act (5
      U.S.C. 552a, section 3(e)(4] to limit republication to revised system notices
      only. FDA has reviewed each of its system notices and has revised many of its
      system notices this year to enhance specificity and clarify the effects of
      reorganization. These revisions are minor and have no affect on the public's need
      to-know. Therefore, FDA is not republishing any of its system notices at this
      time.

PMID- 10263672
TI  - Standard setting requirements for medical and nonmedical facilities where SSI
      recipients reside--Office of Human Development Services. Final rule.
AB  - On March 1, 1983, the Office of Human Development Services (HDS) published in the
      Federal Register (48 FR 8453) a final rule with a 60 day comment period to amend
      45 CFR Part 1397, Standard Setting Requirements for Medical and Nonmedical
      Facilities Where SSI Recipients Reside. (These requirements are known as the
      "Keys amendment" regulations). In response to comments, we have made one change
      in this final rule to allow States the option of charging a fee for providing
      copies of standards, procedures or other information on these facilities.

PMID- 10263673
TI  - Federal old-age, survivors and disability insurance computation of benefits under
      totalization agreements--SSA. Notice of proposed rulemaking.
AB  - Section 233 of the Social Security Act (the Act) authorizes the President of the
      United States to enter into Social Security agreements with foreign countries
      which permit the establishment of entitlement to benefits under title II of the
      Act by combining periods of coverage under the United States (U.S.) system and
      the system of the foreign country with which the U.S. has such an agreement. This
      process is called "totalization." We have gained a considerable amount of
      experience under the rules (Section 404.1918) for computing a totalization
      benefit while implementing the three agreements now in effect. That experience
      has shown that those rules are difficult to administer and that they can cause
      some undesirable results for benefit applicants. The rules also make it difficult
      to negotiate and implement additional agreements. In order to avoid
      administrative problems and other undesirable results we are proposing a new U.S.
      totalization benefit computation method which uses neither foreign earnings nor
      foreign coverage.

PMID- 10263674
TI  - Designation of health manpower shortage areas (HMSAs); clarification of "non
      federal" as used in practitioner counts--HRA.

PMID- 10263675
TI  - Privacy Act of 1974; system of records--PHS.
AB  - In accordance with the Privacy Act, the Public Health Service (PHS) is publishing
      notice of a proposal to add a new routine use to system of records 00-37-0013.
      "Health Resources Utilization Statistics, HHS/OASH/NCHS." This system of records
      is maintained in the National Center for Health Statistics (NCHS) for the
      purposes of collecting statistics on the utilization of health services,
      processing and analyzing the data, and publication of the statistical findings.
      NCHS is proposing to add a new routine use to permit disclosure of information to
      a contractor. PHS invites interested persons to submit comments on or before
      January 11, 1984.

PMID- 10263676
TI  - AMA, government officials skeptical of 'convenience medicine' facilities.

PMID- 10263677
TI  - Has the law altered your role in the informed consent process?

PMID- 10263678
TI  - The difficult patient: changing your approach to treatment.

PMID- 10263679
TI  - A community model for arthritis rehabilitation.
AB  - Arthritis is a widespread chronic disease which can result in severe disability.
      Arthritis is best managed by a triad of treatment, education, and research. A
      community model for arthritis rehabilitation, with emphasis on the team approach,
      is described and illustrated. Central to the design of the model is an arthritis
      centre which demonstrates exemplary treatment and has a commitment to develop
      education and research programs. Primary arthritis care is the responsibility of
      the health professionals in each community, and the arthritis centre provides the
      support and resources for their programs. The model is suggested as a prototype
      for the management of other major chronic diseases.

PMID- 10263680
TI  - Continuing education and the geographically isolated therapist.
AB  - The relationship between therapists' geographic location and three program
      planning variables in continuing education was studied using the descriptive
      survey method. The findings suggested that learning needs were high in evaluation
      related competencies and that family responsibility and lack of appropriate
      programs were major barriers to participation. The overwhelming preference in
      delivery systems was the one or two day workshop. The study concluded that there
      were few significant differences between urban and rural therapists in relation
      to the variables studied indicating restraint rather than innovation in
      programming for the geographically isolated therapist.

PMID- 10263681
TI  - Males in occupational therapy.

PMID- 10263682
TI  - A wheelchair seatbelt for elderly patients.
AB  - This article describes the design, materials, use and adaptations of a seatbelt
      designed to support an elderly patient sitting in a standard adult size
      wheelchair. The seatbelt was designed in response to a growing need for
      positioning of the many disabled, elderly patients now found in acute-care
      hospitals. To-date the seatbelt has been used successfully by four different
      patients.

PMID- 10263683
TI  - A holistic view of middle management.

PMID- 10263685
TI  - Evaluating a hospital pharmacy computer system.

PMID- 10263684
TI  - Patients, staff cooperate to find most effective way to run unit.

PMID- 10263686
TI  - Automating the medical records department at HUP.

PMID- 10263687
TI  - Time accounting systems: a case history.

PMID- 10263688
TI  - "Frustration zones.".

PMID- 10263689
TI  - Bereavement and personal constructs: old theories and new concepts.
AB  - This paper reviews several traditional and current theories regarding the nature
      of bereavement and argues that conceptualizing grieving in personal construct
      terms can clarify and extend existing work in this area. In particular, it is
      contended that a personal construct view of the importance of "core role" (self)
      structure helps explain Bowlby's theory of "defensive exclusion" of the reality
      of the death: because an individual's perceived relationship with a significant
      other helps define his or her core role, loss of the relationship through death
      directly challenges the most central dimensions of the bereaved person's
      construct system. Implications of this cognitive theory of bereavement are
      detailed, and several testable hypotheses are put forward.

PMID- 10263690
TI  - Fear of death and physical illness: a personal construct approach.
AB  - The Threat Index, Templer's Death Anxiety Scale, and the Collett-Lester Fear of
      Death Scale were administered to 100 respondents in an attempt to assess their
      personal orientation toward death. Each respondent was a member of one of the
      following groups: people with no known illness; people attending their family
      physician for a checkup; rheumatoid arthritics; diabetics; or people recently
      treated for cancer. Hierarchical multiple regression analyses indicated that
      older respondents were significantly less death anxious, less fearful of their
      own death, and more integrated (that is, showed less self-death discrepancy) than
      younger respondents. Further analyses revealed no differences between any of the
      groups on fear of death or death anxiety, indicating that the current state of an
      individual's health was not related to his or her death orientation. Instead,
      correlational and regression analyses suggested that anxiety and fear were much
      more likely to be influenced by a respondent's level of actualization and, to a
      lesser extent, level of integration. The expected additive effects of
      actualization and integration did not emerge, a finding that was at variance with
      previous research.

PMID- 10263691
TI  - Concerns about death among severely ill people.
AB  - Personal construct psychology was used to generate a set of questions about
      concerns about death among severely ill people. Answers to these questions were
      provided by content analyses of the responses of a large group of ill people to
      an open-ended question about their current experiences. Comparison of their
      responses with those of a similar group of well people indicated that they
      expressed more concerns about death. More death-related concerns were reported by
      those ill people who were facing surgery rather than those who were not, those
      whose illnesses were acute rather than chronic, and those who were interviewed
      while in the hospital rather than at home. Gender, age, marital status, and
      educational attainment were all considered predictors of death-related concerns;
      but none was found to be significant, nor were concerns about death observed to
      vary according to illness type. The psychological states found to accompany
      greater death-related concerns among ill people proved to represent both the
      adaptive and the dislocative processes of mourning. People who were not ill, but
      who had greater death-related concerns than other well people, on contrast,
      showed signs only of the more dislocative processes. Some of the implications of
      these findings for thanatological counseling of severely ill people are
      discussed.

PMID- 10263692
TI  - Constructs and coping: physicians' responses to patient death.
AB  - This paper explores the relationship between physicians' personal orientations
      toward death and their responses to patient death. A group of 25 pediatric
      residents were asked to complete the Threat Index and to respond to vignettes
      depicting personal death. Consistent with predictions derived from personal
      construct theory, particular death orientations were associated with various
      behavioral and psychophysiological reactions. Residents with high death threat
      and anxiety were more likely to adopt avoidance and denial strategies and to
      experience fewer psychophysiological symptoms when faced with a patient's death.
      Implications of these findings for further research and treatment are discussed.

PMID- 10263693
TI  - Death education for oncology professionals: a personal construct theory
      perspective.
AB  - Using observations from a psychosocial training program for oncology
      professionals, this article illustrates how one can model, while training the
      student, the very methods he or she can adopt in working with patients and
      families. One starts with an elicitation of the student's (patient's) operative
      personal constructs and then devises strategies to elaborate, integrate, loosen,
      tighten, preempt, or take other action, as needed. The very means used to promote
      movement within the student's own death-related constructs can be adopted for use
      by him or her in the clinical situation. As the helper's pathways of action and
      thought with regard to this domain become more comprehensive and as the helper
      becomes more skilled at moving freely along them, he or she becomes more
      perceptive and resourceful to those in need.

PMID- 10263694
TI  - Hospital disaster plans on trial as Hurricane Alicia hits Houston.

PMID- 10263695
TI  - Hospitals seen to have effect on community child car safety.

PMID- 10263696
TI  - EPs seen to be stepping into 'surgical vacuum' in trauma.

PMID- 10263697
TI  - Providing ED indigent care in Detroit may serve as model for other cities.

PMID- 10263698
TI  - Emergency medical personnel training: II. Components of training.
AB  - Nationwide Emergency Medical Technician (EMT) training programs at both basic and
      advanced levels are in flux, confronting similar challenges in design and
      implementation. There currently exist the 81-hour Department of Transportation
      course of instruction as the basis for EMT-Ambulance (EMT-A) certification and
      the National Standard Training Curriculum (NSTC) 15-module course for training
      the EMT-Paramedic (EMT-P). The National Registry of EMTs has established
      examination and recertification guidelines as well as requirements for both
      levels of training. The two national training courses reflect a difference in
      disease focus (ie, trauma vs cardiac) and thus a difference in care rendered by
      the two EMT levels. Variations in both EMT-A and EMT-P training programs at the
      state level in areas such as length of training and requirements for
      certification point out a need for greater consistency in training of emergency
      medical personnel. Evaluation of current training programs based on the NSTC has
      resulted in updating the EMT-P curriculum. The proposed curriculum includes new
      course material with behavioral and performance objectives. An ongoing system of
      training, evaluation, and incorporation of new techniques found clinically
      relevant is recommended.

PMID- 10263699
TI  - Training robots or thinkers?

PMID- 10263700
TI  - Criteria for selecting paramedic trainees.
AB  - The experience of training more than 700 paramedics and the detailed records of
      221 paramedic students were reviewed to determine possible criteria for selecting
      individuals who could complete successfully a paramedic course. Individuals over
      35 years of age who had not taken competitive examinations or college courses
      within the last 15 years faired poorly. Review of total college hours, college
      grade point average (GPA), science hours, and science GPA showed no difference
      between the group that passed paramedic school and the group that failed. Fire
      department rookie school grades and emergency medical technician-basic (EMT-A)
      grades correlated well with success or failure in paramedic school. Psychological
      screening was important in ruling out serious psychiatric disturbances but was of
      uncertain help in predicting early burnout.

PMID- 10263701
TI  - Emergency medical personnel training: I. An historical perspective.
AB  - The status of Emergency Medical Technicians has evolved from an undefined role
      with few rules, regulations, or standards to an established health care
      profession and a nationally administered program. The evolution of this
      profession received major impetus from the 1966 report by the National Academy of
      Science/National Research Council that provided recommended training standards.
      Development of a training course curriculum for basic life support (BLS)
      followed. The need for coordinated training of Emergency Medical Technical
      Technicians was recognized, and funds became available to aid in the national
      standardization of education, examination, certification, and recertification
      procedures for EMTs. Concomitant with the attempt to standardize BLS training,
      advanced life support (ALS) programs grew in number. By 1977 the National
      Standard Training Curriculum became available and was soon followed by a national
      certification exam. As states have the option to accept or reject the federal
      standards embodied in the national training course, there remains variation among
      programs offered by each state. Because of the difference in need for specific
      emergency services among the states at a time of increased professional mobility,
      arguments still exist regarding the desirability of federally mandated training
      and certification programs.

PMID- 10263702
TI  - Reducing stress factors in EMS: report of a national survey.
AB  - The existence of stress, coping with stress, and the effects of stress in
      Emergency Medical Services (EMS) are highly current and hotly debated subjects.
      This article describes in part the results of a national survey of 25 EMS systems
      in 24 large metropolitan areas. The portion of the survey reported here focused
      on sources of stress and programs available to promote more effective coping with
      stres. Results are discussed generally and in terms of the services'
      organizational affiliations.

PMID- 10263703
TI  - Examining EMT education: a shift in emphasis.
AB  - This article examines several aspects of EMT education in the United States. It
      deemphasizes the instructor's total dependence on objectives and examination
      results and encourages EMT educators to begin looking at the actual instructional
      process itself. This concept is encouraged through attainment by individual
      training programs of AMA accreditation (EMT-Paramedic level only), development of
      a spirit of collegiality and of inquiry about the practice of teaching, and
      utilization of formalized primary training and continuing education courses on
      improving instruction technique.

PMID- 10263704
TI  - Need and possibilities for research.

PMID- 10263705
TI  - Employee counseling services evaluation system: design, issues and conclusions.
AB  - Employee Counseling Services (ECS) programs have emerged as an effective method
      for dealing with employees whose job performance has deteriorated due to personal
      problems such as alcoholism or drug abuse. It is estimated that 18% of any work
      force is effected by such problems at any given time and that these employees
      cost industry billions of dollars annually in lost productivity, abuse of sick
      leave, etc. One of the critical concerns of this emerging field is the need for
      comprehensive evaluation that can demonstrate the cost-effectiveness and cost
      benefits of ECS programs. This paper will describe the model Federal ECS
      developed at the U.S. Department of Health and Human Services as well as the
      components of the evaluation system designed to determine its effectiveness. The
      system is the first of its kind and will be a valuable contribution to the field.
      The paper then raises issues and develops conclusions about designing such an
      evaluation within the context of a large bureaucracy.

PMID- 10263706
TI  - Involving constituents in agency priority setting: a case study.
AB  - Many government agencies have "constituents" who believe the agencies should hear
      and consider their needs and desires in establishing program priorities. This
      article describes how one involves interested constituents (consumers, industry,
      medical professionals, and state organizations) in the agency's annual priority
      setting process. This participation has produced a number of beneficial results
      some expected and some unexpected.

PMID- 10263707
TI  - From programs to systems: implications for program evaluation illustrated by the
      Community Mental Health Centers Program experience.
AB  - Many approaches can be used to develop understanding of service programs. These
      approaches vary in how much they rely on technical vs. political procedures, who
      controls them, purpose, scope of content, and generality of results. Only some of
      these approaches are usually considered program evaluation. This diversity is
      illustrated by a description of the history of 10 program evaluation-like
      approaches to understanding as they operated during the 18-year life of the
      federal Community Mental Health Centers (CMHC) Program. When services were funded
      in federal categorical programs, information-gathering approaches focused
      narrowly on the program and its activities. It now appears that more widely
      useful information would result by shifting from the evaluation of "programs" to
      comparative analysis and evaluation of service systems.

PMID- 10263708
TI  - The ethics dilemma.

PMID- 10263709
TI  - Top HHS health official says meeting true medical needs can fulfill ethical
      obligations.

PMID- 10263711
TI  - Waxman says equitable access should be used as guide in health policy of future.

PMID- 10263710
TI  - Hatch believes federal government does inadequate job as arbiter of ethical
      issues.

PMID- 10263712
TI  - AMA judicial chairman sees emergency of hospital ethics panels as an
      inevitability.

PMID- 10263713
TI  - Chairman of President's commission relates personal experiences to ethics
      questions.

PMID- 10263714
TI  - Socialized medicine countries ration access, foreign market specialist says.

PMID- 10263716
TI  - Right to medical care: rethinking both the nature and the scope of public
      responsibility.

PMID- 10263715
TI  - Bioethicist on hospital association staff sees upsurge in medical ethics
      problems.

PMID- 10263717
TI  - Florida reaches public policy crossroads on health care issues.

PMID- 10263718
TI  - But I thought you said. . .

PMID- 10263719
TI  - Product selection, bioequivalence, and therapeutic equivalence: the generic drug
      market.
AB  - Pharmacists are continually faced with drug product selection decisions. When is
      a generic drug product equivalent to the innovator product and, thus, a suitable
      candidate for generic substitution? The FDA policy has been that only drug
      products that are therapeutic equivalents are candidates for product selection
      decisions. This paper outlines the regulatory and scientific framework for the
      FDA's policies and requirements for generic drug products. The history and
      current status of the Drug Efficacy Study Implementation (DESI) project is
      described. Originally begun in 1966 as a review of about 3,400 drug products, the
      review in mid-1983 is more than 90% complete, but its impact has already affected
      more than 7,000 marketed drug products. The therapeutic equivalence policy and
      the manner in which decisions on therapeutic equivalence are communicated are
      reviewed. Regulatory policies for the approval of generic drug products are
      reviewed and specific litigation challenging the rights of generic drug
      manufacturers to produce generic "look-alikes" and challenging the FDA's policy
      that a generic drug product is a new drug requiring an approved New Drug
      Application for marketing is discussed. The conclusion reached is that the
      evaluation of regulatory requirements and science is leading to a point where all
      generic drug products will be known to be safe, effective and therapeutically
      equivalent, and pharmacists can be optimistic about the quality of products in
      the generic drug market.

PMID- 10263720
TI  - National drug formularies: lessons from Latin America.
AB  - Although pharmaceuticals comprise up to 40% of the health care budget in
      developing countries, the majority of the population does not have access to many
      of the essential drugs needed to treat prevalent diseases. This situation demands
      the development of a national formulary of essential drugs for the public sector.
      The approach used in developing countries is to select drugs of choice for the
      treatment of prevalent morbidities and avoid therapeutic duplication,
      unacceptably dangerous drugs, or drugs of unproven efficacy. Drugs are selected
      based on a review of the prevalent morbidities, health care worker training,
      patient characteristics, and efficacy/risk information resulting from
      scientifically sound studies. An added component to the formulary is the
      inclusion of concise, unbiased prescribing information for each drug selected. A
      number of product selection guidelines were proven to be effective in
      establishing and maintaining an essential drug formulary for developing
      countries. These guidelines include: 1. Selection of drugs with proven efficacy
      and acceptable risk; 2. Selection of minimum number of drugs needed to treat the
      prevalent diseases; 3. Inclusion of new products only if they are found to have
      distinct advantages over products currently in use; 4. Inclusion of combination
      products only when they provide true benefit over single ingredients; 5.
      Selection of drugs with clear "drug of choice" indications for prevalent
      diseases; 6. Evaluation of the administrative and cost impact of products; and 7.
      Selection of drugs with established high quality.

PMID- 10263721
TI  - Collaboration and work sharing of drug information services in the United
      Kingdom.
AB  - The United Kingdom Drug Information Network has been developed in recent years to
      form an effective service. The structure of the health service is discussed and
      the organization of drug information services within this framework is outlined.
      A number of collaborative and work sharing exercises have been undertaken between
      regional services and thus are reviewed together with future trends for the
      service.

PMID- 10263722
TI  - Family health and psychosocial responses to cardiovascular disease.

PMID- 10263723
TI  - Health and illness beliefs and practices among the old order Amish.

PMID- 10263724
TI  - High level wellness: a quality of life.

PMID- 10263726
TI  - The cost of conserved energy as an investment statistic.

PMID- 10263725
TI  - Laboratory fume hood noise.

PMID- 10263727
TI  - Hospital privileges war flares up again--this time in D.C.

PMID- 10263728
TI  - "Disproportionate" care for the poor at heart of urban hospitals' plight.

PMID- 10263730
TI  - Let the medical staff be a "medical" staff, AMA house says.

PMID- 10263729
TI  - Family responsibility could go beyond nursing homes.

PMID- 10263731
TI  - HRSA fiscal 1984 program guide.

PMID- 10263732
TI  - Suspected cheating holds up release of foreign medical test scores.

PMID- 10263734
TI  - Appropriations bill funds HRSA programs near fiscal 1983 levels.

PMID- 10263733
TI  - Consumer groups demand say in government nursing home review.

PMID- 10263735
TI  - Health care in the USA: 'It just sort of happens'.

PMID- 10263736
TI  - Creative computing: the faith factor.

PMID- 10263737
TI  - Creative computing: pleasing all the people.

PMID- 10263738
TI  - Creating computing: quiet revolution led by the other SAS.

PMID- 10263739
TI  - Computers on roll call.

PMID- 10263741
TI  - In touch with the tots.

PMID- 10263740
TI  - A design center for disabled people.

PMID- 10263742
TI  - Why the NHS watchdogs must stay alert.

PMID- 10263743
TI  - Multi-choice acid test.

PMID- 10263744
TI  - Health builders.

PMID- 10263745
TI  - Record bonding.

PMID- 10263747
TI  - Partners for priorities.

PMID- 10263746
TI  - Individual can beat the system.

PMID- 10263748
TI  - Nursing homes: new strategy for an old problem.

PMID- 10263749
TI  - An NHS home of their own.

PMID- 10263750
TI  - Supplies coordination: goodbye to all this.

PMID- 10263751
TI  - Creative computing: is it time to pull the plug on the older systems?

PMID- 10263753
TI  - Residential homes: private lives.

PMID- 10263752
TI  - How long can NHS ignore quality control?

PMID- 10263754
TI  - Nursing homes: desirable residences?

PMID- 10263755
TI  - A case for the personnel officer.

PMID- 10263756
TI  - File under V for vital.

PMID- 10263757
TI  - A sharper eye on private homes.

PMID- 10263759
TI  - Health in the Philippines. Lessons in primary care.

PMID- 10263758
TI  - Where they crawl in and skip out.

PMID- 10263760
TI  - Let the consumer speak.

PMID- 10263761
TI  - The big boys take on Reagan's young Turk.

PMID- 10263762
TI  - Health promotion: bringing in the outsiders.

PMID- 10263763
TI  - The big car park clampdown.

PMID- 10263764
TI  - Women's Royal Voluntary Service: more than just tea and sympathy.

PMID- 10263765
TI  - Smears: are we ready to pay the price?

PMID- 10263766
TI  - Screen test that can save a life.

PMID- 10263767
TI  - Contracting out: new brooms to sweep NHS clean.

PMID- 10263768
TI  - Contracting out: pushing private polish.

PMID- 10263769
TI  - Cover for the healthier family.

PMID- 10263771
TI  - Trouble on the picket line.

PMID- 10263770
TI  - Can your computer keep a secret?

PMID- 10263772
TI  - London health planning. Who speaks for the capital?

PMID- 10263773
TI  - Systems for safety.

PMID- 10263774
TI  - Buddy, can you spare a hospital contract?

PMID- 10263775
TI  - Antenatal care: mothering instincts.

PMID- 10263777
TI  - Just what are we trying to achieve?

PMID- 10263776
TI  - Performance indicators: adding up the score.

PMID- 10263778
TI  - When will the players get involved?

PMID- 10263779
TI  - Services in the Bible belt.

PMID- 10263780
TI  - Reaching for the healing gun.

PMID- 10263781
TI  - Health promotion: regional review sets the targets.

PMID- 10263782
TI  - Youth employment scheme: more than spare pairs of hands.

PMID- 10263783
TI  - Showdown for health vigilantes.

PMID- 10263784
TI  - Who can they turn to?

PMID- 10263785
TI  - The problem staff nurse.

PMID- 10263786
TI  - Training's October revolution?

PMID- 10263787
TI  - Out of the DHSS shadows.

PMID- 10263789
TI  - Data: a new game without frontiers.

PMID- 10263788
TI  - Confined with care.

PMID- 10263790
TI  - Life and death on the sectarian front line.

PMID- 10263791
TI  - Keeping tabs on 'the casuals'.

PMID- 10263792
TI  - Manpower planning.

PMID- 10263793
TI  - Resource allocation in Wales: sharing the cash in the valleys.

PMID- 10263794
TI  - Whose turn to carve the joint?

PMID- 10263795
TI  - Lifting the language barrier.

PMID- 10263796
TI  - Management after Nodder.

PMID- 10263797
TI  - In case of fire, follow the computer.

PMID- 10263798
TI  - A man with mental health in mind. Interview by Sally Burningham.

PMID- 10263799
TI  - Who is counting the human factor?

PMID- 10263800
TI  - Data and paramedical services: massaging the figures.

PMID- 10263801
TI  - Patients who live on the hill.

PMID- 10263802
TI  - How statistics can plot areas of need.

PMID- 10263803
TI  - Unit management. Staff who came in from the cold.

PMID- 10263804
TI  - Their lives in whose hands?

PMID- 10263805
TI  - A cottage conversion.

PMID- 10263806
TI  - Appraisal schemes could do better.

PMID- 10263807
TI  - Waste disposal. Down in the dumps.

PMID- 10263808
TI  - Taking stock of supplies security.

PMID- 10263810
TI  - Manpower planning. All clued up but nowhere to go?

PMID- 10263809
TI  - The two nations within the NHS.

PMID- 10263811
TI  - Everything you wanted to know about priority scaling.

PMID- 10263812
TI  - Catering for our colons.

PMID- 10263813
TI  - The quality of nursing care--an element in the nursing manpower decision.

PMID- 10263814
TI  - District training reviews: how regions can help districts to develop their
      training and education functions.

PMID- 10263815
TI  - Youth training for the NHS: a step towards positive policies?

PMID- 10263816
TI  - Characteristics of NHS administrators.

PMID- 10263817
TI  - An interview with Ada Maddocks, Chairman, TUC Health Services Committee.

PMID- 10263818
TI  - Why Brent has resisted the manpower targets.

PMID- 10263819
TI  - Manpower targets--a manpower planner's viewpoint.

PMID- 10263821
TI  - Is a hospital a seller of goods or a provider of health care services?

PMID- 10263820
TI  - Why not share supply prices?

PMID- 10263822
TI  - Inflation for hospital supplies at 6%.

PMID- 10263823
TI  - A profile of today's hospital director of materials management. Part II.

PMID- 10263824
TI  - Corporate restructuring: a new hospital strategy.

PMID- 10263825
TI  - Who gets the bill when third-party payers all want to pay last?

PMID- 10263826
TI  - Detailed 'how-to' book helps admitters bill third parties.

PMID- 10263827
TI  - An interview with: Robert Ross, C.P.P.

PMID- 10263828
TI  - Protecting patients and staff and reducing liability in the psychiatric unit.

PMID- 10263829
TI  - The problem of privatisation.

PMID- 10263830
TI  - Management Advisory Service: the Oxford and South Western Region-wide experiment.

PMID- 10263831
TI  - Against centrism: planning and development in the NHS.

PMID- 10263832
TI  - IHSA presidential address 1983.

PMID- 10263833
TI  - Supplies--how best to deliver the goods?

PMID- 10263834
TI  - The best of both worlds?

PMID- 10263835
TI  - Autopsy on the report of a working party.

PMID- 10263836
TI  - Reform of mental health law grounds for admission.

PMID- 10263837
TI  - AIDS poses legal questions for hospital managers.

PMID- 10263838
TI  - Advent of multis presents challenges for managers.

PMID- 10263839
TI  - ASHET's long-range objectives reviewed.

PMID- 10263840
TI  - Safety and environmental issues with waste disposal in hospitals.

PMID- 10263841
TI  - What is hospital waste?

PMID- 10263842
TI  - Modern approaches to incineration practice.

PMID- 10263843
TI  - Home health care provides way to shorten hospital stays.

PMID- 10263844
TI  - Medical community urged to remember commitment to serve all life.

PMID- 10263845
TI  - Pediatric health festival promotes preventive care.

PMID- 10263846
TI  - Survival strategies for not-for-profit hospitals.

PMID- 10263847
TI  - Clinical setting enhances bioethics education.

PMID- 10263848
TI  - Societal trends, Church beliefs support NFP methods.

PMID- 10263849
TI  - Circuit rider librarian provides services to small hospitals.

PMID- 10263850
TI  - How should Catholic health facilities regard written directives for treatment?

PMID- 10263851
TI  - Proof of reasonable care defends hospital in case based on res ipsa loquitur
      theory.

PMID- 10263852
TI  - ER physician's documentation of services provides protection in malpractice suit.

PMID- 10263853
TI  - Maidstone DGH phase one.

PMID- 10263854
TI  - Appellate court allows reimbursement for amortized land use costs.

PMID- 10263855
TI  - In Title VII investigation EEOC may subpoena hospital information despite consent
      decree.

PMID- 10263856
TI  - Critical designs.

PMID- 10263857
TI  - Paramedics to the rescue.

PMID- 10263859
TI  - Transplant surgery comes of age.

PMID- 10263858
TI  - Caring in an isolated community.

PMID- 10263860
TI  - SI conversion--proceed with caution.

PMID- 10263861
TI  - Medical art--an exact science.

PMID- 10263862
TI  - The PPO perspective.

PMID- 10263863
TI  - Health education in pre-retirement education--a question of relevance.

PMID- 10263864
TI  - Market place rubella antibody testing.

PMID- 10263865
TI  - Pharmacists and health education: an evaluation of a stop-smoking project
      involving pharmacists.

PMID- 10263866
TI  - Promoting health, preventing disease: what should the NHS be doing now?

PMID- 10263867
TI  - Tolsma expects HHS secretary Margaret Heckler to support health education,
      announces new risk survey initiatives. Interview by Lawrence M. O'Rourke.

PMID- 10263868
TI  - Marshall W. Kreuter, U.S. Health Education Director, praises Pittsburgh health
      education center as 'classic example of good community networking'.

PMID- 10263869
TI  - Doing a job on right-to-know legislation.

PMID- 10263871
TI  - Housekeeping supply decisions involve materials management.

PMID- 10263870
TI  - Capital offense. New York's health care in the crunch.

PMID- 10263872
TI  - Question: Could you list some options for getting rid of, or selling, used
      equipment or supplies?

PMID- 10263873
TI  - Make discipline a positive experience.

PMID- 10263874
TI  - Quality assurance has many sides.

PMID- 10263875
TI  - Delegation--the key to effective time management.

PMID- 10263876
TI  - Multiple goals: a career necessity.

PMID- 10263877
TI  - The other victims of alcoholism.

PMID- 10263878
TI  - Selection and economical use of hospital legal counsel.

PMID- 10263879
TI  - Ambulatory care: can hospitals compete?

PMID- 10263880
TI  - MBO--is it passe?

PMID- 10263881
TI  - Post mortem on a classic battle: doctor versus hospital.

PMID- 10263882
TI  - Integration of clinical engineering into the hospital organization.

PMID- 10263883
TI  - An application of simulation modeling to surgical intensive care bed need
      analysis in a university hospital.

PMID- 10263884
TI  - Thoughts from a hospital gift shop manager ... "genuine fulfillment".

PMID- 10263885
TI  - Join up with nutrition!

PMID- 10263886
TI  - Job sharing: two heads are better than one!

PMID- 10263887
TI  - Planning for profit!

PMID- 10263888
TI  - Successful staffing is team building.

PMID- 10263889
TI  - Medical staffs can help protect endangered species.

PMID- 10263890
TI  - Survey of hospital medical staffs--Part 1.
AB  - Net data reveal surprises in size, composition, committee structure, and
      participation in governance. From 1973 to 1982: Medical staff size has grown by
      an average of 55 percent. The number of medical staff committees in the average
      hospital has nearly doubled. Nearly 30 percent more hospitals have made
      physicians voting members of their governing boards.

PMID- 10263891
TI  - MeSHing hospitals and physicians provides mutual benefits.

PMID- 10263892
TI  - Results of survey--unit-dose repackaging.
AB  - A survey was conducted to determine drugs that hospitals frequently package in
      unit-dose. There were 116 responses, identifying 606 line items of tablets or
      capsules, liquids, and more or less than one dosage unit being packaged. In all
      three categories there were 108 drugs packaged by four or more hospitals. These
      results have been shared with the respective manufacturers, to use in marketing
      these drugs in unit-dose packages.

PMID- 10263893
TI  - Operational characteristics of hospital pharmacies in Indiana--1976 vs. 1981.
AB  - The operating characteristics and services provided by hospital pharmacies in
      Indiana were determined. Survey questionnaires were mailed to the pharmacy
      director for each of the 120 licensed hospitals in Indiana; 62 responded.
      Pharmacy departments were open an average of 106.3 hours weekly, 51 pharmacies
      maintained patient profiles, and 29 pharmacies used unit-dose for all beds.
      Involvement in preparing I.V. solutions was reported by 67.7% of the pharmacies.
      The mean number of total pharmacy staff (FTEs) reported was 17.1. The ratio of
      staff FTEs per patient day was larger for pharmacies using a unit-dose
      distribution system. The most commonly provided clinical services were drug
      consultation with nursing, drug utilization review, and inservice education.
      Ratios of average dollar drug inventory and operating expenses per patient day
      indicated that larger hospitals were more effective with inventory control, but
      had higher expenses per patient day.

PMID- 10263894
TI  - Psychiatric pharmacy in a partial hospital program.
AB  - Psychiatric pharmacy practice in a partial hospital program (PHP) is described.
      The program's objectives are: (1) to provide a transitional setting in which to
      assist persons with psychiatric disorders to reenter the community after
      hospitalization; (2) to provide more structured and intensive therapy than is
      available in an outpatient setting; and (3) to diagnose and treat early
      psychiatric symptoms, providing an alternative to hospitalization. The pharmacist
      conducts medication history interviews, co-directs a weekly medication group,
      participates in weekly medication clinic, provides individual consultation,
      teaches pharmacy students, participates in health care group, and provides
      inservice education to the staff. Clinical pharmacy services in a psychiatric
      partial hospital program increase knowledge of psychotropic drug efficacy and
      side effects in PHP staff, increase learning about these medications in PHP
      clients, and can result in safer and more effective use of medication.

PMID- 10263895
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--Part 4.

PMID- 10263896
TI  - Preventing burnout: an alternative approach.
AB  - Burnout is a potentially serious dilemma which any practicing pharmacist may
      encounter. Various suggestions have been proposed to prevent burnout. An
      alternative approach is presented which involves the pharmacist in a
      nontraditional role. Pharmacists participate in a 3-month rotation within the
      Idaho Drug Information Service and Regional Poison Control Center. Pharmacists
      involved in this rotation believe it is extremely important for expanding their
      professional roles and preventing burnout.

PMID- 10263897
TI  - Hospital formulary system/drug product selection: similar or not?
AB  - Following a brief review of the origin of antisubstitution and drug product
      selection laws, the legal basis of the hospital formulary system is compared with
      that of drug product selection. By understanding the differences in the two, the
      pharmacist can better understand application of the law in these areas to
      pharmacy practice.

PMID- 10263898
TI  - A comparison of the practices used for distribution of controlled substances in
      Massachusetts hospitals with those reported nationally.
AB  - A survey questionnaire concerning the procedures used to distribute controlled
      substances was mailed to 100 randomly selected Massachusetts hospital pharmacies.
      The tabulated results were compared to a similar study surveying 285 short-term
      medical and surgical hospitals nationwide. Of the 58 responding hospitals, 47
      (81%) reported controlling either all or some Schedule III Controlled Substances
      in a manner similar to that used for the distribution and accountability of
      Schedule II drugs. A total of 42 (72%) reported maintaining the same systems for
      Schedule IV agents. In contrast, only 24 (42%) of those respondents reported
      controlling Schedule V drugs in a manner similar to Schedule II Controlled
      Substances. Similar to the findings of a nationwide study, many of the responding
      Massachusetts hospitals reported selective inclusion of those Schedule III, IV,
      and V drugs possessing an increased risk of illicit diversion into a more
      controlled distribution system. In conclusion, many Massachusetts hospitals
      distribute and account for controlled substances in a manner similar to that used
      nationwide.

PMID- 10263899
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--Part 5.

PMID- 10263900
TI  - Financial management.

PMID- 10263901
TI  - Managing organizational productivity.

PMID- 10263902
TI  - Creating competitive advantage with computer technology.

PMID- 10263903
TI  - Analyzing strategic cost in a high-inflation economy.

PMID- 10263904
TI  - Linking strategy, performance, and pay.

PMID- 10263905
TI  - The living environment: an interior that speaks of home.

PMID- 10263906
TI  - A supportive community begins with the family.

PMID- 10263907
TI  - Leadership and commitment set the direction.

PMID- 10263908
TI  - Continuing relationships and lifestyle in a quality setting.

PMID- 10263909
TI  - Caring for the resident as a total person.

PMID- 10263910
TI  - The way to a man's (or woman's) heart is ...

PMID- 10263911
TI  - Making every day a challenge.

PMID- 10263912
TI  - Comfort brings well-being.

PMID- 10263913
TI  - Homelike care means quality assurance.

PMID- 10263914
TI  - Who are the real nursing home consumers?

PMID- 10263915
TI  - The myth of food service specification resolved.

PMID- 10263916
TI  - The living environment: personal dignity through physical design.

PMID- 10263917
TI  - Information resource management--a costing perspective.

PMID- 10263918
TI  - A fanciful tale and a not-so-fanciful tale.

PMID- 10263919
TI  - Inactivation of bacteria and viruses by steam, hot air, ethylene oxide and
      chemicals.

PMID- 10263920
TI  - Orientation or orientation program. Is it worth it?

PMID- 10263921
TI  - Management effectiveness achieved through integrated supply, processing, and
      distribution organizational structure.

PMID- 10263922
TI  - The eleven blade is missing.

PMID- 10263923
TI  - Auckland Hospital, New Zealand: the central sterile supply department.

PMID- 10263924
TI  - Negligence: a primer on a principal problem.

PMID- 10263925
TI  - Management: theory.

PMID- 10263926
TI  - Inservice: management concepts.

PMID- 10263927
TI  - Saint Marys Hospital, Rochester, Minnesota.

PMID- 10263928
TI  - Computers: are they for you?

PMID- 10263929
TI  - Streamlining equipment maintenance record-keeping.

PMID- 10263930
TI  - Paper/plastic pouch heat seals.
AB  - Little or no differences were found in overall performance quality between solid
      3/8" wide seals and a triple 11/16" wide seal provided they are made on the same
      material, on the same machine, and at equivalent temperature and dwell settings.
      This test demonstrated that actual voids in a solid seal are of no consequence.
      Seal design appears to have little bearing on strength and quality. Remember,
      this test was not of competitive products. Its only purpose was to test the
      intrinsic qualities of each type of seal. Consistency of manufacture, materials,
      and QC testing should be the criteria for selecting a paper/plastic peel pouch.
      Performance in your hospital should be the ultimate test.

PMID- 10263931
TI  - Biological sterilization indicators.

PMID- 10263932
TI  - Bar codes.

PMID- 10263933
TI  - Al Hada Hospital, Saudi Arabia.

PMID- 10263934
TI  - Starting a newsletter. It's your idea and nobody else's!

PMID- 10263935
TI  - OSHA evaluates the EtO exposure standard.

PMID- 10263936
TI  - Motivation.

PMID- 10263937
TI  - Safety.

PMID- 10263938
TI  - Mercy Hospital Medical Center, Des Moines, Iowa.

PMID- 10263939
TI  - To train or not to train: analyzing human performance.

PMID- 10263940
TI  - Developing future CS managers today.

PMID- 10263941
TI  - Increasing patient charge recovery rates.

PMID- 10263942
TI  - The growth of CS in Great Britain.

PMID- 10263943
TI  - Product recalls.

PMID- 10263944
TI  - New Year's resolutions for CS.

PMID- 10263945
TI  - Reinforcement.

PMID- 10263946
TI  - Personal hygiene.

PMID- 10263948
TI  - Is competition the answer?

PMID- 10263947
TI  - The demand for health after a decade.

PMID- 10263949
TI  - Demand for health: a generalised Grossman model.
AB  - The demand for health and medical care is analysed within a generalised Grossman
      type health investment model. Its underlying assumptions are shown to differ from
      those employed earlier in a manner which avoids some of the criticisms levelled
      at Grossman's model. The comparative static predictions of the generalised model
      are examined; and it is demonstrated that most previous health investment models
      are derivable from it. Also, the present model is applicable to a new, wider
      range of problems thus increasing the scope of economic explanations of health
      behaviour.

PMID- 10263951
TI  - Increasing the federal excise tax on cigarettes.

PMID- 10263950
TI  - Unions and hospitals: some unresolved issues.
AB  - This article investigates the impact of unions on the wages of hospital workers.
      Our OLS findings agree with previous OLS studies--unions increase registered
      nurses' (RNs) wages by five percent and by about eight to ten percent for other
      hospital workers. By contrast, we find (after correcting for selectivity bias in
      hospital unionization status) a direct union effect of about twenty percent on RN
      wages and in excess of thirty percent on wages of other hospital workers. While
      the results based on selectivity bias adjustments make us uneasy, we do not
      reject them out-of-hand. We also find indirect union effects (up to five percent)
      by other unionized occupations within a hospital and up to ten percent by other
      unionized hospitals in the local labor market. Prospective reimbursement programs
      have a negative impact on the wages of hospital workers but are only significant
      for non-unionized occupations. Our three empirical tests of monopsony all reject
      the view that monopsony is a factor in hospital wage-setting. Even considering
      the large union effects (based on selectivity bias adjustment), we conclude that
      unions have been a minor contributor to hospital cost inflation.

PMID- 10263952
TI  - The potential for using excise taxes to reduce smoking.
AB  - We examine the potential for reducing cigarette smoking through increases in
      cigarette excise taxes by estimating the price elasticity of demand for
      cigarettes. Using information on individual smoking behavior from the 1976 Health
      Interview Survey, we estimate the adult price elasticity of demand for cigarettes
      to be -0.42. We find that price has its greatest effect on the smoking behavior
      of young males and that it operates primarily on the decision to smoke rather
      than via adjustments in the quantity of cigarettes smoked. An excise tax increase
      would discourage smoking by successive cohorts of young adults, and those reduced
      smoking levels would be reflected in aggregate smoking as these cohorts mature.

PMID- 10263953
TI  - Rational purchase of medical care and differential insurance coverage for
      diagnostic services.

PMID- 10263954
TI  - Health as an unobservable: a MIMIC-model of demand for health care.
AB  - This paper develops a model to analyze the demand for health care. It differs
      from current practice in that (1) it deals explicitly with the complex relation
      between income, health, health insurance, and the demand for health care, and (2)
      'health' is treated as an unobservable variable. We present the Maximum
      Likelihood estimates of an eleven-equation, simultaneous multiple-indicator,
      multiple-causes (MIMIC) model, containing two simultaneously determined
      unobservables and, in total, nine 'indicators'. Data used stem from a health-care
      survey among 8000 households in The Netherlands. The results show, among other
      things, that health and permanent income have mutual, positive impacts. Both age
      and education have important direct and indirect (via permanent income) effects
      on health. The estimated impact of the availability of health care on individual
      demand confirms similar results based on aggregated data.

PMID- 10263955
TI  - Breast cancer screening and health service costs.

PMID- 10263956
TI  - Schooling and health: the cigarette connection.
AB  - Schooling is significantly correlated with health status, but is the relationship
      causal? This paper tests the hypothesis that schooling causes differences in an
      important health-affecting behavior: cigarette smoking. The most striking result
      is that for persons with 12 to 18 years of completed schooling, the strong
      negative relation between schooling and smoking observed at age 24 is accounted
      for by differences in smoking behavior at age 17, when all subjects were still in
      the same grade. Causality from schooling to smoking, and by implication from
      schooling to health, is rejected in favor of a 'third variable' hypothesis.

PMID- 10263957
TI  - Physician-induced demand: an empirical analysis of the consumer information gap.
AB  - The hypothesis of physician-induced demand is examined empirically in a model
      where variation in consumer information affects health-care utilization. A
      theoretical framework is posited under which demand-inducing physicians will
      provide more services, ceteris paribus, to their medically uninformed patients.
      Using data from the CHAS-NORC National Survey of Access to Medical uninformed
      patients. Using data from the CHAS-NORC National Survey of Access to Medical Care
      1975-1976, physician office visit demand equations are estimated. The key finding
      is that medical professionals and their families are as likely, if not more
      likely, to visit physicians as other people, controlling for sociodemographic
      factors, price factors, access to care factors and perceived health status.

PMID- 10263958
TI  - Smoking and schooling: in search of the missing link.

PMID- 10263959
TI  - Health care and the market: a British lament.

PMID- 10263960
TI  - Teaching and hospital costs: the case of radiology.
AB  - Investigates production and cost effects of teaching in radiology departments. If
      students are substitutes for physicians, production costs may be less in teaching
      than in non-teaching hospitals for a given level of output. Empirical results for
      Veterans Administration hospitals suggest that teaching reduces costs for most
      radiology procedures. If teaching can reduce costs of primary products, teaching
      hospitals may be able to provide a given program of patient care at lower costs
      than non-teaching hospitals. However, costs might still be higher at teaching
      hospitals than non-teaching hospitals because of differences in case mix, medical
      techniques, or quality of care.

PMID- 10263961
TI  - Health insurance and the demand for medical care.
AB  - With rare exceptions the provision of actuarially fair health insurance tends to
      substantially increase the demand for medical care by redistributing income from
      the healthy to the sick. This suggests that previous studies which attribute all
      the extra demand for medical care to moral hazard effects may overestimate the
      efficiency costs of health insurance.

PMID- 10263962
TI  - Teaching and hospital costs.

PMID- 10263963
TI  - More on moral hazard.

PMID- 10263964
TI  - Economic advantages of board certification.
AB  - While several recent studies have examined selected characteristics of board
      certified physicians, none have directly and completely examined the economic
      advantages it conveys. Using data from a nationwide survey of physicians,
      estimates of the empirical relationship between income and board certification
      are shown. Being board eligible increases annual practice income by about $8000
      and being board certified increases income by almost $13,000, holding other
      factors constant. The economic advantages of board certification thus appear to
      be substantial.

PMID- 10263965
TI  - Theoretical considerations on the cost of illness.
AB  - This paper explores the measurement of the cost of illness from a theoretical
      perspective. It is shown that under a wide range of circumstances the aggregate
      willingness to pay ex ante to reduce the probability of an illness exceeds (1)
      the consumer surplus gained ex post from such a reduction, and also (2) the sum
      of medical expenditure saved and output gained. These results are of interest
      because they provide a stronger basis for presuming that conventional empirical
      studies estimate lower bounds on the true cost of illness, and because they hold
      even if medical insurance distorts expenditure decisions.

PMID- 10263966
TI  - Reimbursement policy, cost containment and non-price competition.

PMID- 10263967
TI  - Competition and efficiency in the end stage renal disease program.
AB  - Estimated coefficients for medical service production or cost functions are
      subject to a 'competitive amenity bias' which may result in the failure to
      identify factors that affect economic efficiency. Our investigation of
      productivity of dialysis facilities did indeed indicate both the likelihood of
      bias and some qualitative results. These results suggest that it will be
      difficult to estimate cost and that variation in the level of reimbursement will,
      in competitive markets, affect the level of amenity delivered to patients.
      Incurred cost, amenity, and patient well-being will all vary positively with the
      reimbursement level. Determining the 'right' level of reimbursement requires a
      policy decision on how much total amenity society wishes to deliver to
      beneficiaries of public programs.

PMID- 10263968
TI  - Selecting a computer-assisted retrieval system: one answer to office automation.
AB  - Computer-assisted retrieval (CAR) systems combine computers with microfilm to
      create a cost-effective, productive method of managing information. CAR systems
      range in size from large computerized mass-storage systems utilizing image
      scanning and digitized technologies to small, tabletop, standalone microprocessor
      driven systems. When properly configured, a CAR system can not only provide vital
      information today, but will also be able to grow and expand into a total office
      system.

PMID- 10263969
TI  - How to determine cost savings for a records/files management program.
AB  - This article provides some guidelines for distinguishing between feelings and
      facts in order to determine the cost savings potential for a particular system,
      first to convince oneself of the "rightness" of the new approach and second, to
      convince other decision makers in the organization of the true benefits,
      including economic benefits of the change.

PMID- 10263970
TI  - Buying information systems.
AB  - When purchasing information systems, the buyer or manager must be able to account
      for many types of details. Major considerations include a total awareness of
      costs relating to conversion, site preparation, equipment, software, maintenance,
      and supplies. The buyer's needs, as well as the system's capabilities, must be
      carefully weighed. In addition, a hidden element, the true cost of making the
      purchasing decision, is a vital consideration in the process of choosing the best
      available information system.

PMID- 10263971
TI  - Choosing an information system to meet specific needs.
AB  - Because of the increasing number of information systems on the market today, the
      user must select the system wisely according to the vendor's ability to solve
      specific company needs. An organization must know its filing and retrieval
      requirements, its potential for growth, etc., and must then contact only those
      vendors that fit specific company requirements. The vendor's reputation in the
      field, service history, "after-sales support," and ability to supply cost
      analyses should all be examined.

PMID- 10263972
TI  - X-ray minification systems--an international commodity.
AB  - Crowded hospital X-ray file rooms and the increasing economic value of silver
      have contributed to the need to substitute microfilm for original X-rays. X-ray
      minification, already successful in the United States, will be increasing
      worldwide as governments begin to understand the art of X-ray microfilming and as
      economic pressures force the decline of hospital X-ray holdings.

PMID- 10263973
TI  - What records managers should know about quality control.
AB  - This article has been written to assist the records manager who may be faced with
      the task of determining qualitative standards for microfilm services. While the
      discussion will cover a wide spectrum of microform products, it is aimed
      primarily at those who are considering the conversion of source documents to
      conventional roll film or jackets. It includes an explanation of the impact of
      poor quality on the use of film in a records management program, and offers
      suggestions for the establishment of minimum standards for both inhouse and
      service bureau filming. A sample contract is provided to aid in developing a more
      specific contract. The article is based on experience gained in the operation of
      a microfilm service bureau, and is a result of having observed the consequences
      of microfilm conversion efforts which were entered into without adequate
      preparation and without a definition of specific standards. Recommended standards
      are based upon AIIM criteria for source document microfilm and articulated in
      such a manner as to permit inclusion in a contract proposal or inhouse working
      policy.

PMID- 10263974
TI  - H.S.D.U. (hospital sterilizing and disinfection units)--an alternative method.

PMID- 10263975
TI  - Sterile packs--commercial v. local production.

PMID- 10263976
TI  - The Foundation Course in sterile supply services management.

PMID- 10263977
TI  - Among the archives--1967 to 1971.

PMID- 10263978
TI  - Theatre tray optimisation in TSSU systems.

PMID- 10263979
TI  - Notes on low temperature steam and formaldehyde sterilization cycle details,
      steam supply, control and reliability.

PMID- 10263980
TI  - Quality control of theatre linen barrier drapes.

PMID- 10263981
TI  - Spore structure and destruction.

PMID- 10263982
TI  - Bacterial spores as biological monitors of sterilisation processes.

PMID- 10263983
TI  - Dangerous pathogens: implications for staff and patients.

PMID- 10263984
TI  - Role of the environment in hospital infections--design of C.S.S.D.

PMID- 10263985
TI  - Laboratory autoclaves and the safe handling of micro-organisms.

PMID- 10263987
TI  - Government volunteers: who and how?

PMID- 10263986
TI  - Organizations as volunteers for the rural frail elderly.

PMID- 10263988
TI  - An aggressive management approach to healthcare cost containment.

PMID- 10263989
TI  - Hospitals owned by for-profit companies determine own method of laundry service.

PMID- 10263990
TI  - DC hospital abolishes 20 laundry positions as part of layoff plan involving 440
      posts.

PMID- 10263992
TI  - Why 3 out of 5 patients switch.

PMID- 10263991
TI  - The big business of hospital security.

PMID- 10263993
TI  - Special report: how the health-cost backlash is hurting you.

PMID- 10263994
TI  - The surprising swing to non-physicians.

PMID- 10263995
TI  - Special report: if you're not ready, walk-in clinics are.

PMID- 10263996
TI  - Whose side is your hospital's lawyer on?

PMID- 10263997
TI  - Who'll decide which patients you hospitalize?

PMID- 10263998
TI  - Is the doctor surplus for real?

PMID- 10263999
TI  - Some issues fade, but new ones emerge.

PMID- 10264000
TI  - An HMO surge may be under way.

PMID- 10264002
TI  - Group practice poised to flourish--at last.

PMID- 10264001
TI  - One doctors' union hangs on.

PMID- 10264003
TI  - The new route to owning your office.

PMID- 10264004
TI  - A new storm is looming.

PMID- 10264005
TI  - When this HMO advertises, people snap to attention.

PMID- 10264006
TI  - Malpractice premiums: hefty today, huge tomorrow.

PMID- 10264008
TI  - Ready or not, you're on the transplant team.

PMID- 10264007
TI  - No charge for a hospital room? It pays off!

PMID- 10264009
TI  - I paid my dues in prepaid care.

PMID- 10264010
TI  - What influences acceptance of new medical technology?

PMID- 10264011
TI  - Keeping your instruments happy.

PMID- 10264012
TI  - The 10 commandments of laboratory coaching.

PMID- 10264013
TI  - Bayesian analysis: an objective approach to hiring.

PMID- 10264014
TI  - Performing safe phlebotomy on AIDS patients.

PMID- 10264015
TI  - This city's supervisors share their problems and resources.

PMID- 10264016
TI  - A new look at hospital salaries.

PMID- 10264017
TI  - Let's build job satisfaction into the MT curriculum.

PMID- 10264018
TI  - Performance appraisals: beware the numbers game.

PMID- 10264019
TI  - Therapeutic drug consultations based in the lab.

PMID- 10264020
TI  - A do-it-yourself approach to scheduling.

PMID- 10264021
TI  - A mandatory liability insurance success story.

PMID- 10264022
TI  - Credential review: it's worth the effort.

PMID- 10264023
TI  - MHAMIC: eight years old, healthy and growing.

PMID- 10264024
TI  - Trend survey reveals attitude change.

PMID- 10264025
TI  - Malpractice dilemmas, legislative solutions.

PMID- 10264026
TI  - Alternative services. Opportunities--and competition--in home healthcare are on
      the rise.

PMID- 10264027
TI  - Alternative services. Hospitals move into home care by striking partnership
      deals.

PMID- 10264028
TI  - Hospices cost less than hospitals.

PMID- 10264029
TI  - Alternative services. Joint ventures ease access to NMR.

PMID- 10264030
TI  - Alternative services. 40% of births in hospitals could be borne by birthing
      centers.

PMID- 10264031
TI  - Human resources management. Environmental trauma shakes hospital executive career
      leader.

PMID- 10264032
TI  - Human resources management. Hospitals must change policies to recognize RNs as
      professionals.

PMID- 10264033
TI  - Human resources management. Systems cue in on education to strengthen market
      positions.

PMID- 10264034
TI  - Human resources management. More seminars, higher prices and maybe lagging
      attendance in '84.

PMID- 10264035
TI  - Systemwide refinancing cuts costs.

PMID- 10264037
TI  - Candidates urge cost containment.

PMID- 10264036
TI  - Hospital can require that M.D. get insurance from 'recognized' insurer.

PMID- 10264038
TI  - Publicity on prices has little impact.

PMID- 10264039
TI  - Group pushes evaluation of providers.

PMID- 10264040
TI  - Competition is driving down prices of many high-volume pharmaceuticals.

PMID- 10264041
TI  - New laws prohibit patient diversion.

PMID- 10264042
TI  - M.D.s' qualms about profit motive scuttle HCA's bid to buy Harvard-affiliated
      unit.

PMID- 10264043
TI  - Rising competition spurs Lifemark deal.

PMID- 10264044
TI  - VHA pushes regional 'clones' that could add 300 hospitals to the cooperative.

PMID- 10264045
TI  - Republic trims fat from its hospitals to get them in shape for competition.

PMID- 10264046
TI  - MacNeal builds on cost containment efforts with new, $62 million facility.

PMID- 10264047
TI  - A hospital by any other name . . . franchise names for hospitals.

PMID- 10264048
TI  - What's a hospital worth?

PMID- 10264049
TI  - R & D, systems style.

PMID- 10264050
TI  - Communication is not a four-letter word. Interview by Kelly F. Guncheon.

PMID- 10264051
TI  - FECs face backlash from rapid growth.

PMID- 10264052
TI  - Pace quickens on product bar coding.

PMID- 10264053
TI  - Surgical centers advocated.

PMID- 10264054
TI  - Free medical care offers no good health guaranty.

PMID- 10264055
TI  - Hospitals seen routinely overcharging.

PMID- 10264056
TI  - Hospital/physician partnership: a blueprint for success of the osteopathic
      hospital.

PMID- 10264057
TI  - Meet the chairman: Adams selects CEO security as theme.

PMID- 10264058
TI  - Quality assurance & physician relations.

PMID- 10264059
TI  - Patient accounts explains 'charging errors'.

PMID- 10264060
TI  - Laboratory Proficiency Testing Program--Ontario Medical Association.

PMID- 10264061
TI  - Quality assurance and surgical pathology.

PMID- 10264062
TI  - Autopsy: the path to progress.

PMID- 10264063
TI  - PPOs: an emerging alternative delivery system.

PMID- 10264064
TI  - Paying the price. 1983 estimated income from hospital sources.

PMID- 10264065
TI  - Diabetes care and education: a creative approach.
AB  - The patient education program developed by the Indiana University Diabetes
      Research and Training Center in its Diabetes Education Study utilized a variety
      of teaching methods--each chosen to have an anticipated effect on knowledge,
      skill, or adherence. By themselves, none of these techniques can be considered
      revolutionary. What was innovative about DIABEDS patient education were the
      priorities under which instruction was designed and the methodical allotment of
      instruction according to the needs of individual patients.

PMID- 10264066
TI  - Pharmacist patient education: what strategies work?
AB  - Previous research reveals that pharmacist-coordinated patient education programs
      have been effective only if they go beyond providing information to patients.
      Effective programs must include strategies that assist and encourage patients to
      incorporate this new information into their life styles.

PMID- 10264067
TI  - Enhancing patients' social support systems.
AB  - Social support systems are a valuable asset to changing and improving patient
      health behavior. The educator must be aware of the potential benefits that exist
      for patients through family involvement. Individual circumstances must define the
      exact role a family plays in the patient's education and care. Finally, patient
      educators should constantly evaluate the involvement of social support systems in
      the educational and treatment plans. Needed suggestions and changes should be
      addressed promptly in order to preserve a workable situation for all involved.

PMID- 10264068
TI  - Diabetes patient education: the state of the art.
AB  - In the relatively short time it has existed, the Diabetes Care and Resource
      Center has helped to decrease hospital length of stay for the person with
      diabetes from 9.1 to 7.4 days and to decrease hospital readmissions. Patients,
      physicians, and the community have been extremely supportive of the program and
      the increase in staff and patient morale promotes a positive approach to a
      chronic condition. With the increased emphasis on cost containment and
      prevention, it would seem that a multidisciplinary approach to diabetes is an
      ideal way to meet these goals.

PMID- 10264070
TI  - Train first-line supervisors to handle discipline.

PMID- 10264069
TI  - Better hiring decisions.

PMID- 10264071
TI  - Opportunities for prevention of domestic neglect and abuse of the elderly.
AB  - Recent research has demonstrated that domestic neglect and abuse of the elderly
      is not uncommon in the United States. It is a social problem that has not been
      extensively researched, however. One of the few studies, conducted in Michigan,
      found that the oldest and most frail elderly were a target group of elevated
      risk. Victims of neglect or abusive tend to be living with adult children or
      other informal caretakers who become neglectful or abuse when the burdens of
      providing care for a frail, elderly person interact with stress, little or no
      preparation for providing personal care over a long time span, medical problems
      of the caretaker, alcohol abuse, financial difficulties, and other situational
      factors. Family histories of neglect or abuse and other causal hypotheses have
      also been investigated. Recent studies are reviewed and found to be in general
      agreement regarding the nature and apparent dynamics of this emerging problem
      among the elderly. Opportunities for prevention are discussed in terms of current
      models of service to the aging and redirection of other public health and social
      services.

PMID- 10264072
TI  - Social policies and programs for the elderly as mechanisms of prevention.
AB  - The concept of prevention is defined and the role of social policy as a primary
      prevention mechanism is explored. Common programs for the elderly and their
      strengths and limitations are described. Recommendations are made for new social
      policies, based on the philosophy of prevention, which are comprehensive,
      flexible, responsive, and informed by the elderly themselves.

PMID- 10264073
TI  - Prevention of unnecessary geriatric deaths: differential rate of
      morbidity/mortality on admission to long term care facilities.
AB  - The amount of trauma experienced by elderly entering nursing homes appears to be
      a function of a number of environmental factors. The present study uses physician
      visits, PRN medication requests, the number of prescription medications
      administered, and mortality to compare the effects of two nursing home types,
      nonprofit and proprietary, on the elderly over a period of seven months.
      Physician visits, medication requests, and the number of prescription medications
      administered fluctuated in the nonprofit homes over the seven months while they
      decreased and then stabilized in the proprietary homes. Mortality was
      significantly higher in the proprietary homes. The implications of these findings
      for preventive interventions are discussed.

PMID- 10264074
TI  - An alternative health delivery system for the chronically ill elderly.
AB  - The present health care system is fragmented, uncoordinated, and too costly for
      the chronically ill, elderly patient. Project OPEN provides preventive health and
      social services in order to reduce costs and provide more effective care. This
      alternative delivery system is based on a consortium brokerage model which
      provides functional assessment, care plan development and service coordination. A
      randomized sample of 338 elderly individuals participated in a time series
      experiment. Client functional status, service utilization, and all health costs
      were collected for six months. The results indicated a maintenance in functioning
      levels, a decrease in acute hospitalizations, and a 20% reduction in health care
      costs for the demonstration participants as compared to the control group.
      Project OPEN provided more effective care while simultaneously reducing health
      expenditures to the chronically ill elderly.

PMID- 10264075
TI  - First steps in the selection of supplies.

PMID- 10264076
TI  - The selection of germicidal detergents.

PMID- 10264078
TI  - The robots are coming to housekeeping.

PMID- 10264077
TI  - New approach to hard floor stripping and a preventive maintenance program.

PMID- 10264079
TI  - Quality assurance--a result oriented approach.

PMID- 10264080
TI  - In crowded market, hospital looks to wellness for competitive edge.

PMID- 10264081
TI  - Cost-savings: is there a better argument for health promotion?

PMID- 10264082
TI  - Volunteer program reaches into the community to overcome limits of inpatient
      education.

PMID- 10264083
TI  - Doctor-patient rapport: key to avoiding a malpractice suit.

PMID- 10264084
TI  - Is it time to slam the door on FMGs?

PMID- 10264085
TI  - For-profit hospitals: opportunity or threat?

PMID- 10264086
TI  - Heroic measures: who decides?

PMID- 10264087
TI  - The emergency centers' emergency.

PMID- 10264088
TI  - Make your medical records malpractice proof.

PMID- 10264089
TI  - 10 questions doctors ask most about malpractice.

PMID- 10264090
TI  - HMOs: competitor or investment opportunity?

PMID- 10264091
TI  - Your records--who has a right to them?

PMID- 10264093
TI  - Court upholds NY commitment laws in case brought by patient.

PMID- 10264092
TI  - A new physician PAC: Health USA. Interview by James D. Snyder and Chris Bale.

PMID- 10264094
TI  - Reflections on the root causes of fraud, abuse, and waste in federal social
      programs.

PMID- 10264095
TI  - How one RT department reduced absenteeism.

PMID- 10264096
TI  - Unit-dose drug systems.

PMID- 10264098
TI  - Motivating hospital employees the Cedars-Sinai way.

PMID- 10264097
TI  - Clinical simulations as a tool for continuing medical education.

PMID- 10264099
TI  - Dietetic assistants question title: 'assistant to whom?'.

PMID- 10264100
TI  - Beverly Enterprises nursing homes: health care's booming billion-dollar baby.

PMID- 10264101
TI  - Ohio Department of Health halts SDS expansion.

PMID- 10264103
TI  - Metering and instruments.

PMID- 10264102
TI  - Recruitment guides can ease the burden of selecting staff.

PMID- 10264104
TI  - State regulation as a threat to education for the professions: a case in nursing
      education.

PMID- 10264105
TI  - The facility planning team: how does it operate?

PMID- 10264106
TI  - Selecting the right construction firm.

PMID- 10264107
TI  - The construction management approach to hospital expansions.

PMID- 10264109
TI  - The heir apparent.

PMID- 10264108
TI  - How to avoid legal traps when buying a computer.

PMID- 10264111
TI  - Teaching managers to motivate: when theory isn't enough.

PMID- 10264110
TI  - Toward a Copernican revolution in our thinking about life's beginning and life's
      end.

PMID- 10264112
TI  - Sports. The Texas Sports Medicine Center fulfills a prescription for recovery,
      rehabilitation, and robustness.

PMID- 10264113
TI  - Saint Joseph's Sports Medicine Center.

PMID- 10264114
TI  - Safety rules for electrical equipment, gas delivery.

PMID- 10264115
TI  - Documenting unit dose delivery systems.

PMID- 10264117
TI  - Contemporary educators do more than just teach.

PMID- 10264116
TI  - Sports medicine.

PMID- 10264118
TI  - Youth center for sports medicine.

PMID- 10264119
TI  - Schepps v. Presbyterian Hospital of Dallas.

PMID- 10264120
TI  - Managing the cost of change.

PMID- 10264121
TI  - Planning special events with flair, ease, economy.

PMID- 10264122
TI  - Those changing medical staffs: survey shows some surprising trends. Part 1.

PMID- 10264124
TI  - As I see it. "Dues paying time.".

PMID- 10264123
TI  - The outlook for tax exempt financing.

PMID- 10264125
TI  - Nursing home sues workers for staying on the job.

PMID- 10264126
TI  - The pharmacist's role in monitoring urinary tract infections.

PMID- 10264127
TI  - Hospitals buy nursing homes: move from neighbor to owner.

PMID- 10264128
TI  - Behind the surge of walk-in medical clinics.

PMID- 10264129
TI  - For doctors, too, it's a surplus.

PMID- 10264130
TI  - Hospital ship deal 'proper,' Lehman says.

PMID- 10264131
TI  - Alternatives to 'Baby Doe' offered.

PMID- 10264132
TI  - The care of the poor. Efficiency in health care.

PMID- 10264133
TI  - Oncology outreach program: a community and hospital effort.

PMID- 10264134
TI  - Language banks.

PMID- 10264136
TI  - Ethics and medicine.

PMID- 10264135
TI  - TV rental program worth the risk.

PMID- 10264137
TI  - In vitro fertilization and embryo transplants in man: ethical guidelines.

PMID- 10264138
TI  - Legal aspects of artificial conception (artificial insemination and in vitro
      fertilization) in Australia.

PMID- 10264139
TI  - Discharge status of inpatients discharged from short-stay hospitals: United
      States, 1965-81.

PMID- 10264140
TI  - The organizational context of human factors engineering.
AB  - Human factors engineering concerns the design of equipment in accordance with the
      mental and physical characteristics of operators. Human factors engineers advise
      design engineers, but the organizational context limits their influence and
      restricts their perspective. The discussion of organizational context in this
      paper explains why military and industrial top management personnel are
      indifferent to good human factors design and shows how the social structure
      favors the choice of technologies that centralize authority and deskill operators
      and how it encourages unwarranted attributions of operator error. The role of
      equipment and system design in shaping cognitive maps and mental models is
      explored, and the technology-social structure paradigm is questioned.

PMID- 10264141
TI  - Uses of mortality rates and mortality indexes in planning alcohol programs.

PMID- 10264142
TI  - Effects of shift work on health studied.

PMID- 10264143
TI  - California earthquake jars hospital.

PMID- 10264144
TI  - Competition breeds tensions among Albuquerque MDs.

PMID- 10264145
TI  - New fraud crackdown saving Blues millions, officials say.

PMID- 10264146
TI  - Health center on wheels. Medically underserved focus of project.

PMID- 10264147
TI  - Will hospitals close? Industry experts at odds.

PMID- 10264148
TI  - Health insurance tax plan backed.

PMID- 10264149
TI  - Medical society programs aid the needy.

PMID- 10264150
TI  - PPOs: interest high, action low so far.

PMID- 10264151
TI  - Physician notes effects of music on patients' health.

PMID- 10264152
TI  - Should hospitals form HMOs?

PMID- 10264153
TI  - 'Baby Doe' rule's successes told.

PMID- 10264154
TI  - Nation's top federal physician represents traditional values. Interview by Lisa
      Krieger.

PMID- 10264156
TI  - Congress eyeing ways to ease path for faster growth of PPOs.

PMID- 10264155
TI  - D.C. mental hospital in trouble.

PMID- 10264157
TI  - In New York hospitals cited for failure to report impaired MDs.

PMID- 10264158
TI  - Business aims to trim health costs.

PMID- 10264159
TI  - Arizona firms seek hospital regulation.

PMID- 10264161
TI  - In Michigan unique agency aims to trim beds.

PMID- 10264160
TI  - Allied health workers seek staff privileges.

PMID- 10264162
TI  - Health bills pending at adjournment.

PMID- 10264163
TI  - Cuts could imperil alcoholism treatment gains.

PMID- 10264164
TI  - Finding the definition of low temperature washing.

PMID- 10264165
TI  - NJ internists ask: What's become of 'benign neglect'?

PMID- 10264166
TI  - A look at for-profit hospital chains.

PMID- 10264167
TI  - Rain, sleet, hail cannot stop electronic mail.

PMID- 10264168
TI  - Environmental scanning detects signals of change.

PMID- 10264170
TI  - Private hospitals in US may go broke.

PMID- 10264169
TI  - Let's clear the air about public service announcements.

PMID- 10264171
TI  - Designing an armed robbery policy for the hospital.

PMID- 10264172
TI  - The most painful question.

PMID- 10264173
TI  - Revised federal allotments to states for social services expenditure pursuant to
      Title XX--Social Services Block Grant Act; promulgation for fiscal year 1985-
      HHS.
AB  - The FY 1985 Federal allotments of $2.6 billion to States for social services
      under Section 2003 of the Social Security Act (Act) which were published in the
      Federal Register on October 27, 1983 (48 FR 49697) were based upon the
      authorization set forth in Section 2003 of the Act at the time they were
      prepared. Pub. L. 98-135, enacted October 24, 1983, amended Section 2003 of the
      Act by increasing the authorization to $2.7 billion for Fiscal Year 1984 and each
      succeeding fiscal year. Accordingly, the initial promulgation is rescinded and
      the promulgation as revised is set forth in the table below. These allotments are
      contingent upon Congressional appropriations actions for the year. If the
      Congress enacts, and the President approves, an amount different from the
      authorization, the allotments will be adjusted proportionately.

PMID- 10264174
TI  - Availability of funds for home health services and training--HRSA.
AB  - The Health Resources and Services Administration (HRSA) announces that funds are
      available for grants and loans for the development and expansion of home health
      programs and services. Public Law (Pub. L.) 98-139, the Labor, Health and Human
      Services, and Education Appropriations Act of 1984, signed on October 31, 1983,
      appropriates $5 million under section 339 of the Public Health Service (PHS) Act
      (42 U.S.C. 255) to provide home health services and for the training of
      paraprofessionals to provide home health services. This notice contains
      information of interest to prospective applicants for such funding.

PMID- 10264175
TI  - Privacy Act of 1974; report of new system--HCFA.
AB  - In accordance with the requirements of the Privacy Act of 1974, we are proposing
      to establish a new system of records, Evaluation of the Medicare Competition
      Demonstrations, HHS/HCFA/ORD No. 09-70-0029. We have provided background
      information about the proposed system in the "Supplementary Information" section
      below. HCFA invites public comments by January 23, 1984, with respect to routine
      uses of the system. Dates: HCFA filed a new system report with the Speaker of the
      House, the President of the Senate, and the Director, Office of Management and
      Budget (OMB) on December 16, 1983. The new system of records, including routine
      uses, will become effective 60 days from December 16, 1983, unless HCFA receives
      comments which would convince us to make a contrary determination.

PMID- 10264176
TI  - Grant application cycles; health systems agency grants and state health planning
      and development agency grants--HRSA.
AB  - This Notice is issued in accordance with Executive Order 12372, Intergovernmental
      Review of Federal Programs as implemented by HHS in 45 CFR Part 100. The
      scheduled application due dates and funding dates for health systems agencies
      (HSAs) and State Health Planning and Development Agencies (SHPDAs) are provided
      below to assist States and other entities within a State in determining the
      comment period as required under 45 CFR Part 100.

PMID- 10264177
TI  - Coalitions: employers' groups nationwide use different tactics to persuade
      providers to contain health care costs.

PMID- 10264178
TI  - Will the advent of PPOs hurt or help HMOs?

PMID- 10264179
TI  - Government nurtured growth of HMOs.

PMID- 10264180
TI  - Prepaid plan enrollment now tops 12.5 million.

PMID- 10264181
TI  - Deflating health care costs. Competition, legislation will spur a better medical
      services system.

PMID- 10264182
TI  - Firms basing health deductibles on pay.

PMID- 10264183
TI  - Ottawa's "on the fence" stance will keep abortion decisions within your
      community.

PMID- 10264185
TI  - Public relations and the medical laboratory.

PMID- 10264184
TI  - Softening the blow: how to deliver bad news.

PMID- 10264186
TI  - Involvement of the blood bank technologist in the investigation and management of
      transfusion reactions.

PMID- 10264187
TI  - Quality of life after treatment for laryngeal cancer: the patient's viewpoint.

PMID- 10264188
TI  - Digital imaging--the technology of the future.

PMID- 10264189
TI  - The future of the imaging technologist.

PMID- 10264190
TI  - How to pick winners--visualizing future performance.

PMID- 10264191
TI  - Difficulties in senior center life: group behaviors.
AB  - In the past, the literature regarding senior centers has generally directed
      itself towards environmental or ecological issues. This article, however, looks
      at problem behaviors which reportedly occur in senior centers. A review of some
      possible causes and examples of these behaviors, is presented, along with some
      suggestions for change. The authors feel that individual problem behaviors can
      best by changed by setting group goals in which all program participants may be
      acknowledged and rewarded.

PMID- 10264192
TI  - Managing stress and burnout in clinical gerontology.
AB  - Stress and burnout is a prevalent feature of the helping profession. The toll
      that these phenomena take on the individual can be devastating. This article
      explains the stress reaction from an appraisal model and discusses how the clinic
      can initiate a stress reduction strategy. A three point intervention plan is
      recommended. Strategies for changing the occupational environment, individual
      characteristics, and coping mechanisms constitute three points in a comprehensive
      plan.

PMID- 10264193
TI  - Community networking for improved services to children with chronic illnesses and
      their families.
AB  - The authors describe a program, developed under the auspices of the Association
      for the Care of Children's Health (ACCH), that focuses on community networking
      among children with chronic illnesses and their families. The program rests on
      two beliefs: (a) that a network can successfully focus on the generic needs of
      children with chronic or handicapping conditions and of their families; and (b)
      that a network can improve care by enhancing coordinating collaboration among
      existing services without creating new ones. Efforts of the past two years have
      centered on three specific areas: preparation and dissemination of written
      materials; creation of new links among families, health and education
      professionals, organizations, associations, and community institutions; and
      training in networking techniques. ACCH has prepared two pamphlets for families,
      schools, and health professionals on community issues and on hospitalization. In
      addition, a demonstration model for community networking has been established in
      the Houston/Galveston area. Finally, training programs in the skills of community
      networking have been established. Work is beginning to replicate the community
      networking model through other ACCH regional affiliates.

PMID- 10264194
TI  - The epidemiology of selected chronic childhood health conditions.
AB  - The chronic illnesses of childhood as a whole show similar trends in rates of
      incidence and prevalence; within this general class, subgroups of the illnesses
      have distinct epidemiological characteristics and different histories of response
      to improvements in medical technology. This article selects 11 disorders as
      representative of the large class of childhood chronic illnesses. It reviews
      trends in the contribution of these illnesses to the overall morbidity and
      mortality rates among children. The current survival patterns for children with
      these illnesses are detailed in light of the probable demands generated for
      health care providers by similar patterns of survival. It is likely that these
      children will place heavy demands on the health care system for the foreseeable
      future. Epidemiological trends and improvements in survival patterns associated
      with these illnesses raise perplexing questions of resource allocation. New
      knowledge is needed to address emerging problems.

PMID- 10264195
TI  - The REACH Project: an innovative health delivery model for medically dependent
      children.
AB  - Rural Efforts to Assist Children at Home (REACH) is a service/demonstration and
      training project designed to provide specialized health care and case management
      services to medically dependent children in a 16-county area in central FLorida.
      REACH nurses, acting as Health Care Coordinators, provide instruction,
      consultation, coordination, and supervision of health care services in
      collaboration with tertiary care physicians and services at the University of
      Florida Health Center. Patients include infants, children, and adolescents with a
      wide variety of chronic illnesses including leukemia, muscular dystrophy,
      pulmonary disorders, failure to thrive, and seizure disorders. In addition to
      extensive work with families in the home, the REACH program incorporates a
      feedback system for its nurses, a progress-oriented record system, carefully
      designed agreements between tertiary care centers and community agencies, and an
      innovative training program for its nurses. REACH intends to serve about 1000
      children during its 3-year demonstration phase. Success will be based on careful
      monitoring of costs, family functioning, and school attendance. If successful,
      the project will provide a model for the structured utilization of health and
      social services for families with medically dependent children.

PMID- 10264196
TI  - A home care program for children with chronic illness.
AB  - Pediatric Home Care (PHC) of Albert Einstein College of Medicine was designed as
      a special ambulatory care unit for children who are seriously or chronically ill
      and whose needs were not being met successfully through conventional programming.
      Services include: monitoring the patient's care: delivering direct services in
      the home, clinic, and hospital; teaching therapeutic programs to the family and
      patient; coordinating services; patient advocacy; health education; and
      supportive counseling. Each patient has a core team consisting of a generalist
      pediatrician, a PNP, and the patient's family. Visits are provided in the
      patient's home as needed, as well as in the traditional locations of the clinic,
      the inpatient units, and the PHC office. The program accepts patients with
      serious medical problems and who face any of a series of other difficulties,
      including: especially complex management problems that cannot be handled well in
      the customary outpatient settings; unstable family settings; or extended
      hospitalizations. Because it is not restricted to any single type of disease, the
      PHC provides a model that is applicable in a wide range of medical and community
      settings. Results of a program evaluation show that PHC is an effective
      intervention that has positive mental health outcomes and improves satisfaction
      with care.

PMID- 10264197
TI  - There's no place like home.
AB  - Many children with chronic illness or handicapping conditions may not need
      continual or frequent institutional care, provided that suitable home care
      services are available. Yet, planning and experimentation with the concept of
      pediatric home care is just beginning on both the national and local levels and
      the concept of home care has yet to become widely understood and accepted. As a
      result, health planners and policy markers often fail to realize the potential
      advantage of home care to children, to families, and to society. Instead of
      seeing it as the most humane and effective way of caring for the chronically ill
      child, they see it as an increased financial burden. They also lack the
      perspective needed to realize that home care is ultimately the most cost
      effective health care alternative, since it involves investing in people rather
      than in buildings or equipment. This report attempts to disseminate more widely
      the concept of home care by recounting a 2-year experience with a hospital-based
      pediatric home care service.

PMID- 10264198
TI  - California issues home health survey results.

PMID- 10264199
TI  - Needs assessment survey: education and training.

PMID- 10264200
TI  - Payson Home Health Agency--caring in the Old West style.

PMID- 10264201
TI  - Creating persuasive fund raising documents for nonprofit organizations.

PMID- 10264202
TI  - Clinicare Family Health Services, Inc.

PMID- 10264203
TI  - Antitrust concerns in home care.

PMID- 10264204
TI  - Creating alternative care in a competitive market.

PMID- 10264205
TI  - Hospital cost-cutting pressures fuel 21% annual growth in contract services
      market.

PMID- 10264206
TI  - Changes in the doctrine of employment-at-will and preventive action and policies.

PMID- 10264207
TI  - Focus: a model for international technology transfer.

PMID- 10264208
TI  - The risk of anesthesia.

PMID- 10264209
TI  - Coping with constraints: planning for the future. Part 3.

PMID- 10264210
TI  - New legislation for charities proposed--CHA reacts.

PMID- 10264211
TI  - Is there a holding company in your hospital's future?

PMID- 10264212
TI  - Productivity improvement: health care challenge of the 1980's.

PMID- 10264213
TI  - Designing facilities: trends for the future.

PMID- 10264214
TI  - Picking the right legal counsel.

PMID- 10264215
TI  - Eliminating delays in radiology reporting.

PMID- 10264216
TI  - Employee timekeeping: is there a better way?

PMID- 10264217
TI  - On-line system streamlines patient accounts management system.

PMID- 10264218
TI  - Computer fraud--are we really vulnerable?

PMID- 10264219
TI  - BC/BS plans to expand hospice programs; documents savings.

PMID- 10264221
TI  - Dental preferred provider groups are beginning.

PMID- 10264220
TI  - Hospital audits vital in changing health care field.

PMID- 10264222
TI  - Pioneers provide preliminary PPO program profiles.

PMID- 10264223
TI  - Cost savings explored with preferred providers.

PMID- 10264224
TI  - Taxation of fringe benefits.

PMID- 10264225
TI  - Selecting the right medical claim administrator--a method to rate the performance
      and capabilities of insurance companies.

PMID- 10264226
TI  - Jewish Hospital Skycare: taking flight with a new service.

PMID- 10264227
TI  - Synthesized radio communications: looking back, looking forward.

PMID- 10264228
TI  - Extending the "good life".

PMID- 10264230
TI  - Acquired immune deficiency syndrome (AIDS): precautions for clinical and
      laboratory staffs. Centers for Disease Control.

PMID- 10264229
TI  - Hepatitis B.

PMID- 10264231
TI  - Guidelines for the paramedic coordinator.

PMID- 10264232
TI  - Refusal of care and treatment.

PMID- 10264233
TI  - The changing face of volunteer EMS.

PMID- 10264234
TI  - Close-up: saving with dispensers.

PMID- 10264235
TI  - How to be an effective buyer--the executive housekeeper's role.

PMID- 10264236
TI  - Quality assessment from an economic perspective. A taxonomy of approaches with
      applications to nursing home care.
AB  - Since people do not rank goods identically, there is no theoretically correct way
      for public agencies to assess the quality of goods or services. Yet, from a
      social perspective, it is often important to evaluate quality. The traditional
      categorization of quality assessment approaches in health care is by structure,
      process and outcome variables. A somewhat different taxonomy is presented here:
      (a) market variables; (b) questionnaire results; (c) output measures; and (d)
      input measures. The market approach is rare in the health care field, but it is
      the approach most consonant with the economic way of thinking. All four
      approaches are examined from an economic perspective. Studies of nursing home
      care are classified by this new taxonomy. While all approaches to quality
      assessment have limitations, and are not necessarily consistent within or among
      themselves, they can provide useful insights concerning levels of quality.

PMID- 10264237
TI  - The quality of maintenance therapy for end-stage renal disease. A review of
      social adjustment and rehabilitation.
AB  - Prior to 1972, ESRD patients selected for maintenance dialysis or renal
      transplantation were generally young, emotionally and socially well-adjusted, and
      physically healthy except for their renal disease. Following the enactment of
      Public Law 92-603 (1972), which extended Medicare coverage to virtually all ESRD
      patients, the criteria for the selection of patients were substantially
      liberalized. During the past decade, maintenance therapy has increasingly been
      provided for severely debilitated ESRD patients whose reported levels of
      rehabilitation have been less than desired. While the majority of the current
      ESRD patient population have not been restored to their premorbid levels of
      individual and social functioning, recent studies suggest this may be the result
      of initiating rehabilitation efforts too late in the disease process. For optimal
      social functioning to be achieved by ESRD patients, it is concluded that
      psychosocial intervention and support must be initiated at the time ESRD is
      diagnosed and be focused on the maintenance, rather than rehabilitation, of the
      patient's functioning.

PMID- 10264238
TI  - Conducting state and local health needs assessments. Designs and strategies.
AB  - A comprehensive set of five needs assessment techniques designed to facilitate
      informed decisions about mental health services planning at the state or local
      level are presented. These include: (1) estimating the size of the target
      population based on statistical extrapolations from prevalence rates or
      inferences from indirect indicators; (2) surveys of institution-based
      populations; (3) surveys of service providers; (4) client-targeted surveys; and
      (5) surveys of key informants. Each technique is discussed in terms of its unique
      design considerations, strengths and weaknesses, the phase's association with its
      application, and estimated resource requirements. Mental health needs assessments
      can be conducted in a cost-effective manner, especially important in an era when
      rational decisions about the allocation of scarce resources are essential.

PMID- 10264239
TI  - Ensuring quality of care in a comprehensive mental health center.
AB  - A six-phase process is currently being utilized by a large comprehensive mental
      health center to ensure delivery of the highest quality of care to its patients.
      In the first phase, during the admission process, each patient's assets and
      liabilities are determined. The second phase involves a disposition team that
      reviews and assigns each case. The third phase involves both the clinician and
      patient in developing a treatment plan. The fourth phase is a periodic review of
      each patient's file by the clinician's supervisor. The fifth phase involves a
      peer review of randomly selected files. The final phase is a retrospective review
      of randomly selected patients who are no longer receiving services, comparing the
      current assets and liabilities with those on the initial assessment to determine
      if progress did occur and was sustained.

PMID- 10264240
TI  - Medical care in developing countries. Assessment and assurance of quality.
AB  - In recent years attention in developing countries has concentrated upon
      strategies to improve the equitable provision of essential health care--the
      primary health care approach. Very little work has been reported in connection
      with the quality of medical care, and yet for the successful outcome of care it
      is necessary that adequate health care processes be carried out. Conceptual,
      methodological, data, and organizational issues related to quality assessment and
      assurance are presented. The few examples of reported work concerned with these
      important aspects of medical care in developing countries are reviewed.
      Suggestions are made as to how measures to ensure reasonable quality might be
      further developed and refined.

PMID- 10264241
TI  - Roles ascribed to volunteers. An examination of different types of hospice
      organizations.
AB  - Volunteers have been the hallmark of the hospice movement since its U.S.
      inception in 1973. As part of the National Hospice Study, volunteer hours and
      activities were reported monthly in forth participating hospices nationwide. Most
      volunteers were white females with at least a high school education. The attitude
      of paid staff toward volunteers was overwhelmingly positive. Overall, the level
      of volunteer involvement is approximately 1.5 hours per patient each day he or
      she spends in the hospice program. This breaks down to nearly .80 hours of direct
      patient care and .70 hours devoted to other activities. While the most prevalent
      use of volunteers is in the provision of direct patient care in freestanding
      hospices, volunteers also spend a large proportion of their time in the
      performance of administrative activities.

PMID- 10264242
TI  - Monitoring simultaneously two or more indices of health care. Multivariate
      quality control procedures.
AB  - Often the data collected in a health care evaluation program consist of a number
      of indices, each of which represents a different component of a health care
      process. The question, "Is the health care process in control," to be answered
      effectively, must be answered in terms of the effect of the several indices
      considered jointly rather than in terms of each variable considered separately.
      This article describes the nature of the problem of monitoring jointly several
      indices of health care and presents two quality control methods, the control
      ellipse and Hotelling's T2, which are applicable to the multivariable setting.
      The discussion focuses on the case of monitoring simultaneously two related
      indices of health care, and extension of the two techniques to more than two
      indices is discussed briefly.

PMID- 10264243
TI  - The effect of nonlinear transformations on a Likert scale.
AB  - The analysis of data collected from behavioral assessment instruments is
      typically conducted using parametric statistics, with little or no reference
      given to the underlying nature of the scale being used. If the nature of the
      distances between the scale points is not understood, the concept of normality of
      the distribution becomes clouded. An empirical approach to studying this problem
      was developed, using responses to a clinical performance evaluation instrument
      that uses a four-point behaviorally-anchored scale. Various combinations of
      nonlinear transformations were applied to the evaluation responses. The factorial
      structure of the fifteen items constituting the evaluation form was minimally
      affected by the transformations, suggesting that parametric statistics can be
      applied to behaviorally-anchored rating scales.

PMID- 10264245
TI  - Protection from hazards.

PMID- 10264244
TI  - A certain electricity in the air.

PMID- 10264246
TI  - Fire protection and computers: now and in the future.

PMID- 10264247
TI  - Industrial techniques & foodservice.

PMID- 10264248
TI  - The older employee: risks, rights & responsibilities.

PMID- 10264249
TI  - The older employee & the law.

PMID- 10264250
TI  - Urban hospital's rehab efforts lead health trend. Interview by John McIlquham.

PMID- 10264251
TI  - Medical foundation finds membership club successful.

PMID- 10264252
TI  - Roundtable consultant panel confronts development issues. Interview by Raymond
      Roel.

PMID- 10264254
TI  - New health care strategy outgrowth of marketing focus.

PMID- 10264253
TI  - Strategic income unit indicators identify most profitable paths.

PMID- 10264255
TI  - Tax reform bill of 1983 will alter charitable giving.

PMID- 10264256
TI  - Development and marketing share similar characteristics.

PMID- 10264258
TI  - FLEX Task Force II update.

PMID- 10264257
TI  - SLOF: a behavioral rating scale for assessing the mentally ill.
AB  - Rating scales for assessing the mentally ill usually focus on the role
      functioning of clients and their psychiatric symptomatology. This article
      introduces a rating scale to measure more directly observable behavioral
      functioning and daily living skills of clients in mental hospitals and in the
      community. Results are presented from a series of studies designed to test the
      instrument's psychometric properties.

PMID- 10264259
TI  - Continuing problems with examination security: FLEX June 1983.

PMID- 10264260
TI  - Nonprofit hospitals face capital crisis.

PMID- 10264261
TI  - HHS sets controversial rates for hospice services.

PMID- 10264262
TI  - Survey findings: strategic planning main concern.

PMID- 10264263
TI  - Society for Hospital Planning. AHA Fifth Annual Meeting. Part I.

PMID- 10264264
TI  - Case in point. The Bobbs Hospital.

PMID- 10264265
TI  - Environmental continuity: a social-geographic approach to structural change in
      lowering health care cost through elderly participation.
AB  - Tremendous growth in the number of elderly has resulted in the need to consider
      options for decreasing their need for dependent living, while increasing their
      level of health. Environmental continuity is supported as one such alternative.
      An examination of how the elderly relate to their surroundings and their
      relationships with others enables the identification of social and cultural
      thresholds beyond which the elderly cannot be expected to predict, participate
      in, or control events in their environment. "Threshold management" is suggested
      as a preventive health measure for reducing social disintegration in the elderly
      and concomitant strains to the health care system and society.

PMID- 10264266
TI  - External environmental analysis: theory and practice.
AB  - The tendency of the hospital industry to plan by default--reacting to
      environmental change--is gradually evolving toward formal processes for
      monitoring change. External environmental analysis, a crucial component of
      strategic planning, is evaluated from a theoretical point of view. The need for
      developing and implementing systematic processes, their essential elements, and
      potential benefits are explored. The concept in practice is examined at the
      design and implementation stages using Sinai Hospital in Detroit, Michigan as an
      example.

PMID- 10264267
TI  - What demographic changes do you feel a hospital should monitor as part of its
      planning effort? In house.

PMID- 10264268
TI  - Society for Hospital Planning. AHA Fifth Annual Meeting. Part II.

PMID- 10264269
TI  - Case in point--the answer. The Bobbs Hospital.

PMID- 10264270
TI  - A hospital planning response to the "geriatric imperative".
AB  - The emerging geriatric patient population, a situation for which few hospitals
      are adequately prepared, is examined within the context of the "geriatric
      imperative." Reductions in morbidity and increases in the elderly population and
      the chronic diseases and disabilities associated with aging are causing hospitals
      to reexamine their orientation to short-term episodic care to adapt to the needs
      of a more elderly patient population. A geriatric care planning framework is
      presented to assist hospitals with this process.

PMID- 10264272
TI  - Strategic planning. Local anaesthetics?

PMID- 10264271
TI  - Alcohol abuse. Last orders at work.

PMID- 10264273
TI  - Models for building.

PMID- 10264274
TI  - Any questions for the computer?

PMID- 10264275
TI  - Furniture that eases the strain.

PMID- 10264276
TI  - Hands of NHS property.

PMID- 10264277
TI  - Should we shrink the health care system?
AB  - As this director of a large eastern medical center has traveled about the
      country, talked many times on the subject of health cost management, and examined
      various cost-containment plans, he has come to realize that most, if not all, of
      those isolated programs stand little chance of more than marginal success. True
      cost management can come only from a hospital system shrinkage that involves loss
      of jobs and closings. There is no simple way out of that box, he argues, and
      people should begin to realize it. Whether there is the national resolve to put
      the lid on accelerating health costs is questionable, but at least a clear
      understanding of that fact and its consequences may lead to a few successful
      hardheaded programs and provide preventive medicine for the numerous trivial
      programs that no doubt will continue to spring up.

PMID- 10264278
TI  - Selecting a small business computer.
AB  - In this age of information, growing businesses have the opportunity at a very
      early stage to computerize their operations. Today's entrepreneurs must choose
      what computer services to buy amid a bewildering variety of products and
      programs, each proclaimed, brassily, as the best, the latest, or the next
      generation. In this article, the author advises entrepreneurs and managers to
      make sure that the computer can handle everyday demands. He counsels that good
      software, service, and support are more important than the latest hardware.

PMID- 10264279
TI  - Systems contracts: one approach to material management problems resolution.

PMID- 10264280
TI  - Getting along: department heads talk to admitters.

PMID- 10264281
TI  - When a PPO goes bankrupt, who pays the patient's bill?

PMID- 10264282
TI  - An interview with: Jane Hendricks, Esq.

PMID- 10264283
TI  - Managing AIDS and AIDS hysteria in hospitals.

PMID- 10264284
TI  - Common courtesy: the ultimate barrier to entry.

PMID- 10264285
TI  - Health care manager's notebook. Lessons in customer service.

PMID- 10264286
TI  - R&D: how many times do we get so involved in "the details" that we forget what it
      was we were really intending to accomplish?

PMID- 10264287
TI  - Guest relations as corporate strategy. "People-to-People" is hospital-wide
      system.

PMID- 10264289
TI  - Pneumococcal vaccine is not being used, study shows.

PMID- 10264288
TI  - Carner's codes. Setting the pace.

PMID- 10264290
TI  - Career mobility in health field requires occupational restructuring.

PMID- 10264291
TI  - Professional recognition advances managers, hospitals.

PMID- 10264292
TI  - Quality-of-work-life efforts help hospitals manage change.

PMID- 10264293
TI  - Resolving employee grievances in nonunion environment attainable.

PMID- 10264294
TI  - Patent roofing systems.

PMID- 10264295
TI  - Bournemouth DGH.

PMID- 10264296
TI  - Some key aspects of utilizing marketing consultants for group practices.

PMID- 10264297
TI  - The PPO: how to market it and to whom.

PMID- 10264298
TI  - Differences in marketing a new practice versus marketing an established practice.

PMID- 10264299
TI  - Preparing the financial/business plan for marketing the group practice.

PMID- 10264300
TI  - Building a new or better image for your practice through solid media relations
      (public relations and publicity).

PMID- 10264301
TI  - Professional advertising--how professional is it?

PMID- 10264302
TI  - How to promote and advertise a new or existing clinic.

PMID- 10264303
TI  - Basic marketing research for the group practice or, what on earth is targeting
      and why should I care?

PMID- 10264304
TI  - The best malpractice insurance of them all: consumer satisfaction.

PMID- 10264305
TI  - A legal viewpoint on marketing for group practices.

PMID- 10264306
TI  - Physician recruiting for group practices.

PMID- 10264307
TI  - Court of Appeals reviews decision denying government access to records in case of
      Baby Jane Doe; AHA files brief in support of hospital.

PMID- 10264308
TI  - Examining corporate expenditures for health care.

PMID- 10264309
TI  - Second Circuit sets new inquiry standards for certifying collective bargaining
      representatives.

PMID- 10264310
TI  - 1983 tax wrap-up.

PMID- 10264311
TI  - U.S. District Court finds for West Virginia hospitals in challenge to new West
      Virginia rate-setting statute.

PMID- 10264312
TI  - Federal court limits federal antitrust jurisdiction over medical staff decisions.

PMID- 10264313
TI  - Changing times.

PMID- 10264314
TI  - On the road to NHI?

PMID- 10264315
TI  - Influencing health behavior: how significant is the general practitioner?

PMID- 10264316
TI  - Health education and the short, sharp shock.

PMID- 10264317
TI  - Public response to cancer education in the press.

PMID- 10264318
TI  - Health education in the general practice consultation: doctors' advice on diet,
      alcohol and smoking.

PMID- 10264319
TI  - Maternal care receptivity--an innovative approach for the evaluation of MCH
      services.
AB  - Despite rapid expansion in the maternal and child health and family planning
      services, there have been few attempts made to study the extent of utilisation of
      these services and their impact. The present study reports a simple method
      evolved in the quantification of utilisation of maternal care services (called
      maternal care receptivity - MCR), the relationship of factors such as age,
      parity, caste of the women and the distance of the health centre on the MCR and
      the impact of MCR on perinatal and neonatal mortalities. An inverse relationship
      was observed between MCR and perinatal and neonatal mortality rates and the two
      rates were three times less among babies born to mothers with high MCR scores
      compared to those with poor MCR scores.

PMID- 10264320
TI  - Planning for hospital diversification.

PMID- 10264321
TI  - The impact of technology on health care.

PMID- 10264323
TI  - The impact of financing on technology.

PMID- 10264322
TI  - Monitoring and evaluating new programs.

PMID- 10264324
TI  - A case study in technology management in the health care industry.

PMID- 10264325
TI  - The impact of technology on medicine.

PMID- 10264326
TI  - The responsibilities of trustees.

PMID- 10264327
TI  - The impact of technology on hospital marketing.

PMID- 10264328
TI  - Preparing and presenting information to hospital trustees.

PMID- 10264329
TI  - Understanding information systems.

PMID- 10264330
TI  - Markets, planning and data.

PMID- 10264331
TI  - How we finance care.

PMID- 10264332
TI  - New revenue sources and new methods of capital formation.

PMID- 10264333
TI  - Improving the bottom line.

PMID- 10264334
TI  - How we deliver care.

PMID- 10264335
TI  - The health executive and the new medical technologies.

PMID- 10264336
TI  - The Dubin report: issues for hospital management.

PMID- 10264337
TI  - A process for establishing health care priorities.

PMID- 10264338
TI  - Computerizing a community general hospital: a case history.

PMID- 10264339
TI  - Our health care problems: one editor's perspective.

PMID- 10264340
TI  - The house organ: a valuable resource.

PMID- 10264341
TI  - Corporate reorganization--a case study.

PMID- 10264342
TI  - A proposal to industrial employers and healthcare providers: unite and prosper.

PMID- 10264343
TI  - Matrix organization: design and development for a hospital organization.

PMID- 10264344
TI  - Mentoring among hospital administrators.

PMID- 10264345
TI  - Reach for the moon.

PMID- 10264346
TI  - Light fingers = heavy losses.

PMID- 10264347
TI  - Stop thief.

PMID- 10264348
TI  - The ABCs of buying.

PMID- 10264349
TI  - An alternative to keystoning.

PMID- 10264350
TI  - A labor of love in the wild, wild west. The Benson Hospital Gift Bar.

PMID- 10264351
TI  - Gift shop design.

PMID- 10264352
TI  - I'll try anything!... If it doesn't work, I'll try something else!

PMID- 10264353
TI  - New shop talk.

PMID- 10264354
TI  - On the present state of medical malpractice.

PMID- 10264355
TI  - A survey of hospital medical staffs--Part 2.
AB  - As shown by the survey, from 1973 to 1982: . The percentage of hospitals
      requiring certification of some or all specialties has nearly quadrupled. .
      During the same period, the percentage of hospitals compensating the chief of the
      medical staff and the director of medical education approximately doubled. . In
      1981, the primary care physicians at more than 50 percent of the responding
      hospitals sent over half of their admissions elsewhere. . Approximately 22
      percent of hospital admissions were generated by the top five admitters in 1981.

PMID- 10264356
TI  - How medical staffs fare in acquisitions.

PMID- 10264357
TI  - P & T Committee roundtable discussion: Great Lakes region, Part I.

PMID- 10264358
TI  - Final in-line filtration: removal of contaminants from IV fluids and drugs.
AB  - The administration of intravenous fluids or drugs may allow particulate and
      microbiologic contamination to enter the bloodstream. Studies have implicated
      injected particles as a cause of postinfusion phlebitis. The process of
      manufacturing the infusion product will influence the type and quantify of
      injected particles. Particles greater than 8 microns are filtered by the lung,
      and depending on their reactivity, can cause pulmonary granulomas. Particles
      below 8 microns are initially filtered, cleared by phagocytosis, and ultimately
      migrate to the liver and spleen. Both nonvisible particles and microbial
      contaminants of fluids and drugs can be effectively removed by 0.45- or 0.22
      micron in-line final filtration. When filters are employed, problems can occur,
      including air locking, clogging, and drug-binding. A knowledge of why and to what
      extent these problems can occur will allow in-line filters to be used effectively
      by health care practitioners.

PMID- 10264359
TI  - Space requirements for pharmaceutical functions in selected nonuniversity
      hospitals.
AB  - The size of the average pharmacy is normally developed by gathering information
      from a large number of hospital pharmacies. The services provided by these
      pharmacies vary significantly. This tabulation is from selected hospitals that
      provided comprehensive pharmacy services. Fifty-four responses were tabulated.
      The results presented in this article indicate that these pharmacies require
      additional staff members and greater space allocation than the average hospital
      pharmacy department reported in other studies. Hospitals between 100-199 beds
      averaged 9.8 sq ft per bed, 200-299 bed hospitals averaged 10.1, 300-399 bed
      hospitals averaged 9, 400-499 bed hospitals averaged 8, and those over 500 beds
      averaged 9.4 sq ft per bed.

PMID- 10264360
TI  - Intravenous theophylline?
AB  - Aminophylline (theophylline ethylenediamine) has been widely used orally,
      intravenously, and rectally as a bronchodilator of choice in patients with asthma
      or chronic obstructive pulmonary disease. Its popularity for chronic oral
      administration has declined in recent years due to the development of a multitude
      of conventional and sustained release anhydrous theophylline preparations. The
      availability of a premixed intravenous theophylline product may further reduce
      aminophylline usage. This article reviews the potential usefulness of premixed
      intravenous theophylline.

PMID- 10264362
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--Part 6.

PMID- 10264361
TI  - A standard aminophylline intravenous solution with flow rate label adapted to a
      manufacturer's standard solution.
AB  - The development of a standard aminophylline intravenous solution system utilizing
      a flow rate label is described. The original system was developed using 500 mg
      aminophylline in 250 ml of 5% dextrose injection in a polyvinyl chloride bag
      (PVC). An ancillary label was developed to be affixed to the bag to assist in
      maintaining flow rates. Later, this system was adapted to a premixed solution
      prepared by Travenol Laboratories. The difference, though, was the fact that a
      solution of 400 mg theophylline (equivalent to 500 mg of aminophylline) in 250 ml
      of 5% dextrose solution (PVC) was used. Hence, a new auxiliary label indicating
      flow rates between aminophylline and theophylline was developed. The success of
      both systems gave us more advantages than disadvantages. This was especially true
      with the premixed system. We feel that the auxiliary flow rate label helped
      maintain rates whether the physicians orders were written in theophylline or
      aminophylline. With proper nursing inservice, this standard aminophylline program
      could be successful using this auxiliary flow rate label.

PMID- 10264363
TI  - Basics of videodisc and optical disk technology.
AB  - This article outlines basic videodisc and optical disk technology. Both optical
      and capacitance videodisc technology are described. Optical disk technology as a
      mass digital image and data storage device is defined and briefly compared with
      other established information storage media including magnetic tape and
      microforms. The article includes a look into the future of videodisc and optical
      disk.

PMID- 10264364
TI  - Information providers and videodisc/optical disk technology.
AB  - Although industrial and consumer videodisc technology has been available since
      1978, information providers are now just beginning to explore the possibilities
      of using videodisc and optical disk technology as publishing media. Firms
      involved in the design, development, and delivery of information products and
      services are looking at these technologies as new business opportunities and
      distribution channels. The areas in which information providers are using
      videodisc and optical disk technology are covered briefly.

PMID- 10264365
TI  - Employee assistance programs in Australia and the United States: comparisons of
      origin, structure, and the role of behavioral science research.

PMID- 10264366
TI  - Developing an ethylene oxide quality assurance program.
AB  - Regulations concerning the acceptable levels of Ethylene Oxide (EtO) in the
      hospital work environment have been tightened. The need has increased for both
      monitoring equipment and for programs to evaluate the results obtained.
      Development of a program at a community hospital is discussed, with a
      consideration of equipment cost-effectiveness, availability, and ease of use. The
      program developed includes both installation of equipment to reduce the levels of
      EtO in the work area, and purchase of equipment to monitor the EtO levels in the
      air, and to monitor EtO levels in the "breathing zone" for individual employees.
      This program also includes the establishment and review of policies concerning
      the purposes and procedures for EtO use in the hospital. An inservice education
      program is described, which includes documentation of employee attendance and
      comprehension, with follow-up to assure compliance with procedures. Monitoring
      the personnel for exposure to EtO can support the value of instituting such
      policies.

PMID- 10264367
TI  - Computer applications for patient care--an overview.
AB  - The importance of the computer in areas of patient care is widely recognized
      today. This review outlines the information processing tasks which involve the
      interaction between the patient and the provider of health care services. These
      areas include the clinical laboratory, automated multiphasic health testing,
      medical records, patient monitoring, diagnostic support systems, and medical
      imaging. Health care professionals, including clinical engineers, must recognize
      the potential, understand basic principles, and utilize computers effectively
      during the next decade's rapid advances.

PMID- 10264368
TI  - The pocket medical record--do we need a centralized medical data base?
AB  - A microprocessor-generated portable medical record has been developed as an
      alternative to a centralized digital medical data base. The medical information
      in this data base is processed and selected by physicians or nurses, with direct
      entry to the computer. Speed and accuracy of input are aided by this software
      program. Implementation of the program in several medical institutions has shown
      that the portable medical data base is useful in transfer of medical information
      among such institutions, and that the data base is adaptable to a variety of
      practice settings.

PMID- 10264369
TI  - Instrument for measuring the temporal characteristics of therapeutic ultrasound
      fields.
AB  - An instrument is described that measures the ultrasonic frequency; pulse
      repetition rate; pulse duration; timer accuracy; peak-to-rms pressure amplitude
      ratio; and, peak-to-average intensity ratio for ultrasonic therapy devices
      designed for use in physical medicine. These temporal beam characteristics are
      included in a Food and Drug Administration performance standard for ultrasonic
      therapy products. They can be measured conveniently and efficiently when the
      instrument is used with an ultrasound transducer (hydrophone) to detect the
      radiated ultrasound beam. Instrument design is straightforward, employing
      standard analog and digital circuit components and modules. Frequency and time
      measurement errors are typically 1% or better. Pressure and intensity ratio
      errors are less than 2% and 4%, respectively.

PMID- 10264370
TI  - Information management in the insurance industry.

PMID- 10264371
TI  - A decade of service. MAST--Military Assistance to Safety and Traffic.

PMID- 10264372
TI  - FLATIRON. A MAST service for rural Alabama.

PMID- 10264373
TI  - CAR speeds Medicare forms processing at Nationwide Mutual Insurance.

PMID- 10264374
TI  - Planning for telecommunications service.

PMID- 10264375
TI  - Character printers for library systems.

PMID- 10264376
TI  - NJ hospital to market laundry services to local hospitals in move to cut costs.

PMID- 10264377
TI  - Reusable vs. disposable OR pack wrappers now under study at major Memphis
      hospital.

PMID- 10264378
TI  - New laundry at Baptist Hospital projected to reduce labor costs.

PMID- 10264380
TI  - Hospital officials seek state approval for nation's first LM training program.

PMID- 10264379
TI  - County awards incentives to laundry staff at hospital for contributing to cost
      saving.

PMID- 10264381
TI  - The service sector revolution: the automation of services.
AB  - This paper describes the service sector revolution in the United States and
      covers the automation of 10 U.S. service industries. It discusses the
      implications of the simultaneous automation of goods and services and suggests
      action required to smooth the transition for the worker as the United States
      becomes an automated society.

PMID- 10264382
TI  - We opened a walk-in clinic--and nobody walked in.

PMID- 10264383
TI  - How to get your staff and patients on the same team.

PMID- 10264384
TI  - Hospital politics won't let me stop a dangerous doctor.

PMID- 10264385
TI  - Showcasing your statistics. Report the essentials, not the excess.

PMID- 10264386
TI  - Capital caps a return to basics.

PMID- 10264387
TI  - MDPH reforms: is 'appropriate' care lost in the cracks?

PMID- 10264388
TI  - Seniors call for needed reform.

PMID- 10264389
TI  - Credit ratings a cap casualty.

PMID- 10264390
TI  - Capital reform.

PMID- 10264391
TI  - Capital cap proposal: why hospitals are against it.

PMID- 10264392
TI  - Suppliers retool their sales pitches to show how products can cut costs.

PMID- 10264394
TI  - Business outlook. 21% call marketing top priority.

PMID- 10264393
TI  - Business outlook. M.D.s deny, finally accept change.

PMID- 10264395
TI  - Business outlook. Where will interest rates, stock prices go? Crystal ball is
      murky.

PMID- 10264396
TI  - Equipment planning. Imaging technology puts focus on cost savings, not new tech.

PMID- 10264397
TI  - Equipment planning. Faster scanner lets hospitals boost volume of heart studies.

PMID- 10264398
TI  - Equipment planning. Community hospitals cautioned to put off buying 'Model-T'
      NMR.

PMID- 10264399
TI  - Equipment planning. 2 technologies wed to produce non-invasive option to cath
      lab.

PMID- 10264400
TI  - Equipment planning. Hospital preps for outpatient laser.

PMID- 10264401
TI  - Stock proceeds will spur expansion of surgicenter, emergicenter chains.

PMID- 10264402
TI  - Profit: whether it's desirable or dirty word depends on corporate roots.

PMID- 10264403
TI  - Chiropractors' antitrust lawsuit hangs on whether competition was quashed.

PMID- 10264404
TI  - Chain's parent company fights competitor's stock tender offer.

PMID- 10264405
TI  - AMI sees 1,100 potential buyouts; sellers seeking out hospital chain.

PMID- 10264406
TI  - Emergicenter contract managers adopt low profiles to calm hospitals.

PMID- 10264407
TI  - HMOs predict rapid enrollee growth as consumers' cost concerns mount.

PMID- 10264409
TI  - HMO will engineer enrollment gains with clinic in renovated train building.

PMID- 10264408
TI  - Hospitals experiment with discounts, capitation rates under HMO contracts.

PMID- 10264410
TI  - Be prepared--legally and medically--for AIDS.

PMID- 10264411
TI  - Healthcare community recoils from 'free market' for transplant organs.

PMID- 10264412
TI  - M.D. vacancies set record in 1983; continued strong demand expected.

PMID- 10264413
TI  - Implications of corporate culture: a manager's guide to action.
AB  - Drawing on cultural anthropology, Sathe develops a way of thinking about
      corporate culture that makes the concept analytically useful for dealing with
      managerial problems. He shows that by distinguishing between culture and
      behavior, and examining both simultaneously, it is possible to see more clearly
      why culture can be both an asset and a liability, and why it has such a subtle
      but powerful influence on organizational life. Not all cultures are equally
      powerful, however; Sathe presents some approaches for diagnosing a culture and
      understanding its strengths along with some implications for managerial action.
      Noting that a "perfect" culture-person fit is difficult to engineer, he makes
      suggestions for avoiding such mismatches and for better managing the culture
      shocks that inevitably hit the newcomer to an organization. He then turns to the
      question of how culture/person misfits may be understood and managed and what it
      takes to successfully deviate from the organization's culture when one is
      required to do so.

PMID- 10264414
TI  - Health incentive plan. Employees share cost.

PMID- 10264415
TI  - Fitness program benefits both company and employee.

PMID- 10264416
TI  - Health cover tax cap said unproductive, ill-advised.

PMID- 10264418
TI  - Designing reduced hospital costs.

PMID- 10264417
TI  - Blues plans leaning toward prior approval.

PMID- 10264419
TI  - Federal antitrust laws and hospital concerns.

PMID- 10264420
TI  - Joint ventures--shared successes.

PMID- 10264421
TI  - Strong osteopathic identity yields some legal clout.

PMID- 10264422
TI  - Health technology assessment in Belgium, France, Germany and Japan.

PMID- 10264423
TI  - Policy implications of the cost of iatrogenic diseases.

PMID- 10264424
TI  - Too many doctors.

PMID- 10264425
TI  - Advising Congress mixes politics and health. Interview by Valerie Stone.

PMID- 10264426
TI  - Decisions to prolong life.

PMID- 10264427
TI  - Academia enrolls computers.

PMID- 10264428
TI  - Microcomputer basics. Hardware. Part I.
AB  - Microcomputers are invading every aspect of life including the practice of
      pathology. This first in a series of articles is designed to help neophytes make
      effective use of these new tools. A list of references, intended to provide
      readers with more information on the subject of microcomputers and their
      applications to pathology, will be furnished at the conclusion of the series.

PMID- 10264429
TI  - Considering a microcomputer? Beware the problems and risks.
AB  - The use of microcomputers, although increasingly common in the clinical
      laboratory, is not problem- or risk-free. Some of these problems and risks are
      discussed in this article and suggestions for minimizing them are offered.
      Forewarned is forearmed. The author hopes that pointing out the risks and
      deficiencies of microcomputers will promote their intelligent application in the
      clinical laboratory.

PMID- 10264430
TI  - Plug into the world with telecommunications.

PMID- 10264431
TI  - Grace Commission issues first reports.

PMID- 10264432
TI  - Helping the elderly live with cancer.

PMID- 10264433
TI  - Making sure you don't miss AIDS.

PMID- 10264434
TI  - Handling health costs by reducing health risks.

PMID- 10264435
TI  - Computing the advantages of detailed datasystems.

PMID- 10264436
TI  - Finding the "right person.".

PMID- 10264437
TI  - Effective delegation.

PMID- 10264438
TI  - Diagnose your health benefit program.

PMID- 10264439
TI  - Is education the key to lower health care costs?

PMID- 10264440
TI  - The statistical procedures for calculating adverse impact. A guide for equal
      opportunity specialists.

PMID- 10264441
TI  - How many Rxs do physicians write per office visit?

PMID- 10264443
TI  - Here's a quick review of the hospice concept.

PMID- 10264442
TI  - How we operate pharmacokinetic dosing in our hospital.

PMID- 10264444
TI  - Coping with stress in cancer patients.

PMID- 10264445
TI  - Patient education in general practice: opinions of general practitioners.
AB  - Fifty-two general practitioners were interviewed regarding their task in patient
      education and various aspects of it. The view general practitioners have on
      patient education is complex. Although they consider it a central task, the range
      of methods they are willing to use is limited. Many general practitioners tend to
      overlook the fact that they are not the only source of information and
      explanation for patients. They would prefer to keep control over information
      given patients, fearing that patients might be confused. It is notable that many
      general practitioners have no clear standards of what patients need to know. Much
      depends on the questions the individual patient asks. There are several kinds of
      information that general practitioners are disinclined to give, particularly
      relating to uncertainties or information that might alarm the patient. The
      outlook for improvement must not be overestimated. Some directions are given for
      supporting the development of patient education.

PMID- 10264446
TI  - Factors affecting criteria met by hospital-based patient-education programs: a
      Michigan experience.
AB  - A patient-education program model with 18 criteria was refined into a survey
      instrument and sent to 217 Michigan hospitals. Of these, 181 hospitals and one
      free-standing clinic responded, with 47 indicating they had no applicable
      programs and 135 providing data on 281 existing patient-education programs. A
      mean (+/- SD) of 12.1 +/- 3.9 criteria were met. The range included two programs
      that met only one criterion and 15 that met all 18. After it was established that
      the criteria operated independently of each other, six factors were analyzed to
      observe their impact on the number of criteria met by the 281 programs. Analysis
      of variation (ANOVA) showed that presence and type of program coordinator
      accounted for 17% of explained variance, subject for 8%, hospital size for 4.4%,
      existence of a defined budget for 4%, and geographic location for 3%. Because of
      unequal numbers, the full-time/part-time coordinator factor was not included in
      the ANOVA. More than one third of the variance affecting numbers of criteria met
      by patient-education programs was explained by these factors.

PMID- 10264447
TI  - A model for assessing patient education.
AB  - Patient education is becoming a more visible activity. The Michigan Hospital
      Association and the Michigan state health planning and resource development
      agency (Office of Health and Medical Affairs) agreed to jointly pursue a patient
      education project to determine its effectiveness. The overall goal of the project
      is to determine generically what constitutes a quality hospital-based patient
      education program. This paper focuses on the development of a model for assessing
      patient-education programs. Through a multistep process 18 criteria were
      ultimately selected to serve for patient-education assessment. An analysis and
      description of the utility of the criteria is presented. The need for
      establishing and maintaining quality in patient-education programs has been
      established. The criteria developed for the project offer the potential of
      meeting this need.

PMID- 10264448
TI  - Occupational health center.

PMID- 10264449
TI  - Health care advertising.

PMID- 10264451
TI  - Special event with heart.

PMID- 10264450
TI  - Testimonial ads.

PMID- 10264452
TI  - Commercials for caring.

PMID- 10264454
TI  - Annual report communicating specialties.

PMID- 10264453
TI  - Signs for an effective and inexpensive face lift.

PMID- 10264455
TI  - More annual reports.

PMID- 10264456
TI  - "Thank-you" can be golden.

PMID- 10264457
TI  - A painless process for developing corporate identity.

PMID- 10264458
TI  - Chicken wings for cowards en'COURAG'ing blood donors.

PMID- 10264459
TI  - Community wellness over-well-ming.

PMID- 10264460
TI  - Birthday calendar remembering and recognizing employees.

PMID- 10264461
TI  - Community access TV. A new tool for hospital PR.

PMID- 10264462
TI  - Across the board. Keeping them informed in trends and issues.

PMID- 10264463
TI  - Personnel publications coordinating communications.

PMID- 10264464
TI  - I know doctors are critical to the success of our hospital, but I have trouble
      getting them to participate in our marketing activities, let alone listen to our
      presentations. Help!

PMID- 10264465
TI  - Community education.

PMID- 10264466
TI  - Gallery accomplishment in black and white.

PMID- 10264467
TI  - The housekeeping department. A partner in health care delivery.

PMID- 10264468
TI  - Management rapport.

PMID- 10264469
TI  - Nursing and ancillary orientation to the environmental service department.

PMID- 10264470
TI  - Ebenezer Society: an interdependent caring community.

PMID- 10264471
TI  - What are the criteria used to evaluate a person's competency to manage his or her
      own affairs?

PMID- 10264472
TI  - Professional licensure--one diagnosis, two cures.

PMID- 10264473
TI  - Managing the violent patient in the ER.

PMID- 10264474
TI  - Psychosis in the intensive care unit.

PMID- 10264475
TI  - Natof, Northwest Surgicare join national chain; trend continues.

PMID- 10264476
TI  - Orbiting emergency room.

PMID- 10264477
TI  - SMR forum: Too many hands in the corporate cookie jar.
AB  - Theft by employees costs American businesses and their customers many billions of
      dollars each year. Despite concerted efforts to reduce the problem, it appears to
      continue to grow. Most of these efforts concentrate on limiting the opportunity
      to steal. However, because the motivations for theft are varied, preventing it
      often requires more than tighter security. In this paper, the authors explore the
      extent of the problem, its causes, motivations behind employee theft, and some
      cost-effective ways of reducing the incidence of theft.

PMID- 10264478
TI  - Team service to the elderly.

PMID- 10264479
TI  - Deterrence in the workplace: perceived certainty, perceived severity, and
      employee theft.
AB  - The phenomenon of employee theft is examined empirically, utilizing a deterrence
      paradigm. Employees selected randomly from three different industry sectors and
      metropolitan areas were asked to self-report their involvement in a number of
      property theft activities within the employment setting. Using a weighted least
      squares logit regression analysis, the study found that the perception of both
      the certainty and severity of organizational sanctions were related to employee
      theft. Males reported more theft than did females, but contrary to previous
      research, no gender/certainty or gender/severity interactions were observed. The
      best-fit model did, however, contain two significant first-order interactions:
      age/certainty and age/severity. These interactions strongly suggest that younger
      employees are not as deterrable as their older peers, especially under conditions
      of both high certainty and high severity of punishment. While a number of
      possible explanations might account for differential deterrability according to
      age, a commitment to or stakes in conformity explanation is proposed.

PMID- 10264480
TI  - Everyone is on welfare: 'The Role of Redistribution in Social Policy' revisited.

PMID- 10264481
TI  - The social work practitioner and antipsychotic medications.

PMID- 10264482
TI  - Coping and complying: a challenge in health care.

PMID- 10264483
TI  - Issues in overturning a medical model of social work practice.

PMID- 10264484
TI  - Pay equity and American nurses: a legal analysis.

PMID- 10264485
TI  - Overcharges or undercharges.

PMID- 10264486
TI  - Self-funded health insurance.

PMID- 10264487
TI  - Science aids pest control.

PMID- 10264488
TI  - Improvement of the emergency department through teamwork.

PMID- 10264489
TI  - Managing the multidisciplinary program.

PMID- 10264490
TI  - Computers in health care. Part II.

PMID- 10264492
TI  - Medical monopoly vs. alternative health care.

PMID- 10264491
TI  - Self-care and empowerment: a case study.

PMID- 10264493
TI  - Women and medicalization: a new perspective.

PMID- 10264494
TI  - Plugging into Washington: how to communicate with Congress.

PMID- 10264495
TI  - Aortic valve replacement.

PMID- 10264496
TI  - A strategic analysis of the textile rental industry. 1984 update. Health care.

PMID- 10264497
TI  - "I came here to die:" a look at the function of therapeutic recreation in nursing
      homes.
AB  - Generally the elderly are identified as a stigmatized subculture victimized by
      society's denial or avoidance of their physical problems, social needs and
      psychological issues. So much more the case for the nursing home resident, who is
      characterized as helpless, passive and socially insensible. The article questions
      the efficacy of recreational activities as they exist in the nursing home milieu
      today. Does therapeutic recreation take into account the physical, social and
      emotional needs of the nursing home resident? What is the basis for rationale in
      building therapeutic recreation programs? Where is the didactic emphasis in
      university programs designed to educate the recreational therapist? It is
      concluded that recreational activities become therapeutic only when they have
      evolved from a detailed knowledge of the problems germane to a given population.

PMID- 10264498
TI  - Exploring quality circles in the provision of therapeutic recreation services.
AB  - This article provides a discussion of the advantages of implementing a Quality
      Circles program into a therapeutic recreation setting. Quality Circles, a
      Japanese management concept, has received increased support in American industry
      and human service organizations. It is founded on the principle of employee
      involvement and concern for the improvement of the organization. Disadvantages of
      Quality Circles include: (1) lack of management support; (2) time required to
      implement; (3) failure to hire consultants; and (4) improper composition of
      Circles. Advantages of Quality Circles are (1) improved communication; (2)
      management awareness of employee job-related concerns; (3) personal growth and
      development; (4) enhanced decision making skills; (5) increased individual power;
      (5) improved motivation; and (6) opportunities for recognition of individual
      improvement.

PMID- 10264499
TI  - Planning: administrators name top three concerns of 1984.

PMID- 10264500
TI  - Can today's equity take care of tomorrow's capital needs?

PMID- 10264501
TI  - More hospitals compensate physicians for administrative role: survey. Part 2.
AB  - This is the second part of a two-part article reporting the results of the 1982
      Medical Staff Organization Survey conducted by the American Hospital Association.
      Part 1, which appeared in the December 1983 issue of Trustee, discussed the size
      and specialty composition of the medical staff, its role in hospital governance
      and administration, and the nature of medical staff committees. This part
      addresses staff credentialing, compensation arrangements, physician multiple
      hospital appointments, and the dependence of hospitals on the top five admitting
      physicians.

PMID- 10264502
TI  - As I see it: Baby Doe.

PMID- 10264503
TI  - Why nonprofit businesses are booming.

PMID- 10264505
TI  - Physicians advised to give peer review 'another try'.

PMID- 10264504
TI  - Legionnaires disease seen nosocomial infection culprit.

PMID- 10264506
TI  - OSHA staff disagrees. Ethylene oxide 'rift'.

PMID- 10264507
TI  - The non-profit multi-hospital computer utility model.

PMID- 10264508
TI  - A computerised information system at a regional teaching hospital.

PMID- 10264509
TI  - A data base approach to a common utilisation system of hospital information in
      Osaka.

PMID- 10264510
TI  - Integration of clinical and financial data in hospital decision-making.

PMID- 10264512
TI  - Computer applications in education and training in the health professions.

PMID- 10264511
TI  - Use of automation in improving nursing efficiency and operations.

PMID- 10264513
TI  - Data processing as a tool in human resource management.

PMID- 10264514
TI  - Summary of Group 3: The role of computers and data-processing in improving
      hospital efficiency.

PMID- 10264515
TI  - Hospitals, their communities and the aged: South Australian experiences.

PMID- 10264516
TI  - Where should old people be cared for?

PMID- 10264517
TI  - Social and medical care of the elderly in the German Democratic Republic.

PMID- 10264518
TI  - Summary of Group 1: Care of the elderly in hospital and community--achieving the
      most effective balance.

PMID- 10264519
TI  - The integrated real-time hospital information system: DIOGENE.

PMID- 10264520
TI  - John Hancock officials give insights into rise of prepaid health plans:
      illustrate 'directions for future'.
AB  - Looking back on a year that has seen Atlanta's HMO enrollment increase 137
      percent and their own AmeriPlan up by 300 percent, and with the financial break
      even point reached a year ahead of schedule, officials of John Hancock's
      AmeriPlan Health Services spoke in glowing terms of the role and future of IPA
      HMOs in a recent Atlanta press conference. By year's end, they predict,
      "membership will easily exceed 100,000," about eight percent of the metro Atlanta
      population. These excerpts from speakers at a press conference for corporate
      employee benefits executives provide an insight into the insurance company's
      rationale for HMO development and point out how one major company is marketing
      its services to physicians, industry and consumers.

PMID- 10264521
TI  - Social support networks of the elderly: racial differences and health care
      implications.
AB  - Interest in social support networks has increased in recent years. A
      configuration of family, friendships, neighbors, neighborhood groups, comprise
      the social support network of individuals and families. Other entities referred
      to in social network of individuals and families. Other entities referred to in
      social support literature include self-help and mutual help organizations.
      Interest in descriptive studies of social support networks includes both
      structural and interactional factors. In analyses of structural factors in social
      support networks, the focus is most frequently on size (number of persons),
      density (proportion of linkages) and centrality (extent of accessibility).

PMID- 10264522
TI  - Slaying the VDT dragons.

PMID- 10264523
TI  - Relating to robots.

PMID- 10264525
TI  - A support group for the sandwich generation.

PMID- 10264524
TI  - A primer on hiring a home companion.

PMID- 10264526
TI  - Making a nursing home more like home.

PMID- 10264527
TI  - Art therapy in an interdisciplinary program for long-term institutionalized
      mental patients.

PMID- 10264528
TI  - Group art therapy in short-term hospital settings.

PMID- 10264529
TI  - AIDS: hospital guidelines, clinical clues. AHA panel hits exaggerated
      precautions.

PMID- 10264531
TI  - Better cubicle curtains.

PMID- 10264530
TI  - Will state hospital rules hurt care?

PMID- 10264532
TI  - Older plant keeps pace with changes at hospital.

PMID- 10264533
TI  - ACP: Baby Doe rule should be revised.

PMID- 10264534
TI  - Project Health Care: finding low-cost services for Detroit's unemployed and
      uninsured.

PMID- 10264535
TI  - The impact of doctor-owned insurance firms.

PMID- 10264536
TI  - Professional liability. A positive approach to the crisis.

PMID- 10264537
TI  - Professional liability. Searching for solutions to the crisis of the 80s.

PMID- 10264538
TI  - Professional liability. The crisis of affordability.

PMID- 10264539
TI  - The challenge of health promotion for the elderly.

PMID- 10264540
TI  - On the job: a program for senior workers.

PMID- 10264541
TI  - Redesigning benefits stimulates cost consciousness.

PMID- 10264543
TI  - An apple a day ...

PMID- 10264542
TI  - Money in the bank: how a medical expense account works.

PMID- 10264544
TI  - Options for cost control: a doctor's view. Interview by Jane Stein.

PMID- 10264545
TI  - Coalition activities raise antitrust issues, but they are usually manageable
      ones.

PMID- 10264546
TI  - It sounds trendy--but "culture" can determine a company's health policy.

PMID- 10264547
TI  - Aging Americans seek a new niche.

PMID- 10264549
TI  - The ethical dimensions of aging.

PMID- 10264548
TI  - Providing health coverage is a growing problem for small business.

PMID- 10264550
TI  - New theories about AIDS.

PMID- 10264551
TI  - Pushing the law to new limits.

PMID- 10264552
TI  - David's second birth.

PMID- 10264553
TI  - Privacy Act of 1974; systems of records--PHS.
AB  - In accordance with the requirements of the Privacy Act and the Debt Collection
      Act of 1932 (Pub. L. 97-365), the Public Health Service (PHS) is publishing a
      notice of a proposal to add three routine uses and a "special disclosure"
      statement to four systems of records in the Alcohol, Drug Abuse, and Mental
      Health Administration (ADAMHA). PHS invites interested persons to submit comments
      on the proposed routine uses on or before February 27, 1984.

PMID- 10264554
TI  - Privacy Act of 1974: amendment of existing system of records--HHS. Notice of
      intent to amend a Privacy Act system of record for purposes of the Debt
      Collection Act of 1982.
AB  - The Department of Health and Human Services is amending system of records 09-90
      0024 to add new routine uses for the purpose of collecting debts owed the Federal
      Government, and to add a disclosure to consumer reporting agencies as authorized
      by 5 U.S.C. 552a(b) (12) as added by the Debt Collection Act of 1982 (Pub. L. 97
      365). A number of other amendments have been made to reflect changes of
      organization and titles. We invite public comment on these routine uses.

PMID- 10264555
TI  - Privacy Act of 1974; exempt record system--DHHS. Notice of proposed rulemaking.
AB  - The Assistant Secretary for Personnel Administration, through the Office of
      Personnel systems Integrity of the Department of Health and Human Services, by
      separate Federal Register notice is proposing alteration in the system of records
      entitled. "Management Information System Efficiency Report (MISER),
      HHS/OS/ASPER/OPSI", 09-90-0095. The Department intends to exempt portions of this
      system from certain provisions of the Privacy Act, 5 U.S.C. 552a. The proposed
      exemption is authorized by subsection (k)(2) of the Privacy ect, which applies to
      investigative materials compiled for law enforcement purposes. The Offices of
      Personnel Systems Integrity (OPSI) is authorised to gather information for
      personnel, legal and regulatory enforcement purposes under Title 5 U.S.C.,
      Chapter 12. In order to maintain the integrity of the OPSI process of merit
      system and prohibited personnel practice complaints investigations, and to ensure
      that the Office of Personnel Systems Integrity will be able to obtain access to
      complete and accurate information, the Department proposes to exempt from the
      notification, access, correction, and amendment provisions of the Privacy Act
      those portions of Management Information System Efficiency Report (MISER) which
      contain personal information that would identify either a confidential source or
      an individual other than the complainant or subject of an investigation.

PMID- 10264556
TI  - Medicare program; list of covered surgical procedures for ambulatory surgical
      centers--HCFA. Proposed notice and request for comment.
AB  - HCFA is seeking suggestions for possible additions or revisions to the current
      list of ambulatory surgical center (ASC) procedures covered under Medicare. Our
      current list of covered ASC procedures was published in the Federal Register on
      August 5, 1982 (47 FR 34099). In this notice we are also soliciting comments on
      additional ASC procedures that have been suggested by the public since
      publication of our current list.

PMID- 10264557
TI  - Privacy Act of 1974; system of records--PHS. Notification of a new system of
      records: 09-30-0046, "Survey of alcohol use among youth and young adults".
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new system of records
      entitled, "Survey of Alcohol Use Among Youth and Young Adults, HHS/ADAMHA/NIAAA,"
      to create a single comprehensive research data base so that critical issues
      associated with alcohol use among 16- to 27-year-olds can be analyzed. PHS
      invites interested persons to submit comments on the proposed routine uses on or
      before March 19, 1984. DATES: PHS has sent a Report of a New System to the
      Congress and to the Office of Management and Budget (OMB) on Februrary 8, 1984
      PHS has requested that OMB grant a waiver of the usual requirement that a system
      of records not be put into effect until 60 days after the report is sent to OMB
      and Congress (If this waver is granted, PHS will publish a notice to that effect
      in the Federal Register.)

PMID- 10264558
TI  - IRAs for health expenses proposed.

PMID- 10264559
TI  - Professional certification procedures: a developmental forecast for the year
      2000.
AB  - This paper presents the technique of future forecasting through the development
      of a scenario based on the process of certification. The paper focuses on the
      demands of consumer groups. influence of world events, actions taken by
      Government, and developments within medicine, nursing and occupational therapy
      through the presentation of a scenario which spans the years 1983-2000. No claim
      is made that the contents of the scenario will become reality. Rather, the
      technique is presented as another tool that could be used by the profession in
      the development of future plans and policies.

PMID- 10264560
TI  - DSM III diagnosis in the geropsychiatric patient.

PMID- 10264561
TI  - Problems facing multidisciplinary teams in a large psychiatric facility.

PMID- 10264562
TI  - Problems of an interdisciplinary training team.

PMID- 10264563
TI  - Interdisciplinary care plans: looking for the mark.

PMID- 10264565
TI  - Using visible recording to facilitate teamwork.

PMID- 10264564
TI  - Multidisciplinary teams: the positive aspects.

PMID- 10264566
TI  - Multi-disciplinary team success: the role of mutual respect.

PMID- 10264567
TI  - Drugs and the elderly: breaking through health-care hazards.

PMID- 10264568
TI  - Ethical reflections on respect for life.

PMID- 10264569
TI  - The apostolate of Catholic health care facilities.

PMID- 10264570
TI  - The Gospel and our commitment to health care.

PMID- 10264571
TI  - Church presence in the health system--a future imperative. Antigonish Diocesan
      Health Care Council.

PMID- 10264572
TI  - New hope in Christ. A pastoral message on sickness and healing.

PMID- 10264574
TI  - Dialogues with hospital pharmacists: John W. Webb.

PMID- 10264573
TI  - What should you know about computers now that everyone has one?

PMID- 10264575
TI  - Is administrative immunity a destructive shield in your department?

PMID- 10264576
TI  - Developing a group for friends and families of schizophrenics: a hospital model.
AB  - The article describes the experience of one psychiatric team in considering and
      then organizing a group for friends and families of schizophrenics for their
      psychiatric ward in a general hospital. Included in the article are suggested
      procedures, program areas to develop, and estimated costs. The benefits to
      patients, families and friends as well as staff are highlighted.

PMID- 10264577
TI  - Maintenance as treatment: the Fennell Program Day Centre.
AB  - After discussing maintenance as an appropriate treatment philosophy for treating
      the long-term chronically mentally disabled, the authors describe a day centre
      based on this approach. Resources and costs, the target population, clients and
      their needs, activities, and referral and back-up procedures are reviewed. The
      article concludes with a look at some of the problem areas and benefits involved
      in a program using a maintenance approach.

PMID- 10264578
TI  - Searching for new directions in mental health services...for new times.
AB  - The mental health system as we know it today is essentially a linear extension of
      the system in place thirty years ago. "System lethargy" results from planning
      which has relied excessively on past models and has emphasized "facts" over
      principles rather than taking advantage of changing values and societal trends.
      This paper identifies major environmental changes likely to influence the health
      field, including changes in technology, scale of organization, and leadership
      style. Vibrant mental health services of the future are likely to be less
      exclusively based in the health care system, with greater emphasis on initiatives
      in the workplace, more use of electronic media, development of new professional
      roles and more intensive client-focused programming.

PMID- 10264580
TI  - The breakup of a giant. How will the divestiture of AT&T affect hospital phone
      service and costs?

PMID- 10264579
TI  - Semi-independent living for the long-term mentally ill.
AB  - This article describes a program developed in Burnaby, British Columbia in early
      1981 to provide former boarding home clients with placements in unsupervised
      group home settings. The article also demonstrates how the mentally ill can
      foster solutions to their housing problems by means of participation in a special
      needs housing society.

PMID- 10264581
TI  - Corporate reorganization. Promise and problems of hospital 'businessification'.

PMID- 10264582
TI  - IPM, the Methodist Hospital, Houston.
AB  - The cardiac rehabilitation department at this institute combines three separate
      programs into a complete rehabilitation facility. The sequence of programs is
      designed to provide optimum conditions for maximum physiologic as well as
      psychologic improvement.

PMID- 10264583
TI  - Management's perspective on medical office computerization. Part I.

PMID- 10264584
TI  - Hospital information systems: a marketing resource.

PMID- 10264585
TI  - Employee accountability--are you getting what you pay for?

PMID- 10264587
TI  - A new approach to medical practice computers and the conversion process.

PMID- 10264586
TI  - The elusive hospital information system.

PMID- 10264588
TI  - Discharge planning in a primary nursing system.

PMID- 10264589
TI  - Head nurses become effective managers in the discharge planning process.

PMID- 10264590
TI  - Discharge planning models. Models revisited.

PMID- 10264591
TI  - Hospice care: a challenge and an opportunity for discharge planners.

PMID- 10264592
TI  - 'Networking' offers advantages when EDs and FECs cooperate.

PMID- 10264593
TI  - Hospitals report maintenance savings with flame-resistant glass fiber draperies.

PMID- 10264594
TI  - Work controls for housekeeping.

PMID- 10264595
TI  - An equation that works. Education and in-service + frequent reinforcement =
      pride, confidence, positive attitude, teamwork and professionalism.

PMID- 10264596
TI  - Conference with audio, but send video ahead.

PMID- 10264597
TI  - The need for an operational definition of burnout.

PMID- 10264598
TI  - Professional roles at risk for burnout.

PMID- 10264599
TI  - Assessing burnout: the organizational and individual perspective.

PMID- 10264600
TI  - Prevention and self-care for professional burnout.

PMID- 10264601
TI  - Organizational strategies: promoting retention and job satisfaction.

PMID- 10264602
TI  - Viewpoint: the role of the educational setting in preventing burnout.

PMID- 10264603
TI  - Preventing burnout: coordinating the employee health function.

PMID- 10264604
TI  - Applying quality circles in healthcare.

PMID- 10264605
TI  - Expectations in relation to disciplinary functions of state medical boards. The
      perspective of a medical administrator.

PMID- 10264606
TI  - Consultants.

PMID- 10264607
TI  - Communications: How ECFMG was formed.

PMID- 10264608
TI  - Involving employees in change, productivity and the future.

PMID- 10264609
TI  - Principles of accounting and finance for the nonaccountant.

PMID- 10264610
TI  - Needed now: a hospital partnership for patient care.

PMID- 10264611
TI  - Should your hospital have a department of education?

PMID- 10264612
TI  - Controlling overtime.

PMID- 10264613
TI  - Performance auditing for health care supervisors.

PMID- 10264614
TI  - From idea to print: writing and publishing a journal article.

PMID- 10264615
TI  - Market-based planning for a successful PPO.
AB  - The preferred provider organization (PPO) is rapidly evolving as an innovative,
      cost-reducing alternative to traditional provider modalities. Literature to date,
      however, has devoted little attention to opportunities and risks associated with
      PPO development. The authors address PPO development strategy, recommending a
      market-based planning approach which matches hospital resources with market
      demand and other environmental forces.

PMID- 10264616
TI  - Ten reasons not to reorganize (revisited)

PMID- 10264617
TI  - Case in point. Metropolitan Charity Medical Center.

PMID- 10264618
TI  - Case in point--the answer. Seever Osteopathic Hospital.

PMID- 10264619
TI  - Politics of the purse strings.

PMID- 10264620
TI  - College of Health. Consumers unite.

PMID- 10264621
TI  - Alberta's brave, new glass-domed world.

PMID- 10264622
TI  - Friends of the NHS fight it out.

PMID- 10264623
TI  - Blood money problems.

PMID- 10264624
TI  - Clean bill of health for module.

PMID- 10264625
TI  - Consultants face the figures.

PMID- 10264626
TI  - Health equality. Raising the race issue.

PMID- 10264627
TI  - A year in the life of a budget.

PMID- 10264628
TI  - Roll call for transport.

PMID- 10264629
TI  - Management.

PMID- 10264630
TI  - Resource allocation. The Oxford experiment.

PMID- 10264631
TI  - Are efficiency measures effective?

PMID- 10264633
TI  - Nucleus extension.

PMID- 10264632
TI  - Warning lights?

PMID- 10264634
TI  - Staff development. Tough in the middle.

PMID- 10264635
TI  - Vaccination. When the damage done is doubled.

PMID- 10264636
TI  - Effective reporting from materials management.

PMID- 10264637
TI  - When and how to use consultants.

PMID- 10264638
TI  - What top administration expects from materials management.

PMID- 10264639
TI  - Reporting materials management results.

PMID- 10264640
TI  - Dissatisfaction with health-care costs is centered on hospitalization.

PMID- 10264641
TI  - Managing the hospital's political environment.

PMID- 10264642
TI  - Dealing with the impaired physician.

PMID- 10264643
TI  - An interview with James G. Fasone.

PMID- 10264644
TI  - Coping with arson: an update.

PMID- 10264645
TI  - Private and public responsibility for health and health care.

PMID- 10264646
TI  - Financial planning and computer modelling in a Middle Eastern hospital.

PMID- 10264647
TI  - The role of the preceptor in the National Administrative Training Scheme.

PMID- 10264649
TI  - What's the difference? Grievance or dispute?

PMID- 10264648
TI  - Computing development and education for management in the NHS.

PMID- 10264650
TI  - Cometh the NHS chief executive?

PMID- 10264651
TI  - Planning--the Lothian approach.

PMID- 10264653
TI  - Prevention of hospital infection--the role of hospital engineering.

PMID- 10264652
TI  - Biosafety for hospital engineers.

PMID- 10264654
TI  - Natural lighting in hospital design.

PMID- 10264655
TI  - Clinic's multilingual staff helps Indo-Chinese refugees.

PMID- 10264656
TI  - BSN offered at hospital nursing school through consortium agreement.

PMID- 10264657
TI  - Emergicenters' uncertain legal status raises treatment, liability questions.

PMID- 10264658
TI  - Hospital-physician joint ventures: some crucial considerations.

PMID- 10264660
TI  - Care givers must incorporate spiritual values in daily work.

PMID- 10264659
TI  - Physician budget committee helps control capital equipment costs.

PMID- 10264661
TI  - In-house hospice design reflects providers' priorities.

PMID- 10264662
TI  - Hospital has right to set visiting rules to serve patient's best interests.

PMID- 10264663
TI  - Government-funded hospital may require physician to accept indigent patients.

PMID- 10264664
TI  - Funding pastoral care: are we committed to the Catholic care mission?

PMID- 10264665
TI  - Planning for and implementing an automated inventory control system.

PMID- 10264666
TI  - Computerization: a necessity for materiel management.

PMID- 10264667
TI  - The use of microcomputers in materiel management.

PMID- 10264669
TI  - Planning guidelines for automating a pharmacy department.

PMID- 10264668
TI  - A minicomputer system for materiel management.

PMID- 10264670
TI  - Multidisciplinary computer inventory controls.

PMID- 10264671
TI  - Development of a computerized property assets management program.

PMID- 10264672
TI  - Reimbursement of depreciation costs based on computer-assisted replacement cost
      appraisals.

PMID- 10264673
TI  - Increased revenues through improved charge recovery.

PMID- 10264674
TI  - Materiel management systems: a means toward significant hospital cost
      containment.

PMID- 10264675
TI  - Exchange cart information system: the computer connection.

PMID- 10264676
TI  - Hospital pharmacy inventory management: economic order quantity model with space
      limitation.

PMID- 10264677
TI  - Microcomputers and hospital materiel management: improving the likelihood of
      successful selection.

PMID- 10264678
TI  - Management tools for the modern day health administrator. Part 5. Setting
      standards and motivating tools.

PMID- 10264679
TI  - How hospitals can respond to changing values.
AB  - To accomplish the intended results, hospital administrators must develop a new
      perspective on problem-solving as it relates to changing individual values.
      Administrators must progress toward solutions that acknowledge the presence of
      shifting values in the hospital environment.

PMID- 10264680
TI  - A medical staff credentialing information system.

PMID- 10264681
TI  - How to train unit managers.
AB  - Unit managers do need formal supervisory training. Training should focus on their
      approach to the decision making process as well as their performance within it.
      Quality circle training was deemed most appropriate, because it focuses on team
      management and the development of skills needed to handle interactions in team
      settings.

PMID- 10264682
TI  - Hospitals and communities: bridging the gap.

PMID- 10264683
TI  - Job stress on an oncology nursing unit: an attitudinal survey.

PMID- 10264684
TI  - How to deliver comprehensive rehabilitation using a matrix organizational model.

PMID- 10264685
TI  - "Green dot program".

PMID- 10264686
TI  - Private interview rooms can improve the overall quality of psychotherapy in
      inpatient hospital settings.

PMID- 10264687
TI  - Review of one year of drug prescribing for the elderly in a hospital clinic.

PMID- 10264688
TI  - A successful affiliation with an academic medical center can put your hospital in
      a better financial position and create a regional market for its medical
      services. Part I.

PMID- 10264689
TI  - On re-sterilizing disposables.

PMID- 10264690
TI  - Results of a survey of interorganizational linkages in hospital administration.

PMID- 10264691
TI  - Negotiating a successful affiliation agreement between a hospital and a
      university, Part II.
AB  - Part I in the January/February 1984 issue of HOSPITAL TOPICS discussed how such
      an affiliation can help solve the DRG problem and improve the cost benefit of
      your capital and operating programs. Part 1 also included an up-to-date list of
      references on all phases of the subject. Part II takes up the interests of the
      University, the Hospital Board, the Physician, the Patient, the Third Party Payor
      and the costs of the affiliation. It will detail entering into a memorandum of
      agreement between the Hospital and University and the text of such an agreement
      is given.

PMID- 10264692
TI  - A patient and employee advocacy program--how to get productivity and harmony.

PMID- 10264693
TI  - Feasibility of review of emergency room drug prescribing for patients 75 years or
      older.

PMID- 10264694
TI  - Central supply. A new ball game between disposables and reusables.

PMID- 10264695
TI  - CEOs looking toward health care tomorrow.

PMID- 10264696
TI  - Arkansas court halts construction, upholds state health plan in CON proceeding.

PMID- 10264697
TI  - IRS issues proposed regulations on shared service organizations.

PMID- 10264699
TI  - WV court invalidates freeze on rates for hospital services; freeze violates
      Medicare, Medicaid regulations.

PMID- 10264698
TI  - California court refuses to grant woman's request for injunction to stop hospital
      intervention in her decision to starve.

PMID- 10264700
TI  - Missouri appeals court overturns public hospital board decision on suspension of
      staff privileges to a medical staff member.

PMID- 10264701
TI  - Minnesota Supreme Court restricts disclosures of group therapy sessions as
      evidence in child abuse prosecutions.

PMID- 10264702
TI  - "Our goal is prevention". An interview with Nicaragua's Director of Health and
      Safety Programs.

PMID- 10264703
TI  - Volunteers can be problem solvers.

PMID- 10264704
TI  - Back to the patients: process vs. outcome for hospital managers.

PMID- 10264705
TI  - Financial flexibility: a measure of financial position for hospital managers.

PMID- 10264706
TI  - Hospitals and business: a viable partnership for innovation in healthcare
      delivery.

PMID- 10264707
TI  - The organizational climate audit ... or how healthy is your hospital.

PMID- 10264709
TI  - Buying: learning the ropes.

PMID- 10264708
TI  - The financial roller coaster: planning for the big dip.

PMID- 10264710
TI  - Those loveable impossible-to-do-without volunteers.

PMID- 10264711
TI  - Doing it all for them--with style.

PMID- 10264712
TI  - Buying strategies for chocolate.

PMID- 10264714
TI  - Fixturing with glass.

PMID- 10264713
TI  - It can be done!

PMID- 10264715
TI  - Planning shop layout.

PMID- 10264716
TI  - Who will your customers be?

PMID- 10264717
TI  - Ringing up holiday sales.

PMID- 10264718
TI  - Keeping a finger on inventory.

PMID- 10264719
TI  - Team work: a commitment to cooperation.

PMID- 10264720
TI  - Promotion + service = sales.

PMID- 10264721
TI  - Light fingers = heavy losses again!

PMID- 10264722
TI  - Space, fixtures and layout.

PMID- 10264723
TI  - Value analysis.

PMID- 10264724
TI  - Catering to your clientele.

PMID- 10264725
TI  - What is your uniform saying?

PMID- 10264726
TI  - Expansion and innovation equal $.

PMID- 10264727
TI  - Specialty foods ...

PMID- 10264729
TI  - Decorating the shop.

PMID- 10264728
TI  - The asset of inaccessibility.

PMID- 10264730
TI  - On the question of finances and figures ...

PMID- 10264731
TI  - Hospital administrations: how supportive are they?

PMID- 10264732
TI  - The Atrium Shoppe more than just another pretty place.

PMID- 10264733
TI  - Tax-exempt status. What does it mean?

PMID- 10264734
TI  - When and why we lose volunteers.

PMID- 10264735
TI  - Some tips on energy management.

PMID- 10264736
TI  - Employee payroll deduction programs.

PMID- 10264738
TI  - Big isn't everything, Part 2.

PMID- 10264737
TI  - Children's hospital gift shops.

PMID- 10264739
TI  - Communications between the P & T chairman and other medical staff committees.

PMID- 10264740
TI  - Drug utilization review of nifedipine.

PMID- 10264741
TI  - Consultant pharmacist impact on antihypertensive therapy in a geriatric long-term
      care facility.
AB  - Antihypertensive therapy of a group of elderly patients in a long-term care
      facility was compared before and after the addition of a consultant pharmacist to
      the health care team. Criterion variables were systolic and diastolic pressure
      and drug cost and use. Consultant pharmacist protocol included drug history and
      monthly use review and pertinent communications regarding problems. Statistical
      analysis employed a t test with two-tailed probability. Both systolic (128.5 to
      135 mm Hg) and diastolic pressure (68.9 to 72.3 mm Hg) were increased after 1
      year, the number of patients with hypotensive readings decreased, and the average
      antihypertensive drug cost was decreased. The cost of potassium supplements was
      increased, however, fewer patients had abnormal potassium levels.

PMID- 10264742
TI  - P & T Committee roundtable discussion: Great Lakes region. Part II.
AB  - A series of regional roundtable discussions regarding the successful operation of
      Pharmacy and Therapeutic (P & T) Committees has been conducted by Hospital
      Formulary. Representation from private hospitals, university and teaching
      hospitals, as well as Veterans Administration Medical Centers has been achieved
      to ensure that different aspects of P & T Committee performance are demonstrated.
      Issues such as committee profile, constituency, function, and mechanics are
      discussed, as are criteria for establishing a successful formulary within an
      institution. The sessions were taped and the edited transcription is provided in
      the following article.

PMID- 10264743
TI  - Utilizing the computer for a hospital bid program.
AB  - The goals of a computerized bid program include acquisition of pharmaceuticals at
      lowest possible cost, guaranteeing prices for a fixed period of time, having the
      ability to provide budget and patient charge information, decreased payroll hours
      and expenses vs. a manual system, and having the ability to retrieve data for
      accounting and purchasing procedures. These goals can be obtained by separating
      the bid procedure into five operations, which are identifying the pharmaceuticals
      to bid, preparing a vendor bid list, tabulating the bids received, selection of
      awarded bids, and vendor notification of awarded bids.

PMID- 10264744
TI  - Pharmacy generated on-line cancer chemotherapy information system.
AB  - Described is an on-line Cancer Chemotherapy Information System developed to
      supplement a pharmacy's dose verification capability when dealing with these
      agents. MANTIS, an interactive programming language designed by IBM, was utilized
      for the creation of this program. The two major components of the system are the
      protocol summaries and the individual drug monographs. The protocol summaries are
      accessible from the main menu through three separate indexes: (1) Investigational
      Group Index, (2) Primary Site/Lesion Index, and (3) Drug Index. The drug
      monographs are accessible either from the main menu or directly from the protocol
      summary being reviewed. The protocol summary allows for dosage and administration
      verification of the entire regimen at optimal conditions. The drug monographs
      outline necessary dose adjustments for specific organ compromise as well as side
      effect, interaction, and handling information.

PMID- 10264745
TI  - Involving your staff in committees and meetings.
AB  - Committees serve as an ideal forum for members of an organizaton to exchange
      views and information. If managed effectively, they can be utilized to generate
      ideas and to provide sound recommendations to the pharmacy manager. This article
      describes a personnel management program in which all levels of pharmacy
      personnel are provided with several opportunities to actively participate and
      contribute to the establishment and attainment of departmental objectives. The
      involvement of the staff in serving on committees and attending meetings is
      outlined. Various intradepartmental and interdepartmental committees as well as
      continuing education conferences are described. The comprehensive program permits
      each member of the pharmacist staff to spend approximately 5-10% of their time
      participating in the three above-mentioned activities. This personnel management
      approach has had a positive effect on the role of the entire staff and has
      enabled all levels of employees to get involved and contribute to departmental
      services and hospital issues. Most importantly, it has successfully provided a
      stimulus to the staff to pursue avenues of professional specialization.

PMID- 10264746
TI  - A strategy to reduce drug expenditures with a drug utilization review program.
AB  - This paper describes a potential strategy for implementing a Drug Utilization
      Review (DUR) program aimed at reducing hospital drug expenditures. The importance
      of this type of program is underscored by the spiraling rise in health care
      expenditures and the influence of a new drug technology on this rise. The program
      described here consists of a utilization review program for high cost drugs for
      which a lower cost alternative exists. An initial retrospective usage and cost
      analysis must be undertaken to identify those drugs which should be reviewed
      initially. As the DUR program progresses, additional drugs can be added to the
      review program. Once the drugs to be reviewed are identified, the first step is
      to develop usage criteria. This can be accomplished through a review of the
      literature and consultation with medical and other specialists. Appropriate
      medical administrative staff approval and endorsement of the criteria should be
      obtained utilizing various committee structures and other input. The pharmacy
      staff must also be inserviced on the approved drug usage criteria. After the
      criteria are finalized, staff pharmacists will contact a DUR pharmacist daily
      upon receipt of any physician orders for the review drugs. This pharmacist will
      then compare the prescribed drug use to the approved criteria and contact the
      prescriber when the usage appears questionable. A lower cost therapy will then be
      recommended when appropriate. In order to assess the impact of this intervention
      strategy on drug expenditures, the cost of the initially prescribed therapies
      must be compared to the recommended therapies. Data should also be obtained on
      overall drug usage and expenditures to detect shifts in therapy and drug costs.
      The success or failure of this concurrent DUR program will be highly dependent
      upon a team approach and cooperation. A program of this type could have a
      significant impact on hospital drug expenditures in those hospitals where it can
      be successfully implemented.

PMID- 10264747
TI  - Not quite traditional: obstetrics/gynecology office.

PMID- 10264748
TI  - Color abets the cure: Vista Hill Hospital.

PMID- 10264749
TI  - Unifying elements: gastro-enterologist office.

PMID- 10264750
TI  - Color and psychotherapy.

PMID- 10264751
TI  - Management issues in an ambulatory care consortium.

PMID- 10264752
TI  - The transformation of a general pediatric clinic to a physician-directed
      practice.

PMID- 10264753
TI  - Hospital-based versus free-standing ambulatory care costs: a comparison.

PMID- 10264754
TI  - An episode approach to the care and costs of obesity.

PMID- 10264756
TI  - Hospice: life to its fullest.

PMID- 10264755
TI  - National Nursing Home Week. Planning guide.

PMID- 10264757
TI  - Diversified living arrangements mean having a choice. Heritage Village
      residential care.

PMID- 10264758
TI  - Diversified living arrangements mean having a choice. Cokesbury Village life
      care.

PMID- 10264759
TI  - Diversified living arrangements mean having a choice. Good Samaritan Village
      continuum of care.

PMID- 10264760
TI  - Community services reach out to elders in need.

PMID- 10264761
TI  - Pioneering respiratory care in the nursing home.

PMID- 10264762
TI  - Home delivery of quality care: a winning practice.

PMID- 10264763
TI  - The challenge of treating post head trauma patients.

PMID- 10264764
TI  - Legal currents: questions raised in making certain treatment decisions.

PMID- 10264765
TI  - Architecture and long term care.

PMID- 10264766
TI  - Stochastic modeling of consumer preferences for health care institutions.
AB  - This paper proposes a stochastic procedure for modeling consumer preferences via
      LOGIT analysis. First, a simple, non-technical exposition of the use of a
      stochastic approach in health care marketing is presented. Second, a study
      illustrating the application of the LOGIT model in assessing consumer preferences
      for hospitals is given. The paper concludes with several implications of the
      proposed approach.

PMID- 10264767
TI  - Brands or generics: the dilemma of pharmaceutical marketing in a developing
      country.
AB  - A significant issue in pharmaceutical marketing in many developing countries is
      whether drugs should be sold by generic or by brand names. In Pakistan,
      legislation prohibited the sale of brand name drugs in order to increase price
      competition, and strengthen the market position of indigenous manufacturers to
      compete against multinationals. However, the government's objectives were not
      achieved for reasons discussed in the article. The Pakistan case has implications
      for multinational firms and for other developing countries in similar situations.

PMID- 10264768
TI  - The community survey and the health services provider.

PMID- 10264769
TI  - Marketing: (how) is it working?

PMID- 10264770
TI  - Marketing study interviews: a case study.

PMID- 10264771
TI  - Improving health care strategy planning through assessment of perceptions of
      consumers, providers and administrators.
AB  - Perceptions of consumers, health care administrators, and physicians regarding
      health care providers are analyzed. Ratings on 26 dimensions of health care
      services were obtained from members of the three participant groups using
      measures of image and satisfaction of both physicians in general, and of specific
      physicians. Discriminant analysis reveals significantly different perceptions of
      the health care system among the three groups of respondents. These differences
      suggest some changes in health care administration which could lead to increased
      consumer satisfaction and competitive advantages for physicians and health care
      institutions.

PMID- 10264773
TI  - Potential liability in corporate medical programs.

PMID- 10264774
TI  - The future of corporate health initiatives.

PMID- 10264772
TI  - Occupational health information systems.

PMID- 10264775
TI  - Issues of mission, structure, and domain.

PMID- 10264776
TI  - The medical department and pressures for change.

PMID- 10264777
TI  - Dilemmas in the company response to health risk.

PMID- 10264779
TI  - Management issues in information management.

PMID- 10264778
TI  - Physicians' frustrations with management.

PMID- 10264780
TI  - Microcomputers--the information and records managers newest file, storage &
      retrieval tool.

PMID- 10264781
TI  - Olympic EMS...another game?

PMID- 10264782
TI  - Carry-in equipment. Part 2: Soft packs and rescue packs.

PMID- 10264783
TI  - Trauma Center--ABC style.

PMID- 10264784
TI  - Monthly performance reports: management's tools for control.

PMID- 10264785
TI  - The decision to establish a closed psychiatric unit: some ethical and
      administrative considerations.

PMID- 10264786
TI  - Nursing home placement for beginning baccalaureate nursing students--why not?

PMID- 10264787
TI  - Eleven years of experience with capitation reimbursement for pharmacy services.
AB  - Pharmacy services encompass more than dispensing medications. However,
      traditional pharmacy reimbursement methods are based heavily on the dispensing of
      medications--i.e., on selling a commodity rather than providing a service. The
      capitation reimbursement method described provides the pharmacist with a means of
      reimbursement for professional services independent of the number of medications
      consumed by the patient. The pharmacist is thus free to encourage reductions in
      the consumption of medications without incurring an economic penalty. Such
      reductions are not only of potential benefit to the patient but can also reduce
      the workload of the nursing home staff. The feasibility of this capitation system
      is demonstrated by the successful pharmacy practice described.

PMID- 10264788
TI  - Children's Hospital and Health Center, San Diego, California.

PMID- 10264789
TI  - Solving wet pack problems.

PMID- 10264790
TI  - Eliminating stained instruments by controlling steam quality.

PMID- 10264791
TI  - Establishing a cart exchange program.

PMID- 10264792
TI  - Computerized exchange cart processing.

PMID- 10264793
TI  - Heat sealing.

PMID- 10264794
TI  - Policlinico Gemelli, Rome, Italy.

PMID- 10264795
TI  - Liability of hospitals toward occupationally injured employees: ethylene oxide: a
      case in point.

PMID- 10264796
TI  - Stability in the Federal Employees Health Benefits Program.
AB  - Recently the Federal Employees Health Benefits Program has been the subject of
      much discussion in Washington as a result of the rather large premium increases
      in 1982 and 1983, the delayed open season of 1981, and the benefit reductions.
      Enrollees responded in May 1982 to the changes; a record number switched plans.
      It appears that enrollees were simply responding to the new premiums and
      benefits. In this paper we describe the economic incentives faced by enrollees in
      the FEHBP. We find that, due to the strong incentives for enrollees to leave
      certain high-cost plans, continued instability should be expected. In fact, the
      disparity between expected benefits and premium is so great for some plans (e.g.
      the Blue Cross high-option) that their survival is questionable. This lack of
      stability raises important questions about the viability of some pro-competition
      proposals involving multiple-insurer systems.

PMID- 10264797
TI  - Competition between non-profit and for-profit health insurers.
AB  - This study investigates the effects of tax, regulatory, and reimbursement
      policies and other factors exogenous to the health insurance market on the
      relative price (to commercial insurers) paid by Blue Cross plans for hospital
      care, their administrative expense and accounting profits, premiums, and
      ultimately Blue Cross market share. We specify and estimate a simultaneous
      equation model to assess interrelationships among these variables. We conclude
      that premium tax advantages enjoyed by the Blues have virtually no effect on the
      Blues' premiums or their market shares. A Blue Cross plans' market share has a
      positive effect on the discount it obtains from hospitals as does coverage of
      Blue Shield charges by a state-mandated rate-setting plan. An upper bound on the
      effect on the Blue Cross market share of covering Blue Cross under rate-setting
      but excluding the commercials from such coverage is seven percentage points.
      Tests for administrative slack in the operation of Blue Cross plans yield mixed
      results.

PMID- 10264798
TI  - A model of physicians' practice attributes determination.
AB  - This paper presents a conceptual framework for modelling physicians' styles of
      practice. It also develops and estimates a causal model of practice style
      determination. The method allows simultaneous analysis of different practice
      styles and their determinants. The paper provides new insights into physician
      decision-making and, in particular, the positive relationship between fees and
      the number of physicians.

PMID- 10264799
TI  - Economic or medical criteria, or both, in policy decisions about medicines?

PMID- 10264800
TI  - Large laundries face rapid changes most of them due to rising utility costs.

PMID- 10264801
TI  - Keeping up with cost data.

PMID- 10264802
TI  - Health-care infection control. The laundry's role in infection control.

PMID- 10264803
TI  - Infection control comprises physical and operational.

PMID- 10264804
TI  - Hospital study reveals switch to disposables in operating room packs would
      inflate costs.

PMID- 10264805
TI  - Cost reduction programs in health-care field provide opportunity for LM's, says
      executive.

PMID- 10264806
TI  - Prepaid plans re-established in a fee-for-service group.
AB  - A negative past experience in contracting with an HMO had soured a small fee-for
      service group's taste for this type of organization. A change in management led
      to an objective evaluation of the situation and, as a result, a renewal of
      negotiations with the HMO. Outlined in this article are the planning premises,
      objectives, and major steps undertaken to make a prepaid plan work within a fee
      for-service setting.

PMID- 10264807
TI  - Taking the clinic to the patient. Starting a satellite operation.
AB  - Triggered by a decreasing patient base and slow new patient growth, one medical
      group reached the decision to start a satellite clinic. This case report outlines
      the major areas of concern in starting a satellite operation, including choosing
      a location and office, staffing medical records, and projecting expenses and
      revenues. Though the results of this undertaking proved to be disappointing (the
      satellite is due to be closed), several critical success factors have emerged.

PMID- 10264808
TI  - An integrated medical record system.
AB  - Clear, well-organized, thorough medical records are fundamental to the success of
      a quality healthcare organization. This article specifically addresses the
      problem of integrating multiple records from several group and individual
      practices into a single common medical record for each patient. All aspects of
      the record system are described--from initial development, record protocol, and
      start-up and operational costs, to implementation, quality control, and results
      of the new system. The information set forth is valuable to all healthcare
      administrations interested in establishing or maintaining integrated medical
      record systems in their group practices.

PMID- 10264809
TI  - Communicating the value of fringe benefits to employees.
AB  - In a city where competition for employees was extremely high, one clinic kept its
      edge by offering a generous benefits package. Problems arose, though, because the
      employees did not fully appreciate the value of their fringe benefits. A concise
      and effective written communication tool was therefore developed, informing each
      employee of the cost and value of his personal fringe benefits. The figures
      accompanying this article offer every administrator not only an example of
      benefits analysis, but also a valuable basis for comparison.

PMID- 10264810
TI  - Through the eyes of the consumer. A look at marketing group practice.
AB  - The marketing concept should be understood and practiced in varying degrees by
      all medical groups; otherwise, growth is left to chance. Operating on this
      premise, the author has set forth a very clearly written description of the key
      components and general considerations of a long-range marketing plan. The
      managerial functions of a plan are presented, as well as controllable and
      uncontrollable factors, and the needs and associated risks of various marketing
      growth strategies. Within this discussion, the administrator will find a
      framework for evaluating his particular situation and planning for the future.

PMID- 10264811
TI  - Design. A successful waiting room.
AB  - Often, the waiting room is the source for the patient's initial impression of the
      medical group. Much time and money is spent on designing attractive, efficient
      waiting rooms. A professional designer offers some insights into the planning
      that must go into designing a waiting room for a medical group, including the
      functional aspects of the design and the image the group is trying to communicate
      through its waiting room.

PMID- 10264812
TI  - Respect life: care of the terminally ill.

PMID- 10264813
TI  - Right-to-die issue takes new twist in Bouvia case.

PMID- 10264814
TI  - Drugs and the elderly: when, why, how much?

PMID- 10264815
TI  - MAHA: we've come a long way.

PMID- 10264816
TI  - Health promotion: Michigan hospitals move forward.

PMID- 10264817
TI  - MHA policy statement on health education.

PMID- 10264819
TI  - Continuing health education: its strengths, its weaknesses, and its future.

PMID- 10264818
TI  - A model for chronic disease management.

PMID- 10264820
TI  - Education as a problem solver.

PMID- 10264821
TI  - Paying for the message.

PMID- 10264822
TI  - China to Chelsea: a nursing exchange program.

PMID- 10264823
TI  - AHSC bringing hospitals 'continuity of care'.

PMID- 10264824
TI  - Can't laugh at the 'enemy?' My foot! Says Sen. Proxmire.

PMID- 10264825
TI  - Preferred supplier to the preferred provider?

PMID- 10264826
TI  - Health care and mega-trends, Part I.

PMID- 10264827
TI  - Most hospital buying still not computerized.

PMID- 10264828
TI  - Hospital repositioning really works.

PMID- 10264829
TI  - Hospital wins big in "Let's Make a Deal'.

PMID- 10264831
TI  - How and when the accreditation program began, and where it is today.

PMID- 10264830
TI  - Crisis management of receivables.

PMID- 10264832
TI  - How to prepare for an inspection.

PMID- 10264833
TI  - Guidelines for high risk or potentially high risk autopsy cases.
AB  - These excellent procedures are in use at the author's institution, and are
      published here for the benefit of those who have not instituted their own, which
      is a deficiency found frequently at CAP inspections. The CAP is in the process of
      developing formal recommendations which will be published at a later date.

PMID- 10264834
TI  - Microcomputer basics. Part II. Software.
AB  - Microcomputers are invading every aspect of life including the practice of
      pathology. This second in a series of articles is designed to help neophytes make
      effective use of these new tools. A list of references, providing readers with
      more information on the subject of microcomputers and their applications to
      pathology, will be furnished at the conclusion of the series.

PMID- 10264836
TI  - How the pain clinics manage pain.

PMID- 10264835
TI  - CAP accreditation is laboratory improvement.

PMID- 10264838
TI  - How your APA works.

PMID- 10264837
TI  - Strategic issues in performance appraisal: theory and practice.
AB  - Performance appraisal systems have tremendous strategic potential for governing
      employee behavior and thus corporate direction through their links to selection,
      training and career planning, and reward systems. Authors Charles J. Fombrun,
      assistant professor of management at the University of Pennsylvania's Wharton
      School, and Robert P. Laud, senior vice-president of Drake Beam Morin, Inc.,
      surveyed appraisal systems of Fortune 1300 corporations to find out how well
      companies are realizing this potential. Among their conclusions: (1) In most
      organizations, the typical performance appraisal system is focused on short-term
      goals. Strengthening the linkage between the appraisal system and the long-term
      implications of strategic planning could improve organizational effectiveness in
      the future. (2) The performance appraisal system's most prevalent use is as a
      feedback mechanism rather than as a management tool. Thus, the authors conclude,
      the role of the performance appraisal system as a strategic organizational tool
      is largely unappreciated by U.S. organizations.

PMID- 10264839
TI  - Knowledge gap effects in a health information campaign.
AB  - The evaluation of a campaign to increase cardiovascular health knowledge
      indicates that within the treatment community, education was a significant
      predictor of knowledge before the campaign but was not a significant predictor
      after the campaign. Two variables related to motivation to acquire information
      about cardiovascular health (age and perceived threat of heart attack) were not
      significant predictors of knowledge before the campaign but were significant
      predictors afterwards. These results suggest that the infusion of information
      into a social system via the mass media can close as well as open knowledge gaps
      and that motivation to acquire information in a specific knowledge domain is a
      factor controlling gap effects.

PMID- 10264840
TI  - A quiet revolution comes to Iowa.

PMID- 10264841
TI  - Contracting with nonprofits.

PMID- 10264842
TI  - Outcome evaluation findings: a decade of experience.
AB  - Using the experience and findings of the McLean Hospital Evaluative Service Unit
      as a framework, this report presents an overview of outcome evaluation during the
      last decade and outlines some directions for future work in the field. Evaluation
      techniques and criteria are discussed, with particular emphasis on the
      effectiveness of the problem-focused approach, using patient and family
      perceptions of treatment and outcome. Various factors relating to successful post
      hospital adjustment are enumerated, with adherence to aftercare and the presence
      of a strong social support system emerging as significant. In our own work,
      patient characteristics found to be correlated with good outcome are being older,
      married, or diagnosed with an affective disorder. Of the problems and symptoms
      explored, improvement in depression emerges as the best indicator of good mental
      health at follow-up.

PMID- 10264843
TI  - Compensation schemes and the labor supply of dentists.

PMID- 10264845
TI  - The Baroness Munchausen's syndrome.

PMID- 10264844
TI  - Understanding & responding to the terminal patient.
AB  - The past ten years have seen a change in the attitudes of informing patients of
      the diagnosis of a terminal illness. An understanding of the psychological
      response to physical illness and impending death is required when discussing
      death and dying with terminal patients. In this article, the authors present
      generic concepts in understanding the terminal patient, as well as suggested
      guidelines for the treating physician.

PMID- 10264846
TI  - Telling patients they are mentally ill.
AB  - Telling a patient that he is mentally ill is a frequently encountered but rarely
      simple task. Because a diagnostic disclosure could have a deleterious effect, the
      decision to inform a patient of his psychiatric illness must be based on whether
      the patient will utilize the knowledge in a constructive or self-destructive
      manner. In this article, the author discusses when and how to tell a patient he
      has a psychological disorder, along with areas of caution and recommended
      guidelines.

PMID- 10264847
TI  - Patient flow and scheduling.

PMID- 10264848
TI  - The comprehensive home visit.
AB  - There is increasing awareness of the benefits of home care for respiratory
      patients. This care is best given by skilled health care professionals whose goal
      is to meet patients' needs. What are the skills that a respiratory home care
      specialist must have? What are the activities that should be included in a
      comprehensive home visit? How can home care be evaluated? These and other
      questions are addressed in this article.

PMID- 10264849
TI  - Respiratory therapy in small-town USA.
AB  - Respiratory therapists who regard work in a rural community hospital as a bleak
      and unpromising career step may be overlooking opportunities not available in a
      big-city medical center.

PMID- 10264851
TI  - Sex counseling with groups in a general hospital.

PMID- 10264850
TI  - When older patients don't learn. Adapting educational efforts to age.
AB  - A common frustration experienced by respiratory care practitioners is a seeming
      unwillingness or inability of some patients, particularly elderly ones, to comply
      with instructions or derive any apparent benefit from efforts to educate them
      concerning their disease. It is helpful to consider why these patients may not
      learn. Awareness of age-related biologic, physiologic, psychologic, and social
      changes should allow for modification of education attempts to maximize
      understanding and compliance.

PMID- 10264852
TI  - The problem of resistance in nursing home consultation.

PMID- 10264853
TI  - The pattern of demand in the United States.
AB  - The objective of this paper is to examine the demand for goods and services in
      the United States using the Almost Ideal Demand System (AIDS). The focus is on
      testing the theoretical properties of demand. The model fits the data well. The
      suggestion is that food, clothing, housing and transportation are necessities
      while medical care and recreation are luxuries. The notion of homogeneity is
      generally accepted while symmetry is soundly rejected. Finally, negativity is
      shown to hold.

PMID- 10264854
TI  - A chance-constrained multiobjective model for mental health services planning.
AB  - Mental health services planning, and particularly the planning for
      deinstitutionalization, is a very complex problem. This paper suggests a chance
      constrained goal programming (CCGP) approach to mental health services planning.
      The CCGP approach is based on the sequential solution of a linear programming
      formulation, allowing efficient solution of large-scale planning problems using
      commercially available linear programming computer codes. The procedure is
      demonstrated with a case example and implementation of the approach is discussed.

PMID- 10264855
TI  - A proposed method for the analysis of public health policy in less developed
      countries.
AB  - The study of public health policy in the less developed countries (LDCs) is
      handicapped by both lack of adequate data and gaps in conceptual apparatus. A new
      conceptual model is proposed that would be used for future policy analyses to
      assess what changes in health status of populations in LDCs can be expected as
      direct functions of increased health service resources, and of improved
      environmental and econosociocultural conditions. While direct policy analysis is
      ill-advised at this time due to data inadequacy, the model is illustrated using
      data presently available for twenty-five relatively homogeneous sub-Sahara
      African countries. Within the limitations of available data, the findings suggest
      that reductions in mortality in the region might best be achieved by making
      appropriate health resources available to the populations. Study findings also
      suggest that physicians contributed more during the study period to the variance
      in physical health status than did medical assistants.

PMID- 10264856
TI  - Procreative liberty and the control of conception, pregnancy, and childbirth.

PMID- 10264857
TI  - Charlotte Eye, Ear and Throat Hospital: adaptability means progress.

PMID- 10264858
TI  - Pain management: a day program.

PMID- 10264859
TI  - Specialty units-the Touro experience.

PMID- 10264860
TI  - The freestanding cancer center: focal point for cancer management.

PMID- 10264861
TI  - Making the board more effective.

PMID- 10264862
TI  - Should you join a multi-hospital system?

PMID- 10264863
TI  - Encroaching hospital liability: the nurse's role.

PMID- 10264864
TI  - Computers in health care.

PMID- 10264865
TI  - Interviewing potential employees.

PMID- 10264866
TI  - Building a healthy relationship. Customer and supplier viewpoints.

PMID- 10264867
TI  - Why we use reusable surgical packs.

PMID- 10264868
TI  - Bridging the gap between O.R. and laundry.

PMID- 10264869
TI  - Ohio company expands to serve hospitals.

PMID- 10264870
TI  - Converting from OPL to contract service.

PMID- 10264871
TI  - A hospital administrator looks at contract services.

PMID- 10264872
TI  - Analyzing an in-house hospital laundry.

PMID- 10264873
TI  - Getting there.

PMID- 10264874
TI  - Staff development and the personal computer.

PMID- 10264875
TI  - Computers in... logistics management.

PMID- 10264876
TI  - The paperless claims program at Blue Cross and Blue Shield of Texas.

PMID- 10264878
TI  - Microcomputers in nursing administration.

PMID- 10264877
TI  - Rational use of drugs should be emphasized in utilization review.

PMID- 10264879
TI  - A surgical data system.

PMID- 10264880
TI  - Establishing a "cooperative friendship" between employees and your new computer
      system.

PMID- 10264881
TI  - Discretionary authority in the selection of medical staff members.

PMID- 10264883
TI  - New logo presents positive outlook.

PMID- 10264882
TI  - Managing the cost of change.

PMID- 10264884
TI  - CEO contracts from a trustee's point of view.

PMID- 10264885
TI  - Agreements. Today's executive contracts: who needs them and why.

PMID- 10264886
TI  - Designing a career ladder for the professional nurse.

PMID- 10264887
TI  - CEO contracts.

PMID- 10264888
TI  - Stability and status. A need for job security.

PMID- 10264889
TI  - CEO contracts from a CEO's point of view.

PMID- 10264890
TI  - The forgotten victims. Treating the alcoholic's family.

PMID- 10264891
TI  - Art therapy. A creative approach to alcoholism treatment.

PMID- 10264892
TI  - Employee assistance programs. An old idea getting new attention.

PMID- 10264894
TI  - Informed consent revisited.

PMID- 10264893
TI  - A framework for evaluating nursing care.

PMID- 10264895
TI  - PR practitioners: a hospital asset.

PMID- 10264896
TI  - QA assessment: structure, process, outcome.

PMID- 10264898
TI  - Growing pains. Ideas for coping with hospital expansion.

PMID- 10264897
TI  - The pulse of design and construction in health care.

PMID- 10264899
TI  - Surgery in the sky.

PMID- 10264900
TI  - ICU design: many hands make right work.

PMID- 10264901
TI  - Applying management information systems to staffing.

PMID- 10264902
TI  - Creating a noteworthy newsletter.

PMID- 10264903
TI  - Renovating? Take a look at the new short-term paths to financing.
AB  - A hospital's renovation project can be financed through a diversity of financing
      techniques. Although the traditional vehicle for hospital capital financing is
      long-term, fixed-rate debt, there are a growing number of short-term financing
      alternatives that can provide greater flexibility and generate debt service
      savings. The author describes some of the new short-term financing techniques, as
      well as the advantages and disadvantages of short- versus long-term financing.

PMID- 10264904
TI  - Hospital breaks new ground with hybrid financing package.
AB  - By applying financial management techniques that are more traditionally
      associated with corporate businesses, an Illinois hospital was able to generate
      the funds needed for a new replacement facility at a time when the money market
      was especially tight. The authors explain the structure of the hybrid financing
      package they used, and how such a strategy enabled the hospital to generate $61
      million in capital at an interest rate almost 5 percent below prime.

PMID- 10264906
TI  - Contractors with consultant's hats.

PMID- 10264905
TI  - Hospital safeguards capital program through private sector partnership.
AB  - As access to capital tightens, more hospitals are exploring the benefits of
      partnerships with private companies. A California hospital, burdened by the long
      term debt it incurred for a medical office building, worked together with its
      medical staff and an outside real estate developer. By selling the building to
      the developer, not only was the hospital able to finance a much-needed expansion
      and reconstruction project, but the hospital's medical staff had an opportunity
      to become limited partners in the ownership of the building.

PMID- 10264907
TI  - More administrators' views on top planning challenges of 1984. Part 2.
AB  - This is the second of three articles in which a cross-section of administrators
      from teaching, community, freestanding, multi, and specialty hospitals have been
      asked to share their views on what will be the top three planning issues of 1984.

PMID- 10264908
TI  - Labor costs pivotal in hospitals' battles with 1984 inflation targets.

PMID- 10264909
TI  - As I see it: some people profess to like surprises.

PMID- 10264910
TI  - Expert outlines strategy to prevent union elections.

PMID- 10264911
TI  - Behind swelling ranks of America's street people.

PMID- 10264913
TI  - New medical arena forseen by AMA.

PMID- 10264912
TI  - FDA unveils clues into AIDS therapy.

PMID- 10264914
TI  - NHLBI maintains research balance.

PMID- 10264915
TI  - NIH reemphasizes vital research role.

PMID- 10264916
TI  - HHS investigations centered on AIDS.

PMID- 10264917
TI  - Evaluating volunteer motivation and satisfaction.

PMID- 10264918
TI  - The seductive silver lining.

PMID- 10264919
TI  - Two CVAs and how they feel about...volunteer administration as a career.

PMID- 10264920
TI  - Creating persuasive fund raising documents.

PMID- 10264921
TI  - Perspectives. The corporatization of American health care.

PMID- 10264922
TI  - Perspectives. Health planning looks to the future.

PMID- 10264924
TI  - Perspectives. Access to health care: who are the underserved?

PMID- 10264923
TI  - Perspectives. Where we are, where we're going.

PMID- 10264925
TI  - Perspectives. Federal policy and infant health: a debate.

PMID- 10264926
TI  - Perspectives. Hospital linkages: horizontal integration.

PMID- 10264927
TI  - Perspectives. Reagan budget: what's new?

PMID- 10264928
TI  - Perspectives. Access to capital: equity markets.

PMID- 10264929
TI  - 1982 summary: National Hospital Discharge Survey.

PMID- 10264930
TI  - Workshops--a real world performance evaluation setting.
AB  - Workshop clients have been identified as those having potential for employment.
      They now have a specially focused vocational rehabilitation program; including a
      treatment plan with an uninterrupted workshop evaluation period. The clients'
      involvement must be understood and supported by other rehabilitation and hospital
      services since their support is essential for client success. Workshop
      performance evaluation is a long-term assessment. First, it provides for an
      assessment to determine the strengths of the client, secondly, it is a selective
      process which provides for emphasis and for exploration and/or development of
      those strengths. Assessment in a workshop addresses the sustained characteristics
      of good work performance, as well as the critical values requiring development to
      ensure acquisition of good worker traits, work personality and work intelligence.

PMID- 10264931
TI  - Pet therapy.

PMID- 10264932
TI  - Independent living: a successful concept.
AB  - The Independent Living Program at the Little Rock Veterans Administration Medical
      Center is providing an invaluable service to disabled veterans. Since activation
      2 1/2 years ago, it was proven to be a strong, viable program which fills a
      previous gap in the discharge plans of the medically stable but physically
      disabled veteran. Without a successful transition into the community, many are
      susceptible to failure, which then results in hospital readmission or nursing
      home placement. These veterans, having suffered a severe disability, cannot be
      expected to return to the mainstream of life solely on the basis of having
      received medical treatment and therapy. The utilization of available resources
      and expertise of professionals, combined with the constructive input and
      determination of the veteran will significantly enhance the potential of a smooth
      transition into the community. The veteran's satisfaction and pleasure of living
      independently, despite his disability, is immeasurable. Independent living should
      be the ultimate goal for health care providers of the disabled.

PMID- 10264933
TI  - Transplant successes stir debate on coverage.

PMID- 10264935
TI  - VA findings say water temperature irrelevant.

PMID- 10264934
TI  - 'Angel' network gives wings to nation's cancer patients.

PMID- 10264936
TI  - Payroll cuts and higher productivity reduced costs at Michigan plant.

PMID- 10264937
TI  - Latest HAS figures: laundry and linen costs slightly more than 1%.

PMID- 10264938
TI  - It's better to give....

PMID- 10264940
TI  - Ten years experience with a regional health information system--the Stockholm
      County health care information system.

PMID- 10264939
TI  - Low-level waste sites: states juggling a hot potato.

PMID- 10264941
TI  - A computerised resident medical officer rostering system.
AB  - A computerised Resident Medical Officer (RMO) rostering system was developed by
      the authors over a period of two years to aid in the preparation of yearly and
      daily rosters for RMOs. The main aim of the system is to save the time required
      for repetitive rostering activities, such as preparing the weekly rosters and pay
      sheets. No new philosophies of resident rostering have been introduced and the
      program simply does more quickly what used to be done under the manual system. As
      an example, in preparing the weekly rosters and pay sheets, the program does in
      approximately 10 minutes what used to take about two hours. A secondary bonus of
      the system is that distribution of the costs to specific cost centres is now
      possible and it is hoped that this may lead to greater control over the
      utilisation of this rather expensive resource.

PMID- 10264942
TI  - A hospital energy audit project.
AB  - The project was carried out under the auspices of the Research Sub-Committee of
      the Victorian Branch of the Australian College of Health Service Administrators.
      It illustrates the way in which remedial action based on a thorough, systematic
      audit of energy losses can yield savings which are conservatively estimated to be
      worth tens of thousands of dollars per annum. While many of the energy saving
      functions proposed can be implemented at little or no cost, it is concluded that
      energy audits must be thoroughly and competently undertaken and the use of
      consultants is considered to have been well justified in this case.

PMID- 10264943
TI  - The medical common-whose responsibility?

PMID- 10264944
TI  - Copyright can survive the new technologies.

PMID- 10264945
TI  - Choice, costs and competition.

PMID- 10264946
TI  - Time limits for patients. Insurance firms cut costs by monitoring therapies.

PMID- 10264947
TI  - The bubble boy's lost battle.

PMID- 10264948
TI  - Designing a successful hypertension control program.

PMID- 10264950
TI  - Private sector initiatives: what makes them work?

PMID- 10264949
TI  - The ethics of worksite screening.

PMID- 10264951
TI  - Drug purchasing: an evolutionary blueprint.

PMID- 10264953
TI  - Fitness becomes a way of life for Canadians. Interview by Jane Stein.

PMID- 10264952
TI  - Drug revolution places prescribing practices in question.

PMID- 10264954
TI  - Hospital privileges for allied health professionals covered in landmark case.

PMID- 10264955
TI  - Assessing health: what can employers do?

PMID- 10264956
TI  - Medicine: a brave new world.

PMID- 10264957
TI  - A hospital fails a checkup.

PMID- 10264958
TI  - Grants for residency training in general internal medicine or general pediatrics-
      PHS. Amendments to final regulations.
AB  - This rule amends the regulations implementing grants for residency training
      programs in general internal medicine or general pediatrics to conform with
      statutory changes made by the Omnibus Budget Reconciliation Act of 1981 (Pub. L.
      97-35) and the Commonwealth-Covenant to Establish-Northern Mariana Islands (Pub.
      L. 94-241). These changes are nondiscretionary in nature. Additional amendments
      are for clarification.

PMID- 10264959
TI  - Administration of grants to states other than block grants or open-end grants-
      HHS. Proposed rule.
AB  - For most of its categorical grants to States, HHS proposes to replace its general
      grants administration regulations (45 CFR Part 74) by reduced and simplified
      regulations. This proposal is part of the Department's efforts to provide
      regulatory relief to States and to place greater reliance on States to administer
      their Federally-assisted programs.

PMID- 10264960
TI  - Civilian Health and Medical Program of the Uniformed Services (CHAMPUS);
      certified clinical social workers--Office of the Secretary, DoD. Amendment of
      final rule.
AB  - This final rule amends DoD Regulation 6010.8-R (32 CFR 199) which implements the
      Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). This
      amendment implements language contained in the Department of Defense
      Appropriation Act, 1983, Pub. L. 97-377, which authorizes CHAMPUS payments to
      certified clinical social workers who practice independent of physician referral
      and supervision.

PMID- 10264961
TI  - Consultations with state and local officials prior to awarding community health
      center grants--HRSA. Notice.
AB  - Section 1923 of the Public Health Service (PHS) Act (42 U.S.C. 300y-2) requires
      that if a State does not apply for a Primary Care Block Grant under section 1924
      of the PHS Act (42 U.S.C. 300y-3), or does not qualify for such a grant, a
      Secretary of Health and Human Services will use those funds not allotted to
      States participating in the block grant to make grants under section 330 of the
      PHS Act (42 U.S.C. 254c) to individual community health centers (CHCs). Section
      1923 also requires that the Secretary consult with the chief executive officer of
      the State and with appropriate local officials before making such grants for
      community health centers in a State. This notice describes the manner in which
      the Health Resources and Services Administration (HRSA) will fulfill the
      requirement for consultation. In addition, it solicits comments from local
      officials regarding CHCs in their areas. A State may elect to supply comments
      under the system established in accordance with 45 CFR Part 100,
      "Intergovernmental Review of the Department of Health and Human Services Programs
      and Activities." (See 48 FR 29188, June 24, 1983.)

PMID- 10264962
TI  - Privacy Act of 1974; report of new system--HCFA. Notice of new system of records.
AB  - In accordance with the requirements of the Privacy Act of 1974, we are proposing
      to establish a new system of records. Evaluation of the HCFA Alcoholism Services
      Demonstration, HHS/HCFA/ORD No. 09-70-0031. We have provided background
      information about the proposed system in the "Supplementary Information" section
      below. HCFA invites public comments by April 12, 1984, with respect to routine
      uses of the system.

PMID- 10264963
TI  - Privacy Act of 1974; notice of new system of records--HHS. Notice of new system
      of records.
AB  - In accordance with the Privacy Act of 1974 (Pub. L. 93-5790, as amended, the
      Office of Human Development Services is proposing to establish a new system of
      records, Records Maintained on Individuals for Program Evaluation Purposes Under
      Contracts, HHS, HDS No. 09-80-0100. We have provided background information about
      the proposed system in the "SUPPLEMENTARY INFORMATION" section below. HDS invites
      public comments by April 19, 1984 on the proposed routine uses of the system.

PMID- 10264965
TI  - Coalition sponsoring data collection.

PMID- 10264964
TI  - Revision of income criteria for eligibility for uncompensated services--HRA.
      Notice.
AB  - This notice announces the applicability of the recent revision of the Poverty
      Income Guidelines to uncompensated services programs administered by health care
      facilities pursuant to Titles VI and XVI of the Public Health Service Act.

PMID- 10264966
TI  - Claims automation. New breed of computers can aid health cost containment.

PMID- 10264967
TI  - Reagan budget urges tax on health insurance.

PMID- 10264968
TI  - Health claims audits. Reviews can turn up errors and, sometimes, savings.

PMID- 10264969
TI  - Controlling costs. Monitoring hospital care reaps big savings.

PMID- 10264970
TI  - What is your staff really worth?

PMID- 10264971
TI  - Force-feeding decisions bring medicine and the law into conflict.

PMID- 10264972
TI  - In the hands of Jesus: trauma takes its toll.

PMID- 10264974
TI  - Cardiac patients benefit from home-care program.

PMID- 10264973
TI  - Take steps to reduce the risks of a malpractice crisis.

PMID- 10264975
TI  - Improved legislation required for treatment of incapable patients.

PMID- 10264976
TI  - Canadian Journal of Occupational Therapy: a reflection of professional growth.
AB  - The Canadian Journal of Occupational therapy (CJOT) is the only Canadian refereed
      professional publication reflecting the views and professional development of
      occupational therapists in Canada. A study of all issues of CJOT published during
      three five-year periods was carried out to see if CJOT could be said to be
      improving in terms of reflecting professional trends. Some areas examined were
      quantity of articles, type of articles, references, authors and citations. It was
      found that although CJOT did reflect professional growth in many areas, there
      were a number of areas needing improvement before CJOT could be considered to be
      the primary professional publication for occupational therapists in Canada.

PMID- 10264977
TI  - Documentation of occupational therapy services: a process model.
AB  - This paper describes a process model of occupational therapy and the Occupational
      Therapy Sequential Client Care Record (OTSCCR). The OTSCCR incorporates the model
      and provides comprehensive documentation of occupational therapy services from
      referral through outcome of intervention.

PMID- 10264978
TI  - Quality control report, 1981-82: nine months of operation.

PMID- 10264979
TI  - Group life review and denial of death.
AB  - In order to assess the utility of structured reminiscing with the elderly a
      series of five Life Review Workshops (LRW) were offered. Sixty-three seniors
      participated in the treatment or no-treatment conditions and were administered
      four attitude measures pre- and post-treatment. Workshop participants also filled
      out a Workshop Evaluation Form. Analyses showed that the treatment group
      significantly decreased in denial of death (t = 2.66, p = less than .01) while
      the control group did not. There were also moderate but significant correlations
      between age, education, religiosity, and health measures and the perceived
      benefit accrued from the workshop, the amount of reminiscing which participants
      reported after completing the workshop, and the number of functions which
      reminiscing served for LRW members.

PMID- 10264980
TI  - The clinical use of pets with the aged.

PMID- 10264981
TI  - Plush animals as therapy in a nursing home.

PMID- 10264983
TI  - The patient in the ICU: a family experience.

PMID- 10264982
TI  - ICU syndrome: onset, manifestations, treatment, stressors, and prevention.

PMID- 10264984
TI  - Sensory overload and noise in the ICU: sources of environmental stress.

PMID- 10264985
TI  - Childhood coping: adaptive behavior during intensive care hospitalization.

PMID- 10264986
TI  - Healing the person in a consumer society. Keynote address--CHAC 1983 Annual
      Convention.

PMID- 10264987
TI  - The sanctity of life.

PMID- 10264988
TI  - Using creative arts to help children cope with altered body image.
AB  - A specific aspect of development to be considered when planning expressive
      activities for hospitalized children is the potential and actual effects of
      hospitalization and illness on their developing body image. Therapeutic
      activities which address this stressful issue can be an integral part of the care
      of pediatric patients. This manuscript highlights several categories of
      expressive activities to help illustrate the way in which these activities can be
      used individually and with groups of children for therapeutic intervention when
      dealing with body image issues. Case studies are presented.

PMID- 10264989
TI  - The work of chronically ill children on a hospital unit.
AB  - A nurse watches chronically ill children at work on a hospital unit. Food
      procurement work, body work, composure work, work during an IV procedure,
      resisting work, personal relations work, sick role work, and information work are
      among the extensive kinds of work children are observed carrying out. However,
      the child's work is seldom recognized or valued. Nurses need to evaluate how
      their own work facilitates or impedes the work of the child.

PMID- 10264990
TI  - A cognitive-affective approach to child life programming for young children.
AB  - A comprehensive model for child life programming for young children integrating
      cognitive and affective theories is described. Continual assessment of the
      cognitive and affective states of children provides the basis for programming.
      Degree of structure facilitated by the child life worker through his or her
      physical and/or verbal interaction and type of activities selected and
      implemented varies with children's cognitive-affective states.

PMID- 10264991
TI  - Child life intervention in the emergency department.
AB  - Since 1979, the Child Life Department of the Children's Hospital of Eastern
      Ontario has provided 75 hours per week of Child Life intervention for children
      and parents in the emergency department. Factors that would influence a child's
      ability to master an emergency experience have been identified through a review
      of the literature. The protocol for Child Life intervention in frequent emergency
      situations is described. Practical approaches to Child Life programs in Emergency
      and evaluation of effects of Child Life intervention are discussed.

PMID- 10264992
TI  - Training child life students: guidelines for hospital supervisors.
AB  - The majority of child life programs offer some type of student practicum
      experience. At present there are no programmatic guidelines for hospital
      supervisors to follow in their task of training professionals. There is growing
      concern within the child life profession that students are being trained in field
      programs that have widely divergent content, objectives, expectations,
      supervisory methods, and evaluation criteria. There is a need to establish some
      commonly endorsed standards for clinical supervision within the hospital. In the
      spring of 1982, the Child Life Council appointed a committee for this specific
      purpose. This paper represents the beginning of that task. The guidelines put
      forth here have not yet been presented to the Council for endorsement.

PMID- 10264993
TI  - Child life and children's dentistry: broadening our scope of concern.
AB  - The Association for the Care of Children's Health has recently broadened its
      scope of psychosocial concern to include not only children and families in
      hospitals, but also those in any health care setting. Clinical dental treatment
      has long been recognized as capable of producing patient apprehension. This paper
      discusses possible philosophical differences between optimal psychosocial care of
      children and families and dentistry's current beliefs and practices concerning
      the proper treatment of child patients. Several areas of opportunity for research
      and for increased "humanization" in dentistry for children are presented.

PMID- 10264995
TI  - Communicator's checklist.

PMID- 10264994
TI  - New horizons: the changing world of television.
AB  - These are just some of the new opportunities that television is opening up for
      nonprofits. I should mention that, there are also certain other implications,
      such as the fracturing of the mass TV audience into more fragmented markets. This
      means that nonprofit organizations will have to produce more PSA's to reach its
      audience. There'll also be more competition for available public service time.
      Finally, as pay TV grows, nonprofit organizations may have to produce special
      programming for this medium. There's several things we can comfortably predict
      for the future. One, television will continue to change. And two, the successful
      nonprofit organizations will be those who seriously explore the new opportunities
      today.

PMID- 10264996
TI  - Visiting Nurse Association of Albany, Inc.

PMID- 10264997
TI  - Operating as a nonprofit or for-profit home health agency.

PMID- 10264998
TI  - Opportunities on the rise in home health care.

PMID- 10265000
TI  - An insider's view on lobbying Congressional staff.

PMID- 10264999
TI  - Agency of the month. Mid-South--a caring agency with experience.

PMID- 10265001
TI  - Political advocacy--one state's approach.

PMID- 10265002
TI  - The VNA of Dallas: how one agency is staffed for governmental affairs.

PMID- 10265003
TI  - Passing home care legislation: the Ohio experience.

PMID- 10265004
TI  - AIDS and the blood bank.

PMID- 10265005
TI  - Free-standing emergency centers.

PMID- 10265006
TI  - Clinical engineering trends for 1984.

PMID- 10265007
TI  - Depositions and the health professional.

PMID- 10265009
TI  - Roles for an effective board: a five finger exercise. Part 1.

PMID- 10265008
TI  - AHA meets the challenge of the 1980's.

PMID- 10265010
TI  - Comprehensive audits: a methodology. Part 1.

PMID- 10265011
TI  - Who needs trustees?

PMID- 10265012
TI  - Trusteeship: a successful tradition.

PMID- 10265013
TI  - Trustee authority and responsibility: sources revealed.

PMID- 10265014
TI  - Voluntary active euthanasia for the terminally ill and the constitutional right
      to privacy.

PMID- 10265016
TI  - Institutional ethics committees. 'Recommended' now, but perhaps mandatory in the
      near future.

PMID- 10265015
TI  - Challenging hospital bills and services.

PMID- 10265017
TI  - CHPRB Second Invitational Seminar residency programmes--where are they now? Where
      did they come from? Where are they going?

PMID- 10265018
TI  - A nursing administration tool for the 80's.

PMID- 10265019
TI  - The role of nursing in the acquisition of an HIS.
AB  - As the use of computers to accomplish organizational objectives continues to
      grow, nurses need to examine the role they will play in this changing
      environment. This article discusses nursing's role from initial inquiry through
      the acquisition of a hospital information system.

PMID- 10265020
TI  - Interfacing of systems: a major issue for the 1980s.

PMID- 10265021
TI  - Key implementation issues for installing comprehensive hospital information
      systems.

PMID- 10265023
TI  - Healthcare fitness design to grow says IBD 'trends' forecast study.

PMID- 10265022
TI  - Evaluating computer systems--which approach, the RFP, the RFI or the NAR?

PMID- 10265024
TI  - Bright colors & artwork geared to pediatric patients.

PMID- 10265025
TI  - Hospital daycare center design attracts personnel.

PMID- 10265026
TI  - Soft, postmodernist pastels help planners revitalize healthcare design market.

PMID- 10265027
TI  - Competitive hospitals plan for efficiency.

PMID- 10265028
TI  - Home-like birthing room conceals medical equipment.

PMID- 10265029
TI  - Luxury amenities at Nevada hospital attract patients, staff.

PMID- 10265030
TI  - "Wellness" emphasis dictates Illinois hospital design.

PMID- 10265031
TI  - The effects of a short-term death training program on nursing home nursing staff.
AB  - This study examines the effects on nursing home nurses of a two-day training
      program concerned with nurses and their response to the dying patient. Utilizing
      the Solomon four-group design, the study investigates whether exposure to
      information on death and dying (a) results in the acquisition of greater
      knowledge about death and dying, (b) is accompanied by a more positive attitude
      toward the elderly, and (c) is accompanied by a change in anxiety about death.
      Based on t tests and one-way analyses of covariance, the results point up the
      mixed nature of short-term training programs. It was found that there was a
      significant increase in the nurses' knowledge about death and dying, there was no
      change in their attitudes toward the elderly, and there was a significant
      increase among the nurses in the death anxiety experienced. This is not to
      suggest that training programs of this sort should not be conducted with nursing
      home staff. On the one hand such programs provide information useful for job
      performance. On the other hand they create some sensitization to death, which at
      the very least could give nurses greater insights into the concerns of the
      patients and perhaps stimulate empathetic responses.

PMID- 10265033
TI  - Health care cost containment is the major goal of Morgan Guaranty's new cafeteria
      benefits plan.

PMID- 10265032
TI  - Medical insurance, technological change, and welfare.
AB  - Concerns have been expressed about the welfare effects of expensive innovations
      in medical care financed largely through medical insurance. This paper develops a
      model which considers such issues. It is shown that even if insurance is
      purchased optimally (subject to a plausible constraint on the form of the
      contract), innovations may be adopted that have the effect of reducing expected
      welfare. The question of how the benefits of medical innovations ought to be
      measured in the presence of insurance is also explored.

PMID- 10265034
TI  - Nationwide utilization review groups get results.

PMID- 10265035
TI  - Blues expand preadmission authorization plans.

PMID- 10265036
TI  - Preferred provider concept gains support, but federal regulation of such groups
      is controversial.

PMID- 10265038
TI  - Executive explains General Motors health benefits.

PMID- 10265037
TI  - Hospices substitute for more costly care and do not add expenses, asserts Ohio
      research.

PMID- 10265039
TI  - An 'enlightened' view of employee committees under the Taft-Hartley Act.
AB  - The Sixth Circuit Court of Appeals recently ruled, in NLRB v. Streamway Division
      of the Scott and Fetzer Co., that an in-plant representation committee,
      unilaterally established by the employer, was not a labor organization. Until
      1959, when the Supreme Court decided NLRB v. Cabot Carbon. "labor organization"
      was narrowly construed, based on the traditional adversary model of labor
      relations. With Cabot Carbon, and some later Board decisions, the definition has
      broadened. Now, at a time when many employers are turning to employee committees,
      quality circles, etc., as ways of improving relations with employees, the
      Streamway decision takes on particular significance. In the following article,
      the author examines the statutory basis for determining whether an employee
      committee is a labor organization, within the meaning of the National Labor
      Relations Act. He also discusses the judicial and Board precedent for the more
      liberal definition of "labor organization" set forth in Streamway.

PMID- 10265040
TI  - Ohio becomes first state to ban urgent care center construction.

PMID- 10265041
TI  - Putting together a quality assurance program can solve problems, unite disparate
      interests.

PMID- 10265042
TI  - More than one type of NMR scanner may be needed by different institutions.

PMID- 10265043
TI  - The bells, lights and whistles syndrome. Part 3: the magic of software.

PMID- 10265044
TI  - EMS at the 1984 Olympics.

PMID- 10265045
TI  - Impact of death and dying on emergency care personnel.

PMID- 10265046
TI  - UCLA's Medstar: care in the sky.

PMID- 10265047
TI  - Games employees play: tardiness and absenteeism.

PMID- 10265048
TI  - Interior plant care: an executive housekeeper's viewpoint.

PMID- 10265049
TI  - Interior plant care: a contractor's viewpoint.

PMID- 10265050
TI  - Certification of death and the clinician.
AB  - Patterns of certification of death and the subsequent selection of an underlying
      cause of death are analysed. The need for awareness among certifying
      practitioners of the issues and the rules for the selection is demonstrated.
      There is scope for further improvement in certifying practice among medical
      practitioners and coroners.

PMID- 10265051
TI  - Institutional care for the elderly: the impact and implications of the ageing
      population.
AB  - Two cross-sectional studies three years apart assessed functional capacity in
      everyone aged 65 years and over in any ward, hospital, home or hostel in a
      defined geographical area. Comparison of the proportion of patients aged 65-74
      years, 75-84 years and 85 years and over within these institutions showed that a
      higher proportion of the very elderly were in homes for the elderly and a lower
      proportion in National Health Service (NHS) geriatric hospital beds in the later
      time period. Greater proportions of all age groups of the elderly were in NHS
      acute hospital beds. Levels of incapacity in these people had increased between
      1976 and 1979. In continuously resident people the proportion remaining unchanged
      fell and the extent of deterioration increased with greater age: among recent
      admissions significant increases in incapacity were only seen in patients in NHS
      geriatric hospitals. At present the demands of the ageing population are such
      that old people will be admitted where places are available even if the setting
      is not entirely appropriate to their needs. Restrictive admission policies on the
      part of residential homes will not reduce levels of incapacity if they continue
      to admit older residents.

PMID- 10265052
TI  - Referrals to a British liaison psychiatry service.
AB  - The first 300 referrals (excluding self-poisoning) to the newly established
      liaison psychiatry service at Leicester Royal Infirmary have been examined. One
      third of the referrals were for psychological reactions to physical illness and
      another third for psychogenic illnesses. Physicians do not seem to require our
      help with the classic psychosomatic disorders. The vast majority of referrals
      were appropriate and there was only minimal abuse of the service.

PMID- 10265053
TI  - Manpower imbalance in oral surgery/oral medicine.

PMID- 10265054
TI  - General medicine with special responsibility for care of the elderly.

PMID- 10265055
TI  - Square pegs, round holes? The appropriateness of providing care for old people in
      residential settings.

PMID- 10265056
TI  - Economies and the medical staff budget.

PMID- 10265058
TI  - Local authority social services in England--a personal retrospect on the Seebohm
      years.

PMID- 10265057
TI  - End stage renal failure: coping with the demand.

PMID- 10265059
TI  - Review of an orthopaedic in-patient waiting list.
AB  - A review of 950 patients who had waited for more than one year for orthopaedic
      treatment at a large District General Hospital was undertaken. Searches of
      medical records eliminated 193 patients who had already had operations, but,
      whose names had not been removed from the list. Of the remaining 757 patients,
      48% indicated their wish to remain on the list. This proportion was lowest for:
      the under 45 year old age group (43%), the over 75s (36%), patients awaiting less
      complex procedures (35%) and those with waiting times longer than five years
      (31%).

PMID- 10265060
TI  - The elderly at home: health and social status.
AB  - The health, social status and contacts with services of all people over the age
      of seventy-five living at home in and around Melton Mowbray was assessed by
      interview. Nearly half the sample (46%) lived alone, and just over a third (37%)
      were married. Most respondents were able to complete the basic activities of
      daily living without any assistance. The apparent prevalence of dementia at 1.6%
      was lower than had been found in previous population studies. The levels of
      social contact were similar to those reported previously. While service provision
      compared well with that found in other studies, only a relatively small
      proportion of the population were in receipt of nursing, paramedical and social
      services.

PMID- 10265061
TI  - Presentation of statistical information on in-patient and out-patient activities
      to members of health authorities, consultants and general practitioners.

PMID- 10265062
TI  - The validity of indices for rural health manpower needs assessment.
AB  - Population-to-practitioner ratios have long been the primary index in the
      designation of health manpower shortage areas. This paper documents that
      application of the widely used population-to-dentist index results in
      understatement of the need for dental health manpower in rural areas. Through the
      analysis of utilization data collected from a statewide health screening program
      in Colorado, the practice of sole reliance on the population-to-dentist indices
      as an indicator of need was tested. Another measure, the area-(square miles) to
      dentist ratio was formulated, examined, and found to be a more useful referent of
      the need for additional health manpower in rural areas. Utilization of dental
      services in sparsely settled rural counties of Colorado was unrelated to
      population-to-dentist ratios. A strong, statistically significant association of
      utilization with land area-to-dentist ratios was found. The findings of this
      analysis suggest a need for reevaluation of needs assessment methodologies used
      in the designation of health manpower shortage areas. Indices more sensitive to
      consumer circumstance than to the number of health care providers available must
      be considered.

PMID- 10265063
TI  - The effects of psychiatric symptoms on quality of life assessments among the
      chronic mentally ill.
AB  - This study of chronically mentally disabled persons in community residences
      examined the discriminant validity of subjective quality of life indicators and
      self-report mental health indices to determine the potential confounding effects
      of psychopathology on the assessment of quality of life (QOL). Factor analyses
      and difference-score reliabilities identified a general QOL construct and a
      general mental health construct with 27% common variance. However, psychiatric
      symptoms did not significantly (p less than .05) alter the bivariate and
      multivariate relationships among the QOL ratings, except in the health domain in
      which the correlations of health-related QOL indicators with global QOL were
      significantly (p less than .05) attenuated after removing the effects of
      psychopathology. The results suggest that psychopathology does not introduce bias
      into the overall structure of QOL data, but they also indicate the importance of
      controlling for mental health effects in the assessment of patients' self-rated
      health and satisfaction with health care.

PMID- 10265064
TI  - An organization-environment framework for assessing program implementation.
AB  - Evaluations of health programs are typically conducted from a rational
      bureaucratic framework in which client change and client outcome are seen as
      logical outcomes of program activity. This paper proposes a theoretical framework
      for examining organizational consequences of program implementation. Factors in
      the internal environment (e.g., the hospital) and the external environment (e.g.,
      the community) which contribute to the program's success or failure, are
      considered. Observational and structured interview data are used to compare two
      state funded perinatal projects, one an organizational "success" and the other a
      costly failure. Attributes of external environments which may be important to
      successful implementation include demand for services, provider competition,
      access to information, social beliefs, and professional commitment. Important
      features of the internal environment include host organization commitment and
      conflict, and structural attributes: complexity, formalization, centralization,
      and coordination. The paper concludes with theoretically-based questions which
      serve as guidelines for process evaluation.

PMID- 10265065
TI  - Evaluating Reagan's block grants. Informed opinions on essential issues and
      needed information resources.
AB  - In this paper a set of common issues has been proposed to provide a framework for
      evaluating the effects of current and future block grant programs. By using these
      issues to identify current information needs and resources, the author attempts
      to promote the wider use of the available evaluation information on the current
      block grants and budget reductions, and to identify information gaps in these
      data bases.

PMID- 10265066
TI  - Malpractice crisis watch.

PMID- 10265068
TI  - On the path to proactivity.

PMID- 10265067
TI  - HMO income: what it takes to make it.

PMID- 10265069
TI  - Standardization, tangible benefits to be keys to future, suppliers told.

PMID- 10265070
TI  - Community concern turns to involvement; unique hospital involves.

PMID- 10265071
TI  - Race horse helps scholarship fund, has hospital unit named for him.

PMID- 10265073
TI  - Interest in PPOs gains momentum but size and scope of movement still
      undetermined.

PMID- 10265072
TI  - Business and the health marketplace: testing grounds for competition, cost
      containment.

PMID- 10265074
TI  - A check list for hospital PPO contracts.

PMID- 10265075
TI  - HMO enrollment rises as involvement in alternative delivery systems increases.

PMID- 10265076
TI  - Business and providers make competition the name of the game in Richmond, Va.

PMID- 10265077
TI  - Business is advised to be a partner with health industry in curbing costs.

PMID- 10265078
TI  - Arizona legislature gets chance to try to settle hospital cost controversy.

PMID- 10265079
TI  - Advice to hospitals: treat coalitions as opportunity rather than a problem.

PMID- 10265080
TI  - Regulation plus competition: an unwise compromise.

PMID- 10265081
TI  - An antitrust exemption for commercial insurers? Answer: no.

PMID- 10265083
TI  - Michael Reese Hospital: the meeting place.

PMID- 10265082
TI  - Life support issues: is involvement of the court required?

PMID- 10265084
TI  - Paul Deignan, RD/ASHFSA.

PMID- 10265085
TI  - New York University Medical Center cooperative care unit: patient dining room.

PMID- 10265086
TI  - Nutrition programs for alcoholics.

PMID- 10265087
TI  - Before & after: the decentralization of John J. Kane Hospital.

PMID- 10265088
TI  - Robots in your foodservice?

PMID- 10265089
TI  - Giving and getting: the non-profit outlook 1983-88.

PMID- 10265090
TI  - Building the case for solid gift support.

PMID- 10265091
TI  - Policies clear up confusion for board, staff, committees.

PMID- 10265092
TI  - Fostering the voluntary spirit: motivating people to serve.

PMID- 10265093
TI  - The mechanics of assembling an international drug dossier.
AB  - An international registration dossier is a comprehensive scientific document used
      to obtain worldwide licensing approval of a drug by diverse health authorities.
      Its creation, processing, compilation, and dispatch to the field by a regulatory
      affairs department of a major, US-based, multinational pharmaceutical company is
      dependent upon many interrelated activities beginning years prior to its physical
      assembly. The following activities are briefly discussed to show the magnitude of
      the task and the type of activities encountered: planning and scheduling;
      creating, organizing, and formatting; typing; copying and collating; working with
      extramural suppliers and services; and finally, shipping the document to the
      field. Suggestions for making the process more efficient are offered.

PMID- 10265094
TI  - FDA approval of comparative claims for prescription drugs--the Moxam case.
AB  - FDA allowance of comparative claims as part of the approved labeling for new
      prescription drugs creates special problems. Claims contained in prescription
      drug labeling are viewed by physicians as embodying not just the normal puffery
      of the manufacturer, but the considered views of government agency charged with
      protecting public health. Thus, labeling claims for prescription drugs have an
      impact and significance that promotional claims for other products do not. In the
      Moxam case--a dispute between Upjohn and Lilly over the FDA's approval of a
      comparative claim for a new Lilly antibiotic--the agency recognized this
      fundamental reality. Faced with the prospect of having to provide a procedure to
      permit competitors to challenge approval of comparative claims, the FDA has moved
      toward a policy of not permitting such claims in labeling, while allowing them in
      advertising.

PMID- 10265095
TI  - Selection of scientific periodicals to monitor drug safety information using
      Excerpta Medica and Japicdoc in the post marketing surveillance of drugs.
AB  - In order to select important journals to be monitored for efficient collection of
      literature information on drug safety, a retrospective search was made of the
      safety information in the Excerpta Medica (EM) database between 1979 and 1981.
      The search provided 54,005 references to drug safety, which were found in a total
      of 2,536 journals. Fifty percent of the references appeared in only 148 journals,
      or 6% of all journals surveyed. A similar search, carried out using the Japicdoc
      (JD) database, provided 9,268 references in 172 journals. To cover all the
      necessary information appearing in overseas journals, however, a retrospective
      search of a bibliographic database is required as a cost-effective means to
      improve the comprehensiveness of the collection of information. In domestic
      journals, because JD includes fewer journals than EM, all of the 172 journals can
      be monitored for the collection of drug safety information.

PMID- 10265096
TI  - A comparison of pharmaceutical manufacturers as a source of drug information to a
      telephone inquiry: generic vs brand.
AB  - A telephone survey was conducted to evaluate and compare drug information
      received from the pharmaceutical manufacturer in response to a drug interaction
      question concerning concurrent administration of tetracycline and cimetidine.
      This study assumes that the pharmaceutical company may often be consulted by the
      hospital pharmacist seeking information about a particular medication. Forty-five
      pharmaceutical companies, all marketing tetracycline products, were selected for
      the study. A conversation protocol was utilized. It was designed to assure
      consistency and evaluate information received for accuracy, response time,
      clinical judgement offered, and referrals. Forty pharmaceutical manufacturers
      responded: 18 brand manufacturers and 22 generic companies. Eleven companies
      provided information on the interaction identified. Five manufacturers stated
      that there were no contraindications to concurrent administration of the drugs,
      one company identified a similar interaction, and five manufacturers successfully
      provided information identifying the interaction with supportive documentation.
      Two of the five companies offered clinical judgement as to the clinical
      significance of the interaction. Both reached different conclusions. The mean
      time of all phone calls was 4.29 minutes (range 0.39 to 15.41 minutes). The
      investigator was referred to outside sources by twelve companies. In this study,
      brand manufacturers performed better than generic companies. Results indicate
      that few manufacturers are organized to answer drug information requests
      involving current information sources in a response to a telephone request.

PMID- 10265097
TI  - Development of a computerized drug interaction database (MEDICOM) for use in a
      patient specific environment.
AB  - Drug Interactions are a clearly defined problem that we as health professionals
      must deal with on a day-by-day basis. It is by far the area of health care that
      demands more attention today and tomorrow than was possible in the past. The
      amount of reference sources and text material of drug interactions is growing at
      such a rate that it is almost impossible to recall essential information in a
      reasonable time frame. If the practitioner is to continue with an uninterrupted
      work flow and still maintain the best possible service for the patient, an
      immediate and accurate method is needed in the hands of the user ... a
      computerized drug interaction database. The community health care standards would
      be ultimately raised to a level never before attainable and efficiency would
      continue with full utilization of professional practice. Combine then, drug
      interaction data with ancillary benefits such as cost containment, third party
      accounting, inventory control, and a multitude of other operational functions
      into a computerized database and the end product results in an enhanced,
      controlled, professional operation.

PMID- 10265098
TI  - International prescription drug labeling.
AB  - Yesterday's therapeutic compounds were meticulously prepared, elegantly
      presented, and relatively innocuous (Dunlop). Today's powerful and complex drugs
      are manufactured with sophisticated technology and require clear, concise, and
      comprehensive information for the physicians throughout the world in order to
      provide maximum benefit for the patient. Our company, Merck & Co, Inc, has
      adhered for many years to strict requirements for full and balanced disclosure in
      all information disseminated to professionals about our products, including
      circulars, labeling, and advertising. Our practice is to provide complete
      information to physicians, pharmacists, and regulatory authorities, both on the
      recommended uses for our products and on their potential adverse effects. The
      cornerstone of our international disclosure system, the International Physicians
      Circular (IPC), is provided for each product and comprises part of the initial
      submission to each national health authority in connection with application for
      marketing approval. Each IPC sets forth the company's best scientific judgment
      with respect to both the positive and negative aspects of our drugs, defining
      actions, indications, and dosage, as well as all contraindications, precautions,
      and side effects. These circulars are updated in the process of continuous
      medical review.

PMID- 10265099
TI  - An Asian perspective on drug and related health care information.
AB  - To ensure that drugs are available in adequate quantity and quality for the
      health needs of the population and properly used, Asian governments in the past
      decades have exercised their sovereign rights quite independently and
      differently. A high number of patients per prescribing physician has consequences
      for drug information, in regard to both prescribers and consumers needing to self
      medicate. To reliably inform patients through physicians, pharmacists, or medical
      auxiliary personnel is of great importance in the face of an illiteracy problem.
      Self- medication and illiteracy place emphasis on communication by word of mouth
      or by pictures. Word of mouth is the most important route, because even with a
      steady increase in literacy, the increase in transistor radios has been even more
      pronounced. For specific health information, instructional posters, with emphasis
      on pictures, have been very effective. Billboards do not allow adequate
      information disclosure needed for drugs. The opportunity to expand the coverage
      of consumer drug information, in that labelling for consumers gives additional
      relevant general health information, seems appropriate.

PMID- 10265100
TI  - The role of the innovation-based pharmaceutical industry in international drug
      information communication.
AB  - The ultimate responsibility and social contribution of the innovation-based
      pharmaceutical industry is to discover, develop, and provide products that
      contribute to improved health care. Achievement of this objective is dependent
      upon effective communication of accurate and comprehensive information about our
      products. This is a unique role which the research-based segment of the industry
      performs well and must be allowed to continue to perform. Although the ultimate
      objective of improved health care is a constant, the effective communication of
      product information is affected by a variety of factors which represent change or
      evolution. The discussion of drug information will review: the various forms that
      such information takes; the effects of differences in national health systems and
      objectives; and the implications of the fact that product data bases continue to
      develop after introductions. The systems and experience at the Upjohn Company,
      while not necessarily applicable for all companies, will be discussed briefly as
      useful examples of a working, effective process.

PMID- 10265101
TI  - Drug design and the CAS ONLINE substructure search system.
AB  - CAS ONLINE, the chemical substance search and display system available directly
      from Chemical Abstracts Service, is a new service which is particularly useful in
      drug design studies. In CAS ONLINE chemists search by structures to identify
      chemical substances, for example, derivatives or analogs of a drug or its
      pharmacologically active fragment, which share user-defined features. Search
      questions are phrased in terms of one or more structure diagrams, each of which
      can include variable atoms, bonds, or positions of substitution as required by
      the searcher. CAS ONLINE provides access to the world's largest (more than 6
      million substance records) and most current chemical structure information data
      base. CAS ONLINE is updated weekly with 7,000-10,000 new substance records.
      Substance information available from searches in CAS ONLINE include structure
      diagrams, systematic and common names (including trade names) for substances,
      molecular formulas, and the widely cited CAS Registry Numbers. The searcher may
      optionally request for each substance bibliographic information for the ten most
      recent literature references which have been cited in Chemical Abstracts since
      1967.

PMID- 10265102
TI  - Activated health education: the development and refinement of an intervention
      model.

PMID- 10265103
TI  - An international study of patient education in selected colleges and
      universities.

PMID- 10265104
TI  - Reflections. Wellness for all by the year 2000: an old challenge for a new
      century.

PMID- 10265105
TI  - Influence of support systems on the use of social services by the Hispanic
      elderly.

PMID- 10265106
TI  - The Federal Communications Commission and interactive cable technology: the case
      for minimal regulation.

PMID- 10265107
TI  - Medical licensure in the United States.

PMID- 10265108
TI  - Easing tensions between man and machine.

PMID- 10265110
TI  - Nursing leadership evaluation.

PMID- 10265109
TI  - Laboratory fume hood control.

PMID- 10265111
TI  - Employee training: the shape of things to come.

PMID- 10265112
TI  - Advantages and disadvantages of committees.

PMID- 10265113
TI  - Case in health care supervision.

PMID- 10265114
TI  - Three kinds of supervisory knowledge: needed dimensions for training programs.

PMID- 10265115
TI  - Microcomputers in health care management.

PMID- 10265116
TI  - Reorganization: another view.

PMID- 10265118
TI  - Case in point. University Medical Center.

PMID- 10265117
TI  - Variable staffing: an alternative to traditional practice for pharmacy.
AB  - There are a variety of programs designed to monitor the utilization of hospital
      pharmacy labor and to measure fluctuations in workload. Few, however, address the
      problem of forecasting labor needs and adjusting staffing levels accordingly.
      This paper describes a system used by one hospital, whereby workload is
      correlated to census to provide variable staffing levels corresponding to
      fluctuating workload demands. This hospital's pharmacy uses a core level staff,
      supplemented by on call pharmacists and technicians. The following day's workload
      is forecast from the current day's level, and staff are scheduled accordingly.

PMID- 10265119
TI  - Case in point--the answer. Metropolitan Charity Medical Center.

PMID- 10265120
TI  - Productivity monitoring systems: their use in management planning, forecasting,
      and labor budgeting.
AB  - The productivity monitoring system (PMS) has long proved itself a useful and
      necessary management tool for controlling scarce and costly labor resources.
      Here, the reader is introduced to the use of the PMS within the hospital
      industry. The general concern with controlling productivity in hospitals is
      presented within the context of regulatory change and overall cost-consciousness,
      followed by a description of a successful PMS and the information it provides.
      Techniques and an example for using PMSs in workload forecasting are also
      provided.

PMID- 10265121
TI  - Assessing the external environment.

PMID- 10265122
TI  - Case in point. St. Mary's Mountain View.

PMID- 10265123
TI  - Case in point--the answer. University Medical Center.

PMID- 10265124
TI  - Six steps for establishing a successful health promotion program.
AB  - Well-designed health promotion programs meet a variety of long- and short-term
      hospital commitments to: 1. Hospital employees. For hospital employees, making
      health promotion part of the strategic plan puts the hospital in a leadership
      posture, serving as a role model within the community. 2. Businesses. Health
      promotion helps decrease health care costs and impacts favorably on the bottom
      line by increasing productivity through a reduction in absenteeism. 3. Medical
      staff. The time a physician spends getting a patient to lose weight or stop
      smoking is generally not cost effective. However, offering health promotion
      programs gives the physician a "prescription" that can be issued to patients
      allowing more productive use of physician time. 4. Community residents. Offering
      health promotion activities to community residents can only improve the health of
      the entire community. As one hospital administrator stated in a conversation with
      the author, "When they walk in the front door for a health promotion program and
      have a positive experience with a quality program, we know that they, their
      friends, neighbors and business associates will all think of us at other times."
      5. The Board of Trustees. Dr. William L. Weis, C.P.A., an associate professor at
      Seattle University estimates that an organization's "annual cost per smoker"
      represents a loss of approximately $4,611. Offering health promotion programs
      provides an excellent way to aid the hospital's cost containment and productivity
      efforts. Should health promotion activities be part of your strategic plan? By
      utilizing the six phased-in steps outlined here, it is possible to maximize the
      opportunities while minimizing the risks typically associated with starting up a
      health promotion program.

PMID- 10265125
TI  - What does a bar of soap have to do with health care marketing?
AB  - In today's competitive health care market, product/service marketing will become
      the key to survival. This article introduces a new way of using an established
      marketing concept. Product/service marketing is based on promoting services that
      fulfill a number of requirements, including being highly visible and a foundation
      for the later development of an overall marketing plan. Choosing the
      products/services to be marketed and developing the marketing program are
      discussed.

PMID- 10265126
TI  - A successful physician marketing program.
AB  - Cardinal Glennon Memorial Hospital for Children in St. Louis is the site of an
      active and successful physician marketing program. Through two specific programs,
      one directed at private physicians on staff and the other at referring physicians
      outside of St. Louis, Glennon has realized many benefits, including increased
      utilization. Glennon's marketing program and specific marketing techniques are
      detailed here.

PMID- 10265127
TI  - Fire precautions. Foreground to a fire.

PMID- 10265128
TI  - Land sales. Law of the land.

PMID- 10265129
TI  - Personnel management. Cuckoo in the nest.

PMID- 10265130
TI  - Joint planning. The missing element.

PMID- 10265131
TI  - Patient participation. Much like an elastic stocking.

PMID- 10265132
TI  - Communications. Tackling problems.

PMID- 10265133
TI  - Griffiths inquiry. Will 85 per cent principle work?

PMID- 10265134
TI  - Selling of the private sector.

PMID- 10265135
TI  - Manpower planning. Occupational hazards.

PMID- 10265136
TI  - Social work. Clients' consumer rights.

PMID- 10265137
TI  - Health education. Oiling the publicity machine.

PMID- 10265138
TI  - Centre Eight: medical architecture. Medical Architecture Research Unit.

PMID- 10265139
TI  - Griffiths Report. Waiting for the call.

PMID- 10265140
TI  - Whose finger on the audit button?

PMID- 10265141
TI  - On the spot advice.

PMID- 10265142
TI  - Self-help begins in the home.

PMID- 10265143
TI  - Catering management: savings on a plate.

PMID- 10265144
TI  - Cleaning services: trading places.

PMID- 10265145
TI  - Cleaning services: waiting to clean up.

PMID- 10265146
TI  - When does a resignation become a dismissal?

PMID- 10265147
TI  - Danger: NHS at work.

PMID- 10265148
TI  - Hazards at work. Planning to cut a string of perils.

PMID- 10265149
TI  - Land--the jewel in the crown.

PMID- 10265150
TI  - Rural services. Half way hospital.

PMID- 10265151
TI  - Dual key health aids.

PMID- 10265152
TI  - Chicago's hospital crime busters.

PMID- 10265154
TI  - Birth of a district plan.

PMID- 10265153
TI  - Unit management. Coming to terms with realities.

PMID- 10265155
TI  - How to beat the burn-out.

PMID- 10265156
TI  - Turning the member into an expert.

PMID- 10265157
TI  - Planning without panic.

PMID- 10265158
TI  - Scant sources of learning.

PMID- 10265159
TI  - Centre eight student update. Major developments in the NHS over the last year.

PMID- 10265160
TI  - Griffiths report. Ironing out the differences. Interview by Peter Merry.

PMID- 10265162
TI  - NHS resources. But is it value for money...?

PMID- 10265161
TI  - Mental health services. Planning a change for the better.

PMID- 10265163
TI  - America's bedside bills.

PMID- 10265164
TI  - Birth of a social work specialist.

PMID- 10265165
TI  - Crown cars for community care. Association of Health Service Treasurers.

PMID- 10265166
TI  - Appraise me, please! The plight of young administrators in the NHS.

PMID- 10265167
TI  - Oh no--not appraisal again.

PMID- 10265169
TI  - Once more with feeling: the Griffiths Report and personnel.

PMID- 10265168
TI  - Networking--the neglected resource in training and development.

PMID- 10265170
TI  - Interview with Sir John Donne, Chairman of the NHS Training Authority.

PMID- 10265171
TI  - The manpower performance indicators.

PMID- 10265172
TI  - Health care industry salary figures show anesthesiologists as highest-paid.

PMID- 10265173
TI  - Home health care of AIDS patients instills unneeded fear in personnel.

PMID- 10265174
TI  - Five million Americans are in need of home health care, say HHS estimates.

PMID- 10265175
TI  - N.Y. elderly abuse program focuses on problem-solving.

PMID- 10265176
TI  - The expansion of respiratory therapy into home health care is new, long overdue.

PMID- 10265177
TI  - Health and Human Services Secretary Margaret Heckler talks home health.

PMID- 10265179
TI  - Intermediary representative misinforms provider, U.S. Court of Appeals judge's
      decision may change view on 'little guy vs. big government'.

PMID- 10265178
TI  - AARP survey shows Americans support alternative health care.

PMID- 10265180
TI  - Duplication in medical records is a problem; how to avoid it at your home health
      agency.

PMID- 10265181
TI  - AIDS and the home health care industry--Part II. AIDS is incurable and kills 75
      percent of its victims within two years.

PMID- 10265182
TI  - Fired employees are suing and winning. Here is what to do for better protection.

PMID- 10265183
TI  - Final hospice regulations lower rate for reimbursement.

PMID- 10265184
TI  - Marketing: a dirty word?

PMID- 10265185
TI  - Child care proving inadequate, home health agencies are getting involved.

PMID- 10265186
TI  - Accident and emergency services in the Department of Lot et Garonne, France.

PMID- 10265187
TI  - Examining activity in operating theatres.

PMID- 10265188
TI  - Reorganisation in Scotland--the end or the beginning?

PMID- 10265190
TI  - Seventy ways to cut costs.

PMID- 10265189
TI  - Health administration in Zimbabwe. The search for a system.

PMID- 10265191
TI  - The role of the health authority: one district's approach to monitoring.

PMID- 10265192
TI  - Hospital nursing establishments and costs.

PMID- 10265193
TI  - Management at unit level.

PMID- 10265194
TI  - Reform of the mental health law--2.

PMID- 10265195
TI  - Too many eggs in one basket? The one hospital district.

PMID- 10265196
TI  - Health care manager's notebook. Turnaround management.

PMID- 10265197
TI  - Entrepreneurship: its place in health care.

PMID- 10265198
TI  - 1984 innovators catalog.

PMID- 10265199
TI  - Common courtesy: the ultimate barrier to entry. Part II.

PMID- 10265200
TI  - Factoring ethnic diversity into the health care formula.

PMID- 10265201
TI  - Human resource development. How three hospital systems get top performance from
      their managers.

PMID- 10265202
TI  - Carner's codes, Chapter 12. Reputation: years to build, seconds to destroy.

PMID- 10265203
TI  - Signs of organizational decline.

PMID- 10265204
TI  - Management succession plan prepares for change.

PMID- 10265206
TI  - Local authority disposal of hospital waste.

PMID- 10265205
TI  - Environmental design boosts patient, staff morale.

PMID- 10265207
TI  - ECG lead checker.

PMID- 10265208
TI  - Transport fleet costs cut--experience with LPG.

PMID- 10265209
TI  - Model program explores cancer rehabilitation process.

PMID- 10265210
TI  - Support group for cancer patients provides help, information.

PMID- 10265211
TI  - The Clarence Herbert case: was withdrawal of treatment justified?
AB  - Clarence Herbert, 55, stopped breathing following routine surgery in August 1981.
      Though a respirator restored his breathing, the lack of oxygen had caused severe
      brain damage, and Mr. Herbert was in a coma. Whether he could recover beyond a
      vegetative state was not known. Two days after her husband was placed on the
      respirator, Mrs. Herbert authorized the withdrawal of all life-support means. Mr.
      Herbert died six days later. Charges of murder by deprivation of treatment
      against the two attending physicians were dismissed in a lower court, a decision
      that was upheld in the state appeals court. Because court accounts are unclear,
      it is impossible to judge whether withdrawal of treatment was moral in this case.
      This case, however, raises a question about life-sustaining treatment in general.
      What is the moral criterion for withdrawal: quality of life or quality of
      treatment? The quality-of-life principle removes the obligation to take life
      sustaining measures when a person's life does not or will not meet certain
      standards. Quality of treatment permits the withdrawal of even minimally
      burdensome treatment if it is considered useless. Though the California case
      appears to rest on these principles, withdrawing treatment from a person in a
      permanent coma, such as Mr. Herbert, implies that the quality of life is so low
      that life is not worth preserving, if the patient has no potential for conscious
      life, others have no duty to preserve it. This judgment may be acceptable in a
      terminal case when treatment truly is useless; however, withdrawing treatment
      that is useful in prolonging life cannot be justified.

PMID- 10265212
TI  - Ethics Commission examines moral distinctions in using life supports.
AB  - Deciding to Forego Life-Sustaining Treatment, a report of the President's
      Commission for the study of Ethical Problems in Medicine and Biomedical and
      Behavioral Research, examines four common medical-ethical distinctions. The
      report highlights the 1980 Declaration on Euthanasia and closely follows Catholic
      moral teaching on the following. Death by action versus omitting to act. The
      commission rejects the idea that a physician who fails to act should not be held
      responsible for a patient's death. Failing to resuscitate, for example, or to
      take other steps to prolong life, are just as much causes of death as a lethal
      injection. The health profession's traditional duty to act on the patient's
      behalf precludes any distinction between acts and omissions. Withdrawing versus
      withholding treatment. Acknowledging that initiating treatment may create an
      obligation to continue treatment, the commission suggests that distinguishing
      between withholding and withdrawing could encourage undertreatment and
      overtreatment. Fear of being unable to withdraw unsuccessful treatment could lead
      to physicians' failing to treat patients who might benefit from the therapy.
      Ordinary versus extraordinary means. The commission upholds this distinction. It
      suggests, however, that the phrase "proportionate versus disproportionate" better
      describes the moral issue involved in selecting treatments that, in relation to
      their expected benefits, impose no excessive burden on the patient or family.
      Regarding intended versus unintended consequences, the commission departs from
      Catholic tradition. It fails to acknowledge the significance of physicians'
      intentions. What matters instead, according to the commission, is whether
      physicians act within their authority as defined by society. Thus, the commission
      suggests, the use of pain medications that may cause death can be socially and
      legally acceptable.

PMID- 10265213
TI  - Unrelated business income tax: an update.
AB  - To meet spiraling costs, tax-exempt hospitals increasingly are operating
      businesses unrelated to direct patient care. Knowing which activities may be open
      to challenge by the Internal Revenue Service (IRS) is essential to avoid the
      unrelated business income (UBI) tax. Three criteria must be met for an activity
      to be taxable as UBI: It must constitute a trade or business; It must be
      regularly carried on; and It must be unrelated to the organization's exempt
      purpose. The Internal Revenue Code and IRS rulings clearly exclude the following
      areas from UBI taxation: Activities performed by unpaid volunteers (e.g.,
      hospital auxiliaries' fund-raising dinners and bazaars and the operation of
      thrift stores); Operations conducted for the convenience of the organization's
      members, students, patients, or employees (e.g., gift shops, cafeterias, coffee
      shops, parking lots, lounges, vending machines, pharmaceutical sales to
      inpatients and emergency room outpatients, and research activities for students'
      benefit; The sale of merchandise that has been received by gift (e.g., flea
      markets, baked goods sales, book sales, and rummage sales); Investment income
      such as dividends, interest, annuities, royalties, certain rents, and capital
      gains from the sale of investment assets; Gifts or contributions made directly to
      the facility; and Bingo games that are conducted commercially. Areas which may be
      subject to UBI taxation, or in which there have been controversial or
      contradictory court rulings, include: Pharmaceutical sales to the public or
      private physicians' patients; and Laboratory services provided to private
      physicians for treating their patients. IRS private letter rulings, though not
      precedential, have excluded from UBI taxation the x-ray income from a hospital's
      branch facility and rental income from property leased for use as a clinic or
      medical office building that is substantially related to the hospital's exempt
      functions. Private letter rulings have subjected to UBI taxation the income for a
      professional standards review organization's private review activities and debt
      financed income from property that is not substantially related to the
      organization's exempt purpose.

PMID- 10265214
TI  - Older alcoholics: professional, family education programs aid treatment.
AB  - The identification and treatment of older alcoholics often are complicated by
      negative stereotypes and inaccurate information about the aging process. these
      misconceptions may result from incomplete statistical data, lack of attention to
      the subjects of alcoholism and aging in medical and gerontological journals,
      disagreement concerning the disease's origin and treatment, and conflict over
      whether to differentiate between alcoholism and alcohol abuse. In recent
      professional literature, however, some of these concerns are being addressed. A
      wider dissemination of information is essential for health professionals as well
      as for alcoholics and their families. Both groups must understand the changes
      associated with aging so that existing programs for alcoholism treatment can be
      adapted to serve the elderly. Results of an informed, enlightened attitude toward
      older alcoholics would be: Awareness that alcoholism--at any age--is a treatable
      disease; Increased attention to the special communication and mobility needs of
      the elderly; Availability of printed and audiovisual materials about aging and
      alcoholism in locations where older adults gather; and The training of family
      members and health care workers in alcoholism identification and intervention.

PMID- 10265215
TI  - Program helps nurses develop spiritual care skills.
AB  - Recognizing the registered nurse's (RN's) important role in providing spiritual
      care, the Catholic Health Association of Wisconsin has created a program to
      prepare nurses to identify and respond to patients' spiritual needs. The program
      features instruction in theological and ethical issues and a three-month
      practicum, during which nurses evaluate their abilities to incorporate an
      awareness of spirituality into professional practice. A patient questionnnaire
      enables an objective measurement of the program's effect on nurses' care-giving
      skills. The program's ultimate goal is to formalize the RN's role as a member of
      the spiritual care team in the Catholic health care facility. The program
      represents not only an opportunity to contribute to the RN's professional growth
      but also to advance the Catholic health care mission.

PMID- 10265216
TI  - Why should Catholic hospitals promote abortion, sterilization alternatives?

PMID- 10265217
TI  - Food service company contracted by hospital is responsible for sales tax.

PMID- 10265218
TI  - Subacute care program focuses on rehabilitation.

PMID- 10265219
TI  - Volunteer dentists serve low-income families.

PMID- 10265220
TI  - Employee benefit encourages adoption as abortion alternative.

PMID- 10265221
TI  - How can PPOs control prices without violating antitrust laws?
AB  - Preferred provider organizations (PPOs) have caused concern because they raise
      the question whether providers can establish mechanisms to control the price of
      medical care without violating antitrust laws. The U.S. Supreme Court recently
      decided in Arizona v. Maricopa County Medical Society that the practices of a
      physicians' organization which set fee schedules by majority vote constituted
      price fixing because "independent competing entrepreneurs" made the agreements.
      The decision implies that PPOs must carefully structure collective efforts to set
      prices in order to avoid unlawful agreement among competitors. To avoid antitrust
      exposure, hospitals may independently determine prices and contract individually
      with providers, or they may act as brokers for individual physicians,
      establishing fees and claims-processing procedures and then contracting with
      physicians who agree to these requirements. Setting fees independently may be
      difficult, however, since hospitals need to know what payment physicians will
      accept. Thus some physician involvement is probably inevitable. No antitrust
      liability results, however, if individual physicians are sampled in an
      information-gathering process but do not collectively set fees. In addition, a
      PPO that is structured as a partnership or other joint arrangement involving true
      risk sharing should withstand antitrust challenge. In recent business review
      letters, the Department of Justice approved two different PPO structures: A
      Hospital Corporation of America subsidiary would contract (nonexclusively) with
      providers, hospitals, and third party payers to treat the third party payers'
      beneficiaries at discounted rates. The charges would be negotiated individually
      with each physician and hospital. A management consultant firm would act as an
      intermediary between providers and third party payers, negotiating patient
      discounts but not participating in fee setting. A PPO need not be structured in
      every respect like these programs. Individual situations vary, and with sound
      antitrust advice, PPOs can avoid legal pitfalls.

PMID- 10265222
TI  - Alienation and reconciliation: caring for the elderly.
AB  - Reconciliation is one way of caring. Our society fosters alienation among the
      elderly, and the result is that we are all losers as we miss the unique
      contributions that the aged can make. To bring about the reconciliation that God
      desires, health care institutions must join together in calling for public
      policies that protect the elderly's human rights; ensure that care systems and
      structures help to integrate the aged as a vital part of the community; and work
      to change attitudes (among both the young and the old) about old age's role,
      meaning, and purpose. Most important, those who care for the elderly must rely on
      God to strengthen them to make in their own lives whatever changes reconciliation
      requires.

PMID- 10265223
TI  - Theology links Christian ministry with God's call.
AB  - Catholic health care ministry originates in and is shaped by the theme of call in
      the Old and New Testaments. To be specifically Catholic, health professionals and
      facilities must define their ministries according to the values expressed in this
      theological tradition. Sponsorship. The opportunity to provide health care
      enables religious communities to contribute to God's ongoing creation process and
      to reiterate Christ's call to minister to others. Although health care facility
      sponsorship thrusts religious communities into the arena of big business, the
      abandonment of the health care mission could be considered a betrayal of
      evangelical values. Quality of life. The implicit concern for human dignity that
      distinguishes Catholic health care facilities should be evident in personalized
      patient care, just working conditions, and a commitment to healing in the civic
      community. Stewardship in ethics. The development of business policies and
      procedures and institutional responses to social change should be carefully
      considered in light of the Catholic understanding of loving covenant and the
      Christian way of life. Shared ministry. Health care facilities have played a
      leading role in implementing the Second Vatican Council's vision of ministry.
      Sponsoring communities' continued willingness to share responsibilities with
      laity will be imperative in meeting the health care demands of the future.

PMID- 10265224
TI  - Hospital returns to social security but retains alternative benefits plan.
AB  - When passage of the Social Security Amendments of 1983 required Holy Redeemer
      Hospital to return to the Social Security system on Jan. 1, 1984, the hospital
      examined alternatives to nonprofit hospitals' mandatory participation in the
      program. With a consortium of hospitals, it launched an unsuccessful lobbying
      effort to convince Congress to accept other options: deferring the return for
      several years, exempting hospitals that had left the system, or "grandfathering"
      nonprofit hospitals' employees. By Oct. 31, 1983, the hospital decided to forgo
      efforts to amend the legislation and made preparations for returning to the
      system. Employees were notified that they could continue to participate in the
      alternate plan (a tax-deferred annuity) or leave their account inactive until
      withdrawal at retirement. The plan's provisions that allowed withdrawals only
      under extraordinary circumstances were amended to permit withdrawals at any time.
      In addition, the administration introduced flexible benefits--a "cafeteria plan"-
      to allow participants to choose among certain taxable and nontaxable benefits
      that best fit each individual's life-style.

PMID- 10265225
TI  - Shared hospital services: study report.
AB  - The study of shared hospital services reported in this article was conducted to
      determine the magnitude of shared administrative and clinical programs, what
      institutions participate, and most frequently shared services. To ensure that
      hospitals with different characteristics and in various areas were represented,
      the investigators mailed questionnaires to 1,731 of the nation's 5,987 short
      term, acute care general hospitals in nine census regions. Responses indicated
      the following trends: Not-for-profit hospitals outrank other types of hospitals
      in using shared services. About 90 percent of hospitals with 200 to 499 beds
      shared services. For almost all categories of services, a percentage increase
      occurred in the number of hospitals participating in shared programs. The three
      most shared services were purchasing, data processing, and insurance programs.
      Hospitals shared more administrative than clinical services. According to
      administrators' responses, cost containment was the most common reason for
      sharing services. As the pressures to control health care costs increase, the
      investigators predict that hospitals will share more clinical services. Shared
      services decrease unit cost, however, only when providers have an excess
      capacity.

PMID- 10265226
TI  - Should Catholic hospitals encourage low tubal ovum transfers?

PMID- 10265227
TI  - Physicians must follow hospital policy limiting number of therapy providers.

PMID- 10265228
TI  - Hospital must give insurance carrier timely notice of lawsuit.

PMID- 10265230
TI  - Catering department feature.

PMID- 10265229
TI  - Health care practice must reflect Catholic values.

PMID- 10265231
TI  - Fat group: a SNAP-launched self-help group for overweight women.

PMID- 10265232
TI  - The role of organizational procedures in the resolution of social conflict.
AB  - Employee-employer conflict can arise from the expression of social issues within
      an employment organization. Recently, public support for non-discrimination in
      employment has led to the existence of external forums--regulatory agencies and
      the courts--that allow appeals for complaints of discrimination by protected
      groups. This paper examines the role of organizational procedures for conflict
      resolution where individuals have the option of appealing to an external forum.
      Through the analysis of internal grievance procedures and external charges in
      three urban hospitals, the paper explores the origins and expressions of employee
      employer conflict in the areas of discrimination, the impact of an internal
      system on the rate of external charges, and the general relationship between
      internal and external forums of conflict resolution.

PMID- 10265233
TI  - Survey of grants activities at selected children's hospitals.

PMID- 10265235
TI  - Appellate Court upholds a state cost-containment program against labor law
      challenge.

PMID- 10265234
TI  - Court of Appeals denies government access to records in case of Baby Jane Doe.

PMID- 10265236
TI  - AHA files motion to have Baby Doe regulations declared invalid.

PMID- 10265237
TI  - Washington State Supreme Court protects quality review committee records.

PMID- 10265238
TI  - HHS "clarifies" Hill-Burton recovery rules.

PMID- 10265239
TI  - U.S. Court of Claims dismisses proprietary hospitals' claim that return on equity
      reimbursement is unreasonably low.

PMID- 10265240
TI  - Indiana passes PPO Law in its 1984 legislative session.

PMID- 10265241
TI  - Maryland Court of Appeals upholds state rate-setting agency action in favor of
      hospitals.

PMID- 10265243
TI  - New Q.A. guidelines raise new questions.

PMID- 10265242
TI  - Training helps staff warm up to computers.

PMID- 10265244
TI  - Put quality patient care on-line.

PMID- 10265245
TI  - Going corporate.

PMID- 10265246
TI  - Unit dose: it's feasible and reasonable.

PMID- 10265248
TI  - Commissioning notes from one hospital.

PMID- 10265247
TI  - Consider micro standardization.

PMID- 10265249
TI  - Designs with a difference.

PMID- 10265250
TI  - It pays to share services.
AB  - It may not be a new concept but more and more hospitals today are realizing that
      shared services is one of the most efficient and cost effective ways to operate.
      For some, it is the only way. Although it can be applied to pharmacy, food
      service, certain medical procedures and diagnostic services, the department which
      probably derives the greatest benefits from a shared or central service is the
      laundry. Two recently completed western facilities, Hospital Laundry Services of
      Regina and Calgary Hospitals Regional Laundry, mark a new era in laundry service.
      Using state of the art technology, modern energy conservation systems and
      equipment, efficient operating measures and sophisticated building design, plants
      such as these are quickly replacing outdated hospital facilities and equipment.
      And despite some dissatisfaction among hospital employees and occasionally
      patients, the cost savings alone prove that the future of shared laundry services
      is imminent.

PMID- 10265251
TI  - Building controls lead to energy payback.

PMID- 10265252
TI  - Reusables vs. disposables.
AB  - The question of whether to use disposable or reusable laundry and linen products
      is one that hospital managers have had to answer with increasing frequency over
      the past few years. Although it may ultimately depend on individual user or
      patient preference, each type of product does have its own advantages and
      disadvantages. On these two pages, a comparison of disposables and reusables is
      presented from the point of view of a major linen supplier and the director of
      the Canadian institutional laundry managers association. They discuss the
      benefits, and downfalls, of each with regard to costs, storage, convenience,
      disposal and infection control.

PMID- 10265253
TI  - Protect yourself with effective security.
AB  - Hospitals have always been responsible for providing a "reasonably safe
      environment" for patients, visitors and staff. There are moral, legal, practical
      and profitability motives underlying this attitude. However, this responsibility
      has been reinforced by the increasing number of legal actions being brought
      against hospitals for breach of their duty. Hospitals are under pressure to
      increase existing security budgets to address the volume of complaints. The
      purpose of this article is to identify problems in existing hospital security
      systems and propose some potential solutions. Security has been defined as a
      "system of safeguards designed to protect the physical property of the facility
      and to achieve a relative ... (reduction in the probability of detrimental
      incidents) ... for all persons interacting within the organization and its
      environment". The goal of hospital security services is to reduce the
      institution's various vulnerabilities. These vulnerabilities have been divided
      into two major categories, personal safety and loss prevention.

PMID- 10265254
TI  - Cook-chill meets diversified needs.

PMID- 10265256
TI  - Are you capable of serving Kosher?

PMID- 10265255
TI  - Employee assistance--the right approach.

PMID- 10265257
TI  - Use computers to enhance food service.

PMID- 10265258
TI  - Do you care what people think?

PMID- 10265260
TI  - Throwing a curve. Inviting interior for the non-ambulatory patients of Magee
      Memorial Rehabilitation Center in Philadelphia.

PMID- 10265259
TI  - Making an entrance. Renovation at the Mayo Clinic.

PMID- 10265261
TI  - California building development leaps ahead.

PMID- 10265262
TI  - PIQuA winds down.

PMID- 10265263
TI  - Surveys look at characteristics, challenges of internists, young and old.

PMID- 10265264
TI  - Results of a poll: who is the new breed?

PMID- 10265265
TI  - An internist is an internist is an...

PMID- 10265266
TI  - It works--risk management and drug-induced disease.

PMID- 10265267
TI  - Special summary: results of ASIM's public opinion poll on internists.

PMID- 10265268
TI  - Women's experience of their first visit to a hospital antenatal clinic.

PMID- 10265269
TI  - How have people changed their health behavior?

PMID- 10265270
TI  - The annual fund.

PMID- 10265272
TI  - 1983 central service supervisor survey.

PMID- 10265271
TI  - Home care involvements a new horizon for buyers.

PMID- 10265273
TI  - Equipment management.

PMID- 10265274
TI  - Associations 'vital' to materials professionalism.

PMID- 10265275
TI  - Texas center solves lost charges problem.

PMID- 10265277
TI  - How can I correct and control incorrect invoices received from vendors?

PMID- 10265276
TI  - A 'maverick' speaks--again.

PMID- 10265278
TI  - Product standardization: can it be accomplished--Part II.

PMID- 10265279
TI  - NME scores chain first with single-source film.

PMID- 10265280
TI  - Small chains face different problems.

PMID- 10265282
TI  - Query ASHMM: What types of items are good choices for buying on consignment?

PMID- 10265281
TI  - Choosing the right telephone system.

PMID- 10265283
TI  - Monitoring materials management service: a return to 'basics'.

PMID- 10265284
TI  - Query ASHMM: ... an information system for the department of materials management
      ... What is the best method for procuring hardware and software?

PMID- 10265285
TI  - Centralization helps CMC contain costs.

PMID- 10265286
TI  - Fund raising in the 1980s: the challenge to hospital administration.

PMID- 10265288
TI  - Evaluation of a family practice teaching program in a nursing home.

PMID- 10265287
TI  - How professions can affect the direction of education for their members.

PMID- 10265289
TI  - Federally funded health administration research--a new era?

PMID- 10265290
TI  - The Irish health system: a Canadian perspective.

PMID- 10265291
TI  - The personalized quality assurance program.

PMID- 10265292
TI  - Ethics: a management tool? A profile of the values of hospital administrators.

PMID- 10265294
TI  - The role of hospital administrators in multihospital systems.

PMID- 10265293
TI  - Administrative ethics and the health services manager.

PMID- 10265295
TI  - The need for professional administrators in rural hospitals.

PMID- 10265296
TI  - Reiteration of problem definition in health services administration.

PMID- 10265297
TI  - The changing profile: affiliates of the American College of Hospital
      Administrators--1973 and 1982.

PMID- 10265298
TI  - Japanese management: implications for healthcare administration.

PMID- 10265299
TI  - Doing good and doing well: ethics, professionalism, and success.

PMID- 10265300
TI  - Managers speak out on volunteers.

PMID- 10265301
TI  - The John Belville House.

PMID- 10265302
TI  - Planning the small hospital gift shop.

PMID- 10265303
TI  - When you go to market.

PMID- 10265304
TI  - Use of general (tertiary) reference sources in a university hospital-based drug
      information service.
AB  - This study was performed to determine the types of requests received and
      clientele served by a university hospital-based drug information service. A
      further objective was to determine which general (tertiary) reference sources
      best meet the needs of the service. The results revealed several trends in
      utilization of the service. The study also indicated that a relatively small
      number of general (tertiary) reference sources were useful in answering a large
      percentage of requests. The information obtained has allowed more efficient
      utilization of funds for purchase of reference sources. It also proved useful in
      the development of guidelines for training of individuals in handling requests
      for drug information.

PMID- 10265305
TI  - Potential extension of strict products liability to hospitals: P & T committee
      liability.
AB  - Members of Pharmacy and Therapeutics (P & T) Committees and materials managers
      should be aware of the current trend of court decisions to extend strict products
      liability or liability without the showing of fault, to hospitals and providers
      of health care services in favor of innocent consumer-patients. Traditionally, a
      hospital's defense if charged with strict liability (in tort) was that its
      primary business is to provide services and not sell products. Recent Texas
      strict products liability judicial decisions have questioned, but not resolved,
      whether or not a hospital does sell or legally introduce a product into the
      stream of commerce. Since it is the function of materials managers, or in the
      case of pharmaceuticals the P & T Committee, to make the decisions on products
      that will be used in the hospital, the precedence established by the Texas cases
      portend further judicial extension of strict liability to providers of health
      care services.

PMID- 10265306
TI  - The request for proposal as a tool for computer selection.
AB  - The process of selecting a computer vendor can be time-consuming and somewhat
      tedious. Due to the large number of vendors and varying types of promotional
      material, it is difficult to decide whose systems should be scrutinized in
      greater detail. The Request for Proposal RFP process provides a means of
      standardizing each vendor's response and limiting the number of full proposals
      which must be evaluated. Further, the vendors' responses are tailored to the
      needs of the department.

PMID- 10265307
TI  - Improvement in drug utilization in an ambulatory care setting by the use of drug
      profiles for physicians.
AB  - The purpose of this study was to determine if the use of drug profiles could
      improve drug utilization in an ambulatory care setting. Four clinics were
      provided drug profiles on each patient for a 6- to 9-month period. Evaluation of
      drug utilization and physician response to using the profiles was performed. The
      data indicated that, after the profiles were introduced, there was a reduction in
      the total number of medications and duplications in a majority of patients
      studied. In addition, physician time spent in reviewing the drug history was
      significantly reduced. Overall, the physicians who were surveyed felt that the
      profile helped them and improved patient care. These data support the conclusions
      that the integration of drug profiles within an ambulatory care setting can
      improve patient care and help the hospital with large outpatient workloads to
      realize significant savings.

PMID- 10265308
TI  - Fair use versus fair return: copyright legislation and its consequences.
AB  - The purpose of this article is to examine the ramifications of legislative
      recognition of the concept of fair use in the Copyright Act of 1976. The fair use
      concept, while of small consequence in its normative origins, has turned out to
      be the foundation of the most perplexing and divisive issues in the new
      legislative guidelines governing copyright. Legislative recognition of the
      concept of fair use, coupled with enormous growth of a new technology--extending
      from xerography to on-line database systems--creates de facto exemptions to both
      the intent and content of new copyright guidelines. The issue is not one of
      limiting use or suppressing information, but of mechanisms for safeguarding the
      rights of copyright holders, be they authors or publishers, and insuring the free
      flow of information by providing a proper return on both intellectual creativity
      and capital expenditures. The authors argue that the elimination, or at least
      curtailment of fair use doctrine, coupled with an increase in technological
      approaches to reporting of secondary use of copyrighted material, will benefit
      all sections of the knowledge industry. Authors will receive proper royalties on
      use; publishers will be able to sell more books and journals at lower prices; and
      librarians will be liberated from extensive chores such as monitoring usage or
      determining fee schedules and transferences. The issue is one of fair return--an
      issue obscured and ultimately subverted by fair use.

PMID- 10265309
TI  - Action research is formative: research at Saskatchewan Hospital, 1957-61.
AB  - The author has examined the five lines of research started at a mental hospital
      between 1957-61 to determine their immediate effects upon practice and subsequent
      citations in the literature. Three lines of research combining basic and applied
      studies affected practice and research as measured by literature citations. One
      line of basic studies of perception and psychopathology influenced research but
      not practice. Applied studies of perception and psychopathology influenced
      research but not practice. Applied studies of staff organization had immediate
      application but disappeared from the professional literature in a short time.

PMID- 10265310
TI  - Phases of progressive burnout and their work site covariants: critical issues in
      OD research and praxis.
AB  - The term "burnout" represents a significant perspective on how people respond to
      their work, but the attention paid to this phenomenon has largely been clinical
      and often anecdotal. In this article, the authors seek to expand the analysis of
      burnout in ways that permit comparative analysis, especially in large
      populations. This study specifically addresses three questions. First, does a
      paper-and-pencil instrument isolate domains of burnout that are relatively
      consistent between people-intensive work and the broader range of activities
      found in a commercial enterprise? Second, can we develop phases of progressive
      burnout? Third, can we test the efficacy of the burnout phases by searching for
      regularities in a panel of 22 variables commonly thought to tap the important
      facets of the work site? The author's analysis shows that we can answer these
      three central questions affirmatively, though occasionally with complex and
      potentially significant qualifications. The results of the analysis provide
      further evidence of the usefulness of a convenient instrument for measuring
      burnout and also suggest that behavioral scientists will find valuable a phase
      model that distinguishes regular and robust covariation by using a panel of
      variables thought to tap the important aspects of organizational life.

PMID- 10265311
TI  - Food intake of institutionalized women over 80 years of age.
AB  - Food intake of 30 women over 80 years of age and residing in a long-term care
      facility was determined for a five-day period using the weighed intake method.
      Purposes of the study were to examine the contribution to nutrient intake of
      foods from eight major food groups; to characterize intake by time of day; and to
      examine the effect of age on nutrient intake. The results indicated that intakes
      of calcium, thiamin, vitamin A, zinc, and protein were below recommended levels.
      Analysis of intake by food group revealed that the grain group was the primary
      source of energy and many nutrients. Percentage consumption of foods in this
      group was significantly higher than that of vegetables or meat and alternates.
      Analysis of intake by time of day indicated that more energy was consumed at
      breakfast than at dinner. Advanced age was negatively correlated with overall
      dietary adequacy, although the distribution of energy intake from the eight food
      groups did not change with age. Implications of the results, for these subjects
      and similar groups of elderly, are discussed.

PMID- 10265312
TI  - The Canadian Nutrient File.
AB  - Rapid Calculation of the nutrient content of foods and diets requires a current,
      easily accessible data base. The Canadian Nutrient File is a computerized
      information bank containing average values for nutrients in foods available in
      Canada. For easy accessibility, it contains subfiles for food names, nutrient
      names, and nutrient amounts. Users of the data should appreciate the limitations
      of this multi-use file.

PMID- 10265313
TI  - Implications of an interactive encoding system for ICD-9-CM.

PMID- 10265314
TI  - System service provision and client service utilization in public sector, human
      service organizations.
AB  - Service provision and client utilization at the catchment area level were studied
      to provide data relevant to (a) comprehensiveness of care, (b) client behavior
      with human service organizations, and (c) management and policy in times of
      fiscal decline and/or scarcity. Four human service organizations and 3529 clients
      seen over a six-month period were sampled. At the system level, data revealed a
      100% duplication rate by the four organizations for nine service categories. At
      the individual level, 7% (n = 250) of the clients were multiorganization users
      and of these, only 150 received duplicated services. Implications of these data
      for comprehensiveness of care, utilization and provision duplication, human
      service system impetus and future research were discussed. Overcomprehensiveness
      of service provision may be a problem. At the client level, more research on
      differences between the multiorganization user who does and does not receive
      duplicated services is needed.

PMID- 10265315
TI  - Assessing a CMHC's impact: resident and gatekeeper awareness of center services.
AB  - One accessible measure of the impact a community mental health center has on the
      community it serves is the awareness levels of both residents and gatekeeper
      groups regarding the center's existence and services. This broad-based study was
      conducted with university students at no cost to the center and included 436
      residents and 175 gatekeepers. The results indicated that awareness levels for
      community residents and gatekeeper groups were 34% and 53%, respectively, but
      varied dramatically as a function of how the awareness questions were phrased.
      The overall awareness findings generally supported those of other studies and
      were discussed in light of potential normative levels, methods for conducting
      surveys of this nature, response rates, and the increasing need to justify
      existence given the diminishing funding situation.

PMID- 10265316
TI  - Evaluating day-care for chronic psychotics: goal attainment versus symptom
      attitude change.

PMID- 10265317
TI  - Daleview residents demonstrate leadership.

PMID- 10265318
TI  - Grow where you are planted.

PMID- 10265319
TI  - Involvement a tradition at St. Regis.

PMID- 10265321
TI  - The making of a resident community theater.

PMID- 10265320
TI  - "Wake up" service gives community head start.

PMID- 10265322
TI  - Recognizing the human potential.

PMID- 10265323
TI  - Bachelor grandpa.

PMID- 10265324
TI  - Lou-Del's "Aunt Sue": author, historian, lecturer, friend.

PMID- 10265325
TI  - Home and health care.

PMID- 10265326
TI  - People need to give.

PMID- 10265327
TI  - File, storage, retrieval methods & media.

PMID- 10265328
TI  - Microcomputer policy.

PMID- 10265329
TI  - 1984 salary survey.

PMID- 10265330
TI  - National EMS burnout survey.

PMID- 10265331
TI  - The 600-run limit.

PMID- 10265332
TI  - 1984 ambulance survey.

PMID- 10265333
TI  - How much is too much? The pressure is on, and paramedics are feeling the squeeze.

PMID- 10265334
TI  - The unruly patient.

PMID- 10265336
TI  - PC emergency.

PMID- 10265335
TI  - CPR goes to work.

PMID- 10265337
TI  - State regulation and ALS.

PMID- 10265338
TI  - Collective bargaining in the health care industry: implications for the long-term
      care administrator.
AB  - Union are turning their attention to the health care industry, a move that could
      have significant implications for long-term care administrators. The authors
      discuss the evolution of the health care amendments to the National Labor
      Relations Act and analyze what this means for the long-term-care administrator.

PMID- 10265339
TI  - Automated systems in long-term care facilities: utilization in California.
AB  - A random sampling of skilled and intermediate care nursing facilities in
      California suggests that facility managers have entered the computer age, but
      that the microcomputer's possible contributions to nursing home management have
      remained largely untapped.

PMID- 10265340
TI  - Patient advocacy services in long-term care facilities: ethnic perspectives.
AB  - More and more nursing home ombudsman programs are being implemented as
      institutions strive to improve the quality of life for the institutionalized
      elderly and to increase communication between the institution and the community.
      Abraham and Monk review how different ethnic groups perceive the New York City
      Nursing Home Patient Ombudsman Program.

PMID- 10265341
TI  - Item analysis of the primary measures of music audiation in elderly care home
      residents.
AB  - This study described the responses of 180 elderly care home residents on the
      Tonal and Rhythm subtests of the Primary Measures of Music Audiation test
      (Gordon, 1979). Separate analyses on each subtest yielded a mean score, a
      standard deviation, two reliability coefficients and their corresponding standard
      errors, a frequency distribution, and item difficulty and item discrimination
      indexes with individual item response distributions. Tonal item errors seemed due
      to subjects' inabilities to discriminate small interval changes in melodies,
      while rhythm item errors seemed due to subjects' inabilities to discriminate
      changes in duration or changes in complex rhythm patterns. Any generalizations or
      implications are primarily confined to female, Caucasian, elderly care home
      residents because of the restricted population sample used in the study. Even so,
      implications are that institutionalized elderly persons may have difficulty
      learning or performing music which requires discrimination of small interval
      changes, duration changes, or complex rhythm patterns. Music with marked changes
      in pitch or duration and with simple rhythm patterns should facilitate successful
      musical experiences.

PMID- 10265342
TI  - Music programs for the institutionalized elderly in a midwestern metropolitan
      area.
AB  - This investigation concerned the status of music programs in licensed nursing
      homes in St. Louis, Missouri. Data were obtained by means of a mailed
      questionnaire, interviews with selected administrators, and visits to selected
      homes. Almost all of the institutions surveyed offered musical activities for
      their residents. In many instances, these consisted largely of recreational
      singing or visits to the institution by outside performing ensembles. In a few
      instances, more complete music programs were offered, in which residents
      benefited not only from the use of music for recreation but also from its
      educational and therapeutic potential.

PMID- 10265343
TI  - San Francisco General Hospital.

PMID- 10265344
TI  - The Bowie-Dick type test...the discrepancies between theory and practice.

PMID- 10265345
TI  - Special feature: Dr. John Bowie comments on the Bowie and Dick test.

PMID- 10265346
TI  - United Kingdom Department of Health and Social Security. Health Technical
      Memorandum 10 (1980).

PMID- 10265347
TI  - Association for the Advancement of Medical Instrumentation. Recommendations for
      the Bowie-Dick type test.

PMID- 10265348
TI  - The Bowie-Dick type test...are there alternative ways?

PMID- 10265349
TI  - The emperor has no clothes...or sterilization quality assurance revisited.

PMID- 10265350
TI  - Sterilization indicator inks.

PMID- 10265351
TI  - Chemical indicators.

PMID- 10265352
TI  - Hepatitis B.

PMID- 10265353
TI  - Nine ways to network (or you don't have to be Italian to be a Machiavelli).

PMID- 10265354
TI  - Interviewing. Part I.

PMID- 10265355
TI  - Hazards associated with returned and field serviced medical devices and
      equipment.

PMID- 10265356
TI  - Work attire.

PMID- 10265357
TI  - A Markov sensitivity model for examining the impact of cost allocations in
      hospitals.
AB  - The cost allocation process in hospitals typically entails an accounting step
      down procedure whereby costs are allocated from non-revenue producing service
      centres to revenue centres. The resulting revenue centre costs are then compared
      with the third party (Blue Cross, Medicare, Medicaid) allowable costs. Any costs
      in excess of the allowable costs are not reimbursable. This procedure has been
      conceptualized using a Markov chain in a recent journal article. The purpose of
      this paper is to demonstrate how the Markov model may be used to assess the
      impact of various changes in the original data without having to recalculate the
      entire step-down process via a Markov model or any other procedure. The changes
      include an alternate step-down model, a different cost allocation basis for one
      or more service centres, and the expansion or contraction of one or more service
      centres.

PMID- 10265358
TI  - Information management and information technologies: keys to professional and
      business success.
AB  - Personal computers, spreadsheets, decision support software, electronic mail and
      video disks are just a few of the innovations of information technology which
      attract the attention of information professionals and managers alike: they are
      all concerned with the rapidly changing face of information technology and how to
      cope with a changing competitive environment, personally, and for the benefit of
      their companies. This paper is the first in a monthly series which tries to
      illuminate some of the factors and changes which shape our future as
      professionals and managers. In so doing, it guides and motivates the reader to
      become "information literate," a prerequisite for personal advancement in an
      information-based economy. This first paper outlines the relationship between
      technological innovations, use of information tools and information management
      and what to consider in order to benefit from the information revolution. It
      explains the risks of becoming professionally obsolete and alerts the reader to
      get personally involved to remain or become "information and computer literate."

PMID- 10265359
TI  - The new role of microcomputers.
AB  - Microcomputers have emerged as a truly valuable tool for business, largely due to
      the development of high-quality software. This article discusses the most logical
      methods of selecting a microcomputer system and certain points to keep in mind
      when doing so.

PMID- 10265360
TI  - Integration of different technologies into efficient information systems. Part 3.
AB  - Offices and businesses may be functionally described as information systems in
      which people, supported by information tools, perform goal-oriented information
      work. This article shows how the efficiency of support depends on how well
      applicable technologies can be integrated into systems and how well these systems
      can be adapted to the needs of a particular organization. Descriptive
      illustrations show how different technologies are integrated to perform
      information system functions (e.g., word, data and image processing as well as
      financial data and records management functions), and how all these technologies
      depend on compatibility and coordination in integrated systems to serve decision
      support functions of management and planning.

PMID- 10265361
TI  - Religion in the psychiatric hospital: a reassessment.
AB  - Surveys from a perspectival model the place of the chaplain in the psychiatric
      hospital in terms of the multidisciplinary mental health team and its workings;
      historical patterns that have guided mental institutions' explicit or implicit
      contracts with religion; definitions of the scope of chaplaincy; the symbolic
      nature of religion; and the prevailing diagnostic neglect of religion and of the
      patient's personal agenda.

PMID- 10265362
TI  - Subsidizing the affluent: the case of medical education.
AB  - State and federal funds are important sources of revenue for medical schools, and
      a strong case can be made for public support for these institutions. Although the
      federal role is more widely known, the states in fact provide the bulk of direct
      support for medical training. The nature of aid from the two sources differs in
      significant ways. Most federal aid supports research or patient care, but much of
      state aid goes to support unconditional tuition subsidies. The primary
      beneficiaries of these subsidies are relatively affluent nonminority students who
      are beginning lucrative careers in the medical field--careers that would be
      lucrative even if no subsidies were provided. Nor does it appear that general
      subsidies are needed to attract poor and minority applicants. While targeted
      loans and scholarships to individuals may be justified, general tuition subsidies
      are not.

PMID- 10265363
TI  - Sterile service--American style.

PMID- 10265364
TI  - A renewed employee right to privacy.

PMID- 10265366
TI  - The impact of Falcon on Title VII class action litigation.

PMID- 10265365
TI  - The National Labor Relations Act: a potential legal constraint upon quality
      circles and other employer-sponsored employee committees.

PMID- 10265367
TI  - Worker participation and its potential application in the United States.

PMID- 10265368
TI  - OSHA's voluntary protection program.

PMID- 10265369
TI  - Strategic marketing of volunteer programs for social causes.

PMID- 10265371
TI  - The database industry today: some vendors' perspectives.

PMID- 10265370
TI  - The nominating committee: essential to the organization.

PMID- 10265372
TI  - Setting up an in-house program for the rehabilitation of burnout victims.

PMID- 10265373
TI  - Effective management of information: how to meet the needs of all users.

PMID- 10265374
TI  - Focus on...reusables vs. disposables.

PMID- 10265375
TI  - The need to define an aseptic barrier.

PMID- 10265376
TI  - Hospital linen conservation program reduces usage by 1 1/2 lbs. per patient.

PMID- 10265378
TI  - Musical medicine: the newest specialty.

PMID- 10265377
TI  - Florida hospital makes compromise between reusable and disposable wrappers.

PMID- 10265379
TI  - Selecting the right physician for your group.
AB  - Effective recruitment and selection of physicians for a medical group practice
      depends on an objective assessment of the group's needs, philosophy, and
      organizational style, and an objective assessment of all candidates in relation
      to these factors. While emphasis in the hiring process is traditionally placed on
      a candidate's medical skills, there are other considerations which should be of
      equal concern in order to get the best possible organizational "fit":
      personality, family situation, behavioral style, and organizational philosophy
      and orientation. The utilization of behavior assessment methods borrowed from the
      applied management and behavioral sciences can enhance recruitment objectivity,
      member satisfaction, and retention.

PMID- 10265380
TI  - Increasing the profitability of the clinical laboratory.
AB  - The clinical laboratory is often found in the basement of both the physical plant
      and the medical group's priority list. By closely examining the uniqueness of the
      laboratory, its volume, fees, productivity, and supply costs, the astute
      administrator may find a profit center previously unnoticed.

PMID- 10265381
TI  - Measuring patient satisfaction.
AB  - Though there is some controversy concerning how much weight patient perceptions
      should be given, there is no question that they must be considered. Focusing on
      patients in the ambulatory care setting, the author offers practical notes on
      measuring patient satisfaction based on her experiences at five sites over the
      past eight years. General methodological considerations are provided, including
      where and how to interview patients, as well as specific examples of types of
      measurement instruments and the results to be obtained. Findings of satisfaction
      surveys can be useful in altering the services provided in an effort to more
      adequately meet patient needs.

PMID- 10265382
TI  - A look at management roles and operating environments of medical schools.
AB  - In order to reach a better understanding of the many complexities involved in the
      management of schools of medicine, in 1980-81 a survey was taken of deans of
      medicine and department chairs of medicine, surgery, and family practice at US
      medical schools. The major attributes of the managerial work environment are
      identified and provide a foundation for further inquiry into the overall
      operating effectiveness of schools of medicine.

PMID- 10265383
TI  - A personalized newsletter for your group.

PMID- 10265384
TI  - Health costs: we can't control what we can't see.

PMID- 10265385
TI  - A new partner in peer review: big business.

PMID- 10265386
TI  - How many doctors are cheating their way into practice.

PMID- 10265387
TI  - Why doctor-policing laws don't work.

PMID- 10265389
TI  - Tough new rules for the privileges game.

PMID- 10265388
TI  - There are six basic steps to avoiding a malpractice suit.

PMID- 10265390
TI  - How treating by telephone rang a malpractice bell.

PMID- 10265391
TI  - The hospital market: two books dominate.

PMID- 10265392
TI  - Man vs. microbes--grappling with resistance.

PMID- 10265394
TI  - U.S. health policy: where the candidates stand.

PMID- 10265393
TI  - Clinical trials: in search of medicine's gold standard.

PMID- 10265395
TI  - Justice without juries. Setting up formal channels for complaints can resolve
      employee grievances.

PMID- 10265396
TI  - Firing without fear.

PMID- 10265397
TI  - Evaluating the new microbiology instruments.

PMID- 10265398
TI  - Updating a neglected laboratory.

PMID- 10265399
TI  - Microbiology work cards: preprinting gets the message across.

PMID- 10265400
TI  - Have you had your six-month proficiency checkup?

PMID- 10265401
TI  - Media quality control: an unnecessary evil.

PMID- 10265402
TI  - An on-line cost analysis system.

PMID- 10265403
TI  - Improving lab productivity: the search for strategies. Part II.

PMID- 10265404
TI  - Workload recording by microcomputer.

PMID- 10265405
TI  - Orienting the new supervisor.

PMID- 10265406
TI  - Using projectional analysis to reach your staffing goals.

PMID- 10265407
TI  - Resolving staff conflicts through team building.

PMID- 10265408
TI  - 'Capital' ideas help improve services.

PMID- 10265409
TI  - Laid-off PCHA workers trained for job hunt.

PMID- 10265410
TI  - A survey of Michigan's new lobby act.

PMID- 10265411
TI  - Hospitals serve more than the sick.

PMID- 10265412
TI  - Albion, Michigan: one hospital's economic impact.

PMID- 10265413
TI  - Design and construction. Make room for computer terminals.

PMID- 10265414
TI  - Design and construction: space management. Hospitals eye excess capacity and plan
      to improve productivity.

PMID- 10265415
TI  - Insurance is used to lure bond buyers.

PMID- 10265416
TI  - Hospitals embrace customer relations.

PMID- 10265417
TI  - Informed consent: M.D. or hospital duty?

PMID- 10265418
TI  - Time, money run out for Carecard.

PMID- 10265419
TI  - American, VHA shape buying pact in image of contested agreement.

PMID- 10265420
TI  - Healthcare investments help HCA keep on top of industry innovations.

PMID- 10265421
TI  - Hospitals' PPOs face hard times.

PMID- 10265422
TI  - Hospitals eager for a larger share of growing home healthcare market.

PMID- 10265423
TI  - Stonerock--Trustee of the Year. Interview by Donald E. L. Johnson.

PMID- 10265424
TI  - Board shouldn't buck CEO's high pay.

PMID- 10265425
TI  - Hospital shoehorned into tight site.

PMID- 10265426
TI  - Cut in banks' credit rating shows hospitals' risks with letters of credit.

PMID- 10265428
TI  - Credentialing sparks antitrust suits.

PMID- 10265427
TI  - Hospital bonds' track record trips up critics who contend bonds are risky.

PMID- 10265429
TI  - 2 alliances to join forces, later merge.

PMID- 10265430
TI  - States' cost-cutting plans dissected.

PMID- 10265431
TI  - How will CEOs fit into healthcare puzzle? ACHA studies future roles.

PMID- 10265432
TI  - Hospitals work with M.D.s to smooth MeSH partnerships' rough edges.

PMID- 10265433
TI  - For-profit psychiatric hospital firm will seek niche in small urban, rural areas.

PMID- 10265434
TI  - Presbyterian spins off new business.

PMID- 10265435
TI  - Intermountain follows trend, adding alternative services to acute care base.

PMID- 10265436
TI  - Hospitals gear programs to elderly.

PMID- 10265437
TI  - Employers tout HMOs to workers, but lack proof of plans' cost savings.

PMID- 10265438
TI  - Purchasing 'super groups' tripped up by competition between members.

PMID- 10265439
TI  - Consignment inventory program cuts 29% from supply prices: study.

PMID- 10265440
TI  - Triangle design saves time, money.

PMID- 10265441
TI  - State legislative outlook. Some hospitals fight rate setting, others design own
      pay schemes.

PMID- 10265442
TI  - Government hospitals. Private-pay patients are helping public hospitals stay out
      of red ink.

PMID- 10265444
TI  - Government hospitals. Will elderly overload VA system?

PMID- 10265443
TI  - Government hospitals. $65 million sale of county unit swirls amid politics,
      emotion.

PMID- 10265445
TI  - Credit downgradings, financial woes could hurt hospitals' sale of bonds.

PMID- 10265446
TI  - Court quashes Humana building bid.

PMID- 10265447
TI  - Becoming for-profit helps not-for-profit providers cope with financial pressure.

PMID- 10265448
TI  - PA tertiary care center goes regional.

PMID- 10265449
TI  - Lutheran coalition eyes national system.

PMID- 10265450
TI  - Managers with participative skills will thrive in cost-conscious market.

PMID- 10265452
TI  - Albuquerque hospitals are even more competitive after suspension of regs.

PMID- 10265451
TI  - Company attracts clients nationwide by cutting hospital costs up to 23%.

PMID- 10265453
TI  - Joint ventures. Hospitals, M.D.s test cost-cutting potential of lab cooperative
      ventures.

PMID- 10265454
TI  - Alternative services. Emergicenter accreditation devised.

PMID- 10265455
TI  - Alternative services. Hospitals launching hospices may save money by working with
      experts.

PMID- 10265456
TI  - Emergency unit fine-tuned for elderly.

PMID- 10265457
TI  - Second annual Multis compensation survey.

PMID- 10265458
TI  - Risky business. PPOs present greater financial, actuarial risk for sponsoring
      multis.

PMID- 10265459
TI  - Evaluating CEOs rates a concerted look.

PMID- 10265460
TI  - Hospitals eye potential for DME dealer alliances.

PMID- 10265461
TI  - White & White et al, vs. AHSC--as the Appeals Court saw it.

PMID- 10265462
TI  - More PTs leaving hospitals means jump ball for dealers.

PMID- 10265463
TI  - The year in preview: government sees device industry up with economy.

PMID- 10265464
TI  - Bigger role for HIMA seen in shaping public policies.

PMID- 10265465
TI  - 'Alternate care' leaders point to dramatic gains.

PMID- 10265467
TI  - Distributor survey: Martin Simpson's quarterly digest.

PMID- 10265466
TI  - Dealer finds success in a hospital's bed.

PMID- 10265468
TI  - How shaky is the handshake agreement?

PMID- 10265469
TI  - Fitness Center's club theme builds, strengthens employee morale.

PMID- 10265470
TI  - Organization and implementation of a disaster drill for health care facilities.

PMID- 10265471
TI  - Health network plan to insure multistate companies.

PMID- 10265472
TI  - Pacific Mutual takes the lead in using preferred provider concept. Interview by
      Alfred G. Haggerty.

PMID- 10265473
TI  - Battle brewing over health care in Arizona.

PMID- 10265474
TI  - Park Lane Medical Center--developing successful physician partnerships.

PMID- 10265475
TI  - Unit dose distribution improves accountability.

PMID- 10265476
TI  - Survey advises: "Stress the 'osteopathic' in osteopathic hospitals".

PMID- 10265477
TI  - Diversification--a strategy for the '80s.

PMID- 10265478
TI  - "Be a tree, not a leaf.".

PMID- 10265479
TI  - The acquisition experience.

PMID- 10265480
TI  - Job stress and job performance controversy: an empirical assessment.
AB  - This study examined the relationship between job stress and employees'
      performance and withdrawal behavior among nurses (N = 440) in two hospitals in a
      metropolitan Canadian city on the east coast. Job stressors assessed included
      role ambiguity, role overload, role conflict, and resource inadequacy. Employees'
      performance was operationalized in terms of job performance, motivation, and
      patient care skill. Withdrawal behaviors assessed were absenteeism, tardiness,
      and anticipated turnover. Multiple regressions, curvilinear correlation
      coefficients, and canonical correlations were computed to test the nature of the
      relationship between stressors and the criterion variables of the study. In
      general, data were more supportive of the negative linear relationship between
      stress and performance than for positive linear or curvilinear relationship.
      However, the stressor role ambiguity did exhibit a monotonic nonlinear
      relationship with a number of criterion variables. Employees' professional and
      organizational commitment were proposed to moderate the stress-performance
      relationship. However, the data only partially supported the role of the
      moderators.

PMID- 10265481
TI  - Bankruptcies--a potential source of dollars.

PMID- 10265482
TI  - Quality circles in the clinical laboratory.
AB  - The success of the quality circles in Japanese industry has led many American
      firms to institute the circles into their operations. A few hospitals have also
      done this, but little has been published about quality circles in the clinical
      laboratory. This paper describes briefly the structure and function of the
      quality circles and discusses their possible role in the laboratory.

PMID- 10265483
TI  - Hospital unbundling: seize the opportunity.
AB  - As hospital restructuring becomes more frequent, therein lies an opportunity for
      pathologists to establish regional laboratories, either independently or as joint
      ventures with hospitals. The author discusses some of the pressures to unbundle,
      and steps that pathologists can take to meet this challenge.

PMID- 10265485
TI  - Hospital blood banks: crossing fine cuisine with fast food.

PMID- 10265484
TI  - Avert catastrophe--consider preceptorial training.

PMID- 10265486
TI  - The color photography of gross specimens.
AB  - A method of color preservation and photography of gross specimens is presented in
      this article. The natural color and physical consistency of the preserved
      specimens assure "true to life" color photographs. The author explains how his
      institution's system of combining the Autopsy Review Conference with the
      photography of specimens saves much staff and employee time since the final gross
      descriptions and dissections are accomplished concurrently with the photography.
      A systematic method of photography is illustrated which eliminates most of the
      exposure determination functions that are time-consuming and subject to error.

PMID- 10265487
TI  - Five common problems in color photomicrography.
AB  - The practical mating of the modern microscope and automated camera has been
      successful. Many time-consuming photographic procedures have been reduced to a
      minimum in the process. The pathologist can obtain color photomicrographs with
      minimum knowledge of optical theory or photographic procedures. However, there
      are several problem areas which require special attention to ensure a constant
      flow of good photomicrographs. This article reviews and offers solutions to five
      common problems in photomicrography.

PMID- 10265488
TI  - Microcomputer basics, Part IV: Using microcomputers in pathology.
AB  - Microcomputers are invading every aspect of life including the practice of
      pathology. This last in a series of articles is designed to help neophytes make
      effective use of these new tools. This article describes how microcomputers can
      be used in pathology and provides guidelines for deciding what processes are
      worth computerizing and for selecting software. No specific program is
      recommended.

PMID- 10265489
TI  - Choosing film for your camera.

PMID- 10265491
TI  - Health education methods. Sharing a diagnosis.

PMID- 10265492
TI  - Are enterostomal therapists patient educators?

PMID- 10265490
TI  - Proposed competencies for patient education coordinators.

PMID- 10265493
TI  - Patient education coordinator's consultation corner.

PMID- 10265494
TI  - New challenges in patient education.

PMID- 10265495
TI  - Unlock the mysteries of the annual report.

PMID- 10265496
TI  - A hidden benefit of quality circles.

PMID- 10265497
TI  - The team that works together earns together.

PMID- 10265498
TI  - Why health care costs keep rising.

PMID- 10265499
TI  - Beyond today's compensation and performance appraisal systems.

PMID- 10265500
TI  - Performance appraisal and the Age Discrimination in Employment Act.

PMID- 10265501
TI  - Capturing supervisor rating policies: a way to improve performance appraisal
      effectiveness.

PMID- 10265502
TI  - New drug data sheets quickly update our hospital staff.

PMID- 10265504
TI  - How we practice pharmacy in the U.S. Coast Guard.

PMID- 10265503
TI  - Why drug information is a vital part of comprehensive services.

PMID- 10265505
TI  - Doctors house calls: how a hospital operates this new program.

PMID- 10265506
TI  - Confidentiality of prescription information.

PMID- 10265507
TI  - The colour-coded badge system.

PMID- 10265508
TI  - Comparison of consumer-oriented books on medications.
AB  - Consumers increasingly want to be informed about the processes involved in their
      own health care. Health professionals may be called upon to recommend appropriate
      consumer-oriented sources of information. To assist the health professional in
      making a rational recommendation, 15 currently available consumer-oriented books
      on prescription medications were compared with respect to readability, number of
      drugs covered, completeness of drug monograph information, price, and other
      factors. Mean readability scores, reported as a reading grade level, ranged from
      9.2 to 14.3. The number of drugs covered by these books ranged from 135 to 1,200.
      Monograph completeness scores were assigned by determining the percentage of
      information from a standard reference's drug monograph covered in each book. The
      lowest percentage completeness score was 21.4%, while the highest was 76.7%.
      Prices for the books ranged from $2.50 to $19.95. Regardless of the relative
      priorities placed on these factors, a consumer or health professional may use the
      objective and descriptive assessments of this study to make an informed decision
      when choosing among consumer-oriented sources of medication information.

PMID- 10265509
TI  - Situational effects on the communication behaviors of pediatric residents.
AB  - The variation in communication behaviors of pediatric residents in different
      interview circumstances was examined. Twenty-three residents were videotaped in
      three simulated counseling sessions. Two of the sessions entailed counseling a
      mother of a toddler with multiple handicaps during a well-child visit. The third,
      which took place between the other two sessions, entailed informing a new mother
      that her child has Down's syndrome. The residents' performances were evaluated
      using a subjective rating scale and an objective frequency count of behaviors.
      Analysis of variance demonstrated significant effects for both observation
      scales. Spearman correlations were not significant between any of the situations.
      The results suggest that residents' communication behaviors vary with the type of
      counseling situation.

PMID- 10265510
TI  - Computerized management information system. One agency's experience.

PMID- 10265512
TI  - Heart hike.

PMID- 10265511
TI  - A computerized tracking system for deinstitutionalized clients.

PMID- 10265513
TI  - Med-card madness.

PMID- 10265514
TI  - Developing trustees. Literature and video with value.

PMID- 10265515
TI  - Seminars for specific targets. Women's issues...shared with men.

PMID- 10265516
TI  - Marketing health promotion.

PMID- 10265517
TI  - Making advertising work. A checklist for hospitals.

PMID- 10265518
TI  - Meeting the media.

PMID- 10265519
TI  - Out-"spokesmen" physicians recognition.

PMID- 10265520
TI  - What's in a name?

PMID- 10265521
TI  - Coloring book. Counseling and cheering burned kids.

PMID- 10265522
TI  - Town meeting.

PMID- 10265523
TI  - Employee giving campaign.

PMID- 10265524
TI  - Working with PR interns.

PMID- 10265526
TI  - A glorious calendar.

PMID- 10265525
TI  - Public relations: a marketing opportunity. What is it?

PMID- 10265527
TI  - Wellness Center breaks all the rules--and breaks even within four months.

PMID- 10265528
TI  - Promoting employees' health: are we doing all we could?

PMID- 10265529
TI  - Hospital employee safety and health: current problems and practices. Part I. The
      problem.

PMID- 10265530
TI  - Computer tracking systems.

PMID- 10265531
TI  - Hospital employee safety and health. Part II.

PMID- 10265532
TI  - Microcomputers and the safety and health professional.

PMID- 10265533
TI  - The evolution of PPOs.

PMID- 10265534
TI  - Tips and warnings from the experts. What's the latest in malpractice?

PMID- 10265535
TI  - What you should have in your group contract.

PMID- 10265536
TI  - What's ahead in health care legislation?. Interview by C. Colburn Hardy.

PMID- 10265537
TI  - Just who are the bad doctors?

PMID- 10265538
TI  - What to do if you're denied staff privileges.

PMID- 10265539
TI  - The progressive patient care program: a referral model of long term care.

PMID- 10265541
TI  - Investor-owned hospital chains apparently see psychiatric hospitals as boom area.

PMID- 10265540
TI  - Senior companions: an unrecognized resource for long-term care.

PMID- 10265542
TI  - Minn. review panel helpful in cases of treatment refusal.

PMID- 10265543
TI  - Trends in number of psychiatric hospitals, services, costs, staffing uncovered by
      NIMH survey.

PMID- 10265544
TI  - Status of patients' rights to refuse drugs 'confused'.

PMID- 10265545
TI  - Managing that managerial monster--power!

PMID- 10265546
TI  - Maintenance cost control of high technology hospital equipment.

PMID- 10265547
TI  - Accountability and slices of pie.

PMID- 10265548
TI  - Radiology insurance programs: a manager's viewpoint.

PMID- 10265549
TI  - Clancy of Yale.

PMID- 10265550
TI  - On telling patients the truth.

PMID- 10265551
TI  - The technique of breast-feeding. Patient education in primary care.

PMID- 10265552
TI  - How formal appraisal systems work.
AB  - The success of a respiratory therapy department depends on the performance of its
      personnel, and its managers are charged with ensuring that employees meet
      departmental expectations. One means to effect change is through a formal
      performance appraisal system.

PMID- 10265554
TI  - Blood gas proficiency testing.

PMID- 10265553
TI  - A modified single-breath DLCO apparatus.
AB  - A modified apparatus for measuring the single-breath carbon monoxide diffusing
      capacity of the lung (DLCO) is described. The modification permits simultaneous
      measurement of all lung volumes and capacities. In a comparison of conventional
      and modified devices, no significant differences for the measures of DLCO and
      total lung capacity were found.

PMID- 10265555
TI  - Balance of trade: Chicago's Northwestern Memorial Hospital teams profit-making
      with not-for profit foodservice.

PMID- 10265556
TI  - Serving the seventies. Meal programs for the elderly, together or at home.

PMID- 10265557
TI  - Gottlieb Hospital's lifesaver menu improves patient diet.

PMID- 10265558
TI  - Evaluating alternatives to insuring group health plans.

PMID- 10265559
TI  - Managing the nitrous oxide risk is no laughing matter.

PMID- 10265560
TI  - Self-study: organizational resource in staff development preparation.

PMID- 10265561
TI  - Reminiscing: how it can help confused nursing home residents.

PMID- 10265562
TI  - The clinical subject: adolescents in a cleft-palate clinic.
AB  - The paper examines the format and some interactional dilemmas of outpatient
      consultations in a clinic for cleft lip and palate. Three problems are addressed.
      First, the adolescent patient's status as a 'consumer' is problematic: it is
      ambiguous whether they can be entrusted with decision-making on their own behalf.
      Second, there is the problematic status of parents' rights. Third, the policy
      implications of these problems are raised in relation to the conduct of 'child
      centered' medicine. It is suggested that socializing the clinic may reinforce,
      rather than undercut, professional dominance.

PMID- 10265563
TI  - Discourse processes and the social organization of group therapy sessions.
AB  - The social organization of group therapy sessions held in a community mental
      health center is investigated by analysing transcripts of audiotaped and
      videotaped sessions as well as ethnographic data (field notes and interviews).
      After describing the structural (i.e. hierarchical and sequential organization of
      activities during sessions, discourse processes by which group members accomplish
      this structure are examined. Analyses of participants' communicative strategies
      provide insights into the cognitive and behavioral components of the interactive
      competence required of group members. In contrast to findings of previous
      research on group therapy, interactive control is found to be distributed among
      certain clients as well as the therapists.

PMID- 10265564
TI  - Problems in the conceptual framework of patient satisfaction research: an
      empirical exploration.
AB  - Survey research into patient satisfaction has been responsible for developing a
      number of related concepts concerning the ways in which patients evaluate the
      health care that they receive. Recently doubts have been expressed as to the
      adequacy of this approach for understanding how patients anticipate and respond
      to medical encounters. This paper reports a study of patients attending
      neurological outpatient clinics. The results suggest that the conceptual
      framework deriving from patient satisfaction research provides only partial and
      sometimes misleading insights into the perspectives of the patients studied. The
      paper concludes that patients' varying concerns with regard to their illness need
      to be more directly considered in explaining different responses to medical
      consultations. This approach enables a more sensitive evaluation of health care
      from the patient's point of view.

PMID- 10265565
TI  - A model for linking families to their institutionalized relatives.

PMID- 10265566
TI  - Moral problems and ethical issues in prospective human gene therapy.

PMID- 10265567
TI  - The fetal patient and the unwilling mother: a standard for judicial intervention.

PMID- 10265568
TI  - Emergency lighting systems, codes may not be enough.

PMID- 10265569
TI  - Hospital saves annual $52,800 with new lamps and ballasts.

PMID- 10265571
TI  - Evaluating hospital information systems.

PMID- 10265570
TI  - Even the sun needs help: a solar-assisted heat pump.

PMID- 10265572
TI  - Computer systems: installation and training.

PMID- 10265573
TI  - Office automation: value for the hospital.

PMID- 10265574
TI  - MIS and effective hospital management.

PMID- 10265575
TI  - Computer committees can save money.

PMID- 10265576
TI  - Alcoholism treatment: surviving the transition.

PMID- 10265577
TI  - Corporate negligence: the encroaching cloud of hospital liability.

PMID- 10265578
TI  - The computer contract: good protection.

PMID- 10265579
TI  - A view of the human resource function.

PMID- 10265580
TI  - Forum. Two views in the debate over commercialized medicine.

PMID- 10265581
TI  - Perspectives on medical records.

PMID- 10265582
TI  - Assessing the hospital manager: a tool for self-improvement.

PMID- 10265583
TI  - The medical record manager as a supervisor.

PMID- 10265584
TI  - The budget as a management tool.

PMID- 10265585
TI  - Quality control circles as a management tool.

PMID- 10265586
TI  - Quality circles in the hospital setting.

PMID- 10265587
TI  - Assessment tools for evaluating human potential.

PMID- 10265588
TI  - Projecting a professional self-image.

PMID- 10265589
TI  - Written communication as an important management skill.

PMID- 10265590
TI  - Liability for failure to obtain informed consent.

PMID- 10265591
TI  - Quality control of diagnosis and procedure coding.

PMID- 10265592
TI  - Discoverability of peer review committee records: an update.

PMID- 10265593
TI  - Ethics and the hospital.

PMID- 10265594
TI  - Mental Health Code revisions clarify confinement procedures.

PMID- 10265595
TI  - Ethics vis-a-vis ethical behavior.

PMID- 10265596
TI  - The synergy of fiscal systems and staffing requirements.

PMID- 10265597
TI  - Organization, administration and the environment.

PMID- 10265598
TI  - Emergency room drugs.

PMID- 10265599
TI  - Development/public relations: a dialogue. Interview by Juliet George.

PMID- 10265600
TI  - Why boards need fresh information, not warmed-over management reports.
AB  - To exercise leadership, boards need information that is exclusively prepared to
      help them fulfill their unique responsibilities. This article examines, in view
      of our changing economic environment, what kind of information the board needs to
      receive, how often it should be forthcoming, in what format, and how to assess
      it.

PMID- 10265601
TI  - Meeting your legal obligations to monitor medical staff practice.
AB  - There is often a fine line between what board members determine to be proper
      oversight of medical staff practices and what the medical staff perceives as
      improper interference with the private practice of medicine. The approach
      discussed in this article is designed to give both board members and physicians
      guidance in respecting one another's territory.

PMID- 10265602
TI  - Taking the mystery out of the consultant selection process.
AB  - Underestimating the importance of the selection process for consultants can
      increase the hospital's chances of receiving unsatisfactory results. In this
      article, the author discusses techniques for ensuring that the hospital chooses
      the "right" firm for the "right" job.

PMID- 10265603
TI  - Smooth sailing through board meetings: practical hints for new chairpersons.
AB  - The author has some practical and useful suggestions for chairpersons to help
      keep board meetings running smoothly and efficiently, from the physical
      arrangement of the room to the formulation of and adherence to agendas.

PMID- 10265604
TI  - As I see it: duty to vote in the interests of the hospital.

PMID- 10265605
TI  - Looking for a business partner? Shake hands with the medical staff.
AB  - During these days of increased competition and dramatic changes in payment
      systems, pursuing business opportunities in cooperation with local physicians is
      becoming increasingly important. This articles describes the efforts of Health
      Central System, Minneapolis, to promote new partnerships with its hospitals'
      medical staffs at both the local hospital and the corporate level.

PMID- 10265607
TI  - Two more administrators' views of the top planning issues of 1984.

PMID- 10265606
TI  - The importance of profitability.

PMID- 10265608
TI  - Nursing home promotes referrals from social workers.

PMID- 10265609
TI  - The pharmacist in adult day care centers.

PMID- 10265610
TI  - Elderly's retirement funds to replace government aid.

PMID- 10265611
TI  - Creating long-term pricing for continuing care centers.

PMID- 10265612
TI  - Private-pay patients: the key to financial success.

PMID- 10265614
TI  - When lawyers second-guess doctors.

PMID- 10265613
TI  - A reimbursement alternative.

PMID- 10265616
TI  - Medical publications: confusion over cuts.

PMID- 10265615
TI  - Researchers find third of facilities slipping into 'red'.

PMID- 10265617
TI  - U.S. Medicine interviews William E. Mayer. Interview by Nancy Tomich.

PMID- 10265618
TI  - Imaging technology--the vision and the reality.

PMID- 10265619
TI  - Perspectives. Doctors: how many are too many?

PMID- 10265620
TI  - Medical ethics and hospital staff.

PMID- 10265621
TI  - Designing for reduced operating costs.

PMID- 10265622
TI  - Towards expanded and collaborative hospital care.

PMID- 10265623
TI  - Environmental and functional quality in hospital buildings.

PMID- 10265624
TI  - Ward evaluation: St Thomas' Hospital, London, and subsequent developments.

PMID- 10265625
TI  - Hospital design in big cities: Moscow.

PMID- 10265626
TI  - Effective planning and management of hospital buildings.

PMID- 10265627
TI  - An economical approach to the provision of hospital beds and the design of wards.

PMID- 10265628
TI  - Do the laws on confidentiality obstruct hospital efficiency when EDP is
      introduced?

PMID- 10265629
TI  - Data processing in the medical sector.

PMID- 10265630
TI  - The Stockholm County Health Care System.

PMID- 10265631
TI  - Older people: problem or resource?

PMID- 10265632
TI  - Humanistic and psychological aspects of acute geriatric hospitalization.

PMID- 10265633
TI  - The Presbyterian Village North experience.

PMID- 10265635
TI  - Hospital based helicopter programme: rationale and impact.

PMID- 10265634
TI  - Health care in cities of the Third World: the situation and some ideas for low
      cost solutions.

PMID- 10265636
TI  - Local health initiatives.

PMID- 10265637
TI  - Reorganisation of urban health and medical care.

PMID- 10265638
TI  - Development of city health services by an academic department.

PMID- 10265639
TI  - Triangular concentrate--focus on an area health care system.

PMID- 10265640
TI  - Who shall live? Who shall die? "No treatment" orders and guidelines.
AB  - For more than ten years the medical profession, the legal profession, and perhaps
      thousands of patients and their relatives have wrestled with the issues of
      therapy withdrawal, removal of life-sustaining machinery when recovery is
      hopeless. This major article presents a wide range of insights useful for the
      individual physician, the hospital governing board, the nurse as well as for
      policy and lawmakers who confront this issue.

PMID- 10265641
TI  - The financial structure of urban and suburban hospitals.

PMID- 10265642
TI  - Health insurance and the unemployed.

PMID- 10265643
TI  - Some observations on the recent recession's effects on the Detroit area health
      care system.
AB  - The author points out that a study of the impact of unemployment in the Detroit
      area produced several unexpected findings and that today it is not clear what
      effect the recession had on securing health care by unemployed persons or on
      utilization of emergency rooms or outpatient clinics as alternatives to customary
      medical medical services.

PMID- 10265644
TI  - Cultural background and medical care.

PMID- 10265645
TI  - Can urban hospitals afford care for the poor?

PMID- 10265646
TI  - Mingling decision making metaphors.
AB  - Organizational decisions provide conceptual playing fields wherein scientists
      adhering to rival theories based on different metaphors skirmish in-decisively.
      Organizational decisions, however, are also empirical arenas wherein
      practitioners espousing discordant theories-in-use reconcile their differences
      pragmatically. Practitioners' decision-making metaphors encountered while
      studying capital budgeting suggest how disjoint perspectives are assimilated and
      shifts from instrumental to symbolic actions are triggered. Implications for
      decision theories are discussed, and potential benefits of incorporating
      practitioners' knowledge into organizational science are considered.

PMID- 10265647
TI  - Synergy, influence, and information in the adoption of administrative
      innovations.
AB  - The adoption processes of two related administrative innovations in the private
      sector dealing with employee health are examined. Results of multiple logistic
      regressions using survey data on a sample of Illinois firms suggest that these
      two innovations are synergistically linked, such that the adoption of one
      increases the likelihood of the subsequent adoption of the other.

PMID- 10265648
TI  - Criteria for grouping nursing subunits in hospitals.
AB  - Data from 135 nursing subunits were used to identify a set of organizational
      variables that best explained the grouping of activities into nursing subunits in
      hospitals. Relatively strong support was provided for technology as a basis for
      grouping nursing subunits; characteristics of the hospital, including its type,
      size, and location, also were relevant.

PMID- 10265649
TI  - Contextual model of leadership influence in hospital units.
AB  - Using Kerr and Jermier's (1978) taxonomy of substitute and neutralizer variables,
      the contextual model indicates that the staff nurse's education, group cohesion,
      and work technology substitute for the head nurse's leadership behavior by having
      direct and indirect effects on job performance. The hospital's administrative
      climate appeared to neutralize leadership influence.

PMID- 10265650
TI  - The psychology of the withdrawal process: a cross-validational test of Mobley's
      intermediate linkages model of turnover in two samples.
AB  - A study investigating the validity of Mobley's (1977) model of the intermediate
      linkages in the turnover decision process among employees working in two diverse
      settings yielded a pattern of results generally consistent with the model.
      However, except for commitment to the organization, regression analyses failed to
      double cross-validate either within or between samples.

PMID- 10265651
TI  - A longitudinal analysis of the antecedents of organizational commitment.
AB  - From longitudinal data from 129 nursing department employees, organizational
      commitment was found to be antecedent to job satisfaction rather than an outcome
      of it. Furthermore, several other variables were found to be causally related to
      satisfaction but not commitment. Implications of unsubstantiated assumptions
      regarding causes of commitment are discussed.

PMID- 10265652
TI  - The production and cost of ambulatory medical care in community health centers.

PMID- 10265653
TI  - The state of the art of cost-of-illness estimates.

PMID- 10265654
TI  - Economic cost of illness: decision-making applications and practical
      considerations.

PMID- 10265655
TI  - Cost implications of hospital unionization: new estimates and a review of recent
      research.

PMID- 10265656
TI  - Equilibrium and disequilibrium in markets for general practitioners: new evidence
      concerning geographic distribution of physicians.

PMID- 10265657
TI  - Private medical practice in France: facts and policies.

PMID- 10265658
TI  - Options, incentives and employment-related health insurance.

PMID- 10265659
TI  - Hospital participation in competitive markets for ambulatory care: implications
      for reimbursement policy.

PMID- 10265660
TI  - A unique hospital unit for total care patients.

PMID- 10265661
TI  - Old buildings have something new to give to the elderly.

PMID- 10265662
TI  - The challenge: designing buildings for older Americans.

PMID- 10265663
TI  - A seminary becomes a residence and community for the elderly.

PMID- 10265664
TI  - Elder cottages. A new feature on the housing horizon.

PMID- 10265665
TI  - Recruiting children from alcoholic families into a peer education program.

PMID- 10265667
TI  - The growing link between health policy and the nation's economy.

PMID- 10265666
TI  - Epidemiological Bulletin 2. Changes in alcoholism treatment services, 1979-1982.

PMID- 10265668
TI  - The special environmental needs of magnetic resonance.
AB  - The addition of a magnetic resonance (MR) unit to a hospital radiology
      environmental poses many unique considerations. Large magnetic fields present
      health and safety considerations as well as a hostile environment for data
      recorded magnetically. Radio-frequency shielding is necessary to eliminate a
      source of background signal that interferes with patient examinations. Magnetic
      shielding may be necessary in some instances to prevent low-level magnetic field
      exposure of persons with artificial cardiac pacemakers. Superconducting magnets
      are heavy and large and may give off large amounts of helium which can
      temporarily replace the air in the magnet room. Possible solutions to these
      environmental requirements are presented.

PMID- 10265669
TI  - Computers in radiology. Interfacing with peripheral devices.
AB  - A fundamental part of building a computer system is control of and communication
      with peripheral devices. With use of graphics display terminals, video image
      digitizers, and array processors as examples, the basics of peripherals are
      discussed as they affect radiologic applications.

PMID- 10265670
TI  - Film storage and retrieval systems. Room for one more?
AB  - Since storage space, silver, and personnel time are each precious commodities,
      the need for solutions to problems in film storage and retrieval is great. In
      this article, radiology administrators and technologists describe retrieval
      systems in use at their institutions and discuss the desirability and advantages
      and disadvantages of microfilming. The technique of digital image storage, which
      is expected to have wide use once the technology is fully developed, also is
      described.

PMID- 10265671
TI  - A continuum for evaluating risks and benefits of ionizing radiation.
AB  - Most texts and studies analyzing risks and benefits of ionizing radiation use a
      "risk-comparison" method in which the benefits of ionizing radiation are not
      considered. This article describes a method designed to weigh both risks and
      benefits.

PMID- 10265672
TI  - Book-of-the-Year Award encourages members to keep learning.

PMID- 10265673
TI  - Roper sparks a storm. McClelland Report ruffles feathers.

PMID- 10265674
TI  - Common woes for Australia and NZ.

PMID- 10265675
TI  - Row brewing at Royal Brisbane.

PMID- 10265676
TI  - Sweeping change to mental health services proposed.

PMID- 10265677
TI  - The FTC's role in health care.

PMID- 10265678
TI  - The status of surgical manpower.

PMID- 10265679
TI  - Antitrust law and medical staff decisions: can a hospital conspire with its
      medical staff?

PMID- 10265680
TI  - Competition between physicians and limited licensed practitioners: some issues
      and implications.

PMID- 10265681
TI  - Question: who will play God?

PMID- 10265682
TI  - Matters of faith and death. Courts move against parents who deny children medical
      care.

PMID- 10265683
TI  - Health promotion facilities for company use.

PMID- 10265684
TI  - A fitness program that was designed to fit.

PMID- 10265685
TI  - Disability management key to cost savings of 3M.

PMID- 10265686
TI  - The multiple roles of business in efforts to cut health costs. Interview by Jane
      Stein.

PMID- 10265687
TI  - Coalition provides small business clout to cap costs, share corporate costs.

PMID- 10265688
TI  - The "selling" of an HMO.

PMID- 10265689
TI  - Corporation plays major role in development of PPOs.

PMID- 10265690
TI  - Lessons learned from a PPO. Problems with third party administrators caused a
      provider based PPO to reorganize.

PMID- 10265691
TI  - Questions employers need to ask about preferred arrangements.

PMID- 10265692
TI  - Alternative delivery arena evokes melange of approaches.

PMID- 10265693
TI  - Minnesota's coalition style: broad based, purchaser perspective.

PMID- 10265694
TI  - A bargaining position: cut costs, not benefits. Interview by Jane Stein.

PMID- 10265695
TI  - Military, employers share health care cost containment concerns, reform
      strategies.

PMID- 10265696
TI  - Wisconsin health care reforms blend tighter regulation and competition.

PMID- 10265698
TI  - Assistance programs have broader scope to include a range of corporate problems.

PMID- 10265697
TI  - Antitrust risks posed by PPO development activity can be avoided with care.

PMID- 10265699
TI  - Alternative delivery systems: what are the risks?

PMID- 10265700
TI  - Alternative and standard delivery should focus on effective care, not costs.

PMID- 10265701
TI  - Across-the-board price control seen a threat to competition.

PMID- 10265702
TI  - Creative regulation designed to stimulate competition.

PMID- 10265703
TI  - All-payer systems pose both promise and problems.

PMID- 10265704
TI  - Is rationing by age ever morally acceptable?

PMID- 10265706
TI  - Coalition spirit in Iowa cements health system reforms.

PMID- 10265705
TI  - Building blocks for health care reform.

PMID- 10265707
TI  - Effective data review holds key to cost control. Interview by Jane Stein.

PMID- 10265708
TI  - First round success with rate-setting leads to renewed state interest.

PMID- 10265709
TI  - Applying antitrust laws to hospital acquisitions, mergers can be difficult.

PMID- 10265710
TI  - Testing the waters with competition vs. regulation.

PMID- 10265711
TI  - Is there a market for expanded health benefits options for small business?

PMID- 10265712
TI  - A new war on health costs.

PMID- 10265713
TI  - Medicare program: revised criteria for defining a skilled nursing facility when
      determining spell of illness status--HCFA. Notice of HCFA ruling.
AB  - This notice announces a HCFA Ruling that establishes revised criteria for
      defining a skilled nursing facility under section 1861(j)(1) of the Social
      Security Act when determing a beneficiary's spell of illness status.

PMID- 10265714
TI  - Federal Old-Age, Survivors, and Disability Insurance; coverage of employees of
      private nonprofit organizations--SSA. Proposed rules.
AB  - These proposed rules implement sections 102, 321, 322 and 323 of Pub. L. 98-21
      (the Social Security Amendments of 1983). Generally, these provisions: (1)
      Mandatorily cover for Social Security purposes employees of private nonprofit
      organizations; (2) Provide additional Social Security coverage for certain work
      performed outside the United States (U.S.); (3) Provide coverage under the Social
      Security program for certain foreign earned income; (4) Provide special Social
      Security insured status requirements for certain nonprofit organization employees
      covered as a result of these amendments; and (5) Provide Social Security coverage
      for employment and self-employment that is identified as "covered" for purposes
      of title II of the Social Security Act (the Act) by the provisions of a
      totalization agreement between the U.S. and another country.

PMID- 10265715
TI  - Privacy Act; exempt record system--HHS. Final rule.
AB  - The Office for Civil Rights of the Department of Health and Human Services
      maintains a system of records entitled "Complaint Files and Log. HHS/OC/OCR." The
      Department is exempting this system from certain provisions of the Privacy Act, 5
      U.S.C. 552a. The exemption is authorized by subsection (k)(2) of the Privacy Act,
      which applies to investigative materials compiled for law enforcement purposes.
      The Office for Civil Rights (OCR) is authorized to gather information for civil
      and administrative law enforcement purposes pursuant to several statutes
      requiring nondiscrimination in programs or activities receiving Federal financial
      assistance. In order to maintain the integrity of the OCR investigative process
      and to assure that OCR will be able to obtain access to complete and accurate
      information, the Department is exempting this system, under subsection (k)(2),
      from the notification, access, correction and amendment provisions of the Privacy
      Act.

PMID- 10265716
TI  - Many employees hike deductibles, premiums.

PMID- 10265717
TI  - Stouffer says it is not seeking PPO discounts.

PMID- 10265718
TI  - PPO only part of employers' cost-control effort.

PMID- 10265719
TI  - Few employers say they obtain utilization data.

PMID- 10265720
TI  - Benefit sleuths discover bogus health claims.

PMID- 10265722
TI  - Tips and techniques dating of multiple-dose vials.

PMID- 10265721
TI  - A performance appraisal system for clinical pharmacy services.

PMID- 10265723
TI  - Controlling antimicrobial use in the hospital: a demonstration study on
      pneumonia.

PMID- 10265724
TI  - Senator's Cup Tennis Tournament benefits home care plans of Arizona's Hospice of
      the Valley.

PMID- 10265725
TI  - The National Association for Home Care 1984 position paper on legislative and
      regulatory issues. A blueprint for action.

PMID- 10265726
TI  - Elder abuse: the hidden American scandal.

PMID- 10265727
TI  - Government primer.

PMID- 10265728
TI  - Legal trends increase hospital liability.

PMID- 10265729
TI  - Marketing hospital services. The time has really arrived for the industry to
      enter the arena.

PMID- 10265730
TI  - Establishing a clinical pharmacokinetic service for gentamicin in a community
      hospital.
AB  - To assess the feasibility and acceptability of a pharmacy-based clinical
      pharmacokinetic service for gentamicin, serum gentamicin levels were measured by
      radioimmunoassay in 44 patients hospitalized during a three-month period in an
      acute-care general hospital. Serum levels measured pre- and post-infusion were
      used to estimate pharmacokinetic parameters and optimum dosage regimens for
      individual patients. Based on serum level measurements of gentamicin, 30% of
      patients required no dosage adjustment, 23% an increase in dose and 47% a
      decrease in dose. Of the 30 changes recommended, 83% were implemented by
      physicians. Monitoring serum levels and adjusting dosage reduced the number of
      patients with sub-therapeutic and toxic serum levels. Adjusting dosage with the
      aid of serum levels appeared to be most useful for the elderly patient or the
      patient with impaired kidney function. Initial choice of dosage regimens for
      patients would be improved by appropriate use of the Hull and Sarubbi dosing
      nomogram (with certain modifications) or method of estimating pharmacokinetic
      parameters. The Hull and Sarubbi method was considered preferable to the dosing
      recommendation of 1.1 mg/kg at an interval of eight times the serum creatinine
      value. Excellent physician acceptance of a gentamicin serum level monitoring
      service was demonstrated in terms of the physician's usage of the service and
      implementation of the pharmacist's recommendations. A multidisciplinary approach
      involving medicine, pharmacy, nursing and laboratory staff was essential for
      successful operation of the pharmacokinetic service. However, the responsibility
      for the development and overall coordination of the pharmacokinetic service
      should remain with the pharmacist.

PMID- 10265731
TI  - Ethical considerations in research with children.
AB  - The author discusses the nature of research in a therapeutic context, the
      documentation required by a review committee, the problem of proxy consent for
      children and other 'incompetent' individuals, the balance of risk-to-benefit, and
      the protection owed by society to its most vulnerable members. Opposing views are
      presented regarding the ethics of involving children in research. The difficulty
      of assessing risks and benefits is acknowledged while upholding the right of
      parents and guardians to receive full disclosure of information upon which to
      base consent. There is a role for serious ethical inquiry in the search for
      agreement on what is right. Life implies relationships and mutual obligations.
      Research involving children raises ethical questions for the physician
      researcher, the parents, other hospital personnel and society at large.

PMID- 10265732
TI  - Management's perspective on medical office computerization. Part II.

PMID- 10265733
TI  - Know thyself: the starting place for systems planning.

PMID- 10265734
TI  - Material management spoken here?

PMID- 10265735
TI  - Cart exchange control: a case history.

PMID- 10265736
TI  - Implementing office automation in the healthcare profession.

PMID- 10265737
TI  - Burnaby Hospital food management system--a case history.

PMID- 10265738
TI  - Material management information systems: implications for productivity.

PMID- 10265739
TI  - Staff burnout in the perspective of grief theory.
AB  - The processes leading to staff burnout are poorly understood, due to the very
      term "burnout." It is a static term which refers explicitly to the end-stage or
      outcome of a process, rather than to the process itself. Grief theory is an
      attempt to explore the process of adaptation to high stress work, a process
      which, through some inadequacy or disorder, too often eventuates in burnout.
      Concepts of grieving seem suited to this purpose because (a) grief has undergone
      transformation from a static term to a process term in response to theoretical
      efforts of the last generation, and (b) burnout entails considerable loss and is,
      in part, a response to loss. Kavenaugh's concept of the grieving process is used
      as a framework for a brief description of adaptation to the stresses of
      professional work with dying person and their families.

PMID- 10265740
TI  - Ethics and the law of dying.

PMID- 10265741
TI  - Health education is a key to lowered health costs.

PMID- 10265742
TI  - Preferred provider organizations offer cost cuts to patients, providers, and
      benefit plan sponsors.

PMID- 10265743
TI  - Reducing inequalities in health: political and organisational implications for
      the British National Health Service.
AB  - Tackling health inequalities with any hope of success requires an understanding
      and appreciation of a number of issues concerning the nature and operation of
      services. Focussing on the British experience, the paper considers notions of
      need and demand insofar as these have a bearing on health inequalities. Need and
      demand are not finite, absolute states but are relative notions which are
      affected by users' attitudes and knowledge and by providers' preferences and
      interests. Drawing upon recent work, the paper argues that the existence of the
      National Health Service (NHS) has not fundamentally altered the nature of health
      inequalities in Britain. Those living in the North of the country generally enjoy
      poorer health than those living in the South. Inequalities between socio-economic
      groups are also much in evidence. The paper considers possible policy
      implications and comes out in favour of process change rather than major
      structural change of the kind witnessed in recent years in Britain where the NHS
      has undergone two major upheavals within a decade. This disruption has had the
      effect of diverting attention away from important policy issues at all levels of
      service planning and provision.(ABSTRACT TRUNCATED AT 250 WORDS)

PMID- 10265744
TI  - The reformation of information technology.
AB  - During the last twenty years there have been major changes in European health
      services in the need for information, technology and the information user. The
      need for information for management purposes has been highlighted by the shift
      away from running institutions to providing health care for defined populations,
      and the diminution in financial growth available to health services. To provide
      comprehensive care in the current financial climate there is a requirement for
      relevant and timely information about the patients being treated, the population
      from which they come and the cost and effectiveness of the treatment being
      provided. Major changes have occurred in both the software and hardware available
      for information technology (IT) applications. Modern technology cannot only
      process statistical data but also acquire, process, store and disseminate vocal,
      pictorial, textual and numerical information. Among applications of interest to
      health service managers are quantitative data systems, planning systems, text
      management systems and communications both within the organization and with other
      organisations.(ABSTRACT TRUNCATED AT 250 WORDS)

PMID- 10265745
TI  - Cancer registries: their interest and practical problems.
AB  - Cancer registries record all new cases of cancer within the population they
      survey. Thus they provide accurate regional measurements of cancer morbidity and
      mortality and their geographical distribution. This form of epidemiology allows
      the study of regional variations and alterations with the passage of time. It
      also allows the study of environmental factors that might cause cancer. The work
      of the French regional cancer registries is described to illustrate these points.
      The problems of running a cancer registry are also set out and suggestions are
      made for future organization. The statistics gathered by such registries indicate
      possible methods for the early detection and treatment of some cancers and
      provide evidence of the long-term effects of all kinds of therapy. The socio
      economic aspects of cancer can also be measured by the registry, thus providing
      valuable data for use in the planning of health care in any community.

PMID- 10265746
TI  - Evaluation of continuing education in the health professions. The state of the
      art.
AB  - In this article the author discusses three "levels" of the state of the art: the
      "ideal," for program evaluation; the "practical," with political limitations; and
      the "actual," for current practices. Starting with a review of the developmental
      stages of effectiveness variables (from attendance and "happiness' through
      professional performance and patient outcomes), the article updates a review by
      Lloyd and Abrahamson (1979) and then discusses current practices. Evaluation as a
      potential contamination factor leads into consideration of evaluation versus
      research. Finally a review of "lessons learned" over the last twenty years
      introduces a look ahead into exploitation of the state of the art.

PMID- 10265747
TI  - Carry-over of medical information system influence to control patients.
AB  - Evaluations of medical information systems (MIS) often compare one or more
      dependent variables between experimental patients having the MIS available and
      control patients. Typically, physicians who are exposed to and therefore are
      potentially influenced by the MIS during visits with experimental patients also
      see control patients, thus possibly weakening the internal validity of subsequent
      comparisons between the MIS and the control conditions. The present study
      examines the possible bias due to carry-over of MIS influence to control patients
      in the context of a prospective, randomized design.

PMID- 10265748
TI  - User-centered evaluation.
AB  - Much has been written on graduate medical education and its evaluation. Seldom,
      however, are mentioned the uses made or the benefits of such evaluations. Drawing
      on current models for increasing the use of information from external
      evaluations, the authors offer a user-centered approach for increasing the use of
      results from internal evaluations, the more typical form of evaluation in
      graduate medical education. The over-riding emphasis of the user-centered
      approach to evaluation is the utility of the resultant data. Three features
      characterize user-centered evaluation: an ordered set of steps with usefulness as
      the primary concern at each step; delineation of evaluator and decision-maker
      roles; and attention to the general communication aspects of evaluation. This
      article describes these three characteristics, concluding with two fundamental
      points: (1) A user-centered approach to evaluation will help evaluation do what
      it is supposed to do: provide information that gets used to increase the
      effectiveness of everyday decisions. (2) A user-centered evaluation accomplishes
      this, first, by having a pervasive attitude of utility and, second, by carefully
      attending to the three characteristic features of this approach to evaluation.

PMID- 10265749
TI  - Dimensions of satisfaction with mental health treatment.
AB  - This article reports the development and underlying factor structure of a brief
      measure of consumer satisfaction. Four factors, accounting for 69.1% of the
      variance, were extracted. They appeared to measure satisfaction with the quality
      and outcome of treatment, satisfaction with the intake process, satisfaction with
      the timing of the termination of treatment, and satisfaction with the costs.
      Analysis of the content of responses to open-ended questions revealed that most
      consumer concerns had been addressed in the multiple-choice section of the
      questionnaire. Differences in client groups in level of satisfaction were found
      on one factor but not the others, supporting the conclusion that satisfaction
      should be considered multidimensional.

PMID- 10265750
TI  - Measuring patient perceptions of the patient-doctor interaction. Development of
      the PDIS.
AB  - Patient satisfaction has been related to patient compliance, doctor-patient
      information exchange, and continuity of care. However, the construct of patient
      satisfaction is not well defined; its measurement has typically consisted of the
      anecdotal generation of questions that may not tap issues of concern to patients.
      Generally, neither reliability nor validity of the measurement instruments are
      considered. The present study investigated the construct of patient satisfaction
      and developed the Smith-Falvo Patient-Doctor Interaction Scale (PDIS), a patient
      satisfaction scale based on empirically derived dimensions of patient
      satisfaction. The project consisted of three studies. The first study involved
      the generation of physician behavior descriptions by 22 family practice center
      patients. The resultant 1540 descriptions were grouped into 80 reliable
      categories. In Study 2, a sample of 30 patients rated the behavior descriptions
      on a 9-point scale from most preferred to least preferred. Multidimensional
      scaling techniques were applied to the preference ratings, resulting in the
      identification of two dimensions: general health care delivery and inappropriate
      interpersonal interactions. The PDIS was then constructed from items salient to
      these two dimensions. Outcome of the investigation of the reliability and
      validity of the PDIS in a third study was quite positive.

PMID- 10265751
TI  - Evaluation of a medical interviewing course. Use of the helping relationship
      inventory.
AB  - Changes in beginning medical students' preferred interview responses appear
      attributable to a course that emphasizes communication techniques for developing
      patient rapport. For each of five successive classes, pre/postcourse preferences
      were obtained for alternative response modes (categorized as understanding,
      probing, interpretive, supportive, and evaluative. Analysis indicated significant
      increases in students' preferences for understanding responses and decreases in
      preferences for evaluative responses (p less than .001). Changes are in the
      desired direction with respect to course goals, since rapport is generally
      enhanced by conveying understanding and refraining from premature evaluation.
      Effects on response preferences of some instructor characteristics are analyzed.
      Implications for health professions education and research are discussed.

PMID- 10265752
TI  - Component of health promotion.

PMID- 10265753
TI  - Understanding and managing patients who smoke.

PMID- 10265754
TI  - Mild hypertension: the continuing dilemma of treatment.

PMID- 10265755
TI  - Stress: sources, effects, and management.

PMID- 10265757
TI  - Designing an exercise plan for optimal health.

PMID- 10265756
TI  - Cancer: what is prevention?

PMID- 10265758
TI  - Motivating your donors through better newsletters.

PMID- 10265759
TI  - Cost squeeze, budget ax prods market piggybacking trend.

PMID- 10265760
TI  - New life insurance plan boon to endowment fund.

PMID- 10265761
TI  - Repositioning development in a corporate reorganization.

PMID- 10265762
TI  - Tax-induced fund raising--new techniques to prosperity.

PMID- 10265763
TI  - Improve customer relations through reinforcement program.

PMID- 10265764
TI  - An investigation of selection bias in an HMO enrollment experiment.

PMID- 10265765
TI  - Going at-risk for durable medical equipment.

PMID- 10265766
TI  - The 1983 Walter L. Bierring Lecture. Medical discipline.

PMID- 10265767
TI  - How people treat the public: bottom line in hospital marketing.

PMID- 10265768
TI  - Searching for the hospital sales department--where's the beef?

PMID- 10265769
TI  - Capital financing through philanthropy.
AB  - Given the financial realities of the next few years, hospitals will need to look
      for new ways of raising capital. One often overlooked source is philanthropy.
      Rockingham Memorial Hospital (RMH) in Virginia has, since 1975, developed a
      particularly successful fund raising program. By dividing their donor base into a
      number of different categories, RMH is able to design and tailor a gifts campaign
      specific to each donor segment. Their development effort, including its
      conception, elements of success, and game plan is presented.

PMID- 10265771
TI  - "What are the reasons for an implications of limiting hospitals' use of tax
      exempt financing, IDBs in particular?" In house.

PMID- 10265770
TI  - Financing in the 1980s.

PMID- 10265772
TI  - Case in point. Community Memorial Hospital.

PMID- 10265773
TI  - Case in point--the answer. St. Mary's Mountain View.

PMID- 10265774
TI  - Capital financing techniques for health care facilities: an historical overview.
AB  - Realizing that a thorough discussion of capital financing techniques for health
      care facilities would fill several volumes, this article presents an overview of
      the techniques currently used in the industry. Included is an outline of the
      basic features, applications, and costs of the various techniques. Because
      financing techniques in current use evolved from earlier forms, the chronological
      format adds a measure of clarity and logic to the development of health care
      financing. The primary focus will be on private, voluntary hospitals since they
      comprise the majority of the health care financing volume. A particular
      technique's applicability to public facilities, nursing homes, retirement
      centers, for-profit facilities, and freestanding facilities is noted, however,
      when appropriate.

PMID- 10265775
TI  - Management development. Staying on top of the job.

PMID- 10265777
TI  - Are bonus schemes worth it?

PMID- 10265776
TI  - A salary for a vital service.

PMID- 10265778
TI  - How to avoid those tender traps.

PMID- 10265779
TI  - Picking up the mental health bill.

PMID- 10265780
TI  - Putting a price on a contract.

PMID- 10265781
TI  - Griffiths report: view from the top. Interview by Peter Merry.

PMID- 10265782
TI  - Policy making. Members in search of an identity.

PMID- 10265783
TI  - America counts cost of nursing home boom.

PMID- 10265784
TI  - Spring in the staffing trap.

PMID- 10265785
TI  - Private nursing homes. Two sides of the same coin.

PMID- 10265786
TI  - Residential homes. Tightening up the home guard.

PMID- 10265787
TI  - Mental Health Act. The problems lurking in the fine print.

PMID- 10265788
TI  - How data can make a manager of you.

PMID- 10265789
TI  - Health management award. A brake on heavy drinking.

PMID- 10265790
TI  - Common sense and computer security.
AB  - The age of information so frequently described and anticipated in "gee-whiz"
      language has a darker side. As recent newspaper stories and other media attention
      show, unauthorized tampering with computer data banks and computer programs is on
      the rise. And the problem will grow worse with the proliferation of
      microcomputers, word processors, and data networks and with the swelling ranks of
      people familiar with their use. Probing beyond the conventional legislative and
      technological solutions to computer security problems, the authors look at what
      managers can do to preserve the integrity of their companies' information
      systems. While it is no longer possible simply to delegate responsibility for
      computer security to data processing managers, senior managers should not rely on
      expensive and complex solutions, according to these authors. They argue for
      simple, commonsense measures and advise how auditing and control systems can be
      revitalized to help detect security problems before they become serious.

PMID- 10265791
TI  - What to expect from teleconferencing.
AB  - Like other marvels of the electronic age, teleconferencing has been both oversold
      and underused. Though it has many potential uses, what managers know, or think
      they know, about it is generally based on misconceptions. Rather than relying
      only on vendors of teleconferencing, potential purchasers should first decide
      what their communication needs are, then choose the system that suits them best.
      These authors explain the new teleconferencing options and give guidelines for
      adapting them to a particular company.

PMID- 10265792
TI  - Decoding the bar code mystery.

PMID- 10265793
TI  - Conducting a supply price survey.

PMID- 10265794
TI  - Nineteen tried and tested ways to add more staff...cheap.

PMID- 10265796
TI  - P.A.'s keeping trash can liner prices under wraps.

PMID- 10265795
TI  - Buyer price discrimination and collusion.

PMID- 10265797
TI  - Reformulating inventory management.

PMID- 10265798
TI  - America's schizophrenic-care system.

PMID- 10265799
TI  - Managing public opinion in a hostile environment.

PMID- 10265800
TI  - Candidates talk home health.

PMID- 10265801
TI  - Buying your own HHA building helps build equity, cash flow incentives.

PMID- 10265802
TI  - China's 'barefoot doctors' to get medical training through new exchange program.

PMID- 10265803
TI  - Out-of-pocket spending increase for elderly opposed.

PMID- 10265804
TI  - Choosing a DME company: with over 5,000 medical equipment deals to select from,
      executive explains how.

PMID- 10265805
TI  - Hospital improves service through diversification.

PMID- 10265806
TI  - Home health agencies getting into elderly shared housing programs.

PMID- 10265807
TI  - An interview with: Henry E. Campbell, PhD.

PMID- 10265808
TI  - Clamping down on office crime.

PMID- 10265809
TI  - WHO working group on hospital waste.

PMID- 10265810
TI  - Food poisoning in hospitals.

PMID- 10265811
TI  - Minimising the spread of Legionnaires' disease--a programme designed to prevent
      incubation of LP in hospital water and air conditioning systems.

PMID- 10265813
TI  - Fire precautions in health care premises.

PMID- 10265812
TI  - Temporary theatre accommodation--a solution unfolded!

PMID- 10265814
TI  - The development of an energy conservation model related to estate management.

PMID- 10265815
TI  - Diocesan-wide NFP program reaches broad population groups.

PMID- 10265816
TI  - Facility's employment practices reflect affirmative action commitment.
AB  - The U.S. bishops' statements on racism over the last 40 years have addressed the
      structural as well as the personal aspects of racial discrimination. They have
      noted its persistence, described it as a moral and religious problem, and called
      for aggressive action among Catholics to combat it. "Meaningful equality" for
      blacks, however, remains a distant dream, the U.S. Supreme Court noted in a
      recent case involving institutional discrimination, because of the basically
      disadvantaged position into which blacks are born. As statistics on health,
      education, work, and standard of living illustrate, the socioeconomic
      opportunities available to blacks are markedly lower than those available to
      white Americans. Despite these odds, efforts to improve blacks' chances of
      contributing to society--through affirmative action programs--have achieved
      striking results in industry. Hospitals, as major workplaces, likewise should
      focus greater attention on developing and extending minority employment and
      advancement programs. Catholic health care facilities especially should evaluate
      their commitments to affirmative action. Increased efforts to eliminate
      discrimination in all aspects of a hospital's relationships with the business
      community as well as with its own employees will cause them to be recognized as
      symbols of justice not only in the workplace but also in society.

PMID- 10265817
TI  - CEO must have authority to coordinate governance, management, medical staff.
AB  - As hospitals attempt to survive in today's new competitive environment, they will
      find that the traditional organizational structure does not work. This structure
      can be characterized as a three-legged stool. Governance, management, and medical
      staff existed in relative harmony, with each able to attend to its own distinct,
      separate responsibilities. The medical staff regulated itself, the governing
      board had no serious difficulties in coping with the institution's finances, and
      the CEO was concerned solely with the physical plant and hospital personnel. In a
      riskless economic environment, this three-legged stool could remain stable. In
      the coming years,however, a hospital will need a clear-cut, identifiable leader
      if it is to survive. To centralize authority primarily in the CEO's hands will be
      a difficult step for nonprofit hospitals, particularly those sponsored by
      religious institutions, because of their tradition of operating much as a
      charitable social agency rather than a business. But this step must be taken,
      even to the extent of naming the CEO as chairman of the board, for a leader is
      required who has the authority to make quick decisions in the competitive
      marketplace. Timeliness is of strategic importance in such an environment, and
      governing boards increasingly will find it impossible to make timely decisions on
      a collective basis. Moreover, CEOs will have to coordinate the activities of
      management, medical staff, and the governing board. They will need to play a
      strong role in ensuring that target levels in DRG costs are met, and they will
      need the authority to mediate in issues in which the hospital's economic
      interests are pitted against physicians'.(ABSTRACT TRUNCATED AT 250 WORDS)

PMID- 10265818
TI  - Master indenture: capital financing for health care systems.
AB  - The master indenture enables members of multiinstitutional health care systems to
      finance capital programs and expansions by borrowing on the basis of systemwide
      revenues and assets. Participation in a master indenture financing may be
      structured in two ways. In a restricted group, only the parent organization
      issues notes, and only the parent is directly liable for the debt. To ensure that
      each member's revenues flow to the parent, the latter must have sole member
      status and be permitted to approve subsidiaries' debts, budgets, amendments to
      articles and bylaws of incorporation, and selection of trustees. Each entity's
      articles and bylaws must permit it to support the system members' common
      charitable purpose. In contrast, members of an obligated group have direct joint
      and several liability for master indenture notes. If one subsidiary misses a
      payment, the parent can call for payment from other obligated group members.
      Limitations on a member's obligation to support system debt in case of insolvency
      or bankruptcy may be included in the master indenture provisions. Whichever
      structure is selected, the amount of debt that can be incurred is based on the
      institutions' combined financial statements. The master indenture thus allows
      financially weak institutions to benefit from the credit strengths of stranger
      system members and permits the parent organization to control members' access to
      capital markets.

PMID- 10265819
TI  - Effective pastoral care budgeting reflects department's goals.
AB  - Like all department heads, the pastoral care director must develop a budget,
      negotiate its approval, and keep expenditures within it. Knowing that planning
      and control are the budget's functions, the director can follow simple steps in
      preparing a thorough budget. After establishing goals according to quantitative
      and qualitative resources needed, the director relates these to the services
      produced. The services budget forms the foundation of the dollar budget. After
      establishing goals according to quantitative and qualitative resources needed,
      the director relates these to the services produced. The services budget forms
      the foundation of the dollar budget. Resources and services are then broken down
      into the paper major and minor accounts. Estimating numbers of full- and part
      time personnel needed is the major task, along with determining costs of
      nonsalary items such as supplies. The director then presents the budget to
      management, showing the relationship of goals to dollars and avoiding
      "highballing" and "lowballing" strategies that undermine personal integrity. With
      good accounting and control reports the director can use the approved budget to
      keep the pastoral care department within bounds in providing services.

PMID- 10265820
TI  - Can a Catholic hospital tolerate refusal of ethically ordinary treatment?

PMID- 10265821
TI  - Volunteer program enhances patient care, participants' skills.

PMID- 10265822
TI  - Terminated employee must prove age was only reason for their discharge.

PMID- 10265823
TI  - Tax exemption statute does not cover property leased to hospital for profit.

PMID- 10265824
TI  - Maintenance protocol for potential organ donors in multiple organ procurement.
AB  - Donor organs that are suitable for transplantation remain scarce, especially in
      view of the number of types of organ transplants now possible and the ever
      increasing number of waiting recipients. This scarcity of donor organs can, to
      some extent, be ameliorated by the adoption of potential organ donor maintenance
      protocols that protect the organs from irreversible damage. Of key importance to
      the success of any such protocol is the establishment of hemodynamic adequacy and
      stability. Appropriate and vigorous antibiotic prophylaxis is also a major
      consideration, especially with regard to the pulmonary and genitourinary systems.
      The use of ophthalmologic preparations for protection of the corneas, attention
      to skin cleanliness, and the practice of rigorous sterile technique in the care
      of all indwelling catheters are measures that are strongly encouraged in order to
      provide the best possible chance of successful donation of organs that otherwise
      may be compromised.

PMID- 10265825
TI  - Drug noncompliance in the elderly.
AB  - Drug noncompliance is a major therapeutic problem for clinicians who deal with
      the elderly. This group receives 25% of all prescriptions, although comprising
      only 11% of the population. Clinicians overestimate their patients' compliance by
      100%. One-third of patients always comply, one-third sometimes comply, and one
      third never comply. Noncompliance can be determined by pill counts, timing of
      refills, blood and urine drug levels, and observation of therapeutic effect.
      Contributing factors to noncompliance include vision, hearing, and memory
      impairment, side effects, drug interactions, fear of drug dependency, difficulty
      in obtaining of taking medication, complicated regimens, and lack of confidence
      in the clinician. Recommendations are given to aid the clinician in overcoming
      noncompliance. The elderly benefit from verbal instructions reinforced in
      writing, frequent visits, simplified regimens, clearly labeled, non-childproof
      containers, and involvement of family members. An illustrative case study is
      presented.

PMID- 10265826
TI  - Supreme Court upholds exclusive contract against antitrust challenge in Hyde
      case.

PMID- 10265827
TI  - Proposed Sec. 501(e) regulations published--shared service organizations.

PMID- 10265828
TI  - U.S. District Court enjoins application of New York's rate-setting statute to
      self-insured ERISA employee welfare benefit plans.

PMID- 10265829
TI  - CA appellate court reaffirms statutory prohibition against discovery of medical
      staff proceedings and records.

PMID- 10265830
TI  - Integration of the pieces needed.

PMID- 10265831
TI  - Treat health care as a public utility--at least to some extent.

PMID- 10265832
TI  - Health policy: a worldwide view.

PMID- 10265834
TI  - Reasonable and humanistic access, quality and cost required.

PMID- 10265833
TI  - Examining ethics: a necessary first step.

PMID- 10265835
TI  - How to get and keep tax-exempt and tax-deductible status.

PMID- 10265836
TI  - Foundation grantmaking: a review of the process.

PMID- 10265837
TI  - United Way: who are its critics?

PMID- 10265838
TI  - The party line returns.

PMID- 10265839
TI  - Birth of a nation. Maternal and child health in Nicaragua.

PMID- 10265840
TI  - Health and human rights in El Salvador.

PMID- 10265841
TI  - The revolution and the U.S. Health care in Grenada.

PMID- 10265842
TI  - "The Sandinista revolution is health".

PMID- 10265843
TI  - Drug utilization review of parenteral clindamycin therapy.
AB  - A concurrent drug utilization review was conducted to evaluate the
      appropriateness of parenteral clindamycin use, the incidence of gastrointestinal
      side effects, and to implement, if necessary, corrective actions to improve
      parenteral clindamycin use. Criteria for the appropriate use of clindamycin were
      prepared, reviewed, and approved by the P & T Committee of the City of Memphis
      Hospital (CMH) and University of Tennessee Medical Center/William F. Bowld
      Hospital (UTMCH). Forty-five patients were included in the audit. Overall, in
      43/45 (96%) of the patients audited, clindamycin use was deemed appropriate. This
      audit provided the opportunity for positive reinforcement of physician
      prescribing practices and helped to foster a cooperative, rather than an
      adversarial relationship, between pharmacists and physicians involved in drug
      utilization review.

PMID- 10265844
TI  - Drug utilization study of antiepileptics in Hungary.
AB  - This paper describes drug utilization review activities on anticonvulsant drugs
      in Hungary. Data on the use of phenytoin, carbamazepine, primidone, and sulthiam
      in the 20 administrative regions of the country are presented. From 1971 to 1980,
      consumption of these anticonvulsants doubled, and most of them were used in
      combination therapy. Estimates of the numbers of epileptics in the country were
      calculated from data on the international incidence of epilepsy and from total
      drug consumption data in Hungary.

PMID- 10265845
TI  - Total formulary review--the easy way.
AB  - In an effort to minimize drug costs, many hospital pharmacy services have limited
      their drug inventories through the development of a formulary. Evaluation of drug
      products for addition to the formulary is the responsibility of the Pharmacy and
      Therapeutics (P & T) Committee. The deletion of rarely used or outdated products
      is often overlooked. As a means to "clean up" the formulary, Hamot Medical Center
      (HMC) underwent a total formulary review. Drugs were separated into classes as
      defined by the American Hospital Formulary Service (AHFS). Approximately three
      drug classes were evaluated each month by the P & C Committee. Evaluation
      criteria was based on the following factors: current formulary status, usage
      statistics, negative comments appearing in six current publications, hospital
      acquisition cost, and number of formularies containing each product. A final
      compilation of all deletions and additions were distributed to all medical staff
      department and division chiefs. Following receipt of all their comments, a final
      draft of the formulary was made and prepared for publication. This system is a
      simple, uncomplicated means of either revising or beginning a formulary. It
      evaluates a drug based on efficacy, individual hospital usage, and cost of the
      drug while allowing for input of the medical staff. The end result is a formulary
      tailored to best fit each institution.

PMID- 10265846
TI  - Multidisciplinary quality assessment of a unit dose drug distribution system.
AB  - A two-part multidisciplinary study was performed at a 531-bed community hospital
      to evaluate the unit dose drug distribution system. The first study identified
      the relative incidence of medication discrepancies between nursing administration
      records and what actually was delivered for the patient. The second study
      revealed the incidence of scheduled medications which were returned to the
      pharmacy unused. In both studies, the reason for each disparity was noted and
      tabulated. The results of each study were reviewed and specific corrective
      measures were developed for each problem area detected. Follow-up programs were
      also recommended to determine the effectiveness of the corrective measures. Other
      hospitals with unit dose systems may find these study results revealing and
      useful in evaluating their own distribution services.

PMID- 10265847
TI  - Drug administration and control in a large mental retardation facility.
AB  - Better control and more accurate drug dosing in the large institution has long
      been needed. This project focused on the proven unit dose concept with variations
      for the long-term care institution. The system described serves a client
      population of 875 mentally retarded persons. Operation and maintenance of the
      system requires a staff of three FTE pharmacists and three FTE pharmacy
      technicians. The concept is based on a 72-hour exchange cycle and features the
      use of a 3-day carrier package for each oral solid medication dispensed. Single
      dose identification provides pharmacy personnel with the capability to closely
      monitor drug administration activities. For example, omitted doses can be readily
      linked to a specific date and time of occurrence. Single doses are dispensed into
      separate dosing sections, even though several tablets or capsules may be required
      for one dose. The package design additionally permits first-dose administration
      times to be programmed by the pharmacist in order to minimize delays in starting
      newly prescribed medications, such as antibiotics. Use of the package eliminates
      the need to purchase tablets and capsules in commercial unit dose form. It is
      also unnecessary to buy automatic packaging equipment. The entire process is
      adaptable to both manual and computerized pharmacy systems.

PMID- 10265848
TI  - A utilization review of digoxin assays: sampling patterns and use.
AB  - A review of digoxin assay utilization concurrent with patient hospitalization was
      conducted at the University of Texas Medical Branch. An interdepartmental
      committee of clinicians adapted audit criteria for the collection and use of
      digoxin assays. This included rational indications, correct performance (i.e.,
      collection and processing of serum sample) and appropriate dose adjustment. The
      charts of all patients receiving digoxin were examined daily, whether or not the
      physician had ordered a drug assay. Contributory data were collected and
      analyzed, including serum electrolyte concentrations, arterial blood gases, renal
      function tests, vital signs, physician assessments, and other information
      relating to pertinent and concomitant diseases or drug therapy. The 2-month
      review included 104 hospital inpatients who received 245 evaluations. Only 38.4%
      of the evaluations were determined to be compliant with all criteria. When the
      audit categories of rational indication, correct performance, and appropriate
      dosage adjustment were evaluated independently, compliance rates were 66%, 73%
      and 86%, respectively. In 108 cases (52%), the physicians provided inadequate
      instructions in their request for the digoxin assay to insure proper collection
      time by the phlebotomist. Approximately 94% of all assay results were verbally
      communicated to the physician or returned to the patients' charts for use in
      patient management within a minimum of 24 hours. Hospital laboratory charges for
      unnecessary, incorrectly performed, or inappropriately used digoxin assays were
      estimated to exceed $100,900 annually. The audit was used to demonstrate the need
      for changes in hospital procedures and house staff training. A collaborative
      pharmacokinetics service was organized with reimbursement accomplished through
      the physician billing charge.

PMID- 10265849
TI  - Stability of cephapirin sodium admixtures after freezing and conventional or
      microwave thaw techniques.
AB  - The freeze-microwave thaw technique has important advantages compared with
      conventional piggyback delivery systems. A requirement for the implementation of
      this technique, however, is the documentation of antibiotic stability following
      freezing and microwave thawing. The purpose of this study was to assess the
      stability of a commonly used cephalosporin, cephapirin sodium, following freezing
      and conventional or microwave thawing. This data was not previously available.
      Cephapirin sodium was admixed with either 5% dextrose injection or 0.9% sodium
      chloride injection in polyvinylchloride minibags at concentrations of 10 and 40
      mg/ml and then frozen for 14 days. Admixtures were then thawed conventionally or
      by microwave heating. Cephapirin concentrations were determined
      spectrophotometrically after reconstitution, immediately after thawing, and 6,
      12, and 24 hours after thawing. No significant differences in admixture potency
      after reconstitution, immediately after thawing, or at 6, 12, and 24 hours after
      thawing were observed when thaw techniques were compared. All admixtures retained
      at least 90% of labeled content regardless of thaw technique, type of diluent, or
      initial concentration. In addition, all admixtures retained at least 90% potency
      24 hours after thawing when compared with the actual concentration determined
      immediately after reconstitution. The rate of cephapirin degradation was not
      influenced by thaw technique, type of diluent, or initial admixture
      concentration. The results of this study suggest that cephapirin sodium may be
      added to the list of drugs capable of withstanding freeze-microwave thaw
      treatment.

PMID- 10265850
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--Part 7.

PMID- 10265851
TI  - Elderly ambulatory care patients' knowledge about drugs.
AB  - The extent of knowledge that elderly ambulatory clinic patients possessed about
      their maintenance prescription and nonprescription medications was determined
      using 17 selected questions. Information was obtained by using structured
      interviews from 100 subjects, 65 years of age or older, selected from a general
      medicine clinic using the simple two-stage cluster sampling method. The medical
      charts and various medication teaching manuals were used as criteria to determine
      whether or not the questions were answered correctly. The questions bout adverse
      reactions, nonprescription medications to avoid, and activities to avoid or
      perform with caution were answered correctly less than 30% of the time. Thus,
      practitioners should not assume that elderly ambulatory patients on maintenance
      drug therapy possess sufficient knowledge to use their medications safely and
      effectively.

PMID- 10265852
TI  - Methodological observations on applied behavioral science.
AB  - Policy makers and administrators have become frustrated with single-subject
      designs because these designs appear unable, at first blush, to provide them with
      essential information that they can use in planning or change at the
      organizational or institutional level of management. Practitioners have become
      frustrated with prior exclusive reliance on traditional group experimental
      designs because they fail to provide useful information for conducting therapy or
      delivering services. The following article by Professor Gingerich makes a large
      and important contribution toward mitigating these two apparently divergent
      needs. Gingerich describes how meta-analysis can provide useful information for
      managers through aggregations of data obtained from single-subject, time-series
      designs. The article also discusses the use of meta-analysis of time-series data
      as a basis for improving the quality of scientific investigations.

PMID- 10265853
TI  - "ASAP": a microcomputer-based automated safety & performance testing system.
AB  - An HP-85 microcomputer programmed in BASIC was interfaced to a PEI 2000 safety
      analyzer via an HP-6942A Multiprogrammer and appropriate interface cards. This
      configuration allows automated safety and performance testing as well as report
      generation. The system is operated by means of a menu displayed on a built-in CRT
      and the keyboard. Data are displayed and then stored on the built-in cassette
      unit. Additional testing features are easily added with minimal software
      development, since all programming is in BASIC and all interface drivers are part
      of the hardware.

PMID- 10265854
TI  - The clinical equipment coordinator: a new role in the hospital industry.
AB  - The increase in use, complexity, and cost of medical equipment requires a
      management response in both large and small hospitals. This paper describes the
      position of Clinical Equipment Coordinator (CEC) as it developed at Anaheim
      Memorial Hospital in Anaheim, California. The CEC can be highly effective in
      coordinating contract or shared services for a small hospital. In the larger
      hospital with an in-hospital Clinical or Biomedical Engineering Department, the
      CEC can take on the responsibilities of coordinating the services of the
      department. A detailed Job Description is presented along with typical forms and
      guidelines.

PMID- 10265855
TI  - Microsurgical instrumentation for vitrectomy: Part II.
AB  - The rapid progress in the field of vitrectomy since its recent commencement may
      be clearly related to the development of microsurgical instrumentation for
      vitrectomy. In the early 1970s, a number of vitrectomy instruments were
      introduced in close succession. The experiences gained from this first generation
      of products were quickly fed back to make modifications and improvements for a
      second generation of products. Guillotine action cutters and bimanual concepts,
      for example, became the preferred norm. Concurrently, various instrument systems
      were developed to satisfy procedures of which vitrectomy is a part. The system
      concept is still evolving as this new discipline matures.

PMID- 10265856
TI  - Matrix/team management in a public health department.

PMID- 10265857
TI  - Integrated rural health care systems: managerial implications for design and
      implementation.

PMID- 10265858
TI  - Measuring provider productivity in ambulatory care.

PMID- 10265859
TI  - The Stanford medical group: a university-based group practice.

PMID- 10265860
TI  - The outpatient clinic; the crucible of the physician-patient relationship in
      graduate medical training.

PMID- 10265861
TI  - An assessment process for nursing staff patterns in ambulatory care.

PMID- 10265862
TI  - Programmatic accreditation: present role and future prospects.

PMID- 10265863
TI  - A methodological framework for assessing midlevel managerial development needs in
      hospitals.

PMID- 10265864
TI  - Developing effective selection policy models for master's candidates in health
      administration.

PMID- 10265865
TI  - The Andrew Pattullo Lecture. The changing future of administration.

PMID- 10265866
TI  - Health for all by the year 2000: its political constraints and promises for the
      African region.

PMID- 10265867
TI  - Meeting of the Advisory Committee of the Health Administration Education Program
      in Latin America and the Caribbean.

PMID- 10265868
TI  - Rx for medical control.

PMID- 10265869
TI  - Myths of mass casualty training.

PMID- 10265870
TI  - Lessons from Stony Creek.

PMID- 10265871
TI  - EMS by the numbers.

PMID- 10265872
TI  - Specialty costs in English hospitals--a statistical approach based upon a cost
      component model.
AB  - A previous paper in this Journal compared various regression models designed to
      relate hospital recurrent expenditure to corresponding measures of hospital
      activity and services provided. The paper concluded by discussing briefly an
      alternative approach designed to avoid some of the criticisms raised and to
      reconcile the differing viewpoints inherent in the existing models. The objective
      of the present paper is to describe this alternative approach in more detail. The
      model introduced is concerned with the separate modelling of a number of broad
      components of hospital inpatient expenditure, rather than with the total
      expenditure in isolation. A system of simultaneous regression models is proposed,
      each related to a particular area of expenditure, the structure of each being
      determined by means of empirical analyses based upon data from some 1505 English
      hospitals. It is shown that when the total costs generated by aggregating the
      cost components are considered, the models provide a better representation of the
      cost structure of English hospitals than the models based upon total costs
      published in the recent literature. Various applications of the models in the
      management and planning of hospital services involving the use of micro- or other
      computers are discussed.

PMID- 10265873
TI  - An historical application of McClean's steady state manpower model.

PMID- 10265874
TI  - Safety information bulletins of particular relevance to sterile services
      managerial staff.

PMID- 10265875
TI  - National porous load log book.

PMID- 10265876
TI  - Privatisation. Report on a talk given by Roger Davis.

PMID- 10265877
TI  - Cameroon and Pakistan.

PMID- 10265878
TI  - Laundry networking.

PMID- 10265880
TI  - Electronic surveillance saves hospital $65,000 in linen costs.

PMID- 10265879
TI  - $2-billion health care center to have laundries for 50,000 guests.

PMID- 10265881
TI  - Predicting group practice conditions.
AB  - Influenced by the need to be competitive in an environment plagued by an
      oversupply of physicians, medical groups must give serious attention to major
      trends in terms of strategic planning. Group practice can benefit from the
      experience of other businesses which have survived in their respective
      marketplace. To assist medical groups in their strategic planning efforts, three
      health-care consultants offer predictions of future conditions in medical group
      practice.

PMID- 10265882
TI  - A time for reexamination: advertising of physician services.
AB  - How do consumers respond to advertising of physician services? In a thorough
      study undertaken by the author, this area is explored as well as the importance
      of consumer demographic characteristics and the appropriateness of the
      advertising media. The major implication of the study is that it is now time for
      reexamination of physicians' traditional abstinence from advertising. Tasteful
      advertisement of physician services cannot only provide benefits to the medical
      group, but also can answer the cries of consumers for more information.

PMID- 10265883
TI  - Teaching the basics of management to resident doctors.
AB  - When a well-seasoned administrator offers to teach a course in general medical
      practice management to a group of resident doctors, it can lead to an enriching
      experience for everyone involved. The residents benefit educationally, the
      administrator personally, and his group financially. Even the community and the
      field of management stand to win. Based on eight years of positive teaching
      experience, the author presents a six-week program format, outlining specific
      topics of discussion for each session.

PMID- 10265884
TI  - A residency program for group practice administrators.
AB  - Bridging the gap between the world of education and the world of work, a
      residency program offers distinct advantages to both the preceptor and the
      resident. A view from each of these perspectives is presented here, giving the
      reader a well-rounded picture of the characteristics of an effective residency
      program.

PMID- 10265885
TI  - Managing multispecialty medical services. A focus on special children and the
      elderly.
AB  - A comprehensive perspective is essential to properly manage medical services for
      patients with multiple needs. For optimum care, all service aspects must be
      coordinated and a program format developed to meet individually identified needs.
      The Gundersen Clinic in LaCrosse, Wisconsin, has designed and implemented
      comprehensive care programs for two very different patient populations: children
      with special health and education problems, and the elderly. Many important
      aspects of a comprehensive care program are examined here, including ease of
      accessibility and follow-through, cost consciousness, staffing and space
      considerations, the administrative structure, marketing techniques, and
      evaluation procedures.

PMID- 10265886
TI  - Confronting an outdated medical record system.
AB  - When a new administrator was hired for a group practice, a vintage medical record
      system (late 1940s) was standing firmly in the way of clinic efficiency and was
      creating significant medical and legal problems as well. The technical and
      political obstacles confronted by the administrator in designing, implementing,
      and monitoring a new medical record system are examined in this case study.

PMID- 10265887
TI  - The balance between cost and quality.

PMID- 10265888
TI  - The automatic call distributor: one answer to appointment-making problems.
AB  - This case study addresses one problem brought on by a significant increase in
      patient volume: the inability of appointment desk clerks to answer the telephone
      within a reasonable amount of time. In response to mounting complaints from both
      patients and clinic staff, conversion to a computerized appointment system was
      undertaken. However, when the conversion led to no immediate relief of the
      problems at hand, an automatic call distributor was installed. Though this
      experience in instituting two new systems simultaneously was not without its
      problems, it did prove successful in effectively smoothing clinic operations.

PMID- 10265889
TI  - Why this group gave up on computerized clinical records.

PMID- 10265890
TI  - Why fee-for-service will live forever.

PMID- 10265891
TI  - Why business wants to force you into a PPO.

PMID- 10265892
TI  - Electrosurgery and patient monitoring.

PMID- 10265893
TI  - Nuclear instrumentation.

PMID- 10265894
TI  - Medical Electronics buyers guide 1984, Part 1. Market analysis, chromatography,
      coulometric titrators, electrophoresis, electrosurgery equipment, Holter ECG,
      iontophoresis, osmometers, radiation detection radiology, refractors, computer
      hardware, computer software.

PMID- 10265895
TI  - How physicians and consumers view the health-care system.

PMID- 10265896
TI  - Epilepsy: new tactics in an age-old battle.

PMID- 10265897
TI  - Mastering the art of persuasion.

PMID- 10265898
TI  - Should your hospital enter the outpatient lab business?

PMID- 10265900
TI  - A prescription for better writing in the lab.

PMID- 10265899
TI  - A management engineering study of our lab.

PMID- 10265901
TI  - Deficiency data as a guide to staff training.

PMID- 10265902
TI  - Dissenting opinions by Supreme Court justices in federal income tax
      controversies.

PMID- 10265903
TI  - IRS denials of charitable status: a social welfare organization problem.

PMID- 10265904
TI  - Some marketing moves unique; others borrowed from industry.

PMID- 10265905
TI  - Alternative services. Urgent care centers seek niches.

PMID- 10265906
TI  - Hospitals marshal sales forces.

PMID- 10265907
TI  - Consultants give PPOs mixed reviews.

PMID- 10265908
TI  - Alternative services. Look before leaping into home care.

PMID- 10265909
TI  - Hospital doesn't need lab under new venture.

PMID- 10265910
TI  - Hill-Burton rules changed because hospitals didn't meet expectations.

PMID- 10265911
TI  - Cut costs by closing beds, applying computer analyses to admissions.

PMID- 10265912
TI  - Risk management. More in-house attorneys hired to cut costs, improve access.

PMID- 10265913
TI  - Risk management. Hospitals may take shot at paring infection rate to cut patient
      stays.

PMID- 10265914
TI  - Risk management. Fires should spark hospital's suspicion of in-house arsonist.

PMID- 10265915
TI  - Risk management. Legal threats scare board recruits.

PMID- 10265916
TI  - Majority of consumers support advertising of hospital services.

PMID- 10265917
TI  - Who's your target? The answer will help trigger effective ads.

PMID- 10265918
TI  - Looking back to look ahead.

PMID- 10265919
TI  - Health care records: a new opportunity for patient access.

PMID- 10265920
TI  - The primary health care provider's computer as a partner in teaching.

PMID- 10265921
TI  - Identification of practice problems in dentistry.
AB  - This paper examines the use of dental insurance claim data for studying the
      dental care delivery system. Several research projects are described including
      investigations of the amount, types and causes of variation in dental practice
      patterns, the cost-effectiveness of different patterns of care in producing oral
      health, the feasibility of focused utilization review systems and the selection
      of continuing education topics and participants. The importance of these and
      other data information systems to the future practice of dentistry and medicine
      is stressed.

PMID- 10265922
TI  - The application of satellite television broadcasting for continuing professional
      education.

PMID- 10265923
TI  - The use of satellites for hospital-based continuing education networking.

PMID- 10265924
TI  - Teleconferencing as a medium for continuing education of health professionals.
AB  - This paper describes 15 years' experience with narrow band telephony applied to
      continuing education of physicians and nursing staff in the state of Wisconsin.
      The telephonic approach is shown to be viable, effective and economical;
      especially so when compared to wideband video alternatives or peripatetic
      teachers. The department of Continuing Medical Education, University of Wisconsin
      Madison, initiated the use of telephony for instructional purpose in non-credit
      continuing education in November, 1965. Facilities were installed for 18
      hospitals, up to 350 miles from Madison, for use by 286 physicians two hours
      weekly. The program included lecture outlines, visuals and a full array of
      telephone equipment with lectures strictly timed yet allowing for questions and
      answers. The technical system was validated by a series of pretests and immediate
      and late-posttests of 52 physicians taking a telephone course. Technology was
      found not to interfere with the education process. The University has since
      enlarged the network by more than a factor of 10. By 1979-80 there were 1,320
      program sessions with participation exceeding 34,000--or 270,596 student contact
      hours, at approximately $5.33 per student contact hours. Drawbacks include lack
      of eye contact, difficulty in understanding foreign accents, and necessity for
      videocassettes when demonstrations require movement. Strong points of telephony
      include its flexibility; variation in numbers attending and in visual aids;
      location of instructors and use in single subject/single day teaching. Telephony
      was found to be a uniquely useful means of providing continuing education to
      hospital and medical staffs.

PMID- 10265925
TI  - Video display terminals: a potential occupational health hazard?

PMID- 10265926
TI  - Do parents have a right to decide whether or not their handicapped infant should
      have surgery?

PMID- 10265927
TI  - An assessment of the client-centered planning approach in continuing education
      for public health professionals.
AB  - This paper reviews the concept of client-centered planning as an approach to
      program development for continuing education in public health. Client-centered
      planning is aimed at the identification of individual practitioner needs and the
      development of educational interventions tailored to improve competency in
      selected areas. This paper presents the essential elements of client-centered
      planning and examines findings from continuing education programs in public
      health conducted by the Center for Continuing Education of Public Health
      Professionals at the University of Michigan. The Center model is presented as one
      approach to program planning. As such, protocols for needs assessment, program
      planning, implementation and evaluation developed according to client-centered
      theory serve as a baseline for improved program planning for use by instructors
      and agencies.

PMID- 10265929
TI  - Interdisciplinary continuing education.

PMID- 10265928
TI  - Approach-avoidance conflicts regarding participation in professional activity
      studies.
AB  - The intrapersonal conflict hypothesis was used to explain participation and
      nonparticipation by health professionals in a demonstration program in quality
      assurance and continuing education. Two variables, "perceived benefits" and
      "social barriers," predict participation (p less than .024, less than .005,
      respectively). A discriminant analysis suggests that "benefits" has a greater
      impact than "barriers." The model has practical value in enhancing participation
      in important professional activities.

PMID- 10265930
TI  - A conjoint medical/nursing diabetes education program: impact on care in a rural
      community.
AB  - This paper describes the planning, teaching format, and evaluation of an
      interdisciplinary education program in diabetes mellitus for physicians and
      nurses in a rural Canadian community. Most participants preferred the conjoint
      teaching format to the unidisciplinary didactic programs traditionally offered.
      An evaluation, by chart review, of the management of diabetic patients cared for
      before and at 3, 6, and 12 months after the teaching program revealed significant
      changes in the referral practices of both the home care nurses and the
      physicians. Our findings suggest the occurrence of a program-related change in
      collaborative care practiced by the physicians and nurses who participated. A
      more extensive three year project has been initiated to further document the
      effectiveness of interdisciplinary continuing education in this community.

PMID- 10265931
TI  - Ethics committees: a turn for the worse.

PMID- 10265932
TI  - How critically do we examine obstetrical technologies?

PMID- 10265933
TI  - Nuclear weapons, nuclear war and the health professions. Curriculum development
      in medical schools.
AB  - The role of health care professionals in educating the public and policymakers
      about nuclear weapons, nuclear war and issues involved in preventing
      thermonuclear warfare is increasing. It is based on the professional and ethical
      responsibility to promote public health and prevent epidemic disease and death
      wherever possible. In the case of nuclear war, which has been called "the final
      epidemic," increased public knowledge is a primary method of working for its
      prevention. Policymakers in the United States and internationally are turning to
      physicians and scientists with important questions about the effects of nuclear
      war, questions about human behavior under stress, questions about long term
      ecological effects and survivability, and questions about technical aspects of
      the weapons themselves. The profession itself is asking questions about its
      proper role in these issues and the ethical basis for political activity on
      behalf of public health. Thus, concerned physicians are seeking education in
      these areas. Many medical schools have developed courses, one of which is
      described here. Consensus on a core curriculum has been achieved and curriculum
      materials are now available.

PMID- 10265934
TI  - The health and social costs of the weapons race.

PMID- 10265935
TI  - Health professionals in a nuclear age. Professional obligations and continuing
      education needs.
AB  - This paper explores the ethical responsibility of health professionals to become
      involved in issues concerning nuclear technology. Different contexts are
      identified in which health professionals could make a unique contribution, and
      their obligations and/or justifications for doing so are examined. The parallel
      implications for continuing educators are also discussed.

PMID- 10265936
TI  - Nuclear war and nursing ethics. What is the nurse's responsibility?

PMID- 10265937
TI  - The work of International Physicians for Prevention of Nuclear War (IPPNW).

PMID- 10265938
TI  - Designing benefits to cut costs.

PMID- 10265939
TI  - Why Honeywell left: a tale of a health-care coalition.

PMID- 10265941
TI  - Consignment purchasing saves.

PMID- 10265940
TI  - Annual Report of the American College of Osteopathic Hospital Administrators.

PMID- 10265942
TI  - System building. Opportunities for all.

PMID- 10265943
TI  - The revolving door--patterns in executive termination.

PMID- 10265944
TI  - Preadmission: a valuable tool for the admitting department.

PMID- 10265945
TI  - Physician manpower planning: at what point do we intervene?

PMID- 10265947
TI  - Inside the walls of prison medicine.

PMID- 10265946
TI  - Lessons for America.

PMID- 10265948
TI  - Women in medicine. The choices and challenges.

PMID- 10265949
TI  - The pathologist and malpractice.
AB  - Although malpractice claims in pathology are relatively infrequent, the potential
      always exists. The author discusses some important areas in which pathologists
      could be held liable, and illustrates her points by citing some leading cases.

PMID- 10265950
TI  - Why new manpower studies are needed.
AB  - Future pathology manpower needs have been the subject of recent debate. Despite
      pathology manpower studies that indicate a balance between supply and demand
      through the end of this decade, many view the future with uncertainty. These
      studies do not take into account larger issues that are radically altering the
      1990s health care scene. To make reasonable projections about manpower needs, the
      author believes recent changes need to be examined and debated as well as the
      pathologist's role in the practice of medicine.

PMID- 10265951
TI  - Breast self-exam: current status and concerns.

PMID- 10265952
TI  - What are the elements of effective pre-operative education?

PMID- 10265953
TI  - Using dolls to prepare children for surgery.

PMID- 10265954
TI  - Individualizing preparation for medical procedures.

PMID- 10265956
TI  - Outplacement services at Interfaith Medical Center.

PMID- 10265955
TI  - Child-care policies.

PMID- 10265957
TI  - Performance appraisal and career development: a shotgun marriage.
AB  - Both performance and career development have potential for developing human
      resources--potential that can be increased by linking them together, says author
      Beverly L. Kaye, organization consultant. This marriage of convenience--and
      common sense--not only produces synergy, but also strengthens each process
      individually. Stressing a win/win approach designed to meet the needs of both
      individual employees and the organization, Kaye first examines the preparation
      required--preparation in terms of communication, especially listening and giving
      feedback; awareness of employees as individuals; the recognition that
      developmental moves are not always upward ones; and time assigned to soul
      searching and self-assessment. However well the processes are integrated, the
      manager is still primarily responsible for performance appraisal and the employee
      for career development. Kaye offers a checklist of questions designed to help
      each.

PMID- 10265958
TI  - Five types of non-union grievance systems.
AB  - Organizations without a process for hearing and resolving employee complaints
      leave their employees feeling powerless to affect the system that drives their
      working hours--a feeling that can send morale and motivation plummeting and fuel
      a vote to "go union" in an organizing effort. Even if unions fail to capitalize
      on such situations, the federal government may see a need to step in. Thus there
      is good reason, says author Alan Balfour (associate professor of management at
      the University of South Florida), to institute grievance systems for non-union
      employees. But which system is best? Balfour discusses the advantages and
      disadvantages of five: an open-door policy; ombudsman; juries of peers; hearing
      officers; and binding, outside arbitration. In doing so, he distinguishes between
      those that simply address the facts of a case and those that try to get to the
      root of a problem and solve it in ways that repair the relationships involved.

PMID- 10265959
TI  - Intent vs. effect: Title VII case law that could affect you (Part II).

PMID- 10265960
TI  - Deinstitutionalization.

PMID- 10265961
TI  - Some case studies of social work practice involving ethical dilemmas and
      decisions.

PMID- 10265962
TI  - Pre-operative preparedness in print.

PMID- 10265964
TI  - An extended calendar.

PMID- 10265963
TI  - Going after seniors. A program for 55-plus.

PMID- 10265965
TI  - A hard-working quarterly.

PMID- 10265967
TI  - Emergency game plans.

PMID- 10265966
TI  - Executive wellness.

PMID- 10265968
TI  - "From deadlines to headlines". A guide to working with the news media.

PMID- 10265970
TI  - Photo gallery.

PMID- 10265969
TI  - Talking about a hush-hush subject.

PMID- 10265971
TI  - Nursing literature.

PMID- 10265972
TI  - David and Goliath. Small hospitals take on big competition.

PMID- 10265973
TI  - Publication gallery.

PMID- 10265974
TI  - How do I develop a new logo and slogan for my hospital?

PMID- 10265975
TI  - Doll birth certificates.

PMID- 10265976
TI  - Quality circles and safety committees.

PMID- 10265978
TI  - Quality people, quality care.

PMID- 10265977
TI  - Time to explore alternative care systems, says NY Senator.

PMID- 10265979
TI  - Computer assisted telephone interviewing: effects on interviewers and
      respondents.
AB  - The effects of using a computer assisted telephone interviewing system on
      response distributions, interviewer behavior, and other nonsampling errors are
      measured through a survey experiment which randomly assigned cases either to a
      paper questionnaire or a CATI version. There were few differences in response
      distributions obtained in the two modes, some evidence of reduced interviewer
      variance among CATI cases, but little difference in response rates between the
      methods. Interviewers, who conducted interviews in both methods, tended to have
      no clear preference between them, but favored the CATI system for ease of
      following the questionnaire and the paper version for ease of making changes to
      prior answers.

PMID- 10265980
TI  - Self-generated identification codes for anonymous collection of longitudinal
      questionnaire data.
AB  - The success of a self-generated identification code for linking longitudinal
      questionnaire data was examined. The matching procedure developed for linking
      questionnaires, including a simple technique to compensate for nonidentical
      codes, yielded a high success rate (92% linkage of cases over a one-month
      interval and 78% over a one-year interval) and very few incorrectly linked cases.
      The procedure worked equally well with elementary and high school students, and
      the resulting samples were representative of the student population on a wide
      range of measures. Some suggestions are offered regarding the elements comprising
      self-generated codes.

PMID- 10265981
TI  - Two techniques for alternatives analysis.
AB  - The two techniques described span the range of problem-solving and decision
      making techniques. Brainstorming is a very personal and innovative tool when a
      fresh viewpoint and creativity are called for. It can strengthen individual and
      organizational relationships by making staff a part of the solution to problems.
      In contrast, linear programming is a planning tool that enables a manager to
      organize facts about problems and alternatives, aiding the manager in planning
      the action required to translate the conclusions into operational reality. It is
      an efficient procedure that is particularly effective when results must be
      precise and will find growing application in health care as we enter the era of
      contracting for patient populations, prospective payment systems and limited
      resources.

PMID- 10265982
TI  - Radiation exposure to nursing personnel from portable radiographic procedures.

PMID- 10265983
TI  - A career ladder for radiological technologists.
AB  - A career ladder is a mechanism for employee progression within a chosen field.
      This paper describes the design and implementation of such a system in a large
      community radiology department. The career ladder system included integrated job
      descriptions, salary scales and evaluation procedures for radiology
      technologists. The implementation of this new system had a positive effect on
      employee morale manifested in decreased turnover, less absenteeism and increased
      job satisfaction.

PMID- 10265984
TI  - Technologists' guide to contrast reactions.

PMID- 10265985
TI  - The desktop personal computer for the radiology manager.
AB  - Although the benefits of a central computer in the operation of a successful
      radiology department have been well documented, there has been no information
      regarding the use of the personal computer by the radiology manager. The personal
      computer is specifically designed to be used by one person and does not require
      the operator to be a computer expert. Many practical daily functions can be
      performed by using this computer. These uses will be described based upon my own
      experience over the last eight months.

PMID- 10265986
TI  - Developing an educational program to meet the needs of the radiology
      administrator.
AB  - This article describes a model for an interdisciplinary undergraduate program in
      radiologic sciences and administration. The article discusses the four major
      components of the program: the core, the professional discipline, the human
      competence area, and the project.

PMID- 10265987
TI  - Anesthesiology and antitrust law.

PMID- 10265988
TI  - Preparing children for the stress of hospitalization.

PMID- 10265989
TI  - Diet manual helps hospital stick to nutrition standards.

PMID- 10265990
TI  - Preferred provider organizations: what can these highly touted health-care
      delivery systems really offer?

PMID- 10265992
TI  - Ethical assessment.

PMID- 10265991
TI  - Brain surgery. A patient's story.

PMID- 10265993
TI  - Marketing social services.

PMID- 10265994
TI  - The 1983 amendments to the Social Security Act: the issue of intergenerational
      equity.

PMID- 10265995
TI  - How competent is social work's approach to the assessment of competence?

PMID- 10265996
TI  - Avoidance of the alcoholic client.

PMID- 10265997
TI  - The role of ideology in self-help groups.

PMID- 10265998
TI  - The paraprofessional movement: an update.

PMID- 10265999
TI  - Tax-exempt hospital laundry co-ops outlawed.

PMID- 10266000
TI  - Trauma nursing: a collaborative model.

PMID- 10266001
TI  - For the new trustee: preferred provider organizations.

PMID- 10266002
TI  - Governance and management: where do you draw the line?
AB  - Is there a clear-cut division between the responsibilities of governance and
      management? Or, will the role of both parties vary depending on the issue and the
      circumstances? In this article, the authors suggest replacing a "turf model" of
      corporate leadership with a "continuum model"--that is, viewing governance and
      management as related functions, and allowing the issue and circumstances at hand
      to help determine the most appropriate roles and responsibilities for both
      parties.

PMID- 10266003
TI  - Team up for success: a CEO & board chairman discuss the ties that bind.
AB  - As the health care delivery system faces increasingly complex issues and changes,
      the need for an amicable, productive working relationship between the governing
      board and the administrator grows in importance. Both the chairman of the board
      and the administrator of a California hospital give their perspective on how they
      view their own and each other's roles, and the factors that have been decisive in
      the development of a mutually supportive working relationship.

PMID- 10266004
TI  - A lender's view of the medical office building market.

PMID- 10266005
TI  - Business is stocking up its ammunition, and hospital spending is the target.
AB  - The business community is serious about putting the brakes on hospital care
      spending. The author relates what various coalitions around the country are doing
      to try to hold down their employee health care benefit costs and how their
      efforts are affecting business/hospital relations.

PMID- 10266006
TI  - Hitching up to the business coalitions' bandwagon.
AB  - Business coalitions are pushing hard for changes in the health care delivery
      system. The author outlines the history of the movement, current concerns that
      coalitions are focusing on, and the important role that hospital governance and
      management need to play in business coalitions.

PMID- 10266007
TI  - As I see it: Assembly of Hospital Governing Boards.

PMID- 10266009
TI  - Home respiratory care seen cheaper, better.

PMID- 10266008
TI  - A new challenge to doctors and lawyers.

PMID- 10266010
TI  - Veteran insurance cost recovery drawing interest.

PMID- 10266011
TI  - Computer literature: now what do I do?

PMID- 10266012
TI  - VA considers new evaluation process for elderly patients.

PMID- 10266014
TI  - Non-physicians: directive requires close monitoring.

PMID- 10266013
TI  - Military outpaces state trend in permission for mastectomy.

PMID- 10266015
TI  - U.S. Medicine--smoking report. Hospitals' efforts seen still 'weak' in reducing
      hazards to patients.

PMID- 10266016
TI  - Local certificate programs for volunteer administrators.

PMID- 10266017
TI  - The business of boards is serious business.

PMID- 10266019
TI  - Preparing an effective recruitment campaign.

PMID- 10266018
TI  - The 1983 Gallup survey on volunteering.

PMID- 10266020
TI  - Recruiting volunteers through an annual appeal.

PMID- 10266021
TI  - 1983 VAC survey: supporting the volunteer community.

PMID- 10266022
TI  - Substitute mother fills void in Duke Pediatric ward.

PMID- 10266024
TI  - Perspectives. Legislators push PPOs.

PMID- 10266023
TI  - Perspectives. NMR challenges health planning.

PMID- 10266025
TI  - Perspectives. Integration, conversion mark HMO growth.

PMID- 10266026
TI  - No vacancies. 'California has more physicians than it needs'.

PMID- 10266027
TI  - Teenage pregnancy prevention: an Atlanta program.

PMID- 10266028
TI  - Race, income and health status: implications for health education programs.

PMID- 10266029
TI  - Black community hospitals: a quest for survival.

PMID- 10266030
TI  - The influence of the physical environment in offices.
AB  - Physical settings in offices have largely been ignored by managers and scholars.
      Physical settings can influence behavior in numerous ways. This paper pulls
      together relevant research and writing and examines it in terms of the physical
      structure, physical stimuli, and symbolic artifacts that comprise office
      settings. The implications of this work for both research and practice are
      considered.

PMID- 10266031
TI  - Optimal and dysfunctional turnover: toward an organizational level model.
AB  - Dysfunctional turnover is defined here as the level that produces a divergence
      between the organization's optimal balance of costs associated with turnover and
      the costs associated with retaining employees. Under this approach, the optimal
      level of aggregate turnover for most organizations will be (1) greater than zero
      and (2) variable across organizations, contingent on particular factors
      influencing retention costs and quit propensities. The model presented posits
      that individual, organizational, and environmental attributes influence
      individual quit propensities of employees and, hence, expected turnover rates for
      the organization.

PMID- 10266032
TI  - The Japanese management theory jungle.
AB  - Many competing hypotheses have been advanced to account for the apparent
      effectiveness of Japanese management practices. The present review of some of the
      leading theories attempts to classify and clarify the state of knowledge of
      Japanese management. Although each theory may be correct as a partial explanation
      of Japan's success, no single conceptualization has captured the complexity of
      Japan's managerial achievement. Further development of integrated, internally
      consistent models is needed.

PMID- 10266033
TI  - Who is superior and who's merely very good?

PMID- 10266034
TI  - Utilization of analgesic drugs in office-based ambulatory care: National
      Ambulatory Medical Care Survey, 1980-81.

PMID- 10266035
TI  - Quality and applicability of an undergraduate psychopharmacy rotation: a survey
      of pharmacy students.
AB  - This paper details the results of a study of an undergraduate psychopharmacy
      rotation in an inpatient hospital setting and assesses its influence on pharmacy
      graduates careers in pharmacy. Significant features of the rotation include the
      students' participation in patient care activities and patient education about
      medications, as well as presentation of case histories. The students also took
      medication histories and revised patients' charts with the preceptor. Graduates
      of this program were sent questionnaires to assess their impressions of the
      rotation for quality of experience and for applicability to their pharmacy
      position. Ninety-four percent of the students responding worked as pharmacists
      and all reported dispensing psychoactive agents. Three-fourths of the respondents
      gave the program a positive rating for its influence on training in
      customer/patient relations and communications.

PMID- 10266037
TI  - Sound advice. After suggesting improvements, a consultant stayed around to carry
      them out.

PMID- 10266036
TI  - Differential amplifiers and their limitations.

PMID- 10266038
TI  - A Canadian giant.

PMID- 10266039
TI  - Security targets help cut linen pilferage.

PMID- 10266040
TI  - Evaluating the evaluator (or how to lose a job).

PMID- 10266042
TI  - Buying a new CBW.

PMID- 10266041
TI  - Reasons for change: why a hospital went outside.

PMID- 10266043
TI  - Plan a retreat to set goals and objectives.

PMID- 10266044
TI  - Radiologists see role for synchronized NMR...as a new way of viewing the heart.

PMID- 10266045
TI  - Refusing treatment--who shall decide?

PMID- 10266046
TI  - Baby Doe legislation passes in the House...despite newly adopted HHS regulations
      on the care of handicapped infants.

PMID- 10266048
TI  - Medicare: impact on state governments.

PMID- 10266047
TI  - Board reports that get results.

PMID- 10266061
TI  - Quints' birth provide challenge for hospital.

PMID- 10266062
TI  - Medical student group backs national health service concept.

PMID- 10266063
TI  - Tomorrow's teaching hospital: more competition for patients and dollars?

PMID- 10266064
TI  - Shortage of MDs seen hampering research.

PMID- 10266065
TI  - Survival instinct keeps Chicago Mercy Hospital in black.

PMID- 10266066
TI  - Physician burnout: the seeds are planted early--in the critical years of
      residency.

PMID- 10266067
TI  - Ambulance corps offers plenty of competence, care.

PMID- 10266069
TI  - MTN updates its image.

PMID- 10266068
TI  - Seven years later: an update on the Telemedicine Project.

PMID- 10266070
TI  - Exploring videodisc's potential.

PMID- 10266071
TI  - Insurers fight for cost containment.

PMID- 10266072
TI  - Labor applies the Rx.

PMID- 10266073
TI  - A new prescription: PPOs.

PMID- 10266074
TI  - A healthy remedy: HMOs.

PMID- 10266075
TI  - New options for reducing blue-collar stress.

PMID- 10266076
TI  - Military strategists combat fraud.

PMID- 10266077
TI  - Peer review experiment succeeds in Delaware.

PMID- 10266078
TI  - Free market principle reigns in Utah.

PMID- 10266079
TI  - States exert control over health costs through tighter capital spending
      regulation.

PMID- 10266081
TI  - Stress management for the 80's.

PMID- 10266080
TI  - The health effects of job stress.

PMID- 10266082
TI  - Hiding from health costs.

PMID- 10266083
TI  - Health systems agencies and state health planning development agencies;
      certificate of need reviews--HRSA. Notice regarding adjustment of the expenditure
      minimum for annual operating costs.
AB  - This notice provides necessary information for each State which chooses to adjust
      the capital expenditure and annual operating cost expenditure minimums that are
      used to determine whether proposals are subject to review under a State's
      certificate of need program. The notice also provides guidance to assist a State
      Health Planning and Development Agency (State Agency) in determining the exact
      minimum dollar figure it will use and in seeking further information.

PMID- 10266084
TI  - Grants for various health professions projects--PHS. Final regulations.
AB  - These regulations govern grants to public or nonprofit private entities for
      various health professions projects authorized under section 788(b) of the Public
      Health Service Act. The specific types of health professions projects for which
      support will be available will be announced from time to time in the Federal
      Register.

PMID- 10266085
TI  - Privacy Act of 1974; report of new system of records--SSA, HHS.
AB  - In accordance with the Privacy Act (5 U.S.C. 552a (e)(4], we are issuing public
      notice of our intent to establish a new system of records: the "Disability
      Insurance (DI) and Supplemental Security Income (SSI) Demonstration Projects and
      Experiments System, HHS/SSA/ ORSIP . 09-60-0218." The purpose of the proposed
      system is to maintain information which we will use to conduct demonstrations and
      experiments of approaches to encourage individuals receiving either DI benefits
      under title II of the Social Security Act (the Act) or SSI disability payments
      under title XVI of the Act to find gainful employment. We also are proposing to
      establish routine uses of information which will be maintained in the proposed
      system as discussed below. We invite public comments on this proposal.

PMID- 10266086
TI  - Withdrawals from list of designated primary care health manpower shortage areas-
      HRSA.
AB  - This notice provides a list of those areas that have been withdrawn from
      designation as having primary care health manpower shortages since the most
      recent list of all designated Health Manpower Shortage Areas ( HMSAs ) was
      published in the Federal Register on August 19, 1983 (48 FR 37822). Such areas
      are designated or withdrawn by the Secretary of Health and Human Services under
      the authority of section 332 of the Public Health Service Act. A forthcoming
      notice will list those HMSAs that remain designated or have been newly
      designated.

PMID- 10266088
TI  - Delaware hospital offers flexible benefits.

PMID- 10266087
TI  - No innovators need apply.

PMID- 10266089
TI  - Extra-billing: your right or privilege?

PMID- 10266090
TI  - R. vs. DeCoste: when taking blood is an unlawful procedure.

PMID- 10266091
TI  - Legally acceptable standards of care set by you, not the courts.

PMID- 10266092
TI  - Patient education can boost your efficiency.

PMID- 10266093
TI  - Alberta's Dave Russell speaks out.

PMID- 10266094
TI  - Debunking the myth: Canadians are healthier than they think.

PMID- 10266095
TI  - A public inquiry: the case of Canadace Lynn Taschuk.

PMID- 10266096
TI  - Considerations in the implementation of drug holiday programs in long-term care
      facilities.
AB  - Drug holiday programs have been implemented in many long-term care facilities in
      North America to reduce drug use, decrease nursing time in drug administration,
      and assess the need for drugs in elderly patients. Before the program begins,
      adequate preparation of staff and discussions among patients and families are
      encouraged. The pharmacist's role is to coordinate inservice programs for nursing
      and medical staff, develop policies and procedures, dispense drugs as prescribed
      and assist in program evaluation.

PMID- 10266097
TI  - Certificate of need requirements for home health services.

PMID- 10266098
TI  - The pharmacist in home health care: Part I--Drugs and the elderly.

PMID- 10266099
TI  - Continuity of care in the home: building a diversified service system that works.

PMID- 10266100
TI  - Survey finds respiratory home care saves $250,000 per person annually.

PMID- 10266101
TI  - Health care coalitions focus on home care. Group of Six.

PMID- 10266103
TI  - Quality circles: why do they work?

PMID- 10266102
TI  - Multi-institutional arrangements: an overview.

PMID- 10266104
TI  - Canada Health Act--the debate continues.

PMID- 10266105
TI  - Roles for an effective board: a five finger exercise. Part 2.

PMID- 10266106
TI  - Comprehensive audits: a methodology. Part 2.

PMID- 10266107
TI  - Are helicopters worth the cost?

PMID- 10266108
TI  - Measuring the shape of corporate fitness plans.

PMID- 10266109
TI  - Significant benefit changes occurred 1979-1983.

PMID- 10266110
TI  - How Xerox explained cost sharing to employees.

PMID- 10266111
TI  - Cutting costs of medical claims by identifying excesses in service per illness,
      costs per service.

PMID- 10266112
TI  - Hospital strikes: complying with NLRA notice requirements.
AB  - Section 8(g) of the National Labor Relations Act, added in the 1974 amendments to
      the Act, requires a labor organization to give an employer in the health-care
      field ten days' notice of an intended strike or picketing. The purpose is to
      allow the health-care employer time to make arrangements to ensure the
      continuation of health-care services to critically ill patients. Failure of a
      union to give this notice constitutes a violation of the Act, and individuals who
      engaged in the activity may, as a result, lose their status as employees under
      the Act. In the following article, the authors examine the requirements of
      section 8(g) and the case law interpreting this statute. They suggest likely
      future interpretations of this law and make practical suggestions for responding
      to strikes in the health-care setting.

PMID- 10266113
TI  - Title VII retaliation claims.
AB  - Section 704(a) protects employees who engage in activity aimed at remedying
      employment practices they believe to be unlawful. Such activity may take the form
      of participation in governmental investigations or proceedings, or expressing
      opposition to an employer's practices through internal complaints to management,
      circulating petitions among employees, directly challenging an employer's
      affirmative action plan, etc. As the Ninth Circuit's recent Crown Zellerbach
      decision demonstrates, employers must proceed with caution before taking
      disciplinary action against an employee who engages in arguably protected 704(a)
      activity. The following article discusses employee activity protected by section
      704(a) and examines various employer defenses and concerns in a retaliation case.

PMID- 10266114
TI  - The National Labor Relations Board and Taft-Hartley Funds: confusion reigns.

PMID- 10266115
TI  - An employer's guide to preferred provider organizations.

PMID- 10266116
TI  - Major crackdown expected after woman dies while son pleaded for ambulance from
      EMS.

PMID- 10266118
TI  - Federal government is seen opting out of EMS support.

PMID- 10266117
TI  - Recognizing health care megatrends can help strengthen EDs in future.

PMID- 10266119
TI  - MAST suit 'myths' are dispelled as effects become understood.

PMID- 10266120
TI  - The emergency department as a center for research.

PMID- 10266121
TI  - What steps can EMTs, paramedics and other health professionals take to prevent
      burnout?

PMID- 10266123
TI  - The bells, lights and whistles syndrome. Part 4. The EMS/computer connection.

PMID- 10266122
TI  - Characteristics of burn patients who use EMS transportation.

PMID- 10266124
TI  - The needs of the family of the critically ill.

PMID- 10266125
TI  - Emergency crisis intervention service: a new approach.

PMID- 10266126
TI  - Trauma victims support one another.

PMID- 10266127
TI  - Hospital dust mopping procedures: the special 'ins' and 'outs'.

PMID- 10266129
TI  - Do's and don'ts of floor care.

PMID- 10266128
TI  - Close-up: floor care made easy....

PMID- 10266130
TI  - The risk and cost of hepatitis B exposures in hospital housekeeping personnel.

PMID- 10266131
TI  - The constant challenge of pest control.

PMID- 10266132
TI  - Public/private partnerships: useful but sterile.

PMID- 10266133
TI  - A-ward winning performers.

PMID- 10266134
TI  - Code enforcement. An overview: Part 1.

PMID- 10266135
TI  - Eight mentally handicapped occupants die in Georgia fire.

PMID- 10266136
TI  - Speciality shops.

PMID- 10266137
TI  - Contracting.

PMID- 10266139
TI  - The Transition Task Force answers questions about the new Flex program.

PMID- 10266138
TI  - Taking on the competition: risks.

PMID- 10266140
TI  - The relationship among accreditation, certification and licensure.

PMID- 10266141
TI  - Hospital stocks: the vital signs are good.

PMID- 10266142
TI  - Integrated building systems: a constructive dialogue.

PMID- 10266143
TI  - The care by parent unit. A tool for decreasing anxiety in mothers of high risk
      infants.
AB  - The delivery of a premature infant, especially one of very low birth weight,
      represents a crisis for a family. Bidder et al. have determined through a series
      of interviews that mothers of preterm infants are anxious at two particular
      points in their infant's neonatal course: the time of birth and the time of
      discharge. The Care By Parent Unit (CBPU) was developed at Hermann Hospital in
      Houston, Texas, to provide a transition from the specialized care of the Neonatal
      Intensive Care Unit (NICU) to home and to aid the parents in viewing their infant
      as a normal, "safe" child to take home. To evaluate the impact of a CBPU on
      maternal anxiety, the mothers' responses before and after the CBPU experience
      were evaluated.

PMID- 10266144
TI  - Hospital parking: analysis and master planning.
AB  - Providing adequate parking facilities has become a major concern for many health
      care institutions. By performing a demand analysis based on information provided
      here, hospitals can begin to address the issues of: number of spaces needed to
      serve their present and future parking needs, pooled vs. segregated parking
      areas, and distance from parking area to hospital entrance for each group of
      hospital users. Also presented are three other factors that must be considered
      when planning for parking facilities: traffic flow around the lot or structure,
      parking fees, and location of new spaces.

PMID- 10266145
TI  - Planning for the facility of today and tomorrow.

PMID- 10266146
TI  - Case in point--the answer. Community Memorial Hospital.

PMID- 10266147
TI  - Hospital space planning: what happened to all the magic numbers?
AB  - "Magic numbers" and user "wish lists" have traditionally been used to determine
      space needs in health care institutions. Today, however, combining functional and
      space planning to yield a space program that integrates with the facility's long
      range strategic plan can be accomplished through a user needs approach. These
      three approaches are discussed in light of their positive and negative aspects
      and their contributions to the planning process. In particular, a methodology for
      examining a department's potential "space generators" is provided. Along with
      this methodology is the reasoning behind beginning the detailed analysis early in
      the planning process.

PMID- 10266148
TI  - The budget Ealing welcomes.

PMID- 10266149
TI  - Unit management. Where devolution works in Wales.

PMID- 10266150
TI  - Ancillary management. A case for cooperatives.

PMID- 10266152
TI  - Members' role. Yes administrator, but...

PMID- 10266151
TI  - Strategic planning. Pompey waives the rules.

PMID- 10266153
TI  - Incentive bonus schemes. Tackling the bonus bogeyman.

PMID- 10266154
TI  - Health management award. Sharing the video experience.

PMID- 10266155
TI  - General managers: executive action.

PMID- 10266156
TI  - Unit management. Small cogs in a big wheel.

PMID- 10266157
TI  - Drug administration. Safer than plastic cups.

PMID- 10266158
TI  - Theatre staff waiting in the wings.

PMID- 10266159
TI  - Health management award. Hi-tech charity begins in the community.

PMID- 10266160
TI  - Health promotion. Accentuate the positive.

PMID- 10266161
TI  - Three national intermediaries are picked to replace direct reimbursement option.

PMID- 10266162
TI  - Advantages, disadvantages of converting a nonprofit HHA to for-profit are
      discussed.

PMID- 10266163
TI  - Learning the art of interrogation.

PMID- 10266165
TI  - Outlook for health care--a local management view.

PMID- 10266164
TI  - Resources available--recent trends--resource forecasts.

PMID- 10266166
TI  - Health administration in Zimbabwe. Part 2.

PMID- 10266167
TI  - A survey of patients in the private sector.

PMID- 10266168
TI  - Going private--a comparison of management in public and private health care.

PMID- 10266169
TI  - A clinic under siege.

PMID- 10266170
TI  - A survey of very old patients in hospitals in Newcastle upon Tyne.

PMID- 10266171
TI  - Who is monitoring the use of diagnostic services?

PMID- 10266172
TI  - A new hospital materiel manager's view of the prime vendor concept.

PMID- 10266173
TI  - Inflation is more than higher prices.

PMID- 10266174
TI  - Making the most of a prime vendor agreement: a receiving manager's point of view.

PMID- 10266175
TI  - The buyer's role on prime vendor relationships.

PMID- 10266177
TI  - How to select a prime vendor.

PMID- 10266176
TI  - A standardization process for capital equipment.

PMID- 10266178
TI  - Decision-making tools: designing effective questionnaires.

PMID- 10266179
TI  - Prime vendor systems: an analytical approach.

PMID- 10266180
TI  - The impact of prime vendorship on health care industry distributors.

PMID- 10266181
TI  - Using the wholesaler to procure group contract pharmaceuticals: the hospital
      pharmacist's view.

PMID- 10266182
TI  - The prime supplier concept.

PMID- 10266183
TI  - Vendors: adversaries or allies?

PMID- 10266185
TI  - The impact of prime vendor relationships on hospital operations and facility.

PMID- 10266184
TI  - A second look at the prime vendor concept.

PMID- 10266186
TI  - Inventory control and performance measurement.

PMID- 10266187
TI  - Psychiatric technician training program saves time for staff.

PMID- 10266188
TI  - Hospital marketing is here to stay.
AB  - In 1983, a study was conducted to determine to what extent privately owned acute
      care general hospitals used formalized public relations and marketing programs in
      the management of their institutions. The results indicate three major concerns
      common to all respondents: (1) The potential for developing new services and
      community programs; (2) The need to reevaluate and redefine the target market of
      the institution's services; and (3) The need for more accurate and comprehensive
      strategic planning, both short and long-term.

PMID- 10266189
TI  - Integrating clinical and management systems in nursing.

PMID- 10266190
TI  - Defining where, what, and how in a cost conscious manner can improve patient care
      in all areas.

PMID- 10266191
TI  - Career advancement ladder--morale and productivity builder.

PMID- 10266192
TI  - Hinsdale Hospital lighting change saves $52,840 a year.

PMID- 10266193
TI  - Losses due to pilferage cost hospitals 3.5 billion per year--about $2500 per bed!

PMID- 10266194
TI  - Role issues, technology and economics in hospital nursing.

PMID- 10266195
TI  - Factors affecting the implementation, success and failure of primary nursing as a
      delivery system in U.S. hospitals.

PMID- 10266196
TI  - Staying alive: fitness programs for hospital staff and a marketable service for
      the community.

PMID- 10266197
TI  - Developing an employee fitness program on a shoestring.

PMID- 10266198
TI  - Productivity and nursing strategies for the 80s.

PMID- 10266199
TI  - Psychiatry--an emerging malpractice issue and what to do about it.
AB  - Frequent malpractice situations arise in the overlap between medical and
      psychiatry diagnosis in the E.R. Examples of positive risk management and risk
      prevention measures are described which will lead to improved patient care for
      psychiatric patients. Now is the time to take a preventive approach through a
      review of hospital policies and procedures in Psychiatry. This will lead to risk
      prevention and improved patient care.

PMID- 10266200
TI  - Using the resources you have to optimize your control of C.S. and materials
      management.

PMID- 10266201
TI  - An operating room orientation program for SPD personnel.

PMID- 10266203
TI  - Hospital communications.

PMID- 10266202
TI  - Capital investment for revenue saving?

PMID- 10266204
TI  - Telecom considerations.

PMID- 10266205
TI  - RN Hospital Haslar. Crosslink building.

PMID- 10266206
TI  - Ipswich Nucleus Unit.

PMID- 10266207
TI  - Approachable hospitals.

PMID- 10266208
TI  - Anthropological study of health beliefs, behaviors, and outcomes: traditional
      folk medicine and ethnopharmacology.

PMID- 10266209
TI  - Anthropology, communications, and health: the mass media and health practices
      program in Honduras.

PMID- 10266210
TI  - Influence of information about side effects on perceived risk of prescription
      drugs.

PMID- 10266211
TI  - Quality assurance in the care of the disabled.

PMID- 10266212
TI  - Market planning for mental health: a "target group" based approach.

PMID- 10266213
TI  - A marketing readiness survey: step one in mental health marketing.

PMID- 10266214
TI  - Public attitudes toward community mental health: services, funding, and voter
      behavior.

PMID- 10266215
TI  - Developmental marketing strategies for community mental health.
AB  - This article contains a marketing plan that was specifically designed for The
      Greater Lawrence Mental Health Center in Lawrence, Massachusetts. It is a full
      service, non-profit mental health facility that employs 85 allied health
      professionals and serves Lawrence and its neighboring communities. The plan was
      developed by a marketing consultant, in conjunction with the agency's Executive
      and Administrative Directors. This article illustrates a format for developing a
      marketing plan, and includes specific approaches that must be considered. The
      concepts are generic, and can be applied to similar endeavors undertaken by a
      comparable agency.

PMID- 10266216
TI  - Community mental health--the mouse that roared or marketing a public agency.
AB  - As the market place becomes increasingly competitive, marketing has been more
      aggressively undertaken by private business, and more recently, by proprietary
      and not for profit hospitals and other human service organizations. This article
      describes the efforts of an urban, publicly supported, multi-provider mental
      health system to develop an assertive, positive marketing stance. Following a
      brief historical development, the authors describe the current public relations
      campaign and some of the specific techniques used.

PMID- 10266217
TI  - A sampler of marketing strategies for private practice.
AB  - When a practitioner sets out to develop a broad base of influence in order that
      referral sources are varied and active, marketing must address client, business
      and professional issues. When resources of money and time become scarce, a
      satisfied client must be and always will be the best recommendation. To maintain
      a long line of satisfied clients, credibility, reliability, and reputation must
      be fostered through personal drive, energy and eternal optimism. Other marketing
      alternatives must be evaluated for cost effectiveness and ultimate outcomes. All
      of this can be consumingly fun and rewarding.

PMID- 10266218
TI  - Offering free preventive mental health information as a means of generating
      patient self-referrals.

PMID- 10266219
TI  - Marketing employee assistance programs to industry.

PMID- 10266220
TI  - A market model for the purchase of mental health services.

PMID- 10266221
TI  - Work around "black holes" in the O.R.

PMID- 10266222
TI  - Clinical pharmacy--are you accountable?

PMID- 10266223
TI  - Control infection with a good defense.

PMID- 10266224
TI  - How to write a disaster plan that isn't.

PMID- 10266225
TI  - Holistic care of the AIDS victim.

PMID- 10266226
TI  - Hostel links wide ranging health needs.

PMID- 10266227
TI  - Solving "wet pack" problems.

PMID- 10266228
TI  - Hospitals "tool up' to offer long distance phone services.

PMID- 10266229
TI  - Hospital earns money by paying bills early.

PMID- 10266230
TI  - Marketing savvy: two hospitals share successful ideas.

PMID- 10266231
TI  - The Medical Care Committee: clearinghouse for medical staff quality assurance
      activities.

PMID- 10266232
TI  - State statutes, regs define scope of access to hospitals by nonMD professionals.

PMID- 10266233
TI  - Providers face business of growing private UR.
AB  - In response to continuing increases in health care costs, big business has begun
      to lower the boom on hospitals and physicians through outside utilization review.
      Physicians, however, are seen as the key to controlling costs.

PMID- 10266234
TI  - New battles, partnerships emerge for administrators, physicians.

PMID- 10266235
TI  - Withdrawing life support: a legal assessment and a possible response.
AB  - How to deal with terminally ill incompetent patients is a painful dilemma for for
      hospital medical staffs and administrators, not to mention families of these
      patients. Case law on the removal of life support is emerging, and physicians and
      administrators may find the hospital-based ethics committee one means to guide
      them in making difficult decisions without involving the courts.

PMID- 10266236
TI  - A decisive decade for HMOs.

PMID- 10266237
TI  - Hospital and physician advertising: forging a constructive response.

PMID- 10266238
TI  - Rationing and the identified life.
AB  - Economics, patient characteristics, health status, and "objective" measures have
      served as rationing agents for diminishing health care resources. The big
      question, however, is whether the lessons of past restrictions on health care can
      be applied today- and should they?

PMID- 10266240
TI  - Physicians offered stock in innovative financing venture.
AB  - Offering physicians 300,000 shares of convertible preferred stock in a for-profit
      subsidiary of a multihospital system is an innovative means to involve physicians
      in controlling costs and increasing profitability.

PMID- 10266239
TI  - Supreme Court upholds exclusive contract in Hyde antitrust decision.
AB  - If there is no evidence that a hospital is using market power to "force" its
      contracting physician upon patients and if the exclusive contract does not
      adversely affect price or quality, an exclusive arrangement should not violate
      the federal antitrust laws. These are the insights gained from the decision
      handed down by the Supreme Court in Hyde (Jefferson Parish Hospital District No.
      2 v. Hyde, No. 82-1031).

PMID- 10266241
TI  - Cost of wastage in a hospital intravenous admixture program.
AB  - The wastage in a hospital centralized pharmacy intravenous admixture program was
      assessed. The loss rate was similar during two separate 36-day study intervals,
      averaging 6.2% of intravenous admixture preparations, accounting for an estimated
      loss of $26,077 for the year. Discontinuation of intravenous therapy accounted
      for half of the returned intravenous admixtures. Patient unavailability, drug
      changes, and malfunction of intravenous equipment were also causes for returns.
      Improved communication between hospital ward units and pharmacy personnel as well
      as increased flexibility in admixture preparation scheduling may reduce wastage.
      Ultimately, pharmacists assigned to individual ward units as part of the unit
      dose pharmacy dispensing system may resolve the problem.

PMID- 10266242
TI  - Drug selection in a regulated society: the Norwegian experience.
AB  - Norway has strictly regulated the introduction and marketing of drugs for more
      than 50 years. The system is a state owned whole-sale monopoly with nationwide
      distribution. Marketing approvals must satisfy a medical "need" clause and are
      granted and reviewed every 5 years by the " Specialties ' Committee." Although
      clinical trials are not mandatory for drug approval, relative efficacy and
      benefit/risk considerations make them desirable. Assessment of clinical data is
      based on reviews by outside consultants. Because of such strict regulation, the
      total number of drug products available is smaller than other Western European
      countries, however, only a few therapeutic classes are not represented. The
      impact of regulation on the drug market and the therapeutic armamentarium
      available for health care in Norway are discussed.

PMID- 10266243
TI  - Survey of 24-hour, 7-day/week hospital pharmacy service.
AB  - Emergency after-hour pharmacy services in many hospitals have been replaced by 24
      hour, 7-day/week pharmacy services. A survey questionnaire was published in
      Hospital Pharmacy, February 1983, to be completed by hospital pharmacies that
      provide a pharmacist in the hospital 24 hours a day, 7-days a week. Usable
      responses were received from 185 hospitals. The type of hospitals and the number
      of beds of these hospitals varied greatly. The differing responses concerning
      staffing, scheduling, hours of the post-midnight shift, arrangement of vacations
      and holidays, the factors used in selling the concept to administration, and the
      handling of compensation are presented.

PMID- 10266244
TI  - Perspectives on the hospital formulary.
AB  - The hospital formulary system will become increasingly important in future years
      with the transition to target-rate third party reimbursement. This paper provides
      an overview of the hospital formulary and its management. A brief history of the
      formulary system is provided along with some key definitions. The potential
      benefits and actual effectiveness of a formulary system are described. Various
      potential problems in managing a hospital formulary are identified along with
      recommendations to minimize their occurrence.

PMID- 10266245
TI  - The 1983 tax-exempt market: a review and a look forward.

PMID- 10266246
TI  - Financing for diversification: opportunities and alternatives.

PMID- 10266247
TI  - Divestment as a corporate strategy.

PMID- 10266248
TI  - Employment survey of Montreal dietetic internship graduates, 1975-77.
AB  - A mail survey of graduates for the previous three years from Montreal area
      dietetic internships was carried out in 1977-78. One objective of the survey was
      to collect data on employment status and job turnover. Mailing lists for
      graduates were obtained from internship program directors. One hundred and ninety
      three questionnaires were mailed. Forty-nine percent of the questionnaires were
      returned. Sixty-one respondents (64%) reported they had left their first
      position; 73% of these left within one year. The major reason for leaving first
      positions was 'temporary position' (43%), and 'family reasons' was cited by 10%.
      Eighty-one percent of respondents were employed at the time of the survey. The
      major reasons for unemployment were: 'education' (33%); 'family reasons' (22%),
      and 'no position' (16%). Family reasons for not working were less common in this
      survey than in a national survey conducted in 1974. Results presented here
      indicate that recent dietetic graduates who are married and/or have a family are
      more likely to work today than in 1974, as is the trend for women in other areas
      of employment. The implications for new graduates are: higher job turnover, fewer
      permanent positions, and an increase in the number of post graduate degrees.

PMID- 10266249
TI  - Awareness by consumers and the adoption of a new service: an HMO example.
AB  - Researchers and managers of health care organizations must take two fundamental
      issues into account when examining the process by which consumers decide to use a
      new service. First, one cannot assume that if one member of a family uses the
      service, everyone in the family does. Historically, these points have not been
      given sufficient heed in the design of adoption studies. By using HMO enrollment
      as an example, the authors show the problems that could result from the above
      assumptions.

PMID- 10266250
TI  - Nurses as image emissaries: are role conflicts impinging on a potential asset for
      an internal marketing strategy?
AB  - This article addresses role conflict and image problems nurses have with role
      partners. If these problems were corrected, nurses could be valuable assets in a
      "team selling" effort to help hospitals build their images. This research
      integrates sales management concepts and cites literature alluding to sales
      management research on identical problems.

PMID- 10266251
TI  - A strategic alternative for community hospitals: the principle of peripheral
      penetration.

PMID- 10266252
TI  - A conjoint analysis in outpatient clinic preferences.

PMID- 10266253
TI  - Home health care: the opportunity for health care marketing.

PMID- 10266254
TI  - Priority dispatching vs. call screening.

PMID- 10266255
TI  - Welfare for profit: moral, empirical and theoretical perspectives.
AB  - Since the 1960s there has been an increasing number of proprietary agencies
      engaged in the delivery of social services in the United States. This development
      has generally been greeted with disfavour by welfare state advocates. Various
      arguments have been put forward against welfare for profit on moral, empirical
      and theoretical grounds. This paper analyzes these arguments and proposes several
      basic conditions that would seem to have significant bearing on the choice
      between profit and nonprofit providers for a given service.

PMID- 10266257
TI  - Mergers and acquisitions: a how-to perspective on...2. Risk-management
      implications.

PMID- 10266256
TI  - Clerical employees, religious enterprises, and collective bargaining.

PMID- 10266258
TI  - Guide to a 90-day success program.

PMID- 10266259
TI  - Louisiana hospital renovates laundry to make it profitable contract operation.

PMID- 10266260
TI  - Low temperature washes are standard in some hospitals.

PMID- 10266261
TI  - Patches--a wrap-up of the issues.

PMID- 10266262
TI  - Designing a capital budgeting system that works.
AB  - Conventional capital budgeting systems do not fully reflect or adequately respond
      to the way in which capital expenditure decisions are actually made. Evidence
      also exists that the nature of this decision process is dependent on the type of
      the organization. This paper describes an empirically developed understanding of
      how capital expenditure decisions are being made, identifies ways to support and
      improve these decisions, and proposes an approach to linking the design of
      capital budgeting systems with the type of organization in which they are to
      operate.

PMID- 10266263
TI  - Piggybacking for business and nonprofits: a strategy for hard times.
AB  - This article explains the conceptual foundations for the piggybacking strategy
      from the general strategic management, adoption of innovation, product life
      cycle, specialization and diversified portfolio strategy literatures. The
      strategic piggybacking strategy is compared and contrasted with the diversified
      portfolio and specialization strategies. Intention, dynamic investment flow,
      short vs long term, and mission similarities and differences are addressed. A
      case is made for considering strategic piggybacking as a synthesis of the
      specialization and diversified portfolio strategies. The conditions appropriate
      for adoption of a piggybacking strategy are also discussed.

PMID- 10266264
TI  - What America's toughest cost controls are doing to doctors.

PMID- 10266266
TI  - MAHA: why not an auxilian?

PMID- 10266265
TI  - Trustee profiles. Ronald W. Sondee, Mickey Bowman, Edward N. Hodges III, Lawrence
      D. Prybil.

PMID- 10266267
TI  - Flint invests in future.

PMID- 10266268
TI  - Trustee attitudes revealed in survey.

PMID- 10266269
TI  - Old market, new allure. In following the flow of patients, more distributors are
      arriving at nursing homes' doors.

PMID- 10266270
TI  - Service with love. A community commitment.

PMID- 10266272
TI  - Patient education helps in collections.

PMID- 10266271
TI  - Liability: a mounting concern.

PMID- 10266273
TI  - New bankruptcy rules force swift action by creditors.

PMID- 10266274
TI  - VIP program improves admissions, public relations.

PMID- 10266275
TI  - Why docs stay away and what should be done.

PMID- 10266276
TI  - What one resident found.

PMID- 10266277
TI  - Providing alternatives.

PMID- 10266278
TI  - Research findings and recommendations for management. Physical fitness and
      employee effectiveness.

PMID- 10266279
TI  - Sound recruiting with BMC soundsheets.

PMID- 10266280
TI  - Market indexed compensation.

PMID- 10266281
TI  - Getting through the maze: knowing the fundamentals of employee health benefit
      planning.

PMID- 10266282
TI  - Sensitizing radiation therapists to the psychological needs of cancer patients.
AB  - Radiation therapists are trained to focus on physiological and medical aspects of
      administering radiation therapy to cancer patients. They often ignore patients'
      psychological needs because they are inadequately prepared to understand and
      intervene in this area of patient care. We sought to remedy this educational gap
      by using a generic crisis-intervention training program as a method of
      sensitizing radiation therapists to the emotional and psychological concerns and
      problems of patients undergoing radiation therapy. After the training, radiation
      therapists were cognizant of the presence and effects of the special dependency
      needs of severely ill patients. Training helped them respond more empathically,
      to establish better rapport with their patients, and to provide more holistic and
      effective medical management as an integral part of radiation therapy. This
      included greater ease in knowing how, when, and where to make psychological
      referrals. A case vignette illustrates the usefulness and application of enhanced
      psychological awareness and interviewing skills learned by the physicians.

PMID- 10266283
TI  - A window cleaning contract.

PMID- 10266284
TI  - 23 do's and don'ts for more effective spray cleaning.

PMID- 10266285
TI  - Antineoplastic drugs.

PMID- 10266286
TI  - Capturing the small business market.

PMID- 10266287
TI  - Network links wellness program to private practice physicians.

PMID- 10266288
TI  - Making the case for health promotion: a summary of the scientific evidence.

PMID- 10266289
TI  - What's in the future for doctor-hospital competition?

PMID- 10266290
TI  - Make informed consent work for you.

PMID- 10266291
TI  - Abandonment and the nonpaying patient.

PMID- 10266293
TI  - The social policy of the Reagan administration: a review.

PMID- 10266292
TI  - Exclusive contracts with hospitals OK, Supreme Court rules.

PMID- 10266294
TI  - Common countertransference issues related to inpatient/residential psychiatric
      treatment of children.
AB  - The contemporary conception of countertransference as potentially useful
      therapeutically is presented within a Sullivanian -interpersonal framework. A
      typology of countertransference is outlined with illustrations common within
      inpatient/residential treatment settings for children. Several clinical vignettes
      follow which demonstrate the therapeutic application of countertransference.
      Finally, guidelines are provided for inservice training programs to promote staff
      understanding and therapeutic management of countertransference in the treatment
      setting.

PMID- 10266295
TI  - Project outreach: volunteer transitional employment.
AB  - The importance of individual and group volunteer transitional placement as work
      activity is addressed as a primary component of the hospital-based psychiatric
      rehabilitation process. The current model synthesizes traditional volunteerism
      and transitional employment as a viable rehabilitation step to facilitate
      vocational awareness, vocational choice, or re-entry into the work world. The
      model has further application for vocational counseling and exploration, goal
      development, and rehabilitation planning. Aspects of program development,
      implementation, and maintenance are presented. Discussion of community resource
      development and public relations strategies which have helped this project expand
      and improve are included. Client contribution and involvement is emphasized.

PMID- 10266296
TI  - Gaining leeway: activities in an open psychiatric institution.
AB  - "Gaining Leeway : Activities in an Open Psychiatric Institution" describes the
      philosophy and instructional work of the Activities Department at the Austen
      Riggs Center in Stockbridge , Massachusetts. The paper also discusses some of the
      limitations and problems of the department in this particular environment. Goals
      of both the hospital and the patients are cited, as well as some discussion of
      the importance of creative expressiveness and competence as agents of change in
      restoring mental health.

PMID- 10266297
TI  - Goal directed informal sessions: their impact on an adolescent unit.
AB  - Goal Directed Informal Sessions ( GDIS ) were utilized on an inpatient adolescent
      unit in an attempt to facilitate communication between adolescents and their
      parents, to neutralize partially the almost universal fantasy that adolescents
      know more than their respective parents on any given topic, and to maximize the
      impact of the therapeutic milieu in other ways. The vehicle for the GDIS was
      discussions of various aspects of human sexuality. Thirty-four adolescents
      (average age 14.8), their parents, and staff were asked to respond to a
      questionnaire relating to human sexuality prior to the onset of GDIS .
      Adolescents speculated that their parents would perform least well. The average
      test scores for the adolescents, their parents, and staff respectively were: 65
      percent, 79 percent and 81 percent. There was no significant difference between
      the scores of staff and parents. The difference between adolescents' scores and
      those of the parents and staff was significant (p less than 0.05). Framework for
      the GDIS is outlined, and illustrative vignettes are offered. Based on one year's
      experience, GDIS are recommended for other adolescent facilities.

PMID- 10266299
TI  - Respiratory therapy department at Hartford Hospital.

PMID- 10266298
TI  - Some recent advances in respiratory therapy.
AB  - Many changes have occurred in the field of respiratory therapy during the past
      few years, and further changes are likely. A number of diagnostic techniques,
      many of which can be performed at the bedside, are available to the therapist.
      New treatment modalities have been devised, and pulmonary rehabilitation is an
      increasing part of the therapist's responsibilities. This paper is a summary of
      what the authors feel are some of the significant recent changes in respiratory
      care, and their predictions.

PMID- 10266300
TI  - Promoting self-help in pulmonary patient education.
AB  - Ideally, rehabilitation restores an ill or injured person to a condition of
      health and useful activity. Toward this goal, patient education shows persons how
      they can take control of their lives and participate in their own health care. In
      chronic obstructive pulmonary disease, a program consisting of only classes and
      demonstrations on breathing exercises, oxygen therapy, and physical
      reconditioning is not enough. The programs that have had the greatest success
      establish a support network that continues long after the workshops or classes
      have ended.

PMID- 10266301
TI  - Doctor-patient communication: a social and micro-political performance.
AB  - In the United States the medical relationship is asymmetrical. Doctors not only
      control medical knowledge, they also have an institutionally based authority
      which allows them to act as gatekeepers, providing options to some while denying
      them to others. This study, conducted in a model family practice clinic of a
      teaching hospital, examines how decisions to do, or not to do, Pap smears are
      negotiated as residents and a potentially high-risk group of patients
      communicate. Decision-making occurs in layered phases--opening, medical history,
      physical examination, and closing. Each phase expresses the doctor's control and
      the patient's trust. Doctors initiate phases, develop topics and make key
      choices. They decide when patients undress--a choice which shapes the later Pap
      smear decision. Decisions to undress patients and to perform Pap smears or
      decisions not to undress patients and not to perform Pap smears produce no
      conflict. When there is a conflict, avoidance strategies--bowing to higher-level
      specialists, selling and unselling, and letting silence speak--are used
      negotiating devices. The doctor's choice and the patient's agreement produce a
      specific and a more general outcome--managing the presenting complaint and
      providing medically adequate health care, respectively. Although interactionally
      accomplished, these outcomes are institutionally constrained, and, thus are both
      a social and a micro-political performance.

PMID- 10266303
TI  - Common knowledge in medical malpractice litigation: a diagnosis and prescription.

PMID- 10266304
TI  - Fire suppression systems...what they can, cannot do.

PMID- 10266302
TI  - Third party buying: the trend and the consequences.
AB  - The trend toward more buying of health insurance, life insurance, and pension or
      annuity plans through employers brings up problems of consumer sovereignty ,
      problems of the incentives of service providers, and problems of availability of
      the services of insurance which are only available through group buying. In order
      to specify what social indicators would be useful in this area, this paper
      analyzes the incentive systems for consumers, for service providers, and for
      employers as they are affected by the trend toward third party buying. It
      assesses the indicators that are available on the trend, and the literature in
      health economics which tried to analyze the impact of the trend on the provision
      of health services and health costs. On this basis, needed social indicators for
      policy assessment in the area of third party buying are suggested.

PMID- 10266305
TI  - Fire alarm systems: state-of-the-art.

PMID- 10266306
TI  - "Am I in heaven now?": case history, literary histories.

PMID- 10266307
TI  - On the ethics of advertising by the professions.

PMID- 10266308
TI  - Case study: aseptic meningitis.

PMID- 10266309
TI  - Teaching therapists to teach.

PMID- 10266310
TI  - Confidentiality of QA documentation.

PMID- 10266311
TI  - What is the key to a successful rehabilitation program?

PMID- 10266312
TI  - Team approach. Rehabilitation of the stroke patient.

PMID- 10266313
TI  - Coordinated care: rehabilitation of the spinal cord injured.

PMID- 10266314
TI  - Disease category rehabilitation: benefits of a unique approach.

PMID- 10266315
TI  - Awareness. A case study on educating the public about physical rehabilitation.

PMID- 10266316
TI  - The Supreme Court upholds THFC procedure.

PMID- 10266317
TI  - Crisis communications: Hurricane "Alicia".

PMID- 10266318
TI  - What every trustee should know about hospital information systems.
AB  - Many hospitals are investing heavily in computer-based information systems. How
      can the board evaluate proposed and existing systems? What are the critical
      factors underlying the successful acquisition and implementation of a hospital
      information system? The author identifies six questions trustees should ask to
      become better informed about the status of information systems in their
      hospitals.

PMID- 10266319
TI  - Advance refunding: a technique to capitalize on lower interest rates.

PMID- 10266320
TI  - As I see it: considerations in board operation.

PMID- 10266321
TI  - New opportunities for diversification. Expanding into home health care.

PMID- 10266322
TI  - Health care system offers construction consultation.

PMID- 10266323
TI  - Nursing home salaries, benefits detailed in survey.

PMID- 10266324
TI  - Resident belongings: solutions to the challenge.

PMID- 10266325
TI  - DoD auditors uncover credentialing problems.

PMID- 10266326
TI  - Perspectives. Legislators prescribe malpractice reforms.

PMID- 10266327
TI  - Perspectives. Reassessing technology.

PMID- 10266328
TI  - Pediatric hypertension risk reduction: a city-county-state cooperative effort in
      Wayne County, Michigan.

PMID- 10266329
TI  - Infant mortality analyses and program initiatives in Fulton County and Atlanta,
      Georgia.

PMID- 10266330
TI  - Baroness Erlanger Medical Center. How a hospital with predominantly private
      patients maintains a mandated role of indigent care and looks to the future in a
      changing health care marketplace.

PMID- 10266331
TI  - Cutting costs = using health resources properly.

PMID- 10266333
TI  - Public speaking: mastering the spotlight.

PMID- 10266332
TI  - Firing line: new limits on employee terminations.

PMID- 10266334
TI  - How television tells our story.

PMID- 10266335
TI  - Do nonprofit organizations compete unfairly with business?

PMID- 10266336
TI  - When should you cancel a meeting?

PMID- 10266337
TI  - Wellness health promotion program.

PMID- 10266338
TI  - Computer-assisted critical care information management.
AB  - A well-designed, reliable, flexible computer system has a place in the modern
      critical care unit. Such a system may be designed in-house, or a commercial
      system may be adaptable to specific needs. The features of such a specialized
      system are outlined, with emphasis on the importance of user-modifiable and
      expandable software and hardware.

PMID- 10266340
TI  - Video replaces bulletin boards at Himmelfarb medical library.

PMID- 10266339
TI  - Rationing by waiting lists.

PMID- 10266341
TI  - Using video to train medical interviewers.

PMID- 10266342
TI  - Imaging the eye.

PMID- 10266343
TI  - Applying for and negotiating federal contracts.

PMID- 10266344
TI  - The ethos of medicine.

PMID- 10266345
TI  - Ethical ingredients in organ replacement.

PMID- 10266347
TI  - Congressional initiatives to reduce malpractice costs.

PMID- 10266346
TI  - Ethical ingredients in critical care.

PMID- 10266348
TI  - Ethics in housestaff training.

PMID- 10266349
TI  - Ethics and surgical clerkships.

PMID- 10266351
TI  - Nuclear magnetic resonance imaging: surgical applications.

PMID- 10266350
TI  - The ethicist in clinical surgical education.

PMID- 10266353
TI  - Preferred provider organizations.

PMID- 10266352
TI  - The surgeon's liability in endoscopy.

PMID- 10266354
TI  - A Toledo compromise.

PMID- 10266355
TI  - Assessing the health and job performance of older workers.

PMID- 10266356
TI  - Facing up to health care costs of retirees.

PMID- 10266357
TI  - The art of healing thyself.

PMID- 10266358
TI  - No-fault malpractice bill seeks to curb legal fees, size of victims' awards.

PMID- 10266359
TI  - State laws and retiree benefits raise legal obstacles to cost reform.

PMID- 10266360
TI  - Day care offers relief from absenteeism, stress and employee turnover.

PMID- 10266361
TI  - Business has a role in trustee education.

PMID- 10266362
TI  - The nurses walk out.

PMID- 10266363
TI  - Privacy Act of 1974--PHS. Notification of establishment of a new Privacy Act
      system of records.
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of intent to establish a new Privacy Act system of
      records 0937-0016, "Users of Health Statistics, HHS/ OASH / NCHS ." This system
      will be used to support the work of the National Center for Health Statistics (
      NCHS ) by ascertaining from data users how NCHS can improve the usefulness of its
      health statistics to the public through changing content of data systems,
      statistical methodology used, or the nature or content of statistical
      publications. We are also proposing routine uses for this new system. PHS invites
      interested persons to submit comments on the proposed routine uses on or before
      June 29, 1984.

PMID- 10266364
TI  - Privacy Act of 1974; system of records--PHS. Notification of a proposal to add
      routine uses.
AB  - In accordance with the requirements of the Privacy Act and the Debt Collection
      Art of 1982 ( Pub . L. 97-365), the Public Health Service (PHS) is publishing a
      notice of a proposal to expand one routine use and to add one routine use to
      three systems of records in the Alcohol, Drug Abuse, and Mental Health
      Administration (ADAMHA). We are adding a further routine use to system of records
      09-30-0031 only. PHS invites interested persons to submit comments on the
      proposed routine uses on or before July 2, 1984.

PMID- 10266365
TI  - When a booming population of old vets checks in for VA health care, look out.

PMID- 10266367
TI  - Ethical dilemmas--a need for values clarification education.

PMID- 10266366
TI  - Pharmacists' role in smoking cessation.
AB  - "Time to quit", a program piloted in Winnipeg in 1983, is an example of the
      importance of the pharmacist in the smoking cessation issue. Through the Manitoba
      Pharmaceutical Association, pharmacies were utilized as distribution centres for
      a self-help smoking cessation booklet. In the city of Winnipeg, 82% of city
      pharmacies received a total of 40,500 books; 93.5% of these booklets were picked
      up by the public. Pharmacists also had the option to become more involved in the
      anti-smoking campaign if they so desired. Pharmacists not only have the knowledge
      to discuss the area of smoking cessation, they arein a strategic position for
      dissemination of that knowledge.

PMID- 10266368
TI  - Preceptor-preceptee relationship in critical care nursing.

PMID- 10266369
TI  - Ensuring competence: toward a competency-based orientation format.

PMID- 10266370
TI  - An interactive systems approach to critical care education: the Anderson model.

PMID- 10266371
TI  - Preoperative intervention for the reduction of anxiety in pediatric surgery
      patients.
AB  - Hospitalization and surgery can have adverse psychological effects on children
      that may be prevented by preoperative intervention procedures. The present study
      compared an in vivo preparation in which 3- to 9-year-old patients who were about
      to undergo tonsillectomy/adenoidectomy surgery experienced a preview of the
      procedures and equipment, a slide show condition depicting hospitalization and
      surgery, or a standard nursing care control group. The in vivo group was rated as
      significantly less anxious than the slide show and control groups at each of the
      three assessment points. The in vivo children also took less time to drink
      following surgery than the slide show and control groups.

PMID- 10266372
TI  - The therapeutic effects of a playground apparatus on children with behavioral
      problems.
AB  - The " Moonwalk ," an apparatus consisting of an air-filled trampoline, was
      evaluated as a reward for children with emotional and behavioral problems. Two
      age groups of hospitalized children, 23 aged 5 to 12 and 12 aged 13 to 18, were
      evaluated utilizing (a) a 26-item teacher's rating scale; (b) a 4-item, 5-point
      scale to assign ratings to the students before and after the Moonwalk activity;
      and (c) the students' response to a 7-item consumer questionnaire. Teacher
      observers found the younger age group showed improvement in behavior at school
      after the Moonwalk was offered as a reward. The Moonwalk , as a reinforcement,
      offered a simple method to improve emotional or behavioral problems in an
      institutional setting.

PMID- 10266373
TI  - Impending hospitalization: timing of preparation for the school-aged child.
AB  - The current consensus on the optimal time for preparing children for impending
      hospitalization rests on clinical expertise and experimental group data. The
      study reported here has demonstrated marked heterogeneity of temporal preferences
      across age and sex of children 5 to 12 years old and, as such, questions the
      validity of applying general guidelines on the timing of preparation to the case
      of an individual child. Instead, it appears that the parents' knowledge of how
      the child reacts when confronted with impending events of a potentially
      threatening nature should be the primary basis for such decisions.

PMID- 10266374
TI  - Where did you get that scar?
AB  - The way in which children perceive illness and hospitalization is most often
      conceptualized by adults who interpret their worlds for them. Per Rosenbaum
      poignantly illustrates how those childhood perceptions grow and mature...and how
      our sick children are often marathoners long before they even run a mile.

PMID- 10266375
TI  - Selecting a microcomputer for the doctors' offices.

PMID- 10266376
TI  - Bar coding basics.

PMID- 10266377
TI  - Marketing: making a commitment to survival.

PMID- 10266378
TI  - In-office or service bureau?

PMID- 10266379
TI  - Time is money: here's how to save money with computers.
AB  - Just three years ago, Loyola University Medical Center, with a 92 percent
      occupancy rate, instituted a computerized approach to housekeeping under the
      auspices of its building service contractor , Admiral Maintenance Service
      Company. To date, the Maywood , Illinois-based medical center has operated with a
      dramatically reduced budget and reduced its staff by 10 percent, and "is still
      the cleanest place in town," some patients say. I spoke with Loyola 's Director
      of Housekeeping, Minnie Samp 'l, and to computer designer and systems analyst
      Donald Campbell, of the Chicago-based contractor , to learn details.

PMID- 10266380
TI  - A problem for Social Security: can we afford a $20 trillion surplus by 2045?

PMID- 10266382
TI  - Hospital's neonatal ICU helps save life of 15 1/2-ounce "premie" baby.

PMID- 10266381
TI  - States face over 400 health cost bills, NCSL survey shows.

PMID- 10266384
TI  - Life-saving technology in neonatal ICU enables Jamie and other "premies" to
      survive.

PMID- 10266383
TI  - Private sector technology assessment institute proposed in legislation by Indiana
      senator.

PMID- 10266385
TI  - NMR progress report: name changed to MRI; FDA says it will approve marketing.

PMID- 10266386
TI  - Technology and rationing.

PMID- 10266387
TI  - AMI/DSI and California university to build MR facility; firm plans diagnostic
      network.

PMID- 10266388
TI  - States are addressing problem of care for medically indigent.

PMID- 10266390
TI  - From total paralysis to valedictorian: a rehabilitation story.

PMID- 10266389
TI  - Supreme Court's Hyde decision: what is its significance?

PMID- 10266391
TI  - AMI spreads Olympic fever, prepares for health care role.

PMID- 10266392
TI  - "Hands on": deferred giving: letting the donor have his cake while you eat it
      too.

PMID- 10266393
TI  - Philanthropic employment growth from 1972 to 1982.

PMID- 10266394
TI  - The function of lists: a fund raising primer.

PMID- 10266395
TI  - On-line database system raises ALA's fund raising capabilities. Interview by
      Raymond Roel.

PMID- 10266397
TI  - Increasing contributions through effective writing.

PMID- 10266396
TI  - 22 predictions on the future of direct mail fund raising.

PMID- 10266398
TI  - How marker piggybacking affects your exempt status.

PMID- 10266399
TI  - Premiums: an innovative way to increased gift giving.

PMID- 10266400
TI  - Low-key employee fund drive proves successful for Institute.

PMID- 10266401
TI  - Clinical case report forms design--a key to clinical trial success.
AB  - Clinical case report forms--from both a content and format point of view--play a
      key role in the successful completion of a clinical trial. However, as many of us
      are too well aware, the design of these forms are often given less attention than
      they should be in the rush to get a clinical trial underway. This session will
      highlight the importance of well-designed case report forms and offer some
      suggestions on how to improve the effectiveness of these forms. The obvious and
      not so obvious benefits in the use of "standardized" forms will be presented and
      some sample "standardized" forms presently in use by Merck Sharp & Dohme Research
      Laboratories will be discussed. Since both the cost and timing of the formal
      composition and printing of these case report forms are always key management
      concerns, a time and cost effective solution to these concerns will be presented.

PMID- 10266402
TI  - A comprehensive on-line collection system.
AB  - In the normal conduct of a clinical drug trial, a considerable time lag exists
      between the point when drug response data are collected, usually by means of a
      standard written case report form completed at the time of an individual patient
      visit, and the time when it is entered into the computer system (and thereafter
      available for assessment) in the sponsor 's facility. This lag period may range
      from a matter of days to one or several months. Previous efforts to reduce this
      time span by providing electronic data entry capability within the clinical
      investigator's office have generally proven unsatisfactory for reasons of
      complexity and relative inaccuracy. A recently-developed potential solution to
      this entire problem will be described. It involves the provision of a
      microcomputer equipped with sophisticated customized data entry software that
      offers a means to substantially reduce this long-standing source of delays in the
      completion of clinical drug trials.

PMID- 10266403
TI  - The future of nursing: combining humanistic and technological values.
AB  - Technology is increasing. "The most stable characteristic of the present health
      care system, is change, characterized by expansion and experimentation . . ." To
      date, nursing has taken a reactive role, adapting out of necessity rather than
      taking an active part in initiating or promoting specific change. Consequently
      the health care system has had and continues to have a greater impact on nursing
      than nursing on the health care system. Two hypothetical frameworks, humanistic
      and technological, are presented with which to approach the problem of increasing
      technology. The values and implications of each are examined within the context
      of the nursing profession.

PMID- 10266404
TI  - Vietnamese in America: a case study in cross-cultural health education.
AB  - The rescue of the "boat people" from Vietnam is not over when they reach American
      shores . Adjustment problems abound . Health professionals are in a good position
      to help immigrants, but because of the language barrier and unfamiliarity with
      foreign cultures, there has been little success, despite the best of intentions.
      This paper attempts to highlight the importance of understanding culture in
      health education, using the Vietnamese as a case study.

PMID- 10266405
TI  - Reflections: disease prevention/health promotion--bridging the gap to wellness.

PMID- 10266406
TI  - Linking biomedical research to prevention in the community.

PMID- 10266408
TI  - Public accountability and confidentiality.

PMID- 10266407
TI  - Bioethics and health instruction: issues, questions, and advocacy.
AB  - The purpose of this article is to define bioethics and illustrate some current
      bioethical issues facing society today, provide an overview of arguments opposing
      teaching about bioethics by health educators, describe selected aspects of the
      who, what and how of the teaching of bioethics, and advocate the teaching of
      bioethics at all levels of health education curricula. The intent is not to
      provide conclusive solutions to the many complex issues related to the teaching
      of bioethics, but rather to discuss some of the issues and stimulate debate.

PMID- 10266409
TI  - Not by words alone.

PMID- 10266410
TI  - Work simplification: a supervisor's challenge.

PMID- 10266411
TI  - Matrix management in the health care organization.

PMID- 10266412
TI  - Team-building techniques for the health care supervisor.

PMID- 10266414
TI  - Case in health care supervision.

PMID- 10266413
TI  - The supervisor's guide to oral presentations.

PMID- 10266415
TI  - The supervisor's role in the disciplinary and grievance procedure.

PMID- 10266416
TI  - Dealing with the angry employee.

PMID- 10266417
TI  - Health care environmental assessments: for and by supervisors.

PMID- 10266418
TI  - Productivity monitoring for every supervisor.

PMID- 10266419
TI  - From grievance through arbitration: a supervisor's perspective.

PMID- 10266420
TI  - Staff evaluation: an assessment of approaches.

PMID- 10266421
TI  - Solving the nursing shortage: drawing nurses back to the hospital.

PMID- 10266422
TI  - Reflections on GMENAC.
AB  - This month HCSM interviews W. Jack Stelmach , MD. Director of the Family Practice
      Residency Program at Baptist Memorial Hospital and a Clinical Professor of
      Medicine at the University of Missouri, Kansas City School of Medicine in Kansas
      City, Missouri. He is the past President of the American Academy of Family
      Physicians and the American Board of Family Practice. Dr. Stelmach served as the
      first Chairman of the Graduate Medical Education National Advisory Committee
      (GMENAC) from 1977-1978 and now is actively involved in an AMA committee studying
      health manpower, health care resources, and technology. In this interview, he
      discusses his thoughts on the accuracy of GMENAC's predictions and the future
      practice of medicine.

PMID- 10266423
TI  - The future of medical assistants.

PMID- 10266424
TI  - How would you meet a hospital's variable staffing needs for nursing services? In
      house.

PMID- 10266425
TI  - Case in point. The Affiliated Health System.

PMID- 10266426
TI  - Case in point--the answer. Spring Lake Hospital.

PMID- 10266427
TI  - Modern medical practice: a profession in transition.
AB  - Modern medical practice is in a state of transition. The solo practitioner is
      slowly giving way to the large organized groups of health care providers. Driving
      this force of change is a change in payment for health care services from cost
      plus to preestablished pricing. For the first time, medical practice patterns are
      having a direct impact on the financial viability of the health care institution.
      To maintain quality of patient care and contain costs, more and more physicians
      are becoming involved in the administrative side of running a hospital. This
      article describes the forces of change, the change itself, and the future of
      medicine.

PMID- 10266428
TI  - The role of the nurse in hospital marketing.
AB  - The nurse is introduced as a vital component of the hospital's marketing process.
      As the major provider of patient care, teacher, counselor, and patient advocate,
      the nurse has a direct impact on the quality of care delivered and ultimately,
      the patient's choice of health care delivery site. Marketing strategies for
      nurses include daily rounds, constructive communication, physical appearance, and
      educational level. Through such strategies, nurses play an active role in
      increasing patient revenue.

PMID- 10266429
TI  - Who will pick up the tab for Tadworth?

PMID- 10266430
TI  - Long-stay hospitals. Keeping chins up as services run down.

PMID- 10266431
TI  - Mental handicap. Training for an adult world.

PMID- 10266432
TI  - Restructuring. Canny Scots keep options open.

PMID- 10266434
TI  - Catering management. How we won over the staff to Whinney's Oven.

PMID- 10266433
TI  - Computers in control.

PMID- 10266435
TI  - Second opinion: clinical freedom.

PMID- 10266436
TI  - Industrial relations. Anatomy of a dispute.

PMID- 10266437
TI  - Oil shake-up in Wessex.

PMID- 10266438
TI  - Rundown of long-stay hospitals. Training for a changing world.

PMID- 10266439
TI  - Consensus management. Will we lose our team spirit?

PMID- 10266441
TI  - Warning: smoking can damage your child.

PMID- 10266440
TI  - Self-help groups. Second chance for the head injured.

PMID- 10266442
TI  - Community health. 10,000 projects blossom.

PMID- 10266443
TI  - Why some people just never make it to the surgery.

PMID- 10266444
TI  - Voting with their feet.

PMID- 10266445
TI  - Patients like to be 'an emergency'.

PMID- 10266447
TI  - Psychiatric services. Strategy for transition.

PMID- 10266446
TI  - Paramedical performance. Manipulating physiotherapy.

PMID- 10266448
TI  - Finland's health care. Health in a cold climate.

PMID- 10266449
TI  - Taking in the community's washing.

PMID- 10266450
TI  - Careers. Up the ladder to the top.

PMID- 10266451
TI  - Collaboration in care. Sheffield needs a solution.

PMID- 10266452
TI  - Patient information. Is ignorance bliss?

PMID- 10266453
TI  - Legislating for life.

PMID- 10266454
TI  - US health care. Assessing the evidence.

PMID- 10266455
TI  - Health education. Smoking out effectiveness.

PMID- 10266456
TI  - Management consultants. Are consultants value for money?

PMID- 10266457
TI  - Solutions from outsiders.

PMID- 10266459
TI  - Australian health care. Coverall care for six states.

PMID- 10266458
TI  - Consensus management. Training for teamwork.

PMID- 10266460
TI  - Ambulance service. Lincoln gets carried away.

PMID- 10266461
TI  - Public cash and private care.

PMID- 10266463
TI  - Huntingdon builds up its independence.

PMID- 10266462
TI  - Breaking the boundaries for mental health.

PMID- 10266464
TI  - Can the NHS be marketed like a detergent?

PMID- 10266465
TI  - Microcomputers. Ten ways to terminal happiness.

PMID- 10266466
TI  - Many micros make light work.

PMID- 10266467
TI  - Retirement. Take the money and run.

PMID- 10266468
TI  - Griffiths and Bains...the losses and gains.

PMID- 10266469
TI  - Video age comes to A&E.

PMID- 10266470
TI  - Residential homes. The code of practice that bites back.

PMID- 10266471
TI  - US health care. Does the language of the marketplace speak with forked tongue?

PMID- 10266473
TI  - Reducing reference laboratory costs.

PMID- 10266472
TI  - Employment law. Finishing time finishes Evans.

PMID- 10266474
TI  - What Humana is doing to control supply costs.

PMID- 10266475
TI  - Materials management at Massachusetts General. Interview by Dean Ammer.

PMID- 10266476
TI  - Disputes over what was delivered.

PMID- 10266477
TI  - Inflation rate for hospital supplies slows dramatically.

PMID- 10266478
TI  - Coordinator is the key to successful group purchasing. Part II.

PMID- 10266479
TI  - How one hospital combined offsite warehousing and exchange carts successfully.

PMID- 10266481
TI  - An interview with: Neil Shayne, Esq.

PMID- 10266480
TI  - Innovations in obstetric design that meet professional and consumer demands.

PMID- 10266482
TI  - Paring down losses in food service: an update.

PMID- 10266483
TI  - Tales from the trails: a journey into the existential underbelly of American
      business.

PMID- 10266484
TI  - How a top business analyst ranks the hospital industry. Health care as
      investment.

PMID- 10266485
TI  - Brass tacks. Straight talk about the health care industry and the entrepreneurial
      spirit. Interview by Joe Flower.

PMID- 10266486
TI  - More on entrepreneurship. Thirteen questions for hospital CEOs.

PMID- 10266487
TI  - Caring: putting patients first begins with management skills.

PMID- 10266488
TI  - Carner's codes. Demonstrate your integrity (who willingly employs a person he
      cannot trust?).

PMID- 10266489
TI  - Transferring lessons from high performance organizations.

PMID- 10266490
TI  - Health care manager's notebook. Microcomputer use in hospitals.

PMID- 10266492
TI  - Bring some magic into your hospital.

PMID- 10266491
TI  - A conversation with the new AWH chairman Fred Pritchard.

PMID- 10266493
TI  - Sexual harassment: defining the problem and avoiding the risk.

PMID- 10266494
TI  - Outpatient program maintains good will during 13% work-force cut.

PMID- 10266495
TI  - Customer-oriented management important to hospitals, survey finds.

PMID- 10266496
TI  - Supply needs of the works organisation.

PMID- 10266497
TI  - Plant performance and energy budget control.

PMID- 10266498
TI  - Developments in the water industry.

PMID- 10266500
TI  - Protestant Hospital Association changes name, purpose.

PMID- 10266499
TI  - Adolescent pregnancy program stresses family counseling, educational services.

PMID- 10266501
TI  - Supreme Court approves hospital's exclusive contract.

PMID- 10266502
TI  - Newborns in intensive care hear tapes from home.

PMID- 10266503
TI  - Shaping public policy: a challenge in faith.
AB  - Religious health care's involvement in public policy is an essential part of
      Christian life. The most important way in which Catholic hospitals and health
      care systems can contribute to public policy is through faith-reflection upon
      their identity and calling. To guide the shaping of public policy, several
      theological models have been set forth. The theology of democratic capitalism is
      based on individual human creativity. As a system of political economy organized
      to prevent the centralization of government power, it thrives on free
      competition. Well- intentioned social programs that seek to equalize results,
      according to democratic capitalists , inevitably lead to greater government
      control and should be avoided. Inequality, in fact, according to this theory, can
      create incentive for individuals and industry to be more productive. The
      stewardship approach to theological reflection calls for a distribution of goods
      and services based on need. The right to health care, for example, is founded in
      God's gift of creation to all inhabitants. The resources of creation are allotted
      to individuals as property in a sense of cooperation and sharing. Thus, according
      to this notion, government programs that help society steward its resources
      wisely should be promoted. The U.S. bishops ' 1981 pastoral letter on health and
      health care presents a third model, which reflects on the dignity of human beings
      as images of God to guide public policy. Models, however, must not replace
      personal theological reflection. Catholic health care providers share a
      responsibility to evaluate social issues from their perspective as members of the
      healing ministry and to participate in public policy development.

PMID- 10266504
TI  - Patients' informed consent requires understanding of treatment risks.
AB  - The need for patient consent to medical treatment derives from the idea that the
      patient is morally obligated to take ordinary means to preserve his or her life.
      The physician has only that right over the patient which the patient gives him.
      To ensure that patient treatment decisions are responsible, consent must be both
      free and informed. Free consent generally implies that the patient is under no
      pressure to choose a particular course of action. Informed consent suggests that
      the physician has a duty to give the patient sufficient information about a
      proposed procedure's significant risks and benefits. The patient need not receive
      comprehensive knowledge of the treatment, however, since overdisclosure can
      interfere with the freedom to decide by playing on patient fears. Though some
      patients simply disregard treatment information or rely on other factors in their
      decision making, physicians should not abandon attempts to attain patient
      understanding. They must develop communication skills and exercise patience in
      their efforts to explain treatments and obtain consent. Proxies and patient
      advocates also may be requested, and physicians may consult with their colleagues
      to guarantee that the patient's best interests are met.

PMID- 10266505
TI  - Theological reflection enhances pastoral care skills.
AB  - Theology can contribute to pastoral care by interpreting experiences in a faith
      context, reinforcing the pastoral care giver's identity, and orienting one's
      ministry style to be more congruent with that of Jesus. Models for theological
      reflection generally begin with an analysis of the patient's experience. In
      addition to gathering information on the factual level, the pastoral care giver
      seeks to discern the experience's dominant theological meaning. The next step is
      to identify and explore a theological parallel to the experience. For example,
      images of "stopping for a stranger" or "taking a detour " would suggest the
      theological parallel of the Good Samaritan. The final step is to enact the
      reflection, that is, to apply the theological interpretation to the patient's
      situation. Besides sharing the interpretation with the patient, the enactment may
      include changing one's style of ministry.

PMID- 10266506
TI  - Study of education programs identifies members' needs.

PMID- 10266507
TI  - How should Catholic hospitals respond to the AIDS problem?

PMID- 10266508
TI  - Ambassador to Vatican finds trustee role rewarding.

PMID- 10266509
TI  - Hospital art collection emphasizes Catholic identity.

PMID- 10266510
TI  - Bioethics course helps care providers clarify values.

PMID- 10266511
TI  - Rite of Annointing of the Sick. Scripture readings illuminate meaning of
      suffering.
AB  - The lectionary for the Roman Catholic Rite for the Anointing of the Sick provides
      insight into the nature and theology of illness which can be helpful not only for
      the person who is ill but also for the community that serves that person and for
      people involved in medical or pastoral care of the sick. The readings address two
      major questions: Why is there suffering? What is the purpose of chronic illness
      and of sickness unto death? Responses to these questions involve perception of
      illness as part of the mystery of iniquity (although there is no simple cause-and
      effect relationship between particular sins and a person's illness) and
      understanding of God's power over sickness. The sick person's configuration to
      the suffering Christ also plays a part in this mystery. The paradoxical mystery
      of illness, which cannot be understood outside the context of faith, is reflected
      in the richly nuanced readings. To avoid a simplistic or incomprehensible
      approach to the problem, pastoral sensitivity to the sick person's spiritual,
      physical, and emotional condition is required in the selection of readings to be
      used on a particular occasion.

PMID- 10266512
TI  - Reflections on Sr. Mary Angelina's dying.

PMID- 10266513
TI  - The search for meaning: a pastoral response to suffering.
AB  - To help those who suffer, pastoral care ministers must understand what suffering
      is, its meaning, and the hope that is offered in the Christian message. Suffering
      involves the entire person--body and spirit. Fear, stress, guilt, and other kinds
      of emotional distress are as much a part of suffering as physical symptoms. The
      sufferer sees his or her wholeness being threatened, and seeks explanations for
      the suffering. The pastoral care minister must help the sufferer to understand
      that suffering is not divine retribution but a call to discipleship . Because in
      Jesus' person God has suffered and known powerlessness, pain, and death, he not
      only understands the sufferer's needs but shares in them with compassion. To help
      the patient transcend suffering and find its meaning in the context of faith and
      revelation, the minister must appreciate the patient as a complete, unique, and
      spiritual being. The minister must be the sufferer's friend, offering respect,
      tenderness, and love--not merely because the patient is suffering but because as
      a human being he or she is entitled to such care . Patients who experience such
      concern from another will be better able to value themselves in moral and ethical
      terms, experience oneness with the suffering Christ, and triumph over suffering
      and death.

PMID- 10266515
TI  - What ethical liabilities are posed by PPOs?

PMID- 10266514
TI  - The physician as a source of hospital capital.
AB  - As hospitals search for means of financing renovation during the next decade,
      physicians will represent a source of capital through tax-shelter financing.
      Limited partnerships, condominiums , and joint ventures in acquiring medical
      equipment or syndicating existing facilities are among the most promising
      investment vehicles for taking advantage of tax benefits that normally do not
      apply to nonprofit institutions. In a hospital-physician limited partnership, tax
      deductions are passed through to the partners, of which there are two kinds:
      general partners and limited partners. Income (or loss) and tax credits from the
      entire venture can be divided among the partners and reflected on an individual
      limited partner's tax return. Rather than shouldering the whole cost of
      renovating a medical office building, thereby losing the potential tax credit, a
      hospital could carry out the renovation through a limited partnership with
      physicians. This would reduce the hospital's capital costs and debt requirements,
      maintain its credit, and enable it to take advantage of the depreciation
      deduction. In a condominium venture, the individual physician actually owns the
      office within which he or she works. As with the limited partnership, the
      hospital will want to restrict physicians' ability to dispose of their ownership
      interests.(ABSTRACT TRUNCATED AT 250 WORDS)

PMID- 10266516
TI  - Hospital continues uphill struggle to survive.

PMID- 10266517
TI  - Gainsharing: a few questions, and fewer answers.
AB  - Gainsharing is an important organization development intervention, yet many of
      the basic questions have not been answered. This paper addresses these questions
      by developing a conceptual model and using the model to review the case study
      literature on gainsharing . The plans varied in terms of structural factors,
      implementation factors, and situational factors, and a majority were successful.
      Gainsharing impact was found in five key areas: organizational effectiveness,
      individual quality of work life, ideas and innovation, labor-management
      cooperation, and pay. Relevant research is briefly reviewed and several
      unanswered questions are identified for future research.

PMID- 10266518
TI  - Productive behavior through the life course: an essay on the quality of life.
AB  - Present patterns of productive activity are neither well recognized, optimal for
      society, nor in accordance with individual preference. Although a great deal of
      attention has been given to meeting people's needs for income, medical care, and
      other services, the quality of their lives must also be defined by what they do
      for themselves and for others. In discovering present patterns of productive
      activity throughout the life course and optimizing those patterns, we will raise
      the quality of American life. To accomplish this task, two great changes are
      needed: we must recognize the full range of productive activities throughout the
      life course and give people the opportunity to modify the allocation of paid
      employment.

PMID- 10266519
TI  - Obituary for Hill-Burton challenge: U.S. Supreme Court refuses to hear Hill
      Burton case.

PMID- 10266520
TI  - OMB publishes revised not-for-profit lobbying rules.

PMID- 10266521
TI  - Nevada Supreme Court holds county responsible for emergency care provided to
      indigent patient in a private hospital.

PMID- 10266522
TI  - Kansas coalition to help employers compare hospital prices.

PMID- 10266523
TI  - Court of Appeals denies government petition for rehearing in case of handicapped
      infant.

PMID- 10266524
TI  - District Court judge invalidates Baby Doe regulations.

PMID- 10266526
TI  - The adequacy of the Older Americans Act home care mandate: a front line view from
      three programs.
AB  - Title III-B of the Older Americans Act authorizes closed-ended formula grants for
      state and area home care program contractors. To what extent, however, does this
      legislation enable localities to address the complex needs of the functionally
      impaired aged? This study inquired into staff perceptions (N = 91) of the
      adequacy of service in 3 urban-based, OAA home care projects. Program adequacy
      was empirically gauged by mean net difference scores derived from two scales
      designed to tap worker perceptions of program capacity and program responsibility
      in dealing with a series of 8 potential client needs. Results revealed
      significant program inadequacies in both small and large scale agency settings in
      the client domains of temporary (p = .02), permanent (p less than .001),
      emergency (p less than .001), emotional (p less than .001), and medical (p less
      than .001) need. These deficiencies were apparent at the points of service
      application, delivery and termination. Workers acknowledged greater success in
      addressing the practical, daily needs of elderly clients. Findings lead to a set
      of policy guidelines for shaping more responsive home care program legislation in
      the future.

PMID- 10266525
TI  - The homemaker needs of the rural frail elderly from a client versus agency
      perspective.
AB  - The clients, aides, and staff of a homemaker services program for the rural frail
      elderly were individually interviewed concerning client's met and unmet needs.
      While the overall response from all three groups suggested a highly effective
      program, significant differences existed among the three groups with regard to
      what they considered the most important needs, both met and unmet by the program.
      It was concluded that although the perceptions of all three groups of
      participants in such programs might differ, such differences may not necessarily
      work to undermine the program.

PMID- 10266527
TI  - Utilization and referral patterns for home health services: a data base for needs
      determination.
AB  - This paper presents and discusses utilization and referral patterns for home
      health services in Mississippi. The universe of agencies delivering services in
      an eleven (11) county sample area is surveyed for patient demographic
      characteristics, modes of referral to home care and diagnostic characteristics.
      Comparisons are made of diagnoses of the 65 and over population utilizing home
      health services and a sample of hospital discharges in that same age group. A
      home health diagnostic index is derived and used in a home health "needs"
      determination formula.

PMID- 10266528
TI  - Future trends in hospital purchasing.

PMID- 10266529
TI  - Quality assurance in materiel management.

PMID- 10266530
TI  - Product evaluation--the nurse's role.

PMID- 10266531
TI  - Integrated care--a model for others.

PMID- 10266533
TI  - Development and current status of partial hospitalization in the Federal Republic
      of Germany and West Berlin.
AB  - Since the opening of the first partial-hospitalization program in 1962, the
      development of partial hospitalization in the Federal Republic of Germany and
      West Berlin has markedly accelerated, especially in recent years. As of July 1,
      1982, there were at least 60 such programs with approximately 1200 places in the
      country. A review of the current status is given regarding the individual
      programs' perceived mission and their integration into the existing network of
      psychiatric services. Summary statistics are provided regarding patient census,
      duration of stay, staffing, therapeutic activities, and clientele. Problems such
      as the low number of direct community referrals, the preponderance of chronic
      patients, and the underutilization of programs are discussed.

PMID- 10266532
TI  - A systemic-developmental model of day treatment for young adult chronic patients.
AB  - The young adult chronic patient is a recently designated dysfunctional group
      which is growing significantly in numbers. These patients' multiple deficits in
      independent functioning and their extreme dependence-independence conflict make
      them difficult to engage and help in traditional forms of outpatient therapy. A
      day-treatment program which systematically and flexibily intervenes over many
      levels would seem to increase the likelihood of successful treatment. F. S.
      DuBois Day Treatment Center, Stamford, Connecticut, has established such a
      program based on an integration of general systems theory and separation
      individuation theory. This systemic-developmental model of day treatment involves
      both systems-oriented multimodality therapy and developmentally phased
      expectations for gradually increasing independent functioning. This paper
      presents theory and applications of the systemic-developmental day-treatment
      model and a 2-year pilot program evaluation demonstrating its effectiveness.

PMID- 10266534
TI  - PPOs: will they pay off? Approach with caution.

PMID- 10266536
TI  - PPOs can improve reimbursement for 'thinking and caring' services.

PMID- 10266535
TI  - PPOs can work--if....

PMID- 10266537
TI  - Business coalitions look at PPOs to lower employer costs.

PMID- 10266538
TI  - Physicians and PPOs: antitrust considerations in setting fees.

PMID- 10266539
TI  - Preferred Provider Act: sensible balance or federal intrusion?

PMID- 10266540
TI  - Telling the inside story. ASIM launches its public education program.

PMID- 10266541
TI  - 1984: novel in its complexity.

PMID- 10266542
TI  - Are PPOs preferable?

PMID- 10266543
TI  - PPOs: will they pay off? A true alternative or simply a new acronym?

PMID- 10266544
TI  - Cancer line--an experiment in communication.

PMID- 10266545
TI  - Verbal probability and expected frequency expressions used in relation to
      immunisation.

PMID- 10266546
TI  - Smoking habits of nurses within the Leeds Area Health Authority (teaching).

PMID- 10266547
TI  - Community mental health--past, present and future.

PMID- 10266548
TI  - Vein dreams. Rural health care in a troubled economy.

PMID- 10266549
TI  - Pain killers. Merck & Co. comes to Ireland.

PMID- 10266550
TI  - Blind tests lead to savings in radiology.

PMID- 10266551
TI  - What EPA's final EtO rule expects. Product label changes that will require
      modifications in workplace design and practice in hospitals and health care
      facilities.

PMID- 10266552
TI  - Proper use of the blanket purchase order.

PMID- 10266554
TI  - Merger creates largest U.S. buying group.

PMID- 10266553
TI  - In support of the maverick.

PMID- 10266555
TI  - St. Mark's shifts to bar code mode.

PMID- 10266556
TI  - Going full circle with supply replenishment systems.

PMID- 10266557
TI  - Question. What is the ASHMM "Code of Ethics"?

PMID- 10266558
TI  - The U.S. Supreme Court looks at hospital-physician relationships: the Hyde
      decision.

PMID- 10266559
TI  - Hospital mergers and the antitrust laws: major roadblock or minor constraint.

PMID- 10266561
TI  - Healthcare credentialing issues demand increased attention.

PMID- 10266560
TI  - The impact of regulation on the administrative structure of hospitals: toward an
      analytic framework.
AB  - The dramatic and recent regulatory changes in the hospital industry (e.g., TEFRA
      , DRG-based reimbursement) have given added impetus to the analytic framework
      developed here. Regulation will play an increasingly important role in the future
      of hospitals, affecting not only fiscal operations, but organizational and
      administrative arrangements as well. The conceptual framework developed in this
      article will be refined and augmented through empirical research. Healthcare
      executives will then have a stronger basis for adapting organizationally to
      changes in their regulatory environments, thereby increasing the effectiveness
      and survival of their institutions.

PMID- 10266562
TI  - Martin Luther King, Jr./Drew Medical Center. They have a dream.

PMID- 10266563
TI  - Shoplifting. Let the manager beware!

PMID- 10266564
TI  - Unit-dose systems: drug waste and drug processing time in a long-term care
      facility.
AB  - This study compares the effectiveness of two drug distribution systems--a
      conventional prescription and a modified unit-dose system--in a small, rural,
      long-term care facility ( LTCF ). The 72-hour modified unit-dose system was
      superior in minimizing drug wastage and the time required for drug processing by
      nursing personnel. Drug waste was reduced by 64% in dollar value; time for drug
      processing in the LTCF was reduced by 46% on a daily basis. These data are
      consistent with three early studies evaluating two such systems in a LTCF and
      conflicts with one recent report.

PMID- 10266565
TI  - P & T Committee roundtable discussion: Eastern region. Part I.
AB  - A series of regional roundtable discussions regarding the successful operation of
      Pharmacy and Therapeutics (P & T) Committees has been conducted by Hospital
      Formulary. Representatives from private hospitals, university and teaching
      hospitals, as well as Veterans Administration medical centers discuss committee
      profile, constituency, function, mechanics, and criteria for establishing a
      successful formulary within an institution. The sessions were taped, and the
      edited transcription is provided in the following article.

PMID- 10266566
TI  - Turnaround time in a unit dose system.

PMID- 10266567
TI  - The design and implementation of task oriented employee evaluations.
AB  - In an effort to improve the performance review system from both the employee's
      and supervisor's perspective, task oriented evaluations were designed and
      implemented for all pharmacy employees. The system is based on clearly defined
      responsibilities and performance criteria for evaluating all employees. The
      development of responsibilities and performance criteria is discussed,
      highlighting the role of employee and supervisor input in the development
      process.

PMID- 10266568
TI  - An introduction to the clinical laboratory for pharmacists.
AB  - The intent of this article is to provide pharmacists with an introduction to the
      clinical laboratory. As clinical pharmacy services expand, interactions between
      pharmacists and the laboratory will increase. Laboratory results are an essential
      tool for pharmacists involved in monitoring drug therapy and adjusting dosing
      regimens. Laboratory medicine, however, is a complex and rapidly changing field
      with new analytical techniques and instruments continually being developed. Thus,
      methodologies vary greatly from one laboratory to another and even within the
      same laboratory from time to time. Quality control procedures are necessary to
      ensure accurate and reliable results. The medical technologists who staff
      clinical laboratories are highly trained professionals. Pharmacists should
      utilize the medical technologist as a consultant on the interpretation and
      limitations of laboratory tests. Likewise, there are many areas, such as
      therapeutic drug monitoring, in which the pharmacist can serve as a consultant to
      the laboratory. Pharmacists involved in patient care will benefit from a greater
      understanding of the clinical laboratory, and may also find new opportunities for
      clinical pharmacy practice and interaction with other health care professionals.

PMID- 10266569
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--Part 8.

PMID- 10266570
TI  - Hospital equipment financing options multiply.

PMID- 10266571
TI  - A model for design of health administration curriculum and instruction.
AB  - Faculty members in health administration programs as in other professional
      programs tend to be trained in content appropriate to their field rather than as
      educators. Enhancement of the teaching skills of faculty will potentially improve
      the quality of the students' educational experience. Of particular note is the
      tendency of faculty to teach at the basic knowledge level and expect students to
      perform at the application and problem-solving levels. The purpose of this paper
      is to aid faculty in health administration improve their teaching activities and
      student evaluation. This goal will be accomplished through presentation of a
      model for systematic design of curriculum application of this model at the course
      and lesson levels.

PMID- 10266573
TI  - Linear and nonlinear models of patient satisfaction with medical care.
AB  - The relationship between overall patient satisfaction with medical care and
      satisfaction with various aspects of health services is explored in a community
      survey of 225 service consumers. Three alternative models are examined: (i)
      linear compensatory model; (2) nonlinear conjunctive model; and (3) nonlinear
      disjunctive model. The results indicate that the nonlinear, noncompensatory
      models predict overall satisfaction as well as does the linear compensatory
      model. The pattern of findings is different for men and women. The implications
      of the findings are discussed.

PMID- 10266572
TI  - Why multihospital systems will continue to grow.
AB  - The limitations of federal and state spending on health care indicate difficult
      times are ahead for hospitals. Rising costs are challenging their continued
      existence. Construction and renovation, for example, are normally not feasible in
      light of the present economic situation. To meet this financial challenge, Multi
      Institutional Arrangements ( MIAs ) are proliferating. This phenomenon, which is
      particularly prevalent in the Southern United States, seems to be increasing
      geometrically, principally because many of the officials who operate hospitals
      see such an affiliation as an answer to their serious fiscal problems. Faced with
      myriad financial problems resulting from overcommitment , hospital boards are
      looking for a way out of the quagmire . While the boards do not want to give up
      control of the hospital to an outside group, they are beginning to realize that
      it may be the price that must be paid for fiscal solvency (i.e., keeping the
      hospital open to serve the public). Hospital boards usually are favorably
      impressed by the promised benefits accruing from association with a MIA.

PMID- 10266574
TI  - Measures of equity and efficiency in medical manpower planning. A prediction of
      internists needed in the Finnish national health service.
AB  - Several difficulties regarding manpower planning in health care based on need for
      service can be demonstrated. Easily obtainable utilisation numbers do not
      directly reflect demand or need for service, nor can they be used as an
      approximation of morbidity. Epidemiological studies, on the other hand, do not
      reveal "non-clinical" demand factors. Unmet demand cannot automatically be
      interpreted as undersupply or lack of resources. Planning according to predicted
      need has furthermore been severely handicapped by a nongrowing economy; it is
      rather asking for development through reallocation of resources. Consequently,
      another approach was chosen in this study - a prediction of internists needed in
      the Finnish national health service to ensure an equal supply and an efficient
      provision of services. Equity between regions was measured as number of
      specialists' positions, hospital admissions and out-patient visits per
      population. The number of admissions and visits per specialist's position was
      used as a measure of system efficiency. A density of specialists equal to the
      national mean in all regions would require a 21% increase in specialists'
      positions. A sensitivity analysis according to different levels of service supply
      as well as improved efficiency projected a 23-127% growth.

PMID- 10266575
TI  - Community medicine in the medical curriculum: a statistical analysis of a
      professional examination.
AB  - This paper analyses the examination results of two cohorts of medical students at
      the University of Glasgow. It discusses the usefulness of Scottish higher grades
      as predictors of ability to pass examinations in medicine. Further correlations
      are made between the results from community medicine and other fourth- and fifth
      year medical school examinations.

PMID- 10266576
TI  - Medical staff organization in three European multi-hospital systems: an
      exploratory study.
AB  - Multi-hospital systems have increased rapidly in number in recent years. This
      development is based primarily on hoped-for economies of scale, better access to
      the capital market, and more expert management. The place and the role of doctors
      in this process has, to judge from the literature, been passed by almost
      unnoticed. Is this also a case of the "benign neglect" that prevailed with
      respect to the medical organization when management structures were established
      in the separate hospitals? The present article reports on an exploratory study of
      the situation of doctors and the medical staff organization in three European
      multi-hospital systems. Two important structural elements, the strengthening of
      management and the medical staff organization, appear to be of fundamental
      importance for the determination of the place and the role of doctors in multi
      hospital systems and of the way the doctors themselves experience the system.
      There are a number of factors that one may assume affect the situation of doctors
      in such systems: the process of system formation, the size of the system, the
      influence of the general environment, cost-consciousness of the doctors, and the
      force of strong personalities.

PMID- 10266577
TI  - The National Commission for Health Certifying Agencies: an introduction.

PMID- 10266578
TI  - Behavioral community psychology: an introduction to the special issue.
AB  - An overview of this special issue, and of behavioral community psychology, is
      provided, beginning with a summary of terminology and history. Five dimensions on
      which behavioral community interventions may be classified are then described:
      (a) subject matter/target behavior, (b) behavioral procedures used, (c)
      experimental design, (d) intervention level, and (e) time focus. The studies
      composing this special issue serve as illustrations of these dimensions. This is
      followed by a discussion of issues important in designing and implementing
      behavioral community projects. Finally, challenges facing the field are noted.

PMID- 10266579
TI  - Enhancing leadership skills for community self-help organizations through
      behavioral instruction.
AB  - Group members with skills to lead effective meetings are valuable resources of
      any community organization. The effects of a behaviorally based textbook and
      training procedures designed to teach members of community self-help groups to
      chair effective meetings were analyzed. Measures were collected during regularly
      scheduled meetings on chairperson performance, member participation, and the
      closure of discussion topics. The results showed that the use of specified
      chairperson activities increased after training for each of two chairperson
      trainees. Further, outcome data suggest that more decisions were made. These
      findings suggest that the chairperson training procedures may enhance the
      leadership and decision-making resources of community self-help groups.

PMID- 10266580
TI  - Temporal effects of prompting on acceptance and follow-up in a community-based
      hypertension screening program.
AB  - This study evaluated the effects of prompts and reinforcement on two aspects of
      hypertension control: a) attendance at a community-based blood pressure screening
      program and b) follow-up visits to a physician's office by persons identified
      through screening as at-risk clients. Baseline data showed a decreasing trend in
      attendance at the screening sessions and a 51% "no show" rate for physician
      follow-ups. Screening session attendance increased following intervention;
      however, attendance rates across weeks appeared to vary mainly as a function of
      the prompting schedule (monthly newsletter announcements ) rather than the
      availability of reinforcement. Finally, the intervention not only increased the
      percentage of at-risk clients who saw a physician, but also decreased the latency
      between the time of initial screening and the follow-up appointment.

PMID- 10266581
TI  - At Northland Terrace perspective sets the pace.

PMID- 10266582
TI  - Long term care administration: past, present and future.

PMID- 10266583
TI  - Psychogeriatric education adds new dimension to nursing.

PMID- 10266584
TI  - The teaching nursing home: bringing together the best.

PMID- 10266585
TI  - Coming of age in long term care.

PMID- 10266586
TI  - Ohio's new professionalism in action.

PMID- 10266587
TI  - Continuing education a priority at Mayfair.

PMID- 10266588
TI  - Facility design for the times.

PMID- 10266589
TI  - The evolving role of the activity coordinator.

PMID- 10266590
TI  - AHCA policy perspective: the Older Americans Act.

PMID- 10266591
TI  - Law, ethics and professionalism.

PMID- 10266592
TI  - The resident's room.

PMID- 10266593
TI  - The People's First Social Welfare Institution for the Aged: a Chinese nursing
      home.

PMID- 10266594
TI  - Managing interdependence: report from a collaborative graduate program in nursing
      administration.

PMID- 10266595
TI  - The chief administrative officer of the academic health center--a post of growing
      impact on both higher education and health services delivery.

PMID- 10266596
TI  - Research collaboration between programs in health administration and hospital
      associations.

PMID- 10266597
TI  - Guilt by association: pigeons and other flights of logic.

PMID- 10266598
TI  - What happens when trade associations do research?

PMID- 10266599
TI  - Faculty development in health administration: a case study of faculty
      internships.

PMID- 10266600
TI  - The reshaping of an academic program in hospital administration in a developing
      country.

PMID- 10266601
TI  - Computer records prove as vital to health care as medical efforts.

PMID- 10266602
TI  - Quality control.

PMID- 10266603
TI  - Buffalo Memorial Hospital. Buffalo, Minnesota.
AB  - First owned and managed by a group of local physicians, then operated as a
      municipal hospital, and now a division of a private, multi-hospital group,
      Buffalo Memorial Hospital's growth has mirrored that of the rural Minnesota
      community it serves. From 1918 to 1951, the hospital was located in 12 rooms
      above the local drugstore . Then, as a city-operated hospital, it occupied a free
      standing building in the center of town. During the next 25 years, two additions
      were required to meet the growing demand for health care services in Wright
      count. In 1977, shortly after the hospital became a division of Health Central,
      plans were initiated to replace the over-crowded facility with a completely new
      hospital. In October 1980, Buffalo Memorial Hospital moved into its new home--a
      sprawling single story, energy efficient building. Now renovated, the old
      hospital provides housing for senior citizens.

PMID- 10266604
TI  - Positive image promotion.

PMID- 10266605
TI  - Installing a patient charge system. A case study.

PMID- 10266606
TI  - EtO monitoring equipment--an evaluation.

PMID- 10266607
TI  - Pyrolytic incineration: it can save your hospital energy and money.

PMID- 10266608
TI  - Commercial laundries. Should your hospital use one?

PMID- 10266610
TI  - CS work attire.

PMID- 10266609
TI  - Interplast: caring for children worldwide.

PMID- 10266611
TI  - Interviewing/Part II.

PMID- 10266612
TI  - Medical malpractice and the 'time-bomb' effect: a matter of geography?

PMID- 10266613
TI  - Don't throw the baby out with the bath water ... or questions you should ask
      yourself when choosing a supplier.

PMID- 10266614
TI  - Health requirements.

PMID- 10266616
TI  - Husband's health and wife's labor supply.
AB  - This paper examines the labor supply response of the wife to deterioration in the
      husband's health. Unlike past cross-sectional studies, responses over time are
      directly examined through the use of longitudinal data. The empirical results
      suggest that the magnitude and direction of the response depend crucially on the
      attractiveness of transfers which the family may qualify for when the husband's
      health deteriorates. When no transfers are available the wife increases her
      market work in order to replace the lost earnings of the husband. However, as
      transfers become more attractive, the wife begins to reduce her labor supply,
      enabling her to spend more time at home caring for her husband.

PMID- 10266615
TI  - Pricing behavior of non-profit agencies. The case of blood products.
AB  - In this study we examine the pricing behavior of a non-profit agency, the
      American National Red Cross blood service units. Two alternative hypotheses are
      presented: one in which the agency maximizes profits,, and one in which output is
      maximized subject to a breakeven constraint. Following a general approach
      developed by Eckstein and Fromm , pricing equations for separate blood products
      are applied to cross-sectional data from Red Cross blood centers to determine the
      impact of demand, cost, competition, and subsidy variables. The impact of these
      variables, in particular the impact of the fixed subsidy on price, is shown to be
      consistent with the output-maximizing model.

PMID- 10266617
TI  - Hospital rate review: a theory and an empirical review.

PMID- 10266618
TI  - Is cream-skimming a problem for the competitive medical market?

PMID- 10266619
TI  - Cream skimming, asymmetric information, and a competitive insurance market.

PMID- 10266620
TI  - Balancing the failure modes in the electronic circuit of a cardiac pacemaker: a
      decision analysis.
AB  - Cardiac pacemaker malfunctions are of continuous concern to the medical
      profession as well as to the electronics industry. Certain failures in cardiac
      pacemaker performance are critical and can result in patient deaths. Cardiac
      pacemakers are vulnerable to certain malfunctions in the electrode, batteries and
      the electronic circuit. This paper focuses on failures and reliability of the
      electronic circuit and how they affect its choice and design. The paper discusses
      the issues of balancing the various failure modes by considering both failure
      rates and failure outcomes. As the choice of an appropriate pacemaker is a
      decision problem under conditions of uncertainty, we employ decision analysis as
      the analytical and conceptual framework. Use of utility theory enables a
      systematic quantitative evaluation of such seeming intangibles as the various
      failure outcomes. Probabilities are assessed using specific engineering and
      reliability literature. The method is demonstrated on a choice problem between
      two specific electronic circuit designs. The methodology can be useful in
      designing the electronic circuit to meet certain reliability specifications,
      deciding whether or not to introduce redundancy, decisions affecting components
      and technology, and establishing minimal reliability standards, with regard not
      only to cardiac pacemakers but to other electronics as well.

PMID- 10266621
TI  - Personal information tools (personal computers): the changing environment and its
      management.
AB  - The potential of the personal computer as a universal information tool for
      professional and managerial work is explained and illustrated. Forms of
      implementation, as desktop computer systems (hardware and software) and as
      virtual personal computers in the context of online mainframe systems, are
      differentiated. Reasons are given why personal computers are becoming essential
      for various major types of information work. The need for planned and coordinated
      introduction of personal computers to prevent the negative effects of
      uncoordinated applications without attention to compatibility and redundancy is
      stressed.

PMID- 10266622
TI  - The fourth R: a case for releasing volunteers.

PMID- 10266623
TI  - The voluntary organization and the business school: a partnership waiting to
      happen.

PMID- 10266624
TI  - Continuing professional education for volunteer administrators.

PMID- 10266626
TI  - Transition strategies for the volunteer world.

PMID- 10266625
TI  - Firm foundations.

PMID- 10266627
TI  - The practice of excellence in the voluntary world.

PMID- 10266628
TI  - Chicago hospital embarks on study of on-premise vs. outside operation.

PMID- 10266629
TI  - Cutting corners can be costly.

PMID- 10266630
TI  - Dayton hospital makes switch to higher temperature, liquid formula.

PMID- 10266631
TI  - New central laundry to be built in Toronto to serve homes for chronically ill.

PMID- 10266632
TI  - Solve problems using comparative analysis.
AB  - Comparative analysis is a methodology that may be applied to problem solving in
      medical group practice. Whenever problems are complex enough to warrant more than
      applying either a subjective or quantitative approach, comparative analysis can
      be utilized to provide a systematic in-depth examination. By applying this
      technique, a medical group manager can analytically examine and compare all
      plausible alternatives for the purpose of identifying the optimal course of
      action.

PMID- 10266633
TI  - An organizational structure of the future. The not-for-profit clinic.
AB  - It used to be unthinkable . How could a small, freestanding group practice attain
      tax-exempt status without engaging in teaching or research activities? In the
      late 1960s, four internists in northeastern Ohio did just that. This case study
      chronicles their ordeal in seeking, obtaining, and maintaining a not-for-profit
      designation from the IRS, and closely examines the laws which detail tax-exempt
      qualifications. Undoubtedly, there are freedoms relinquished when a group
      operates under the close scrutiny of the IRS, but the numerous benefits gained by
      the not-for-profit clinic could well make it the organizational structure of the
      future.

PMID- 10266634
TI  - Enter the world of the microcomputer.
AB  - Step aside prejudices and fear, it is time for all medical group managers to find
      a friend in the microcomputer. This useful tool can eliminate the drudgery of
      number crunching and help solve the many practical financial and operational
      problems daily confronting the manager. The purchase of a $4,000 microcomputer
      system may at first seem ridiculous when a $100,000 system is already in use, but
      the software available for a microcomputer can offer specific applications for
      day-to-day management activities for which a " supercomputer " may not be well
      suited. The electronic spreadsheet applications for medical group financial
      management available through a microcomputer are explored here in detail.

PMID- 10266635
TI  - Nurse practitioners--co-providers of health care.
AB  - What single program can a group practice institute to increase patient
      satisfaction, contain costs, improve provider accessibility, expand patient
      education and other services, increase market share, and most importantly,
      improve the overall quality of patient care? Expanding the role of nurses as co
      providers of care can do all this and more for your group. The experience over
      the past eight years of a large multispecialty group in central Illinois offers
      many lessons in the successful integration of a nurse practitioner/clinician
      program into a group practice. Discussed in this thorough report are the scope of
      practice, benefits to patients and the organization, and identification of issues
      needing further resolution: legality, third-party reimbursement, income,
      distribution, and control of practice.

PMID- 10266636
TI  - The medical group urgent care center.
AB  - The Riverside Medical Clinic in Riverside , California, recently created an
      urgent care center which achieved a breakeven point after only four months of
      operation and has exceeded all expectations ever since. The many areas of concern
      when implementing an urgent care center program are presented in the article,
      including choosing the provider group, philosophy of the center, organizational
      structure, operational plan, developing a marketing program, and possible
      pitfalls. Not only has the extended-hours medical service offered by the
      Riverside Medical Clinic Urgent Care Center been an answer to increasing
      competition, it has added a critical dimension in the clinic's development of a
      truly integrated medical delivery system.

PMID- 10266637
TI  - Physician "supply-side" economics.
AB  - The medical group manager who fails to come face to face with competition and its
      future impact may be ignoring his fundamental administrative responsibility for
      strengthening his group for long-term growth and stability. The author has
      focused his attention on the broad effects of excess physician supply on internal
      group economics and external competitive economics, and quantitates their impact.
      Each manager will have to move from the broad to the specific in "bringing home"
      the points presented in this discussion. And, they must be "brought home,"
      because they will soon be there whether you bring them or not!

PMID- 10266638
TI  - Move your group ahead by hiring an assistant.
AB  - Have you considered hiring an assistant as a solution to handling the increasing
      responsibilities of your job? While creating the assistant administrator position
      may contribute to an effective management team, many factors must be considered
      as you select the most qualified candidate. How will the relationship between
      administrator and assistant affect the team? Is it best to hire from within or
      outside the organization? What professional and personal qualities will cause
      physicians to accept the new assistant? How should the assistant be compensated?
      The author examines these issues and more as he gives advice to administrators
      considering this addition to their staff.

PMID- 10266639
TI  - Survey of alternative health systems for business.
AB  - There is a new climate of deregulation and increasing competition in the
      healthcare marketplace. Until recently, methods for moderating the cost of health
      care have focused on inpatient care to the virtual exclusion of other delivery
      systems. Thus, ambulatory care has been almost totally ignored. The prominence of
      business/health coalitions has begun to highlight outpatient providers.
      Furthermore, medical group practices are beginning to negotiate directly with
      businesses and industries to provide an agreed upon set of outpatient services.
      As a part of its ongoing activities and through a grant from the Western Network
      for Education in Health Administration in Berkeley, California, the Center for
      Research has initiated a project, New Perspectives for Affordable, Quality Health
      Care. The research underlying this upcoming Center publication was conducted by
      Dr. Tynan of the University of Colorado at Denver, School of Public
      Administration. Dr. Tynan 's survey findings provide an excellent description of
      the activities of MGMA member groups in alternative arrangements for delivering
      medical services.

PMID- 10266640
TI  - This competition isn't real friendly.

PMID- 10266641
TI  - Helping the family when the patient's beyond help.

PMID- 10266643
TI  - Consumers report need to know more about Rx drugs, illnesses.

PMID- 10266642
TI  - Medical Electronics buyers guide 1984, Part 2. Blood flowmeters; blood pressure
      instruments; cardiac output meters; ECG-EEG-EMG-ENG; pacemakers; scanners,
      imaging and accessories; computer hardware--modems; computer software--patient
      management.

PMID- 10266644
TI  - Drug delivery systems: aiming for bull's-eye precision.

PMID- 10266645
TI  - Inner-city hospitals find benefits in community role.

PMID- 10266646
TI  - Medicine and the media: searching for a common ground.

PMID- 10266647
TI  - Acupuncture: an old art coming of age in America?

PMID- 10266648
TI  - Patients can become victims in some clinical trials, authorities claim.

PMID- 10266649
TI  - Bed rails for the elderly: protective or hazardous?

PMID- 10266650
TI  - The microcomputer as a management tool.

PMID- 10266651
TI  - Uniform fee schedule to affect all labs.

PMID- 10266652
TI  - Microcomputers in the lab: the sudden boom. Part I.

PMID- 10266653
TI  - Microcomputers in the lab: putting the magic to work. Part II.

PMID- 10266654
TI  - Workload recording with an electronic spreadsheet.

PMID- 10266656
TI  - Sampling laboratory medicine in Spain.

PMID- 10266655
TI  - A microcomputer network for interlaboratory QC.

PMID- 10266657
TI  - A guide for evaluating word processing system.

PMID- 10266659
TI  - Supervisor selection: how to pick a winner.

PMID- 10266660
TI  - Using work station balancing to increase productivity.

PMID- 10266658
TI  - HCFA still bent on competitive bidding trial.

PMID- 10266661
TI  - Guidelines for laboratory administration--Part I.

PMID- 10266662
TI  - An evaluation of MT nonfinancial job rewards.

PMID- 10266663
TI  - Marketing a new product from your lab.

PMID- 10266664
TI  - An in-service training program for the nontechnical staff.

PMID- 10266665
TI  - Wrongful discharge and hospital liability.

PMID- 10266666
TI  - Learning from litigation.

PMID- 10266667
TI  - Noncustodial parent's right in child's health care.

PMID- 10266669
TI  - Survey of 1983 Public Acts.

PMID- 10266670
TI  - Survey of 1983 Michigan appelate court cases and attorney general opinions.

PMID- 10266668
TI  - Hospital-physician joint ventures: an opportunity and a challenge.

PMID- 10266671
TI  - MDPH and comparative CON reviews.

PMID- 10266672
TI  - Memorial sells stock to physicians and shelters earnings from taxes.

PMID- 10266673
TI  - Court affirms hospital boards' right to revoke medical staff privileges.

PMID- 10266674
TI  - 'Catalyst' molds regional medical center.

PMID- 10266676
TI  - Austin questions HCA's loyalty to town.

PMID- 10266677
TI  - Computer-aided scheduling can put scalpel to costs of operating room.

PMID- 10266675
TI  - Hospital systems race to form PPO networks to regain market share.

PMID- 10266678
TI  - It's time to reconsider old way of running ICU.

PMID- 10266679
TI  - Employers lean on employees in fight against rising healthcare costs.

PMID- 10266680
TI  - Employers cut healthcare spending, but few use most successful methods.

PMID- 10266681
TI  - Joint ventures. MRI paints picture for imaging center partnerships.

PMID- 10266682
TI  - Joint ventures. Market forces set off skyrocketing interest in hospital-doctor
      ventures.

PMID- 10266683
TI  - Joint ventures. Assign marketing to skilled partner.

PMID- 10266685
TI  - Ambulatory & alternative services. Home care tops consumers' list.

PMID- 10266684
TI  - Ambulatory & alternative services. Alternative services offer hospital systems
      local market control.

PMID- 10266687
TI  - Ambulatory & alternative services. Emergicenters fight state regs.

PMID- 10266686
TI  - Ambulatory & alternative services. How to dodge legal pitfalls of setting up
      primary care centers.

PMID- 10266688
TI  - Hospitals turn from acquiring to building new psychiatric units.

PMID- 10266689
TI  - HMO chains grow fast, but hospitals could edge into their market.

PMID- 10266690
TI  - Alternative services. Freestanding units less money, but that doesn't stunt
      growth.

PMID- 10266691
TI  - Alternative services. Surgicenters will mushroom if hospitals don't hobble
      growth.

PMID- 10266692
TI  - Franchised, retail dental operations record major gains.

PMID- 10266694
TI  - For-profits adding home healthcare to aid bottom lines.

PMID- 10266693
TI  - Dialysis centers will be gobbled up if they can't reduce costs.

PMID- 10266695
TI  - Consumers see chain ownership as minus for hospitals: survey.

PMID- 10266696
TI  - Short-term debt is popular but risky.

PMID- 10266697
TI  - Proctoring can be a legal quagmire.

PMID- 10266698
TI  - Major clinics may unite to boost market share.

PMID- 10266699
TI  - Alternative services. Freestanding centers' growth raises questions about
      corporate practice laws.

PMID- 10266700
TI  - Alternative services. More outpatient cardiac rehab units circulate in
      freestanding market.

PMID- 10266701
TI  - AIDS patients' bills add up to trouble.

PMID- 10266703
TI  - Chicago hospital hangs up on Bell.

PMID- 10266702
TI  - Easy, inexpensive tests will diagnose many diseases in minutes, not weeks.

PMID- 10266704
TI  - Sicker patients spur teaching links.

PMID- 10266705
TI  - Multi-unit providers. Survey plots 475 chains' growth.

PMID- 10266706
TI  - Labs will trim staff as high-volume testing provides economies of scale.

PMID- 10266707
TI  - Breakthroughs in artificial veins, bones produce real benefits for patients.

PMID- 10266708
TI  - Devices tied to microprocessors may open markets, boost productivity.

PMID- 10266709
TI  - Hospital circles itself with physicians' offices to stave off competitors'
      attack.

PMID- 10266710
TI  - Hospital purchasing 'changing dramatically': national survey.

PMID- 10266711
TI  - Stock deal finances VHA firms.

PMID- 10266713
TI  - Feasibility studies fell in '83 despite record bond volume.

PMID- 10266712
TI  - Short-term debtors flirting with danger.

PMID- 10266714
TI  - Understanding private givers' motivation is key to fundraising.

PMID- 10266715
TI  - CONs shield hospitals from antitrust challenges.

PMID- 10266716
TI  - Court forces state's cost containment program to bow to U.S. Constitution.

PMID- 10266717
TI  - Frankness and integrity are keys in CEO's relationship with board.

PMID- 10266718
TI  - Competition may stifle cooperation.

PMID- 10266719
TI  - Illinois hospital awaits IRS ruling on prototype physician incentive plan.

PMID- 10266720
TI  - Investor-owned hospital systems tap into growing HMO, PPO markets.

PMID- 10266721
TI  - Alternative services. Friends' recommendations pull more patients to
      emergicenters than ads do.

PMID- 10266723
TI  - Decline ahead in admitting privileges?

PMID- 10266722
TI  - PPOs' efficiency, not their discounts, is prime drawing card for Stouffer.

PMID- 10266724
TI  - White paper recommends state aid to California public hospital system.

PMID- 10266725
TI  - Write down no-code policy to avoid liability.

PMID- 10266726
TI  - New drug-monitoring exams hold a two-edged sword for hospitals.

PMID- 10266727
TI  - Recruiting physicians for a continuing medical education research study.
AB  - The authors describe the methods and results of a major effort to recruit
      physicians in the San Francisco Bay Area for a continuing medical education
      research study. Twenty six hundred primary care physicians were asked to
      participate in the project, which was designed to assess ambulatory management of
      Chronic Obstructive Pulmonary Disease (COPD). Two hundred and seventy-seven (11%)
      returned a postcard declining to participate, and 171 (7%) expressed an interest
      in participating. Of this latter group, 89 (3%) verbally agreed to enroll, while
      63 (2%) actually followed through. Those who participated were representative of
      the local physician population from which they were drawn in terms of age and
      sex, but participants included more family practitioners and fewer internists, as
      well as more board-certified physicians, than would be expected by chance.
      Shortcomings in the recruitment process are analyzed, and suggestions are offered
      for securing higher participation rates.

PMID- 10266728
TI  - A needs assessment in continuing professional education.
AB  - This paper describes a systematic approach to an assessment of the learning needs
      of practicing nurses, and a computer-based solution to marketing the resulting CE
      offerings. Demographic, educational and employment information was collected in a
      data base survey from more than five thousand professional nurses in a thirteen
      county region of upper New York State. Based upon three mini-surveys, a
      questionnaire assessing learning needs was then developed and sent to a large
      subpopulation of these nurses. An analysis of fifteen hundred responses to the
      questionnaire identified continuing nursing education priorities in the region.
      Responses to the data base survey and the learning needs questionnaire were
      merged into a computerized data base management system, which is used to select
      topics, design courses, and communicate with nurses in the region regarding
      continuing education. This approach to needs assessment, program planning and
      dissemination of continuing education information should be useful in solving
      analogous problems in other areas of continuing professional education.

PMID- 10266729
TI  - Regional coordinators of continuing pharmacy education. Seven years later.
AB  - In 1976 a regional network of coordinators of continuing education was
      established in British Columbia to increase the accessibility of programs to all
      pharmacists. The purpose of this paper is to report the contributions of the
      network to continuing education since its inauguration. As of 1983, 94
      pharmacists have been trained to assist with the design and management of
      continuing education programs and they have had a significant impact on regional
      programming. When yearly summary statistics from the four years prior to the
      network are compared to the seven subsequent years an approximate five-fold
      increase in the average number of programs is found. There is also a greater than
      two fold increase in the average number of contact hours and an approximate six
      fold increase in the average number of registrations. The network of coordinators
      has increased not only the quantity but also the relevancy of programs by
      focusing on regional needs. In addition, the network has had spill-over benefits
      to the University of British Columbia and the licensing body in some of their
      other province-wide activities such as teleconferencing competency assessment,
      and poison prevention programs.

PMID- 10266730
TI  - California's durable power of attorney for health care.

PMID- 10266731
TI  - Investor-owned growth shifts from numbers to niche. Part I.

PMID- 10266732
TI  - QA is more effective, comparatively speaking.

PMID- 10266733
TI  - Systemwide QA leans heavily on board talks.

PMID- 10266734
TI  - More work needed on MD/multi relationships.

PMID- 10266735
TI  - System ties boost small, rural accreditations.

PMID- 10266736
TI  - Corporate structure 'check up' spots potential problems.

PMID- 10266737
TI  - Executive profile. A 12-month overnight success. Interview by Kelly F. Guncheon.

PMID- 10266738
TI  - Final bar code standard approved and available.

PMID- 10266739
TI  - Firms see growth spurt for hospital equipment rental.

PMID- 10266740
TI  - FEC chain purchasing moves into big time.

PMID- 10266742
TI  - Survey portends changes for hospital sales reps.

PMID- 10266741
TI  - New NME unit will resell equipment.

PMID- 10266743
TI  - The give with the take.

PMID- 10266744
TI  - Ambulatory care in the fast lane.

PMID- 10266745
TI  - The launch of Healthcare Choice: an osteopathic-based IPA.

PMID- 10266746
TI  - Automated hospital information systems. Part I.

PMID- 10266747
TI  - Winning through cooperation.

PMID- 10266749
TI  - Preventing the harmful effects of medical care.

PMID- 10266748
TI  - Patient account representative system provides personal touch in collections.

PMID- 10266750
TI  - Weight management: a practical approach.

PMID- 10266751
TI  - Addressing the environmental barriers of patient adherence.

PMID- 10266752
TI  - Helping the COPD patient help himself.

PMID- 10266753
TI  - Improving life for the wheelchair user.

PMID- 10266755
TI  - Job descriptions made easy.

PMID- 10266754
TI  - Application forms: keep them easy and legal.

PMID- 10266756
TI  - Who's pulling the strings on employment at will?

PMID- 10266757
TI  - Help seeking and receiving in urban ethnic neighborhoods: strategies for
      empowerment.
AB  - This paper presents findings from a National Institute of Mental Health funded
      research and demonstration effort aimed at addressing impediments to seeking and
      receiving help in two white ethnic communities. A community mental health
      empowerment model was developed and implemented in the target communities over a
      four year period. This model succeeded in building upon the strengths of
      individuals and neighborhoods to help overcome help seeking and receiving
      obstacles. Mechanisms were developed through a variety of means to enhance the
      ability of lay and professional helpers to interact and work with each other.

PMID- 10266758
TI  - Empowerment and synergy: expanding the community's healing resources.
AB  - This paper suggests an alternative to the commonly-held "scarcity paradigm" of
      thinking about valued human resources, which assumes individuals must compete
      because resources are scarce. The alternative--the "synergy paradigm"--is
      empitomized in "synergistic community," where valued human resources are
      renewable and expanding, and distributed equitably to members, so that what is
      good for one is good for all and the whole is greater than the sum of its parts.
      Three field studies present cross-cultural evidence for the functioning of
      empowerment within a synergistic paradigm. Empowerment is considered as access to
      and control of valued resources; the specific valued resource focused upon is
      community healing. The studies suggest that community healing resources can
      become renewable and expanding, as can the process of empowerment which accesses
      them. Community members share these resources, combining conflicting resources
      into unexpectedly effective treatment packages. Given present inequities in
      resource distribution, transformative education is offered as one means to
      support a shift in thinking toward synergy.

PMID- 10266759
TI  - Citizen empowerment: a developmental perspective.
AB  - Since the late 1970s, the notion of empowerment has appeared with increasing
      frequency in discussion of preventive social and community intervention. While
      the idea of empowerment is intuitively appealing both for theory and practice,
      its applicability has been limited by continuing conceptual ambiguity. Based on a
      small N study of emerging citizen leaders in grassroots organizations, this
      article proposes a view of empowerment as a necessarily long-term process of
      adult learning and development. In this framework, empowerment is further
      described as the continuing construction of a multi-dimensional participatory
      competence. This conception encompasses both cognitive and behavioral change.
      Implications for practice are also addressed.

PMID- 10266761
TI  - How pharmacists can boost patient compliance re prescription drugs.

PMID- 10266760
TI  - How we use antimicrobial order sheets in our hospital.

PMID- 10266762
TI  - Need motivators and resource savers? Consider the interactive computer.

PMID- 10266763
TI  - Motivating patient care staff to teach: a plan for action.

PMID- 10266764
TI  - Weighing the value of wellness.

PMID- 10266765
TI  - Birth pains for a new machine.

PMID- 10266766
TI  - The nonproliferation mandate and the appropriate legal standard in health care
      bargaining unit determinations.

PMID- 10266767
TI  - Advantages of a construction contract vs bidding.

PMID- 10266768
TI  - Designing hospitals in the computer age.

PMID- 10266769
TI  - Guidelines for hospital renovation.

PMID- 10266770
TI  - The total healing environment.

PMID- 10266771
TI  - Fitness trails: good health and good will.

PMID- 10266772
TI  - Monitoring hospital productivity.

PMID- 10266773
TI  - Hospital linen cost control.

PMID- 10266774
TI  - Hospitals cope with microcomputers.

PMID- 10266775
TI  - The disruptive physician.

PMID- 10266776
TI  - Personnel management.

PMID- 10266777
TI  - THRM forum: My boss.

PMID- 10266778
TI  - Records management: purpose and direction.

PMID- 10266779
TI  - Records management control system: central files.

PMID- 10266780
TI  - Records management audit.

PMID- 10266781
TI  - Managing a filing system conversion.

PMID- 10266782
TI  - Forms management.

PMID- 10266783
TI  - Micrographics: an overview.

PMID- 10266784
TI  - The decision-making process for developing an in-house microimagery center.

PMID- 10266785
TI  - An overview of records managements.

PMID- 10266786
TI  - A decentralized approach to word processing in a hospital setting.

PMID- 10266787
TI  - Discoverability of peer review committee records.

PMID- 10266788
TI  - Volunteers.

PMID- 10266789
TI  - Texas trends in mental health care.

PMID- 10266790
TI  - Reinforcing the family bond.

PMID- 10266791
TI  - The Texas Mental Health Code.

PMID- 10266792
TI  - Inpatient psychiatric treatment of adolescents.
AB  - The increasing number of inpatient psychiatric programs for adolescents is an
      obvious reflection of the willingness of hospitals to meet the challenge of
      helping so any teenagers with emotional and behavioral problems. Not only are
      these hospitals meeting the needs of the community, but they are providing
      services and training opportunities for many health professionals who are
      interested in learning to work with this age group. The decision of a hospital to
      initiate an adolescent program not only depends on an identified community need,
      but also must have the necessary physical space and attract qualified
      professionals to develop and manage the program. It is also necessary for the
      hospital to have a cooperative agreement with the public school system to provide
      the essential academic component of the program. Working with troubled
      adolescents is challenging and difficult with its own unique problems and
      rewards. An adolescent program provides professional satisfaction and opportunity
      for the teenager to mature, and hope for the family.

PMID- 10266793
TI  - Antitrust implications for health planning.

PMID- 10266794
TI  - Medical staff bylaws.

PMID- 10266795
TI  - Corporate restructuring: what, when, where, why, and how?
AB  - Today, more and more hospitals have either gone through a corporate restructuring
      or they are considering one. This article presents a hypothetical discussion
      between a trustee and an attorney about the process--what it involves, the
      different forms that it may take, the advantages and disadvantages, and the role
      the board should play in the corporate restructuring process.

PMID- 10266796
TI  - Using a corporate structure 'check-up' to spot potential problems.
AB  - Hundreds of hospitals across the country have now completed a corporate
      restructuring. As a result, many hospital boards and administrators are now
      dealing with a multiple-entity corporate structure for the first time. Moreover,
      the legal, accounting, management, and other specialists who helped to plan and
      form the new structure probably will not be involved in its day-to-day operation
      and maintenance. This combination of factors creates a risk that the various
      entities will not be run as required in order to maintain their separate
      corporate status. This article explains why it is important to preserve the
      separate corporate status of these entities, it identifies common problems in
      this area, and it shows how an audit of the corporate restructuring can help
      prevent those problems.

PMID- 10266797
TI  - Supreme Court relaxes exclusive contract rules in antitrust decision.
AB  - If there is no evidence that a hospital is using market power to "force" its
      contracting physician upon patients and if the exclusive contract does not
      adversely affect price or quality, an exclusive arrangement should not violate
      the federal antitrust laws. These are the insights gained from the decision
      handed down by the Supreme Court in Hyde (Jefferson Parish Hospital District No.
      2 v. Hyde , No. 82-1031).

PMID- 10266798
TI  - Moving from crisis to rational management.
AB  - An increasingly harsh and complex health care environment is forcing hospital
      managers to make the transition from crisis to rational management. In the 1960s
      and early 1970s, American businessmen had to make this same transition. The
      author discusses some of the insights that hospital managers can gain from the
      previous experience of their corporate counterparts--namely, the need for
      effective delegation, administrative contracts, and receptivity to change.

PMID- 10266799
TI  - The board's varying role in financial accounting and internal control issues.

PMID- 10266800
TI  - As I see it: how much profit or excess earnings or reserve is acceptable.

PMID- 10266801
TI  - DONs share insights on personnel management.

PMID- 10266802
TI  - VA's goal: "model care" for 9 million older veterans.

PMID- 10266803
TI  - Why it's harder to fire workers these days.

PMID- 10266804
TI  - Army clamps down on MD credentials.

PMID- 10266805
TI  - Military legal claims at plateau.

PMID- 10266806
TI  - Don't re-use disposables, panel urges.

PMID- 10266807
TI  - Military construction projects controversial.

PMID- 10266808
TI  - Redirecting our human resources in a changing health care environment. The doctor
      as an individual.

PMID- 10266809
TI  - Perspectives. IRS assaults flexible benefits.

PMID- 10266810
TI  - Perspectives. Congress looks for transplant solution.

PMID- 10266811
TI  - Hospital accreditation: the Catalan experience.

PMID- 10266812
TI  - Health services in the People's Republic of China.

PMID- 10266813
TI  - The health administrator in India.

PMID- 10266814
TI  - A Swedish hospital standard for signposting symbols.

PMID- 10266815
TI  - Primary health care in industrialized countries.

PMID- 10266816
TI  - Health services in Portugal.

PMID- 10266817
TI  - The management of new pain in office-based ambulatory care: National Ambulatory
      Medical Care Survey, 1980 and 1981.

PMID- 10266818
TI  - Boats in the art and fantasy of children.

PMID- 10266819
TI  - Facility report: New York University Imaging Science Center.
AB  - Current activity at the New York University Imaging Science Center, New York, is
      focused on diagnostic ultrasonographic imaging of soft tissues and computerized
      neurosurgery. For the latter, a new computed tomographic scanner has been
      designed.

PMID- 10266821
TI  - Woman's Breast Center, Santa Monica, Calif.

PMID- 10266820
TI  - Economic considerations in MRI.
AB  - The newest product of the medical technologic revolution, magnetic resonance
      imaging ( MRI ), has come at a time when many medical facilities are under
      unusual financial strain. Ultimately, MRI must be justified economically as a
      means of shortening hospital stays, reducing the need for other services, or
      both. Further, MRI introduces special problems referable to purchase decisions.

PMID- 10266822
TI  - Medicenter interview: mobile imaging. Interview by Robert Bottinelli.

PMID- 10266823
TI  - The quality of medical care in outpatient imaging centers.

PMID- 10266825
TI  - Expanding up and out. Eastern Maine Medical Center, Bangor, Maine.

PMID- 10266824
TI  - Building types study 601: hospital planning. An unfinished business.

PMID- 10266826
TI  - Growing in place. The Johns Hopkins Hospital, Baltimore, Maryland.

PMID- 10266827
TI  - Building from strength. Valley Presbyterian Hospital, Van Nuys, California.

PMID- 10266828
TI  - Membership requirements under attack.

PMID- 10266829
TI  - Bring your grassroots network back to life.

PMID- 10266830
TI  - Reading between the lines.

PMID- 10266831
TI  - Quickening debate over life on ice. Do orphaned embryos have legal rights?

PMID- 10266832
TI  - Debarment, suspension, and ineligibility of contractors--HHS. Proposed rule.
AB  - The Office of the Secretary, Department of Health and Human Services, is
      proposing to amend the HHS Acquisition Regulation by adding a new subpart
      concerning debarment, suspension, and ineligibility of contractors. This new
      subpart will implement the provisions of Subpart 9.4, Debarment, Suspension and
      Ineligibility, of the Federal Acquisition Regulation.

PMID- 10266833
TI  - Health maintenance organizations--HRSA. Notice; qualified health maintenance
      organizations.
AB  - This notice sets forth the names, addresses, service areas, and dates of
      qualification of entities determined by the Secretary to be federally qualified
      health maintenance organizations (HMOs).

PMID- 10266834
TI  - Privacy Act of 1974; system of records--PHS. Notification of a proposal to add a
      routine use and to add a special disclosure statement to the existing system of
      records 09-37-0015.
AB  - In accordance with the requirements of the Privacy Act and the Debt Collection
      Act of 1982 (Pub. L 97-365), the Public Health Service (PHS) is publishing notice
      of a proposal to add a new routine use and the (b)(12) special disclosure
      statement to consumer reporting agencies to system of records 09-37-0015,
      National Center for Health Services Research Grant Records System. The new
      routine use is for the purpose of determining credit worthiness of individual
      grant applicants of the National Center for Health Services Research (NCHSR).

PMID- 10266835
TI  - Privacy Act of 1974; system of records--PHS. Notification of establishment of a
      new Privacy Act system of records.
AB  - 5n accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to establish a new Privacy Act system of
      records: 09-20-0162, "Records of Subjects in Agent Orange, Vietnam Experience,
      and Selected Cancers Studies, HHS/CDC/CEH." We are also proposing routine uses
      for this system. The Center for Environmental Health (CEH), Centers for Disease
      Control (CDC), will use this system of records to support studies of the health
      effects of human exposure to the herbicide Agent Orange and to other
      environmental factors associated with service in Vietnam, and to assess the risks
      for selected cancers among Vietnam veterans. PHS invites interested persons to
      submit comments on the proposed routine uses on or before July 30, 1984.

PMID- 10266836
TI  - Privacy Act of 1974; report of new routine use and minor revisions--SSA.
AB  - In accordance with the Privacy Act (5 U.S.C. 552a(e)(11)), we are issuing public
      notice of our intent to establish a new routine use of information in the system
      of records entitled Master Files of Social Security Number (SSN) Holders,
      HHS/SSA/OSR, 09-60-0058. The proposed routine use will permit disclosure of
      information to organizations/agencies which are required by law to provide SSA
      with SSN information. We also have made minor revisions to the Federal Register
      notice applicable to the system. We invite public comments on this publication.

PMID- 10266837
TI  - Health maintenance organizations--HRSA. Notice; qualified health maintenance
      organizations.
AB  - This notice sets forth the names, addresses, service areas, and dates of
      qualification of entities determined by the Secretary to be federally qualified
      health maintenance organizations (HMOs).

PMID- 10266838
TI  - On the fringe--1985 could be the year Congress zeroes in on employee benefits.

PMID- 10266839
TI  - Hospital chain designs health cost-control plan.

PMID- 10266840
TI  - Hospitals eye underwriting health plans.

PMID- 10266842
TI  - Dave Russell speaks out--Part two. Interview by Barry Nelson.

PMID- 10266841
TI  - Ethics committees on trial: are they serving a useful function?

PMID- 10266843
TI  - Bouchard vs Savoie: a surgeon sues a nurse.

PMID- 10266844
TI  - Brief to the Task Force on Allocation of Health Resources.

PMID- 10266845
TI  - Grief.

PMID- 10266846
TI  - Promotion of spiritual values in health centres.

PMID- 10266847
TI  - CAHSAH publishes salary/benefit survey. California Association for Health
      Services at Home.

PMID- 10266848
TI  - Home health care market trends.

PMID- 10266849
TI  - The VNA of Baltimore: a long history of caring.

PMID- 10266850
TI  - The pharmacist in home health care, Part II: The hazards of drugs: a case
      history.

PMID- 10266851
TI  - The coming crisis in health care cost management.

PMID- 10266852
TI  - Why some form of self-funding is now utilized in over 30 percent of private
      sector America's health care plans.

PMID- 10266854
TI  - Cash management programs: they just might be what you are looking for.

PMID- 10266853
TI  - The benefits solution--the NAHC sponsored TSA/IRA program.

PMID- 10266855
TI  - Trends in insurance coverage for home health care.

PMID- 10266856
TI  - Quality assurance: building trust. Part 1.

PMID- 10266857
TI  - Preparing funding proposals: a component checklist.

PMID- 10266858
TI  - Responding to a crisis: the role of the hospital board.

PMID- 10266859
TI  - Controlling health care costs: five industry spokesmen express their opinions.

PMID- 10266860
TI  - A new idea in malpractice coverage.

PMID- 10266861
TI  - Drug distribution: a philosophy.
AB  - Hospital pharmacy has made significant progress in the last two decades by any of
      a number of program evaluation methods. However equally apparent are our current
      deficiencies in the level of service provided in our drug distribution systems in
      Canadian hospitals. It is apparent that we will not be allowed to abrogate our
      responsibility any longer in that it is becoming recognized in medical, nursing
      and administrative circles that compounding and dispensing functions are clearly
      in the realm of a pharmacist's responsibility and these issues must be addressed
      if we can truly claim to be part of a world class health care system. Hospital
      pharmacists must take the initiative in accepting responsibility for chemotherapy
      preparations, I.V. additives and compounding as well as the adoption of a unit
      dose drug distribution system as a positive means to reduce medication errors.
      The report of the Hospital for Sick Children Review Committee makes it equally
      clear that society has expectations of an institutional pharmacy service that are
      considerably beyond that which we are accustomed to providing. The
      recommendations relating to pharmacy provide adequate support to facilitate the
      establishment of a contemporary drug distribution system in Canadian hospitals.
      Similarly the C.S.H.P. Standards of Pharmacy Practice and the Canadian Council on
      Hospital Accreditation Guidelines for Pharmacy Service offer additional
      "ammunition" for us individually and collectively to change the face of hospital
      pharmacy practice. The profession must take stock of its responsibilities before
      society insists that someone else take over where pharmacists have failed.

PMID- 10266862
TI  - Improvement of pharmacy services at Melfort Union Hospital.
AB  - Approval for capital equipment funding and appropriate staffing was granted in
      August, 1982 for conversion to a unit dose drug distribution system at Melfort
      Union Hospital. All necessary packaging equipment, kardexes, forms and supplies
      were ordered in September and had arrived by November 1982, the same time a
      second pharmacist was hired. Prepackaging began in December for the proposed unit
      dose starting date of January 6, 1983. Inservices were performed to nursing three
      times prior to the implementation of unit dose on our 30 bed medical floor on
      January 6, 1983. During implementation one pharmacist spent a great deal of time
      with the nurses to ensure proper use of the system. Numerous meetings were held
      to correct the minor flaws inherent in any new system. Normal resistance to
      change was experienced, taking about 3 weeks to subside. Clinical services such
      as patient counselling, a monthly drug information bulletin and a formulary have
      been developed. These changes were not difficult and have provided a superior
      pharmacy service at a reasonable cost.

PMID- 10266863
TI  - A self-medication program for rehabilitation patients.
AB  - The purpose of this project was to develop and establish a self-medication
      program on the rehabilitation ward at Mount Sinai Hospital. Upon discharge most
      of the patients on this ward are responsible for the self-administration of
      medications, some of which they will be taking chronically. The objective of this
      program is to teach patients about their medications while still under medical
      supervision. Patients are counselled throughout the program by nurses and a
      pharmacist. Family members are also counselled on request. The program is
      completed by a final discussion with the patient prior to discharge. As a result
      of the program a manual was produced for use by pharmacy and nursing personnel to
      help define their respective roles in the program. Results of a patient survey
      indicated that a definite benefit was perceived by all patients who were helped
      to develop their ability to self-medicate. Errors made while in the hospital were
      discovered and corrected prior to discharge. Pharmacy time required to set up the
      program was, initially, extensive. Once the program was established, however,
      nursing medication administration time was greatly decreased and freed for other
      activities on the floor.

PMID- 10266864
TI  - Integration of design elements creates productive environments.

PMID- 10266865
TI  - Developments under the Freedom of Information Act--1983.

PMID- 10266866
TI  - How flexible benefits affect rising health costs.

PMID- 10266867
TI  - Length of stays high, expenditures are rising for mental health services, says
      Fact Book.

PMID- 10266869
TI  - IRS opinion that nonprofits can have profit-sharing plans stimulates public
      sector interest.

PMID- 10266868
TI  - Slicing away complexities of health care costs.

PMID- 10266870
TI  - A.S. Hansen survey. Health education now being used for cost control.

PMID- 10266871
TI  - Mercer-Meidinger on setting hospital discounts.

PMID- 10266872
TI  - Segal discusses preferred provider organizations.

PMID- 10266873
TI  - Their own brand of industrial justice: arbitrators' excesses in discharge cases.

PMID- 10266875
TI  - Innovative concept would grant laymen tax credits for attending health meetings.

PMID- 10266874
TI  - One way to teach malpractice: 'Sue a resident on his first day'.

PMID- 10266876
TI  - Ethical concerns in the practice of emergency medicine.

PMID- 10266877
TI  - Utility and equity: attributable risk or relative risk as tools for planning
      health care with limited resources.

PMID- 10266878
TI  - Will our health system fall apart? The need for a new paradigm.
AB  - It is a truism that medicine is in a crisis but the truism is right. This paper
      sets out the symptoms of the crisis. The effectiveness of modern medicine has
      been questioned by many. Doctors use too many tests and do not always understand
      the results. This is the practice of 'decerebrate medicine'. The alleged triumphs
      of modern medicine have made only a modest impact on mortality rates and death
      from iatrogenic causes is real. Modern medicine is allied to the industrial
      society with its hierarchies and division of work. This leads to tensions between
      doctors and between doctors and their patients. Administrators fear the
      progressive rise in health costs and ask whether more really means better.
      Economists demand evaluation of medical procedures and there is a growing demand
      for real preventive medicine. Health is a problem for the whole of society. This
      paper then sets out the epistemological aspects of the crisis in medicine. It
      suggests that a new paradigm must be constructed in the light of the scientific
      revolution. The concept of medicine based on analytical science with its
      reductionism and disjunctivism is not enough to cover the complexity of man. The
      new paradigm needs to embrace all the sciences, both of nature and of man. A view
      is given of how this process of comprehending an exceedingly complex problem
      should be tackled and the role to be played by information sciences.

PMID- 10266879
TI  - Selecting a health indicator for comparative health surveys among different
      social categories using employment as example.
AB  - In the last decade a number of subjective health indicators have been developed
      and validated. In view of the investment involved in developing a new one, a
      researcher designing a health survey will preferably choose one of the existing
      indicators. To facilitate such a choice, a set of criteria is developed. Six
      existing indicators are valued according to the stipulated criteria. Unemployment
      is taken as the example because there is a demand for comparative health surveys
      between unemployed and employed in order to validate findings in the unemployment
      literature. The comparison of the health of unemployed and employed is used as an
      example on the basis of which more general statements can be made about the
      comparison of the health of people in other polar social roles like divorced
      versus married, immigrants versus residents, that involve a transition from one
      social role to another.

PMID- 10266880
TI  - The role of clinical epidemiology in medical practice.
AB  - Epidemiological research has been carried out traditionally in the field on non
      clinical populations and has sought to reveal the aetiology of disease. But in
      the 1960's a possible role for epidemiology in the study of clinical practice
      emerged. A series of articles on scientific methodology and clinical medicine
      argued that much of the reasoning underpinning clinical practice might be
      expressed in numerical terms. This numerical expression would require the
      counting of diseases and events in groups of patients and would thus employ
      similar methods to traditional epidemiology where diseases are counted in
      populations. Although the term 'clinical epidemiology' was introduced as early as
      1938, Sackett was instrumental in promoting the concept in 1969 as the
      'application by a physician... of epidemiologic and biometric methods to the
      study of the diagnostic and therapeutic process in order to effect an improvement
      in health'. The management of individual patients involves the clinician in a
      multitude of decisions, concerned with making a diagnosis, ordering tests,
      prescribing treatment and estimating prognosis. Decisions are often made in a
      state of uncertainty because no reasonably objective information is available to
      indicate the best decision in the given circumstances, or because the most
      appropriate sequence of decisions for an individual patient is not apparent.
      Although the state of the art does not allow us to do this completely, the role
      of clinical epidemiology is, by way of clinical research, to provide clinicians
      with the information to make decisions that are most appropriate for the welfare
      of their patients, and in combination with information derived from decision
      theory to make these decisions rapidly and logically.(ABSTRACT TRUNCATED AT 250
      WORDS)

PMID- 10266882
TI  - A fertile ground for marketing.

PMID- 10266881
TI  - Technology assessment in the U.S.A.

PMID- 10266883
TI  - Finding the right system.

PMID- 10266884
TI  - When you meet the press.

PMID- 10266886
TI  - When the press calls...what do you do?

PMID- 10266885
TI  - When the press meets you....

PMID- 10266887
TI  - Expectations, evaluations & standards.

PMID- 10266888
TI  - How to feed patients during emergencies & low census periods.

PMID- 10266889
TI  - Hospitals test the wellness market.

PMID- 10266890
TI  - Stevens Point packages wellness.

PMID- 10266892
TI  - Physician support keyed to hospital marketing success.

PMID- 10266891
TI  - If it reads like a business letter--tear the page up!

PMID- 10266893
TI  - Statistical considerations in the design, analysis, and interpretation of
      comparative clinical studies.
AB  - Comparative clinical studies are extensively used as a basis of support for the
      potential approval of treatments by the Food and Drug Administration and also for
      other general health policy decisions. The purpose of this paper is to review
      statistical principles that are relevant to the design, analysis, and
      interpretation of comparative clinical studies. Three general criteria are
      emphasized: clarity, comparability, and generalizability. These criteria are
      discussed in terms of their implications to such considerations as scope of
      patient population, sample size, randomization, and covariance analysis. Also, an
      extensive reference list further addressing these topics is presented.

PMID- 10266894
TI  - Comparative clinical trials--a clinical perspective.

PMID- 10266895
TI  - Inspection of computer-supported toxicological data submitted to the FDA.
AB  - The FDA's Good Laboratory Practice Regulations (GLP) have been formally amended
      (once) and two formed advisory opinions have been issued. The FDA is now in the
      process of reviewing the GLPs to comply with both the Regulatory Flexibility Act
      of 1980 and Executive Order 12291 of 1981. Inspections since 1979 have revealed
      compliance progress; however, certain areas of the GLPs have been a problem--the
      definition of "raw data," the documentation process for the maintenance of "raw
      data," standard operating procedures, and study protocols. The increasing use of
      computers for supporting toxicology/pathology studies raises several questions
      concerning the impact of the GLPs on computerized data collection/reporting. This
      paper will address the above questions and discuss systems, procedures,
      interpretations, and some unresolved problems, as well as provide practical
      approaches for internal review of computer-supported nonclinical laboratory
      studies.

PMID- 10266896
TI  - Hospital utilization: an epidemiologic perspective on possible future trends.
AB  - Like the noted Mr. Holmes, epidemiologists work with details. This article
      focuses upon the use of detailed epidemiologic data to explore potential changes
      in hospital service utilization during the next decade. Although epidemiologists
      share with Mr. Holmes a commitment to inductive reasoning based on specific data,
      only a fictional detective would claim infallibility. In practice, data
      describing human populations are limited, inferences fragile, and changes always
      possible. These cautions need to be kept in mind when estimating future trends.

PMID- 10266897
TI  - Query/response. Productivity.

PMID- 10266898
TI  - Overnight accommodations for visitors and outpatients: a nationwide study.
AB  - With the trend toward greater emphasis on ambulatory care and preadmission
      testing and the need to minimize travel and lodging costs for visitors and
      outpatients, a closer look at the hospital's role in arranging overnight
      accommodations becomes necessary. Unfortunately, little literature is available
      concerning the different types of overnight accommodations arranged by hospitals.
      The hospital interested in information on how it might upgrade its services to
      visitors and outpatients must rely primarily on brief descriptions of individual
      situations such as hospital-owned hotels or hostels and Ronald McDonald Houses.
      Although the literature indicates that some hospitals do offer some types of
      overnight accommodation services, the array of arrangements available and the
      level of hospital involvement is not always clear. Given this lack of
      information, the staff of the Patient and Visitor Participation Project of the
      University of Michigan Hospitals decided to conduct a nationwide study.

PMID- 10266900
TI  - "A national tragedy." The task force that could not find hunger but found a block
      grant instead.

PMID- 10266899
TI  - Hunger--Chicago. The Cook County Nutritional Surveillance Project.

PMID- 10266901
TI  - No more blue sky forecasts.

PMID- 10266902
TI  - Shuttle diplomacy can win support.

PMID- 10266903
TI  - The opinion poll approach.

PMID- 10266904
TI  - Pharmacist meets the patient.

PMID- 10266905
TI  - Darenth Park: countdown to closure.

PMID- 10266906
TI  - A pharmacist among the social workers.

PMID- 10266907
TI  - A look back before leaping forward.

PMID- 10266908
TI  - Planning the Mereworth way.

PMID- 10266909
TI  - DHSS library: Elephant's memory bank.

PMID- 10266910
TI  - When incompetence at work equals misconduct.

PMID- 10266911
TI  - Women in the NHS.

PMID- 10266912
TI  - Advances in surgery. A cut above the rest.

PMID- 10266913
TI  - Social service training in turmoil.

PMID- 10266914
TI  - Salary growth near inflation rate in 1984.

PMID- 10266915
TI  - Overseeing the care of an ill relative from a distance proves difficult, help is
      here.

PMID- 10266916
TI  - Michigan. University organizes 1st HHA Administrator Program.

PMID- 10266917
TI  - Wales today.

PMID- 10266919
TI  - Health authority performance indicators.

PMID- 10266918
TI  - Another health care system: a visit to Newfoundland.

PMID- 10266920
TI  - Management, budgeting and the use of resources--a private sector view.
AB  - This very brief talk can only scratch at the surface of the way in which we
      approach these matters within AMI. I would remind you that we are very small in
      comparison with the national health service, and what is effective for us, may
      not be effective for you. Our philosophy is to give the manager responsibility,
      along with authority to act, to control the direction of the organisation
      centrally, but to delegate downwards the detailed day to day decision making, to
      measure managerial performance by results, and to emphasise above all the quality
      of the service we provide to our patients. Our various management structures are
      pyramid-shaped and identify a responsible leader at each level of the
      organisation. Our budgeting process enables us to set our financial plans, and
      our financial control process enables us to measure progress against those plans.
      Finally, I referred to the vitally important part which our people play
      translating that management philosophy and those goals and objectives into
      reality and our efforts to equip those people through training programmes to meet
      the heavy demands which we place upon them. In summary, we select the right
      person, train him, provide him with the necessary resources, motivate him and
      leave him alone to do the job. Whether any of this is of relevance to you in the
      national health service is for you to judge. My suspicion is that if there is
      relevance, it is to do with attitudes and expectations and demands and
      performance, rather than simply in structures and systems and organisational
      charts.

PMID- 10266921
TI  - Problems of patients waiting for orthopaedic out-patient appointments.

PMID- 10266922
TI  - Management budgets after Griffiths: impact on the management process.

PMID- 10266923
TI  - Planning in the French health care system--the example of the Assistance Publique
      de Paris.

PMID- 10266924
TI  - Working abroad--time for a new perspective?

PMID- 10266925
TI  - Consent to medical treatment: the choice is yours.

PMID- 10266926
TI  - Management conference accents success through change.

PMID- 10266928
TI  - Labor cost-cutting options catalogue.

PMID- 10266927
TI  - Hospital manager role demanding more complex skills.

PMID- 10266929
TI  - Hospitals face turbulent times.

PMID- 10266930
TI  - Building and engineering assets--a total information system to support cost
      effective management.

PMID- 10266931
TI  - Queen Victoria Medical Centre--how the South Eastern Medical Complex got off the
      ground.

PMID- 10266933
TI  - Essendon and District Memorial Hospital.

PMID- 10266932
TI  - Microprocessor nurse call handsets--an application of advanced electronics for
      easier patient operation and greatly reduced maintenance costs.

PMID- 10266934
TI  - Is the future of health marketing going to be directed by videotex systems?

PMID- 10266935
TI  - Family selection of long-term care services: it's not just the facility that's
      important.

PMID- 10266936
TI  - Marketing services for seniors.

PMID- 10266937
TI  - The medical marketing audit: technique for today's competitive extended care
      environment.

PMID- 10266938
TI  - Challenges in marketing mental health senior services.

PMID- 10266939
TI  - Skilled nursing facility marketing: a better piece of pie.

PMID- 10266941
TI  - Summary statistics describe 131 operational coalitions.

PMID- 10266940
TI  - Control of the marketing effort in health care organizations.

PMID- 10266942
TI  - SC Court of Appeals establishes rule on malpractice informed consent.

PMID- 10266943
TI  - West Virginia hospital board composition law challenged; TRO denied.

PMID- 10266944
TI  - Illinois attorney general defines due process requirements for medical staff
      applicants.

PMID- 10266946
TI  - Mix & match: the problems of display merchandising.

PMID- 10266945
TI  - More teaching of compassion needed.

PMID- 10266947
TI  - Promotions for profit.

PMID- 10266948
TI  - Small-shop friendliness in big sky country.

PMID- 10266949
TI  - "Big" isn't everything, Part I.

PMID- 10266950
TI  - Planning for change.

PMID- 10266951
TI  - My cup runneth over.

PMID- 10266952
TI  - A look at job descriptions. Who does what.

PMID- 10266953
TI  - It's show time!

PMID- 10266955
TI  - Ring up sales with good telephone technique.

PMID- 10266954
TI  - Holiday buying.

PMID- 10266956
TI  - Gifts for the older person.

PMID- 10266957
TI  - Christmas is coming (it's that time again!).

PMID- 10266958
TI  - The effects of emotional support on perceived job stress and strain.

PMID- 10266959
TI  - The importance of employee expectations in organizational diagnosis.

PMID- 10266960
TI  - Enforcing ethics in social work.
AB  - The attention paid by the social work profession to ethical issues has waxed and
      waned since the formal inauguration of the profession in the late 19th century.
      For the first half century of the profession's life, relatively little attention
      was devoted to problems of professional ethics, though social work's literature
      was filled with discussions of value-laden issues that arise in practice. In
      recent years, interest in professional ethics has increased substantially. This
      article discusses the growth of interest in professional ethics, the formulation
      of the social work code of ethics, the adjudication of grievances in social work,
      and the strengths and limitations of the profession's code.

PMID- 10266961
TI  - Codes of professional responsibility for lawyers: ethics or law?
AB  - The American Bar Association has three times in this century produced a code of
      ethics for lawyers. The movement has clearly been from a general, hortatory
      format to one of a statement of principles of law. In the ABA's latest effort,
      the problems of client confidentiality loom as the most serious and most
      difficult to solve. The question of ethics versus law weighs heavily in this
      context, and the ABA's latest resolutions of the confidentiality problems are
      found to be unsatisfactory.

PMID- 10266962
TI  - The ethics of profession in dental medicine.
AB  - Changes in technology, public policy, and the multi-dimensional relationships of
      professionals have resulted in renewed interest in the ethics of health care
      practitioners. This article considers the obligation of dentists to a life of
      morality in common with all humanity. Additional responsibilities are incurred by
      a practitioner of dental medicine in keeping the moral rule to "do your duty."
      These duties are explicated utilizing three classical characteristics of a
      professional. The Principles of Ethics and Code of Professional Conduct of the
      American Dental Association are the dental profession's guide to ethical conduct.
      The Principles and Code are traced in their development, reviewed in their
      content, and critiqued in comparison to the ethical obligations of the dentist as
      previously delineated. The use of the Principles and Code as a basis for
      professional self-government is evaluated.

PMID- 10266963
TI  - Are codes of professional ethics ethical?
AB  - This essay reviews and situates codes of professional ethics within the general
      field of ethics and considers the specific characteristics of such codes. In the
      process, the author argues against the view that one's professional role and code
      take precedence over other roles or codes. One's personal value system, once
      clarified and criticized, provides the appropriate basis from which to
      continuously assess our codes of professional ethics.

PMID- 10266964
TI  - Codes of medical ethics.
AB  - With one of the oldest codes of ethics in history, the medical profession
      continues to arouse controversy. This author examines the fifth major revision of
      the American Medical Association's code of ethics, published in 1957. Within this
      revision are the basic premises in establishing a medical code of ethics.
      Subsequent ethical dilemmas, involving technology, for example, can still be
      applied to the 1957 fundamental code.

PMID- 10266965
TI  - Ethics in hospital and health administration.
AB  - Until recently, hospital and health administrators had no formal code of ethics,
      despite growing ethical dilemmas within the field. This essay defines those
      ethical issues as set forth in the 1941 Joint ACHA-American Hospital Association
      Committee's code of ethics. The present ACHA Ethics Committee is also described.

PMID- 10266966
TI  - The American Nurses' Association's Code for Nurses: purposes, content, and
      enforceability.
AB  - Using Levy's criteria of appraisal for a code of professional ethics, this
      article assesses the 1976 American Nurses' Association's Code for Nurses with
      Interpretive Statements in terms of purposes, specificity, inclusiveness, and
      enforceability. The assessment shows that the Code for Nurses meets generally
      accepted purposes for a code, contains enough specificity and inclusiveness to
      serve as a useful guide to professional conduct, and describes initial and follow
      up action nurses can take when they witness questionable or inappropriate conduct
      that may adversely affect the patients' health care or safety. However, limited
      data are available regarding how the professional body has applied sanctions for
      violations of the Code. Further study on this matter is indicated and,
      fortunately, is forthcoming by ANA in an ongoing, planned survey.

PMID- 10266967
TI  - Interdisciplinary grand rounds. The fluoridation controversy: understanding the
      opposition and effectively meeting the challenge.

PMID- 10266968
TI  - Medical confidentiality: can it still be protected?

PMID- 10266969
TI  - Articulating health promotion into a health services curriculum.

PMID- 10266970
TI  - Malpractice arbitration agreements in Ohio and Michigan.

PMID- 10266971
TI  - Manufacturers' duty to warn employees of occupational health hazards.

PMID- 10266972
TI  - Nutritional deprivation to terminate a patient's life. In re Conroy, 190 N.J.
      Super. 453 (1983).

PMID- 10266973
TI  - Professional liability insurance coverage. Dayno v. Argonaut Insurance Companies-
      Pa. Super.--464 A.2d 501 (1983).

PMID- 10266974
TI  - Hospital cutbacks' effects on employee wages. Massachusetts Nurses Association v.
      Dukakis, 570 F. Supp. 628 (1st Cir., 1983).

PMID- 10266975
TI  - Micromatrix. Computer lib.

PMID- 10266976
TI  - The Aalto alternative.

PMID- 10266977
TI  - The positive side of productivity for ambulatory care management.

PMID- 10266978
TI  - Lessons learned from the Urban Health Network Program.

PMID- 10266979
TI  - Community-based ambulatory health services: the logic of the 1960s.

PMID- 10266980
TI  - Reducing the rate of missed appointments among patients new to a primary care
      clinic.

PMID- 10266981
TI  - Practice management: an exploratory comparison of dentists and physicians.

PMID- 10266982
TI  - Social differentials in the use of preventive and ambulatory care services.

PMID- 10266983
TI  - Analyzing HMO membership patterns: a microcomputer application.

PMID- 10266987
TI  - Economics of image and document handling: the changing role of micrographics.
AB  - The various tasks associated with image and document handling are analyzed with
      respect to properties of competing technologies and media, such as micrographics,
      video technologies and interactive computer systems with magnetic or optical data
      disks. It is shown how changing economic parameters modify the spectrum of
      advantageous applications of micrographics. The benefits of integrating
      micrographics components into various types of computer-aided systems are
      emphasized.

PMID- 10266986
TI  - Suicide and public policy: a critique of the "new consensus".
AB  - Several writers have recently developed proposals calling for a public policy
      that would allow a number of individuals to commit suicide if they so choose.
      Suicide, it is argued, is a fundamental matter of personal liberty and as such
      only very minimal restrictions should be placed on it. In this essay I offer a
      critique of these views and the public policies they entail. The result is a
      defense of the general outlines of current professional and legal policies which
      permit intervention, even coercive intervention, with suicidal persons in almost
      every case.

PMID- 10266988
TI  - Immanence and transcendence in pastoral care: some basic considerations.
AB  - Sees pastoral care as the total response of pastor and congregation to people in
      crisis. Both immanent and transcendent aspects of such responsiveness are
      important. Immanence is being with troubled persons in understanding and
      dependable ways; transcendence is being sufficiently detached from the situation
      to make realistic assessments, identify growth goals, and find ways to facilitate
      spiritual growth. Both modes need to be combined in pastoral care as a form of
      crisis ministry. Discusses assumptions and methods for such a combination and
      illustrates with an actual case.

PMID- 10266989
TI  - Spiritual and religious need of mentally retarded persons.
AB  - Describes the special spiritual and religious needs of the mentally retarded, at
      the same time proclaiming the necessity of thinking of them firstly as persons.
      Gives specific illustrations of how the spiritual and religious needs of the
      mentally retarded may be met by peers, chaplains, and family members. Offers a
      personal testimony on how the mentally retarded can contribute to the growth and
      insight of the caregiver.

PMID- 10266990
TI  - Using a computer in sterile services management.

PMID- 10266991
TI  - Fair grades for sterile services staff.

PMID- 10266992
TI  - The National Spinal Injuries Centre, Stoke Mandeville Hospital.

PMID- 10266993
TI  - Cost of capital and investment strategy: guidelines for successful acquisitions.

PMID- 10266995
TI  - Laundry modernization program pays off--Bethesda Hospital cuts costs
      dramatically.

PMID- 10266994
TI  - Adequate linen supply, superior quality forgotten keys to quality patient care.

PMID- 10266996
TI  - South Carolina central laundry pays its own way while it expands.

PMID- 10266997
TI  - Renovations complete at 31 VA hospitals--cost of 89 laundries to reach $180
      million.

PMID- 10266999
TI  - Here's a hands-on battle for referrals.

PMID- 10266998
TI  - Where contract medicine has already led to chaos.

PMID- 10267000
TI  - I'm betting my bundle on NMR.

PMID- 10267001
TI  - New potshots at patient confidentiality.

PMID- 10267002
TI  - Think big or sink. That's the best strategy in this competitive era.

PMID- 10267003
TI  - How to survive a courtroom ambush.

PMID- 10267004
TI  - How could so many people miss a phony doctor?

PMID- 10267005
TI  - The malpractice plaintiff wanted blood money.

PMID- 10267006
TI  - The earnings gap is hurting all of us.

PMID- 10267007
TI  - Your most dangerous malpractice gamble.

PMID- 10267009
TI  - The workstation: a new way to mine the wealth of research information. The
      IMSPACT system.

PMID- 10267008
TI  - The industry is tuning out on direct-to-consumer advertising.

PMID- 10267010
TI  - Developing cost awareness at the bench.

PMID- 10267011
TI  - Evaluating supervisory candidates by their meeting performance.

PMID- 10267012
TI  - Faster, easier cost accounting by personal computer.

PMID- 10267013
TI  - A case review system for chemistry QA.

PMID- 10267014
TI  - Alternative services. Investors cool on hospital companies while interest in
      alternatives heats up.

PMID- 10267015
TI  - FDA's approval of MRI units warms up insurers and competition in industry.

PMID- 10267016
TI  - Financial pressures force hospitals to take a second look at incentives.

PMID- 10267017
TI  - Layout, scale of children's hospitals should consider kids' special needs.

PMID- 10267018
TI  - Medical megatrends reshaping delivery and evaluation of care.

PMID- 10267019
TI  - Product manager must decide what products to market and how.

PMID- 10267021
TI  - Hospital 'mechanism' urged for review of bioethical issues.

PMID- 10267020
TI  - Being patients' 'personal' hospital is survival strategy in hard times.

PMID- 10267022
TI  - Experts urge hospitals to wait on purchase of expensive MRI.

PMID- 10267023
TI  - New payment system sparks interest in computer systems.

PMID- 10267024
TI  - Marketing efforts yield profits for hospital wellness programs.

PMID- 10267025
TI  - Hospitals find efficient designs can boost workers' productivity.

PMID- 10267026
TI  - New RAHBs offer Good Samaritan short-term liquidity, long-term security.

PMID- 10267027
TI  - Bid to build hospital is greeted by stiff competition in Silicon Valley.

PMID- 10267028
TI  - Jury will decide if call to sick patient is 'outrageous' debt-collecting tactic.

PMID- 10267029
TI  - Job security called key to dispute as 6,000 Twin Cities nurses strike.

PMID- 10267030
TI  - Associated, United tying merger knot.

PMID- 10267031
TI  - For-profit chain's plans to acquire Catholic hospital riles association.

PMID- 10267033
TI  - Employers battle rising healthcare costs, but their efforts lack direction.

PMID- 10267032
TI  - Hospitals are selling their ability to cut big employers' health costs.

PMID- 10267034
TI  - Employers urged to overhaul benefits, to promote use of alternate services.

PMID- 10267035
TI  - HCA tests health plan on its own workers before marketing it nationally.

PMID- 10267036
TI  - Most consumers would accept lower quality hospital care to save money.

PMID- 10267038
TI  - Clinic zeros-in on fitness.

PMID- 10267037
TI  - Participative management is an ethical imperative.
AB  - Sashkin presents a model of participative management and contends that when value
      biases are absent and the need for skillful application and management are taken
      into account, participative management is effective. When properly implemented,
      participative management fulfills three basic human work needs--the need for
      autonomy or control over one's behavior, the need for completion or achievement
      of a whole task, and the need for interpersonal contact in the context of work.
      Failure to fulfill these needs can have serious consequences: Employees may be
      harmed both psychologically and physically. Thus organizations may be killing
      their employees--but not with kindness. Sashkin argues that it is unethical to
      manage in any way but participatively if one adheres to the fundamental values of
      Western civilization. Thus participative management is an ethical imperative.
      With this in mind, he provides some action guidelines for managers,
      organizations, and management educators.

PMID- 10267039
TI  - The Blues continue early discharge program.

PMID- 10267040
TI  - Medical education concerns new AOA president. Interview by Gail Finlayson.

PMID- 10267041
TI  - The acquisition experience. Another perspective.

PMID- 10267042
TI  - Cut expenses by attacking chronic absenteeism.

PMID- 10267043
TI  - Getting tough on professional patients.

PMID- 10267045
TI  - What do technologists expect of pathologists?
AB  - The results of an informal survey that explored technologists' expectations of
      pathologists are examined in this article. The poll served as the basis of the
      author's presentation at a CAP seminar titled "Effective Laboratory
      Communications," held at a past CAP/ASCP Spring Meeting.

PMID- 10267044
TI  - Laboratory management: lessons from the Japanese.
AB  - The laboratory director needs numerous technical and management skills to perform
      effectively. However, the study of management is often neglected in residency
      training programs. R.T. Pascale and A.G. Athos, in the Art of Japanese
      Management, offer seven parameters that can be used to evaluate the management of
      an organization. Here, the author discusses these corporate concepts as they
      relate to the laboratory.

PMID- 10267046
TI  - HCFA lab task force urges 60 percent fee schedule, direct billing.

PMID- 10267047
TI  - Teaching residents to teach patients.

PMID- 10267048
TI  - Using home monitors for infant apnea.

PMID- 10267049
TI  - Information technology: 1. Planning and developing a human resources information
      system.
AB  - for the unwary, planning and implementing an HRIS can present a variety of
      pitfalls. Author Albert L. Lederer, who spent ten years installing such systems
      before joining the faculty of the University of Pittsburgh (as assistant
      professor of business administration), is fully cognizant of the pitfalls
      involved and the problems that personnel departments encounter in the process.
      After discussing what an HRIS can accomplish, he gives a thoroughgoing, detailed
      approach to developing such a system--from cost justification, to the personnel
      department's relationship with the data-processing department at each step, to
      deciding between buying a packaged system and developing a new system internally.
      Most important, he emphasizes, is to define requirements precisely and completely
      at the outset--those who don't are in for a lot of costly headaches. Much more is
      covered in this comprehensive approach--not the least of which is (for packaged
      systems) vendor analysis and contract negotiation (the contract stipulates the
      vendor's responsibilities in terms of software, installation service,
      maintenance, training, and documentation). One popular strategy for negotiating a
      contract is to choose the best two vendors and compare their offers throughout
      the negotiation; this results in a contract with excellent leverage for the
      buyer.

PMID- 10267050
TI  - Information technology: 2. Using personal computers to increase the productivity
      of compensation specialists.
AB  - Primarily intended for the computer novice, this article includes information
      that may be helpful to compensation specialists who already have access to a
      personal computer. No novice himself, author Henry L. Russ, Jr. is manager,
      compensation policies & practices, for R. J. Reynolds industries, Inc. Pointing
      to the greater versatility and lower cost of personal computers (in comparison
      with terminals), he describes how their prowess at recordkeeping/word processing,
      and performing "what if" calculations in compensation analysis frees those
      working with compensation to address objectives that previously went unmet
      because no one had time for them. Compensation programs that provide this "what
      if" capability are sometimes referred to as a spreadsheet: a combination
      electronic scratch pad and calculator. Russ shows precisely how such spreadsheets
      are used to manipulate compensation data, cites available spreadsheet software
      and functions, and points to survey results showing the many ways in which
      personal computers are being used by the compensation departments of major
      consumer product companies.

PMID- 10267051
TI  - Strategies for successful interpersonal negotiating.
AB  - Human resources managers frequently find themselves in positions in which they
      must negotiate--with applicants, employees, subordinates, superiors, or peers. It
      is important, therefore, that they know the techniques that will enable them to
      wind up in an win/win situation. Authors Colette A. Frayne, doctoral candidate at
      the University of Washington, and Phillip L. Hunsaker, professor of management
      and director of management programs at the University of San Diego, spell out
      techniques to be used before, during, and after negotiations to reach the best
      possible solution for both sides.

PMID- 10267052
TI  - The 10 most common interviewing mistakes.

PMID- 10267053
TI  - In praise of performance.

PMID- 10267054
TI  - Absenteeism control.

PMID- 10267055
TI  - Shift workers.

PMID- 10267056
TI  - Are PPOs the answer to rising health care costs?

PMID- 10267057
TI  - Avoid the traps of relying on interviews.

PMID- 10267058
TI  - The when, why & how of discipline.

PMID- 10267059
TI  - Help employees motivate themselves.

PMID- 10267060
TI  - Ways to encourage cooperative problem solving. Making conflict productive.

PMID- 10267061
TI  - Quality circles, fine--what next?

PMID- 10267062
TI  - Outplacement services at Interfaith Medical Center.

PMID- 10267063
TI  - How will hospital pharmacy respond to today's major pressures?

PMID- 10267064
TI  - The development of hospital wide patient-education director competencies.
AB  - Members of the patient-education divisions of the Michigan Society of Healthcare
      Education and Training and the Great Lakes Chapter of the Society of Public
      Health Education drafted a model job description and related competencies, using
      representative position descriptions and a role delineation project as a basis.
      The product of this effort can serve as a model for hospital administrators
      hiring patient educators, professional organizations supporting patient
      education, universities and colleges training such specialists, and patient
      education specialists pursuing continuing education.

PMID- 10267065
TI  - Reading materials used in the preparation of nurses for the teaching role.
AB  - Patient/client teaching is an important responsibility of the practicing nurse.
      Various health manpower task forces have recommended that all professionals
      engaged in health teaching be better prepared for this role. Others have cited
      the need for client/family education programs as one of the national priorities
      in nursing research. A study was undertaken to ascertain patient-teaching content
      and types of assigned readings used in baccalaureate nursing programs throughout
      the United States. Questionnaires were mailed to a random sample of 108 schools
      of nursing. The response rate was 83%. Fewer than one half of the nursing
      programs reported using resources that included the actual process of health
      teaching. Most schools did report the inclusion of key teaching concepts, such as
      learning theories and principles of teaching in their curricula, yet the assigned
      readings to provide the content were absent.

PMID- 10267066
TI  - Life-style intervention: a conceptual framework.
AB  - Improving one's life-style may improve one's health. However, there is a lack of
      consensus on how to promote compliance with newly adopted health habits. This
      paper presents a conceptual framework that individuals can learn to assess their
      life-styles and plan for health-behavior changes. It can also be used by
      professionals from different disciplines who are developing programs to teach
      healthy life-style choices. The framework is organized into three ideas: (1)
      Health status to a large extent reflects the individual's styles of living (a
      composite of beliefs, emotions, and action patterns). (2) These styles can be
      encouraged or sabotaged by the individual's support structures (relationships,
      environments, and equipment). (3) The change process can be seen as a series of
      steps that cycle through phases of readiness appraisal, decision making,
      experimentation, and reevaluation. clinical examples and documentation from
      relevant theory and research illustrate and substantiate the framework.

PMID- 10267067
TI  - Administrative and management issues in developing a health-education component
      of a large HMO: a case study.
AB  - A case study of the development of the health-education component of a large,
      complex health maintenance organization is based on the first three years. The
      structure and management is described along with programmatic examples and
      descriptions of activities. Issues are generalized from the problems that have
      evolved and discussed in terms of broad health education and organizational
      development points. The issues of structure, function, and accountability;
      financing; program objectives, priority setting, and strategy; and evaluation are
      interrelated.

PMID- 10267069
TI  - High technology and home health care. Proceedings from the PRIDE Institute
      Conference, December 8, 1983.

PMID- 10267068
TI  - How corporations are trying to control health care spending.

PMID- 10267070
TI  - CAPD: an evolving technology in home dialysis.

PMID- 10267071
TI  - Evaluating patients for their applicability to home dialysis.

PMID- 10267072
TI  - Chemotherapy.

PMID- 10267073
TI  - High technology and home health care. Future directions: research and
      development.

PMID- 10267074
TI  - Applications of technology: morning session. Introduction.

PMID- 10267075
TI  - Sociologist Paul Starr warns of bad business-medicine mix.

PMID- 10267076
TI  - Move over CT and PET scans--make some room for BEAM.

PMID- 10267077
TI  - Incidence of violent patient admissions apparently stabilized at 37 percent.

PMID- 10267078
TI  - Cooperation needed between universities, state institutions. Part I.

PMID- 10267079
TI  - Bias against women persists in medicine.

PMID- 10267080
TI  - Are you making the most of your crises?

PMID- 10267081
TI  - What's ahead for special events.

PMID- 10267082
TI  - The youthful suicide epidemic.

PMID- 10267083
TI  - X-ray report turnaround studies.
AB  - In the attempt to meet the diagnostic requirements of patients, satisfy referring
      physicians, respond to the mandates of hospital administration and conform to the
      cost-efficiency commandments of the federal government, most radiology managers
      realize that expediting the x-ray reporting process is fundamental. Turnaround,
      or time measurement, surveys are the mechanism by which a radiology manager
      documents the department's efficiency in producing the typewritten x-ray report.
      Such surveys measure the time lapse between when a radiographic examination is
      performed and when the typewritten report is received by physician or nursing
      station. Turnaround studies reveal the reasons for poor reporting, whether
      originating from personnel inadequacies or organizational pitfalls. Equal in
      importance to the gathering of time flow statistics are the problem-solving
      methods which follow.

PMID- 10267084
TI  - Monitoring the iodine dose.
AB  - The administration of large amounts of iodinated contrast media can result in
      acute renal failure. Many diagnostic examinations, including pyelography,
      computed tomography and digital vascular imaging, require the injection of
      significant amounts of contrast media. Additionally, these examinations may be
      performed within 24-48 hours of each other, increasing the likelihood of a dose
      induced acute renal failure. To avoid this complication, we have developed and
      implemented a system to monitor and control the patient's dose of iodine. This
      system effectively alerts individuals to the iodine dose the patient has received
      within the last 48 hours. The information is being used to compile a study
      concerning the relationship between iodine dose and the occurrence of acute renal
      failure.

PMID- 10267085
TI  - Theory Z: a review of management styles and a proposal for change.
AB  - Japanese management techniques have been the subject of much interest over the
      past few years. However, American culture does not lend itself to strict
      adherence to Japanese practices. Theory Z is a management philosophy that blends
      Japanese and American techniques and is currently being practiced in many areas
      of the business world. With some work, Theory Z can be incorporated into health
      care organizations in general,and radiology departments in particular.

PMID- 10267086
TI  - Policies for managing the pregnant employee.

PMID- 10267087
TI  - Learning to work with cliques in your department.
AB  - The supervisor/manager deals with people every day. The basis for most worker
      behavior comes from interaction with their peers on the job. The effective
      manager must learn to understand and work with the various informal groups that
      form in the organization. He or she must understand how and why these groups form
      and how they are perpetuated. The effective manager can learn to use these
      cliques in the department to establish a spirit of cooperation and maintain the
      goals of the institution.

PMID- 10267088
TI  - Teleradiology: the use of slow-scan television in hospitals.
AB  - Telemedicine has been practiced since the advent of the telephone, and the first
      video telemedicine applications were initiated in the late 1960s. With the
      proliferation of video screens being used as diagnostic aids, and as medical
      professionals seek ways to maximize their professional effectiveness, the
      technology of Slow-Scan Television has been adopted for routine use by radiology
      departments of hospitals throughout the United States and Canada. This article
      briefly describes the technology and diversity of current applications.

PMID- 10267089
TI  - MR regulation: opportunity, risk and the freedom to fail.

PMID- 10267091
TI  - NMR contrast media.

PMID- 10267090
TI  - Management of the pregnant employee and pregnant patient.

PMID- 10267092
TI  - The health planners dilemma and the problem of aggregation bias--an irresolvable
      conflict.
AB  - This study examines the potential biases that may exist when data which are
      collected at one level of aggregation (e.g., the United States) are extrapolated
      to a smaller area of aggregation (e.g., a census region consisting of several
      states). Theory would predict that there would be inaccuracies resulting from
      such extrapolation but does not suggest whether the error would be of sufficient
      size as to have practical significance for a planner. This study clearly shows
      that attempting to predict smaller area hospitalizations with large area data is
      highly inaccurate. It is not only consistent with theory but also shows that the
      theory has practical value in assessing approaches to estimating hospitalization
      data.

PMID- 10267093
TI  - Pediatric respiratory therapy beyond the neonatal ICU.
AB  - This article is intended to generate interest in respiratory therapy for older
      infants and children by pointing out the special requirements and these patients
      and emphasizing the important role that respiratory therapists can have in their
      management.

PMID- 10267094
TI  - Facility report. Division of Pulmonary and Critical Care Medicine, University of
      California, San Diego, School of Medicine.
AB  - Activities and interests of this large division extend from conventional
      diagnostic procedures to sophisticated newer techniques and from teaching
      programs to research in collaboration with other regional medical facilities.

PMID- 10267096
TI  - Menu census 1984.

PMID- 10267095
TI  - Setting up a quality control program for DLco.

PMID- 10267097
TI  - Nursing home residents mingle and chat over afternoon glass of wine.

PMID- 10267098
TI  - West Park's elegance suits the elderly.

PMID- 10267099
TI  - Nutrition-education blitz: an idea whose time had come.

PMID- 10267100
TI  - Menu combines patients' preferences with good nutrition.

PMID- 10267101
TI  - Improving the productivity of service businesses.
AB  - Service organizations account for over 60 percent of the GNP, yet management
      tools are less developed for this sector than for the manufacturing sector. This
      article describes a new approach to help evaluate and improve the productivity of
      many types of service organizations, identifies inefficiencies and ways to
      improve productivity, and provides examples of applications to hospitals and bank
      branches. These insights are not available from commonly used performance
      measures. The article presents procedures required to use this technique and
      discusses ways managers can assess its potential costs and benefits.

PMID- 10267102
TI  - Contacting pregnant adolescents: are we missing cues?

PMID- 10267103
TI  - Using peer support to prevent worker burnout.

PMID- 10267104
TI  - Beliefs of service providers about abused women and abusing men.

PMID- 10267105
TI  - The quality of life of mentally retarded people in residential care.

PMID- 10267106
TI  - Performance appraisal.

PMID- 10267107
TI  - A personalized approach to goal planning and evaluation in clinical settings.
AB  - This article demonstrates a goal planning and evaluation method that focuses upon
      a client's behaviours or problem areas regardless of diagnosis or setting. Goal
      Attainment Scaling is described in terms of its procedures, scoring, advantages,
      precautions, and overall contribution to therapeutic recreation. Additionally, a
      case study is presented to demonstrate implementation of Goal Attainment Scaling.

PMID- 10267108
TI  - Peer program review: a model for implementation of standards.
AB  - Peer program review is examined as a method of program evaluation which utilizes
      established professional standards and, in turn, facilitates making these
      standards a pattern of practice. The relevance and implications of peer program
      review as well as a model for peer program review through a state therapeutic
      recreation society are discussed.

PMID- 10267109
TI  - James Farnsworth: a man of integrity. Interview by Wendy Francik.

PMID- 10267110
TI  - An interface between quality assurance and infection control.

PMID- 10267111
TI  - Health promotion or regulation compliance? Smoking policies in Texas hospitals.

PMID- 10267112
TI  - Does anybody have an extra hour I could borrow?. Interview by Wendy Francik.

PMID- 10267113
TI  - The nurse-patient relationship. Legal liability v. professional responsibilities.

PMID- 10267114
TI  - The Dialogue Cancer Support Group: learning to deal with the trauma of cancer.

PMID- 10267116
TI  - From a birth amid cuts, HRSA growing stronger.

PMID- 10267117
TI  - Organ shortage seen increasing.

PMID- 10267118
TI  - Advertising prescription drugs direct to the public. What are the issues?

PMID- 10267115
TI  - Marketing: a survival strategy.

PMID- 10267120
TI  - Thoughts on the supervision of volunteers.

PMID- 10267119
TI  - How much are volunteers worth?

PMID- 10267121
TI  - The no-apologies budget. How to justify the financial support a volunteer program
      deserves.

PMID- 10267122
TI  - Smoker seg.

PMID- 10267124
TI  - More on cost containment. Part I.

PMID- 10267123
TI  - Managers must meet to share ideas.

PMID- 10267125
TI  - TV's 'St. Elsewhere': a mirror to medicine?

PMID- 10267126
TI  - Transplant legislation poses tough questions for Congress.

PMID- 10267128
TI  - Physicians and Madison Avenue--an alliance fraught with danger.

PMID- 10267127
TI  - ACP opposes prescription drug ads for public.

PMID- 10267129
TI  - Guidelines for care of hopelessly ill patients....

PMID- 10267131
TI  - Traditional versus technological care: future issues for nursing.

PMID- 10267130
TI  - Consumerism in hospitals--hospitals are, or should be, for people.
AB  - The factory situation: are people seen as number patients or are they handled
      with care and compassion? Hospital care should aim at treatment of the whole
      person--role of non clinical services within hospitals, partnership with
      community--role of parents; better communication needed between treating
      professionals and patients--would reduce complaints and possible litigation;
      people wish to be partners with health professionals in their own treatment and
      recovery not articles on an assembly line; rights of patients to be given full
      facts of their illness and prospects for recovery. Who "pays the piper"? Medical
      audit, accountability, peer review; iatrogenesis or "doctor induced" illness e.g.
      adverse reaction to prescribed drugs, hospital induced infections, malnutrition,
      faulty diagnosis or failure to diagnose. Who motivates the provider and support
      personnel and how? Institutionalisation and its effects on treatment and
      recovery, attitudes by providers and receptors. New trends in treatment patterns
      and delivery facilities: high technology, birthing centers, is there a role for
      alternative professions within hospitals? Who looks after the consumer? Ombudsman
      , medical boards, licensing authorities, Australian Council on Hospital
      Standards.

PMID- 10267132
TI  - The challenge of new clinical developments.
AB  - Developments arising from new discoveries already made and new technologies
      already developed will pose great challenges en route to the year 2000. Given the
      accelerating rate of change it is likely that new discoveries not yet
      contemplated will present even greater problems not just to the health
      professions but to the community and to our governments. The difficulties will
      lie equally in the clinical area and in social, financial, and ethical domains.
      One example which is worth addressing arises from the discovery of DNA which has
      led to new technologies with major implications in all these areas today, and a
      second one arises from the transformation in the care and survival of newborn
      babies.

PMID- 10267133
TI  - The hospital half hour.

PMID- 10267134
TI  - Doctors, disease and demography--changing patterns.
AB  - Over the past century major shifts have occurred in causes of morbidity and
      mortality in the population. Improved environmental conditions and control of
      infectious diseases have led to the emergence of the "new epidemics" of the so
      called societal diseases. At the same time, the population has aged significantly
      in demographic terms. The major challenges facing health care services now
      require significant reorientation in thinking, especially in terms of objectives,
      definition of roles, allocation of resources and planning for the future. This
      paper explores some of the challenges, the competing interests involved, and the
      economic, social and political context in which these issues have emerged
      proposes a model for seeking resolution.

PMID- 10267135
TI  - Investing for efficiency.
AB  - The French Revolution set out to abolish hospitals but in fact strengthened them,
      made them the core of medicine and improved their effectiveness. Mortality rates
      more than halved between 1789 and 1850. This reduction was bought about by
      improvement and investment in old hospitals, appropriate separation of
      institutions and new administrative organisations. Our modern hospitals and
      institutions started with the French Revolution and have been going through
      similar cycles of neglect and abolition or concern and investment. This paper
      will look at the effects of investments, neglect and "pork- barrelling " by
      successive governments which has led to inappropriate locations of hospitals, sub
      standard facilities, inefficient location of facilities within hospitals,
      outdated equipment, insufficient maintenance and dangers to public health and
      human safety. Operating costs, consequences of inefficient layout, buildings and
      sites within a number of Australian hospitals are then analysed. It is then
      suggested that orderly capital funding on a triennium basis be established in a
      similar way to university capital funding.

PMID- 10267136
TI  - AMA rushing headlong into defeat.

PMID- 10267137
TI  - The ten steps to smarter food buying.

PMID- 10267138
TI  - Surfeit of hyperbole and doctors.

PMID- 10267139
TI  - Stroke survivors among the noninstitutionalized population 20 years of age and
      over: United States, 1977.

PMID- 10267140
TI  - Visits to family planning service sites: United States, 1978.

PMID- 10267142
TI  - Controls on the bidding process.

PMID- 10267141
TI  - Patient profile, National Reporting System for Family Planning Services: United
      States, 1978.

PMID- 10267143
TI  - Employee health data and the law.

PMID- 10267144
TI  - Griffiths Report. How far down the road?

PMID- 10267145
TI  - Grants help communities attack health costs.

PMID- 10267146
TI  - Securing your patients.

PMID- 10267149
TI  - Science and technology programs in UNESCO. Summary of a Congressional Research
      Service Report.

PMID- 10267147
TI  - New product development: can technique substitute for technology?

PMID- 10267148
TI  - The future of U.S. participation in UNESCO.

PMID- 10267150
TI  - Physician reimbursement reform. ACS Surgical Practice Department.

PMID- 10267151
TI  - Recognizing new specialists.

PMID- 10267152
TI  - The importance of general surgery to surgical specialists.

PMID- 10267153
TI  - Defining the surgical oncologist.

PMID- 10267154
TI  - For-profit health care.

PMID- 10267155
TI  - The hidden cost of "little ticket" advances.

PMID- 10267156
TI  - An intervention strategy for controlling costly care.

PMID- 10267157
TI  - Sizing up new technologies in Central Arizona.

PMID- 10267158
TI  - Technology in a changing environment.

PMID- 10267159
TI  - Coalition opens door to competition.

PMID- 10267160
TI  - Focus on the strengths of an aging work force, says Butler. Interview by Jane
      Stein.

PMID- 10267161
TI  - Provider data and other criteria ADS selection.

PMID- 10267162
TI  - States turning to public/private options to control health costs.

PMID- 10267163
TI  - Liability and societal obligation are bases for fetal protection laws.

PMID- 10267165
TI  - Multiple employer trust guidelines stress careful selection, vigilance.

PMID- 10267166
TI  - Workers and companies benefit from phased retirement in Europe.

PMID- 10267164
TI  - Employees take the lead and use quality circles to develop wellness programs.

PMID- 10267167
TI  - The time has come for debating technology and rationing questions.

PMID- 10267168
TI  - Ethylene oxide; certain pesticide products registered for the sterilization of
      equipment and supplies in hospitals and health care facilities; withdrawal of
      revised labeling notice--EPA. Withdrawal of notice.
AB  - EPA issued a notice requesting registrants of pesticide products containing
      ethylene oxide (EtO) registered for certain uses in hospitals and health care
      facilities to submit applications to amend approved labeling. Elsewhere in this
      issue of the Federal Register, the Occupational Safety and Health Administration
      (OSHA) has promulgated comprehensive exposure standards for all occupational uses
      of EtO. Therefore, EPA has decided to withdraw the original notice in recognition
      of concerns regarding the potential preemption of the OSHA standards.

PMID- 10267169
TI  - Occupational exposure to ethylene oxide--OSHA. Final standard.
AB  - In this Final Standard, the Occupational Safety and Health Administration (OSHA)
      establishes a permissible exposure limit for occupational exposure to ethylene
      oxide (EtO) of 1 part EtO per million parts of air (1 ppm) determined as an 8
      hour time-weighted average concentration. The basis for this action is a
      determination by the Assistant Secretary, based on animal and human data, that
      exposure to EtO presents a carcinogenic, mutagenic, genotoxic, reproductive,
      neurologic and sensitization hazard to workers. The standard provides for, among
      other requirements, methods of exposure control, personal protective equipment,
      measurement of employee exposures, training, medical surveillance, signs and
      labels, regulated areas, emergency procedures and recordkeeping. An "action
      level" of 0.5 ppm as an 8-hour time-weighted average is established as the level
      above which employers must initiate certain compliance activities such as
      periodic employee exposure monitoring and medical surveillance. In instances
      where the employer can demonstrate that employee exposures are below the action
      level, the employer is not obligated to comply with most of the requirements set
      forth in this final rule. The 1 ppm 8-hour limit reduces significant risk from
      exposure to EtO and is considered by OSHA to be the lowest levels feasible.

PMID- 10267170
TI  - Privacy Act of 1974: amendment of existing system of records--HHS.
AB  - The Department of Health and Human Services proposes to amend system of records
      09-90-0024. The specific changes to the notice are set forth below; and the
      system of records, as amended, is printed in its entirety.

PMID- 10267171
TI  - Businesses drive to curb medical costs without much help from government.

PMID- 10267172
TI  - High-tech miscreants beware: Congress is moving against computer crime.

PMID- 10267173
TI  - Computing contingency plans. Emergency measures reduce the risks for EDP systems.

PMID- 10267174
TI  - Hospital finds cure for high-price projects.

PMID- 10267176
TI  - Do you have what it takes to be a great leader?

PMID- 10267177
TI  - The transplant debate continues: can we balance supply and demand?

PMID- 10267175
TI  - Meyer vs Gordon: a case study of obstetrical negligence.

PMID- 10267178
TI  - How you can participate in your hospital's accreditation process.

PMID- 10267179
TI  - Organization is the key to cutting your costs.

PMID- 10267180
TI  - "Quality assurance in the laboratory".

PMID- 10267181
TI  - Nurse practitioners in the medical group setting.
AB  - To be at the leading edge in today's rapidly changing world of health care and
      respond to increasing consumer demands, medical groups must be willing to
      implement new concepts. The utilization of nurse practitioners is one such
      concept. Before implementation, however, the idea should be thoroughly reviewed
      from all standpoints, including role of the practitioner, education and training,
      scope and areas of practice, legalities, billing, third-party reimbursement,
      record documentation, income distribution, and control of practice. Nurse
      practitioners in the medical group setting can be helpful in increasing patient
      satisfaction and improving quality of care.

PMID- 10267182
TI  - The conception and development of a clinical laboratory in the group practice
      setting.
AB  - During the course of daily patient care, the need for clinical laboratory
      facilities presents itself over and over again. Many advantages can be realized
      by developing an in-house laboratory in the group practice setting: rapid test
      results, patient convenience, improved patient care, increased revenue, physician
      convenience, physician management, and prestige. An in-house clinical laboratory
      that is staffed by competent technicians, has a thorough quality control program,
      and is responsive to technological changes can play a very important role in the
      effective delivery of health care.

PMID- 10267183
TI  - Leadership demands a servant heart.
AB  - It takes much more than knowledge to become an outstanding leader today.
      Authoritative, moral, and sacrificial leadership must be evident in performance,
      and although increasingly uncommon in our society, involvement with our fellow
      human beings must go far beyond getting along with others. The true leader must
      have faith in the unlimited capacities of man, and be loyal, enthusiastic, and
      absolutely honest. Perhaps above all, he must be willing to pay the price of his
      position: he must serve his employees, not rule.

PMID- 10267184
TI  - Character and personality assessment in physician recruiting.
AB  - The success of a medical group practice is dependent upon smooth communications
      between the group's physicians. By placing emphasis on compatibility during the
      hiring process, the administrator can improve his group's chances for success.
      Although it is impossible to reveal all potential problems beforehand, careful
      assessment of character and personality will lead to a more smoothly functioning
      clinic atmosphere.

PMID- 10267185
TI  - Psychological aspects of pain management of the burned child.
AB  - Health professionals involved in the care of burned children frequently request
      assistance in the psychological aspects of pain management. In response to such
      requests, specific suggestions were developed based on the very limited fund of
      knowledge about pain in children.

PMID- 10267186
TI  - A preliminary evaluation of hospital preparation for nonpatient children: primary
      prevention in a "let's pretend hospital".
AB  - This study evaluated the effectiveness of an innovative program about
      hospitalization presented to nonpatient children on a community-wide basis. The
      "Let's Pretend Hospital" (LPH) is an experiential and informational program
      wherein a mock hospital is set up for children to visit. The present study
      compared the self-reported medical fears and amount of medical knowledge for two
      groups of children--one that went through the LPH program and one that did not.
      The results provide preliminary evidence of LPH effectiveness in that children
      who participated in the program reported fewer medical fears and greater medical
      knowledge than children who did not participate. The potential benefits of this
      innovative program are demonstrated.

PMID- 10267187
TI  - Reassuring and talking with hospitalized children.
AB  - Some concepts and techniques have been organized into a flexible, sequential
      approach to discussing highly emotional topics with ill/hospitalized children and
      adolescents. The process is based on an eclectic, theoretical model that has been
      easily accepted and utilized by health care professionals. It includes
      identification of affect, rapport building, opening channels for socialized
      communication of emotions, and reassurance.

PMID- 10267188
TI  - Awareness of Hispanic cultural issues in the health care setting.
AB  - In view of the increasing numbers of Hispanics in this country, American health
      care professionals need to be aware of cultural differences between themselves
      and their Hispanic patients, especially where health practices are concerned.
      This paper deals with some of the health-related traditions, values, and beliefs
      held by various groups of Hispanic extraction in this country. A number of
      culture-specific disease entities and treatment modes are discussed, with special
      reference to patient behaviors and attitudes. Implications for health care
      delivery to Hispanic individuals and families are outlined, and suggestions for
      service providers are put forth.

PMID- 10267189
TI  - Policy and procedure manual. Drug recall program.

PMID- 10267190
TI  - Hospital-administered HHAs form state group.

PMID- 10267191
TI  - New considerations for discharge planning.

PMID- 10267193
TI  - Antitrust considerations in hospital/home health agency relations.

PMID- 10267192
TI  - Determining the need for home health services.

PMID- 10267194
TI  - Referral arrangements revisited: the impact of the Hyde decision.

PMID- 10267195
TI  - DME contracting with hospitals.

PMID- 10267196
TI  - Hospital/HHA relations--overview.

PMID- 10267197
TI  - What hospital administrators think of home care.

PMID- 10267199
TI  - Options for hospital/HHA arrangements.

PMID- 10267198
TI  - Home care plays a big role in the changing hospital industry.

PMID- 10267200
TI  - Hospital and home care joint ventures.

PMID- 10267201
TI  - Creative ventures in the home care market.

PMID- 10267202
TI  - Hospital/HHA cooperative delivery models.

PMID- 10267203
TI  - South Hills Health System/Home Health Agency.

PMID- 10267204
TI  - The pharmacist in home health care: Part III--Safety, optimum use, and
      accountability of drugs.

PMID- 10267205
TI  - Creighton University School of Nursing runs home health agency.

PMID- 10267206
TI  - The Memphis VNA: from crisis--to conquest.

PMID- 10267207
TI  - Home care: the answer to tomorrow's health care needs.

PMID- 10267208
TI  - Gaining the competitive edge.

PMID- 10267209
TI  - Impact of maintenance insurance.

PMID- 10267210
TI  - Ten ways to provide technician training.

PMID- 10267211
TI  - Fetal monitoring problems during labor associated with most serious ob claims.

PMID- 10267212
TI  - Study of 26 biomedical engineering programs.

PMID- 10267213
TI  - Proposed shared service regulations published.

PMID- 10267214
TI  - Medical equipment insurance coverage.

PMID- 10267215
TI  - Technology assessment.

PMID- 10267216
TI  - A description of the nuclear medicine service at the VAMC in Wood, Wisconsin.
AB  - It is rare for a Nuclear Medicine Service to replace or add four gamma cameras
      within six months; it is more unusual for a Service to move to a totally
      renovated facility. And even more remarkable for a Service to add a large
      sophisticated imaging computer system, which converts the entire Service to an
      "all digital" image acquisition, interpretation and archiving (PACS) oriented
      service. At this Medical Center, we have had all three events occur
      simultaneously in the past year.

PMID- 10267217
TI  - Additional revenues recoup automated pharmacy cost.
AB  - The installation of a computerized pharmacy system at Cape Fear Valley Medical
      Center's pharmacy has improved revenues +5.50 per patient day--a 10% increase
      over like figures for the previous 5 months. A system that paid for itself in
      just fifteen days.

PMID- 10267218
TI  - Computers in pharmacy: improve efficiency and productivity.
AB  - In 1975, when most hospitals were still relegating computers to front-office use,
      John C. Lincoln Hospital, of Phoenix, Arizona recognized the need for better
      management of its pharmacy services. That "better way" was the use of a computer
      system to standardize routine manual procedures.

PMID- 10267219
TI  - Computerized materials management system aids cost control.

PMID- 10267220
TI  - A computer system brings new efficiency to outpatient pharmacy.

PMID- 10267221
TI  - The case for sequential numbers. The KISS theory applied to identification--keep
      it sequentially simple.

PMID- 10267223
TI  - Computerized medical management system improves collections, increases
      efficiency.

PMID- 10267222
TI  - "Compatibility and integration ...".

PMID- 10267224
TI  - "It's not the change that we fear ...".

PMID- 10267225
TI  - How to prepare for your hospital information system. Part I.

PMID- 10267226
TI  - The importance of software modularity.

PMID- 10267227
TI  - 'Don't worry, we can handle it'. A clinic administrator shares his experiences
      with computer companies.

PMID- 10267228
TI  - A primer for the new computer buyer trying to cure business growth problems.

PMID- 10267230
TI  - The proliferation of standalones!! An interfacing dilemma.

PMID- 10267229
TI  - Hospital information systems: a key to profitability.

PMID- 10267231
TI  - Save 30 percent to 50 percent on your data processing costs?

PMID- 10267232
TI  - Organizational defenses against the anxiety of terminal illness: a case study.
AB  - Working with the dying is a task which generates enormous anxiety in the
      caregiver as well as the entire organization which has taken on this assignment.
      This case study deals with a chronic care hospital and the organizational defense
      mechanisms observed by a consultant hired to do staff training and development.
      Further, there is a discussion of the training model devised to provide a
      facilitative means of tapping those defenses and working through the anxiety.

PMID- 10267233
TI  - Medical student education in the emergency department.

PMID- 10267234
TI  - Should EMTs be required to attend refresher courses for recertification?

PMID- 10267235
TI  - FCC regulation of EMS telecommunications.

PMID- 10267236
TI  - Regulations and standards for emergency medical dispatchers: a model for state or
      region.

PMID- 10267237
TI  - Aeromedical transport of the high-risk obstetrical patient.

PMID- 10267238
TI  - Patient satisfaction as related to selected nursing care activities in the
      emergency department.

PMID- 10267239
TI  - EMS in the Soviet Union. Interview by Carl J. Post.

PMID- 10267240
TI  - Spiritual emergencies. Chaplaincy program comforts hospital patients.

PMID- 10267241
TI  - Inservice education--this is show biz.

PMID- 10267242
TI  - Medical and dental staffing prospects in the NHS in England and Wales, 1983.

PMID- 10267243
TI  - Orthopaedic audit: a comprehensive system for in-patients.
AB  - Problem Oriented Summary, Audit, Discharge (POSAD) is presented as a system which
      permits auditing of in-patient admissions. It is prospective, comprehensive,
      simple to operate and generates an immediate discharge summary. it has replaced
      the conventional hospital discharge summary and therefore does not increase
      secretarial or medical workload. It can be run either as a paper-based system or
      computerized. The work profile and quality control information that has resulted
      from the 1982 auditing of the Hollywood Orthopaedic Service is presented. This
      service involves eight consultant orthopaedic staff who dealt with 2,322 hospital
      patient admissions in that year. Auditing/peer review has shown up wide
      variations in surgical behaviour and the workload undertaken by individuals. The
      information that has been produced has enabled the surgeons of this service to
      put into effect three significant innovations. These are: (a) Regular analysis of
      complications. (b) Rank ordering (comparison) of individual surgeons. (c) Ready
      access to current statistics.

PMID- 10267244
TI  - Non-consultant peripheral clinics: a new approach to diabetic care.
AB  - A system of non-consultant peripheral clinics (NCPCs) established on the Isle of
      Wight is described. For the first phase of the study 182 diabetics attending the
      consultant clinic were allocated to the appropriate peripheral clinic (group 1).
      In the second phase, 152 new referrals were prospectively allocated between the
      consultant and appropriate peripheral clinics (group 2). Evaluation was made of
      the patients' random blood sugar and glycosylated haemoglobin. The savings in
      cost and time to patients resulted in over 90% of patients preferring the
      peripheral clinics. NCPCs are discussed in relation to hospital-based clinics and
      to other alternative systems of care. It is concluded that NCPCs could be
      incorporated into the diabetic service in other regions in the United Kingdom
      with advantages to diabetics and hospital services alike. These peripheral
      clinics are suited to all types of diabetics and perhaps the only clinical
      restriction is the desirability for metabolic deterioration to be managed by a
      consultant clinic until the patient is satisfactory.

PMID- 10267245
TI  - Hepatitis B immunization: experience in a provincial centre.
AB  - A programme for identifying medical and para-medical personnel in a large
      provincial city at risk for hepatitis B with a view to immunization is described.
      177 individuals were offered vaccine, but this was accepted by only 56%. The
      reasons for the low acceptance rate are discussed.

PMID- 10267246
TI  - The initial hospital discharge note: send out with the patient or post?

PMID- 10267247
TI  - The design of a new physician licensure examination.
AB  - Many health professions include written examinations among their licensing
      procedures, and constructing these examinations poses special difficulties. For
      physician licensure the central dilemma is manifested by the longstanding
      tradition of undifferentiated licensure contrasting with the strong specialty
      orientation of contemporary physician training. This article details the authors'
      response to this problem and describes the resulting design of a new physician
      licensure examination. Using a combination of empirical data and expert judgment,
      descriptions of selected clinical encounters have been assembled as a practice
      model of a physician licensed for the delivery of general health care of
      patients. Application of an explicitly situational framework to the design of a
      physician licensure examination is unusual, and the approach is advocated for use
      with other health professions.

PMID- 10267248
TI  - Factor-implied scales of ward atmosphere.
AB  - Evaluation of environments in hospital settings with regard to their therapeutic
      qualities has been a problem for clinicians and evaluation specialists for
      sometime. The present project examined the Ward Atmosphere Scale (WAS) factor
      analytically and derived second-order factors inconsistent with those proposed by
      the authors of the scale. Items of the WAS were arranged psychometrically into
      three scales as implied by the factor analysis. Results suggest that
      interpretation of the WAS can be simplified considerably if these three super
      ordinate dimensions are used to organize item-level data.

PMID- 10267249
TI  - Physicians' attitudes toward breast self-examination: a pilot study.
AB  - Recent case control studies suggest that breast self-examination (BSE) is
      efficacious in the early clinical diagnosis of breast cancer. Population studies
      also indicate that adoption of this behavior depends largely on physicians. This
      pilot study was designed to determine whether physicians' attitudes on this
      subject could be obtained through a mail questionnaire. The results show that a
      self-administered mail questionnaire can be used successfully in physician
      studies. Although questionnaire length does affect response rates (78% one page,
      69% four page, and 57% eight page), it does not affect either respondent
      characteristics or question response.

PMID- 10267250
TI  - Needs assessment and hospice planning in a rural setting.
AB  - A needs assessment is a research and planning activity designed to determine a
      community's service needs and utilization patterns. One of the most practical
      ways to plan services is to gather information accurately about a defined
      population and use that information to revise existing programs or develop new
      ones. Unfortunately, needs assessment findings often go unused. This article
      describes how a needs assessment was designed to assess the need for hospice
      services in a rural Pennsylvania county and how the results of this assessment
      were useful in determining priorities for program planning and service
      development. The implications of a model needs assessment such as the one
      proposed are discussed.

PMID- 10267251
TI  - A deterministic theory of clinical performance rating: promising early results.
AB  - The proposed theory provides a basis for both measuring and correcting rater
      stringency error in some grossly incomplete rating data matrices. The theoretical
      model fit (R = .92, .85, .82; joint p less than .000001) ratings made by faculty
      and resident physicians (n = 47, 31, and 29) of student clinical performance in
      each of three junior year medical student cohorts (n = 29, 30, and 35) better
      than alternative models. In these data the percentage of variation attributable
      to stringency and ability was about 35 and 40, respectively. Three-month test
      retest reliability for rater stringencies was .16 less than r less than .29
      (joint p less than .04). Cross-validation supported the proposed model (r = .61)
      over the conventional alternative (r = .41; z = 2.62, p less than .004). Both
      reliability and convergent validity of the ability construct were .20 greater for
      one corrected rating than for one observed (uncorrected) rating.

PMID- 10267252
TI  - Similarities and differences between mental health and health care evaluation
      studies assessing consumer satisfaction.
AB  - This paper compares the literatures assessing consumer satisfaction with health
      care and mental health treatment. Similarities and differences in the quantity,
      origins, quality, methodology, results, and utilization of findings are examined.
      The similarities identified far outweigh the differences. The trend toward
      carefully constructed high quality studies in the health care field is seen as
      suggesting a promising direction for future research.

PMID- 10267253
TI  - Defining and measuring patient satisfaction with medical care.
AB  - This paper describes the development of Form II of the Patient Satisfaction
      Questionnaire (PSQ), a self-administered survey instrument designed for use in
      general population studies. The PSQ contains 55 Likert-type items that measure
      attitudes toward the more salient characteristics of doctors and medical care
      services (technical and interpersonal skills of providers, waiting time for
      appointments, office waits, emergency care, costs of care, insurance coverage,
      availability of hospitals, and other resources) and satisfaction with care in
      general. Scales are balanced to control for acquiescent response set. Scoring
      rules for 18 multi-item subscales and eight global scales were standardized
      following replication of item analyses in four field tests. Internal-consistency
      and test-retest estimates indicate satisfactory reliability for studies involving
      group comparisons. The PSQ well represents the content of characteristics of
      providers and services described most often in the literature and in response to
      open-ended questions. Empirical tests of validity have also produced generally
      favorable results.

PMID- 10267254
TI  - Patient satisfaction with mental health services: a meta-analysis to establish
      norms.
AB  - Patients typically express high rates of satisfaction with their mental health
      care. This finding and the lack of well controlled studies on patient
      satisfaction in the literature underscore the need for meaningful guidelines for
      clinicians and program evaluators in interpreting patient satisfaction data. To
      address this problem a meta-analysis was undertaken to establish norms on patient
      satisfaction for various types of mental health programs. Programs were
      categorized according to three dimensions: inpatient vs. outpatient vs.
      residential care; chronic vs. non-chronic; and conventional vs. innovative. Meta
      analysis procedures were modified to accommodate the single-group study designs
      that dominate the literature. The analysis revealed that chronic patients express
      less satisfaction with their treatment compared to non-chronic patients.
      Innovative programs are viewed more positively than conventional ones. No
      differences were found in rates of patient satisfaction between inpatient and
      outpatient programs. Acceptably reliable norms and confidence intervals of
      patient satisfaction were established for conventional inpatient programs serving
      either chronic or non-chronic patients; conventional outpatient programs for non
      chronic patients; and for all programs combined according to chronic vs. non
      chronic, inpatient vs. outpatient, and conventional vs. innovative. However, data
      were insufficient to compute norms for other program types. The norms thus
      established can be used for comparative purposes by program evaluators. A
      cumulative, national data base on patient satisfaction is recommended to further
      refine these norms.

PMID- 10267255
TI  - The contribution of a cultural perspective in understanding and evaluating client
      satisfaction.
AB  - Increasing attention is being given to including measures of client satisfaction
      as a component in the evaluation of health care services. An understanding of
      cultural factors that may influence attitudes and behaviors in the health care
      situation can contribute to the theory and measurement of client satisfaction.
      Through an examination of some of the cross-cultural literature, this paper
      delineates dimensions of the health care situation in which clients have been
      shown to have distinctive preferences, behavioral patterns, attitudes, and
      treatment expectations. A knowledge of the beliefs and attitudes concerning
      health and illness that are espoused by a particular cultural group can be a
      valuable asset in understanding how members of that group will evaluate the
      delivery of health care services. The examination of how cultural and ethnic
      differences may affect client satisfaction outcomes points to the necessity of
      avoiding a global measure of client satisfaction without first examining those
      particular aspects of health care delivery and of the measurement context that
      may have a predictable influence on client satisfaction ratings.

PMID- 10267256
TI  - Conceptual and methodologic issues in the evaluation of children's satisfaction
      with their mental health care.
AB  - The assessment of client satisfaction has become an important aspect of
      evaluation research in the adult mental health field, but there has been
      relatively little extension of that approach to the child client population. This
      is due to the lack of adequate methodologies for assessing treatment satisfaction
      in children and to the overriding conceptual issues which make it difficult to
      develop such measures. Further information is needed to clarify developmental
      differences in the way both healthy as well as medically and psychiatrically ill
      children conceptualize illness and treatment. The authors suggest that specific
      methodologies for assessing child satisfaction with treatment can be
      systematically developed once a more explicit developmental framework has been
      delineated in the area of children's understanding of medical and psychiatric
      disorders and their treatments.

PMID- 10267257
TI  - Behavioral consequences of consumer dissatisfaction with medical care.
AB  - The effects of consumer dissatisfaction with doctors and medical care services on
      intentions to seek care and subsequent behavior were estimated using data from
      four general population studies. Satisfaction was linked to reported intentions
      regarding care-seeking behavior (choices between self-care and seeking care from
      a regular doctor or emergency room) in response to both minor and serious medical
      problems. These results were replicated in two populations with diverse
      sociodemographic characteristics. Satisfaction scales also predicted subsequent
      changes in medical care providers and disenrollments from prepaid health plans
      independent field tests. These results suggest that the behavioral consequences
      of individual differences in satisfaction with doctors and health care services
      are noteworthy from both clinical and social perspectives.

PMID- 10267258
TI  - Assessment of patient satisfaction: development and refinement of a service
      evaluation questionnaire.
AB  - A series of seven studies was conducted by the authors and their colleagues to
      produce an efficient measure of service satisfaction that can easily be related
      to symptom level, demographic characteristics, and type and extent of service
      utilization. The resulting measure, the Service Evaluation Questionnaire (SEQ) is
      a brief, global index that has excellent internal consistency and solid
      psychometric properties. Data from an extensive SEQ field study can be used as a
      comparison base for future applications of the two SEQ component scales, the CSQ
      8 and the SCL-10. A new hypothesis has emerged from this series of studies that
      will guide future research: Service recipients may find if difficult to formally
      express dissatisfaction in the face of significant caring--however ineffectual-
      when the technical capacity to offer definitive treatment is not yet fully
      developed and when criteria for evaluating the efficacy of treatment are not yet
      crystal clear.

PMID- 10267259
TI  - The role of client satisfaction in evaluating university counseling services.
AB  - Though ubiquitously used for evaluating university counseling services, client
      satisfaction assessment has been hampered by inadequate instrumentation.
      Systematic use of a short form of the Client Satisfaction Questionnaire (CSQ) in
      one such center over the past 5 years is described, together with strategies to
      ensure maximal accuracy and utilization of results. Several method factors were
      investigated. Optional respondent identification was not found to reduce response
      rate or increase reported satisfaction compared to anonymity, while a substudy
      obtaining very high response suggested bias from nonresponse to the routine
      survey (response rate = 40%) was not great. The CSQ was found to have excellent
      psychometric properties and many advantages for use in student service settings.
      Relationships between satisfaction and a number of other variables such as
      demographics, precounseling expectancies, problem type and severity, counselor
      differences, and duration of counseling are reported. Ways such findings were
      incorporated in service planning are briefly discussed.

PMID- 10267260
TI  - Effects of anonymity and experimenter demand on client satisfaction with mental
      health services.
AB  - Among the methodological issues associated with the measurement of client
      satisfaction are those concerning anonymity of response, experimenter demand
      effects, and reliability of instruments. In this study, 100 inpatients were
      randomly assigned in a 2 X 2 factorial design; subjects were asked or not asked
      to sign their names to the CSQ-8 questionnaire and were asked or not asked to
      "tell it like it is." The reported satisfaction of those given anonymity was
      significantly lower but there was no effect due to demand. Furthermore, subjects
      in the anonymity group had lower scores on all 8 items of the questionnaire. A
      factor analysis of the CSQ-8 revealed one major factor; the internal consistency
      of the scale was .93. The CSQ-8 was found to be a useful measure of overall
      client satisfaction but, because ceiling effects are a pervasive problem in
      client satisfaction research, anonymity should be assured whenever possible.

PMID- 10267261
TI  - The evaluation ranking scale: a new methodology for assessing satisfaction.
AB  - Most patient satisfaction scales produce high, undifferentiated levels of
      reported satisfaction that fail to detect program areas that consumers do not
      like. Methodological problems apparently contribute to these results. An
      alternative procedure, the Evaluation Ranking Scale (ERS), was formulated and
      tested. A 2 X 3 design was employed with 246 public health center patients
      randomly assigned to one of two measurement techniques (ERS vs. a global measure)
      and one of three informational sets. A secondary group of subjects was a
      convenience sample of 26 staff members, which allowed comparisons of staff
      evaluations of the health center to patients' evaluations of the health center.
      Compared to the global measure, the ERS provided more specific information about
      particular program components, was more discriminating, and resulted in mean
      satisfaction scores that were significantly lower. This new approach may be a
      more effective technique for assessing the psychosocial effectiveness of human
      service programs.

PMID- 10267262
TI  - The evaluation ranking scale: clarification of methodological and procedural
      issues.
AB  - Compared with CSQ-8, a typical questionnaire approach to assessing global patient
      satisfaction, the Evaluation Ranking Scale (ERS) had equally good patient
      acceptability, yielded more normally distributed satisfaction scores, and results
      allowed comparative information about patients' evaluation of specific service
      dimensions. The study also addressed key questions that have emerged about the
      ERS procedure. Patients apparently do not distinguish conceptually between
      "importance" of dimensions and "satisfaction" with dimensions in the first phase
      (ranking) of the ERS. Results did confirm that the ERS sequence of ranking and
      then rating the dimensions is essential to achieving optimal utility of results.
      The ranking task seems to have an organizing effect on patients' approach to the
      rating task. This effect does not work to dictate results in the rating phase but
      rather seems to familiarize patients with the dimensions to be rated thereby
      yielding greater potential discriminative capacity for the ERS. Finally, results
      indicate that the ERS can be administered in a flexible fashion that yields
      additional information about the absolute importance of the six dimensions
      without loss of desired operating characteristics for the measure.

PMID- 10267264
TI  - Relationship of service satisfaction to life satisfaction and perceived well
      being.
AB  - Two procedures for gaining patients' evaluations of health services were
      compared: (a) the Client Satisfaction Questionnaire (CSQ-18B), a direct approach
      assessing the setting and services actually encountered, and (b) the Patient
      Satisfaction Questionnaire (PSQ), an approach that indirectly assesses
      satisfaction with service by inquiring about general health care attitudes.
      Results from 148 public health patients indicated that the PSQ produced the most
      acceptability problems and was tapping aspects of life satisfaction other than
      service satisfaction. However, the PSQ produced significantly lower reports of
      satisfaction. Additional comparison and interpretation of typical responses
      generated from the two approaches suggested, on the whole, that the CSQ-18B data
      provided clearer, more efficient, and more useful information for program
      planning and evaluation. In this study, service satisfaction measured by the CSQ
      18B did not have any significant relationship to global or multidimensional (LDQ
      30) measures of life satisfaction and well-being. In contrast, over a third of
      the variance in PSQ scores was accounted for by measures of life satisfaction. It
      appears that the PSQ elicits attitudes toward the more generalized health care
      delivery system as well as aspects of life satisfaction rather than reactions to
      specific services actually received.

PMID- 10267263
TI  - Comparison of indirect and direct approaches to measuring patient satisfaction.
AB  - One indirect (PSQ) and two direct (CSQ-18B and ERS) measures of patient
      satisfaction were compared across a series of psychometric, acceptability, and
      concurrent validity criteria. None of the three measures was significantly
      related to health status or demographic characteristics. Each measure performed
      as expected from prior research on their psychometric properties. The scales
      contrasted, however, in regard to acceptability, with the PSQ being much less
      acceptable to patients than the other two. The PSQ also produced more missing
      data. The results on the PSQ reflected patient inconsistency on cross-check items
      and patients tended to be uncertain in their responses to many items. In
      multivariate analyses the three measures were used as predictors of patient-rated
      indices of global service satisfaction. The CSQ-18B and the ERS were significant
      predictors of patient-rated indices of global service satisfaction, whereas the
      PSQ was unrelated to these indices. It was concluded that the direct and indirect
      approaches measure different satisfaction domains. The PSQ likely assesses more
      generalized attitudes about health services while the CSQ-18B and the ERS
      efficiently reflect opinions about the specific setting in which they are
      administered.

PMID- 10267265
TI  - The meaning of patient satisfaction with prepaid primary health care in Israel.
AB  - This paper reports the development of a self-administered Hebrew-language
      questionnaire for assessing patient satisfaction with primary care in Israel.
      Four scale measures of patient satisfaction were empirically constructed. These
      scales pertained to doctor conduct, doctor-patient communication, teamwork, and
      ease of access. In addition, a single direct question was used to measure overall
      satisfaction with the care. Ratings of all aspects of care were negatively
      skewed, with doctor-conduct and doctor-patient communication usually being the
      most satisfactory aspects and access the least satisfactory. It was shown that
      different practices, or the same practice at different points in time, can easily
      and meaningfully be compared, using mean satisfaction scores, measures of
      standard deviation, or percentages in each practice with ratings above (or below)
      the overall mean of all practices. The use of specific measures of patient
      satisfaction for comparison and intervention is discussed.

PMID- 10267266
TI  - A cross-national validation of the client satisfaction questionnaire: the Dutch
      experience.
AB  - A Dutch translation of the eight-term version of the Client Satisfaction
      Questionnaire (CSQ-8) was administered to community mental health outpatients in
      the Netherlands (n = 110). Data analyses indicate that the Dutch CSQ-8 has highly
      similar operating characteristics and psychometric properties compared with the
      English language version. Results also indicate that one general satisfaction
      factor was found in the Dutch CSQ-8 data. All eight of the scale items loaded
      heavily on this general factor, strong inter-item correlations were found, and
      the scale demonstrated high internal consistency. On these grounds, we can
      conclude that the Dutch CSQ-8 has the same properties as the original
      questionnaire and can be used as such in Holland. It was also found that those
      clients who decided to stop therapy on their own were less satisfied than other
      clients. Clients who made a common decision with their therapist or let him/her
      make that decision were more satisfied than clients who stopped by themselves.
      Additional research is planned to investigate whether clients who complete
      treatment goals are indeed more satisfied and whether this line of research could
      be a means of studying the external validity of the scale.

PMID- 10267267
TI  - Assessing client satisfaction among Hispanics.
AB  - Data from two studies using community health center clients are analyzed to
      assess how a measure of client satisfaction operates when used with different
      ethnic populations. The eight-item version of the Client Satisfaction
      Questionnaire (CSQ-8) is a measure of general satisfaction with services that was
      developed to provide a brief, standard assessment procedure suitable for use in a
      wide variety of service settings. Based on the results of this survey, the CSQ-8
      seems to operate about the same, whether administered to Anglos, blacks, persons
      of Mexican descent, or persons of other Hispanic origin, or whether in English or
      Spanish. There were essentially no differences among the various ethnic groups
      across statistical criteria of internal consistency reliability, central
      tendency, dispersion, item intercorrelation, or missing values. These results
      suggest that the CSQ-8 is a measure of general satisfaction with services
      suitable for use with a variety of client populations, including Hispanics.

PMID- 10267268
TI  - The dysfunctional side effects of quantitative indicator production: illustration
      from mental health care (a message from Chicken Little).
AB  - In the current context of economic conservation, accountability and retrenchment
      from social programs, justification is required in order to maintain human
      service capacity. In this effort, evaluation is a key component. Yet desire to
      base action upon information resulting from evaluation must be tempered by
      increased attention to the effects of the evaluation process. All too often
      premature application of quantitative indicators formerly used for individual
      assessment and research to bureaucratic decision making produces side effects
      that are dysfunctional in nature. Frequently these side effects influence service
      delivery directly. More insidious, because they are less easily discerned, are
      distortions introduced into the data by evaluation pressure. These not only delay
      effects on service but also impair understanding of the very process they are
      meant to illuminate. In order to illustrate this phenomenon, the author reviews a
      general literature and utilized examples from mental health care. Common themes
      are identified and a tentative theory of side effect generation proposed.

PMID- 10267269
TI  - Identifying and measuring unintended outcomes.
AB  - Unintended outcomes of governmental actions have received little attention from
      evaluators. The argument made here is that outcome evaluations should routinely
      include efforts to identify and measure unintended outcomes. A systems
      perspective is presented which treats governmental actions as disequilibrating
      intrusions into reacting systems that produce an array of outcomes, only some of
      which are intended. Intended and unintended outcomes can be valued monetarily, in
      terms of human rights, or both; specifically, outcomes having monetary value
      alter both the level and distribution of income while outcomes with rights value
      alter the level and distribution of rights. More needs to be done on unintended
      outcomes. The systems approach offered here requires further elaboration. Design
      modification that increase the chances of identifying and measuring unanticipated
      outcomes are needed, especially for designs based on non-equivalent groups and
      time-series data. Instrumentation is needed for designs based on non-equivalent
      groups and time-series data. Instrumentation is needed that will more accurately
      and sensitively register unanticipated outcomes. In the meantime, evaluators
      should pay more attention to theoretical predictions, the experiences of those
      involved with programs similar to the ones being evaluated, intercultural
      differences, and to unintended outcomes that originate within government itself.

PMID- 10267270
TI  - The impact of citizen evaluation review on community mental health center
      programs.
AB  - A field study of techniques for involving local citizens in the evaluation of
      Community Mental Health Center (CMHC) services shows that lay citizens can make
      recommendations that service agencies will use to improve services. Seventeen
      citizen groups received evaluation information from participating CMHCs and
      developed 310 recommendations. Seventy-one percent of these suggestions were used
      by the CMHCs. Staff and governing board attitudes, fiscal pressures, and other
      organizational characteristics affected the success of the citizen groups.

PMID- 10267271
TI  - Treatment participation and outcome in a program for problem drinker-drivers.
AB  - Relationships were examined between 13 predictor variables and two criteria of
      improvement in a program for problem drinker-drivers. Four measures of social
      background (income, educations, age, marital status), four measures of
      psychopathology based on the Minnesota Multiphasic Personality Inventory (MMPI),
      one measure of general alcoholism, and four indicators of treatment involvement
      served as predictor variables. Two factorially derived criteria served as outcome
      indicators, one reflecting general improvement, the other reflecting improved
      social adjustment, but a failure to reduce drinking. This second factor was
      interpreted as indicating resistance. Analysis included partial correlation and
      multiple regression, from which explained variance was completely partitioned
      into sources unique to each predictor, and sources shared by combinations of
      predictors. Results suggested that with other factors controlled, treatment
      involvement was linked both to improvement and to resistance. Similar conclusions
      were suggested for social background, but slightly different ones for
      psychopathology and alcoholism. Psychopathology was uniquely related to
      improvement; alcoholism, to resistance.

PMID- 10267272
TI  - Management consulting and evaluation.
AB  - The basic functions and procedures of management consulting are contrasted here
      with formal program evaluation. A case example further illustrates the differing
      approaches used in programmatic problem solving. The similarities and differences
      between these two professional specializations are highlighted in order to
      understand better the unique but complementary contribution each makes to the
      improvement of program operations.

PMID- 10267273
TI  - Physician perceptions of medical malpractice and defensive medicine.
AB  - Using judgments obtained in interviews with 33 Massachusetts physicians, the
      annual statewide volume of expenditures incurred for defensive medical reasons in
      1982 was estimated to be $1.0 billion, 12% of all medical care expenditures.
      Estimates for the nation were $37 billion, 14% of expenditures. Nationally,
      180,000 cesarean deliveries were thought to be performed for defensive motives.
      In their own institutions, respondents judged 43% of all skull x-rays following
      injury to be medically justified, 30% to be defensive medicine, 16% to be
      placebos, and 11% to be physician misjudgments. In considering the economic and
      noneconomic costs of medical malpractice procedures, the dollar costs of
      insurance were considered most serious, followed closely by defensive medicine,
      unfairness, and poorer relations with patients. Thirty-two percent of the
      responsibility for the negative aspects of malpractice processes was assigned to
      lawyers, 21% to physicians, 18% to legislatures and courts, 16% to patients, and
      13% to insurance companies.

PMID- 10267274
TI  - Good news about hospital costs.

PMID- 10267276
TI  - Competition is a fact of life, status quo is not functional, AGPA chief says.

PMID- 10267275
TI  - Hospitals, physicians in the competitive era: learning to live in a new
      environment.

PMID- 10267277
TI  - Johns Hopkins Hospital president says med schools should reduce physician output.

PMID- 10267278
TI  - Doctors urged to work to restore lost public confidence in medical profession.
      Joseph F. Boyle, M.D.--inaugural address.

PMID- 10267279
TI  - Put doctors on boards, AMA president-elect says.

PMID- 10267280
TI  - Hospital Medical Staff Section leader sees era of creative, dynamic tension in
      relations.

PMID- 10267281
TI  - Ellwood's MeSH idea links physicians, hospitals in business partnership plan.

PMID- 10267282
TI  - Hospitals help doctors to become more involved in decisions, AHA chief says.

PMID- 10267284
TI  - Product standardization gaining momentum as industry moves deeper into
      competitive era.

PMID- 10267283
TI  - Freestanding facilities for MRI: a joint venture alternative for hospitals,
      doctors.

PMID- 10267285
TI  - Illinois Legislature approves free market solution to cost containment.

PMID- 10267286
TI  - 600 volunteers recruited to staff AMI's 3 clinics at Olympics.

PMID- 10267287
TI  - AMI discloses plans to buy Omaha teaching hospital.

PMID- 10267288
TI  - So why not start a foundation?

PMID- 10267289
TI  - Health care for the elderly: turning from coordinated community-based services.

PMID- 10267290
TI  - The use of charts: a tool for management.

PMID- 10267291
TI  - Database marketing propels non-profits into new age.

PMID- 10267292
TI  - Institutions must routinely take market's pulse.

PMID- 10267293
TI  - Wellness: encouraging a lifetime pursuit of excellence.

PMID- 10267294
TI  - Medical self-care in a university setting.

PMID- 10267295
TI  - Combining wellness promotion with family practice in a university setting.

PMID- 10267296
TI  - Coordinating student life services to enhance wellness opportunities.

PMID- 10267297
TI  - Seven mistakes CEOs make vis-a-vis health care marketing.

PMID- 10267298
TI  - Testing an idea before launching it can prevent pain and improve acceptance.

PMID- 10267299
TI  - Quality assurance. Yardsticks evolved for patient care.

PMID- 10267300
TI  - Women in the NHS. How do the mums manage?

PMID- 10267301
TI  - Kidney patient care. French lessons: at what price?

PMID- 10267302
TI  - Healthy talk at the GLC.

PMID- 10267303
TI  - Social work records. Access--an issue on the cards.

PMID- 10267304
TI  - Mental health planning. System which doesn't take sides.

PMID- 10267305
TI  - Training skills for community life.

PMID- 10267306
TI  - Making headway in Medway.

PMID- 10267307
TI  - Computers, robots may be used to keep patients home.

PMID- 10267308
TI  - Equipment locker lends to patients who otherwise would do without.

PMID- 10267309
TI  - Cost containment through inventory control.

PMID- 10267310
TI  - Olympics polyclinics.

PMID- 10267311
TI  - Health services and the Olympics.

PMID- 10267312
TI  - Playing to win. Centinela Hospital and the sports medicine game.

PMID- 10267313
TI  - The Hospital Satellite Network: how high tech links up with serious educational
      programming.

PMID- 10267314
TI  - Future of hospital-based nursing explored.

PMID- 10267315
TI  - Carner's Codes. The good-work/fair-pay myth.

PMID- 10267316
TI  - No noise: how one large city hospital is quietly winning the war against noise
      pollution.

PMID- 10267317
TI  - Interview with Sr. Mary Roch Rocklage, RSM.

PMID- 10267318
TI  - Volunteer staff, hospital support free clinic for needy children.

PMID- 10267319
TI  - Hospital LEAPs into Olympics.

PMID- 10267320
TI  - Report of the Catholic Health Assembly.

PMID- 10267321
TI  - A commentary on "Securing Access to Health Care." Ethics Commission access report
      urges adequate care for all.
AB  - Society has a moral obligation to provide adequate access to health care for all,
      concludes the President's Commission for te Study of Ethical Problems in Medicine
      and Biomedical and Behavorial Research in its report Securing Access to Health
      Care. Though the federal government's involvement is not necessary if private
      forces are able to achieve equity in health care delivery, the government bears
      the ultimate responsibility for ensuring that society fulfills its obligations.
      Meeting these objectives will require changes in the country's political and
      economic systems, which traditionally have not emphasized subordinating the
      individual good to the common good. The needs of the poor must take priority even
      at risk of burdening the advantaged. The commission recognizes that it is
      irresponsible to advocate equity without acknowledging the need to control costs.
      Greater equity can be attained only if changes in health care management
      practices are adopted and if decisions regarding resource use are based on social
      goals. Thus placing the needs of the poor first may mean a commitment to use less
      high-cost treatment. The report presents an opportunity to promote a more just
      health care policy. Catholic health care facilities, for example, can be made
      models of institutions that have met the needs of the poor, and they can become
      social justice advocates for government policies that benefit the poor and the
      disadvantaged.

PMID- 10267322
TI  - CEO's challenge: balance fiscal solvency, service to poor.
AB  - Competitive practices and the prospective payment system are among factors
      challenging Catholic health care facilities' commitment to serve the poor and
      elderly and to provide individualized care. To concentrate their mission on
      services to the marginated and thus alienate other payer groups through inability
      to compete in either services or price is fiscal suicide. Sponsors and CEOs of
      Catholic facilities are exploring creative solutions to this dilemma: Revising
      the mission statement. The facility may restate its goals--e.g., to provide an
      "adequate" level of care and technology, rather than "the best care possible;"
      Changing delivery methods to focus on outreach services, ambulatory care centers,
      surgicenters, etc.; Finding new ways of providing charity care through endowment,
      trust, foundation, and unrelated business income. Corporate restructuring to
      generate income and protect the facility's asset base is being widely studied.
      Because many congregations sponsor several institutions, Catholic health
      facilities are well positioned to enter multi-institutional systems and
      participate in networking as a means to save money and to market services.
      Catholic health care facilities must form a nationwide system of influence in the
      growing public policy debate about access to and rationing of health care. Before
      these issues are resolved; Catholic facilities will continue to feel pressure to
      provide services beyond their means. The chief executive officer has four
      particular tasks during this period: To use an entrepreneurial approach to
      generate funds to support the facility's mission activity; To guide the board of
      trustees to accept multi-institutional arrangements; To raise legislators' and
      citizens' awareness of the institution's fiscal challenges; To motivate the
      institution's staff to provide individualized, compassionate care in spite of the
      depersonalizing effects of DRGs.(ABSTRACT TRUNCATED AT 250 WORDS)

PMID- 10267323
TI  - How should Catholic hospitals allocate ICU admissions?

PMID- 10267324
TI  - Designing material handling and movement systems.

PMID- 10267325
TI  - Perspective: the future of material management in Canada in the 1980s.

PMID- 10267327
TI  - Viewpoint: hospital materiel management in British Columbia.

PMID- 10267326
TI  - Human factors and industrial design in hospital materiel management.

PMID- 10267328
TI  - Group purchasing and shared regional services.

PMID- 10267329
TI  - Group tendering on a provincewide basis.

PMID- 10267330
TI  - Materiel management--psychology of change: the people aspect.

PMID- 10267331
TI  - Central dispatch--human resource planning and implementation.

PMID- 10267332
TI  - Profile of a workable distribution system.

PMID- 10267333
TI  - Developing a materiel evaluation and standardization committee.

PMID- 10267334
TI  - Requirements for development of a computerized materiel management system.

PMID- 10267335
TI  - The importance of physician-patient communication.

PMID- 10267336
TI  - Budgeting.

PMID- 10267337
TI  - In what hospital activities should the personnel department be involved?

PMID- 10267338
TI  - New management strategies help solve unique challenges in terminal care.

PMID- 10267339
TI  - One form replaces 20 to help Christ Hospital make more productive use of social
      workers' time.

PMID- 10267340
TI  - Use of a recording device to schedule elective admissions increases productivity.

PMID- 10267341
TI  - Patient centered admission: saves time, speeds work flow, evens out work load.

PMID- 10267342
TI  - How a car safety seat loaner program furthers community relations and saves
      lives.

PMID- 10267343
TI  - Newark Beth Israel Medical Center: a case history in inner-city funding.

PMID- 10267344
TI  - Eliminate transcribing on nursing units--a time and money saving new approach to
      ancillary requisitioning.
AB  - Manual systems for requisitioning services are gradually being replaced with data
      entry terminals on the nursing divisions. These systems claim greater accuracy
      and timeliness of response, but the capital investment necessary is oftentimes
      unwarranted, as well as being cost prohibitive for many hospitals.

PMID- 10267345
TI  - Patient resuscitation classification system: saves time, improves communication.

PMID- 10267346
TI  - Profitable computer use for nurse staffing.

PMID- 10267347
TI  - How operating room personnel receive orientation training in SPD.

PMID- 10267348
TI  - C. S. the cornerstone of materials management.

PMID- 10267349
TI  - How to make your communication system less costly to operate and generate new
      sources of income.
AB  - The concept of one total telecommunications system to serve an entire hospital is
      not practical. Hospitals should plan toward the establishment of an integrated
      telecommunications plan and network that would incorporate four or more major
      telecommunications support systems.

PMID- 10267351
TI  - Private sector overview.

PMID- 10267350
TI  - Flame retardants.

PMID- 10267352
TI  - Total care of the elderly.

PMID- 10267353
TI  - Replacing flat roofs.

PMID- 10267354
TI  - Review of human subjects research: options available to the Institutional Review
      Board.

PMID- 10267356
TI  - Pennsylvania program aids employers in containing costs of employee health care
      benefits.

PMID- 10267355
TI  - Computer services at the Altoona Hospital library.

PMID- 10267357
TI  - Quarterly tax report: recent case developments; new tax legislation.

PMID- 10267358
TI  - Senate passes Amendment to Child Abuse Act regarding treatment for disabled
      infants.

PMID- 10267359
TI  - Eleventh District Court rejects Medicare medical malpractice apportionment rule.

PMID- 10267360
TI  - Non-clinical staff enhance patient care.

PMID- 10267361
TI  - The shape of things to come.

PMID- 10267362
TI  - Stepping back to leap forward.

PMID- 10267363
TI  - Cost containment--a management approach.

PMID- 10267364
TI  - Get value for your building dollar.

PMID- 10267365
TI  - Do you know what your lab technologist does?

PMID- 10267366
TI  - Equipment planning--the consultant's role.

PMID- 10267368
TI  - The "wellness" alternative.

PMID- 10267367
TI  - Patient surveys--an administrative tool.

PMID- 10267369
TI  - Show savings by sharing services.

PMID- 10267370
TI  - Computers speed up x-ray room design.

PMID- 10267371
TI  - Standardization of equipment plans.

PMID- 10267372
TI  - Material management: on course for change? Roundtable discussion.

PMID- 10267373
TI  - Materials managers, the one-minute variety.

PMID- 10267374
TI  - Materials managers need to be change agents to achieve centralization goals.

PMID- 10267375
TI  - The gift shop volunteer: staffing & training.

PMID- 10267376
TI  - Big, bright & beautiful. An afternoon with a hospital gift shop manager.
      Interview by Judy Rosenfeld.

PMID- 10267377
TI  - Communicate your self.

PMID- 10267378
TI  - NJHA Council seminar: "shop smarts".

PMID- 10267379
TI  - What price glory: paid/volunteer? Managers debate the problem.
AB  - There are many ways of being "paid" for a job well done. Money, however, is
      acknowledged by our society as the primary, and in many cases only, appropriate
      form of compensation. Yet many hospital gift shop managers are not paid wages,
      though they may be producing hundreds of thousands of dollars in sales each year.
      It's a retailing phenomenon, and worthy of the discussion which follows between
      managers who are paid with money and those who choose to accept other
      considerations as payment in full.

PMID- 10267381
TI  - If you find it difficult to work with volunteers...

PMID- 10267380
TI  - Merchandising collectibles.

PMID- 10267382
TI  - Dollars & scents.

PMID- 10267383
TI  - Absenteeism. The disappearing act. Interview by Barbara Feiner.

PMID- 10267384
TI  - Teaching the job to new employees.

PMID- 10267385
TI  - Meet the press. How your gift shop can make headlines.

PMID- 10267386
TI  - Coney Island hospital gift shop.

PMID- 10267387
TI  - August means Christmas planning.

PMID- 10267388
TI  - Display as a selling tool.

PMID- 10267389
TI  - P & T Committee roundtable discussion: Eastern region Pt. II.
AB  - A series of regional roundtable discussions regarding the successful operation of
      Pharmacy and Therapeutics (P & T) Committees has been conducted by Hospital
      Formulary. Representatives from private hospitals; university and teaching
      hospitals, as well as Veterans Administration medical centers have participated
      to ensure that different aspects of P & T Committee performance are demonstrated.
      issues regarding committee profile, constituency, function, and mechanics are
      discussed, as are criteria for establishing a successful formulary within an
      institution. The sessions were taped, and the edited transcription is provided in
      the following article.

PMID- 10267390
TI  - Strengthening the formulary system by implementing a drug usage guidelines
      program.
AB  - The development and implementation of a Drug Usage Guidelines (DUG) program in a
      1,200-bed, federal teaching hospital are described. The program was designed to
      promote effective formulary control through established procedures for the review
      and evaluation of drugs submitted to the Pharmacy and Therapeutics (P & T)
      Committee for addition to the formulary. The procedures required the submission
      of the DUG and an oral presentation to the Committee prior to any final vote on
      the request. Anticipated potential benefits of the DUG program are to: (1)
      stimulate rational drug therapy, (2) provide reliable drug information to the
      professional staff in a usable format, (3) promote a thorough evaluation of
      therapeutic agents before approving for formulary inclusion, and (4) provide
      physician-generated guidelines for use as criteria in drug utilization review
      audits.

PMID- 10267391
TI  - Cost containment through P & T committee drug utilization review.
AB  - Provoked by changes that are occurring in health care, hospitals are currently
      formulating and implementing strategies to identify and control costs while
      maintaining the highest quality of care. Because drug costs account for a
      significant proportion of the hospital supply budget (5 to 10%), there is an
      increased need for the P & T Committee to become involved in the cost containment
      effort. This article will demonstrate how an existing program of drug utilization
      review (DUR) has reduced drug expenses without sacrificing the quality of care or
      imposing unnecessary restrictions on formulary items. Furthermore, implementation
      of the DUR program has not resulted in conflict between pharmacy, medical,
      nursing or administrative staffs within the institution.

PMID- 10267392
TI  - The Canadian Dietetic Association brief regarding the Canada Health Act.

PMID- 10267393
TI  - A multidisciplinary audit of diabetic care using criteria mapping.
AB  - A multidisciplinary audit of care delivered to diabetic patients was completed at
      the Royal Victoria Hospital, in Montreal. The audit of inpatient care was
      implemented using Criteria Mapping. A Criteria Map is based on decision-making
      logic and allows use of criteria relevant to individual patients. The Map
      includes 23 criteria: 18 medical, three dietetic, and one nursing. The charts of
      17 patients discharged with a diagnosis of diabetes mellitus were reviewed. A
      score above 75% indicated that each discipline rendered adequate care. The
      medical compliance was 78.46%, dietetic 79.17%, and nursing 85.71%. Mean dossier
      score was 80.62%. The Criteria Map was highly satisfactory as an audit method;
      the results of the audit illustrated a need for more complete documentation of
      services, especially in the area of patient education.

PMID- 10267394
TI  - Development of preventive maintenance procedures.
AB  - A large number of in-house preventive maintenance (PM) programs, which call for
      varying degrees of thoroughness in the checkout of patient care instrumentation,
      are currently in existence throughout the country. This paper discusses the types
      of preventive maintenance, or PM procedures, which can be used by a clinical
      engineering department; the rationale for drafting different types of PM
      procedures in-house; and some long-term considerations affecting hospital-based
      inspection programs. Three types of PM procedures are described and compared:
      general checks; generic procedures; and, specific procedures. An outline is
      provided for writing a PM procedure; and, a call is made for a national guideline
      for writing preventive maintenance procedures.

PMID- 10267395
TI  - Development of an inservice educational program for clinical staff.
AB  - Inservice education is potentially one of the most effective tools of the
      clinical engineer. A good technical inservice program can significantly reduce
      the amount of time engineers and technicians must spend on repetitive, corrective
      tasks, allowing them to be of greater value to their institutions in more
      creative ways. A complete technical inservice education program has been designed
      for the University of Connecticut Health Center's John Dempsey Hospital. To
      design such a program, one must first assess current inservice practices and any
      associated problems, as well as the educational needs of the clinical staff. The
      assessment is done by examining past equipment repair records, and by surveying
      nurses and other clinicians within the hospital, clinical engineers from outside
      hospitals, and equipment vendors. A sample program is then carried out to gather
      additional information and gain the acceptance and support of key hospital
      personnel. Based on the compiled data, an inservice program is proposed that is
      streamlined to maintain a desirable level of efficacy without requiring an
      inordinate amount of time. Quantitative analyses of costs and benefits confirm
      that the proposed program will have a net positive effect.

PMID- 10267397
TI  - Toward the explication of the value contexts of the community psychologies.
AB  - Value issues are inseparable from any scientific pursuit and they become
      particularly influential in the applied scientific areas of community and
      behavioral community psychology. The explication of value positions is one way of
      dealing positively with the ubiquity of value issues. The role of values in
      community mental health, community psychology, and behavioral community
      psychology are contrasted. Implicit value positions are entrenched in the
      terminology of community psychology and community mental health theory while
      theory in behavioral community psychology, because of its functional rather than
      structural orientation, does not contain the same level of value positions.
      Traditionally, value positions have been concerned with the quality of life,
      i.e., what makes up the "good life." However, the worldwide crises of starvation,
      nuclear armament, and pollution necessitates an orientation to a more fundamental
      type of value, i.e., survival of the species or the opportunity for life. Through
      the explication of quality-of-life values, the public and psychologists designing
      community helping programs can evaluate the compatibility of quality-of-life and
      opportunity-for-life values.

PMID- 10267398
TI  - Seeking justice in the real world: a further explication of value contexts.
AB  - Following a brief clarification of the value assumptions of community mental
      health and community psychology, the error of assuming that behaviorism is less
      value based than other theories of man or strategies for doing science is
      demonstrated. First epistemological and then historical-sociological arguments
      are presented to show that the contribution of behavioral community psychology to
      the explication of values is more a function of its association with community
      psychology and of its relatively recent emergence as a competitor for ascendence
      in applied psychology than of its idiosyncratic structural characteristics.
      Finally, an alternative to the view that survival values should be of prime
      importance to community psychology is offered.

PMID- 10267396
TI  - The etiology of loosened connections in hospital-grade plugs.
AB  - The loosening of terminal connections over time in wired, hospital-grade plugs
      has been reported. This study was performed to determine the extent of the
      problem and the cause(s) of the loosening connections. Of 45 hospitals responding
      to the survey, 15 reported a total of 25 melted plugs. Terminal torques were
      measured on the plugs of ninety-nine randoMly selected medical devices; 21% of
      the inspected torques measured zero in-lbs. Static mechanical tests were
      performed on the plug terminals of five manufacturers. A maximum decrease in
      torque of 18% was noted over a 6-month period. The combined affects of current
      cycling and cold flow on the terminal torques were also noted to be about 43%
      over a six-month period. Loosening torques appear to be more frequently
      associated with appliances requiring high currents and those that are frequently
      inserted and withdrawn from receptacles. It is concluded that a serious problem
      exists with loosened terminals in hospital-grade plugs. Until a design change can
      correct this screw loosening, maintenance groups have a responsibility to assure
      adequately low wire-to-terminal resistances. A semi-annual torquing of the plug
      connections of critical function medical devices should be considered.

PMID- 10267399
TI  - Community psychologies and values: the importance of being urnless.
AB  - This paper is a response to the Rappaport (1984) and Attneave (1984) commentaries
      on the O'Donohue, Hanley, and Krasner (1984) article on the value contexts of the
      community psychologies. We have focused on similarities and differences between
      our positions and those of Rappaport and Attneave. We are all in agreement that
      behavioral community psychology is not value free, a point which is emphasized in
      our earlier paper. One of our goals was to foster the discussion of value
      explication and its implications for the community psychologies. The Rappaport
      and Attneave commentaries, in effect, have accomplished this in an excellent and
      exciting manner.

PMID- 10267400
TI  - Personal support systems of former mental patients residing in board-and-care
      facilities.
AB  - This is a study of the personal support networks of a selected group of formerly
      hospitalized psychiatric patients now residing in board-and-care facilities in
      Galt, California. Its purpose was to assess the particular forms of support
      available to such persons and to suggest ways in which short-comings in needed
      supportive interaction might be remedied. The article first reviews the
      circumstances of board-and-care placement. It then examines the concept of
      support systems and their relevance to the health and well-being of individuals.
      Following this, the findings of a study of 39 psychiatrically disabled persons
      residing in board-and-care homes in one rural California community are reported.
      Several recommendations are offered which illustrate two ways in which agency and
      community services might affect the support available to board-and-care
      residents.

PMID- 10267401
TI  - Lack of stress-health relationships: a base rate problem?
AB  - The lack of relationship between psychological or social stressors and various
      health indices is common. This paper presents stress and health data collected
      from nurses at 10 different hospitals and from food processors at eight different
      sites. Correlations computed in samples constructed so that the number of people
      affected by a particular illness is approximately equal to those not so affected
      were consistently higher than similar correlations computed for the entire sample
      of 1,934 respondents. Because correlations are affected by the base rate of the
      phenomenon one is studying, it is suggested that other indices such as simple
      percentages in affected and unaffected groups are more appropriate.

PMID- 10267402
TI  - Users and "teasers": failure to follow through with initial mental health service
      inquiries in a child and family treatment center.
AB  - This article examines the experience of families who contacted a child and family
      community mental health treatment center, but then did not follow through to
      receive even one session of diagnosis or treatment at the agency. The paper
      reports the base rate for this behavior in a large (N = 2,358) sample of cases
      who either only made inquiry or who received treatment at the agency. The inquiry
      group, or "teasers," tended to have children who were older than client groups,
      to have relatively more behavioral and fewer personality problems, to have
      demonstrated problems earlier than client groups, and to have parents who were
      slightly older. A follow-up study was conducted with 100 inquiry and 100 client
      cases. The relative efficacy of telephone and written questionnaire methodologies
      are compared, demonstrating that the telephone approach was more effective.
      Client-group children were reported to be only moderately better off at the time
      of follow-up than the inquiry group, but conclusions about the effects of
      treatment are limited by the finding that many members of the inquiry group had
      sought treatment elsewhere after their brief contact with the agency.
      Implications of this study for community mental health administration and for
      future research in this area are discussed.

PMID- 10267403
TI  - The effects of role preparation for psychotherapy on immigrant clients seeking
      mental health services in Hawaii.
AB  - The present study sought to examine the effects of a standard role induction
      (role preparation) procedure on immigrant patients having their first therapy
      experience. Thirty immigrant clients who met selection criteria and were seeking
      treatment at a community mental health center in Hawaii were assigned to either
      role induction (therapy preparation intervention) or a placebo intervention prior
      to receiving therapy offered by 10 professional therapists. The effects of the
      role-induction or placebo manipulation were assessed by a measure of expectancy,
      satisfaction ratings, and data on premature termination and attendance. Results
      indicated that the patients who received the role preparation procedure as well
      as placebo patients had changed their expectations in appropriate ways by the end
      of therapy. The role-prepared patients, however, became less dependent on their
      therapist for support, advice, and direction. In addition, the role-prepared
      patients were more satisfied with therapy, rated themselves as more changed, and
      dropped out of treatment at significantly lower rates. The implications of the
      results for service delivery to immigrant patients were examined.

PMID- 10267404
TI  - An alternative reimbursement system to encourage optimum pharmacy services.

PMID- 10267406
TI  - Managing pharmaceutical services in the long term care setting.

PMID- 10267405
TI  - Caring for regulations or regulating for care?

PMID- 10267407
TI  - Drugs as a reason for nursing home admissions.

PMID- 10267408
TI  - Mealtime meds: a multiple dose medication system.

PMID- 10267409
TI  - Pain management, drugs and the elderly.

PMID- 10267412
TI  - Medication use at different levels of care.

PMID- 10267410
TI  - Legal implications of drug errors.

PMID- 10267411
TI  - Architecture and long term care. The nursing home corridor.

PMID- 10267413
TI  - Security: protection information resources & media.

PMID- 10267414
TI  - Word processing alive and well.

PMID- 10267415
TI  - 9-1-1: antidote to amnesia.

PMID- 10267416
TI  - A significant difference. The 9-1-1 emergency telephone number.

PMID- 10267417
TI  - Cutting the fog in Santa Ana. An ambulance study committee.

PMID- 10267418
TI  - Hyperbaric oxygen therapy.

PMID- 10267419
TI  - When to say no. Eight tips for evaluating ambulance service contracts.

PMID- 10267420
TI  - The restructuring and evaluation of the patient medical review in New York State.
AB  - The dramatic increase in the number of elderly persons in the population has led
      to tremendous increases in the number of nursing home beds; this in turn has made
      monitoring the quality of nursing home care even more difficult. The authors
      briefly detail the development of the federally mandated periodic medical
      review/independent professional review, and discuss how New York State took this
      program one step further and improved upon it.

PMID- 10267421
TI  - In-service education: a model for success.
AB  - The quality and quantity of in-service education programs offered to staff
      members of long-term care facilities have long lagged behind that offered in
      hospitals, medica centers, and other sectors of the health care industry. The
      authors review the need for, and the problems and benefits of, in-service
      education in long-term care facilities, and suggest a model program.

PMID- 10267422
TI  - Admission procedures in skilled nursing facilities.
AB  - Little is known about the policies, practices, or procedures that affect the
      placement of applicants for nursing home care. Toseland and Newman report how
      financial resources and various forms of physical, mental, and behavioral
      problems affects the chances that older persons will be admitted to or excluded
      from nursing facilities.

PMID- 10267423
TI  - City of Faith Medical and Research Center, Tulsa, Oklahoma.
AB  - The gold towers of the City of Faith command the viewer's attention as they soar
      into the Tulsa sky. Built by Evangelist Oral Roberts, the City of Faith combines
      a 60-story clinic and diagnostic center, a 30-story full-service hospital and a
      20-story research center on one 80-acre site adjacent to the Oral Roberts
      University campus. Due in part to their futuristic architectural features, the
      campus and the City of Faith are one of the top tourist attractions in Oklahoma.
      Construction began in early 1978. The clinic, first opened in June 1981 with nine
      physicians, is now staffed with more than 80, all with faculty appointments to
      the Oral Roberts School of Medicine. The hospital accepted its first patient in
      November, 1981 and is currently certified for 294 beds (final plans call for a
      total of 777). The research center began operations last June and focuses on
      cancer, heart disease, arthritis, diabetes and geriatrics. Built entirely through
      contributions from followers of the Oral Roberts Ministries, the debt-free City
      of Faith is expected to cost more than $500 million when completed in 1988.

PMID- 10267424
TI  - Purchasing. The front line defense in infection control.

PMID- 10267425
TI  - Off-site cart exchange.

PMID- 10267426
TI  - Outdates. A case study.
AB  - In this article, the author describes how her CS department eliminated costly and
      time-consuming outdates by assessing, in their own facilities, the sterility of
      properly packaged items over a one-year period. As her conclusions illustrate,
      one year color-coded expiration dating saves more than money alone--it promotes a
      more efficient utilization of manpower and facilitates stock rotation.

PMID- 10267427
TI  - Management of medical equipment. Selection, use, maintenance and repair.

PMID- 10267428
TI  - A visit to Japanese hospitals.

PMID- 10267429
TI  - Reuse of single use medical devices.

PMID- 10267430
TI  - Perceived value.

PMID- 10267431
TI  - EtO sterilization.

PMID- 10267432
TI  - Microfilm is dead: long live photo/optical image recording.

PMID- 10267433
TI  - Information resources management: management focus on the value of information
      and information work.
AB  - Progressive management views information resources--all forms of stored data;
      people as information sources, processors and communicators; information tools-
      as major assets of companies in the information age. They treat and manage
      information resources as other valuable resources, e.g. personnel, finances,
      energy. The unique characteristics of managing information resources are
      introduced. Approaches toward the introduction of information resources
      management are outlined.

PMID- 10267434
TI  - Impact of reductions in funding on human services programs: a symposium.

PMID- 10267435
TI  - Nonprofits, federalism, and Reagan social policy.

PMID- 10267436
TI  - Interorganizational decision-making in response to cutbacks: a case study.

PMID- 10267437
TI  - Constraints on government management strategies: challenge to local government
      and human service managers.

PMID- 10267438
TI  - Popular versus technical works in the medical library: a use study.

PMID- 10267440
TI  - How to establish a creative climate in the work group.

PMID- 10267441
TI  - How to avoid wrongful discharge suits.

PMID- 10267439
TI  - Work unit culture: strategic starting point in building organizational change.

PMID- 10267442
TI  - Healthcare cost containment from a hospital's viewpoint.

PMID- 10267443
TI  - Institutional LMs face challenges. Preparedness is key to job security.

PMID- 10267444
TI  - Pounds per patient day are rising.

PMID- 10267445
TI  - Hospital laundry emulates private business, adds manufacturing dept. to cut
      costs.

PMID- 10267446
TI  - Fact, fiction and fantasy.

PMID- 10267447
TI  - Should you lease your staff?
AB  - The prospect of leasing instead of hiring your staff may sound farfetched, even
      crazy at first, but more and more successful businesses are finding this
      arrangement best meets the needs of both the organization and the employees.
      Employee leasing can be a practical remedy for the tremendous financial burden of
      employee pension costs and bring many other benefits to everyone involved as
      well. Of course, before such an arrangement is entered, there are important
      legal, economic, and practical considerations to be made. The innovative idea of
      employee leasing is explored here in depth, with special focus on the legal
      angle. Helpful charts are provided which compare the costs of a defined benefit
      plan and a leasing arrangement.

PMID- 10267448
TI  - Involve physicians in marketing.
AB  - Many everyday problems in medical group practice can be attacked by a marketing
      approach. To be successful, however, this kind of approach must have the full
      support of those involved, especially the physicians, since they are the
      principal providers of healthcare services. When marketing is presented in a
      broad context, including elements such as patient mix, population distribution,
      and research, physicians are more likely to be interested and supportive. The
      members of Geisinger Medical Center's Department of Cardiovascular Medicine
      addressed their patient appointment backlog problem with a marketing approach.
      Their method is chronicled here and serves as a fine example of how physician
      involvement in marketing can lead to a positive outcome.

PMID- 10267449
TI  - Forging a vital link in group operations.
AB  - Medical secretaries play a vital role in group practice; and for maximum
      productivity, it is essential that they be adequately trained. At the Scott and
      White Clinic in Temple, Texas, a thorough examination was conducted of the
      medical secretary training program. Based on this, a more formal program was
      developed which included a series of self-directed, competency-based learning
      modules with built-in program effectiveness monitors. The result of strengthening
      this one link in the chain of group operations has been not only better qualified
      and happier secretaries, but also, increased overall productivity. This article
      contains the key to developing, introducing, implementing, and evaluating a
      successful medical secretary training program in your group practice.

PMID- 10267450
TI  - Evaluate your employees.
AB  - Are the communication and feedback systems in your medical group practice in
      perfect working order? Is every incident, task, success, and problem handled as
      it occurs? Though these conditions are desirable, they are only a fantasy in
      today's working world. Every medical group practice, large and small, needs an
      employee performance evaluation program to stimulate employees to develop their
      full potential and let them know that their employer cares. Highlighted in this
      article are the benefits of a formal, written evaluation plan as viewed from
      everybody's perspective--the organization, the management, the administrator,
      supervisors, employees, and most important, the patients.

PMID- 10267451
TI  - Creativity and the management team.
AB  - What is creativity? Is it an untempered gift found only in a few rare
      individuals? Or, is it a skill that can be developed in the people who make up
      your management team? As applied to medical group practice, creativity is a
      process through which the management team can originate ideas for responding to a
      complicated environment. To be effective, creativity must be fostered in
      individuals and in the organization. Drawing from lessons of successful
      corporations, the author examines the management styles which are conducive to
      creativity and innovation. Strong team management and proper orientation of new
      staff members are essential in building a foundation for creativity. To assist
      medical groups, key elements that are fundamental to fostering creativity in the
      organization are presented.

PMID- 10267452
TI  - The right approach to solving problems.
AB  - A review of brain functioning, particularly as it relates to the use of the right
      brain suggests that this center of creativity is not often tapped. However, when
      a group of people gather to learn how to tap their creative potential, many
      difficult problems can be solved. As applied to solving recruiting problems, the
      use of creative problem-solving techniques can tap the vast potential in a
      medical group to find new solutions to the problems that never seem to go away.
      Conducting creative problem-solving sessions requires a skilled practitioner who
      can draw out the potential in group members. The process is not without some
      costs, as the authors point out, but the benefits can be well worth the effort.

PMID- 10267454
TI  - Competition in health care could ruin medical education.

PMID- 10267453
TI  - Managing hostility.
AB  - Hostility causes the breakdown of human relationships. In the workplace, it is a
      frequent cause of the stress which is characterized by anxiety, tension,
      depression, gross errors in judgment, and mental and physical exhaustion.
      Hostility has infectious properties, whereby it can easily spread throughout an
      organization creating factions and seriously impairing operations. Because
      medical group administrators face hostility from a variety of sources--doctors,
      employees, and patients and their families--they must learn to recognize
      hostility for what it is, and to manage it. Having researched the subject
      extensively, this well-published author has developed a method known as anti
      hostility which not only aids in our understanding of the origin of hostility,
      but also provides a means for ridding ourselves and others of the disorder.

PMID- 10267455
TI  - If the feds don't kill health planning....maybe the states will.

PMID- 10267456
TI  - What's hiding in that PPO contract?

PMID- 10267457
TI  - Will the states put a brake on emergicenters?

PMID- 10267458
TI  - Pitfalls to avoid when you discuss fees.

PMID- 10267459
TI  - Doctor entrepreneurs: are they hurting the profession?

PMID- 10267460
TI  - Peer review: is testifying worth the hassle?

PMID- 10267462
TI  - Local area network for the ICU.

PMID- 10267461
TI  - Pumps in medical instruments.

PMID- 10267463
TI  - CARDIONET: the local area network for the cardiology department.

PMID- 10267464
TI  - Microcomputers in the laboratory.

PMID- 10267465
TI  - Medical Electronics buyers guide 1984, Part 3: ECG transmitters/receivers;
      electronic thermometers; patient scales; pumps, infusion & autotransfusion
      devices; transient/surge protectors; ultrasonics.

PMID- 10267466
TI  - Was failure due to design or installation?

PMID- 10267467
TI  - Downtime: what is the real cost?

PMID- 10267468
TI  - Burnout--when the doctor's bag gets heavy.

PMID- 10267470
TI  - Compromise law passed to protect seriously ill Faith Assembly children.

PMID- 10267469
TI  - Medical groups' suit seeks to put legal padlock on 'Baby Doe' reg.

PMID- 10267471
TI  - Continuing medical education. The bandwagon loses some riders.

PMID- 10267472
TI  - Buy, lease, or rent: which way to go under DRGs?

PMID- 10267473
TI  - In search of an analyzer: sifting through the offers.

PMID- 10267474
TI  - Exploding some myths about merit pay.

PMID- 10267475
TI  - A practical guide to instrument selection.

PMID- 10267476
TI  - Changing directions and roles in the lab.

PMID- 10267477
TI  - Guidelines for laboratory administration--Part III.

PMID- 10267478
TI  - Electronic spreadsheets help hospitals pinpoint crucial costs.

PMID- 10267479
TI  - Micro users must meet rigid guidelines to tap data bases.

PMID- 10267480
TI  - Flexible microcomputer networks meet hospitals' changing needs.

PMID- 10267481
TI  - New marketing strategies boost group practices' patient volume.

PMID- 10267482
TI  - HCA/Lovelace deal signals trend.

PMID- 10267483
TI  - 10 guidelines for success of hospital-physician partnerships.

PMID- 10267484
TI  - Statistics reveal steady growth in number and size of practices.

PMID- 10267485
TI  - Hospitals soak up bargains in pools of tax-exempt debt with floating rates.

PMID- 10267486
TI  - Court cites 'paternalistic' Baylor for discriminating against Jewish M.D.s.

PMID- 10267488
TI  - Proposal to sell SamCor is 'on the slow track'.

PMID- 10267487
TI  - Legislation would shield PPOs from antitrust laws.

PMID- 10267489
TI  - Strike accelerates shift of patients to outpatient services in Twin Cities.

PMID- 10267490
TI  - Foundations are sowing seeds for change in healthcare system.

PMID- 10267491
TI  - 21% lack regular family physician; more men, youth in untapped market.

PMID- 10267492
TI  - Hospital's ads stress its worldwide renown.

PMID- 10267493
TI  - Consignment holds allure for hospital purchasers.

PMID- 10267495
TI  - Re-inventing the wheelchair. Innovations in design and construction are giving
      the disabled a new-found sense of freedom.

PMID- 10267494
TI  - COPAC/Mid-America merger creates largest U.S. buying group.

PMID- 10267496
TI  - HIDA addresses device alerts. Industry Distributors Association.

PMID- 10267497
TI  - No-fault physicians.

PMID- 10267498
TI  - On target. On the move. Continuing Care Associates, Inc.

PMID- 10267499
TI  - Look for legal pitfalls in pacts with hospitals.

PMID- 10267500
TI  - The capital formation environment of the 1980s.

PMID- 10267501
TI  - The concept of hospital corporate planning.

PMID- 10267502
TI  - The administrative role in planning.

PMID- 10267504
TI  - May a creditor create a third-party collection agency?

PMID- 10267503
TI  - Situational moderators of leader reward and punishment behaviors: fact or
      fiction?
AB  - One assumption shared by many contemporary models of leadership is that
      situational variables moderate the relationships between leader behaviors and
      subordinate responses. Recently, however, R. J. House and J. L. Baetz (1979 in B.
      Staw & L. Cummings, Eds., Research in Organizational Behavior (Vol. 1),
      Greenwich, Connecticut, JAI Press) have suggested that the effects of some leader
      traits and behaviors may be relatively invariant; that is, have the same effects
      in a variety of situations. One possible class of leader behaviors which may have
      relatively consistent effects across situations are those known as leader reward
      and punishment behaviors. The first goal of the research reported here was to
      increase our understanding of the relationships between leader contingent and
      noncontingent reward and punishment behaviors and subordinate responses.
      Contingent reward behavior was found to have the most pronounced relationships
      with subordinate performance and satisfaction, followed by noncontingent
      punishment behavior. Neither leader noncontingent reward nor contingent
      punishment behavior were found to be related to either subordinate performance or
      satisfaction, with the exception that noncontingent reward behavior was
      negatively related to subordinates' satisfaction with work. The second goal of
      the research was to examine the effects of a variety of potential moderators on
      the relationships between leader reward and punishment behaviors and subordinate
      responses. The results of this study suggest that the relationships between
      leader reward and punishment behaviors and subordinates' performance are
      relatively free of moderating effects.

PMID- 10267505
TI  - Containing costs in the blood bank by reducing unnecessary crossmatching.
AB  - The author proposes that the maximum surgical blood order schedule (MSBOS) can
      serve as a paradigm for test reduction systems in other clinical laboratories. He
      begins by reviewing briefly the development of crossmatch reduction systems in
      hospital blood banks, explaining why they have been widely accepted, and he
      suggests later that the number of type and screen tests performed can also be
      reduced as part of the effort to curb unnecessary testing. Finally, he proposes
      some qualitative changes in the way the type and screen is performed, including
      the "clinical antibody screen" and the "modified antibody screen."

PMID- 10267506
TI  - Quality control in the blood bank: how much is too much?
AB  - An aid or an end? The author recalls how blood bankers lost sight of the purpose
      of quality control, and viewed it not as a tool but as an end in itself and a
      goal for the laboratory. He discusses some concepts of the quality control
      measures that should be followed today and pinpoints shortcomings.

PMID- 10267507
TI  - A microcomputer-based clinical microbiology and epidemiology system in a
      community hospital.
AB  - The author describes the structure of a comprehensive microcomputer-based
      microbiology and epidemiology system as implemented in a 150-bed community
      hospital. The article illustrates how the program provides more efficient, cost
      effective, clinically relevant microbiology laboratory reports to clinicians. The
      author hopes the following discussion will lessen the reluctance of small
      laboratories to introduce microcomputers into the laboratory.

PMID- 10267508
TI  - Institute of Medicine reviews for-profit trend in health care.

PMID- 10267509
TI  - CAP launches management seminars for residents.

PMID- 10267510
TI  - Process control systems--a question to be answered.

PMID- 10267511
TI  - Philosophy and quality control. Workload recording--why your laboratory should be
      in the data bank.
AB  - The CAP Workload Recording (WLR) Method is the only widely accepted and validated
      method for recording laboratory workload. Here, the author details how unit
      values are assigned, how and by whom the data are used, how to quality control
      the data, and why an adequate comparative data base, such as the CAP Computer
      Assisted WLR Program, is so important to laboratories.

PMID- 10267512
TI  - American Board of Pathology answers questions about certification requirements.

PMID- 10267513
TI  - Benefits. 26 ways to reduce medical insurance costs.

PMID- 10267514
TI  - What every personnel manager should know about computers.

PMID- 10267515
TI  - How our mobile cart enables us to implement decentralized Rx services.

PMID- 10267516
TI  - Trends in clinical practice: an analysis of competencies.
AB  - This study was designed to re-evaluate a comprehensive list of competencies for
      professional physical therapy practice that was developed, edited and field
      tested three years ago. At that time, a representative population of physical
      therapy clinicians practising in the province of Quebec had rated 224 competence
      statements as to the respective levels of importance within their own
      professional practice. A smaller sample of these same physical therapists was
      again surveyed, three years later, for their reaction to the list in relation to
      clinical practice today. Of this group, 23 were still staff therapists and two
      had become administrators. The response rates indicate changes in treatment
      patterns with regard to cardiorespiratory conditions, electrotherapy, and
      prevention and maintenance programs. The changes in response rates, noted in the
      category of administration, can be attributed to the change in position of the
      two physical therapists who had become administrators. As shown in the previous
      study, there is still little evidence of research-related activities being
      carried out in the clinical field. This re-evaluation was undertaken in order to
      ascertain if there were changes in clinical practice occurring over time and
      whether or not these changes could be related to a change of position.

PMID- 10267517
TI  - Effectiveness of teaching interviewing and communication skills to physiotherapy
      students.
AB  - Recognition of the importance of effective interviewing and communication skills,
      and the concomitant need to teach such skills to students in the helping
      professions are both relatively recent phenomena in rehabilitation medicine. The
      purpose of this study is to evaluate the impact of the model developed at the
      Institut de readaptation de Montreal (IRM model) in the teaching of interviewing
      skills to physiotherapy students in the clinical setting. Twenty-six final-year
      physiotherapy students were assigned to two groups of 13 each, one of which
      received structured training in interviewing skills over a four-week period while
      the other received no specific instruction. Analyses of the appraisals of pre-
      and post-test student-patient interviews--the appraisals having been done not
      only by the students themselves, but by the patients and the independent raters-
      showed that scores on each evaluation improved significantly following the
      students' training program. The group receiving no training showed no significant
      improvement. The authors conclude that a short clinical training program using
      the IRM model can be effective in improving the interviewing skills of
      physiotherapy students.

PMID- 10267518
TI  - Observations on the use of music in rehabilitation of stroke patients.
AB  - A preliminary investigation was initiated to explore the use of music as a means
      of improving general mobility, social interaction, and emotional stability in
      patients who have suffered a stroke. A literature search had revealed very little
      information on the use of music in the rehabilitation of such patients. The
      investigators videotaped a series of sessions involving group movement-to-music,
      group music-making, and individual movement-to-music. An individual case study in
      music-making was carried out as well. All videotapes were reviewed and we
      observed that an increase in the range and ease of movement of the patients
      occurred during weight-shifting activities, when appropriate music with a tempo
      of 58 to 63 beats per minute was used. Our observations supported the findings of
      recent research concerning preferred tempi for certain activities and
      reinforcement of movement by appropriate tempi. Other factors in our study, such
      as size of group, placement, cueing, and the opportunity to touch, appeared to
      affect the responses obtained in group situations. As the result of our
      observations, we have concluded that music enhances the general mobility and
      social interaction of patients who have sustained a cerebrovascular accident and
      that it may also improve a patient's emotional stability.

PMID- 10267519
TI  - A training program for operation of a head-controlled electric wheelchair.
AB  - A biofeedback training device providing auditory and visual feedback regarding
      head position in space was used to teach the head control necessary for the
      operation of a head-driven electric wheelchair. A case study of an adolescent
      with severe athetoid cerebral palsy is presented. The training program consists
      of four short-term goals: to provide trunk stability; to promote limb and
      postural control; to teach static head control; and to teach dynamic head
      control. The authors found that the biofeedback training device was a useful tool
      for teaching the head control required to operate a head-driven electric
      wheelchair. Among the recommendations discussed in the conclusion of this paper
      is the suggestion that certain pieces of equipment, such as a time-event counter
      and videotape equipment, would be very useful tools for collecting objective
      information about the patient's progress.

PMID- 10267520
TI  - Too many volunteers? Materials that brought them in.

PMID- 10267522
TI  - Promoting via radio PSAs.

PMID- 10267521
TI  - Industrial medical technicians. Packaging and franchising a needed program.

PMID- 10267523
TI  - Patient book.

PMID- 10267524
TI  - A change for the better. Redesigning a physician newsletter.

PMID- 10267525
TI  - Airing wellness (and illness). Building image with professional programs.

PMID- 10267526
TI  - Sweetening the market share.

PMID- 10267527
TI  - The Grundel that ate Cleveland.

PMID- 10267528
TI  - Revising a patient handbook.

PMID- 10267529
TI  - Hospital calendar with a bonus of schools.

PMID- 10267530
TI  - Finding the fifth "P".

PMID- 10267531
TI  - No emergency room.

PMID- 10267532
TI  - Physician referrals.

PMID- 10267533
TI  - Cabbage Patch dolls receive staff appointments.

PMID- 10267535
TI  - Economic awareness.

PMID- 10267534
TI  - Volunteers, grandmothers and kids.

PMID- 10267536
TI  - T. Bears plan invasion of American hospitals.

PMID- 10267537
TI  - How can I use electronic advertising media more effectively?

PMID- 10267538
TI  - A wellness map for children.

PMID- 10267539
TI  - Supervisory safety training.
AB  - Supervisory Safety Training is one very important aspect of a complete safety
      effort. If done efficiently, it enables the supervisor to understand and fulfill
      his/her vital role as the company's front line safety representative to the
      workforce. However, in order to do this job effectively, a great deal of careful
      planning must precede the development of the training program used.

PMID- 10267540
TI  - Hazard communication in the workplace.
AB  - Hazard communication is made up of several basic concepts and key elements. The
      concepts of risk management, product information, documentation, employee
      training and compliance are individually discussed providing a basis for
      developing a program. An important part of any program is effective
      implementation. One key element, the Material Safety DAta Sheet (MSDS), is used
      to illustrate the preparation, review, and distribution of hazard communication
      information. Guidance is given to adapting the MSDS model to the other key
      elements of purchased products information, special warnings, toxicology
      summaries and technical bulletins.

PMID- 10267541
TI  - OSHA news. New ethylene oxide standard.

PMID- 10267542
TI  - Helping to choose a nursing home.

PMID- 10267544
TI  - Noncompliance in clinical medicine.

PMID- 10267543
TI  - The future of human services. Pulling together or tearing apart.

PMID- 10267545
TI  - Child sexual abuse: effective case management by a multidisciplinary team.

PMID- 10267546
TI  - The art of consultation and referral.

PMID- 10267547
TI  - The importance of confidentiality in a private practice setting.

PMID- 10267548
TI  - IRS denies exemption to hospitals' SI trust.

PMID- 10267549
TI  - Analyzing results of the 1983 cost-of-risk survey.

PMID- 10267550
TI  - Dovetailed medical plans offer tax favored benefit option.

PMID- 10267551
TI  - Resurrecting the art of risk control.
AB  - The author defines risk control as the process of minimizing accidental and other
      extraordinary losses by anticipating and preventing unplanned events. Loss
      control, on the other hand, is defined as the process of minimizing accidental
      and other extraordinary losses by containing unplanned events after they occur.
      By these definitions, many people who think they practice risk control are
      actually practicing loss control. A few people who practice loss control are
      actually practicing risk control.

PMID- 10267552
TI  - The experience of sponsoring a parents anonymous group.

PMID- 10267553
TI  - Needs of female patients in a veterans psychiatric hospital.
AB  - The psychiatric and medical care of female veterans is reviewed in this report of
      69 interviews at a veterans psychiatric facility. The data suggest that female
      veterans are satisfied with care in general but are less satisfied with certain
      gender-related components of care. The author reviews the facility's responses to
      the findings of the study and makes further suggestions for change. The rising
      proportion of women in the armed forces makes health care for this group an
      important issue.

PMID- 10267554
TI  - Building alliance between the family and the institution.
AB  - A social work model for building a family-institution alliance as distinguished
      from a therapeutic alliance is presented. The model is based on a
      conceptualization of the family's needs at four successive stages in the early
      period of its relationship with the institution, beginning with the family's
      decision to admit a family member and concluding with an assessment of the type
      of therapeutic alliance indicated for the family. A review of the pertinent
      literature is also presented.

PMID- 10267555
TI  - Opening the closed doors: the duty of hospitals to treat emergency patients.

PMID- 10267556
TI  - Regional not-for-profit systems: can they compete with national investor-owned
      firms?
AB  - The relative competitive advantages of regional and national systems are
      summarized in Figure One. As illustrated, each type of system has unique
      competitive advantages at the corporate level. While it is difficult to state
      that either system has distinct advantages that place it in a superior position
      relative to the other, it seems that in the short-run investor-owned systems have
      operating characteristics that may result in more efficient internal functioning
      because of more centralized control over resource allocation and performance
      systems, greater possibilities for economies of scale, and greater access to
      capital. However, it was previously noted that growing pressures from government
      and the business community will lead to tighter constraints on the profitability
      of investments in the health care sector. The possibility of this shift suggests
      that the access to capital advantage enjoyed by investor-owned systems may not
      continue. Additionally, regional systems that are part of larger affiliated
      organizations such as the Sun Alliance and the Voluntary Hospitals of America are
      developing means to pool their access to debt funds, thus reducing the cost of
      capital for member institutions. The group purchasing contracts developed by
      these large systems also have resulted in significant savings. The distinction
      between regional and national systems on centralized control are becoming less
      pronounced. Investor-owned systems are seeking to determine how they might best
      decentralize selected decisions to be more responsive to local markets while not
      for-profit regional systems are recognizing that they must centralize selected
      decisions to obtain more efficient, rational operation. The long-run outlook
      suggests that the competitive advantages that have been identified will become
      less pronounced and that both systems will survive in the marketplace.

PMID- 10267557
TI  - Aligning for survival: Sante Fe healthcare systems.

PMID- 10267558
TI  - Georgia Heart Clinic: cardiac rehab in a rural setting.

PMID- 10267559
TI  - The key to successful psychiatric programs.

PMID- 10267560
TI  - Cancer treatment at Baptist Hospital in Miami.

PMID- 10267561
TI  - Improving productivity in the health care institution.

PMID- 10267562
TI  - Rare-earth imaging.

PMID- 10267563
TI  - The impaired staff physician.

PMID- 10267564
TI  - Computers in health care: microcomputers are appearing all over hospitals.

PMID- 10267565
TI  - Structuring a bonus program.

PMID- 10267566
TI  - Self-help and the elderly.

PMID- 10267567
TI  - The coercion of labor by mental health professionals.

PMID- 10267569
TI  - Results from the 1983 survey of surgical technologists.

PMID- 10267570
TI  - Radiation exposure to the surgical technologist.

PMID- 10267568
TI  - Fund-raising at the workplace.

PMID- 10267572
TI  - Infection control. Managing needlesticks.

PMID- 10267571
TI  - Too little aid for AIDS.

PMID- 10267573
TI  - Preparing for the challenges. Future perspectives from THA's new chairman.

PMID- 10267574
TI  - Leverage through knowledge. Part 1.

PMID- 10267575
TI  - Liability for peer review and privilege suspension.

PMID- 10267576
TI  - Interchange: developing an HMO.

PMID- 10267577
TI  - To buy or not to buy technology: applying the new formulas.
AB  - Because hospitals are under increasing pressure to contain costs and yet continue
      to provide high quality patient care, trustees must be able to make cost
      effective technology acquisition decisions. The author discusses the major
      factors that affect technology purchasing decisions, from information gathering
      to internal considerations such as financial constraints and the hospital's long
      range goals. He also examines the expected effect of prospective pricing on
      technology management and decisionmaking.

PMID- 10267578
TI  - Equipment purchases: getting the answers to "how much will it cost".
AB  - Today, capital equipment purchasing decisions can no longer be based simply on
      price. Governing boards, in evaluating such requests, need to be aware of such
      factors as life-cycle costs, space and utility requirements, and projected market
      need.

PMID- 10267579
TI  - The shifting roles of CEOs and trustees.
AB  - Recently, the American College of Hospital Administrators (ACHA) competed studies
      on both the evolving role of the hospital CEO and how CEO performance is
      evaluated. This is the first of a two-part series of articles based on those
      studies. In this first article, the authors review the historical roles of both
      CEOs and trustees, how those responsibilities differ today according to the type
      of institution, what CEOs see as their ideal role, and the guidelines for action
      that the ACHA recommends for CEOs as a result of its study. The second article,
      which will appear in the August issue of Trustee, will focus on the ACHA's study
      of how CEO performance currently is being evaluated, what factors are included in
      such evaluations, who is responsible for them, how they are being conducted, and
      how to make the CEO evaluation process more deliberate, measured, and fair.

PMID- 10267580
TI  - In search of a balanced capital base.

PMID- 10267581
TI  - As I see it: political expertise.

PMID- 10267582
TI  - Becoming a trustee.

PMID- 10267583
TI  - Marketing: handle with care.
AB  - Because hospitals offer the public a unique product--health care--they must be
      extremely careful how they market their services. The authors discuss current
      attitudes toward health care marketing and the ethical considerations that must
      temper the marketing strategies of voluntary, not-for-profit hospitals.

PMID- 10267584
TI  - Positioning marketing in the hospital's power structure.
AB  - Although hospitals are increasingly recognizing the importance of marketing, many
      have difficulty assimilating what has been primarily an industrial concern into a
      health care environment. The author explains the function of marketing in health
      care, the outlook and expectations of a good marketing executive, and why
      hospital management and the medical staff may have difficulty accepting marketing
      and the expectations of the marketing executive.

PMID- 10267585
TI  - CEO evaluation in the 1980s. Part 2.
AB  - This is the second of two articles on how to evaluate CEO performance. (The first
      article, which discussed the evolving role of the CEO, appeared in the July issue
      of Trustee.) Using a recent study by the American College of Hospital
      Administrators, the authors discuss the evolution of CEO evaluation and present
      some steps that boards and CEOs can take to make the process more deliberate,
      measured, and fair.

PMID- 10267586
TI  - Rethinking your capital strategies.

PMID- 10267587
TI  - A trustee views the pros and cons of a hospital management contract.
AB  - A hospital trustee describes the circumstances behind his hospital's decision to
      enter into a management contract, the criteria the board established for the
      selection of a management firm, and the problems and successes that have resulted
      from the hospital's management contracting decision.

PMID- 10267588
TI  - As I see it: a hospital is a hospital.

PMID- 10267589
TI  - Facility-owned stable is the center of activity.

PMID- 10267591
TI  - Controlling food service costs.

PMID- 10267590
TI  - HMOs for the elderly.

PMID- 10267592
TI  - Feeder aides ease work load; perk up residents.

PMID- 10267593
TI  - NIH: inside nation's top health lab.

PMID- 10267594
TI  - VA defends secrecy in review; MD sues, facing 'gag order'.

PMID- 10267595
TI  - Rationing care justified medically.

PMID- 10267596
TI  - Guideline aim is to reduce imaging rates.

PMID- 10267597
TI  - Services tailored to aged patients.

PMID- 10267598
TI  - Federal programs facing stresses.

PMID- 10267599
TI  - Considering the many facets of volunteer/union relations.

PMID- 10267600
TI  - The importance of staff involvement in volunteer program planning.

PMID- 10267601
TI  - How to match volunteer motivation with job demands.

PMID- 10267602
TI  - Perspectives. Business gets tough on costs.

PMID- 10267603
TI  - Medical ethics declarations.

PMID- 10267604
TI  - WMA public relations.

PMID- 10267605
TI  - Pre-admission review: context and content.

PMID- 10267606
TI  - Baltimore's experience in pre-admission review.

PMID- 10267607
TI  - Detection of gynecologic cancer in urban communities.

PMID- 10267608
TI  - Baltimore: traditional programs and a response to emerging needs of public
      health.

PMID- 10267609
TI  - Sensible approaches for trying times. Medicine and health care.

PMID- 10267610
TI  - Violence and trauma: priority public health problems.

PMID- 10267611
TI  - Memphis: the status of public health issues and programs.

PMID- 10267612
TI  - Detroit: major public health concerns and a look toward the 'nineties'.

PMID- 10267613
TI  - Who cares for the ineligible?

PMID- 10267614
TI  - Hospital care for the medically indigent in Oklahoma City.

PMID- 10267615
TI  - Public health in San Francisco: "increasing demands for relevant services".

PMID- 10267616
TI  - Comprehensive community care for the chronically mentally ill in an era of
      deinstitutionalization.

PMID- 10267617
TI  - Interorganizational cooperation and decision making autonomy in a consortium
      multihospital system.
AB  - This paper discusses interorganizational relationships within one type of
      multihospital system, a consortium. Reasons for the development of this type of
      system are presented. Hypotheses are proposed explaining how the general
      strategic-level decisions of hospitals may be influenced as a result of
      consortium affiliation.

PMID- 10267618
TI  - Toward improving treatment services for alcoholics of advanced age.

PMID- 10267619
TI  - Program profiles. Elderly problem drinkers and alcoholics.

PMID- 10267620
TI  - Perspectives. Intervention and treatment of elderly alcoholics and problem
      drinkers. Interview by Millree Williams.

PMID- 10267621
TI  - Education and practice: is competency-based education closing the gap?
AB  - This paper reviews Competency Based Education, CBE, defining competence as a
      complex network of knowledge, performance and attitudes. It reviews methods for
      competency identification and validation, emphasizes assessment at all learning
      levels, highlights proponents' and opponents' views, points out possible legal
      implications and makes recommendations for the administration of CBE programs.

PMID- 10267622
TI  - Practice patterns of Doctor of Pharmacy graduates: educational implications.
AB  - The purpose of this study was to evaluate the appropriateness of the
      predominantly clinical PharmD curriculum in light of actual employment patterns
      of PharmD graduates. Data were gathered via a survey of PharmD graduates from the
      seven post-baccalaureate programs active since 1972. Respondents were asked about
      their employment patterns and characteristics; about their formal education in
      the areas of management, statistics, and research methods; and to indicate
      whether they had completed residencies or fellowships. The results indicate that
      many PharmD graduates are employed in positions requiring considerable
      nonclinical skills, especially management skills. The results further indicate
      that few respondents have completed formal education, residencies, or fellowships
      which would prepare them for management or other nonclinical positions.
      Consequently, it appears that PharmD programs should require considerably more
      management training and education in order to adequately prepare their graduates
      for the positions open to them.

PMID- 10267623
TI  - Educational programs offered by colleges of pharmacy and drug information centers
      within the United States.
AB  - The purpose of this investigation was to determine the scope of drug information
      educational programs offered by formalized DICs and colleges of pharmacy to
      pharmacy students. Data were collected from surveys mailed October and December
      1982 to 120 institutions known to be active in disseminating drug information as
      well as the 72 colleges of pharmacy located in the United States and Puerto Rico.
      A total of 109 questionnaires (91 percent response rate) were returned from the
      DICs, and 67 questionnaires (93 percent response rate) were returned from
      colleges of pharmacy. Seventy-four of the DICS and 63 colleges of pharmacy
      indicated that they provide required and/or elective didactic or experiential
      drug information training for pharmacy students. These experiences were offered
      predominantly to fifth year baccalaureate candidates and PharmD candidates.
      Thirty-two colleges reported that drug information training is a required
      component of baccalaureate externship-clerkship experiences although most
      students receive fewer than 40 hours of training. Forty-seven DICs and 20
      colleges are affiliated with ASHP approved residency programs. The amount of drug
      information exposure each resident obtains was highly variable. This survey
      indicates that many of today's pharmacy students may not be receiving sufficient
      drug information training to respond to the drug information needs of other
      health professionals and the lay public.

PMID- 10267624
TI  - Description of a skills oriented health ethics program.
AB  - Continuing change requires that the primary goal of ethics education be the
      development of competencies to address changing ethical issues. To develop the
      skill of critical ethical thinking, a two component model was developed. The
      first component is a two semester hour course in ethical theory. This component
      is analogous to the theoretical component of a science curriculum and it
      emphasizes that ethical theory, like scientific theory, is held hypothetically,
      subject to revision and replacement as it develops in response to "data." The
      other component, a one semester hour course in health ethics, is designed as the
      "laboratory" in which theory interacts with ethical problems in health-care
      situations. Skill development takes place by requiring students to find and
      defend solutions to ethical dilemmas by applying and refining ethical theory. the
      ethical issues addressed include but are not limited to current issues in
      pharmacy. The ongoing evaluation of this model by external evaluators from the
      funding agency, local consulting faculty, and students has consistently
      emphasized the value of concrete involvement in cases concomitantly with the
      exposure to ethical theory.

PMID- 10267625
TI  - Poison control center liability.

PMID- 10267626
TI  - More on cost containment. Part II.

PMID- 10267627
TI  - Facility report. Department of Medical Imaging and Radiological Sciences at
      Vanderbilt University.
AB  - This department is presented as an academic prototype to meet the health care and
      research challenges of the next decade. Composed of four separate divisions
      (diagnostic radiology, radiation oncology, nuclear medicine, radiologic sciences)
      with appropriate sections, it is organized according to the concept of an
      integrated basic science-service facility.

PMID- 10267628
TI  - The financing of NMR equipment.
AB  - Cost-containment regulations and possible legislative changes in the tax area are
      creating new environments for the acquisition of nuclear magnetic resonance (NMR)
      systems. Shared services, management groups, and free-standing clinics are being
      established. Creativity in financing will be required to assure the cost
      effectiveness of NMR services.

PMID- 10267629
TI  - Radiology equipment maintenance in a smaller hospital.

PMID- 10267630
TI  - Quality control in diagnostic radiology at Mayo Clinic.
AB  - During the past five years in the department of diagnostic radiology at Mayo
      Clinic, a quantitative quality control program has been developed and expanded.
      Its goal is to assure consistent image quality while minimizing exposure to
      radiation and reducing costs wherever possible. The key to the program is the
      collection of quantitative data, ie, each parameter is evaluated by an objective,
      not a subjective, measure which is accurate and repeatable even if the
      measurement is made by various persons. Operating levels and control limits have
      been established for all measurements, with the control limits set so changes are
      quantitatively noted before changes occur in the images presented to the
      diagnostic radiologists.

PMID- 10267631
TI  - Is small beautiful if it isn't viable? The case of nursing homes.
AB  - The optimal size of nursing home is examined in the light of overseas and
      Australian research evidence. The economic optimal size nursing home was found to
      be in the range of 45-55 beds for a sample of proprietary New South Wales homes
      in 1978-9 where average weekly expenditure per bed was minimised. However, this
      did not take into account a number of other important social and environmental
      factors as well as costs of travel and the quality of care provided or the
      characteristics of patients. When these factors are considered, evidence suggests
      that larger than average homes have the economic advantage. Smaller adapted
      residences, or those incorporating group living design, may be more homelike for
      residents but at slightly higher cost. Thus there is unlikely to be one single
      optimal size of home but rather a range. The final selection of scale is
      therefore a matter of striking a compromise between these and other factors in
      each situation.

PMID- 10267632
TI  - Hospital smoking policies in Victoria: no improvement since 1980.
AB  - A study of 132 hospitals in Victoria, of size 50 beds or more, was carried out
      during 1983 in order to find out their smoking policies so that assistance could
      be given to the Health Commission of Victoria in formulating policies about
      smoking in hospitals. The results were not encouraging; there had been no
      significant improvement in attitudes towards smoking or in non-smoking policies
      since a comparable study was carried out in 1980, indicating that there is much
      work to be done within hospitals in this field.

PMID- 10267633
TI  - A new way to fund public hospitals.

PMID- 10267635
TI  - Psychosociobiological decompensation (PSBD) in health services administrators: an
      historical oddity. Text of a videospeech.

PMID- 10267634
TI  - Interview with Dr. Sidney Sax. Visiting Fellow, Department of Political Science,
      Research School of Social Sciences, Australian National University. Interview by
      Jonathan Tribe.

PMID- 10267637
TI  - New health service strategy.

PMID- 10267638
TI  - Hospital sets standards of neighborliness and quality.

PMID- 10267636
TI  - Survey of discharge efficiency in a major teaching hospital.
AB  - This paper reports the results of a one week survey of discharge efficiency in a
      major teaching hospital in New South Wales. All discharges during the survey week
      were analysed to determine the reasons for delays. THe results indicate that
      delays are due principally to slow turnaround in delivery of discharge
      medications (where required), delays by nursing staff in ordering discharge
      transportation, and tardy arrival of discharge transport once ordered. The paper
      describes follow-up action taken to reduce delays.

PMID- 10267639
TI  - Using pen and ink.

PMID- 10267640
TI  - Video at every step. A Florida knee center offers patients a number of unique
      services--including tapes of their own surgeries.

PMID- 10267642
TI  - HMOs: injection of competition.

PMID- 10267641
TI  - Speeding information exchange. Two systems expedite information transmission both
      within and beyond institution walls.

PMID- 10267643
TI  - CanSur: from acronym to actuality.

PMID- 10267644
TI  - The American Joint Committee on Cancer.

PMID- 10267645
TI  - Tumor registries: a hospital's assurance of quality patient care.

PMID- 10267646
TI  - Dr. Hanlon reflects on 15 years of challenges and changes. Interview by Heinz R.
      Kuehn.

PMID- 10267647
TI  - Prescription for cheap drugs. Congress aims to encourage generic alternatives to
      brand-name medicines.

PMID- 10267648
TI  - Troubled hospitals: poor patients or management?

PMID- 10267649
TI  - Managing medical costs through small area analysis.

PMID- 10267650
TI  - Consumers' group asks: "Whose life is it anyway"?

PMID- 10267651
TI  - The labor factor.

PMID- 10267652
TI  - HMO competition for Wisconsin's state employees.

PMID- 10267653
TI  - Illinois saves through reducing nonacute hospital care.

PMID- 10267654
TI  - For-profit hospitals' success keyed to capital, says Howard. Interview by Jane
      Stein.

PMID- 10267655
TI  - Federal investment needed to establish appropriate norms for health care.

PMID- 10267656
TI  - Florida blends competition with regulatory safety net in landmark legislation.

PMID- 10267657
TI  - Exclusive contract case sets important antitrust precedent, considerations.

PMID- 10267658
TI  - Reviewing performance appraisal policies can lead to improved worker health.

PMID- 10267659
TI  - Community resources provide small business with health promotion options.

PMID- 10267660
TI  - Cost issues underscore need for long-term planning to avoid "chaos".

PMID- 10267661
TI  - Health care for the uninsured.

PMID- 10267662
TI  - Grants for nurse practitioner traineeship programs--PHS. Interim final
      regulations.
AB  - These regulations set forth requirements for grants to schools of nursing,
      medicine, and public health, to public or nonprofit private hospitals, and to
      other public or nonprofit private entities to meet the costs of traineeships for
      training nurse practitioners. A trainee must sign a commitment with the Secretary
      to practice full-time as a nurse practitioner in a primary medical care health
      manpower shortage area, designated under section 332 of the Public Health Service
      Act (the Act), for a period equal to 1 month for each month of traineeship
      support, after completion of the training. If this obligation is not fulfilled, a
      trainee must pay back traineeship support. The purpose of these regulations is to
      respond to the comments on the 1980 interim final regulations and to conform 42
      CFR Part 57, Subpart AA, with the Paperwork Reduction Act of 1980, Pub. L. 96
      511, and with the Omnibus Budget Reconciliation Act of 1981, Pub. L. 97-35, which
      requires, among other provisions, that the Secretary provide, by regulation, for
      the waiver or suspension of the repayment obligation under certain conditions. In
      addition, other minor changes have been made and Office of Management and Budget
      (OMB) numbers are cited in those sections which have approved reporting and
      recordkeeping requirements.

PMID- 10267663
TI  - Designation of health services areas and health systems agency application
      information--HRSA. Notice designating health services areas in Ohio.
AB  - This notice is issued to announce the establishment of ten health service areas
      for the State of Ohio and to provide information on the application procedures to
      become a federally designated and funded health systems agency.

PMID- 10267664
TI  - Medical facility construction and modernization--PHS. Final rule.
AB  - Sections 603(b) and 1620(2) of the Public Health Service Act require the
      Secretary to prescribe by regulation general standards of construction,
      modernization, and equipment for projects assisted under Title VI and Title XVI,
      respectively, of the Act. Since the Title VI and Title XVI grant and loan
      authority have expired, there is no need to retain the standards in regulations.
      Projects for which applications were approved or grants awarded under Titles VI
      and XVI, but for which full project reimbursement has not yet been made, will be
      subject to continuing compliance with the "Minimum Requirements of Construction
      and Equipment for Hospital and Medical Facilities" as incorporated by reference
      in 42 CFR Parts 53 and 124 at the time of initial approval. This Rule amends Part
      124 of Title 42, CFR, by removing provisions relating to minimum standards of
      construction, modernization, and equipment of hospitals and other medical
      facilities. Similar provisions in Part 53 were deleted earlier.

PMID- 10267665
TI  - Privacy Act of 1974; report of altered system of records and new routine uses
      Privacy Act instructions--SSA.
AB  - In accordance with the Privacy Act (5 U.S.C. 552a(e)), we are issuing public
      notice of our intent to make changes to the system of records entitled "Master
      Beneficiary Record (MBR), 09-60-0090." These changes are prompted by
      implementation of provisions of Public Law (P.L.) 98-21 (the Social Security
      Admendments of 1983, hereinafter referred to as the Amendments). We are amending
      the categories of individuals covered by the MBR to include individuals
      (nonclaimants) whose former spouses apply for or receive benefits based on their
      earnings and the categories of records in the MBR to includes data relating to
      the amount of tax withheld on the benefits of nonresident aliens. Additionally,
      we are proposing to establish new routine uses of MBR data in accordance with 5
      U.S.C. 552a(b)(3). The proposed routine uses provide for disclosure to the
      Department of the Treasury for determining the Federal tax liability on Social
      Security benefits and, as necessary, to deposit in the Social Security Trust
      Funds the tax withheld on the benefits of nonresident aliens. We also are making
      minor revisions to the MBR notice. We invite public comments on this publication.

PMID- 10267666
TI  - Health maintenance organizations--PHS.
AB  - This notice sets forth the names, addresses, service areas, and dates of
      qualification of entities determined by the Secretary to be federally qualified
      health maintenance organizations (HMOs).

PMID- 10267667
TI  - Diagnostic x-ray systems and their major components; amendments to performance
      standard--FDA. Final rule.
AB  - The Food and Drug Administration (FDA) is amending the performance standard for
      diagnostic x-ray systems and their major components by revising and adding
      requirements concerning computed tomography x-ray (CT) systems. CT systems are
      new medical diagnostic tools whose use in the United States has grown
      significantly in recent years. Because CT systems have many performance features
      that are unlike conventional x-ray systems, the current performance standard for
      diagnostic x-ray systems is not entirely appropriate for CT systems. The
      amendments to the standard address the special characteristics of CT systems.

PMID- 10267668
TI  - Nursing student loan program--PHS. Notice of proposed rulemaking.
AB  - This proposed rule would revise existing regulations governing the Nursing
      Student Loan (NSL) program. These revisions would impose more detailed
      requirements concerning the exercise of due diligence by schools in loan
      collections.

PMID- 10267669
TI  - Medical device reporting--FDA. Final rule.
AB  - The Food and Drug Administration (FDA) is issuing a final rule that requires
      manufacturers and importers of medical devices, including diagnostic devices, to
      report to FDA whenever the manufacturer or importer receives or otherwise becomes
      aware of information that reasonably suggests that one of its marketed devices
      (1) may have caused or contributed to a death or serious injury or (2) has
      malfunctioned and that the device or any other device marketed by the
      manufacturer or importer would be likely to cause or contribute to a death or
      serious injury if the malfunction were to recur. FDA is taking this action under
      the Medical Device Amendments of 1976. The final rule is intended to assure that
      FDA is informed promptly of all serious problems or potentially serious problems
      associated with marketed devices. FDA is the principal public health agency
      responsible for ensuring that devices are safe and effective. To carry out its
      responsibilities, the agency needs to be informed whenever a manufacturer or
      importer receives or otherwise becomes aware of information about device
      problems. Only if FDA is provided with such information will it be able to
      evaluate the risk, if any, associated with a device and take whatever action is
      necessary to reduce or eliminate the public's exposure to this risk. Depending on
      the facts and circumstances, these steps could include contacting the
      manufacturer or importer of the device and monitoring its voluntary actions to
      respond to the problem, initiating a consumer or user education program, or
      initiating regulatory action, such as injunction, seizure, or other enforcement
      action.

PMID- 10267670
TI  - Hill-Burton program; medical facility construction and modernization; federal
      right of recovery and calculation of interest charges--HRSA. Notice.
AB  - On July 18, 1984, the President signed the Deficit Reduction Act of 1984. The law
      contains several provisions affecting medical facilities which are assisted under
      the Hill-Burton Program and which transfer ownership or control or cease to be
      used as medical facility. These provisions include authority to waive the Federal
      right of recovery and methods of calculating interest when recovery is not
      waived.

PMID- 10267671
TI  - The high-stakes race is on to develop blood test to detect AIDS virus.

PMID- 10267672
TI  - AMA President says patients want traditional doctor-patient relationship.
      Interview by Linda E. Demkovich.

PMID- 10267673
TI  - Wellness programs used to cut costs: study.

PMID- 10267674
TI  - California hospital group replaces insurer, brokers.

PMID- 10267675
TI  - Federal health premiums rise only slightly.

PMID- 10267676
TI  - Living with the Canada Health Act: will you or won't you?

PMID- 10267677
TI  - A case study in quality assurance reports.

PMID- 10267678
TI  - The challenge of change.

PMID- 10267679
TI  - Silver: dollars and sense.

PMID- 10267680
TI  - The changing face of malpractice law: a perspective for radiation technologists.

PMID- 10267681
TI  - Staff ratings of elderly at day care centers: mental status, hypochondriasis,
      depression.
AB  - Staff at two day care centers for the frail and/or impaired elderly rated
      participants (N = 33) for mental status, hypochondriasis and depression. The
      ratings were correlated with the MSQ, HSIG and GDS. The results indicated a
      significant correlation (P less than .001) between staff ratings and the MSQ. The
      correlations between other staff ratings and the respective tests were quite low.
      It was concluded that staff ratings for depression and hypochondriasis were not
      valid or reliable unless the staff member had done a structured intake.

PMID- 10267682
TI  - The classification of paranoid disorders in the elderly: a clinical problem.
AB  - Data on the incidence of Paranoid Disorders according to modified DSM-III
      criteria in an outpatient geriatric clinic are presented. Results are consistent
      with previous research data which find paranoid symptomatology to be common in
      elderly psychiatric patients. The current definition of paranoid disorders is too
      narrow to encompass those elderly with good premorbid adjustment whose later life
      paranoid disorders often include hallucinations. The DSM-III paranoid subtype
      system does not have a separate category for chronic paranoid symptomatology
      which, although commonly seen in the old, is now subsumed under an atypical
      paranoid disorder classification. Further research into late life psychopathology
      may provide refinement of other diagnostic categories and a better understanding
      of the developmental relationship between personality disorder and major
      psychopathology.

PMID- 10267683
TI  - The elderly in nursing homes: psychological aspects of neglect.
AB  - It has been argued that many elderly people are placed in nursing homes to
      isolate them from view, and little research has been done to investigate the
      effects of such isolation. Some research has focused on certain aspects of abuse
      and neglect of the elderly, particularly physical, material, and fiscal aspects
      of abuse. The purpose of this paper is to discuss psychological aspects of abuse
      and neglect of the elderly in the nursing home environment. Data are presented
      indicating that psychological aspects of neglect are subtle and not readily
      apparent to the observer; yet they may be very impactful in terms of their
      effects. Data also are presented indicating that they constitute the most common
      form of abuse. Psychological aspects of neglect are divided into categories
      including: the nature of the physical environment; nutrition and diet; physical
      appearance and grooming; infantilization; environmental deprivation; and benign
      neglect. Possible interventions are offered as alternatives to neglect, and
      research data are summarized as to how such interventions might benefit both the
      elderly and the clinical staff dealing with such a population.

PMID- 10267684
TI  - Building and maintaining bridges: meeting the psychosocial needs of nursing home
      residents and their families.
AB  - Elderly residents of nursing homes have many of the same needs as new members of
      any organization: to be oriented, to form a new support base, to establish a new
      role definition, and redefine previous roles. Resident families undergo related
      changes which must be addressed if a satisfactory adjustment is to be effected.
      Techniques to facilitate these changes and barriers to their implementation are
      discussed.

PMID- 10267685
TI  - Psychodrama: a therapeutic modality for the elderly in nursing homes.
AB  - The elderly in nursing homes are subject to increased incidents of psychiatric
      disorders and are particularly vulnerable to depression. However, mental health
      services are rarely provided for these individuals. The authors conducted a
      psychodrama group with elderly psychiatric patients in a nursing home and found
      it to be an effective treatment modality. It proved especially useful in the
      alleviation of depression by allowing members to "relive" and grieve for
      unresolved losses and express repressed feelings of anger, abandonment, and fear.
      The psychodrama techniques also encouraged spontaneity and creativity and
      facilitated the life review process. The latter encouraged members to resolve old
      problems and to examine and restructure their identities. Case illustrations are
      presented and additional benefits of the group are discussed.

PMID- 10267686
TI  - Pay for performance: accent on standards and measures.

PMID- 10267687
TI  - Incentive plans: short-term design issues.

PMID- 10267688
TI  - Terminating pregnant employees: sex discrimination?

PMID- 10267689
TI  - A myth-shattering study: the hatching of decubiti.

PMID- 10267690
TI  - Sharing profits: a cure for many ills.

PMID- 10267691
TI  - When the dust settles: responding after a strike.

PMID- 10267692
TI  - Financing: no one has the right answer--yet.

PMID- 10267693
TI  - Special report: finance. Part one. Poised on the threshold of a boom.

PMID- 10267694
TI  - The dental care dilemma.

PMID- 10267695
TI  - Unleashing the mystery shopper.

PMID- 10267697
TI  - Joint ventures in home health care.

PMID- 10267696
TI  - Cooperative laboratory ventures reduce costs while enhancing revenue.

PMID- 10267698
TI  - Clinical pharmacy. Target drug programs can reduce some costs and avoid others.

PMID- 10267699
TI  - Controlling costs at the source: educating the doctor.

PMID- 10267700
TI  - Advertising: is it integral to hospital marketing?

PMID- 10267701
TI  - Milwaukee children's hospital has found the formula for reducing nurse turnover.

PMID- 10267702
TI  - St. John Medical Center laboratory conversion: a case study.

PMID- 10267703
TI  - RSVP. An alternative approach.

PMID- 10267704
TI  - The "virtual" lab concept: a here-and-now consideration.

PMID- 10267705
TI  - The RFP...why?

PMID- 10267706
TI  - The in-office laboratory: benefits for you and your patients.

PMID- 10267707
TI  - Am I computer literate?

PMID- 10267708
TI  - Substitution in public spending: who pays for Canadian national health insurance?

PMID- 10267709
TI  - Hospitals begin to respond to economic pressure.

PMID- 10267710
TI  - Creative regulation to stimulate an efficient health care system.

PMID- 10267711
TI  - The health benefits cost containment audit.

PMID- 10267713
TI  - Changing nature of health care reflected in new EMS trends.

PMID- 10267712
TI  - U.S. helps developing countries devise, upgrade EMS systems.

PMID- 10267714
TI  - Urban violence: pandemic of trauma.

PMID- 10267715
TI  - Controlling violent patients.

PMID- 10267716
TI  - Domestic violence: the medical response.

PMID- 10267717
TI  - EMS talks with Joseph D. Hansen, NAEMT president. Interview by Barbara Feiner.

PMID- 10267718
TI  - Housekeeping's role in a disaster.

PMID- 10267719
TI  - Restroom cleaning: cleanliness influences image.

PMID- 10267720
TI  - Group practice strategies. Physician leaders from three group practices talk
      about their organizations in the light of a new era for the business of medicine.

PMID- 10267721
TI  - The prototype physician organization.

PMID- 10267722
TI  - Competition: past, present, future.

PMID- 10267723
TI  - State of group practice.

PMID- 10267725
TI  - The basics: selecting a system.

PMID- 10267724
TI  - Future: 10 key areas.

PMID- 10267726
TI  - Group computing survey.

PMID- 10267727
TI  - Natural progression: HMO to PPO.

PMID- 10267728
TI  - Medical computing: present & future.
AB  - By the end of 1984, as many as one third of all solo practices and two thirds of
      group practices will have purchased a computer. As many as 25% of these
      practices, however, will derive only limited benefit from their investment.

PMID- 10267729
TI  - The results are coming in. A groundbreaking new study demonstrates that recent
      federal budget cuts have indeed damaged nonprofits that serve the neediest.

PMID- 10267730
TI  - "Hands on:" out of the shadows. Communications is the key for a growing number of
      foundations.

PMID- 10267731
TI  - The problem that won't go away. Foundations look for solutions to mounting
      problems in an aging society.

PMID- 10267732
TI  - How to protect a CAT scanner from possible fire loss.

PMID- 10267733
TI  - Dietitians' job market.

PMID- 10267734
TI  - A planned giving program for the small development office.

PMID- 10267735
TI  - The 1984 Walter L. Bierring Lecture. The penalty of leadership.

PMID- 10267737
TI  - Time management: from victim to victor.

PMID- 10267736
TI  - The FLEX Test Committee and the FLEX Board--present and future.

PMID- 10267738
TI  - Worker perceptions: the key to motivation.

PMID- 10267739
TI  - Organizational climate in the health care setting.

PMID- 10267740
TI  - Appropriate collective bargaining units: statutory provisions and judicial
      decisions.

PMID- 10267742
TI  - Sexist language in health care facilities.

PMID- 10267741
TI  - Employee health services: a mutually beneficial program for facility and staff.

PMID- 10267743
TI  - Case in health care supervision.

PMID- 10267744
TI  - Quality assurance as a problem-solving technique.

PMID- 10267745
TI  - Finding the new supervisor: inside or outside?

PMID- 10267746
TI  - The art of Japanese management: three lessons to be learned.

PMID- 10267747
TI  - Evaluation protocol for information system planning.
AB  - Although some believe that electronic management information systems in the
      health care setting are of questionable value, I cannot support that position.
      There are undoubtedly health care institutions with management information
      systems (MISs) that are of dubious value, just as there are institutions in which
      the MIS is of enormous value. The question of the value of an MIS to an
      institution has more to do with an understanding of what an MIS is, what the
      institution's information needs are, and what the MIS can and should be doing for
      an organization, than it does with any inherent benefits that the system displays
      in and of itself exclusive of its environment. The views that follow address the
      process of evaluation that should take place to assess these issues and maximize
      the effectiveness of an information system in an organization. Figure 1 is a
      graphic representation of the evaluation process.

PMID- 10267748
TI  - New demands for data processing.
AB  - HCSM's interview this month is with Ronald V. Aprahamian, President of Compucare,
      Inc. Head-quartered in Washington, DC, Compucare provides information processing
      services and software products to health care institutions. In particular, they
      aid institutions in customizing and operating in house computer systems. In this
      interview Mr. Aprahamian discusses the recent changes in data processing systems
      for hospitals.

PMID- 10267749
TI  - "Who should plan for the implementation of a hospital information system"?
AB  - Two opinions are better than one, or are they? As a regular feature, HCSM
      presents the responses of two authorities to one topical question. This month
      HCSM presents two points of view on who should be responsible for planning for
      the implementation of a hospital information system. Responses to this question
      emphasize the attributes of both in house personnel and outside consultants.

PMID- 10267750
TI  - Information planning for the 1980's and 1990's.
AB  - With the shift in reimbursement, new medical technology, and increased
      competition, hospitals must be managed more effectively. Management information
      systems are being developed to meet these new challenges. This article provides
      an overview of the types of information needed and outlines the development of a
      comprehensive information systems plan.

PMID- 10267751
TI  - The laser committee: its role in quality assurance.

PMID- 10267752
TI  - Magnetic resonance imaging. Architectural design for an emerging technology.

PMID- 10267754
TI  - Case in point. Bartholomew Memorial Hospital.

PMID- 10267753
TI  - The impact of new clinical technologies. An interview with F. David Rollo, MD,
      Vice President, Medical Affairs, Humana, Inc. Louisville, Kentucky.

PMID- 10267755
TI  - Case in point--the answer. Worth Hospital.

PMID- 10267756
TI  - The impact of nuclear magnetic resonance imaging on health care architecture.
AB  - Nuclear magnetic resonance instrumentation, while unprecedented in its diagnostic
      capabilities, remains a challenge to the architect and planning team. This
      article provides background information on the magnet types and their force
      fields a well as on the ideal inter- and intradepartmental spatial relationships.
      Three conceptual conclusions are illustrated that best meet the requirements of
      patients, clinicians, and the magnet itself.

PMID- 10267757
TI  - Networking: a cooperative solution.

PMID- 10267758
TI  - A religiously affiliated health care system in today's competitive market: a
      success story.
AB  - In today's competitive health care market, not-for-profit religiously affiliated
      health care systems face multiple challenges for survival. Their mission of
      providing for the effective and efficient delivery of quality health care and
      health-related services for the benefit of individuals, families, and society and
      a philosophy of maintaining a Christian emphasis in all endeavors conflicts with
      many of the current competitive themes in health care. The successful system
      profiled here is Evangelical Health Systems (EHS), a not-for-profit organization
      affiliated with the United Church of Christ.

PMID- 10267759
TI  - Moving a hospital. The move is the easy part.
AB  - On January 9, 1982 St. Francis Hospital in Cincinnati, Ohio, closed the doors of
      its old hospital and moved into a newly constructed facility to be shared with
      St. George Hospital, also of Cincinnati. This move was the culmination of almost
      ten years of planning by a Joint Long-Range Planning Committee. This article will
      detail the processes involved in planning the move, the move itself, and the
      problems encountered after the move.

PMID- 10267760
TI  - Selling Community General.
AB  - As Community General Hospital approaches its thirty-second year of operation, its
      once bright future appears dim. Public support, medicare cost reimbursement, and
      private insurance have always been sufficient to keep the facility in reasonable
      working order. With medicare now using DRGs for determining payments, however,
      the hospital is being forced to reduce its costs. Complicating matters is the
      deteriorating physical plant, the growing public concern over hospital
      operations, the declining census, and competition from a larger, newer, better
      equipped city hospital. County officials are now faced with a dilemma: issuing
      bonds to either build a new facility or to renovate the existing structure. If
      such bonds were issued, the problem then becomes how to repay them. As an
      alternative, county officials have decided to investigate selling the hospital.
      The above scenario faces many public hospitals. Sooner or later, public officials
      will have to consider selling the hospital. This article's purpose is to explore
      those topics that relate to this decision.

PMID- 10267761
TI  - The future shape of health care systems.
AB  - This month HCSM interviews Paul M. Ellwood, Jr., MD, President of InterStudy in
      Minneapolis, Minnesota. Dr. Ellwood is also a Clinical Professor of Neurology,
      Pediatrics, and Physical Medicine and Rehabilitation at the University of
      Minnesota. InterStudy is a nonprofit health policy research group whose aim is to
      research and develop cost-effective approaches to health care delivery and
      financing. In this interview Dr. Ellwood discusses the future of health care
      systems in the United States.

PMID- 10267762
TI  - Case in point. Allied Christian Health.

PMID- 10267763
TI  - Case in point--the answer. Bartholomew Memorial Hospital.

PMID- 10267764
TI  - Vertical integration: the wave of the future?
AB  - In today's environment, health care facilities need to expend more resources in
      developing comprehensive and coordinated health care systems that provide,
      preferably on one site, ambulatory and acute care, long-term care, mental health,
      physical medicine and rehabilitation, home health, wellness centers, and an
      integrated prepayment plan as a joint venture with the institution's medical
      staff. The wave of the future (the next several years) will be toward vertical
      diversification because of increased price competition for a broad range of
      services, an industry with a surplus of acute care beds, and an interest by
      existing multihospital systems in improving their present positions by
      diversification rather than growth for growth's sake.

PMID- 10267766
TI  - They don't build them like this any longer.

PMID- 10267765
TI  - Operating theatres. Propping up the theatre.

PMID- 10267767
TI  - Learning to manage with change.

PMID- 10267768
TI  - Women in the NHS. How the other half works.

PMID- 10267769
TI  - Two brains for the price of one.

PMID- 10267770
TI  - Staff development. Appraisals reassessed.

PMID- 10267772
TI  - Bonus incentive schemes. Face-saving schemes.

PMID- 10267771
TI  - Breath of fresh air for central storage.

PMID- 10267773
TI  - Tender talk offered for public services.

PMID- 10267774
TI  - Planning. A sense of scale.

PMID- 10267775
TI  - Women in the NHS. "Can you meet the requirements of the job?".

PMID- 10267776
TI  - Private hospitals. The limits of legislation.

PMID- 10267777
TI  - Alcohol. Towards early detection.

PMID- 10267778
TI  - Who cares for the carers?

PMID- 10267779
TI  - HSSJ salaries guide.

PMID- 10267780
TI  - Open access for the record.

PMID- 10267781
TI  - Closer encounters for health care.

PMID- 10267782
TI  - Planning roles.

PMID- 10267784
TI  - Working to the rules.

PMID- 10267783
TI  - Coming unstuck in the middle of nowhere.

PMID- 10267785
TI  - Designed for disasters.

PMID- 10267786
TI  - Alarm call systems. When the warden appears at the touch of a button.

PMID- 10267787
TI  - Telephone bills and smooth operators.

PMID- 10267789
TI  - Health promotion.. Policy begins at home.

PMID- 10267788
TI  - Employment law. Everyone hurt by a touch of the awkwards.

PMID- 10267790
TI  - Residential care. What about the workers?

PMID- 10267791
TI  - Guardians on call at the pull of a cord.

PMID- 10267792
TI  - Micro-computers in medical records.

PMID- 10267793
TI  - Innovate, increase productivity and save $$$ with an inhouse system.

PMID- 10267794
TI  - How to recognize integration.

PMID- 10267795
TI  - New technology communications network. Rx for planned obsolescence in older
      hospital communication networks.

PMID- 10267796
TI  - The physician-computer interface: the major limitation of a digital clinical
      database.

PMID- 10267797
TI  - The healthcare DP steering committee.

PMID- 10267798
TI  - Teleconferencing: a viable communications tool.

PMID- 10267799
TI  - Space: a hidden resource.

PMID- 10267800
TI  - Choosing a consultant.

PMID- 10267801
TI  - Community relations tool.

PMID- 10267803
TI  - The RFP process, warranted or wasteful.

PMID- 10267802
TI  - Hospital Management Systems Society (HMSS).

PMID- 10267805
TI  - Hospital communications: the future is now.

PMID- 10267804
TI  - The professional implementation team.

PMID- 10267806
TI  - Materials management, decision-making and personal computers.

PMID- 10267808
TI  - A report on the Hospital Satellite Network.

PMID- 10267807
TI  - Hospital information systems in a new era: how to make them work.

PMID- 10267809
TI  - An organizational model for systems design.

PMID- 10267810
TI  - Materials management...the future.

PMID- 10267811
TI  - Contract concerns. What questions you should ask when buying a system.

PMID- 10267812
TI  - Prime vendor agreements: a panacea?

PMID- 10267813
TI  - Hospital's liability for equipment failure during surgery.

PMID- 10267814
TI  - Managing product changes.

PMID- 10267815
TI  - Developing standards to reduce the cost of implants.

PMID- 10267817
TI  - HPM med-surg index declines 2%.

PMID- 10267816
TI  - Controls on the bidding process revisited.
AB  - Following up on the Purchase Law Clinic in the February, 1984, issue of HPM,
      consider this precondition to quoting inserted by a supplier in his proposal to a
      group purchasing organization. The supplier required that, if it was the low
      bidder and was awarded the contract, each member hospital agreed to purchase only
      from that specific supplier. The member hospitals agreed not to buy from any
      other supplier who might try to undercut the successful low bidder.

PMID- 10267818
TI  - Materials management in multi-facility systems: a case study.
AB  - Although the problems of managing materials in a health care institution are
      formidable, these problems increase when the institution is part of a multi
      facility system. There are many issues of organization, standardization,
      centralization (or decentralization) of authority, reporting, and monitoring
      faced by the multi-facility system, which are not issues relevant to the single
      institution. The state of New York operates a centralized supply purchasing,
      warehousing, and distribution system through its Office of General Services. This
      system serves a number of state organizations, including the focus of this
      report, the Office of Mental Retardation and Developmental Disabilities (OMRDD),
      which is responsible for 20 residential facilities as well as day programs and
      community residences. Faced with the recognition that the cost of supplies
      ("commodities" in the official nomenclature) was becoming a significant and
      vulnerable part of the operating budget, OMRDD engaged Friesen International,
      Inc. to assist in analyzing and improving its commodity distribution system, with
      the object of holding the line on operating costs. This article describes the
      methods and results of the ensuing study, which began as a review of the
      procedures in place, and ended with on-site assistance in implementing changes at
      each of the component facilities. Neither HPM nor the authors suggest that any
      other system could, or should, proceed in exactly the same manner; however, apart
      from the specific information about particular commodities which can be gleaned
      from this report, there may be value for others in seeing how the task proceeded,
      and the authors' self-critical analysis of how well the employed methods worked.

PMID- 10267819
TI  - Deciding who will not be treated--a difficult issue that may lie ahead.

PMID- 10267820
TI  - Business: getting tough in Arizona.

PMID- 10267821
TI  - Government: corporations will be the biggest influence for change.

PMID- 10267823
TI  - Who wil control health care: seven trends that may determine the future.

PMID- 10267822
TI  - Successful global competition depends, in part, on managing health costs.

PMID- 10267824
TI  - Willingness to make health decisions associated with socio-economic factors.

PMID- 10267825
TI  - Consumer's increasing price sensitivity is key variable.

PMID- 10267826
TI  - Hospitals group to provide care, income immaterial.

PMID- 10267827
TI  - Agencies should market "preferred referrals".

PMID- 10267829
TI  - How to shrink linen losses: an update.

PMID- 10267828
TI  - An interview with: Ron Hawthorne.

PMID- 10267830
TI  - Selecting and retaining a security consultant.

PMID- 10267831
TI  - An interview with: Richard Fisher.

PMID- 10267832
TI  - Upgrading liaison with law enforcement.

PMID- 10267833
TI  - An interview with: George (Pat) Morse, JD, CPP, and Robert F. Morse II, CMC.

PMID- 10267834
TI  - Future relationships between DHAs and FPCs.

PMID- 10267835
TI  - Housing for severely and profoundly mentally handicapped adults.

PMID- 10267836
TI  - Contracting out in-patient care.

PMID- 10267837
TI  - A patient advocate system.

PMID- 10267838
TI  - Patients' appeals against compulsory detention: a systematic procedure for
      applying the Mental Health Act 1983.

PMID- 10267839
TI  - An epidemiological contribution to planning urology services.

PMID- 10267840
TI  - Problems and solutions: the perceptions of NHS managers.

PMID- 10267841
TI  - NHS supplies--Health Service Supply Council and regional developments.

PMID- 10267842
TI  - Joint ventures. A guide to developing and operating an ambulatory care center.

PMID- 10267843
TI  - Joint ventures. MRI as joint investment.

PMID- 10267844
TI  - Joint ventures. Nine pitfalls for the unwary.

PMID- 10267845
TI  - Health care manager's notebook. Training for microcomputer use.

PMID- 10267848
TI  - Outplacement. Never a substitute for legitimate termination, outplacement can
      soften the impact of organization retrenchment and change.

PMID- 10267847
TI  - Carner's codes. Incentive compensation.

PMID- 10267846
TI  - Nurses for Laughter.

PMID- 10267850
TI  - Productivity trends reshape role, redefine success of middle manager.

PMID- 10267849
TI  - Video training tips help managers succeed.

PMID- 10267852
TI  - Chimney design and prevention of failure.

PMID- 10267851
TI  - Cost concerns breed new health care systems.

PMID- 10267853
TI  - A district works department structure.

PMID- 10267856
TI  - The efficient use of NHS estate--functional suitability.

PMID- 10267854
TI  - Training in the NHS.

PMID- 10267855
TI  - Effective use of executive time.

PMID- 10267857
TI  - A successful marketing campaign for individual hospitals in a health system.

PMID- 10267858
TI  - Your hospital can benefit from operating a free standing clinic.

PMID- 10267859
TI  - The CEO's role in making marketing work.

PMID- 10267860
TI  - How to plan and implement a downtown convenience medical care center.

PMID- 10267861
TI  - Hospital topical law: oral contract... to provide full-time pathology services.

PMID- 10267862
TI  - Once your staff is unionized.

PMID- 10267864
TI  - Middle management stress. Some tips for top management too!

PMID- 10267863
TI  - An interdisciplinary approach to dealing with the problems of AIDs patients at a
      tertiary medical center.

PMID- 10267865
TI  - Standards of performance in central service. A key to a quality assurance
      program.

PMID- 10267866
TI  - Innovative packaging improves productivity and sterility assurance.

PMID- 10267867
TI  - How to decide on the best quantities to order of a particular item--in the O.R.,
      C.S., emergency room, materials management.

PMID- 10267868
TI  - Hospital employees get back to basics--with productivity and benefits for all.

PMID- 10267869
TI  - Gatwick Park Hospital.

PMID- 10267870
TI  - HRM and culture: history, ritual, and myth.
AB  - The concept of organizational culture is here applied to the practice of human
      resource management. Reasons for the current emphasis on culture as an
      organizational metaphor are suggested. Cultural indicators which have diagnostic
      value for human resource professionals include organizational usage of symbols,
      rituals, ideologies, language, stores, myths, relationships, and humor. Examples
      of these indicators of culture are drawn from a variety of HRM practices and
      functions to explore the implications of each indicator. Alternative strategies
      are presented for improving the management of organizational change through
      sensitivity to cultural impact and better utilization of existing cultural
      realities.

PMID- 10267871
TI  - The M-Form society.

PMID- 10267872
TI  - FCC ruling in Centrex-CO access charge case.

PMID- 10267873
TI  - Guideline report. Ultrasonic fragmentation and cataract surgery.

PMID- 10267874
TI  - Guideline report. Clinical laboratory information systems.

PMID- 10267876
TI  - Guideline report. Evaluation methods for intensive care unit systems.

PMID- 10267875
TI  - Guideline report. Diagnostic ultrasound: principles and applications.

PMID- 10267877
TI  - Guideline report. An evaluation of automated infusion devices.

PMID- 10267878
TI  - Guideline report. Automated indirect blood pressure measurement devices.

PMID- 10267879
TI  - Guideline report. Ethylene oxide sterilization.

PMID- 10267880
TI  - Guideline report. Digital subtraction angiography.

PMID- 10267881
TI  - Guideline report. Buying and selling used medical equipment.

PMID- 10267882
TI  - Guideline report. Purchasing a satellite receiving earth terminal.

PMID- 10267883
TI  - Guideline report. Materials management information systems.

PMID- 10267884
TI  - Guideline report. Nuclear magnetic resonance.

PMID- 10267885
TI  - The case of the non-curious members of the credentials committee.

PMID- 10267886
TI  - The medical component of the CPI: how we know medical costs are soaring.

PMID- 10267887
TI  - High quality, cost-effective care still our goals.

PMID- 10267889
TI  - Consultations: a survey questionnaire.

PMID- 10267890
TI  - Evolving environment puts new pressures on consultation care.

PMID- 10267888
TI  - Consultations not a problem, but...

PMID- 10267891
TI  - The impact of newspaper advertising on a regional antenatal health campaign.
AB  - In 1981 the West Midlands Health services undertook a publicity campaign aimed at
      helping women to understand more about keeping healthy during pregnancy and
      encouraging them to seek early ante-natal care. A series of full page
      advertisements on ante-natal care were placed in local newspapers in the Region.
      Set out here are the findings of two studies of the impact of the publicity
      campaign. The first shows how far people's knowledge of what to do during
      pregnancy was altered by the publicity, and the second shows what people thought
      of the advertisements themselves and the further information sent to them on
      request.

PMID- 10267892
TI  - Research in health education units--warts and all.
AB  - While there is general agreement that research in health education is valuable,
      there is considerable disagreement on the form it should take, and how it should
      be organised. After a review of the problems and opportunities from two
      perspectives, a number of points are suggested which should be taken into account
      by anyone considering basing research posts in service units.

PMID- 10267893
TI  - Have housestaff found a home?

PMID- 10267894
TI  - The great American health fortunes of 1983.

PMID- 10267895
TI  - CATCH-22. How budget cuts can lead to throwing the baby out with the bathwater.

PMID- 10267896
TI  - So, you're looking for a union.

PMID- 10267897
TI  - Taking a closer look: disinfection versus sterilization of scopes.

PMID- 10267898
TI  - Negotiating: go for it--you can get it.

PMID- 10267899
TI  - MM view key to good home health decisions.

PMID- 10267900
TI  - Reaction to new EtO regulations mixed.

PMID- 10267902
TI  - A positive environment: the second generation breakdown room.

PMID- 10267901
TI  - Considering the alternatives.

PMID- 10267903
TI  - Reducing inventories can be unprofitable.

PMID- 10267904
TI  - States vary on CON legislation.

PMID- 10267905
TI  - MMs report substantial rise in CEO interest in purchasing.

PMID- 10267906
TI  - Deregulation and the fear of "capitalized medicine".

PMID- 10267907
TI  - Other people's money.

PMID- 10267908
TI  - The bonds between medicine and management.

PMID- 10267909
TI  - Why the Canada Health Act?

PMID- 10267911
TI  - Rational planning models for resource allocation in health care.

PMID- 10267910
TI  - Capital expenditures for hospitals.

PMID- 10267912
TI  - Emergency service: a strategy for hospital-sponsored ambulatory care satellites.
AB  - This analysis of the overall market position of free-standing emergency care was
      based on a telephone survey of 300 randomly chosen households in a southeastern
      metropolitan area. Results show that consumer preferences for cost and
      convenience create a strong market for free-standing emergency facilities.
      Emergicare centers are in an ideal situation to capture the market for acute and
      minor emergency care. To be worthwhile, the emergency room in a more
      comprehensive ambulatory care facility should serve as a feeder of new patients
      and be profitable in its own right. However, free-standing emergency facilities
      must not only attract patients through convenience and price, but they must also
      maintain patients through assuring quality care and satisfaction.

PMID- 10267913
TI  - Employer perspectives on the preferred provider organization concept.
AB  - The goal of preferred provider organizations (PPOs) is to identify cost effective
      physicians, hospitals and other providers and form them into healthcare delivery
      systems. Widespread interest in PPOs stems from the belief that they can contain
      costs while offering consumers a choice of physicians and hospitals. But there is
      little information available about the demand by employers to offer PPOs as a
      health plan option. This study gathered information on employers' attitudes
      toward PPOs through a survey of companies in the Minneapolis metropolitan area.
      Most of the surveyed firms were found to be self-insured and offered a choice of
      healthcare plans, including HMOs. Contrary to some previous studies, healthcare
      costs are a major concern by all of the firms. PPOs are viewed as one part of an
      overall strategy to reduce those costs while maintaining quality of care and
      convenient access to providers. Although somewhat skeptical about potential
      savings and concerned over the administrative costs of offering a new health
      plan, most of the firms indicated support for the PPO concept. The greatest
      market opportunity for PPOs is to offer the plan as an alternative within the
      company's existing indemnity plan, wherein employees who use the preferred
      providers are exempt from at least a portion of the coinsurance and deductible
      requirements.

PMID- 10267914
TI  - Corporate cultures and business strategy: a health management company
      perspective.
AB  - This article develops a framework of analysis for understanding corporate
      cultures, and applies available analytical tools to the cultural study of four
      health management organizations. A distillation of the relevant literature was
      performed to establish working definitions, tools of analysis, and various
      caveats. Examples of corporate cultural studies follow, and an attempt was made
      to identify the cultural dimensions, typology, and anticipated strategies for the
      four multis. The author emphasizes that healthcare companies which want sustained
      changes in their business lines must examine and carefully alter their firms'
      culture to support and reinforce such changes.

PMID- 10267915
TI  - Positioning doctors for convenience medicine.
AB  - Faced with an increasingly competitive environment, physicians must learn to
      organize themselves into group practices positioned to perform as the customer
      expects. To be successful, these new group practices must recruit the kind of
      physician who will meet the consumer's demands for quality care: convenience,
      continuity of care, and confidence in the doctor's competence. This article
      describes how doctors can become more competitive based on my observations as a
      former consultant with such healthcare companies as Cigna Healthplan, the largest
      for-profit HMO, and as the current vice president of Operations Planning and
      Development with Republic Health Corporation, a Dallas-based hospital management
      company. These observations should help hospital managers learn how to organize
      their medical staffs to better serve the patient's needs. By repositioning their
      physician services, hospitals should become better positioned to compete for new
      patients.

PMID- 10267916
TI  - Omaha's winning pair.

PMID- 10267917
TI  - Evaluating your shop image.

PMID- 10267918
TI  - Shrinkage: increasing profits by decreasing losses.

PMID- 10267920
TI  - Let there be light.

PMID- 10267919
TI  - HGSM gift shop profile. George Washington University Hospital.

PMID- 10267921
TI  - The hospital medical staff of 1994.

PMID- 10267922
TI  - Credentialing and medical membership.

PMID- 10267923
TI  - MDs and multihospital systems.

PMID- 10267924
TI  - Graduate medical education: where is it heading?
AB  - Beset with problems in funding and manpower, graduate medical education (GME)
      seems to be heading toward a confrontation between expectation and reality.

PMID- 10267925
TI  - How to avoid the interspecialty turf battle trap.
AB  - As competition and increased numbers of physicians heat up efforts to obtain
      hospital privileges, medical staffs and hospitals need to develop a quality-based
      privileging system that minimizes discord and protects from antitrust liability.

PMID- 10267926
TI  - How to cure stagnating standing committees.

PMID- 10267927
TI  - Protection from discovery of hospital peer review committee records.
AB  - Integral to an effective peer review process is the assurance that the comments
      of those serving on the hospital's peer review committee will remain
      confidential. In recent years, several court cases appear to have eroded this
      assurance of confidentiality by allowing the discovery of hospital review
      records. This article examines the legal status of peer review confidentiality in
      selected states and concludes that the confidentiality of peer review proceedings
      remains intact in most states.

PMID- 10267928
TI  - Closed or open medical staff? Consider all the factors.

PMID- 10267929
TI  - Preparing the P & T committee agenda for new drug requests.
AB  - Preparing an agenda is an important element in conducting an effective P & T
      Committee meeting. A key responsibility of P & T Committee members is reviewing
      the rationale for formulary requests. Therefore, it is generally an agenda item.
      This article describes a process for planning, preparing, and distributing agenda
      materials for a committee meeting. A specific format and sequence for reviewing
      new drugs for formulary admission and criteria for selecting new drugs are
      discussed.

PMID- 10267930
TI  - Therapeutic substitution: has its time arrived?
AB  - Therapeutic substitution refers to substitution by the dispenser of a drug
      product that is not chemically identical but is therapeutically equivalent to the
      product prescribed, pursuant to guidelines established by the hospital P & T
      Committee. Until recently, the extent to which this concept has been adopted by
      hospitals across the country was unknown. Late in 1980, we conducted a nationwide
      survey of hospital pharmacies to learn more about therapeutic substitution. This
      paper reviews some of the issues involved, some of the findings of our study, and
      the pros and cons of therapeutic interchange. It also provides an update as to
      some of the recent changes that are occurring in therapeutic substitution
      procedures.

PMID- 10267931
TI  - Computer skills enhance a hospital pharmacy residency training program.
AB  - Hospital pharmacy residents participated in a program designed to introduce them
      to computer systems useful in pharmacy practice and to provide them with access
      to a variety of computer resources that could be helpful in completing their
      residency projects. Using existing computer facilities, various short courses and
      individual tutorials were employed to train residents in a variety of computer
      skills. These courses provided a useful vehicle for recent pharmacist graduates
      to acquire necessary computer skills not obtained during their academic training.
      Because the program provided residents with the tools needed for the management
      and analysis of large data sets, a marked increase occurred in the number of
      residency projects acceptable for publication in peer-reviewed pharmacy journals.
      Thus, residency projects improved in quality and faculty preceptors were more
      motivated to get involved in such projects.

PMID- 10267932
TI  - Determining staffing for pharmacy chemotherapy admixture program.
AB  - This study was designed to assist the hospital pharmacy administrator in
      assessing personnel and staffing requirements for a pharmacy chemotherapy
      admixture service. Time study data was collected on 250 consecutive new and
      refill chemotherapy admixtures. Both pharmacists and technicians admixed during
      the 32-day study period. Protective clothing and a vertical hood were utilized.
      The admixtures were divided into three categories depending on the drug's
      original packaging (ampul or vial) and the delivery system used for the final
      solution (syringe or IV bag). Total processing time (compounding time plus
      auxiliary time plus allowance and absentee time) for all admixtures was
      determined. The average total processing time for new orders was determined to be
      16.75 minutes with refill orders requiring 14.61 minutes. From the results of
      this study, it was found that an average of eight chemotherapeutic admixtures per
      day would require approximately 0.4 FTEs.

PMID- 10267933
TI  - A study contrasting different modalities of medication discharge counseling.
AB  - The effects of different modalities of medication discharge counseling on
      patients' medication knowledge were studied. Patients discharged from
      medical/surgical units in a community hospital were counseled utilizing one of
      three methods or received no counseling, according to their randomized study
      group assignment. The three types of discharge counseling studied were: (1)
      distributing written information and answering all patient questions, (2) verbal
      counseling performed by a pharmacist, or (3) verbal counseling performed by a
      pharmacist with distribution of written information. The control group received
      no counseling or written information. Patient information was collected, and the
      time and costs of the counseling were recorded. A questionnaire was sent to each
      patient 1 week after discharge from the hospital to determine a patient's
      knowledge of his/her medications. The questionnaires were scored by a pharmacist
      unaware of the type of counseling the patient had received. Upon completion of
      the scoring, the study data was collated and statistically analyzed. The results
      showed that medication discharge counseling conducted by a pharmacist does
      improve a patient's knowledge of his medications and that pharmacist intervention
      in medication teaching does improve the counseling results. Also, the study
      demonstrated that verbal counseling in combination with written information
      increased the patient's awareness of his medications the most, and was a
      financially feasible method. This study supports the development and continuation
      of pharmacist-conducted medication discharge counseling in rural community
      hospitals.

PMID- 10267934
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--Part 9.
AB  - In the June 1983 issue of Hospital Pharmacy, I requested pharmacy directors in
      hospitals of less than 300 beds who had 168-hour a week pharmacy service to
      describe their service and how they obtained it. Seven such descriptions appeared
      in July 1983. Below you will find a continuation of this feature. We plan to
      publish additional descriptions as they are received.

PMID- 10267935
TI  - Comprehensive intravenous admixture services: logistics and quality assurance in
      a university affiliated teaching institution.
AB  - The role of supportive personnel, as well as the supervision of intravenous (IV)
      admixture compounding by staff pharmacists, should be clearly identified by the
      departmental manager. In doing so, the department should strive to achieve an
      optimal mix of professional and technical personnel with automated technology.
      Close attention must be paid to quality assurance in order to maintain the
      highest quality parenteral admixture. The logistics of comprehensive IV admixture
      services are described for a university affiliated teaching institution. Emphasis
      is made on a three-faceted approach to quality assurance, including technician
      training, end-product testing, and equipment maintenance.

PMID- 10267936
TI  - An anesthesia controlled substance dispensing system.
AB  - The problems associated with drug abuse or diversion by anesthesia personnel in
      the operating room (OR), causative factors, effective mechanisms of control of
      abusable drugs in this area of the hospital, and the need for these systems to be
      cost effective for the smaller hospital are discussed. A system utilizing
      anesthetist/case specific drug kits that are dispensed by the pharmacy to the OR
      and then to individual anesthetists is presented. The system limits quantities of
      drugs available at one time to anesthesia personnel and provides for clear
      individual accounting for drugs and the rapid detection and reconciliation of
      discrepancies. The system demands modest increases in personnel expense and
      capital and consumable equipment costs. The authors conclude that the system
      described may provide for improved abusable drug control in the OR at costs
      reasonable for the smaller hospital.

PMID- 10267937
TI  - Noncutting methods of needle and syringe disposal.
AB  - The time required of nurses to cut needles and syringes, the costs of boxes used
      to cut needles and store used syringes, as well as some of the costs related to
      treating needlesticks are discussed. A new method of utilizing a large box (3 X
      13 X 31 inches) in a medication cart is described. The box is made of one-quarter
      inch cardboard and waxed. It is replaced daily and incinerated. The system is
      time-saving, economical, and should reduce the number of needlesticks.

PMID- 10267939
TI  - Industry notes.

PMID- 10267938
TI  - A respiratory therapy unit dose system in a 500-bed hospital.
AB  - A comprehensive unit dose distribution system for respiratory medications is
      described with emphasis on generalized design principles. This system may be
      tailored to meet the needs of any institution. Methods for receipt and
      interpretation of the physician's orders, the profiling system, handling of
      initial orders, monitoring medications, preparation of unit dose respiratory
      medications, and routine distribution of orders are covered. This unit dose
      system allows the pharmacy to assume full responsibility for the procurement,
      storage, and distribution of all respiratory medication. The pharmacist can
      provide the respiratory therapist with standardized, sterile quality-controlled
      medications that are ready to administer. Controlled cost and equitable charging
      procedures are also provided.

PMID- 10267940
TI  - Hospital expense growth slowing dramatically.

PMID- 10267941
TI  - Successful acquisition planning.

PMID- 10267942
TI  - The psychology of corporation: how identity influences business.

PMID- 10267943
TI  - Setting strategy using variable ROI analysis.

PMID- 10267944
TI  - The board of directors: beware of those triggers that cause board change.

PMID- 10267945
TI  - Medically intelligent computer systems--a nurse's view.

PMID- 10267946
TI  - Physicians and nurses using a hospital information system.

PMID- 10267947
TI  - A medical device recall and reporting system. Guideline report.

PMID- 10267948
TI  - Guideline report. Bar code technology: applications in health care.

PMID- 10267949
TI  - Echocardiography. Guideline report.

PMID- 10267950
TI  - CT scanner. Guideline report.

PMID- 10267951
TI  - Finding the right architect.

PMID- 10267952
TI  - The challenge of opening a new facility.

PMID- 10267953
TI  - To build or renovate: an architect's perspective.

PMID- 10267954
TI  - Humanizing design for tomorrow's facility.

PMID- 10267955
TI  - Tomorrow's facility: build or renovate? Evaluation key to accurate cost
      projections.

PMID- 10267956
TI  - Tomorrow's facility: build or renovate? Financing: some pointers on the FHA
      insured mortgage loan.

PMID- 10267957
TI  - Tomorrow's facility: silk purse or sow's ear?

PMID- 10267958
TI  - Mergers and acquisitions--current antitrust law.

PMID- 10267959
TI  - The Occupational Safety and Health Act. The national policy for the prevention of
      work-related illness.
AB  - Occupational health and safety issues are increasingly important on the broader
      health agendas of both industrial and non-industrial communities. These issues go
      beyond traditional industrial hygiene into areas of environmental epidemiology
      and public health engineering. The policy framework for addressing such issues is
      the Occupational Safety and Health Act of 1970.

PMID- 10267960
TI  - Surveying the gender gap. Attitudes on women in EMS.

PMID- 10267961
TI  - MCI vs. disaster. An overview of mass casualty response.

PMID- 10267962
TI  - A comparison of the effect of music therapy and medical play therapy on the
      verbalization behavior of pediatric patients.
AB  - Therapeutic play activities are designed to help children verbalize their
      hospital experiences so they can cope with the trauma of hospitalization. The
      purpose of the study was to determine whether a music therapy session was more
      effective than a medical play therapy session in facilitating this verbalization.
      Forty school-aged subjects were randomly selected to receive an individual music
      therapy or play therapy session. The two groups were equated on the following
      variables: sex, age, socioeconomic status, length of present hospitalization,
      session interruptions, type of illness and related number of prior
      hospitalizations, and prior Child Life involvement. The last two variables were
      thought to influence verbalization. The dependent variable was comprised of each
      patient's response to four critical incidence questions about hospitalization.
      Content analysis was employed to code each response as a three-digit number with
      numbers increasing as the verbalization became more involved. The chi square
      statistic revealed that music therapy elicited significantly more involved
      verbalization about hospitalization than did the play therapy session for each of
      the seven variables. Verbalization was unrelated to the patient's diagnosis and
      prior hospitalizations. Patients without prior Child Life involvement had more
      involved verbalization than patients with prior involvement.

PMID- 10267963
TI  - Some implications for the clinical use of music facilitated imagery.
AB  - In this study, Helen Bonny's Guided Imagery and Music technique provided the base
      experience for questionnaire responses from short-term psychiatric inpatients,
      students, and staff (total/n = 107). Independent measures of age range, sex,
      medication type, and recent relaxation practice were compared statistically with
      dependent responses of skin temperature, perceived ability to relax, production
      of images, and perceived helpfulness of the experience. Results demonstrated
      increases in skin temperature and relaxation perception and defined the average
      experience as manifesting three concurrent imagery modes. Among the man
      independent-dependent variable relationships, some significant differences in
      mean responses were present. These differences and their possible clinical
      implications are discussed; further research in the area, including replication,
      is recommended.

PMID- 10267964
TI  - Player piano music as therapy for the elderly.
AB  - With the increasing geriatric population, more research is needed to identify
      strategies for enriching the quality of life for older adults. Music therapy has
      been well documented for its beneficial effects on physical and mental health.
      The notion of using player piano music as therapy for the elderly evolved because
      of the absence of this approach in the literature. Eleven elderly clients in a
      midwestern retirement center participated in an ABA experimental design to
      measure responses to player piano music. Cognitive, affective, and behavioral
      data were collected through observational and subjective interview tools. Results
      demonstrated marked increments of rhythmic and extremity responses to musical
      treatment. Additionally, player piano music was enjoyed and enhanced a state of
      well-being and youth, enabled retrieval of specific long-term memories, and
      provided "action-oriented" cognitive themes and stimulation.

PMID- 10267965
TI  - Changes in business communications: innovative uses of new media and
      technologies.
AB  - An overview of communication technologies and concepts for intra- and inter
      business communication, including local area networks, electronic mail and tele
      conferencing, illustrates the wide spectrum of methods which challenge
      traditional forms of business communication such as correspondence and telephone.
      It is shown how the application of these technologies, in concert with the
      computer and new storage media, allows integration of communication, data
      management and recordkeeping functions. The systematic application of electronic
      technologies and recognition of the advantages of graphics for effective
      communication lead to the stimulation of graphic forms of communication.
      Technologies and methods of graphic communication are discussed, and the impact
      of these new approaches on the work environment in the office is explained.

PMID- 10267966
TI  - The institutional chaplain: constructing a role definition.
AB  - Reports on a questionnaire survey of members of the Omaha Nebraska Area
      Institutional Chaplains' Association and the Nebraska State Chaplain's
      Association. Develops a typology of the role of the hospital chaplain based on
      findings which indicate that chaplains see themselves as (1) counselors, (2)
      professionals, and (3) religious functionaries. Notes that these perceptions are
      often at dissensus with relevant publics, and interprets the role of definitions
      in terms of secularization and social structure principles. Discusses and
      suggests ways of addressing role differences in view of current changes in health
      care developments.

PMID- 10267967
TI  - Computers and chaplains: using the technology revolution.
AB  - Describes how microcomputers may be used by departments of pastoral care for
      management analysis and for time usage studies. Claims that such analyses help to
      document the activities of chaplains and provide an accountability means and a
      way of demonstrating the contention that pastoral care is an integral part of
      complex health care institutions.

PMID- 10267968
TI  - The female chaplain's contributions to breast cancer management.
AB  - Maintains that a female chaplain's ministry to women breast cancer patients holds
      unique qualities because of the chaplain's ease of achieving physical and
      psychological identification with the mastectomy patient. Notes particularly how
      a female chaplain can provide a relationship for affirmation of self-esteem,
      confession, and repentance. Illustrates with actual cases ways the female
      chaplain can share in the feminine identity crisis, participate in the struggle
      to claim God-given dignity and worth, and be genuinely present for healing the
      resentment and guilt often accompanying the mastectomy patient's loss.

PMID- 10267969
TI  - A method for doing grief work with families who have had a child die with cancer.
AB  - States an approach to doing grief work with families who have had a child die of
      cancer and outlines a small group process which follows Erich Lindemann's themes
      of (1) reviewing the life of the deceased, (2) reflecting on the meanings of the
      deceased person's life; (3) restructuring of relationships, (4) liberating the
      dead person, and (5) recognizing the reality of a form of resurrection.

PMID- 10267970
TI  - The role of CPE in medical education.
AB  - Describes a program designed to aid medical students relate more empathically to
      patients and their families. Outlines the content of sessions, notes resistances
      and attitudes toward the program, and offers an anecdotal evaluation of the
      educational project.

PMID- 10267971
TI  - Public opinion and the privatization of welfare: some theoretical implications.
AB  - The social policy of the Thatcher government is characterized by an abrupt shift
      in the direction of the private sector. To what extent does this reflect what
      people want? The Institute of Economic Affairs conclude from the only suitable
      national opinion survey that such a move is strongly supported. Our reanalysis of
      their data shows that this strand in public opinion can coexist with, and need
      not contradict, an equal public enthusiasm for state welfare. Such results have
      important implications for our understanding of social policy. We conclude,
      therefore, with a discussion of contrasting marxist and liberal accounts which
      seeks to show that the evidence of ambivalence in popular attitudes about the
      welfare state supports particular developments in theory.

PMID- 10267973
TI  - Comment. Interwar health insurance revisited: a reply to Frank Honigsbaum.

PMID- 10267972
TI  - Comment. The interwar health insurance scheme: a rejoinder.

PMID- 10267975
TI  - Hospital unionization trends: effects of the shift from state to federal
      jurisdiction in three states.

PMID- 10267974
TI  - Professional collaboration in services for mentally handicapped people.
AB  - There has been growing academic and practitioner interest in the problems of and
      opportunities for joint working in the care of mentally handicapped people. The
      paper outlines alternative methods of such joint working and tests these against
      survey and case study evidence. Attention is drawn to the danger that joint
      working may have little impact at patient level and the paper recommends an
      emphasis on the appointment of frontline key workers.

PMID- 10267976
TI  - Phases of psychological burn-out and organizational covariants: a replication
      using norms from a large population.

PMID- 10267978
TI  - How many Americans lack outside sources of payment for major health care costs?

PMID- 10267977
TI  - Managing external constraints: the case of nursing homes.

PMID- 10267979
TI  - Hospital security: the future is now.

PMID- 10267980
TI  - Restructuring the health care financing and delivery system: national health
      insurance through market competition.

PMID- 10267981
TI  - Nursing homes and quality of health care: the first year result of an outcome
      oriented survey.

PMID- 10267982
TI  - The impact of Florida's matrix-model organization on implementation of the Older
      Americans Act.

PMID- 10267983
TI  - Empirical measures of grievance procedure effectiveness.

PMID- 10267984
TI  - Action planning to enhance training program results.

PMID- 10267985
TI  - The role of volunteers during a strike.

PMID- 10267987
TI  - Accuracy important when computing costs.

PMID- 10267986
TI  - Disagreement on infection control.

PMID- 10267988
TI  - Are high temperatures really needed in our institutional laundry washrooms?

PMID- 10267989
TI  - The health care environment. Factors affecting the system.

PMID- 10267990
TI  - New St. Louis central laundry opens. Five area hospitals will share service.

PMID- 10267992
TI  - The artificial heart. A study in myopia.

PMID- 10267991
TI  - Forecasting expenditure on capital projects.
AB  - S-curves are widely used for planning, forecasting and control of cost, time and
      resources of a project. In this paper, a comparison of two S-curve models
      developed at the Department of Health and Social Security (DHSS) and Bradford
      University is carried out both from the viewpoint of predictive accuracy and ease
      of use. The models are validated using expenditure data for 21 recent U.K. health
      building projects. Methods of least squares is used to estimate the parameters of
      the two models. These parameters are categorized according to the total cost of
      the projects. Both the models are shown to be of comparable accuracy for fitting
      actual expenditure data. The DHSS model has a major advantage of simplicity of
      form and use, although the slightly greater mathematical complexity of the Keller
      Singh model is off-set by the readily interpretable nature of its form and basic
      parameters. It is concluded that both or either of the models could be used by
      clients/contractors for effective planning and control of project costs.

PMID- 10267993
TI  - Winning medical groups.
AB  - What does it take to win? Quite simply, excellence. Twenty suggestions for
      promoting excellence are provided to help you turn your medical group practice
      into a winning organization--an organization with quality management as well as
      quality medical care.

PMID- 10267994
TI  - What do attitudes tell you?
AB  - Increasing employee productivity and efficiency is a goal for every medical group
      administrator. By allowing employees the opportunity to voice their opinions
      anonymously, management can gain accurate and valuable information on employee
      attitudes. The author demonstrates, through a case study, how an attitude survey
      can provide specifics on the strengths and weaknesses of a group, thus giving
      direction to initiate needed changes.

PMID- 10267995
TI  - Buy-in buy-out. Is your plan in shape?
AB  - Though once relatively inconsequential, in today's competitive climate a
      strategic buy-in/buy-out plan is critical to a medical group's success. A plan
      that is too costly in relation to competitor's plans can spell a death sentence
      for a group seeking to attract new physicians. In this case study, a group
      confronts its buy-in/buy-out problem and uses it as an opportunity to redefine
      goals and objectives and rebuild the group.

PMID- 10267996
TI  - The price of leadership.
AB  - Whenever an individual displays creativity, strength, and initiative that go
      beyond the norm of society, he is set apart from others. Being a leader (whether
      born or made) in any walk of life can and generally will produce unanticipated
      consequences such as jealousy, resentment, mistrust, and criticism from
      subordinates. By being prepared for and accepting the obstacles that go hand in
      hand with a leadership role, the medical group administrator can help his
      organization reap the benefits that an effective, well-adjusted leader can bring.

PMID- 10267997
TI  - Uncontrollable variables in marketing.
AB  - Controllable variables such as product, price, and promotion are only part of the
      total package in marketing a medical practice. What about technology,
      demographics, society and culture, politics, and economics--the uncontrollable
      variables? These critical factors can enhance or destroy a medical group practice
      in today's fast-changing world.

PMID- 10267998
TI  - Is your doctor a groupie?
AB  - What characteristics do you perceive as being most important when recruiting new
      physicians for your medical group? While technical competence is of course
      necessary, the medical group must also consider how well the candidate will fit
      into the group. By understanding the characteristics that will make a candidate
      fit into the organization and by carefully assessing the prevalence of these
      characteristics in physician candidates, the perceptive administrator can select
      the candidate that will best contribute to the long-term success of the
      organization. A specialist in physician recruitment offers her advice.

PMID- 10267999
TI  - Navigating on the medical management freeway.
AB  - Ready or not, the role of the medical group manager is rapidly expanding and only
      those who are well prepared and in control will survive. The views of a medical
      management consultant are presented in this entertaining article on a critical
      subject, along with guidelines for developing formal organizational goals.

PMID- 10268000
TI  - Is the grass greener? Physician billing under Canadian Medicare.
AB  - With the US healthcare system currently in a transitional state, medical group
      administrators here are becoming more curious about the way that the healthcare
      systems of other countries work. The experience of the Haig Clinic, a medium
      sized multi-specialty family practice, is offered as a representative example of
      the Canadian Medicare system in the province of Alberta. Nearly one-half of all
      claims are now received by Alberta Medicare in EDP magnetic tape form, and total
      turnaround time is approximately two weeks for "clean" claims. Thanks to the
      dedicated efforts of man Alberta health professionals, it is an efficient system
      of billing, merging the world of Medicare with the world of electronic data
      processing.

PMID- 10268001
TI  - When peers put the heat on doctors who overhospitalize.

PMID- 10268002
TI  - How a doctors' paradise was spoiled. An emigre physician reports on the
      depressing impact of socialization on medical practice in his native Finland.

PMID- 10268003
TI  - Can Florida end its malpractice nightmare?

PMID- 10268004
TI  - Writing DNR orders that won't get you sued.

PMID- 10268005
TI  - UPS uninterruptible power system.

PMID- 10268007
TI  - Grounding in instrumentation systems.

PMID- 10268006
TI  - Medical Electronics buyers guide 1983, Part 6: CAT scanners, electrical safety &
      test equipment, neonatal & pediatric equipment, pulmonary/respiratory equipment,
      simulators, stress-test systems/ergometers.

PMID- 10268008
TI  - Defibrillators. State of the art.

PMID- 10268009
TI  - Medical records manpower.

PMID- 10268010
TI  - Hospital Activity Analysis, the Korner Report and ward based computers.

PMID- 10268012
TI  - Northern Health & Social Services Board--Coleraine and Waveney Hospitals patient
      administration systems.

PMID- 10268011
TI  - Automated coding of diagnosis, operation and occupation texts in hospital in
      patient discharge summaries.

PMID- 10268013
TI  - Community records.

PMID- 10268014
TI  - Community records. Part 2--District nursing staff.

PMID- 10268015
TI  - Community records.

PMID- 10268017
TI  - The hospital. Spending up sharply.

PMID- 10268016
TI  - Mental health (Amendment) (Scotland) Act 1983.

PMID- 10268018
TI  - Birthing alternatives: a matter of choice and turf.

PMID- 10268019
TI  - Health care rationing: MD takes issue with insurance, government officials.

PMID- 10268020
TI  - The fitness boom. Must staying in shape extract a price?

PMID- 10268021
TI  - Dramatic variations in medical practice blamed for misspent health dollars.

PMID- 10268022
TI  - Diabetes. Can tight glycemic control stem the tide of complications?

PMID- 10268023
TI  - AMA delegates approve resolution calling for hospital ethics committees.

PMID- 10268024
TI  - Filling in the blanks of the hypertension puzzle.

PMID- 10268025
TI  - Congress faces fragile compromise on 'Baby Doe'.

PMID- 10268026
TI  - Health care forecast: delivery systems deluge and dampened incomes.

PMID- 10268027
TI  - The artificial heart and the public purse.

PMID- 10268028
TI  - Larceny in the lab: how to control time theft.

PMID- 10268029
TI  - Is it time to buy a computer network?

PMID- 10268030
TI  - How to keep those inspection jitters down.

PMID- 10268031
TI  - A power outage: one lab's experience.

PMID- 10268032
TI  - A psychological approach to better phlebotomy.

PMID- 10268034
TI  - A seminar for public health graduate students.

PMID- 10268033
TI  - Retention strategies: keeping good employees.

PMID- 10268035
TI  - A journal core list for health administration libraries.
AB  - Health administration is an interdisciplinary profession practiced in various
      settings. This paper presents a core list of journals for libraries responsible
      for supporting the study or practice of health administration in any of these
      settings. This paper initially examines and defines the parameters of the field
      of health administration to guide in the selection and organization of the list
      of core health administration journals. The organization of the list is based on
      the definition of the field as presented in the paper. The most important
      journals have been indicated, and sufficient information is given to facilitate
      ordering.

PMID- 10268037
TI  - Medical libraries at the crossroads.

PMID- 10268036
TI  - The user friendly card catalog.
AB  - The changing roles and relationships of professional staff in Reference and
      Cataloging departments in the catalog creation process are discussed. Specific
      examples are given for handling classification, subject headings and cross
      references. The article stresses the importance of interface between the two
      departments in making the catalog more accessible to the users of the library.

PMID- 10268038
TI  - Social/HMOs: an innovative response.

PMID- 10268039
TI  - Creative arrangements benefit hospitals, home care agencies.

PMID- 10268041
TI  - One approach to a health care gap.

PMID- 10268042
TI  - Program makes most of vintage years.

PMID- 10268040
TI  - The AAA/hospital partnership.

PMID- 10268043
TI  - Multihospital systems. Chains offering more services.

PMID- 10268044
TI  - Glut of bonds won't raise interest rates.

PMID- 10268045
TI  - Act could erode ventures' tax benefits.

PMID- 10268046
TI  - Home care agency adjusts to competing interests of hospitals.

PMID- 10268047
TI  - Contract management surveys. Contract management companies manage growth rate of
      13.3%.

PMID- 10268048
TI  - Contract management, shared services surveys. Popularity of management firms,
      shared service arrangements fails.

PMID- 10268049
TI  - Shared services surveys. Prospective pay doesn't boost shared services' sluggish
      growth.

PMID- 10268050
TI  - Major alliances focusing efforts on creation of new business.

PMID- 10268051
TI  - Consulting services. Hospitals shell out $285 million to 151 consulting firms in
      1983.

PMID- 10268052
TI  - Market surveys, ads help suburban Atlanta facilities focus on strengths.

PMID- 10268053
TI  - Hospitals pump dollars into finance, nursing.

PMID- 10268054
TI  - Many systems incompatible.

PMID- 10268055
TI  - Analysts laud chains' information systems.

PMID- 10268056
TI  - ICU patients benefit from data merging.

PMID- 10268057
TI  - Catholic chain inks record pact for hospital computer system.

PMID- 10268059
TI  - Physicians get hefty financial guarantees, perks as attractions.

PMID- 10268058
TI  - Alliances tailoring programs to meet small hospitals' needs.

PMID- 10268060
TI  - Trustee talent aids small hospital staff.

PMID- 10268061
TI  - Rural hospitals' lab workers feel they need more training.

PMID- 10268062
TI  - Municipal bond insurance may create two tiers of healthcare borrowers.

PMID- 10268063
TI  - Future belongs to new multihealth corporations; hospitals should join now.

PMID- 10268064
TI  - Chains will profit despite competition, forecast by industry leaders says.

PMID- 10268065
TI  - Paying for healthcare is in the cards.

PMID- 10268066
TI  - Competition spurs hospitals to offer group health insurance to employers.

PMID- 10268067
TI  - Alternative services. Surgicenter operators may choose structure from several
      legal options.

PMID- 10268068
TI  - Disease risk and the health of the public.
AB  - Different ways of looking at the epidemiology of health and illness in the
      population can influence the allocation of resources to research and public
      health programs. This paper presents several epidemiologic concepts of risk that
      are useful in making clinical and public health decisions, drawing on coronary
      heart disease (CHD) and its risk factors for examples.

PMID- 10268069
TI  - Using birth and death certificates to describe maternal and child health risk in
      California.

PMID- 10268070
TI  - Not-for-profit growth has national look.

PMID- 10268071
TI  - Anatomy of a takeover: AMI in the aftermath of Lifemark.

PMID- 10268072
TI  - Financing technique preserves autonomy, gives strength of numbers.

PMID- 10268073
TI  - Mission control. Never one to dodge a challenge, Evangelical Health System's John
      King feeds on the 'creative tension' that a sense of mission brings to health
      care. Interview by Kelly F. Guncheon.

PMID- 10268074
TI  - Key to multi advertising is finding the right channel.

PMID- 10268075
TI  - Success best testimonial for ads.

PMID- 10268076
TI  - Multi treats advertising as board policy decision.

PMID- 10268077
TI  - FDA device regulations and the home care dealer.

PMID- 10268078
TI  - Businesses seek allies in curbing health costs.

PMID- 10268079
TI  - In sterilization, off-site is still not within sight.

PMID- 10268080
TI  - Reproductive risks in the workplace.

PMID- 10268081
TI  - Quick return to work can save industry millions.

PMID- 10268082
TI  - Simplifying MORT for supervisors.

PMID- 10268083
TI  - The impact of supply on the use of the hospital facilities. Differences between
      high and low income groups in The Netherlands.

PMID- 10268084
TI  - What are your practice alternatives?
AB  - The possibilities for the future of the practice of pathology have never been
      brighter, the author says. He explains how pathologists can be successful in
      alternative practice arrangements, and what these alternatives are.

PMID- 10268085
TI  - Educating residents in the 80s: how much, how many, who, where, and how?
AB  - The way future pathologists are educated will change greatly, the author says.
      Though there is danger in what is to come, there are opportunities as well, and
      the author remains optimistic. In this article he explains why.

PMID- 10268086
TI  - Diabetes education reduces hospital use and costs.

PMID- 10268087
TI  - Consultation corner--problem of documentation of patient education.

PMID- 10268088
TI  - Using our time the best we can.

PMID- 10268089
TI  - Shared services for closed-circuit television.

PMID- 10268090
TI  - Involving patients in decision-making.

PMID- 10268091
TI  - Patient education programming for psychiatric patients.

PMID- 10268092
TI  - Two goals in every performance appraisal.

PMID- 10268093
TI  - What Bechtel learned creating an employee assistance program.

PMID- 10268094
TI  - A primer on legislation and responsibilities. An introduction to employee right
      to-know laws.

PMID- 10268095
TI  - Computers plus business equal liabilities.

PMID- 10268097
TI  - What questions do resident physicians ask pharmacists?

PMID- 10268096
TI  - EDP applications for personnel activities by hospitals. A current survey of
      practices and plans.

PMID- 10268098
TI  - Reasons for the lack of association between changes in health behavior and
      improved health status: an exploratory study.
AB  - Persons with arthritis who attended a 12-hour self-management course generally
      showed improved health behaviors and improved health status. However, no
      association was found between the two. We therefore interviewed 54 course
      participants to determine factors that were associated with positive and negative
      health-status outcomes. Persons having positive outcomes indicated that they had
      more control over their disease and had a positive emotional status. Persons with
      negative outcomes indicated a lack of control and generally had a negative
      emotional status. These differences were statistically significant.

PMID- 10268099
TI  - Obesity: prevention is the treatment.
AB  - Prevention of obesity at all ages is a matter of considerable concern for health
      professionals. A review of current theories of the etiology of obesity provides
      the basis for discussion of preventive measures at critical developmental stages
      throughout the life cycle. Good nutrition during pregnancy, breast feeding, and
      avoiding early introduction of solid foods are advocated to avoid obesity during
      infancy. For the young child, healthy eating habits and sufficient physical
      exercise are prescribed to prevent the accumulation of excess weight.
      Psychological and social difficulties make weight loss difficult for obese
      adolescents. The advantages and disadvantages of diet, anorectic drugs, exercise,
      and behavior modification are discussed. Adult-onset obesity is often easier to
      prevent and treat than is juvenile-onset obesity. Intervention is basically the
      same as that for adolescents. The role of health professionals is clear:
      encouragement of behavior consistent with sound nutrition and good health before
      excess weight is gained, early recognition of overweight individuals, and
      assistance in the choice of corrective measures.

PMID- 10268100
TI  - Perceptions of educational needs for patients after myocardial infarction.
AB  - Twelve physicians, 33 nurses, and 30 patients completed questionnaires to elicit
      similarities and differences in perceptions of educational needs of post
      myocardial infarction (MI) patients. Results, using chi-square analysis,
      indicated that the three groups generally agreed upon which areas should be
      included in education programs for such patients. The topics rated most important
      by all three groups were: "knowing the signs and symptoms of a heart attack";
      "knowing how to modify or change personal risk factors"; "knowing the names,
      dosages, and side effects of medications"; and "knowing personal risk factors."
      Congruence of perceived educational needs of post-MI patients should not be
      misconstrued to mean that an educational needs assessment for these patients is
      not necessary.

PMID- 10268101
TI  - Explaining attendance at a class teaching breast self-examination.
AB  - Using the health belief model as an organizing frame-work, variables were
      examined that might predict attendance at a class teaching breast self
      examination. The results show that various health belief dimensions are among the
      best predictors although other strong predictors are identified and some
      modifications to the health belief model are proposed.

PMID- 10268102
TI  - The effects of lay counseling on medication adherence and blood pressure:
      adjunctive treatment for hypertension.
AB  - Ten noncompliant hypertensive patients were monitored and received counseling
      from trained aides. Monitoring and lay counseling was associated with a reduction
      of -10 mmHg in systolic blood pressure and of -7 mmHg in diastolic pressure (P
      less than 0.05). Medication adherence increased from 69% to 84%. Counseling
      resulted in pressure decreases equal to those obtained by usual care for similar
      but compliant patients. This analysis provides a model for paraprofessional
      adjunctive counseling of patients thought to be adhering poorly to their
      medication regimen, which may improve control of hypertension.

PMID- 10268103
TI  - The aging of America and the implications for health promotion.

PMID- 10268104
TI  - Filling the gap: programs offer ideas for meeting special needs of older persons.

PMID- 10268105
TI  - Study of seniors identifies attitudes, barriers to promoting their health.
AB  - What information and skills do older persons need in order to enhance their
      health? What obstacles stand in the way of promoting their health? One way to
      find out is simply to ask them, as the Office of Disease Prevention and Health
      Promotion (ODPHP), U.S. Department of Health and Human Services, did in a study
      undertaken as part of the Health Promotion and Aging Initiative sponsored by th
      Public Health Service nd Administration on Aging. Following are excerpts from an
      executive summary of "Aging and Health Promotion: Market Research for Public
      Education," a report of a research study that involved 15 focus groups of persons
      aged 58 and over, as well as a review of data on the media habits and the
      demographic characteristics of older Americans. The study, which was undertaken
      to serve as the basis for recommendations for national action, also offers
      insights that should be useful to program planners interested in meeting the
      needs and capturing the interest of older persons.

PMID- 10268107
TI  - What's the latest in patient confidentiality?

PMID- 10268106
TI  - Building fire safety--lessons learned thru litigation.
AB  - Building codes and standards are enforceable by law, but are recognized as a
      minimum design basis relative to fire safety. The same system that mandates these
      codes does not, in a court of law, judge solely by the codes. In civil litigation
      involving death and injury from a building fire, the jury must evaluate the
      design based not only on the codes but also on what is reasonable. This paper
      will examine the civil trial and its impact on engineers, architects involved in
      building design, and manufacturers who supply materials and products for such
      buildings. Actual case histories will be cited and recommendations for a greater
      information feedback from trials to practicing designers and manufacturers will
      be presented.

PMID- 10268108
TI  - New pressures on fees from third-party payors.

PMID- 10268109
TI  - No-fault bill picks up steam.

PMID- 10268110
TI  - How Oral Roberts' City of Faith came to be. Old-time religion meets big-time
      medicine.

PMID- 10268111
TI  - Will hospital corporations move into private practice?

PMID- 10268112
TI  - Should the government have access to medical records?

PMID- 10268113
TI  - New malpractice trouble: be prepared!

PMID- 10268114
TI  - Views on doctors' income and legislation. An interview with Senator Kennedy.
      Interview by Penny Tselikis.

PMID- 10268115
TI  - How to tell a patient and his family bad news.

PMID- 10268117
TI  - International perspectives on home health care: introduction.

PMID- 10268116
TI  - Federally funded demonstration projects: following the path of S. 234.

PMID- 10268118
TI  - Benefits of university, state hospital cooperation lauded. Part 2.

PMID- 10268120
TI  - A child psychiatrist's observations on care of the mentally ill in the People's
      Republic of China.
AB  - In April, 1983, I was a member of a delegation from the American Academy of Child
      Psychiatry invited by the People's Republic of China to visit colleagues and
      study facilities in the Chinese nation. I toured six cities and visited a
      considerable number of hospital facilities, schools, and other special settings
      for youth. The experience was culturally and professionally broadening and I am
      pleased to share it with readers of The Psychiatric Hospital. Prior to my visit I
      familiarized myself with the limited literature covering child and general
      psychiatry in the People's Republic of China. A list of suggested readings
      appears at the end of this article.

PMID- 10268119
TI  - Guidelines on patients' rights found lacking.

PMID- 10268121
TI  - Psychiatric malpractice: some aspects of cause.
AB  - The legal concept of malpractice is rooted in the issue of negligence. Liability
      and duty are related matters which bear on the doctor-patient relationship. The
      quality of the doctor-patient relationship appears to be the crucial factor
      related to the emergence of malpractice claims in general medicine and surgery
      and also in psychiatry. Two methods for assessing negligence are described and
      their limitations discussed. An alternative concept of a "malpractice threshold"
      is proposed. This threshold is derived from the arithmetic product of two
      variables (risk and doctor-patient rapport) which, when exceeded, triggers a
      patient response in the form of a lawsuit. Brief clinical examples are provided.
      Review of a large number of psychiatric malpractice cases may permit
      quantification of these variables. The identification and study of such factors
      is a rational step toward the prevention of incidents which may give rise to
      claims of malpractice.

PMID- 10268122
TI  - Construction regulations: new approach required.
AB  - The growth in the number of psychiatric beds has continued unabated since the
      passage of Medicare and Medicaid, and trends indicate further development will
      occur. While freestanding facilities have grown in number, a greater degree of
      growth in beds has occurred in the medical/surgical environment where psychiatric
      patient units have been developed or have been converted from other purposes. In
      regulating these different types of psychiatric facilities, most states have
      adapted regulations from those developed by the Department of Health Education
      and Welfare (now Health and Human Services) that apply to medical/surgical
      hospitals. The result is often a situation where important distinctions between
      patient populations are ignored or patient needs are overlooked. Some more
      progressive states have developed regulations that are independent of HHS'
      requirements. The authors have found that even in those states where separate
      regulations exist, the unique needs of psychiatric patients may not be met.

PMID- 10268123
TI  - When and when not to join a PPO.

PMID- 10268124
TI  - Health-care association adopts new name, image.

PMID- 10268125
TI  - Environmental impairment in the hospital: assessing the risks.

PMID- 10268126
TI  - The duty of hospitals and hospital medical staffs to regulate the quality of
      patient care: a legal perspective.

PMID- 10268127
TI  - Health planning and antitrust law: the implied amendment doctrine of the Rex
      Hospital case.

PMID- 10268128
TI  - Nursing homes: a business growth opportunity.

PMID- 10268129
TI  - Respite care and the therapeutic recreator.
AB  - Respite care provides temporary relief to families who maintain their handicapped
      child at home. With the recent interest and growth in respite care, therapeutic
      recreators need to consider the role they may play in providing this type of
      service. The paper examines the various models of respite care currently in use,
      and considers the function of therapeutic recreators in such settings.

PMID- 10268130
TI  - Analyzing program cause as well as effect: a methods for program analysis.
AB  - Measuring the impact of therapeutic recreation services appears to be a major
      concern in the field. While effects and outcomes are of primary importance in
      determining service delivery impact, of equal importance is the documentation and
      evaluation of the intervention program presumed to cause the effect. Very little
      attention has been directed toward methods of analyzing intervention programs
      prior to attempting research studies which search for cause and effect
      relationships. Additionally, within research studies which purport to measure
      service delivery impact and effect, very little information tends to be given on
      the nature and structure of the intervention program that supposedly led to such
      effects. Thus, the Program Plan Description Form is presented as a method of
      program analysis to aid in the applied research process of analyzing the impact
      of therapeutic recreation service delivery programs.

PMID- 10268132
TI  - National Council for Therapeutic Recreation Certification--certification
      standards for therapeutic recreation personnel.

PMID- 10268131
TI  - Code of Ethics--National Therapeutic Recreation Society.

PMID- 10268133
TI  - The effect of refreshments on attendance at recreation activities for nursing
      home residents.
AB  - Activity directors must recognize variables which increase patient involvement by
      nursing home residents. Refreshments are one variable which can be used to
      increase the attendance of the aged at recreation activities. This study was
      conducted to determine if refreshments had an effect on attendance at recreation
      activities for residents requiring various care levels and in different
      activities in a nursing home. The mean attendance at activities when refreshments
      were provided was compared to the mean attendance at activities when refreshments
      were not provided for three resident care levels. A paired-comparison t-test
      indicated refreshments were effective in increasing attendance at activities for
      residents at all competence levels. These results will be helpful to activity
      directors who may desire to increase attendance.

PMID- 10268134
TI  - Issues in continuing professional competence of therapeutic recreators.
AB  - Entry level knowledge and skills of professionals become outdated with
      technological advances and the accumulation of practical skills. Participation in
      programs offering continuing education units (CEU's) has been the most widely
      accepted way to combat the obsolescence problem and to document life-long
      learning. However, research has yet to establish improved service delivery as a
      result of practitioner involvement in such training programs. Credentialing
      requires reliable and valid measurement of competence over one's professional
      life. Therapeutic recreators have yet to present a definitive "scope of practice"
      or to determine the "half-life" of those competencies believed fundamental to
      practice. The field of therapeutic recreation is void of research on quality
      assurance alternatives. Thus, there appear to be unresolved issues regarding
      therapeutic recreators' needs to maintain their professional competence
      throughout their careers.

PMID- 10268135
TI  - Medical record productivity standards: one hospital's response.

PMID- 10268136
TI  - Proposed uniform patient Health Care Information Act.

PMID- 10268137
TI  - On-side ambulatory medical records: a medical and management information system.

PMID- 10268138
TI  - Filing equipment alternatives for medical record storage.

PMID- 10268140
TI  - My reincarnation as a hospital administrator.

PMID- 10268139
TI  - Difficult management issues that resist bandaid solutions.

PMID- 10268141
TI  - The transition from director of the medical record department to hospital
      administrator.

PMID- 10268142
TI  - The burgeoning home health care market: assessing your options.

PMID- 10268143
TI  - Marketing home health care.

PMID- 10268144
TI  - A home health care story. Miz Lizzie.

PMID- 10268145
TI  - Is hospital-based home care for you?

PMID- 10268146
TI  - Hospital hospice goes home.

PMID- 10268147
TI  - Reducing the cost of health care capital.
AB  - Although one may ask four financial experts their opinion on the future of the
      hospital capital market and receive five answers, the blatant need for financial
      strategic planning is evident. Clearly, the hospital or system with sound
      financial management will be better positioned to gain and/or maintain an edge in
      the competitive environment of the health care sector. The trends of the future
      include hospitals attempting to: Maximize the efficiency of invested capital. Use
      the expertise of Board members. Use alternative capital sources. Maximize rate of
      return on investments. Increase productivity. Adjust to changes in
      reimbursements. Restructure to use optimal financing for capital needs, i.e.,
      using short-term to build up debt capacity if long-term financing is needed in
      the future. Take advantage of arbitrage (obtain capital and reinvest it until the
      funds are needed). Delay actual underwriting until funds are to be used. Better
      management of accounts receivable and accounts payable to avoid short-term
      financing for cash flow shortfalls. Use for-profit subsidiaries to obtain venture
      capital by issuing stock. Use product line management. Use leasing to obtain
      balance sheet advantages. These trends indicate a need for hospital executives to
      possess a thorough understanding of the capital formation process. In essence,
      the bottom line is that the short-term viability and long-term survival of a
      health care organization will greatly depend on the financial expertise of its
      decision-makers.

PMID- 10268148
TI  - Revisions in DWI statute.

PMID- 10268149
TI  - Film satisfies community interest.

PMID- 10268151
TI  - Quality assurance may need a change of name.

PMID- 10268150
TI  - Hospitals' quest for financial success is elusive, but not impossible.
AB  - As the hospital industry moves from a heavily regulated, cost-reimbursed payment
      system to a less-regulated, at-risk payment system, the financial and business
      acumen of boards and management will become increasingly important in the quest
      for adequate capital. This article discusses ways of reducing the need for, and
      increasing the supply of, debt and equity capital.

PMID- 10268153
TI  - Developing dietetic in-service programs.

PMID- 10268152
TI  - Nurse practitioners fill primary care giver gap.

PMID- 10268154
TI  - Going into a hospital? Stick up for your rights.

PMID- 10268155
TI  - VA develops guidelines for appropriate staffing.

PMID- 10268156
TI  - Allied roles seen best left to experience.

PMID- 10268157
TI  - Protocols seek most effective use of scanner's diagnostic potential.

PMID- 10268158
TI  - Perspectives. Practice style: key to health care costs?

PMID- 10268159
TI  - Perspectives. Uncompensated care: paying the price.

PMID- 10268160
TI  - Perspectives. Withholding treatment--who should decide?

PMID- 10268161
TI  - The medical-industrial complex: debate.

PMID- 10268162
TI  - The choice of strategic alternatives under increasing regulation in high
      technology companies.
AB  - The strategic response of U.S. high technology companies in the medical X-ray
      manufacturing industry to increased governmental regulations from 1962 to 1977 is
      examined. Results suggest that regulations increase consumer and competitor
      uncertainty, with the consequence that firms select less risky strategies and
      decrease the riskier new product invention strategy. Larger firms reduce
      inventions less than smaller firms.

PMID- 10268163
TI  - Evaluating the management journals: a second look.

PMID- 10268164
TI  - A counseling group for nursing home residents.

PMID- 10268166
TI  - Research on the use of art therapy in a university setting.

PMID- 10268165
TI  - When someone dies in the hospital: the family point of view.

PMID- 10268167
TI  - The decision is yours.

PMID- 10268168
TI  - Violence is a medical problem, asserts physician from CDC.

PMID- 10268169
TI  - To afford high-quality health care, technology assessment is a must.

PMID- 10268170
TI  - The Center for the Well-Being of Health Professionals.

PMID- 10268171
TI  - Mammography. Part 1: Physical principles.
AB  - In this final part of a two-part article, fundamental imaging principles are
      related to the design features of mammography equipment, to give readers
      information helpful in making equipment decisions and selections.

PMID- 10268172
TI  - The Flying Physicians Association.

PMID- 10268173
TI  - Trends in medical malpractice insurance.

PMID- 10268174
TI  - Action agendas make better meetings.

PMID- 10268176
TI  - Hospital seeks to please the palate.

PMID- 10268175
TI  - NSW in frontline of Medicare row.

PMID- 10268177
TI  - WA health service to be restructured.

PMID- 10268178
TI  - Get well messages. The holidays are over but the spirit continues.

PMID- 10268179
TI  - DRGs help trace revenue sources.

PMID- 10268180
TI  - Public domain computer software can save many hospitals up to 20%.

PMID- 10268182
TI  - Proposed halt of federal funds for hospital building strongly resisted.

PMID- 10268181
TI  - Agencies use education more than regulation to lower X-ray exposure.

PMID- 10268183
TI  - AHA board fears unknowns; resisting competition bills. Interview by Sheila L.
      Simler.

PMID- 10268184
TI  - AMI pegs hospital targets, renews aggressiveness in acquisition game.

PMID- 10268185
TI  - Consultants say supervisors can make or break an anti-union effort.

PMID- 10268186
TI  - ACHA hatches $3 million program to implement its new four-year plan.

PMID- 10268188
TI  - Hospitals' on-campus M.D. office buildings increase hospital use.

PMID- 10268187
TI  - Trustee group affiliates with hospital association.

PMID- 10268190
TI  - Heart implant gives life to new payment issues.

PMID- 10268189
TI  - Bourque in, Willging out in shake-up at HCFA.

PMID- 10268191
TI  - Consumers aren't keen on sacrifices.

PMID- 10268192
TI  - Problem of 3 separate kitchens also provides opportunity for varied meals.

PMID- 10268193
TI  - Indigent care hobbles financings.

PMID- 10268194
TI  - IBM grabs for mid-size hospital market.

PMID- 10268195
TI  - Trustee swap knits hospitals together.

PMID- 10268197
TI  - Lab tests the reference business.

PMID- 10268196
TI  - Price increases recede to inflation rate.

PMID- 10268198
TI  - Alternative services. 75% of hospitals offer alternative care to meet consumer
      demands.

PMID- 10268199
TI  - Hospital advertises cost comparisons to impress employers, physicians.

PMID- 10268200
TI  - Information at your fingertips.

PMID- 10268201
TI  - Interdisciplinary approach to cardiac rehabilitation in a university setting.

PMID- 10268202
TI  - Argentina. Strongly articulated, brightly colored emergency hospital.

PMID- 10268204
TI  - Surinam. Vaulted 'lungs' cool a hospital in a tropical climate.

PMID- 10268203
TI  - Australia. Hospital divided into 'factory, hotel, and street'.

PMID- 10268206
TI  - A code of ethics for ASIS.

PMID- 10268205
TI  - Informational/educational needs in rural intermountain communities.

PMID- 10268207
TI  - Accident and health premiums 1983.

PMID- 10268208
TI  - The management of trauma: imperatives for hospital cost containment.

PMID- 10268209
TI  - Toward optimal trauma care.

PMID- 10268210
TI  - Appendix C to hospital resources document. Interhospital transfer of patients.
      Committee on Trauma, American College of Surgeons.

PMID- 10268211
TI  - Appendix D to hospital resources document. Air ambulance operations. Committee on
      Trauma, American College of Surgeons.

PMID- 10268212
TI  - Appendix G to hospital resources document. Quality assessment and assurance in
      trauma care. Committee on Trauma, American College of Surgeons.

PMID- 10268213
TI  - Health maintenance organizations; basic health services; exclusion of in vitro
      fertilization--HRSA. Notice.
AB  - This notice of a decision by the Director, Office of Health Maintenance
      Organizations (OHMO), to allow federally qualified HMOs the option of excluding
      in vitro fertilization from the basic health services they are required to
      provide their members.

PMID- 10268214
TI  - Insured maximum mortgage amount for hospitals--Office of the Assistant Secretary
      for Housing. HUD. Proposed rule.
AB  - The Department proposes to modify its regulations governing the maximum mortgage
      principal amount that it will insure for a new or rehabilitated hospital. Under
      its existing regulations, the Department can insure a mortgage in any amount that
      does not exceed 90 percent of HUD's estimate of the replacement cost of the
      hospital (including major movable equipment). Under the proposal, however, the
      loan to replacement cost ratio would vary for insured mortgages on projects where
      the replacement cost exceeds 100 million dollars. In essence, the mortgagor's
      equity requirements would be required to increase as the principal obligation
      sought to be insured increased. This proposal is intended to (a) mitigate the
      possibility of large-scale defaults in future years; (b) ensure the long-term
      adequacy of the Department's insurance fund, and (c) avoid undue concentration of
      insurance commitments in a relatively small number of projects.

PMID- 10268215
TI  - Mortgage insurance requirements for private and public hospitals--Office of the
      Assistant Secretary for Housing--Federal Housing Commissioner. HUD. Proposed
      rule.
AB  - The Department proposes to amend its regulations governing the insurance of
      mortgages for hospitals in two significant ways. First, this rule would provide
      for the eligibility of public hospitals to obtain federal mortgage insurance for
      rehabilitation or new construction. This revision comports with recently enacted
      legislation. Second, the rule would contain new provisions designed to protect
      the Department's General Insurance Fund with respect to the insuring of projects
      that would otherwise pose and added insurance risk. The Supplementary Information
      section of this preamble invites comment on alternative proposals that would
      achieve this latter goal, while permitting hospitals to obtain needed financing.
      The Department's final rule will reflect its consideration of public comments
      received, as well as the feasibility of implementing any of these alternative
      programs.

PMID- 10268216
TI  - Brokered partnerships: a new way to cap health costs.

PMID- 10268217
TI  - Cost of benefits continues to rise. Higher health care costs lead increase,
      according to survey of U.S. employers.

PMID- 10268218
TI  - Malpractice rates increase for hospitals.

PMID- 10268219
TI  - Risk management checkup. Health care changes demand action.

PMID- 10268220
TI  - Checklist shows the role of a hospital risk manager.

PMID- 10268221
TI  - R. vs Nomm: testing the boundaries of medicine and other healing professions.

PMID- 10268222
TI  - What lawyers look for in patient records.

PMID- 10268223
TI  - Is trial by jury your best option in malpractice suits?

PMID- 10268224
TI  - A residency program in community pharmacy practice.
AB  - As pharmacists increase their involvement in patients' drug therapy, the lack of
      opportunity for advanced clinical and administrative training becomes more
      critical, particularly for community pharmacists. To assist in the postgraduate
      development of community pharmacists, the faculty of pharmaceutical sciences at
      the University of British Columbia began a residency program in community
      pharmacy practice in June 1981. Modeled on the successful hospital pharmacy
      residencies, the program goals are to provide advanced clinical training in
      ambulatory patient care, and detailed and practical management training, and to
      develop pharmacists with skill in clinical teaching who will participate in the
      undergraduate programs of the faculty. The 12-month residency includes guided
      self-study and a series of practica in areas of therapeutics, management, drug
      information, clinical and teaching skill, professional service, and continuing
      education. These practica are served mainly in clinical practice settings such as
      community pharmacies, clinics, physicians' offices, and teaching hospitals. The
      residency has demonstrated its value and viability. Growing interest in such
      programs, and the success of this program in particular, should encourage the
      development of similar programs in Canada.

PMID- 10268226
TI  - The Copperweld case: antitrust considerations in hospital/home health agency
      relations.

PMID- 10268225
TI  - Prescription pricing across Canada (Part II).
AB  - The first of a two part article entitled "Prescription Pricing Across Canada"
      appeared in the June issue of CPJ. The article was prompted by recent press
      reports of a prescription drug study commissioned by the Saskatchewan government,
      and the consequent attention-getting headlines. The first article dealt with the
      Western provinces. The second part discusses prescription pricing in Ontario,
      Quebec, New Brunswick, Nova Scotia, Prince Edward Island, Newfoundland, and the
      Northwest Territories.

PMID- 10268227
TI  - Boston VNA: learning the dinosaur lesson.

PMID- 10268228
TI  - Medical quackery: a national scandal.

PMID- 10268229
TI  - Ethical challenges of the movement for home care.

PMID- 10268230
TI  - How vital are the VNAs?

PMID- 10268231
TI  - The social worker in home health care.

PMID- 10268232
TI  - Negotiating today means survival tomorrow: a home health care affiliation model.

PMID- 10268233
TI  - Bereavement counseling in groups.

PMID- 10268234
TI  - A patient classification system for home health patients.

PMID- 10268235
TI  - CHANS of Camden County, New Jersey: "doing more with less" for 80 years.

PMID- 10268236
TI  - A community working together: 1983 National Home Care Week in Tucson, Arizona.

PMID- 10268237
TI  - Medical manpower planning: a neglected task.

PMID- 10268238
TI  - So you want to buy a computer--sharing our experience.

PMID- 10268239
TI  - Auxiliaries--struggling for recognition.

PMID- 10268241
TI  - Microcomputers in hospitals: a layman's guide.

PMID- 10268240
TI  - Quality assurance: managing changes.

PMID- 10268242
TI  - How I made Miller's Manors merrier.

PMID- 10268243
TI  - Financing health care companies when the stock market is down. Part two.

PMID- 10268245
TI  - Golf tournaments: a possible fund-raising gold mine.

PMID- 10268244
TI  - Contracting for development services.

PMID- 10268246
TI  - Medication related nursing activities in a computerized unit dose system. A work
      sampling analysis.
AB  - In planning for decentralization of Pharmacy Services a 2-month study of
      registered nurses was conducted using the work sampling technique. A quantitative
      analysis was made of the time which was spent in different medication related
      activities. Two floors which were thought to be representative of the hospital, a
      medical floor and a surgical floor, were selected. A classification of activities
      and a sampling form were prepared and evaluated in a 1 week pilot study.
      Instantaneous observations were made throughout the 24 hour day at random
      intervals and recorded on the sampling form. Over 9,400 observations were made.
      Registered nurses spent 11.39 z 0.66% (mean z SE) of their time in medication
      related activities.

PMID- 10268248
TI  - From service bureau to in-office.

PMID- 10268247
TI  - Possible savings with appropriate antibiotic prophylaxis.
AB  - Antibiotic utilization was studied for one month in 52 patients from two surgical
      wards and one urology ward in an 835 bed teaching hospital. The use of
      antibiotics was classified as prophylaxis or treatment and the cost of each
      regimen was determined. The appropriate antibiotic for prophylaxis was chosen
      according to the surgical procedure and as a result of a literature review. Using
      cefazolin as the drug of choice in suitable general surgery cases resulted in a
      justifiable cost for prophylaxis of $17.64 per patient and a possible saving of
      up to $67.01 per patient (possible total saving of up to $670.05 for the study
      population). It was concluded that appropriate antibiotic prophylaxis in surgical
      patients could lead to significant cost savings. Some techniques for improving
      antibiotic prescribing are reviewed.

PMID- 10268249
TI  - Why not high technology for the small hospital?

PMID- 10268250
TI  - Computer advice to concerned physicians: what you need to know.

PMID- 10268251
TI  - A rose is a rose is a rose.

PMID- 10268253
TI  - Swedish health care maintains standard, despite cost pressure.

PMID- 10268252
TI  - It's the approach and the process...not the system.

PMID- 10268254
TI  - Wrongful termination lawsuits: the employers finally win a few.
AB  - Much attention has been given of late to the erosion of the "employment-at-will"
      doctrine. Exceptions to this doctrine began to emerge when courts held that at
      will employees could sue if their termination violated public policy. The at-will
      doctrine was further eroded by court rulings that a contract requiring good cause
      in order to terminate could be inferred from employee handbooks, company
      personnel policies, and circumstances of employment. As the initial flood of
      wrongful termination lawsuits now reaches the appellate level, some guidance on
      the standards employers must observe can be drawn from court decisions. The
      authors examine these decisions as well as the legislative reform being proposed
      in response to them.

PMID- 10268255
TI  - Einstein's theory of relativity and health care management.

PMID- 10268256
TI  - EMS trilingual guide.

PMID- 10268257
TI  - The ultimate run sheet.

PMID- 10268259
TI  - How to handle special waste control problems.

PMID- 10268260
TI  - Hospitals can benefit from converting trash to energy.

PMID- 10268258
TI  - Measurement and definition of the link between unemployment and health.
AB  - Some of the statistical difficulties inherent in any measure of the interaction
      between employment and health are considered. Unemployment and health are seen to
      be difficult terms to define and both are seen to contain subjective elements.
      Micro and macro models are discussed as both have strengths and weaknesses. Most
      micro models trace the experience of small groups of individuals usually selected
      either because they are unemployed and/or are ill. Thus the results cannot be
      acceptably generalized to the population at large. Macro time series are
      concerned with a measure of the interaction of unemployment and health at the
      aggregate national level. In macro models the precise link between the
      unemployment experience of an individual and the health experience of the same
      individual is lost in favour of the association of a measure of aggregate
      unemployment with a measure of aggregate health status. Both model types are
      liable to error in describing what is happening at the national level. Panel data
      macro models are likely to be most accurate as they answer most of the criticisms
      mentioned above, but such data are scarce and expensive to collect. However, it
      is argued that macro time series models applied to data for subgroups of
      individuals may provide a low cost way to obtain a useful measure of possible
      interaction.

PMID- 10268261
TI  - Monitoring nutrition care.

PMID- 10268262
TI  - How to increase elderly patient's food intake. Serve creative & diversified
      meals.

PMID- 10268263
TI  - Imaging: it's more than mirrors.

PMID- 10268264
TI  - How to increase the acceptance of food.

PMID- 10268265
TI  - Corporate restructuring with a development emphasis.

PMID- 10268266
TI  - Trends in hospital philanthropy: reacting to current changes.

PMID- 10268268
TI  - Soliciting patients: the best new source of prospects.

PMID- 10268267
TI  - Making a stronger case for health care philanthropy.

PMID- 10268269
TI  - Is the wellness movement dying?

PMID- 10268270
TI  - Children's health and safety fair: a new approach to fostering healthy
      lifestyles.

PMID- 10268272
TI  - The economics of wellness promotion: values versus economics.

PMID- 10268271
TI  - Practical tips for establishing a coordinated community wellness program.

PMID- 10268273
TI  - Why don't patients turn up?

PMID- 10268274
TI  - The nursing home bonanza.

PMID- 10268275
TI  - Art for the patient's sake.

PMID- 10268276
TI  - Home truths for the mentally ill.

PMID- 10268277
TI  - How the law can stop a strike.

PMID- 10268279
TI  - Developing a district strategy.

PMID- 10268278
TI  - Private...public relationships.

PMID- 10268280
TI  - The importance of CRT terminals in an OCS/MIS system decision.

PMID- 10268281
TI  - Accessing medical data bases via computer.

PMID- 10268282
TI  - Information center concept.

PMID- 10268284
TI  - Queen Victoria Medical Centre--South Eastern Medical Complex--Part 2.

PMID- 10268283
TI  - Electrical safety in operating rooms--an Australian approach.

PMID- 10268285
TI  - WIMS--up and running down under.

PMID- 10268286
TI  - The Austin Hospital, today.

PMID- 10268287
TI  - Nuclear magnetic resonance imaging. The current state of a new diagnostic
      technology.
AB  - Nuclear magnetic resonance (NMR) imaging is a promising new technique in
      diagnostic medicine. Utilizing powerful magnets, radiofrequency transceivers, and
      computer imaging systems, NMR images reveal subtle yet striking information from
      an imaged slice segment of a living body. Its applications are numerous and
      growing rapidly. The central nervous system, the cardiovascular system, and the
      hepatobiliary tract have been examined with remarkable success. Imaging of
      musculoskeletal structures, renal studies, and intraabdominal studies have
      produced quality results. The unique sensitivity of NMR to neoplastic tissues may
      lead to its use for early cancer detection. Refinements of NMR instrumentation
      and computer software--and research into paramagnetic contrast agents--lead
      toward higher quality scans with wider applications. Hazards of NMR imaging are
      not yet clearly delineated. However, current NMR utilization parameters exclude
      certain high-risk groups (such as subjects with cardiac pacemakers) to ensure
      patient safety.

PMID- 10268288
TI  - Physician burnout.

PMID- 10268289
TI  - What is the future of emergency medical services?

PMID- 10268290
TI  - District Court denies injunction in West Virginia hospital board composition
      lawsuit.

PMID- 10268292
TI  - 1984 survey of health care coalitions.

PMID- 10268291
TI  - U.S. General Accounting Office to review medical malpractice issues.

PMID- 10268293
TI  - Tax Reform Act of 1984.

PMID- 10268294
TI  - Health services utilization and costs of care in terminal cancer: implications
      for hospice programs.
AB  - This study examines utilization of health services and costs of care for cancer
      patients during the last 6 months of life broken down into 3 time periods, and
      the relationship with costs of patient characteristics and home care/home hospice
      use. The data were derived from a retrospective study of a random sample of 133
      adult cancer deaths in Monroe County. Data sources included review of medical
      records, including hospital billing records, and interviews with physicians and
      surviving relatives. Sixty five patients (49%) used home care services; their
      total costs of care were somewhat higher than those of non-users even after
      controlling for age, marital status and length of the terminal care period. The
      implications of the upcoming hospice legislation are discussed in the light of
      these results.

PMID- 10268295
TI  - A standard plan for E.C.T. patients.

PMID- 10268296
TI  - Quality nursing--a primary advantage.

PMID- 10268297
TI  - Coping when the caring is intensive.

PMID- 10268299
TI  - Comprehensive audits--a managerial challenge.

PMID- 10268298
TI  - Self-care--let the patient take control.

PMID- 10268300
TI  - Structuring a nonprofit's role in real estate syndications.

PMID- 10268301
TI  - Rx for controversial programs: PR.

PMID- 10268302
TI  - The management audit: a task whose time has come.

PMID- 10268303
TI  - Preparation eases N.Y. strike's impact, say MMs.

PMID- 10268304
TI  - Hotel Hospital offers challenges, rewards.

PMID- 10268305
TI  - Let's replace EOQ PDQ.

PMID- 10268306
TI  - Study says CTs can pay for themselves.

PMID- 10268307
TI  - Mortality surveillance: an integral part of quality assurance.

PMID- 10268308
TI  - The geriatric hospital: a new concept in the care of the elderly.

PMID- 10268309
TI  - Management and quality assurance.

PMID- 10268311
TI  - Creative selling. The competitive edge.

PMID- 10268310
TI  - Fiduciary duty and the quality of care.

PMID- 10268312
TI  - HGSM gift shop profile: Santa Ynez Valley Hospital.

PMID- 10268313
TI  - Management skills. Issues and answers.

PMID- 10268314
TI  - Departmentalize your shop.

PMID- 10268315
TI  - P & T Committee formulary requests: criteria for admission.
AB  - The criteria for P & T Committee members to consider when adding or deleting a
      product to the formulary are discussed. Although each institution will require
      and develop different standards that reflect the characteristics of the patient
      population they serve, two general sets of factors should be studied. The
      anticipated needs of the institution and the therapeutic application of the
      medication in consideration must be identified. Furthermore, the characteristics
      of the drug, including pharmacokinetics, biopharmaceutics, and cost must be
      clearly defined. The P & T Committee formulary decisions are critical in ensuring
      high-quality, cost-effective health care.

PMID- 10268316
TI  - Overfill of common piggyback admixture solutions.
AB  - The average final volume of 23 commonly used piggyback solutions was determined.
      Polyvinyl chloride (PVC) containers filled with 0.9% sodium chloride injection or
      5% dextrose injection in 50 ml and 100 ml sizes were used for 20 of the
      piggybacks. A total of ten samples of each drug and dose were measured by
      draining the entire contents into a graduated cylinder and measuring the volume.
      The mean volumes, standard deviations, and ranges for each drug and dose were
      calculated. The volume found in each sample exceeded the volume in the original
      PVC container by at least 20% in the 50 ml size and 11% in the 100 ml size. The
      greatest percentage volume difference was 62% in the 50 ml size and 28% in the
      100 ml size. The FasPak and the two Viaflex Plus Ready-To-Use containers, which
      did not require the use of the 50 and 100 ml PVC containers, had a percentage
      volume difference of 2.6%, 2.2%, and 3.4%, respectively. This information
      demonstrates the fact that the final volumes of some piggyback admixtures are
      significantly greater than that which may be presumed from the admixture label.

PMID- 10268317
TI  - Utilization of market research in managing hospital pharmacy resources.
AB  - A market research survey of staff physicians and nurses was completed to obtain
      information on customer preference to be used in making planning and development
      decisions about the allocation of the pharmacy department's resources. Survey
      questionnaires were mailed to representative samples of each professional group
      and included the optimum mix of open-ended and closed-ended questions that would
      result in the highest response rate. The survey responses identified differences
      in wants and needs between the nurses and physicians that demonstrate the value
      of market research. Data obtained from the survey are being used by a staff
      advisory committee and management to develop departmental goals and objectives
      that will reduce costs and increase profit margins under the ever-increasing
      restrictions of prospective reimbursement.

PMID- 10268318
TI  - PRN drug utilization in Indiana long-term care facilities.
AB  - Data collected from a sample of 307 private and Medicaid patients from 20 LTCFs
      in Indiana showed that patients were prescribed an average of 4.9 PRN
      medications. Significant differences were found between the types of LTCFs and
      the average number of PRN medications per patient. In 14 LTCFs classified as both
      ICF and SNF, patients were prescribed an average of 4.7 PRN medications. In four
      LTCFs classified ICFs, patients were prescribed an average of 6.2 PRN
      medications. In two LTCFs classified as SNFs, patients were prescribed an average
      of 3.9 PRN medications. The average number of PRN medications per Medicaid
      patient was 5.2 while the average number of PRN medications per private patient
      was 4.8. Overall, 48.8% of all PRN medication orders were never consumed during
      the study period. Mean PRN medication utilization per LTCF ranged from 2.5 per
      cent to 36.4%. It is assumed that if PRN medication not being consumed/used by
      the patient were to be returned to the pharmacy, a substantial cost savings could
      be realized by the responsible party.

PMID- 10268319
TI  - U.S. health professionals offer expertise to foreign hospitals.

PMID- 10268320
TI  - Program clarifies ethical issues in care of the dying patient.

PMID- 10268321
TI  - Lay involvement, parish ties needed in pastoral care.

PMID- 10268322
TI  - Sexual harassment: how should management handle it?
AB  - Sexual harassment is against the law and can place health care facilities at
      substantial risk in lawsuits as well as disrupt their caring and professional
      atmosphere. In some cases, health care facilities are held responsible for
      nonemployees' harassment of employees, as well as for harassment by employees. In
      addition, if an employee receives benefits such as a promotion in exchange for
      sexual favors, the organization may be liable for discrimination against persons
      who did not receive such benefits. The Equal Employment Opportunity Commission
      has established guidelines for identifying and redressing instances of sexual
      harassment. They instruct health care facilities to issue a policy statement
      explaining to employees the institution's opposition to sexual harassment and
      outlining procedures for lodging a complaint. It is strongly recommended that
      health care facilities: Investigate complaints thoroughly, tactfully, and
      evenhandedly. Establish a progressive discipline schedule and administer it
      consistently to all employees. Document the investigatory and decision making
      process.

PMID- 10268323
TI  - Considerate job interviews enhance institution's image.
AB  - A well-planned, considerate interview process for executive and middle-management
      job candidates leaves applicants with a favorable impression of the organization.
      Actions the recruiter can take to ensure a candidate's positive attitude include:
      Sending the out-of-town candidate a packet that includes a city map and
      information about the city, the facility's employment policies, and a job
      description; Planning activities for a spouse accompanying a candidate; Providing
      an opportunity for relaxed conversation by taking the candidate to dinner the
      night before the interview; Limiting interviews to three or four; Reimbursing the
      candidate for travel and lodging; Giving the candidate a tour of the facility. In
      addition, the recruiter should coach those conducting interviews to promote a
      relaxed interchange and allow candidates to ask questions.

PMID- 10268324
TI  - Health facilities' obligations when a patient refuses treatment.
AB  - Recent cases involving the decisions of Elizabeth Bouvia and G. Ross Henninger to
      starve themselves to death highlight the ethical obligations of patients, health
      care facilities, and the courts. When a patient seeks the hospital's cooperation
      in his or her attempt to commit suicide, society's responsibility is not merely
      to restrain the patient from suicide but to offer physical care, financial aid,
      and personal support. The hospital's duty is to intervene, and the court's
      responsibility is to allow such intervention. The most compassionate way in which
      the hospital can help is to force-feed the patient. If a patient is mentally
      competent, the refusal to eat is morally wrong. The patient is morally not
      permitted to commit suicide, though the avoidance of treatment may be justified
      in cases when force-feeding would be considered an extraordinary means, because
      of the patient's age or physical condition, for example. If a patient is
      incompetent, the refusal to eat is not a fully rational act; for the hospital to
      refrain from force-feeding would not be considered cooperation in suicide, since
      the incompetent patient cannot commit suicide. To avoid court rulings that order
      compliance with a patient's wishes, health care facilities in the future may have
      to require patients or their families to agree in writing to treatment by
      ordinary means.

PMID- 10268325
TI  - Readers rate Hospital Progress content, style, format.

PMID- 10268326
TI  - Should Catholic health facilities provide in vitro fertilization?

PMID- 10268328
TI  - Retreats enable staff to reflect on shared mission.

PMID- 10268327
TI  - On-site social worker aids emergency room productivity.

PMID- 10268329
TI  - Physicians, health care educators must assert Christian identity.

PMID- 10268330
TI  - Institutional ethics committees as social justice advocates.
AB  - The idea of involvement in social justice issues transcends the traditional
      responsibilities of most institutional ethics committees (IECs). Yet precedents
      for such an advocacy role exist in several areas: the development of regulations
      that protect handicapped newborns from discriminatory decisions of nontreatment
      and the institutional committees that review research protocols or formulate "do
      not resuscitate" policies. The need for IECs to take up social justice issues is
      based in the concepts of autonomy--the capacity for freedom of choice--and
      relationality--the capacity to known and to love. All the human ethical questions
      of freedom, well-being, and justice emerge in the health care setting, where the
      concepts of autonomy and relationality are intently focused on and sometimes
      threatened. If a health care institution is to address such questions as
      affirmative action policies in financing and purchasing, the just pricing of
      medical care, the ethics of treatment decisions, and the right to medical care,
      it needs a forum in which to deliberate, collaborate, and discern responsible
      corporate moral action. For example, an ethics committee can: Call for correction
      of problems of sexism, racism, and classism in health care institutions; Address
      government regulations in a way that enables a better understanding of
      professional commitments; and Lead facilities to discover ways to network with
      others to meet the needs of the populations they serve. Above all, IECs can help
      health care professionals find a new "hermeneutic" for interpreting the health
      care mission to allow them greater power to respond to the dignity and the needs
      of human persons.

PMID- 10268331
TI  - A stewardship challenge: reconciling faith and finances.
AB  - As financial constraints have tightened in recent years, Catholic health care
      facilities have undergone the double pressure of having to safeguard the
      integrity of their Christian mission while maintaining economic viability. The
      conflict between faith and finances, however, represents a tension that has been
      felt since Biblical times. The dichotomy between ministry and money can be traced
      from Scripture's admonition that money is the root of all evil, through the
      Manichean heresy of the early Church, right up to the conflict that today's
      sponsoring congregations experience in seeking to reconcile multimillion-dollar
      budgets with their efforts to maintain a simple life-style and raise the
      existence level of the poor. Mission integrity and fiscal viability are not
      irreconcilable, however. Effective management can advance, not impede, the
      mission's cause. Sound business decisions need not exclude social or mission
      values. Indeed, ministry and management are united in the Gospel message of
      stewardship. The Gospel itself abounds in management lessons, perhaps the
      clearest of which is the parable of the talents, in which we are told to manage
      our gifts wisely so that they are actually increased and not just maintained.
      Numerous contemporary Church documents also suggest that the multimillion-dollar
      services that we have inherited and developed must continue to be managed well so
      that their yield, ministerial and financial, is increased. To resolve much of the
      misunderstanding within sponsorship groups and health care facilities, an action
      agenda is needed: The nature of work must be given prayerful reflection, so that
      it can be understood as a sharing in the creative act of God and as a part of
      each person's spirituality. Moreover, an institution should be viewed and managed
      as a positive power base and educational center for developing and advancing
      positions consistent with the Gospel. Institutional policies and procedures, of
      course, should be made to reflect this new understanding of the management
      ministry relationship. Considerations of ministry, economy, and quality should be
      included in mission statements and philosophies, and financial officers and
      mission personnel should be challenged to integrate fiscal viability with mission
      integrity. Finally, a model for ethical decision making should be developed and
      adopted so that both orientations--ministry and management--are harmoniously
      balanced in the institution's decisions.

PMID- 10268332
TI  - Pastoral care personnel have prophetic role.
AB  - Pastoral care ministers must look to the prophet's role in the Old and New
      Testaments to establish their own prophetic mission in health care facilities.
      After evaluating whether their own department acts justly, competently, and
      compassionately, pastoral care givers must hold themselves accountable to the
      signs of authentic prophecy: being motivated by love, being critical to promote
      constructive change, and being willing to confront others' resistance. Then the
      pastoral care team can begin collaborating with peers to provide a more healing
      environment for all staff and patients. This can be done by being available to
      help staff with problems, influencing policymaking, and using ministerial skills
      when giving sacramental care to patients. Pastoral care persons can link the
      facility to the outside community by finding ways to reach the needy and to
      address residents' unmet health needs. Eventually the pastoral care staff and
      their peers can work toward an active response to social justice. The challenge
      of being prophets requires pastoral care personnel to confront problems
      courageously and take advocacy positions while always showing compassion.

PMID- 10268333
TI  - Marketing by managing relationships.
AB  - As competition increases and funding tightens, hospitals will have to realize
      that marketing largely is the managing of relationships--relationships between
      health care consumers and the provider. Prospective payment will make a
      hospital's fiscal viability increasingly sensitive to volume; stable
      profitability will depend on a steady level of patient utilization. And to ensure
      stable utilization, the hospital must create a base of loyal patients. Four
      marketing strategies can help to build this client base: 1. Create a strong care
      of essential services focused on the most significant customer needs. 2.
      Customize relationships by tailoring specific services to specific market
      segments' special needs. 3. Augment the basic service by offering extras and
      amenities. 4. Offer price incentives for people to become loyal customers. At
      least four types of patient loyalty exist, and a hospital should concentrate on
      fostering one or more types among its patients. Service loyalty occurs when a
      person always goes to the same provider for the same service. Provider loyalty
      exists when a person seeks a diversity of related services from the same
      provider. Family loyalty occurs when an entire family uses a particular provider.
      Organizational loyalty exists when an entire organization is oriented--through a
      contract or preferred provider arrangement, for example--toward a specific
      provider.

PMID- 10268334
TI  - Malpractice bill stirs discussion, raises moral questions.
AB  - Catholic health care providers should raise a number of ethical considerations in
      the debate surrounding the Moore-Gephardt bill, which would establish an
      alternative malpractice liability system. The proposal encourages states to enact
      legislation under which providers and patients would reach settlements that
      compensate for economic losses resulting from negligent treatment. In states that
      do not enact such laws, HR 5400 would apply to federal program patients only.
      Under the proposal, if a health care provider who is potentially liable for
      malpractice offers to compensate for the patient's actual economic loss, the
      patient would be forever barred from bringing a malpractice suit against the
      provider. The recovery would be limited to the individual's net economic loss.
      Though the bill's sponsors have performed a considerable service in identifying a
      major problem and generating public discussion, the bill raises several important
      moral questions. How much "defensive medicine," for example, is actually prudent
      practice that is in patients' best interests? Will thorough and holistic care be
      sacrificed in the proposal's attempt to save money? If states do not enact an
      alternative liability system for all patients and the proposal affects only
      federal program patients, will the result be disproportionate treatment among
      categories of patients? And is it fair to deny persons recovery for their
      emotional distress, physical impairment, pain and suffering, and similar kinds of
      damages? These are but a few of the issues that Catholic providers should raise
      in the debate, which otherwise might well be oriented toward fiscal concerns
      only.

PMID- 10268336
TI  - Interview with Rep. James Jones, D-OK. Interview by John K. Iglehart.

PMID- 10268335
TI  - What are the moral rights of frozen embryos?

PMID- 10268337
TI  - Microcomputers in hospitals. Guideline report.

PMID- 10268338
TI  - Financing ambulatory health care services.

PMID- 10268339
TI  - Capital financing for ambulatory care facilities.

PMID- 10268340
TI  - The cost of preventive health services in primary medical care and implications
      for health insurance coverage.

PMID- 10268341
TI  - Physician reimbursement: diagnosis and prescription.

PMID- 10268342
TI  - Strategic market planning for hospitals.
AB  - The application of strategic market planning to hospital management is discussed,
      along with features of the strategic marketing management process. A portfolio
      analysis tool, the McKinsey/G.E. Business Screen, is presented and, using a large
      urban hospital as an example, discussed in detail relative to hospital
      administration. Finally, strategic implications of the portfolio analysis are
      examined.

PMID- 10268343
TI  - "Telemarketing" hospital services: benefits, pitfalls and the planning process.
AB  - "Telemarketing" is an innovative concept used by many firms to increase the
      efficiency and effectiveness of product delivery efforts. It can be used by
      hospitals to benefit both patients and physicians. Further, it can be a tool
      that, if used properly, can improve the image of the hospital and assist in
      positioning the organization uniquely among its competitors. This paper discusses
      the exploratory nature, potential problems, and benefits of telemarketing
      hospital services and offers pre- and post-implementation considerations. This
      paper also provides an outline of a sample marketing plan that could serve as an
      initial model for hospitals that might consider this unique marketing approach.

PMID- 10268344
TI  - Health care marketing at the crossroads.

PMID- 10268345
TI  - Synchromarketing: a new concept for hospital administrators.

PMID- 10268346
TI  - The distinctive marketing roles of physician office managers and staff.
AB  - In their roles as public contact personnel in health care marketing, physician
      office managers are involved in communicative relationships with patients. Such
      relationships underscore the importance of researching these individuals in their
      roles of producers, promoters and agents of health care services. The nature of
      these roles is investigated in this research.

PMID- 10268347
TI  - Professional maturity and the University of Chicago.

PMID- 10268348
TI  - Development of the first graduate program in hospital administration.

PMID- 10268349
TI  - Workplace EMS. The ideal system.

PMID- 10268350
TI  - Workplace EMS. The employer's duty.

PMID- 10268352
TI  - Striking similarities. Olympic health services mirrors EMS.

PMID- 10268351
TI  - Workplace EMS. Case studies.

PMID- 10268353
TI  - Workplace EMS. CPR goes to work.

PMID- 10268354
TI  - Attitudes on women in EMS. Part 2.

PMID- 10268355
TI  - Street sense. Understanding and learning.

PMID- 10268356
TI  - Federal policies promote socialized prehospital care.

PMID- 10268357
TI  - Audie L. Murphy Veterans Hospital, San Antonio, Texas.
AB  - With more than 80,000 beds in 172 hospitals, the United States Veterans
      Administration operates the largest, centrally directed health care system in the
      nation. Created in 1930 to coordinate all government activities concerning
      veterans, the VA provides health care to veterans who have service-related
      illnesses and injuries or those who are unable to obtain care through the usual
      channels. For a look at how the management of medical supplies at an individual
      VA hospital fits into the entire VA system, the Journal visited the Audie L.
      Murphy Memorial Veterans Hospital. The largest hospital in San Antonio's South
      Texas Medical complex with nearly 700 beds, Audie Murphy Hospital provides a full
      range of inpatient, ambulatory and rehabilitation services to veterans. The
      hospital is the core of an extensive outpatient network that accounts for more
      than 180,000 outpatient visits per year.

PMID- 10268358
TI  - Comparison of instrument container systems...choosing the right one.

PMID- 10268359
TI  - Strategies toward maximum detergent efficiency.
AB  - Detergent Z demonstrated the most reliable cleaning and detergent delivery
      system. After the initial detergent evaluation, the data were compared against
      all detergents. It was found that acceptably cleaned items ranged from 37% to 85%
      per evaluation. Labor and material costs could be reduced greatly with the use of
      detergent Z, which had the best cleaning results. We also observed the advantage
      of a sensor in the detergent delivery system which can override some less obvious
      equipment malfunctions. Since detergent Z also exhibited the least amount of
      residue build-up, a savings in maintenance costs could be expected later on. The
      vendor of detergent Z showed great interest and concern for our department's
      needs and quality assurance by offering us numerous technical resources during
      the evaluation. One year following our detergent studies, detergent Z and its
      related line of cleaning products are being utilized in our hospital. We found
      that the four months spent analyzing detergents used in our utensil washers
      provided an interesting resource project that has been a positive investment in
      improved operations for the decontamination area. In Central Service alone, 61.7
      hours a week were saved by the change in products. Quality of cleaning continues
      to be high. The practice of a weekly acid bath for the utensil washers has been
      discontinued; the acid bath will now be given when necessary, and has not been
      done since detergent Z was put into use six months ago. During the next fiscal
      year, savings of detergent, utilities and labor are conservatively projected at
      $30,000.

PMID- 10268360
TI  - Bar codes & optical scanning systems.

PMID- 10268362
TI  - Code blue.

PMID- 10268361
TI  - Care & handling of surgical instruments.

PMID- 10268363
TI  - Are we reacting or planning?
AB  - This article explores creativity in solving problems and increasing productivity.
      Although we have much to learn from the successes of our peers in hospital
      materials management and central service, every hospital and institution is
      different. Therefore, the author cautions us against overlooking our own
      abilities to create efficient systems within our own facilities.

PMID- 10268364
TI  - Reuse of disposables and your insurance.

PMID- 10268365
TI  - EtO standard.
AB  - On June 22, 1984, the Occupational Safety and Health Administration (OSHA)
      published a notice entitled Occupational Exposure to Ethylene Oxide: Final
      Standard (49 FR 25734) in the Federal Register. This issue's Perspective column
      examines the contents of the standard, reviews ongoing activities within OSHA and
      other government agencies regarding EtO and discusses the importance of the
      standard to all EtO users, both in industry and in hospitals.

PMID- 10268367
TI  - Improved communication.

PMID- 10268366
TI  - Shaare Zedek Medical Center, Jerusalem, Israel.

PMID- 10268368
TI  - Anti-smoking publicity, taxation, and the demand for cigarettes.
AB  - This study demonstrates that anti-smoking publicity in the mass media in
      Switzerland has had a substantial permanent impact on cigarette consumption.
      Extended publicity, following the 1964 U.S. Surgeon General's Report,
      accompanying various tax increases, and preceding a public vote on an advertising
      ban for tobacco products, decreased consumption permanently by 11%. In addition,
      publicity had important indirect effects which are reflected in smokers' strong
      reactions to nominal cigarette price increases. Estimated nominal cigarette price
      elasticity is -1.0; by contrast, real cigarette prices failed to be significant.
      Thus, publicity in the mass media provides a powerful tool for deterring
      cigarette consumption.

PMID- 10268369
TI  - Economic determinants and consequences of self-reported work disability.
AB  - This paper examines the determinants of and behavioral responses to self-reported
      work disability in samples of older men and women stratified by race. Strong
      support is found for the hypothesis that economic factors as well as poor health
      influence the probability that individuals report health conditions limit the
      amount or kind of work they do. In particular, lower expected wage rates
      significantly raise the probability of reporting work disablement, controlling
      for health status and health-related job requirements. The empirical analysis
      also shows that only a part of the reduced labor supply of disabled individuals
      is attributable to health conditions. The policy and methodological implications
      of these findings are discussed.

PMID- 10268370
TI  - Physician treatment decisions in a multiple treatment model. The effect of
      physician supply.
AB  - This paper develops a neoclassical utility maximization model of physician
      behavior in which the physician determines the price of physician office and
      hospital visits, the utilization rates for physician office and hospital visits
      and hospital days, and the resources and physician time inputs in the production
      of visits. The model assumes that the physician acts as a perfect agent for the
      patient. The analysis traces substitutions between physician office visits,
      physician hospital visits, and hospital days in response to changes in physician
      supply. The analysis also traces physician supply induced changes in the input
      mix used to produce visits. The substitution effects of physician supply are then
      used to reinterpret previous statistical estimates of the physician supply
      elasticities of per capita utilization of physician office visits and hospital
      days, length of visit, waiting time, and physician workloads.

PMID- 10268371
TI  - The effect of labelling on illness related absenteeism. An economic explanation
      for the case of hypertension.
AB  - What is the impact of being told that one has hypertension? According to evidence
      from randomized controlled trials one effect of labelling is an increase in
      illness related absenteeism among those who were unaware of their blood pressure
      status. Moreover, this effect exists even when no objective medical reasons
      justify such immediate increases in absenteeism. In this paper we present an
      economic explanation of this phenomenon based on the interpretation of
      absenteeism as a demand for days off work. In a two-period life cycle model, we
      show that a lower perceived probability of survival through the second period
      increases the demand for first-period leisure.

PMID- 10268372
TI  - Publicity, price, and puffing. A health economics contribution to disease
      prevention.

PMID- 10268373
TI  - Measuring disability and health.

PMID- 10268374
TI  - Mass information storage systems and records management: competing technologies
      and systems concepts.
AB  - The dominant position of paper- and micrographics-based technologies for records
      management is challenged by emerging new storage systems. The need to document on
      paper and store on microform is reduced in applications where information is now
      communicated and administered in interactive computer-based systems. Properties
      of challenging technologies (magnetic mass memories, optical data disks) and
      associated systems concepts are compared with those of paper- and micrographics
      based systems. Trends in shifting application advantages for the different
      records management alternatives are analyzed and guidelines presented on how to
      plan to avoid premature obsolescence of micrographics systems.

PMID- 10268375
TI  - Occupational hazard?...Or?

PMID- 10268376
TI  - The politics of health: the case of smoking control.
AB  - The policy of the United Kingdom government towards the control of smoking has
      been characterized by a non-interventionist approach such as persuasion and
      industrial self-regulation, as opposed to more direct intervention through fiscal
      policy or control over tobacco production and sales. The effectiveness of the
      policies adopted by the UK government is difficult to assess, although there has
      been a reduction over the last ten years in the proportion of smokers in the
      population. However, evidence from other countries shows that a more
      comprehensive programme including direct legislation controlling tobacco
      advertising has a much stronger impact on tobacco consumption. The determinants
      of the UK government's policy position are analysed and the evidence suggests
      that this policy position is determined in part by the power of the vested
      interests in the maintenance of tobacco production, as well as the confusion of
      interests within the government itself.

PMID- 10268377
TI  - Healthcare cost containment programs: zealous, but erratic.

PMID- 10268378
TI  - Nursing home OPL saves money. Quality as high as commercial: LM.

PMID- 10268380
TI  - How one hospital laundry will survive in '85.

PMID- 10268379
TI  - Hospital finds five areas of linen loss, reaps results from publicising efforts.

PMID- 10268381
TI  - Focus...current market conditions. Plan for the shrinking market.

PMID- 10268382
TI  - In search of a viable wrapper alternative.

PMID- 10268383
TI  - Doctor-owned malpractice carriers: who's winning, who's losing.

PMID- 10268385
TI  - Are fee increases making a case for controls?

PMID- 10268384
TI  - How doctors outmaneuvered a nurses' strike.

PMID- 10268386
TI  - The statewide PPO that couldn't miss--but did.

PMID- 10268387
TI  - Meet your new business partner--the hospital.

PMID- 10268388
TI  - Reflections on the university/industry partnership.

PMID- 10268389
TI  - Computer use in a surgery center.

PMID- 10268390
TI  - Medical Electronics buyers guide 1984, Part 4. Balances and microbalances, blood
      cell counters, blood chemistry, blood coagulation, blood gas, blood pH, ECG
      analyzers, heart rate meters, hematocrit, NMR/nuclear magnetic resonance,
      recorders.

PMID- 10268391
TI  - Hepatitis B virus infection: relentless spread in the face of prevention know
      how.

PMID- 10268393
TI  - Legal guidelines for blood banking and transfusions. Part 1.

PMID- 10268392
TI  - Hospitals offer incentives to attract patients.

PMID- 10268395
TI  - Avoiding the pitfalls of an open-door policy.

PMID- 10268394
TI  - The risk and cost of hepatitis B exposure in the lab.

PMID- 10268396
TI  - A lab-pharmacy push to cut drug therapy costs.

PMID- 10268397
TI  - Monitoring antibiotic prescriptions can reduce use and cost of drugs.

PMID- 10268398
TI  - Hospitals turning to joint ventures to gain access to costly equipment.

PMID- 10268399
TI  - Picture archiving, communication systems are grabbing the limelight.

PMID- 10268400
TI  - Heart disease equipment helps hospitals to attack rising costs.

PMID- 10268401
TI  - Variety of technologies focus on cancer treatment, diagnosis.

PMID- 10268402
TI  - 'Stone crushers' cut length of hospital stay.

PMID- 10268403
TI  - Financial woes thin imaging vendor ranks.

PMID- 10268404
TI  - Small lab analyzers can be put near patients to speed tests, cut costs.

PMID- 10268405
TI  - Computerized patient care system lets hospital work without paperwork.

PMID- 10268406
TI  - California's public hospitals may be victims of Jarvis' tax-cutting zeal.

PMID- 10268407
TI  - Kentucky case supports hospital's right to enter exclusive contracts.

PMID- 10268408
TI  - High court ruling cuts antitrust risk for hospitals and their subsidiaries.

PMID- 10268409
TI  - New tax law may discourage some donations, but foundations better off.

PMID- 10268410
TI  - Long-term commitment of trustees is one key to Texas chain's success.

PMID- 10268411
TI  - Marketing circles can help hospitals satisfy patients, boost staff morale.

PMID- 10268413
TI  - Ohio plan would trim excess beds.

PMID- 10268412
TI  - Mayo launching out-of-state satellites.

PMID- 10268414
TI  - New York hospitals face shortfall of $29 million following 48-day strike.

PMID- 10268415
TI  - Alternative services. Emergicenters cut themselves free from their emergency room
      roots.

PMID- 10268417
TI  - Hospitals in the 1990s: one for all, for profit.

PMID- 10268416
TI  - Building 6-story addition isn't easy for hospital perched on a river bank.

PMID- 10268418
TI  - Wake up to wellness.

PMID- 10268419
TI  - Negative utilization lowers costs.

PMID- 10268420
TI  - Replacement for Medicare proposed.

PMID- 10268421
TI  - The validity of Mobley's (1977) model of employee turnover.
AB  - Unlike earlier tests of an oversimplified version of this model, the validity of
      W. Mobley's (1977, Journal of Applied Psychology, 62, 237-240) original turnover
      model was fully investigated. Constructs that were neglected in prior studies
      were assessed and previously examined constructs were operationalized with more
      reliable measures. Measures of all constructs in Mobley's model were obtained
      from a survey of 192 hospital employees. Turnover data were collected a year
      following survey administration. Following the theoretical causal ordering of
      Mobley's constructs, each construct was regressed on all causally prior
      constructs. In general, each construct was accurately predicted by the linear
      combination of predictors representing its causal determinants. In the majority
      of instances, the best predictor of a model construct was the construct's
      immediate causal antecedent. Further, an alternative model was evaluated and
      compared with Mobley's model using path analysis.

PMID- 10268422
TI  - Unit days in accounts receivable: a management tool.
AB  - The importance and usefulness of the statistic "Days in accounts receivable" are
      well known among patient accounts managers. The same principles that apply to
      that well-known statistic may also be effectively applied to a single unit within
      any patient accounting department. With the calculation of a unit days in
      accounts receivable, the same evaluation and measurements of efficiency may be
      applied to individual files and patient accounts representatives. The results
      allow individual employees participation in the same measurable goals and
      objectives as are applied to the overall operation of the department, as well as
      supplying the patient accounts manager an additional valuable tool in analyzing
      total accounts receivable.

PMID- 10268423
TI  - Job offers--pass or jump?

PMID- 10268424
TI  - The Hippocratic ethic is dead.

PMID- 10268425
TI  - Two experts debate. Is there really a doctor glut?

PMID- 10268426
TI  - New instrumentation in urinalysis.
AB  - Automated instrumentation and electronic data processing now assist in performing
      and standardizing urinalyses. These innovations include specific gravity
      instruments and reagent "strip readers," and one system designed to automate the
      physical, chemical, and microscopic urinalysis. In this article, the author
      reviews the features of some examples of these new instruments.

PMID- 10268427
TI  - Erosion of the employment-at-will doctrine.
AB  - How can employers protect their right to terminate at will? Author Emily A.
      Joiner (business applications programmer analyst in the human resources area in
      the management information systems division at Sandia National Laboratories),
      says that first they must be careful that none of their written (or spoken)
      policies imply a binding contract that could be used against them in a lawsuit.
      On a more constructive level, she advocates the establishment of good employee
      relations programs and in-house grievance procedures that can help keep to a
      minimum the need to exercise the right to fire.

PMID- 10268428
TI  - The litigation exposures posed by preferred provider organizations.
AB  - Preferred provider organizations (PPOs), which are designed to help contain ever
      increasing employee health-care costs, are being eyed favorably by benefits
      administrators who want to hold down both these costs and the cost of health
      insurance premiums. But there's a fly in this ointment: According to Anthony M.
      Vienna (an attorney with the firm of Zobrist, Vienna, & McCullough), such PPOs
      can place employers at risk of litigation arising from anti-trust violations and
      medical malpractice. Some types of PPOs pose greater risks than others, however.
      Vienna explores the nature and degree of risk entailed by three: provider-based
      PPOs, payor-based PPOs, and interface PPOs.

PMID- 10268429
TI  - Benefit programs after tax reform.

PMID- 10268430
TI  - Computerizing the personnel department: do you need a consultant?

PMID- 10268431
TI  - A line manager's guide to training.

PMID- 10268432
TI  - Work force reduction: strategies and options.

PMID- 10268433
TI  - Sex discrimination and comparable worth.

PMID- 10268434
TI  - Pooling resources through a consortium. Occupational health programs for
      employees of small businesses.

PMID- 10268435
TI  - A new role for HRD in hospitals. How to create a more consumer-oriented work
      force.

PMID- 10268436
TI  - To what extent do hospital pharmacists presently provide outpatient consultation?

PMID- 10268437
TI  - What are the top 4 problems related to 3rd-party prescriptions?

PMID- 10268438
TI  - Program evaluation as a method of assessing the quality of care in physiotherapy.
AB  - Assessing quality of care is a topical subject in physiotherapy. This paper
      traces the involvement of the Canadian Physiotherapy Association in quality
      assessment, and describes the components of the quality assessment process in
      relation to professionally defined standards. It considers available information
      as to whether process studies, outcome studies, or a combination of these should
      be undertaken in determining the quality of care. Finally it proposes the use of
      a comprehensive program evaluation to assess the quality of care in a
      physiotherapy program for stroke patients. Four steps in the use of this model
      are outlined: assessment of needs; formulation of program goals; definition of
      program and design of evaluation; and assessment of process and outcome. The use
      of this model is advocated for it provides information on how and why a program
      does or does not make its desired impact.

PMID- 10268439
TI  - An interview with a barefoot doctor. Interview by Mary Widmeyer.

PMID- 10268440
TI  - How to cope in today's health care market.

PMID- 10268441
TI  - Disciplining physicians: how it works.

PMID- 10268443
TI  - PPO's in a changing marketplace.

PMID- 10268442
TI  - Psychotherapy reduces costs for other care, study shows.

PMID- 10268444
TI  - The untold story of Reagan's "new federalism".

PMID- 10268445
TI  - Equality of opportunity and the demand for medical care by race.
AB  - In this article I estimate the demand for medical care for eight groups
      delineated by sex and marital status. I use the results to simulate what will
      happen to black's demand for care if they are given equality of opportunity with
      whites and the potential impact on their health status. The findings suggest
      blacks' demand (and therefore health status) may decrease with equality of
      opportunity because of lack of coordination in social programs.

PMID- 10268446
TI  - Pet therapy with terminal cancer patients.

PMID- 10268447
TI  - Reaganomics: its impact on the voluntary not-for-profit sector.
AB  - In seeking to diminish government's role in financing human services, the Reagan
      Administration has advocated increased responsibility for the voluntary sector.
      This analysis of data from a variety of voluntary not-for-profit agencies
      documents the initial effects of Reaganomics and considers projections for the
      future of those agencies.

PMID- 10268448
TI  - Job satisfaction, burnout, and turnover: a national study.
AB  - A national study found similarities in levels of job satisfaction, burnout, and
      intent to change jobs among child welfare, community mental health, and family
      service workers, although the determinants varied by field of practice. The data
      suggest that a universal approach aimed at increasing job satisfaction and
      reducing burnout is likely to be of minimal value; interventions must be
      conducted within each setting and must attend to the idiosyncracies of each
      group.

PMID- 10268449
TI  - The in-home worker: serving the frail elderly.
AB  - Little attention has been paid to the special tasks facing the many unskilled in
      home workers who serve the frail elderly. With the assistance of the Community
      Care Training Project at the University of Illinois in Urbana-Champaign, the
      authors studied the needs in-home workers have for interpersonal skills. A
      typology of problematic interpersonal situations is presented, along with
      suggestions for training, assessment, and supervision of clients and workers.

PMID- 10268450
TI  - Antitrust, joint ventures and the end of the AMA's contract practice ethics: new
      ways of thinking about the health care industry.

PMID- 10268451
TI  - Health care marketing: has it lived up to its promises?

PMID- 10268452
TI  - Tyler & Company/Southern Hospitals. 1984 salary and benefits survey.

PMID- 10268453
TI  - Improving productivity in the health care industry.

PMID- 10268454
TI  - Community screening programs.

PMID- 10268455
TI  - Marketing health promotion programs.

PMID- 10268456
TI  - Hospital law: the spiraling cost of litigation.

PMID- 10268458
TI  - The politics of professional ethics.

PMID- 10268457
TI  - Locating a marketing director.

PMID- 10268459
TI  - Hypnosis in the surgical suite.

PMID- 10268460
TI  - A mode of delivery: the cesarean section.

PMID- 10268462
TI  - Patient representatives: where they came from and where they are today.

PMID- 10268461
TI  - Know-how in the operating room.

PMID- 10268463
TI  - Patient relations as customer-oriented management.

PMID- 10268464
TI  - Someone cares.

PMID- 10268465
TI  - Reach out!

PMID- 10268466
TI  - A patient relations-based interpreter program.

PMID- 10268467
TI  - The team approach.

PMID- 10268468
TI  - A look at a military patient representative program.

PMID- 10268469
TI  - Ask me who cares.

PMID- 10268470
TI  - Booklet designed to alleviate fear, frustration.

PMID- 10268472
TI  - Status of lifecare centers in various regions updated.

PMID- 10268471
TI  - Extending the infection control program.

PMID- 10268473
TI  - Hospital costs state by state.

PMID- 10268474
TI  - Acute, long-term care 'merged'.

PMID- 10268475
TI  - Perspectives. The state of health planning.

PMID- 10268476
TI  - Nurse training, particularly for primary health care.

PMID- 10268478
TI  - Health services in Japan.

PMID- 10268477
TI  - The advent of primary health care in Mozambique.

PMID- 10268479
TI  - Emergency services in south European cities.

PMID- 10268481
TI  - A new medical school.

PMID- 10268480
TI  - Introduction of Korean health plan: organisation and financing.

PMID- 10268482
TI  - City hospitals and health for all.

PMID- 10268483
TI  - Improving health services in Finland.

PMID- 10268484
TI  - Medical records: whose property are they?

PMID- 10268485
TI  - CAT scan use in short-stay non-federal hospitals: United States, 1979-82.

PMID- 10268487
TI  - Health care of adolescents by office-based physicians: National Ambulatory
      Medical Care Survey, 1980-81.

PMID- 10268486
TI  - 1983 Summary: National Hospital Discharge Survey.

PMID- 10268488
TI  - A laundry manager asks for help.

PMID- 10268489
TI  - A guide to effective lobbying.

PMID- 10268490
TI  - Radionuclides as cardiopulmonary diagnostic tools.
AB  - Radionuclide approaches to diagnosis have particular relevance in cardiopulmonary
      disease because the interdisciplinary collaboration between nuclear medicine,
      pulmonology, and cardiology has been particularly intense. Quite striking
      advances in cardiac and pulmonary diagnosis have been made which are firmly based
      on clinical-physiologic principles.

PMID- 10268491
TI  - The White House Conference on Productivity: a summary of the final report to the
      president.

PMID- 10268492
TI  - Tapping satellite communications' potential. Suppliers must key on hospital
      administrator's concerns in an era of rapidly changing business conditions.

PMID- 10268493
TI  - Surgery in 1994.

PMID- 10268494
TI  - The most painful prescription.

PMID- 10268495
TI  - The comforts of home. 'Alternative' birthing centers are coming of age.

PMID- 10268496
TI  - Privacy Act of 1974; system of records--PHS. Revision and addition of new routine
      uses to system of records 09-15-0045, entitled "Health Resources and Services
      Administration Loan Repayment/Debt Management Records System, HHS/HRSA/OA".
AB  - In accordance with the requirements of the Privacy Act, the Public Health Service
      (PHS) is publishing notice of a proposal to revise one routine use and to add
      seven new routine uses to system of records 09-15-0045, entitled "Health
      Resources and Services Administration Loan Repayment/Debt Management Records
      System, HHS/HRSA/OA." PHS invites interested persons to submit comments on the
      proposed routine uses on or before November 23, 1984.

PMID- 10268497
TI  - Early and periodic screening, diagnosis, and treatment (EPSDT) program--HCFA.
      Final rule.
AB  - This final rule modifies present regulations to conform to legislative changes
      enacted by section 2181 of Pub. L. 97-35, the Omnibus Budget Reconciliation Act
      of 1981. That section eliminates the penalty which reduces by one percent Federal
      funds for a State's Title IV-A program, Aid to Families with Dependent Children
      (AFDC), for any quarter during which a State fails to: (1) Inform all AFDC
      families of the availability of Early and Periodic Screening, Diagnosis, and
      Treatment (EPSDT), services; (2) provide or arrange for requested screening
      services; and (3) arrange for corrective treatment of health problems found as a
      result of screening. In addition, even though the penalty has been eliminated,
      section 2181 mandates that States incorporate these three requirements into their
      Medicaid State plan with respect to all EPSDT eligibles. Further, this rule
      modifies current regulations to reflect Congressional intent that while States
      should continue to develop fully effective EPSDT programs, the Federal government
      should work to reduce current reporting requirements which entail a large volume
      of paperwork.

PMID- 10268498
TI  - Hospital and health services credit union; prohibited trade practices, and
      affirmative corrective actions--Federal Trade Commission. Consent Order.
AB  - In settlement of alleged violations of federal law prohibiting unfair acts and
      practices and unfair methods of competition, this Consent Order requires an Ann
      Arbor, Michigan credit union, among other things, to cease failing to disclose,
      when rejecting a credit application or increasing the cost of credit, that the
      action is based partially or wholly on information contained in a consumer credit
      report; and provide the rejected applicant with the name and address of the
      reporting agency together with the specific principal reason(s) for the adverse
      action based on this information. The Order also requires the credit union to
      send to consumers who were denied credit between January 1, 1983, and the
      effective data of the Order, a letter containing required disclosures.

PMID- 10268499
TI  - Hospitals that provide for the poor are reeling from uncompensated costs.

PMID- 10268500
TI  - The prime cuts. Employers rate cost-containment options.

PMID- 10268501
TI  - Saving lives and money. Wellness programs make good sense for business and
      employees.

PMID- 10268502
TI  - N.J. doctors face charge for fund debt.

PMID- 10268503
TI  - Problems in designing a government drug payment program in Canada.

PMID- 10268504
TI  - Evaluation of a computer-assisted medication refill reminder system for improving
      patient compliance.
AB  - Computer-generated refill reminder notices were mailed to patients receiving
      continual medication for cardiovascular diseases to measure improved compliance
      and to discover whether a computer-assisted program was economically viable.
      Guidelines were established to define compliance. A computer-assisted compliance
      intervention program did not significantly improve the rate at which patients had
      their prescriptions filled "on time" and the mean compliance rate for both
      experimental and control groups was greater than 79%. Also discussed were cost
      and compliance strategy implications and the receptiveness of patients to the
      reminder program.

PMID- 10268505
TI  - Nursing education in a burn unit.

PMID- 10268506
TI  - Critical care orientation of burn nurses.

PMID- 10268507
TI  - Japanese-style management: lessons for the American medical group administrator.
AB  - The Japanese have been very successful in developing and implementing a
      management style that has made Japan one of the most productive and affluent
      societies in the world today. It is a style of management based on a long-term
      investment in people and characterized by management techniques that emphasize
      simplicity, flexibility, and human values in the corporation. These techniques,
      when adapted to American medical group practices, can provide valuable lessons in
      management for the American medical group administrator.

PMID- 10268508
TI  - Group practice accounting: up close and personal.
AB  - There is a distinct need today for timely, consistent, and accurate accounting
      methods for tracking the financial health of modern medical group practice. For
      all but the largest groups, the personal computer is the answer. Personal
      computers are powerful, dependable, and inexpensive, and for accounting, cost
      projection, inventory control, word processing, and data base analysis, they can
      outperform all the alternatives and pay for themselves in one year or less. Given
      the profusion of products on the market, however, it is essential that careful
      consideration be given to the areas of cost, time, software, hardware, and
      applications when making a personal computer purchase.

PMID- 10268509
TI  - Performance appraisal: a positive management tool.
AB  - Employees want to know and need to know where they stand. Managers are expected
      to improve performance and stimulate productivity. What more logical way to
      fulfill both of these requirements than employee performance appraisals? Informal
      appraisals are made by every medical group manager on a daily basis. When these
      appraisals are channeled into a more formal, systematic appraisal program,
      management, employees, and the organization can all benefit. The ingredients of a
      positive, effective employee performance appraisal system are identified here and
      critical areas are addressed, including program prerequisites, setting up a
      workable plan, completing the written appraisal, and conducting the evaluation
      interview.

PMID- 10268510
TI  - Where were you in '82?
AB  - 1982 was a pivotal year for the US healthcare delivery system. With it came the
      reality of a new era, an unexplored environment or competition and market reform.
      The decade ahead means troubled times for some healthcare providers, but it also
      offers unique opportunities to design and shape a rapidly changing healthcare
      system. By recognizing trends we are currently experiencing and their impact on
      group practices, and by identifying what administrators can do to prepare
      personally and organizationally for the future, medical group practices can place
      themselves in excellent position for entering the system of the '80s and '90s.
      The survivors are destined to reap unprecedented economic and professional
      rewards.

PMID- 10268511
TI  - Marketing audit in group practice.
AB  - The marketing audit, whether large-scale or small-scale, will soon be critical to
      the success of every medical group practice. This dynamic process, in which the
      many components of a group's marketing efforts are analyzed, is examined from the
      perspective of ideal circumstances and unlimited resources, and more
      pragmatically, from the perspective of various-sized groups, with different
      resources and marketing talent. The audit components are prioritized, possible
      adaptations and combinations are presented, and reasonable implementation
      mechanisms, designed to address audit outcomes, are suggested.

PMID- 10268512
TI  - Managerial strategies for cost containment pressures.

PMID- 10268514
TI  - Dialogues with hospital pharmacists. John R. Coppola.

PMID- 10268513
TI  - Climate survey: an aid to productivity.

PMID- 10268515
TI  - Affirmative action in pharmacy.

PMID- 10268516
TI  - Canadian charter of rights: do you know its implications?

PMID- 10268517
TI  - Manitoba survey reveals volunteer board composition.

PMID- 10268518
TI  - Quality assurance: motivating hospital staff. Part 3.

PMID- 10268519
TI  - Tax exempt issues: hospitals still find them a major source of new capital.

PMID- 10268520
TI  - Occupational health. Is your hospital a safe environment for your employees?

PMID- 10268521
TI  - Medical records--location and control.

PMID- 10268522
TI  - Hospital medical records system--survival tool for the 80s.

PMID- 10268524
TI  - Medical records computerized in my family practice.

PMID- 10268523
TI  - Development of an information retrieval system.

PMID- 10268525
TI  - Medical records in the office.

PMID- 10268526
TI  - A continuing care nurse's role on the statewide advisory.

PMID- 10268527
TI  - Discharge planning models. Hinds General Hospital, Jackson, MS.

PMID- 10268528
TI  - The role of the client in discharge planning teamwork.

PMID- 10268529
TI  - Discharge planning models. Sunrise Hospital Medical Center, Las Vegas, NV.

PMID- 10268530
TI  - The interdisciplinary approach to discharge planning.

PMID- 10268531
TI  - Discharge planning and multidisciplinary teamwork: a cautionary note.

PMID- 10268532
TI  - Doing right and doing good: ethical problems in practice, an essay.

PMID- 10268533
TI  - Discharge planning models. Scottsdale Memorial Hospital, Scottsdale, AZ.

PMID- 10268534
TI  - Involvement in the legislative process: a natural step for discharge planners.

PMID- 10268535
TI  - Discharge planning models. Daniel Freeman Hospitals, Inglewood, CA.

PMID- 10268536
TI  - Discharge planning: can computers help?

PMID- 10268537
TI  - Discharge planning models. St. Agnes Hospital of the city of Baltimore, MD.

PMID- 10268538
TI  - The role of the physical therapist in discharge planning.

PMID- 10268539
TI  - Experiences with home hospice care: determinants of place of death.
AB  - During the past few years the United States has witnessed the growth of hospice
      care as an alternative approach for the care of the terminally ill. This paper
      examines a sample of patients who elected to enroll in a home hospice program.
      Approximately 57 percent of these patients remained at home until death. The
      other 43 percent chose to return to a facility where they eventually died.
      Evidence indicates that patients and caregivers who have more difficulty with
      terminal care at home are more likely to return to a facility. The analysis
      explores factors that explain why some patients and caregivers have a more
      troublesome experience with terminal care at home. Four of the factors tested are
      found to be related to place of death: (1) the number of visits from hospice
      nurses, (2) the intensity of contact with the hospice nurses, (3) length of time
      patients are enrolled in the hospice program, and (4) race of the patient. The
      implications of these findings are discussed and recommendations for delivery of
      hospice services are suggested.

PMID- 10268540
TI  - Cultural and institutional restrictions on dying styles in a technological
      society.
AB  - The starting medical advances of this century have created unparalleled
      opportunities for ill and suffering people, but these same forces have combined
      to make the experience of dying a terrifying, fearful, lonely vigil for many.
      Devoid of traditional myths, rituals, and family support, many patients now die
      in sterile institutional settings often appearing as mere appendages to life
      supporting machines. This shift from the moral to the technical order manifests
      itself in doctors' fascination with gadgets, the emphasis upon parts of the body,
      and a concomitant blurring of distinctions concerning death, personhood, and
      individual rights. The patient is reduced to a secondary role in his or her own
      death, thus engendering a widespread desire for a sudden death. In light of these
      circumstances, health care personnel need to create circumstances that would give
      people more opportunities to die in styles commensurate with their life styles.
      Society must seriously study the implications of the unthinking treatment of
      people; and routines, policies, and procedures based on matters of mere
      efficiency and technological convenience must be replaced by those human and
      humane ceremonies, attitudes, and policies that must assure that technology's
      magnificent achievements do not obscure the human need for individuality and
      spiritual growth even during the dying process.

PMID- 10268541
TI  - Special needs of the deaf dying patient.
AB  - Hospice and hospital personnel who give care to dying patients should be prepared
      for situations in which a client or family member is hearing impaired. What are
      the specific concerns of a hearing impaired client? How are needs for meaningful
      conversation and expression of feelings compromised by the care giver's
      awkwardness? This article provides practical suggestions for meeting needs of
      hearing impaired clients with serious illnesses.

PMID- 10268542
TI  - Employee involvement in health care cost management.

PMID- 10268543
TI  - Overhauling residency programs may cut down MD 'impairment'.

PMID- 10268544
TI  - Getting 'more bang for your buck' in interior design.

PMID- 10268545
TI  - Worker involvement in occupational health and safety.

PMID- 10268546
TI  - Ergonomics in occupational health and safety.

PMID- 10268547
TI  - Proven techniques still work.

PMID- 10268548
TI  - How to improve cafeteria service. Renovate to meet customers' demands.

PMID- 10268549
TI  - Healthcare telemarketing: a unique focus on donors.

PMID- 10268550
TI  - What the new postal rates mean for non-profit mail.

PMID- 10268551
TI  - Aspects of standardization as applied to the assessment of drug-event
      associations.
AB  - Individual case reports about suspected adverse drug reactions are an important
      source of drug safety data. Their evaluation involves, among other things, the
      assessment of causality. Usually it is done by expert medical evaluators
      according to their knowledge and experience. Subjectivity plays a big role as
      demonstrated by comparison of assessments of the same cases by several evaluators
      or by the same evaluator at a later date. In recent years, methods of causality
      assessment based on algorithms were introduced. In these formal approaches, items
      of information contribute to the assessment in a predetermined and standardized
      way with a logic that allows operational application. Results obtained with
      different methods may differ because items of information considered may not be
      the same and/or strength of evidence attached to them vary from one method to
      another. The main advantages of standardized assessment are: clear identification
      of items of information involved, improved communication, reproducibility of
      results, and the checklist function. Various implications of standardized
      assessment are discussed and ways to improve their performance outlined.

PMID- 10268552
TI  - Legal perspectives in causality assessment.
AB  - An overview is presented of how drug experience reports most often fit in a
      product liability lawsuit. The three major areas include (a) the duty to warm;
      (b) the failure to report adverse reactions as required by regulations; and (c)
      the requirement to warn of unknown side effects. Recommendations for establishing
      a company program designed to prevent product liability are also given.

PMID- 10268553
TI  - The Food and Drug Administration algorithm. Special workshop--regulatory.
AB  - The Food and Drug Administration presently receives and evaluates over 40,000
      case reports of adverse drug effects a year. Each report is objectively reviewed
      and evaluated. A causal association assessment between each drug and reaction is
      made. The objective causal assessments are based on four basic principles: (a)
      temporal eligibility, (b) dechallenge and outcome, (c) rechallenge and outcome,
      and (d) confounding factors. This presentation introduces the algorithm used by
      the FDA Division of Drug Experience and provides the basic information needed to
      use the FDA algorithm for making causal relationship assessments.

PMID- 10268554
TI  - The Swedish drug-event assessment methods. Special workshop--regulatory.

PMID- 10268555
TI  - The Australian method of drug-event assessment. Special workshop--regulatory.
AB  - In the Australian system, the major aim is to test individual reports for
      quality, judged entirely by the contents of the report. Prior knowledge of the
      adverse drug reaction profile of the drug is excluded. The items taken into
      account include timing (onset of the reaction), setting (nature of the disease,
      drugs, and diet), and laboratory information.

PMID- 10268556
TI  - Standardized assessment of adverse drug reactions: the method used in France.
      Special workshop--clinical.
AB  - The method used in France since 1977 for assessing adverse drug reaction (ADRs)
      is based on a three-stage process: assessment of three chronological criteria
      (challenge, dechallenge, and rechallenge); assessment of clinical and biological
      findings; and a combination of chronological and symptomatological assessments to
      obtain a 3-degree global score (1: doubtful, 2: possible, 3: probable).
      Bibliographical data (previously reported or unreported ADR) are assessed quite
      separately; thus, the method has a good sensitivity for detecting new ADRs.

PMID- 10268557
TI  - The Yale algorithm. Special workshop--clinical.
AB  - The assessment of causality in drug-event associations depends on the setting and
      purpose of such an assessment. Epidemiologists are primarily interested in
      population-based inferences about whether a given drug can cause a certain
      adverse drug reaction (ADR), and if so, how often it does so. Pharmaceutical
      industries and regulatory agencies are also concerned with population-based
      risks, but in addition must worry about individual cases. Clinicians are
      primarily interested in the individual, ie, whether a given drug did cause a
      certain adverse event in a particular patient. The authors describe an algorithm
      that provides specific, detailed criteria for ranking the probability that an
      observed untoward clinical manifestation was caused by a given drug. The criteria
      are subdivided into six axes of decision strategy with a built-in scoring system
      that ordinally ranks the probability of an adverse drug reaction as definite,
      probable, possible, or unlikely. To illustrate the use of the algorithm, the
      authors assess a reference case of pancreatitis occurring after administration of
      methyldopa.

PMID- 10268559
TI  - Doing well by doing good: investor-owned hospitals. The 1984 Michael M. Davis
      Lecture.

PMID- 10268558
TI  - An ethical perspective on investor-owned medical care corporations.

PMID- 10268560
TI  - Investor-owned versus not-for-profit hospitals--what are the issues?

PMID- 10268562
TI  - Clinical clerkships.

PMID- 10268561
TI  - A community perspective on hospital ownership.

PMID- 10268563
TI  - Survey of state laws and policies regarding foreign medical graduates--II.

PMID- 10268564
TI  - What do you do when your largest medical group says: "We're selling".

PMID- 10268566
TI  - MeSH--a unique partnership. An interview with Eugene E. Loubier, President,
      Franklin Medical Center, Greenfield, Massachusetts.
AB  - HCSM's interview this month is with Eugene E. Loubier, FACHA, President of
      Franklin Medical Center, Greenfield, Massachusetts. This 162-bed facility is the
      first to start formally a MeSH plan, a unique medical staff/hospital joint
      venture or partnership. Through MeSH, the hospital and its medical staff have
      created a new corporation, equally owned by the hospital and the medical staff
      members participating in the MeSH. This corporation is responsible for areas
      where the economic interests of the physicians and the hospitals overlap. Instead
      of each party independently pursuing economic opportunities that might impact the
      other party, the MeSH can, as a whole, undertake the venture.

PMID- 10268565
TI  - The referring physician: the key to a successful marketing analysis and program.
AB  - There are a variety of marketing approaches available to hospitals to help
      maintain and/or increase their influence in the competitive health care system.
      This article will focus on one important but relatively ignored aspect tha must
      be an integral part of any successful hospital marketing program. Referring
      physicians and the network this group forms around a hospital through the
      different referral patterns is of primary influence on the hospital's future.
      This article supports the thesis that the hospital's eventual survival or demise
      is directly linked to this often unconscious referral network.

PMID- 10268567
TI  - Physician/hospital telecommunications links.
AB  - The deregulation of the telecommunications industry has made it more difficult
      for hospitals and physicians to manage their telecommunications expenditures. By
      concentrating on this disruption, many hospitals and physicians may miss out on
      the new opportunities made available by deregulation. By selling
      telecommunications services to physicians, hospital administrators can take
      advantage of many of these new opportunities. The key to this venture is viewing
      telecommunications as a revenue producing department or a captive business rather
      than an overhead expense.

PMID- 10268568
TI  - Case in point. Good Shepherd Hospital.

PMID- 10268569
TI  - Case in point--the answer. Allied Christian Health.

PMID- 10268570
TI  - Liaison: the way to survive.

PMID- 10268571
TI  - The progressive upheaval.

PMID- 10268572
TI  - HSSJ guide to salaries.

PMID- 10268573
TI  - Paramedical services. Patients first, or Griffiths?

PMID- 10268574
TI  - Training the newcomers.

PMID- 10268575
TI  - Engineering a trouble-free life for medical equipment.

PMID- 10268576
TI  - Monitoring the ebb and flow of nursing.

PMID- 10268577
TI  - Some newly baked ideas on bulk bean buying.

PMID- 10268578
TI  - The Orpington brake bow.

PMID- 10268579
TI  - Canadians campaign for better private care.

PMID- 10268580
TI  - How to take risks without tripping up.

PMID- 10268581
TI  - No more laughing all the way to the bank.

PMID- 10268582
TI  - Multi-culture care.

PMID- 10268583
TI  - A local response.

PMID- 10268584
TI  - Trust funds at a price.

PMID- 10268585
TI  - London's cottage hospital.

PMID- 10268586
TI  - Management consultants. Shall we go outside?

PMID- 10268587
TI  - Hospital to community. One step forward and two back.

PMID- 10268588
TI  - Catching up with sector psychiatry.

PMID- 10268589
TI  - Protection for patient's property.

PMID- 10268590
TI  - The high finances of health care. Subject to surcharges.

PMID- 10268592
TI  - Budgeting for the patient.

PMID- 10268593
TI  - District strategy. Worthing 'on the rocks'.

PMID- 10268591
TI  - Unit management. It's not what you do...

PMID- 10268594
TI  - NHS accounting. A sound framework for finance?

PMID- 10268595
TI  - What's in it for the NHS?

PMID- 10268597
TI  - Management--not accounting.

PMID- 10268596
TI  - 'Nucleus' needs a little nurturing.

PMID- 10268598
TI  - New view of shrinking promotion prospects.

PMID- 10268599
TI  - An automated emergency order procedure.

PMID- 10268600
TI  - Stress management.

PMID- 10268601
TI  - Damages when goods are recalled by the supplier.

PMID- 10268602
TI  - Looking at today's x-ray film market.

PMID- 10268603
TI  - How blind reliance on the competitive bidding process can work against you.

PMID- 10268604
TI  - Can corporate culture enhance productivity?

PMID- 10268605
TI  - Productivity: how one hospital saved more than $5 million.

PMID- 10268606
TI  - High-technology nursing at home.

PMID- 10268607
TI  - Denver's 'Access' to lower costs links homecare with new program.

PMID- 10268609
TI  - The New York hospital strike: the inside story.

PMID- 10268608
TI  - An interview with: Regan Rockhill.

PMID- 10268610
TI  - The last wave. Hospital film and annual report aimed at "wiping out" surf
      injuries.

PMID- 10268611
TI  - How to build an economic partnership. Twelve ways to ensure your physicians'
      competitiveness.

PMID- 10268612
TI  - Video-teleconferencing: education via satellite.

PMID- 10268613
TI  - Prescription television. Educating patients during hospital stays.

PMID- 10268614
TI  - Computer conferencing. A technology ahead of its users.

PMID- 10268615
TI  - Voice communications in the hospital of the future. Monitoring the regulatory
      environment: a new priority for 1985.

PMID- 10268617
TI  - Health education through audio-teleconferencing.

PMID- 10268616
TI  - Countdown to cutover. Changing to a new telephone system.

PMID- 10268618
TI  - The hospital of the future: all in a day's work.

PMID- 10268619
TI  - Hospital Forum guide to telecommunications for health care. Plugging in the
      electronic hospital.

PMID- 10268620
TI  - Carner's codes. Market yourself.

PMID- 10268621
TI  - Negotiate for cooperation and support.

PMID- 10268622
TI  - Productivity top priority for hospital success, study says.

PMID- 10268623
TI  - Managers can mold media interviews.

PMID- 10268624
TI  - Does the curtailment of emergency ambulance runs constitute abandonment?

PMID- 10268625
TI  - Landscaping for the future.

PMID- 10268626
TI  - Computerization and the health care executive.

PMID- 10268627
TI  - User fees--the dilemma continues.

PMID- 10268628
TI  - Evaluating your chief executive officer.

PMID- 10268629
TI  - The pharmacist's role in patient education.

PMID- 10268630
TI  - P.R.--persuasive communication.

PMID- 10268631
TI  - Health care design. Healing research.

PMID- 10268632
TI  - Health care design. Sky play. The Child Life Center.

PMID- 10268633
TI  - Contracting guidelines for internists.
AB  - Government regulations, the introduction of new health care delivery methods, and
      the rising number of physicians joining the medical community have combined to
      increase the importance of the business aspect of medical practice. As a result,
      many physicians have documented their relationships with various third parties
      through contracts. As the incidence of contractual relationships between
      physicians and third parties has increased, so has concern regarding the legal
      ramifications of the contracting process. This guide is intended to explain the
      basic characteristics of contracts and to provide the individual physician with
      information regarding the contracting process. The guide is divided into three
      sections: key elements of a contract; types of contracts, including
      hospital/physician contracts, hospital/physician joint ventures, and group
      practice contracts; and negotiating the contract. Each section offers an
      explanation of the topic, which is followed by specific questions for the
      individual physician to investigate. These lists of questions are designed to
      provide a starting point for physician discussion of the philosophical, personal
      and practical areas to investigate before entering into a contract.

PMID- 10268634
TI  - Strong alliances with patients key to public policy change.

PMID- 10268635
TI  - The perception is the reality.

PMID- 10268636
TI  - Is there really a gap?

PMID- 10268637
TI  - A pox on polls.

PMID- 10268639
TI  - Poor people, poor care.

PMID- 10268638
TI  - Gender slap.

PMID- 10268640
TI  - Educating for illness.

PMID- 10268642
TI  - Workers on their own.

PMID- 10268643
TI  - Terminal timidity. The case of Democratic health policies.

PMID- 10268641
TI  - Neglecting the mentally ill.

PMID- 10268644
TI  - What hath Reagan wrought?

PMID- 10268645
TI  - "Individualism" for the homeless.

PMID- 10268646
TI  - Hunger: no myth, America.

PMID- 10268648
TI  - What can hospitals learn from the hi-tech companies?

PMID- 10268647
TI  - Cutting the children.

PMID- 10268649
TI  - The mentor's role in developing new leaders.

PMID- 10268650
TI  - Can MHA graduates tackle financial management? Lessons from American corporate
      industry.
AB  - American industry, the major purchaser of medical services, is beginning to use
      its buying power to intervene in the healthcare system. Management committees hav
      been established to develop cost analysis and containment approaches to the
      utilization of medical services. With innovations by corporate industry, does the
      hospital CEO see an advocate or yet another adversary in addition to government
      regulation? Specifically, what preparation do master's degree graduates have,
      prior to their subsequent job experience, to make an informed contribution in
      financial decision making? Research was conducted to obtain data from health
      administration graduate programs in the United States and Canada to help find
      answers to these questions. This study addresses the strengths and weaknesses of
      the two major inputs to health financial management education--the proper mix and
      delivery of course presentations, and the student's motivation, maturity, and
      academic background. In some respects, both have been found wanting--not only
      from the findings of this investigation, but also by the AUPHA Task Force on
      Financial Management in the curriculum. About one-fourth of the entrants to
      master's degree programs have a business school background which includes courses
      in accounting, economics, and finance. However, the remaining 75% have other
      academic backgrounds, which suggests that teaching financially oriented courses
      to these graduate students is a major problem. The question of whether a health
      administration graduate with some finance training or a pure finance graduate is
      more desirable remains unanswered. This is especially true in meshing the
      immediate needs of the healthcare marketplace for financial management personnel
      and the long-range career goals of the graduate. This article presents the survey
      results and seven recommendations for action.

PMID- 10268651
TI  - Town vs. gown: a poor excuse for not communicating.
AB  - This study addresses barriers in the knowledge exchange process between educators
      and practitioners in healthcare administration. It examines and compares the
      attitudes of both toward the process of communication, barriers to effective
      communication, and methods for overcoming them. The study suggests several
      pragmatic linkages between educators and practitioners. A survey questionnaire
      was mailed to 400 randomly selected chief executive officers of hospitals and 210
      healthcare administration educators. Responses were received from 49.3% of the
      practitioner group and 54.3% of the educator group for an overall return rate of
      51.0%. The results suggest that educators and practitioners have grown remote.
      However, the two groups agreed on barriers to the effective flow of new knowledge
      between them and on mechanisms to overcome them. The study indicates that
      educators and practitioners can interface more effectively by forming linkages in
      which attitudes and information are shared. There is the potential for creating
      an environment more conductive to communication, role definition, and knowledge
      exchange than exists currently. The creation of a symbiotic environment could not
      only enhance the process of healthcare administration education, but also the
      practice of the profession.

PMID- 10268652
TI  - Grading administrators in healthcare management.

PMID- 10268653
TI  - A career imperative.
AB  - The hospital industry has experienced major change in its organizational,
      delivery, financial, and social schema. As a result, the role of the healthcare
      executive has also changed. The new professional administrator requirements have
      called for the lengthening of academic programs to meet the evolving challenges
      of the industry. The lack of a formal means of entry into the profession has left
      many confused because of the various professional development models available.
      Without proper advice, these do not hold significant distinction for the recent
      graduate. Academic programs have been lengthened from one to two years of
      academic coursework while the traditionally required residency has been virtually
      eliminated. Increased demands on both practitioners and professors of academic
      programs have caused a schism between theory and practice, adversely affecting
      the student preparing for the profession. The problem is compounded by the
      various professional development models available and the several opinions as to
      which is "best". The confusion for students, faculty, and practitioners which has
      resulted must be minimized through recognition of the problem, clarification of
      terminology, bridging the gap between academic and practice, and a rekindling of
      the mentor/protege relationship.

PMID- 10268654
TI  - The newest miracle drug: quality circles in hospitals.
AB  - In recent years, a number of hospitals throughout the United States have been
      exploring the use of Japanese-style quality circles to reduce their operating
      expenses, improve productivity, and enhance the quality of work life for hospital
      employees. This article examines the organizational climate necessary for quality
      circles, methods used to implement quality circles, and management's role in
      guiding and responding to circle activities. Ideas for building and maintaining
      staff support are presented along with a cost/benefit analysis of quality circle
      programs. The author concludes that quality circles are most successful in
      hospitals where they are part of a larger organizational development effort. When
      administrators believe in their employees' ability to contribute to the
      institution and are willing to invest necessary time and resources in employee
      education and the measurement of quality circle achievements, quality circles can
      produce creative solutions to perplexing institutional problems.

PMID- 10268655
TI  - Quality circles: a new cure for hospital dysfunctions?

PMID- 10268656
TI  - Improving the quality of work life in hospitals: a case study.
AB  - Quality of work life (QWL) programs can improve employee morale and
      organizational effectiveness. But implementing a successful QWL effort in a
      healthcare setting is not easy because of the unique administrative structure and
      inherent complexities of modern hospitals. This article describes a joint union
      management quality of work life program that was carried out in a large urban
      medical center. Despite employee enthusiasm for the program and a major
      commitment of financial and human resources over its three-and-a-half-year
      course, the program failed to achieve long-term changes in the hospital. The
      shortcomings of the QWL program are analyzed and recommendations for future
      practice are described.

PMID- 10268657
TI  - Trends in hospital unionization and a predictive model for unionizing success.
AB  - Between 1976 and 1980, the average annual increase in hospital expenses was
      12.7%. Wages for employees accounted for approximately one-half of this increase.
      Because employee wages have such a great effect on hospital costs, it is
      important to study those factors that could curtail management's control over
      these expenses. One such factor is the establishment of labor unions. This study
      outlines the structural factors that encourage union activity, as well as the
      factors that contribute to its success. Variables studied include: the types of
      employees in the bargaining unit; the total number of employees in the bargaining
      unit; the number of hospitals in the same city; the control of the hospital and
      the presence of a profit motive; the number of beds in the hospital; the
      occupancy level of the hospital; and the region of the country in which the
      hospital is located.

PMID- 10268658
TI  - A professional imperative.
AB  - Nurses at the University of Michigan Hospitals (UMH) have been organized since
      1974 into a bargaining unit of the Michigan Nurses' Association (MNA), known as
      the Professional Nurse Council. There have been several bargaining periods and
      contracts. The most recent contract prior to the strike terminated in September,
      1980. Following this contract expiration, negotiations occurred, month after
      month, between the union and the hospital's bargaining team. At times, it
      appeared as though settlement was imminent, but negotiations continued on through
      the fall of 1980 and into the winter of 1981. A state-appointed mediator failed
      to solve the problem. The authors contend that the principal issues were not
      those being negotiated at the bargaining table.

PMID- 10268659
TI  - Collaborative practice: myth or reality?
AB  - In response to demands of internal constituencies and pressures from external
      forces, many healthcare institutions have been experimenting with collaborative
      practice, wherein professionals function interdependently in patient-centered
      healthcare. In this article, the authors move beyond philosophical constructs and
      focus on the essential elements of this important innovation. Making
      collaborative practice a reality in institutions requires an understanding of the
      essential elements, persistent and continuing efforts, and rigorous evaluation of
      outcomes. Satisfaction, quality, and cost effectiveness are essential factors on
      two dimensions: outcomes for patient care providers; and outcomes for patients.
      Ultimately, collaborative practice can be recognized by demonstrated effective
      communication patterns, achievement of enhanced patient care outcomes, and
      efficient and effective support services in place. If these criteria are not met,
      collaborative practice is a myth and not a reality in your institution.

PMID- 10268660
TI  - Employee assistance: a business and community hospital partnership.
AB  - Employers are now providing a variety of healthcare services to combat health
      problems that affect productivity. These employee assistance programs are
      designed to improve work performance by providing an approach to the prevention,
      diagnosis, and treatment of such illnesses as alcoholism, drug dependence, mental
      illness and family, martial, financial, and legal difficulties common to all
      worksites. This article examines the concept, incentives, structure, obstacles,
      marketing, and cost containment factors that are part of the development of this
      new partnership between businesses and community hospitals.

PMID- 10268661
TI  - How the public chooses and views hospitals.
AB  - This article examines factors people consider important in choosing a hospital,
      as well as their feelings toward hospitals. It begins with a brief discussion and
      overview of the literature on how people choose doctors and hospitals. The
      literature on factors involved in people's choices of new physicians is discussed
      primarily because of the lack of data in this area. After reviewing the issues,
      we describe the data used in this study and the context in which they were
      gathered. The analysis is divided into two sections: the first examines the
      salient issues in choosing a hospital, while the second examines the public's
      attitudes toward hospitals. Finally, we present a summary of the results and
      conclusions.

PMID- 10268662
TI  - Unionization in hospitals: causes, effects, and prevention strategies.
AB  - Unionization pressure on hospitals has increased steadily since passage of the
      1974 amendment to the National Labor Relations Act extending protection of
      organizing and collective bargaining to nonproprietary hospital facilities. This
      article analyzes the current state of knowledge on unionization in hospitals in
      regard to: future organizing pressures, the impact of collective bargaining on
      operations, the psychology of organizing, and the fundamental elements of a
      strategy for improving employee relations and avoiding organization.

PMID- 10268663
TI  - Hospitals and physicians: an organizational model for a changing healthcare
      environment.
AB  - New reimbursement methods are forcing hospitals and physicians to work more
      closely together to retain patients and improve efficiency. In the last 10 years,
      most academic medical centers have reorganized hospital-physician relationships
      to maximize revenues and assure a stable flow of patients. This article examines
      the organizational model adopted by Pacific Medical Center in Seattle (formerly
      the U.S. Public Health Service Hospital), when it was transferred from federal to
      community control in 1981. Planners analyzed the history and mission of the
      institution, the community being served, and the legal options in the state. The
      chosen organizational structure is outlined, and the authors present the
      strengths and weaknesses of the model. The implications for other healthcare
      institutions considering restructuring are discussed.

PMID- 10268664
TI  - Union organizing activity in the hospital industry.
AB  - In 1974, the National Labor Relations Act was amended to include not-for-profit
      healthcare institutions. This triggered an important expansion in union
      organizing activity in the industry. Based on an examination of National Labor
      Relations Board election data, this article examines the impact of that
      development on hospital bargaining units, the labor organizations involved, and
      the geographical locations of the organizing activity. It concludes with some
      general recommendations to management.

PMID- 10268665
TI  - An interview with Leon Davis. Interview by Al Nash.
AB  - Leon Davis, founder of District 1199, represents the origin of hospital
      unionization. Known for his devotion to District 1199, Davis was imprisoned
      several times as a result of his activities as union president. The following
      interview with the now retired union activist, traces his impact on the union,
      discusses conflicts between union and management, changes in today's union, plus
      other first hand insights regarding this issue.

PMID- 10268666
TI  - How sweet it is!

PMID- 10268667
TI  - Chew on this!

PMID- 10268668
TI  - Wrap sessions.

PMID- 10268669
TI  - All in the family.

PMID- 10268670
TI  - It's tea time!

PMID- 10268671
TI  - New shop talk. Growing bigger and better.

PMID- 10268672
TI  - The art of selling in a hospital gift shop.

PMID- 10268673
TI  - Informed consent: a growing concern for hospitals and medical staffs.

PMID- 10268674
TI  - Partnerships benefit hospitals and medical staffs alike.

PMID- 10268675
TI  - Hospital-physician cooperation in health promotion: the opportunity is there.

PMID- 10268676
TI  - Hospital pharmacy services for ambulatory patients.

PMID- 10268677
TI  - Development of a pediatric dosing sheet for use in the critical care setting.
AB  - Choosing the correct dose for pediatric patients in the critical care setting is
      made difficult by conflicting recommendations in the medical literature. Hence,
      the University of California at San Francisco (UCSF) Intensive Care Unit medical,
      pharmacy, nursing, and respiratory therapy staffs developed their own pediatric
      dosing guidelines, based on a review of the literature and the advice of
      pediatric and critical care specialists. The sheets have been successfully used
      in the unit for the past 6 years and are well received by both physicians,
      pharmacists, and nurses.

PMID- 10268678
TI  - Hospital pharmacy supportive personnel utilization: a regional survey.
AB  - The results of a regional survey of hospital pharmacy supportive personnel
      (technicians) are presented. The data represents the responses from 118 directors
      of pharmacy in hospitals within a 150-mile radius of Pittsburgh, Pennsylvania. A
      high percentage of the hospitals (92.4%) utilize pharmacy technicians in some
      capacity. In hospitals employing pharmacy technicians, on the average, there is
      approximately one technician for each pharmacist. The demand for technicians is
      relative strong with 120 job openings each year because of turnover and new
      positions. The requirements for employment vary, but most institutions minimally
      required a high school diploma or equivalent. The vast majority of hospital
      pharmacy technicians possess a high school diploma with only a small percentage
      having any additional training. Only about 15% of the hospitals have any type of
      formal pharmacy technician program and almost 80% of the directors are in favor
      of external continuing education programs. Regarding how best to train and
      educate hospital pharmacy technicians, 66% of hospital pharmacy directors feel
      that a formal college or university based program should be required.
      Approximately one-third of the hospitals have various levels of pharmacy
      technicians, and the most important criteria for determining levels are
      experience, technical responsibility, and seniority. Although only eight percent
      of the hospital pharmacy technicians have any formal training, 36% of the
      hospitals would start graduates of formal educational programs at higher entry
      level positions.

PMID- 10268679
TI  - Financial management issues. Position control procedures: Part 1.

PMID- 10268680
TI  - Workload measurement study to develop staffing guidelines for the clinical
      inpatient dietitian.
AB  - A study was done to develop staffing guidelines for the inpatient clinical
      dietitian based on the Victoria General Hospital Dietary Department's philosophy
      of nutritional care. The objectives were to identify the major activities being
      performed by the dietitian, estimate the average amount of time spent on each
      activity, determine the number of dietitian consults, determine the time required
      per patient consult, and establish indicators for workload, performance and
      productivity. All activities were coded for easy record keeping and tabulation,
      and the D-unit (5 minutes of a dietitian's time) was used as the unit of time
      measurement. The results showed that the dietitians were spending 44% of time on
      direct patient care, 20% on patient care support activities, 1% intradepartmental
      activities, 6% teaching (other than patients), 4% community, 3% on research and
      special projects, and 7% doing other tasks. Using the % of direct patient care
      time available, the % of patients requiring nutritional support, and the patient
      turnover rate, it was possible to develop a formula for the number of dietitians
      required to provide nutritional care based on the department's philosophy.

PMID- 10268681
TI  - Development of a nutritional care plan for diabetic patients.
AB  - A nutritional care plan, encompassing all aspects of nutritional assessment,
      education, and follow-up was designed and implemented at the Victoria General
      Hospital in Halifax, Nova Scotia. The care plan was developed in response to the
      results of an audit on nutritional care of diabetic patients. It was designed to
      assure referral of all diabetic patients to clinical dietitians, set standards
      for care and its documentation, provide a teaching tool, and enhance
      communication between inpatient and outpatient nutrition services. The care plan
      was developed by the authors in committee and approved by the clinical dietitians
      and the medical staff at the Victoria General Hospital. The care plan format is
      described in detail. It has been in effect since March, 1982 with positive
      feedback reported by clinical dietitians. Reevaluation of care, charting, and
      referrals to outpatient nutrition services are planned. Additional care plans on
      other nutritional topics are planned for the future.

PMID- 10268682
TI  - Nutrition services and the Hamilton-Wentworth Home Care Program: a current
      overview.
AB  - The structure of and services provided by the Hamilton-Wentworth Home Care
      Program are described. The goal of the Home Care Program is to provide
      coordinated multidisciplinary care for the patient in the familiar home setting,
      to facilitate early discharge from hospital, and/or prevent admission to a health
      care institution altogether. Nutrition counseling for patients and consultation
      for the multidisciplinary health care team is provided by the Home Care
      nutritionist, a registered dietitian. Her duties and activities are further
      delineated, as they exist in Hamilton-Wentworth. This unique position provides
      stimulating and rewarding work for the nutritionist who desires the challenge of
      therapeutic nutrition counseling in a community setting.

PMID- 10268683
TI  - Planning for progress, productivity, and performance.
AB  - A project is described for the interim renovation of a labor intensive existing
      foodservice facility. The renovated area will provide effective food management
      during the hospital's redevelopment period, including a new foodservice.
      Objectives of the interim project were to conserve labor while emphasizing
      control and centralization, provide economic foodservices with improved quality,
      and incorporate one tray distribution system throughout the hospital complex.
      Immediate measures were necessary in order to generate funds to proceed.
      Renovations had to occur without disrupting food-service to patients. The project
      was planned over a three year period and included an ingredient control area, two
      patient tray service centres, a renewed production kitchen and test kitchen
      facility. Each phase has been financed on the understanding that the costs of
      construction and equipment will be repaid within one fiscal year of operating the
      renovated facility. Positive results are being achieved, attributable to the
      support and encouragement received from staff during the change process.

PMID- 10268684
TI  - A computerized food management system for an extended care unit.
AB  - Burnaby Hospital recently implemented a computerized Food Management System. The
      system is fully operational in the Extended Care Unit (ECU) and now is being
      introduced in the Acute Care Unit (ACU). The main goals for the new program were:
      cost savings, more effective use of foodservice employee time and skills, and
      better patient care. To date, the total time saved by use of the computerized
      system has been equivalent to one full time employee. The ECU dietitian's and the
      dietary technician's duties have been upgraded. The technician has been relieved
      of clerical tasks and has taken over some responsibilities formerly performed by
      the dietitian; the dietitian is able to perform more administrative and planning
      tasks; and the former ECU coordinator is manager of patient services and
      responsible for coordinating changes in the computer system. Research indicates
      that this system, designed and developed for Burnaby Hospital by Rick Hepting &
      Associates and running on an MAI Basic Four min computer, model 210, is unique
      among North American hospitals. Current applications include manipulation of
      patient diet information for automatic menu processing, food tallying, and
      production of nourishment labels. Future enhancements will take care of
      production reporting, standard recipe printouts, food cost analysis, and nutrient
      analysis. The system has valuable potential for use in other hospitals.

PMID- 10268685
TI  - Dietetic performance indicators: a new management tool.
AB  - The need for dietetic performance indicators that more accurately reflect the
      performance of the department of dietetics has led to the development of an
      effective tool for directors of dietetics to use in monitoring departmental
      performance, planning departmental activities, services and programs, and
      budgeting. To follow-up on the work initiated by a group of directors of
      dietetics in Metropolitan Toronto, the joint Ontario Dietetic Association-Ontario
      Hospital Association (ODA-OHA) Steering Committee on Alternative Dietetic
      Performance Indicators (SCADPI) was established. The work of this Committee has
      involved identifying relevant dietetic performance indicators based on three
      areas of departmental activity: patient meal service, non-patient meal service,
      and clinical nutrition service; developing the methodology of allocating food,
      sundry, and labor costs to these three areas of departmental activity; and
      testing the validity and feasibility of the methodology among hospitals of
      varying sizes and levels of dietary department management personnel.

PMID- 10268686
TI  - Dietetics in Australia and New Zealand, May 1983: expanding professional
      horizons.
AB  - This is a report on the author's activities and impressions of the dietetic
      profession in Australia and New Zealand, during a professional visit in May 1983.
      Activities included presenting the Abbott Lecture to the Third Annual Conference
      of the Australian Association of Dietitians, speaking at several state dietetic
      association meetings, and presenting some seminars. Foodservice systems in
      several hospitals were observed. Impressions related to the diverse educational
      backgrounds of dietitians, the focus on clinical practice, and the extreme
      youthfulness of the profession in some states. The author also modified a post
      graduate program at the University of New South Wales to assist dietitians to
      gain more knowledge in foodservice administration.

PMID- 10268687
TI  - Red Deer Regional Dietetic Services Program.
AB  - The Regional Dietetic Services Program coordinated by the Red Deer Regional
      Hospital Centre is described. The Program became a reality in June 1978, in
      response to requests for professional dietetic assistance from the rural
      hospitals located in Central Alberta. The program objectives were defined,
      standards were determined, duties and responsibilities of Red Deer Regional
      Hospital Centre (the 'Agency') and the 'User' hospital were clarified, and a
      yearly contract was established. The dietetic consulting program was then
      presented to interested rural administrators and board members. When the first
      commitment was received, the Red Deer Regional Hospital Centre hired a part-time
      dietitian to implement the program. As a spin-off benefit, this program provided
      an avenue through which a dietitian could participate part-time in the
      professional and contribute to the community in a rewarding way.

PMID- 10268688
TI  - A taste of nutrition--a nutrition resource for leaders working with mentally
      handicapped adults.
AB  - The trend towards deinstitutionalization for mentally handicapped adults has
      precipitated a need to provide these individuals with nutrition education and
      food preparation skills. Food, nutrition, and eating are important components of
      training programs for life skills, which lead to greater independence for the
      mentally handicapped. The types of nutrition information and learning activities
      needed for the mentally handicapped were determined through a literature review
      and a series of interviews with those working with this target group. The
      nutritional concerns of mentally handicapped adults include food selection to
      meet their nutritional needs, menu planning, food preparation, weight control,
      and nutrient-drug interactions. A Nutrition Resource Kit for Leaders Working with
      Mentally Handicapped Adults has been developed in The Regional Municipality of
      York in response to local demand for nutrition education programs and resources
      for mentally handicapped adults. The kit provides those working with mentally
      handicapped adults with background nutrition information, learning activities,
      resource materials, and references to additional resources. The topic areas
      covered include basic nutrition, nutritional concerns of mentally handicapped
      adults, nutrient-drug interactions, menu planning, shopping strategies, and food
      preparation. Dietitian-nutritionists can assist leaders who work with mentally
      handicapped adults by providing them with up-to-date nutrition information and
      motivating the to use available nutrition education resources.

PMID- 10268689
TI  - Medical society president-elect calls for physician self-regulation.

PMID- 10268690
TI  - Hospital pharmacy finds ways to increase revenues, lower costs.

PMID- 10268691
TI  - Competition in health care: strategies from other industries.
AB  - Health care managers can learn to adjust to competition by observing companies in
      other deregulated industries. Six basic strategies will separate the winners from
      the losers: Increase market share. This strategy requires not only increasing the
      share of current markets but also introducing new products and services into new
      markets. Scrutinize operations. Managers must be knowledgeable about strategic
      planning, adept at product line analysis, and skillful in using management
      information systems. Prune where necessary. Operations must be periodically
      reviewed to assess whether programs, products, and services continue to be
      profitable. Increase productivity. Productivity in this labor-intensive industry
      is essential. Wages may have to be reduced and staffing levels changed in the
      future to permit better control of labor costs. Increasing the volume of service,
      investing in nonclinical technology, and encouraging employee ideas also should
      be considered in seeking higher productivity. Strengthen the balance sheet.
      Hospitals should avoid incurring both long- and short-term debt, and they should
      attempt to accelerate repayment of long-term debt. Not-for-profit hospitals
      should investigate joint ventures, which spread the financial risk among
      investors, as means to raise capital to expand their operations. Increase cash.
      Prudent organizations will establish reserve funds, adopt fund-raising programs,
      and initiate improved cash collection systems. Health care executives also should
      reflect on how deregulation may affect their employees, the poor, and access to
      sophisticated medical procedures. The successful health care organization
      eventually will position itself in line not only with its markets but also with
      its mission and values.

PMID- 10268692
TI  - Competition presents opportunity for not-for-profit systems.
AB  - Though they face similar challenges in adapting to a competitive environment,
      investor-owned and not-for-profit (NFP) health care systems react differently.
      The investor-owned strategy reflects a philosophy that regards patient care and
      economics with equal concern, while NFPs' management decisions are rooted in a
      tradition of community service. For-profit chains are perceived as more efficient
      than NFP chains because they respond to marketplace demand. Studies, however,
      show that while operating expenses are about the same, for-profits charge more
      per admission. On the other hand, NFP systems, by allowing affiliates to
      participate in service expansion decisions, are able to maintain lean corporate
      staffs and thereby minimize administrative and fiscal costs. The NFP
      organizational structure enforces economic discipline in a way that for-profit
      chains--where corporate staff alone make service decisions--cannot achieve. The
      major difference, of course, between for-profits and NFPs is in philosophy, not
      in management techniques. NFPs should communicate to the public their commitment
      to serve all patients and remind consumers that their charges are comparable with
      for-profits'. Developing a capitation plan would provide NFP systems another
      opportunity to emphasize their service orientation. An effective capitation plan
      is a means to influence the marketplace toward chain affiliates, since
      subscribers under the terms of the plan use contract hospitals and physicians. In
      addition to sufficient capital, such a venture requires expert management. NFP
      systems will have to offer incentives such as executive stock ownership plans to
      attract and keep top talent. In the future, management and governing boards must
      base strategic plans on the public's needs, attitudes, and economic status, not
      on myths about the competition.

PMID- 10268693
TI  - Personalized care helps facilities compete.
AB  - Catholic health facilities may believe that they provide personalized care, since
      this value is a part of their mission statement. In the face of shrinking
      inpatient services and competition for patients, however, formal efforts to
      provide such care are essential. Personalized care can be a primary factor in
      differentiating Catholic health care facilities in the marketplace. St. Edward
      Mercy Medical Center implemented marketing surveys to determine patients'
      perceptions of personalized care. Using the results, the medical center
      instituted employee education programs and physical improvements in order to meet
      patients' needs and thus maintain and improve the facility's patient market
      share.

PMID- 10268694
TI  - Catholic hospitals' PPOs can set ethical standards.

PMID- 10268695
TI  - Maryland hospitals get plan for creating ethics committees.
AB  - The Maryland Hospital Association's Advisory Committee on Medical Ethics, charged
      to assist member hospitals in forming ethics committees, focused on four
      concerns: study and development, physician support, patient/family participation,
      and potential issues. The committee recommended as a first step in establishing
      an ethics committee the creation of a study group. It warned hospitals not to
      expect a fully operational ethics committee immediately. A start-up period,
      according to the committee, should be used to develop a process for handling
      ethical questions and for educating the hospital community about the committee's
      role. To promote the best possible decision making, the hospital ethics committee
      should function as a support unit, for physicians as well as for patients,
      families, and hospital personnel. Clearly stated policies will provide a basis
      for appropriate intervention and help gain physician cooperation, the committee
      said. Such policies should encourage ethics committees to anticipate problems and
      to review decisions already made. While recognizing the need to involve patients'
      families in decision making, the advisory group agreed that the question of their
      presence at committee meetings should be addressed by each institution. In cases
      of controversial treatment or disagreement about the course of treatment,
      patient/family access to the committee should be clearly defined. The advisory
      committee suggested that each institution prepare its own list of topics that an
      ethics committee might consider. It also prepared a "model statement" of an
      ethics committee's purposes, membership, and procedures.

PMID- 10268696
TI  - Trusteeship: salvaging the myth of the governance role.
AB  - A myth of trusteeship--that governance is the central role of board members--has
      been difficult for trustees to put into practice. The process of initiating new
      trustees implicitly communicates a set of largely unspoken practices that do not
      fulfill the myth. In actual practice, trustees find themselves involved in
      management, rather than governance. Although regulatory bodies, the courts, or a
      constituent can clarify the job of governance, trustees must call one another to
      action to reshape their practice and refurbish the myth with credibility.
      Trustees generally are expected to ensure quality of service and performance
      standards through governance, although many question their competence to do so.
      Since a direct link exists between a board's ability to evaluate itself and its
      ability to evaluate others, members first must learn to evaluate themselves in an
      open, verifiable manner. Trustees also must take account of the cyclical emphasis
      society places on private interests versus public issues, noting shifts in the
      cycle to identify and define board responsibilities. Members should act not as
      representatives of a single group but keep in touch with as many constituencies
      as possible. Though models are being developed to evaluate board performance and
      to chart management/governance functions, the most effective change in practice
      will come from within boards--through members' study and reflection. A board
      retreat that allows trustees to share information and examine principles of
      practice may facilitate this role definition.

PMID- 10268697
TI  - Canadian bishops' letter presents theology of healing, suffering.
AB  - With board input from theologians, health personnel, patients, and others
      interested in health care, the Canadian Conference of Catholic Bishops released
      its pastoral letter on sickness and healing in September 1983. Acknowledging that
      suffering and healing are mysteries beyond complete understanding, the letter
      illuminates the connection between caring for one's own health, helping the sick,
      and following Christ. The letter's first major section reviews suffering and
      healing as presented in the Bible, and asserts that the act of healing should
      help to restore not only the body but also the sufferer's relationship with God
      and with the community. The letter's second section surveys the history of the
      healing tradition within the Church and notes that, because the great healers
      often suffered themselves, their example can help people to integrate suffering
      into their own quest for wholeness and spiritual growth. In the pastoral's third
      section the bishops suggest attitudes and practices for those who wish to be
      healers today. They apply theological teaching to five practical levels of
      pastoral concern: individual actions, parish communities, Catholic and other
      health care institutions, and the social, economic, and political community. Each
      level, the bishops stress, must play an important role in healing and salvation.

PMID- 10268698
TI  - Mission effectiveness study identifies, reinforces values.
AB  - When the Congregation of Alexian Brothers recommended that its sponsored
      institutions evaluate their mission effectiveness, the Alexian Brothers Medical
      Center, Elk Grove Village, IL, developed a study of patient and constituent
      perceptions. The purpose was to assess the degree to which the Alexian mission
      guided the institution's performance. Survey instruments included a survey of
      patient care perceptions and a questionnaire administered to Alexians, Alexian
      comembers, professional and support staffs, volunteers, governing board members,
      and administrators. Selected constituents also participated in interviews and in
      a survey that identified various groups' capacity to influence the medical
      center's mission. Administrators found that patients and constituents perceive
      that the congregation's ideals exist in the medical center and that constituents
      view those ideals as important. They concluded that institutions benefit from
      establishing administrative responsibility for mission effectiveness and that the
      study process itself can reinforce mission values.

PMID- 10268699
TI  - May Catholic facilities baptize dying infants without consent?

PMID- 10268700
TI  - Multichannel real-time analysis of the clinical EEG on a dual microprocessor
      system.
AB  - A dual microprocessor system has been developed as an aid to conventional visual
      analysis of the EEG. Up to eight channels of EEG gathered from any standard EEG
      strip-chart machine can be processed in real time. The analysis is performed on a
      dual microprocessor "pipe-line" configuration that is built using Motorola 68000
      (16-bit) and 6809 (8-bit) microprocessors. The system is basically software
      oriented in order to offer processing flexibility. The 16-bit processor is
      dedicated to the critical task of signal analysis based on a newly developed
      period-peak algorithm. The 8-bit processor is dedicated to the pre- and post
      processing tasks, including statistical generations and display control. Analysis
      results for each channel are displayed on a video terminal in several convenient
      graphical formats.

PMID- 10268701
TI  - The use of the microcomputer in fitness assessment and exercise prescription for
      the older adult.
AB  - The process outlined in this paper points to the fact that fitness assessment and
      exercise prescription is largely an information management task. The gap between
      existing knowledge and its practical application to the care of patients can be
      successfully closed by using modern information services. For health
      professionals, moving into the computer age will be an evolutionary, continuing
      education process. For clinical practice to reach its full potential, there must
      be an improvement in methods of handling information. The microcomputer offers an
      innovative way of providing the clinician with a practical, inexpensive manner of
      information management that will lead to improved efficiency, safety, and lower
      health care cost and at the same time provide patient satisfaction. Microcomputer
      applications in fitness assessment, dietary analysis and exercise prescription
      for the elderly are presented.

PMID- 10268702
TI  - Guideline report. Trends in nuclear medicine.

PMID- 10268704
TI  - Infection control and the ambulance.

PMID- 10268703
TI  - An information bill of rights.

PMID- 10268705
TI  - Evaluating practical skills.

PMID- 10268706
TI  - Hepatitis B. An occupational hazard.

PMID- 10268707
TI  - Assessing automated information requirements in long-term care: some general
      considerations.

PMID- 10268708
TI  - A new image of long-term care: a challenge to management.

PMID- 10268710
TI  - Attendance awareness--a formula for success.

PMID- 10268709
TI  - The use of automated systems in long-term care facilities.

PMID- 10268711
TI  - Program evaluation as an impression management tool: the role of the program
      director.

PMID- 10268712
TI  - The community health care administrator project: characteristics and problems of
      rural administrators.

PMID- 10268713
TI  - An incentive system for outpatient therapists. (A private practice model that
      works.)

PMID- 10268714
TI  - Future C.E.O.'s in year 2002.
AB  - Chief Executive Officers of mental health facilities have been interested civil
      leaders. Many doctors have accepted C.E.O. positions in our history. Today the
      competitions out to see who will be the future's C.E.O.'s. The rumors run from
      lawyers to clinicians from many of the hospital's disciplines and from purely
      administrative side of the hospitals management system. It will not be unusual to
      see more Ph.D., M.B.A.'s, or M.D., M.P.A. or M.S., M.H.A. degree combinations in
      year 2002.

PMID- 10268715
TI  - Burnout and dependency: awakening in the arm of the wire frame surrogate.

PMID- 10268716
TI  - Mental health attitudes in the eighties: what are they?

PMID- 10268717
TI  - Providing mental health services in a health maintenance organization.

PMID- 10268718
TI  - "Circle the wagons".

PMID- 10268719
TI  - Planning within multi-agency context.
AB  - Current environmental conditions such as limited financial resources, cost
      containment, rising consumer expectation, and perhaps more stringent regulation
      of available public monies to support social services signal declining
      opportunities for survival of autonomous, freestanding community agencies and the
      development of newer collaborative forms of organization. In order to preserve
      maximum input of need information among their professional and community
      environments, community agencies will require improved procedures for processing
      multisource assessments. A methodology is presented for weighting and pooling of
      multisource need information geared for use by planners and decisionmakers of
      performance oriented multi-agency health care systems.

PMID- 10268720
TI  - Demystification of deinstitutionalization.

PMID- 10268721
TI  - First party payments: is pursuing client payments worthwhile?

PMID- 10268722
TI  - Toward better communication between social service agencies and the community:
      improving the utilization of advisory committees.

PMID- 10268723
TI  - Cutback management in mental health.

PMID- 10268724
TI  - Formulating program goals and objectives in a psychiatric hospital.

PMID- 10268725
TI  - Psychiatric emergency room: a resource for the eighties.

PMID- 10268726
TI  - "Mental health administration (factors which indicate success on the job)".

PMID- 10268727
TI  - Strategic caseload configuring.

PMID- 10268728
TI  - The Central State Hospital linkage task force.
AB  - The current economic climate demands timely communications and closer working
      relationships among Agencies. The Author describes the efforts of a State
      Hospital and eight Community Mental Health Centers in their attempt to enhance
      linkages and planning efforts.

PMID- 10268729
TI  - Management and time utilization.

PMID- 10268730
TI  - The social service model of management by objectives: wedding MBO and the task
      centered system.

PMID- 10268731
TI  - A "special" savings account.

PMID- 10268732
TI  - Reducing state hospitalizations through a community screening program.
AB  - The role of State hospitals has been limited to admitting persons, and then
      performing elaborate assessments, treatment interventions, and aftercare planning
      on an inpatient basis. Because of the division of roles and often physical
      distance from local communities, State hospitals have had limited ability to
      reinforce community treatment as a means to prevent re-admissions. This paper
      describes "Pre-Admission Screening" and "Admission Coordination", two programs
      initiated by a community mental health center, designed to maintain persons in
      the community through intensive evaluation, crisis intervention, and treatment
      planning on an outpatient basis.

PMID- 10268733
TI  - Economic recession and increases in mental health emergencies.

PMID- 10268734
TI  - Managing medical care for special children.
AB  - The organized management of medical services provided to special children can
      influence: The development of a coordinated follow-up plan for each child;
      reduced costs for parents by avoiding the duplication of tests and unnecessary
      trips to the doctor; and, increased referrals once it becomes known that services
      are being provided with the consumer in mind.

PMID- 10268735
TI  - Managing transition: guidelines for mental health administrators facing services
      retrenchment due to funding cuts.
AB  - This piece of writing is one part of a four part series on managing transition in
      turbulent times. The series is written for mental health administrators and is a
      product of the author's direct experience as chief administrator of addiction
      treatment facilities and programs for The Salvation Army in Hawaii. Despite the
      loss of several hundred thousands of dollars, the agency was able to manage its
      own transition to emerge stronger and with two full years of accreditation as a
      psychiatric facility by the prestigious Joint Commission on the Accreditation of
      Hospitals.

PMID- 10268736
TI  - The newest ideas in management.

PMID- 10268737
TI  - Nuances for differences between future C.E.O.'s and middle managers' styles and
      training.
AB  - The success of the administrators in the future depends on their ability to
      motivate people to do better with less. They will be required to promote a good
      work environment in the midst of cutbacks, layoffs, and continued threats of
      layoffs. To reach their goals, they will work with staff members that face day to
      day uncertainties regardless of how hard they work. C.E.O.'s must convince them
      to continue to do their best in these stressful environments.

PMID- 10268738
TI  - The marketing approach as a model for mental health needs assessment.
AB  - This article compares the marketing approach of private business to the mental
      health planning process as it relates to needs assessment. It is the authors'
      assumption that the future of mental health programs will depend on careful
      planning designed to exhibit fiscal responsibility and program accountability. It
      is concluded that private business is an appropriate resource for planning
      strategies in mental health, and one that mental health administrators can
      readily turn to, especially in time of shrinking revenues for human service
      programs.

PMID- 10268739
TI  - A comparison of methods for orienting new personnel to the human service setting.

PMID- 10268740
TI  - Beating burnout: findings from a three-year study.

PMID- 10268741
TI  - Evaluative research in community mental health.
AB  - This paper compares evaluative research to program evaluation by defining and
      describing each. A case example using the scientific design and methodology of
      evaluative research to evaluate a specific community mental health program is
      also presented. Project design is discussed in light of the awareness that the
      mental health needs of communities do not always bend to fit the requisite of
      precise scientific procedure. Some ideas on methodological considerations reflect
      that normal research tools can be useful to achieve a valid study. Implications
      for the application of evaluative research to community mental health needs are
      also identified.

PMID- 10268742
TI  - Who are our mental health center dropouts?

PMID- 10268743
TI  - "Reaching for excellence: the human service administrator".

PMID- 10268744
TI  - Taking the agency's pulse: organizational feedback from employees.

PMID- 10268745
TI  - A psychiatrist looks at committees.

PMID- 10268746
TI  - Allegheny County Mental Health/Mental Retardation/Drug and Alcohol Program
      prescription drug study.

PMID- 10268747
TI  - Certification and pursuit of professional excellence.

PMID- 10268748
TI  - Ions purify patient's air.
AB  - A New York psychiatric center sought means to both rid a geriatrics' lounge of
      unpleasant orders and clear an out-patient program's hall of tobacco smoke. Many
      devices were tried, including scented mop water and ceiling vents. Small "air
      cleaners" were found to be ineffective; electrostatic air cleaners would be both
      expensive and troublesome. Ceiling mounted ion generators have done the job, are
      cost effective, simple, and unobtrusive. No behavioral side effects have been
      noticed. The Center is now experimenting with a device which negatively charges a
      whole room.

PMID- 10268749
TI  - Monitoring staff productivity: the unit of service concept and the SSB rating
      system.

PMID- 10268750
TI  - Development of an administrative externship in an institution for developmentally
      disabled.
AB  - The development of an administrative externship at an institution for the
      developmentally disabled is presented. The program utilizes extern rotations
      through the various departments and units of the institution to provide the
      students with valuable "hands on" experience in mental health administration. It
      is suggested that the externship program will serve to increase the number of
      clinical psychologists with administrative experience and training.

PMID- 10268751
TI  - What a public mental health administrator really does.

PMID- 10268752
TI  - How to make an affiliate model work--a case history.
AB  - The North Shore Community Mental Health Center has an unusual mental health
      delivery system. "Out-stationed" staff work in affiliated agencies, yet are
      employees of the NSCMHC. This service configuration is the result of an arduous
      planning process which weighed the advantages of several organizational models.
      On one extreme was a "Centralized" model, wherein one organization was solely
      responsible for delivering mental health services. On the other extreme was an
      "Umbrella" model, wherein the organization acted as a fiscal conduit to several
      service providers. Somewhere in the middle a compromise was found with a "Lead
      Agency" model. Here, an organization provides the administrative structure,
      provides some services, and subcontracts the remaining services. The North Shore
      Community Mental Health Center adapted this system one step further. Rather than
      subcontracting services, it outstationed CMHC staff to affiliate agencies. United
      Cerebral Palsy Association of the North Shore is one of the CMHC's affiliates.
      The service need for family and play therapists resulted in two CMHC therapists
      being outstationed at UCP. The affiliation agreement between the two
      organizations specify the responsibilities and roles each have. The hiring
      process between the two organizations is an example of the duality of the system.
      Both agencies had interviewing roles, yet the final hiring decision was the
      affiliate's, since the employee would spend the majority of his/her time
      outstationed at the affiliate side. Outstationed staff integration to the North
      Shore Community Mental Health Center presented problems, however. Since these
      were new staff hired with federal funds, and since their visibility at the Center
      was minimal, they had some difficulty being identified as Center staff by
      existing employees.(ABSTRACT TRUNCATED AT 250 WORDS)

PMID- 10268753
TI  - C.M.H.C. management, governing board and program evaluation: a tripartite
      coalition.

PMID- 10268754
TI  - A state-wide assessment of training needs of community mental health
      administrators.
AB  - In order to construct a trainee-designed continuing education (CE) program for
      administrators, a training needs assessment of all community mental health
      agencies in Illinois was conducted using a framework of pertinent organization,
      task, and individual variables. Mental health administrators were, indeed,
      interested in CE. Areas of interest included leadership, clinical services,
      planning and evaluation, supplemental services, accountability and accreditation.
      Funding source was the key variable in relation to training priorities. However,
      other variables such as comprehensiveness, caseload, serving all ages, and years
      of experience were also related to training interests. There were contrasts in
      organization, task, and administrator variables but not in training preferences
      in relation to geographic location. Implications of administrator/agency
      descriptive data for the planning of CE are discussed.

PMID- 10268755
TI  - Collection fees: a commentary on changing trends.

PMID- 10268756
TI  - Towards a policy of board governance.

PMID- 10268757
TI  - Consultation and education in rural mental health: core elements for the (lean)
      1980's.
AB  - The consultation and educational components of local mental health centers, which
      flourished in the 1970's, now find themselves being cut back, either along with
      or instead of direct services. This article examines some core ingredients of
      rural mental health consultation and education which can continue even with low
      levels of funding.

PMID- 10268758
TI  - "It's so simple, why didn't I think of it myself?": active marketing strategy in
      perspective.

PMID- 10268759
TI  - Deinstitutionalization--we are aiming at the wrong target.

PMID- 10268760
TI  - A behavioral health systems model for Hawaii: planned change in response to block
      grants & funding cuts.

PMID- 10268761
TI  - Understanding choice: gateway to sound mental health.

PMID- 10268762
TI  - Things they didn't teach in clinical training.

PMID- 10268763
TI  - Patient perception of care as a management tool.

PMID- 10268764
TI  - Getting the most from program consultation: guidelines for mental health
      administrators.

PMID- 10268765
TI  - Matrix structure in social delivery systems.

PMID- 10268766
TI  - Coordinated funding: how to stretch the local mental health dollar.

PMID- 10268767
TI  - Employee leave benefits vs. the need for more "on the job productivity".

PMID- 10268768
TI  - "The view from Snowmass Village.".

PMID- 10268769
TI  - Deinstitutionalization: a microcosmic perspective.
AB  - Changes have taken place in caring for chronic patients due to
      deinstitutionalization, and these changes have affected the services rendered by
      the community mental health centers. Statistical data on dehospitalized patients
      treated in a community mental health center located in the South Central Bronx
      are examined to determine trends in service utilization by these patients.
      Demographic characteristics of this population are also examined. Issues
      surrounding treatment and rehabilitation of chronic mentally ill patients are
      critically explored and recommendations for changes in the care of the
      chronically mentally ill patient are offered.

PMID- 10268770
TI  - Mental health systems and services abroad.
AB  - A cross-national survey of forty-two countries and provinces was undertaken to
      compare mental health policies, mental health services, awareness of these
      services, the evaluation of such services and how mental health care is financed.
      Notable differences were found between respondents and these differences could
      not always be accounted for in terms of the level of the countries economic
      development. Discussions of trends are detailed and suggestions for future
      inquiry are proffered.

PMID- 10268771
TI  - Guidelines for the development of a uniform mental health client data reporting
      system.

PMID- 10268772
TI  - Patient resource volunteer program.

PMID- 10268773
TI  - On deadline...managing special news media events.

PMID- 10268774
TI  - More important than 'what' or 'how' is the 'why' behind individual work
      performance.

PMID- 10268776
TI  - Hospital builds laundry to save money. Commercial lost linens cost too much: LM.

PMID- 10268775
TI  - Toronto central laundry adds 3-million pounds. New tunnel handles extra load
      efficiently.

PMID- 10268777
TI  - Shared services laundry out of red. Facility turns profit and cuts costs.

PMID- 10268778
TI  - Three Philadelphia area hospitals consolidate laundries for economization.

PMID- 10268779
TI  - Hospital laundry starts rental service. Serves area institutions, restaurants.

PMID- 10268780
TI  - The right way to get your patient out of the hospital.

PMID- 10268781
TI  - Biomedical photography '84.

PMID- 10268782
TI  - Changes in workload recording for 1984.

PMID- 10268783
TI  - Realistic staffing via workload recording.

PMID- 10268784
TI  - Three questions that can improve your performance reviews.

PMID- 10268785
TI  - Crisis control workshop. Interview by Bruce Kielty.

PMID- 10268786
TI  - EtO exposure: OSHA's new rule.

PMID- 10268787
TI  - Leisure time takes a toll.

PMID- 10268788
TI  - Home safety.

PMID- 10268789
TI  - Medical records role in risk management.

PMID- 10268790
TI  - MHASC creates innovative savings program with Michigan hospitals.

PMID- 10268791
TI  - Right-to-know legislation and its impact on hospitals.

PMID- 10268792
TI  - Many hospitals report census drops; workforces haven't felt impact yet.

PMID- 10268793
TI  - Cole compensation survey. Executive pay raises slim again, but they stay ahead of
      inflation.

PMID- 10268794
TI  - Hospitals' use of tax-exempt Bonds expected to rise in second half of '84.

PMID- 10268795
TI  - Hospital-based PPOs could find discounts lead to disappointment.

PMID- 10268796
TI  - Price disclosure attracts interest, but hospitals may face pressure too.

PMID- 10268797
TI  - Missouri Baptist marks centennial with its eyes firmly on the future.

PMID- 10268798
TI  - Court ruling clarifies judicial review of physician's ouster by hospital.

PMID- 10268799
TI  - Baby Doe compromise shifts burden to state protection agencies.

PMID- 10268800
TI  - Florida high court takes proposed limited liability amendment off ballot.

PMID- 10268801
TI  - Arizona's healthcare cost war holds lessons for entire nation.

PMID- 10268802
TI  - HCA agrees to $194 million price tag for Forum Group's acute care division.

PMID- 10268803
TI  - HUD grants available for projects that create jobs in depressed areas.

PMID- 10268804
TI  - St. Louis Blues start Alliance health program.

PMID- 10268805
TI  - Why become an accreditation surveyor?

PMID- 10268806
TI  - Researching your market.

PMID- 10268807
TI  - Managing impaired physicians.

PMID- 10268808
TI  - The effects of cost sharing on the demand for prescription drugs in Belgium.

PMID- 10268809
TI  - A creative combination: why commercial and hospital laboratories should unite.
AB  - The trend for existing hospital laboratories to combine with their commercial
      counterparts is a prudent one, the author says. He recommends that hospitals
      continue to perform routine testing, but send the sophisticated, high-technology
      tests to a commercial laboratory. His advice: Several hospitals should join to
      own and operate the central facility in combination with a reference laboratory.
      He concludes with practical suggestions, guided by experience, to make this model
      work.

PMID- 10268810
TI  - A structured approach to evaluating and selecting clinical laboratory information
      systems.
AB  - A number of informal and formal approaches are used for evaluating and selecting
      clinical laboratory computer systems. The authors review the more common methods
      and then explain in detail the multiattribute utility model, which they believe
      is the approach most likely to result in a successful decision.

PMID- 10268811
TI  - A medical laboratory in Saudi Arabia.
AB  - The chairman of this department of pathology and laboratory medicine describes a
      laboratory that "rose from the desert" eight years ago and today impresses
      visiting officials from all parts of the world.

PMID- 10268812
TI  - Will voluntary Rx leaflets to the public be a standard of practice?

PMID- 10268813
TI  - How we broadened the RPh's role in medicine identification.

PMID- 10268814
TI  - Working with groups in patient education.
AB  - Group processes are an effective means of helping individuals change their
      behavior. Of six types of group events, three have particular relevance in the
      health-care setting: individually oriented change groups, group-process oriented
      change groups, and focused-criterion groups. The role health professionals can
      play in designing and implementing group discussion methods is presented.

PMID- 10268815
TI  - A survey of primary-care physician preventive services: implications for smoking
      cessation counseling.
AB  - We surveyed office-based preventive procedures among a random sample of primary
      care physicians. The completed response rate was 60%, with no discernible bias
      between respondents and nonrespondents. Of the ten preventive procedures inquired
      about, seven were offered by more than 70% of the respondents. Further detail was
      obtained for a "tracer" procedure, smoking-cessation counseling. While 73.5% of
      respondents reported offering this, the majority desired additional support in
      their counseling efforts in the form of patient materials, physician guides, or
      continuing medical education workshops. Additionally, 79% felt that feedback
      provided to them concerning their patients' cessation efforts would improve their
      ability to help patients stop smoking.

PMID- 10268816
TI  - Seeking an effective strategy for promoting breast self-examination among women.
AB  - Breast self-examination (BSE) may be effective in the early detection of breast
      cancer, but women must be aware of both the benefit of the procedure and the need
      for regular practice. The purpose of this study was to ascertain the effects of
      modeling plus rehearsal with respect to knowledge, attitudes, and subsequent
      frequency of BSE among women. The sample for this study consisted of 292 college
      students randomly assigned to one of two groups and exposed to: a facilitator
      conducted program using modeling plus rehearsal (treatment group); or pamphlets
      addressing breast cancer and BSE (comparison group). A posttest-only comparison
      group design was used. At completion of the programs, subjects responded to
      knowledge and attitude inventories. Three months later, a questionnaire
      requesting information on BSE practice was mailed to all subjects. Performance on
      the knowledge inventory indicated no group differences (P = 0.05). However, there
      were significant differences between groups in practice frequency and in selected
      attitudes (P less than 0.05). At three-month follow-up, significantly more
      members of the treatment group indicated practicing BSE at least once since
      exposure to the educational program. Conclusions support those of earlier
      investigations and indicate that modeling with rehearsal can be a useful method
      for promoting the practice of BSE.

PMID- 10268817
TI  - Videotaped parent education in pediatric waiting rooms.
AB  - Parents in pediatric appointment clinic and pediatric emergency clinic waiting
      rooms were exposed to a five-minute videotaped program offering parenting tips.
      For half of the parents, the program was presented incidentally on a television
      monitor in the waiting room. The remaining half were asked to view the program
      individually in an adjacent room. Half of the first group actually watched the
      program, and those who watched learned less than half as much as did parents who
      viewed the program in a structured setting. In both conditions, parents rated the
      programs as highly appealing. Type of clinic did not affect parents' awareness,
      learning, or appeal ratings.

PMID- 10268818
TI  - The effects of patient characteristics and beliefs on responses to behavioral
      interventions for control of chronic diseases.
AB  - Tests of behavioral interventions seldom examine changes in health beliefs and
      behaviors thought to be prerequisites of improved outcome health states and they
      do not attempt to specify how patient characteristics or pretest measures
      influence responses to the intervention. In this study an experimental nursing
      intervention, its impact on hypertensive patients' beliefs about their disease,
      efficacy of medications and diet, as well as blood pressure and weight are
      described. Among patients from the experimental group, the ability of selected
      pretest variables to predict clinical outcomes and changes in clinical health
      states was evaluated. The intervention was successful in lowering diastolic blood
      pressure and altering certain beliefs held by the patients. The pretest
      characteristics were not successful in explaining hypertensive patients'
      responses to the intervention. Explanations for this are pursued through remarks
      from the content analysis of the intervention protocol. From these observations,
      the original health belief model was revised. The discussion concludes with a set
      of research questions that may prove promising for future research.

PMID- 10268820
TI  - A guide for laboratory safety inspections.

PMID- 10268819
TI  - From a lawyer-social worker--some thoughts on confidentiality and other matters.

PMID- 10268822
TI  - Employees make the rules.

PMID- 10268821
TI  - Cost cutting and competition to change delivery of services in future.

PMID- 10268823
TI  - Intensive care in small hospitals.
AB  - The scene: a small ICU in a 120-bed community hospital with no resident house
      staff. Emergency coverage is assigned to the emergency room physician. A patient
      in the ICU has cardiac arrest. His physician is called but cannot come to the
      hospital immediately, and the emergency room physician is attending a seriously
      injured patient. In the critical interim, paramedical professionals must shoulder
      the heavy responsibilities for decisions and interventions.

PMID- 10268824
TI  - Transport of a ventilator-dependent patient from Los Angeles to Athens by
      commercial airline.
AB  - When a young man with terminal cancer requested return to his native country to
      spend the remainder of his life with family and friends, the medical team
      assigned to take him home learned firsthand the challenges of caring for a
      ventilator-dependent patient during a long international flight on a commercial
      aircraft.

PMID- 10268825
TI  - Primary Life Systems Department. St. Luke's Hospital, Maumee, Ohio.
AB  - This suburban hospital has succeeded in improving the quality of patient care
      while cutting costs for both personnel and equipment. The traditionally separate
      pulmonary, cardiac, vascular, and neurologic services have been combined into a
      single department. A key element in its success is the training of personnel in
      multiple job functions.

PMID- 10268827
TI  - Regulated cutbacks force hospitals to increase income with cash operations and
      satelliting.

PMID- 10268826
TI  - Quality control in the pulmonary function laboratory.
AB  - Quality control and proficiency testing are well recognized as means for
      evaluating equipment accuracy and technical proficiency use of spirometry in
      physicians' offices, clinics, and industry has brought attention to the need for
      standardization of calibration and testing techniques in pulmonary function
      testing. Minimum specifications for equipment accuracy provide the basis for
      consistency of interlaboratory measurements, and familiarity with operation,
      calibration, and maintenance procedures enhances personnel proficiency.

PMID- 10268828
TI  - Health care programs put emphasis on prevention.

PMID- 10268829
TI  - Automation is the first step to health care cost recovery.

PMID- 10268830
TI  - Student nurses' construction of occupational socialisation.
AB  - This paper examines the occupational socialisation of British nurses. It uses
      Bucher and Strauss's notion of segmentation and considers two major segments
      within nursing: the education segment which, through the colleges of nursing,
      promotes a 'professional' version of nursing, and the service segment which is
      concerned with getting nursing work done. Students' accounts of their training
      were obtained by means of 40 informal interviews. On the basis of these accounts
      it is argued that the students learn neither the education nor the service
      segment's version of nursing, rather they learn to recognise when one version is
      appropriate and the other not and 'fit in' accordingly. The organisation of nurse
      training is based on a compromise between the two segments whereby the students
      move between clinical placements and the college of nursing; in this way both
      versions of nursing are enforceable on the students. The paper argues that
      nursing as an occupation, by its organisation and compromise solution to the
      training of its recruits, supports a transient approach to nursing work itself
      and so implicitly supports a lack of commitment to nursing as an occupation.

PMID- 10268831
TI  - Social class and psychological ill-health during unemployment.
AB  - This study explores psychological health and the experience of being unemployed
      for between 6 and 11 months in two social class groups: unskilled and semi
      skilled workers v. white-collar, managerial and professional workers. The
      respondents were British married men aged between 25 and 39. Information was
      obtained through interviews about financial and other problems, perceived threats
      associated with unemployment, anxiety, depression, general psychological distress
      and ratings of general health. It was expected that the working-class sample
      would exhibit poorer psychological health than the middle-class, but this was not
      confirmed. Medium-term unemployment appeared to have a homogenizing effect, with
      similarly poor health in both social class samples, although working-class
      respondents reported significantly greater financial problems and difficulties in
      filling the time.

PMID- 10268832
TI  - The genesis of chronic illness: narrative re-construction.
AB  - In this paper I demonstrate the way in which people's beliefs about the aetiology
      of their particular affliction (arthritis) need to be understood as part of a
      more comprehensive imaginative enterprise which I refer to as narrative
      reconstruction. The intrinsically teleological form of this enterprise means that
      identified 'causes' represent only putative efficient connexions between the
      disease and antecedent factors but also narrative reference points between the
      individual and society in an unfolding process which has become profoundly
      disrupted. Through the presentation of case material taken from lengthy
      interviews I illustrate the way in which my question to the subjects about the
      cause of their disease: 'Why do you think you got arthritis?' was translated by
      them into a narrative reconstruction of their changing relationship to the world
      in which they live and the genesis of illness within it.

PMID- 10268833
TI  - Health-related economic costs of the Three-Mile Island accident.
AB  - On March 1979, a nuclear power station at Three-Mile Island (TMI) near
      Harrisburg, Pennsylvania, had a major breakdown. During the two-week period of
      the accident, about 150,000 residents were evacuated for reasons associated with
      safety and health. Many residents during and after the accident, regardless of
      whether they left or stayed, made mental and physical adjustments due to this
      accident. This paper is to estimate the economic costs incurred by individuals or
      communities as a result of a change in physical or mental health status and/or a
      change in health care services due to the TMI accident. The findings indicate
      that stress symptoms caused by the accident did affect the health-related
      behaviors of area residents. Of the costs examined, the economic costs of work
      days lost and physician visits are the largest cost items. There were some
      increases in consumption of alcohol, cigarettes, and tranquilizers immediately
      following the accident.

PMID- 10268834
TI  - The primacy of standard antitrust analysis in health care.

PMID- 10268835
TI  - Recovery of childrearing expenses in wrongful birth cases: a motivational
      analysis.

PMID- 10268836
TI  - Information: public or private?

PMID- 10268838
TI  - The misguided quest for the artificial heart.

PMID- 10268837
TI  - Rights of discharged employees.

PMID- 10268839
TI  - Irresistible medical technologies: weighing the costs and benefits.

PMID- 10268840
TI  - New perspectives for medical staff and hospital evaluation committees.

PMID- 10268841
TI  - The integration of quality assurance and productivity monitoring: a case study.

PMID- 10268842
TI  - Medical staff motivation and peer review.

PMID- 10268843
TI  - Quality assurance as a market approach.

PMID- 10268844
TI  - Emergency department quality assurance: perspectives from the teaching hospital.

PMID- 10268845
TI  - A quality assurance study of medication errors in a psychiatric hospital.

PMID- 10268846
TI  - Child abuse reporting versus patient confidentiality.

PMID- 10268847
TI  - An overview of medical staff functions within the hospital.

PMID- 10268848
TI  - Quality of care: bridging the gap between promise and performance.
AB  - A well-organized quality assurance program is the primary mechanism by which
      hospitals maintain the quality of patient care. However, there are other elements
      of quality improvement that can be achieved only through the leadership of the
      board and administration. The author outlines some actions that hospital
      leadership needs to take to ensure continuing improvement in patient care.

PMID- 10268849
TI  - Tracing foundations' pattern of giving for health care construction.
AB  - The philanthropic contributions of foundations have long been recognized as an
      important source of low-cost capital for hospitals. But to what extent do
      foundations contribute to hospitals' capital needs for construction and
      equipment? The authors discuss the findings of an HHS study that queried
      foundations to discover the extent to which they are providing such funds, what
      purposes the grants serve, and the criteria that institutions must meet.

PMID- 10268850
TI  - An informal approach to board evaluation.
AB  - This article provides a brief description of the informal board evaluation
      process that Rochester (MN) Methodist Hospital recently initiated. The evaluation
      process consisted of informal interviews between individual board members and an
      ad hoc committee that included the hospital administrator and the chairman of the
      board.

PMID- 10268851
TI  - How ethics committees can safely navigate untested legal waters.
AB  - If hospital ethics committees are to meet their goal of ensuring that society's
      ethical maturation follows technology's growth and impact, they need to carefully
      formulate their functions before putting them in operation. The author provides
      some important guidelines on how to match the function and form of ethics
      committees so that potential legal problems, such as guardianship, informed
      consent, malpractice, and statutory civil rights issues, can be avoided.

PMID- 10268852
TI  - What to expect from the new tax act.

PMID- 10268853
TI  - Multis' delicate balancing act: corporate goals and local board autonomy.
AB  - Do the responsibilities of local boards in multihospital systems differ from one
      system to another? Can local board autonomy be maintained within the corporate
      goals and mission of the system? This article, which is based on informal
      interviews with system executives, examines how a number of multihospital systems
      select local board members, what duties are typically delegated to local boards,
      and the powers reserved by corporate boards.

PMID- 10268854
TI  - Nominations please! Or how a multi singled out potential trustees.
AB  - As multihospital systems become more geographically diversified, it can be
      increasingly difficult to maintain an effective, systemwide governance structure.
      This article describes the governance structure that Baptist Hospitals and Health
      Systems, Phoenix, has in place, and how it successfully duplicated that structure
      in a large county hospital it recently acquired in Florida.

PMID- 10268855
TI  - Tips for effective merger planning.
AB  - There are many emotionally-charged issues that must be confronted when two
      hospitals decide to merge, from board membership to what clinical services to
      offer and where. The author discusses the major concerns that usually arise when
      a merger is being planned and how the adoption of a guiding set of principles at
      the outset of the process can resolve many of the immediate issues while
      protecting the interests of each institution.

PMID- 10268856
TI  - Pooled financing technique enhances market access, preserves autonomy.

PMID- 10268857
TI  - Two tiers of care: the unthinkable meets the inevitable?
AB  - The controversy over whether or not it is acceptable to have multiple tiers of
      health care continues. In this article, industry leaders discuss the issues
      involved in the ongoing controversy, including the ability of the nation to
      provide a single level of care for all, the role of public hospitals in a multi
      tiered system, and whether high-quality care can be preserved in such a system.

PMID- 10268858
TI  - Transplants--progress along with agony.

PMID- 10268859
TI  - Health care 'class system' forecast.

PMID- 10268860
TI  - Health care reform American style.

PMID- 10268861
TI  - Perspectives. PPOs face antitrust problems.

PMID- 10268862
TI  - Alcoholism: the response of a public hospital.
AB  - This report presents an analysis of the Alcohol Intervention Program (AIP) at
      Parkland Memorial Hospital in Dallas, Texas. This pilot project was initiated in
      January of 1983. A total of 1,822 patients were screened by two trained
      counselors. Operated in the emergency room, the project significantly reduced the
      rate of both hospital admissions and readmissions for patients with alcohol
      related illnesses. This project demonstrated its effectiveness by making
      appropriate referrals to local alcoholism service providers. A total of 387
      patients were referred directly to Alcoholics Anonymous and 440 were referred to
      residential alcoholism programs. Of the latter group, follow-up documentation
      demonstrated that nearly half of those referred remained in treatment for the
      duration of the program.

PMID- 10268863
TI  - Law and reality of involuntary hospitalization.

PMID- 10268864
TI  - Issues in emergency medical services.

PMID- 10268865
TI  - Reducing hospital admissions from a skilled nursing home.
AB  - With good nursing care and the resources of a dedicated skilled nursing facility,
      many nursing home patients usually admitted to a hospital for various medical
      illnesses can be handled within the framework of the skilled nursing facility
      without necessarily incurring an increased nursing home death rate. The medical
      advantage to the patient and to the usually overburdened hospitals, as well as
      the economic advantage to the public in general, calls for a full evaluation and
      consideration of this alternative to the regular and ongoing practice of hospital
      admissions of the elderly nursing home patient. The experiences of Carmel
      Richmond Nursing Home, a skilled nursing facility, have shown that this alternate
      level of approach and care can be quite successful and beneficial to all
      involved, especially the nursing home patient.

PMID- 10268866
TI  - Activities of physicians in urban hospitals.

PMID- 10268867
TI  - Types of organizational decision processes.
AB  - Seventy-eight case studies of decision making were profiled to identify the
      nature of the process. Analysis revealed evaluative, historical model, off-the
      shelf, search, and nova process types. These processes differ in their approach
      to idea generation, the guarantors applied, and process-management rationale.
      Variations in each type are described to lay out the distinctions between the
      processes. The study found that managers do not use the normative methods
      prescribed by scholars for good decision making. Most decision processes were
      found to be solution centered, which seemed to restrict innovation, limit the
      number of alternatives considered, and perpetuate the use of questionable
      tactics.

PMID- 10268868
TI  - Nuclear magnetic resonance as a diagnostic tool in medicine.

PMID- 10268869
TI  - HAS figures. Laundry costs still low.

PMID- 10268870
TI  - Five tips to help your linen control program.

PMID- 10268871
TI  - Reusables more feasible. MHL tests wrappers.

PMID- 10268872
TI  - Congress reaches accord on "Baby Doe' issue after unprecedented consensus effort.

PMID- 10268873
TI  - Determining technologist staffing requirements and productivity in an academic
      setting.
AB  - The department of radiology at New England Deaconess Hospital, in response to the
      recently imposed legislative constraints on reimbursement for the care of
      hospitalized patients, has extended a method developed in 1977 to define staffing
      requirements and productivity and to track departmental operating efficiency.

PMID- 10268874
TI  - Where is MRI heading?

PMID- 10268875
TI  - Digital computers in nuclear medicine. An overview.
AB  - Just a few years ago the role of digital processing and display in nuclear
      medicine was in question. With the emergence of applications that make the value
      of digital processing more evident plus the favorable trends in digital equipment
      price and performance, the controversy has died away. The use of computers to
      acquire, process, and display radionuclide measurements is now routine in many
      hospitals and research laboratories.

PMID- 10268876
TI  - Mammography. Part 2. Evaluation of equipment and guidelines for quality
      assurance.
AB  - Whether existing equipment is modified for use in mammography or a dedicated
      system is purchased, the services of a qualified medical physicist are necessary.
      Factors to consider in modifying existing equipment and in purchasing new
      equipment are detailed, as well as features concerning patient safety. Guidelines
      for quality assurance tests and their respective time intervals are given.

PMID- 10268877
TI  - A safer method of drug distribution.

PMID- 10268878
TI  - Lessons to be learned from Japanese.

PMID- 10268879
TI  - Report of the Chairman of the Board of Regents: the current and serious issue of
      the oversupply of physicians in our nation today.

PMID- 10268881
TI  - Fellowship: the benchmark for American surgery.

PMID- 10268880
TI  - Gatekeeper programs.

PMID- 10268882
TI  - One miracle, many doubts. A feat of heart surgery sharpens the debate over
      benefits and costs.

PMID- 10268883
TI  - Wanted: smoking policies for the work place.

PMID- 10268884
TI  - In defense of smokers.

PMID- 10268885
TI  - The campaign for clean air indoors.

PMID- 10268886
TI  - Life insurer plans for a smoke-free office.

PMID- 10268887
TI  - The dynamics of coordinating benefits.

PMID- 10268888
TI  - Uncovering cover-ups in COB.

PMID- 10268889
TI  - Eliminating duplicate benefits with tighter claims review.

PMID- 10268890
TI  - Worcester a demonstration of health care competition.

PMID- 10268891
TI  - AT & T's medical director promotes healthy life system. Interview by Jane Stein.

PMID- 10268892
TI  - HHS survey illustrates difference in large, small employers' health plans.

PMID- 10268893
TI  - Clearinghouse educates Congress on long-term health policy issues.

PMID- 10268894
TI  - The effects of publicity and policy on smoking and health.

PMID- 10268895
TI  - Expanded view for worksite counseling.

PMID- 10268896
TI  - Broad brush EAP approach.

PMID- 10268897
TI  - EAP evaluation: a problematic exercise.

PMID- 10268898
TI  - CEOs balance corporate, community needs.

PMID- 10268899
TI  - AMA president promotes freedom of choice.

PMID- 10268900
TI  - States seek solutions to problem of caring for medical indigent.

PMID- 10268901
TI  - New breed of PPOs hold promise, but raise numerous legal questions.

PMID- 10268903
TI  - Insurance agents can help small employers avoid health insurance pitfalls.

PMID- 10268902
TI  - Career development can be an important element in employees' health.

PMID- 10268904
TI  - Home care: an industry on the horizon.

PMID- 10268905
TI  - 'I have him back again'. The controversial operation behind him, the world's
      second artificial-heart recipient faces a new life.

PMID- 10268906
TI  - Discontinuation of the acceptance of applications for the repayment of
      educational loans for failure to complete studies--HRA. Notice.
AB  - This Notice announces that, until further notice the Department of Health and
      Human Services will no longer accept applications for repayment of all or part of
      educational loans from former nursing students who failed to complete a course of
      study leading to a diploma in nursing, an associate degree in nursing, a
      bachelor's degree in nursing or equivalent degree, or a graduate degree in
      nursing, as authorized under section 836[j] of the PHS Act. This decision is
      based on the fact that Federal funds are not available for the repayment of these
      loans.

PMID- 10268907
TI  - Grants to State Health Planning and Development Agencies--HRSA. Notice regarding
      grants to State Health Planning and Development Agencies--determination of
      population of the States.
AB  - This notice provides the population figures the Department will use when it
      determines the amount of grants to State Health Planning and Development Agencies
      (States Agencies).

PMID- 10268908
TI  - More insurers formalize coverage for transplants.

PMID- 10268909
TI  - Right programs can help control health care costs.

PMID- 10268910
TI  - Don't overlook self-funding group health plans.

PMID- 10268911
TI  - Bucknam v. Kostuik: disclosing alternative procedures.

PMID- 10268912
TI  - How patients complain...you can count the ways.

PMID- 10268913
TI  - Interior design: making the most of the space you have.

PMID- 10268914
TI  - Studies in design.

PMID- 10268915
TI  - From the drawing board.

PMID- 10268916
TI  - How much space do you really need?

PMID- 10268917
TI  - Bergen vs Sturgeon General Hospital et al: a case of diagnostic malpractice.

PMID- 10268918
TI  - Why consent forms should be phased out.

PMID- 10268919
TI  - Between physician and patient: the technological link.

PMID- 10268920
TI  - Medicare. Is the noble experiment a failure?

PMID- 10268921
TI  - Muriel Driver Memorial Lecture 1984. Quality assurance--reflections on the wave.
AB  - This paper provides an overview of the evolution of quality assurance within the
      health care industry, with emphasis on the development of occupational therapy
      expertise. The current concept of quality assurance, focussed on ongoing
      monitoring and resolution of patient care problems, is discussed. The results of
      a national survey are presented, relating to the development of occupational
      therapy, quality assurance programs in the areas of: expertise in component
      activities, integration of facility and department programs, use of available
      resources, and extent of academic teaching. Predicted health care trends and
      their implications to occupational therapy are presented.

PMID- 10268922
TI  - An occupational therapist as a sexual health clinician in the management of
      spinal cord injuries.
AB  - The Sexual Health Clinician is a health care specialist who is able to assess the
      sexual potential of physically disabled persons and assist them in the
      development of acceptable alternatives in sexual practices. This specialty role
      was first developed at the Spinal Cord Injury Unit, Shaughnessy Hospital in
      Vancouver, B.C., Canada, to answer a need of spinal cord injured patients, their
      partners and family. The opportunity to join the Service arose in May, 1981
      following one year as the Senior Occupational Therapist on the Spinal Cord Injury
      Unit. This paper, which describes the experience of an occupational therapist as
      a member of the Sexual Health Service, is presented in five brief parts: 1. a
      background history; 2. a description of the sexual problems of the spinal cord
      injured and the goals of rehabilitation in this area; 3. the role of the Sexual
      Health Clinician; 4. the strengths and limitations of Occupational Therapy in
      this new role; 5. a brief discussion of the the need for a sex-related role and
      curriculum for students of Occupational Therapy.

PMID- 10268923
TI  - Community care for the chronic mentally ill.
AB  - The movement of chronic mentally ill patients from large mental hospitals into
      the community, seeks to liberate institutionalized clients and substitute a more
      humane environment. This article reviews the types of chronic mental patients now
      living in the community. The differences between a maintenance and a
      rehabilitation model for treating the chronic mental patient living in the
      community are discussed. Special treatment programs for the young adult chronic
      client are also considered. Three questions specific to occupational therapists
      working with chronic mentally ill patients in the community are then explored.
      These are: A. How can we increase the visibility of occupational therapy in
      community mental health?; B. Should occupational therapists be involved in
      programs which have a maintenance, rather than a rehabilitation focus?: and C.
      What has the occupational therapist to offer the young adult chronic client?

PMID- 10268924
TI  - 33rd Annual Welch Memorial Lecture. "2020".

PMID- 10268925
TI  - Quality assurance/departmental audits--new buzzwords in health care.

PMID- 10268926
TI  - Multidisciplinary teams: common goals and communication.

PMID- 10268927
TI  - Joint statement on terminal illness. Canadian Nurses Association, Canadian
      Medical Association, Canadian Hospital Association.

PMID- 10268928
TI  - Do not resuscitate orders and the ethical issues involved.

PMID- 10268929
TI  - Repeated participation in a bereaved parents group: two case studies and
      implications for clinicians.
AB  - Over 30,000 children die each year from catastrophic illness. Groups for the
      bereaved have arisen to address the needs of family members following the
      profound loss of a child. The authors review the commonly held notions of
      "normal" and "pathological" mourning and their special application to bereaved
      parents. The case of two women who participated in their fifth group for bereaved
      parents are presented with the meanings of their repeated attendance examined in
      the context of incomplete mourning. Implications for professionals working with
      bereaved parents are discussed.

PMID- 10268930
TI  - Have a health fair!
AB  - Have a Health Fair! It is an excellent mechanism for teaching health, disease
      prevention, and safety to young children. It also provides many benefits to
      parents, nurses, hospital staff and members of the community.

PMID- 10268931
TI  - Serendipitous findings from a pilot project on preparation of health
      preschoolers.
AB  - Thirty-four healthy preschoolers were pretested and posttested as part of a pilot
      project on preparation programming. Variables associated with their knowledge
      about medical equipment were identified. The results of this small pilot project
      are used to present suggestions for future research evaluating the effects of
      preparation programs for health young children.

PMID- 10268932
TI  - Documentation: key to survival in child life services.
AB  - With the increased demands placed on hospital resources, the need for a
      comprehensive documentation and program accountability system becomes paramount.
      In addition to the provision of services, the child life specialist must generate
      written program description and policy and procedure manuals, participate
      actively in patient charting, maintain quantitative records of clientele served,
      and perform program evaluation. It is only through such comprehensive
      documentation efforts that child life and activity therapy programs can
      demonstrate to administrative personnel: (a) program philosophy and direction,
      (b) quality, cost-effective patient care, and (c) program effectiveness. The
      neglect of these important managerial practices could prove detrimental to the
      continued survival of child life programs.

PMID- 10268933
TI  - A multidisciplinary approach to the role of senior therapist on a child
      psychiatry unit.
AB  - The function of "Senior Therapist" was developed by the social worker and the
      head nurse at the Inpatient Child Psychiatry Unit of the British Columbia
      Children's Hospital. The role of the Senior Therapist lead to a modification of
      the usual medical model by involving other professionals in primary patient care,
      discharge planning, and follow-up services for the young patients and their
      families. The program serves as a model of innovative clinical services.

PMID- 10268934
TI  - An example of a nutrition support team.

PMID- 10268935
TI  - Visiting Nurse Corporation of Milwaukee.

PMID- 10268936
TI  - More medical-legal educational material. Part 2. Physician-patient relationship.

PMID- 10268937
TI  - A study of hospital computer system management.

PMID- 10268938
TI  - Tapping for information systems.

PMID- 10268939
TI  - The human side of the RFP process.

PMID- 10268940
TI  - CONTU revisited: the case against copyright protection for computer programs in
      machine-readable form.
AB  - Professor Samuelson casts a critical eye on the Final Report of the National
      Commission on New Technological Uses of Copyrighted Works (CONTU) which
      recommended that copyright protection be extended to machine-readable versions of
      computer programs. CONTU appears to have misunderstood computer technology and
      misinterpreted copyright tradition in two significant respects. The Commission
      failed to take into account the historical importance of disclosure of the
      contents of protected works as a fundamental goal of both the copyright and
      patent laws. It also erroneously opined that the utilitarian character of a work
      was no bar to its copyrightability when both the statute and the case law make
      clear that utilitarian works are not copyrightable. Since computer programs in
      machine-readable forms do not disclose their contents and are inherently
      utilitarian, copyright protection for them is inappropriate. Congress acted on
      CONTU's recommendation without understanding the significance of these conceptual
      flaws. Professor Samuelson recommends the creation of a new form of intellectual
      property law specifically designed for machine-readable programs.

PMID- 10268941
TI  - Changes in health care use affect premium rates.

PMID- 10268942
TI  - The practice of emergency medicine and the HMO.

PMID- 10268943
TI  - Do female EMTs/paramedics face tougher challenges?

PMID- 10268944
TI  - Hinsdale Hospital: learning about the elements of a good lighting system.

PMID- 10268945
TI  - Hospital contact lens services in the United Kingdom.

PMID- 10268946
TI  - Social characteristics of newly admitted mental hospital patients--a replication
      study.
AB  - Data were examined on all patients entering the admission wards of a large
      provincial mental hospital in 1979. Out of a total of 534 admissions, 470 came
      from permanent addresses, most of the rest from supportive accommodation or
      transitory addresses, while less than 2% were of no fixed abode. Only 73 of the
      sample, mostly aged over 60 years remained in hospital after a year: 17 died and
      444 were discharged. Of the discharged patients, 45(10.3%) could not return to
      their original addresses. Comparison is made with the results previously reported
      from a London mental hospital.

PMID- 10268947
TI  - Administration of clinical units: experiences in a department of anaesthetics.

PMID- 10268948
TI  - Stroke rehabilitation units in the United Kingdom.

PMID- 10268949
TI  - Community antenatal care--a local study.
AB  - Views of 16 general practitioners and 14 midwives on "shared antenatal care"
      revealed local differences in organization, in policy, in the roles of the
      professionals involved, and in the level of communication and co-operation
      between them.

PMID- 10268950
TI  - Pre-operative medical complications in patients admitted to hospital for elective
      orthopaedic surgery.
AB  - At the Royal National Orthopaedic Hospital (RNOH) between 1 November 1981 and 31
      October 1982 3,628 operations were performed and 96 patients were referred
      preoperatively to a physician for clinical assessment of their fitness to
      withstand the operation. In 36 of these patients the operation was postponed
      because of medical complications and in 6 it was cancelled. The commonest reason
      for postponement was uncontrolled hypertension (16 patients). It is likely that
      24 (67%) of the 36 postponements could have been avoided if arrangements had
      existed to record the blood pressure, pulse rate, haemoglobin level and
      urinalysis of each patient at the time of initial hospital attendance.

PMID- 10268951
TI  - Medical arrangements in 108 open-entry Britain marathons, 1983.
AB  - In 108 open-entry full marathons held in Great Britain in 1983 (35 incorporating
      shorter races) the number of static first-aid posts varied from 0 to 28 (median
      9). In 54 (50%) the first of these was within 3 miles of the start but in 11
      (10%) there were none in the first 10 miles. Mobile first-aid arrangements did
      not compensate for the absence of static posts. The numbers of qualified first
      aid staff ranged from 1-250 in events with fewer than 1,000 entrants (67%), and
      18-930 in larger events. Intravenous infusion facilitates were available in 59
      (55); defibrillators in 34 (31%). Drink stations were provided in all events but
      in at least 40 they were spaced more than 2 1/2 miles apart on average. Oral and
      intravenous fluid replacement facilities were available to no greater extent in
      summer events than at other times of the year; 25 of the 57 summer events started
      at or after 11.00 hrs. Races with fewer than 10 first-aid posts had mean contact
      rates of 75 per 1,000 entrants (S.E. 15.4); those with 10 or more, 107 per 1,000
      (S.E. 14.4). Only 160 runners were taken to hospital from all events combined (2
      deaths). The mean hospital contact rate was 1.6 per 1,000 entrants, and was not
      related to the size of entry, density of first-aid posts nor sophistication of
      the first-aid offered. The inadequacy of arrangements in some marathons for
      preventing dehydration and treating collapsed runners on the course suggests that
      marathon organizers should be required to apply consistent, high standards to
      their arrangements for preventing and treating medical problems.

PMID- 10268952
TI  - An analysis of hospital fire reports.
AB  - All fires notified from one English Regional Health Authority for a six-year
      period were analyzed using a method developed by the Department of Fire Safety
      Engineering at Edinburgh University. Three of the important factors in fire
      safety--control of the fire, evacuation from threatened areas and the prevention
      of ignition--are evaluated and recommendations are made with regard to them.

PMID- 10268953
TI  - Correlates of honor ratings in a clinical clerkship employing a faculty forum
      evaluation system.
AB  - 5he purpose of this study was to determine whether or not suspected variables
      affected a surgery clerk's chances of being awarded an honor rating. Findings
      indicated a significant relationship between a student receiving an honor rating
      and his or her preceptor's predetermined level of student advocacy, the number of
      completed patient interview and physical examination write-ups, and final
      examination scores. There was no significant relationship found between honor
      ratings and the preceptor's status, the sequence in which the student was
      discussed or the length of time spent discussing the student at the final
      evaluation meeting, or the number of clinical faculty present at the meeting.
      These results lend support to the faculty forum evaluation approach, but suggest
      a need for further scrutiny of some influencing variables to ensure all students
      are fairly considered and honor ratings judiciously awarded.

PMID- 10268954
TI  - The feedback research approach to evaluation: a method to increase evaluation
      utility.
AB  - The utilization of evaluation results continues to be a great concern among
      professionals in the field. To increase the potential usefulness of evaluation,
      the feedback research approach is proposed as a method that is especially helpful
      in studies that fail to find program effectiveness. Going beyond the bounds of
      the evaluation framework and studying the problem for which the program was
      designed to ameliorate, evaluations that incorporate a feedback research
      component can provide clients with valuable information to guide further program
      development. This paper provides a description of the approach and an
      illustration of its use in an evaluation of a major international corporation's
      health improvement/stress management program.

PMID- 10268955
TI  - Two patients die in Arkansas nursing home fire.

PMID- 10268956
TI  - Allegheny General Hospital: staff cafeteria.

PMID- 10268957
TI  - Dietitians' wages & salaries.

PMID- 10268958
TI  - The future spells opportunity: the time is right for foodservice administrators.

PMID- 10268959
TI  - Is there strength in numbers? Institutional purchasing strategies for the 80s.

PMID- 10268960
TI  - Would Quincy make it as a health educator?
AB  - Commercial television's potential as a source of health-related information is
      nearly unknown. One hundred seventy-six undergraduate students watched a
      fictional, dramatic television program and recorded health information as if they
      were taking course notes. These notes were compared to a "key" developed by a
      panel of health professionals. Slightly less than half (42%) of the total
      possible health information was recorded. Ninety-two percent included some
      specific information about the program's main health theme. Females recorded
      significantly more information than males. Persons who enjoyed the program had
      higher point scores than those who did not enjoy the program. Further research as
      to the usefulness of all varieties of commercial television as disseminators of
      accurate, recognizable health-related information is warranted. Additionally,
      improved skills for students as well as the general public as critical viewers
      are needed.

PMID- 10268961
TI  - Minimizing resistance to death education.
AB  - Death education is now an accepted phenomenon within institutions of higher
      education. Death education is also being taught at the elementary and secondary
      school levels though less is known about its acceptance as a worthwhile
      pedagogical endeavor by parents of school-age children. This article addresses
      the potential sensitivity and hesitation parents may demonstrate relative to
      death education's delicate, multifaceted subject matter and offers some
      suggestions for minimizing possible resistance to death and dying pedagogy. Any
      resistance that parents demonstrate is generally due to their own fear of death
      and dying and their inability to deal realistically with it. Certain antecedents
      of fear and strategies for coping with fear are offered.

PMID- 10268962
TI  - Treating the spiritual dimension through educational imagery.
AB  - Recently, health educators have shown an interest in the spiritual dimension of
      health. Despite this interest, most health educators have taken the "safe"
      approach and avoided the discussion of spiritual issues in the classroom. The
      problem with this avoidance position is that sensitive issues such as sexuality,
      drug use, and death and dying are laden with spiritual implications, particularly
      when students are asked to make personal decisions regarding these issues. The
      present article suggests the use of Educational Imagery as a method for
      incorporating the spiritual dimension into the health lesson. When certain simple
      precautions are taken, the educational imagery technique applied to the spiritual
      dimension can be both useful in meeting educational objectives and in making the
      classroom exciting and interesting for the students. The reader is provided with
      a definition of the spiritual dimension, along with a complete description of
      Educational Imagery. In addition, specific strategies for incorporating spiritual
      health in the classroom are given. The final section of the article includes
      implications and precautions for the teacher.

PMID- 10268963
TI  - Effects of exercise training and dietary behavior modification on weight
      reduction and lipoprotein lipids in female hospital employees.
AB  - A study was carried out to evaluate the relative contribution of exercise
      training and dietary modification on weight loss and selected coronary heart
      disease (CHD) risk factors in overweight female subjects. Forty-eight subjects
      were randomized into three intervention groups. An exercise only group (I), a
      diet only group (II) and exercise and diet group (III). All subjects were
      enrolled for a period of 12 weeks. Groups I and III exercised five days per week
      for a minimum of 40 minutes per session. Groups II and III met two hours per week
      for behavioral modification sessions. After 12 weeks, subjects in all groups had
      lost a significant amount of weight. Groups I and III had positive changes in the
      level of their lipoprotein lipids while group II remained unchanged except for
      their level of triglycerides, which were reduced significantly. Groups I and III
      had a significant increase in work capacity, as well as a significant drop in
      resting heart rate and blood pressure. Results showed that the combined effects
      of exercise and dietary modification can have a more profound effect on weight
      loss when compared with either intervention used alone. The significance of
      exercise induced lipid changes and blood pressure reduction are discussed in
      light of risk status for CHD.

PMID- 10268966
TI  - "Let's be cooperative" at Group Health: a case study in becoming a smoke-free
      workplace.

PMID- 10268965
TI  - The relationship between the federal government and state licensing boards.

PMID- 10268964
TI  - Reflections. You still can't judge a book by its cover.

PMID- 10268967
TI  - Case in point. St. Peter's Hospital.

PMID- 10268968
TI  - Case in point--the answer. Good Shepherd Hospital.

PMID- 10268969
TI  - The progressive management of cardiac disease.

PMID- 10268970
TI  - Cardiac rehabilitation: developing a successful program.
AB  - The Downriver Treadmill Team, a Phase II and Phase III outpatient cardiac
      rehabilitation program, is presented as a prototypical successful program. The
      qualities and attributes of this program are discussed as a means to actively
      promote cardiac rehabilitation directly to the consumer.

PMID- 10268971
TI  - Hospital design to support greater operating efficiency.
AB  - With the new imperative on cost containment and particular emphasis on
      prospective payment, hospital design must support greater productivity. It is
      incumbent on architects and engineers to reduce construction costs; but more
      importantly, to design facilities that improve personnel productivity. Several
      approaches to designing for efficiency are discussed including improving the
      development process; systems building, ease of maintenance, and conserving
      energy; developing the model hospital; minimizing travel throughout the hospital;
      centralization vs. decentralization; automating support systems; designing for
      growth and change; analyzing workflow; utilizing swing space; and emphasizing
      consumer centered care.

PMID- 10268972
TI  - No vacancy: hospital bed needs in the year 2000 and beyond.
AB  - Federal programs in health facility planning once encouraged increases in the
      nation's inventory of hospital beds. More recent programs, however, discourage
      the provision of additional beds. The current controls combined with the
      population, especially in the 65 and over age groups, will lead to a hospital bed
      shortage in the twenty first century.

PMID- 10268973
TI  - Hospital utilization in the twenty first century.
AB  - The combined influence of a number of trends will determine the utilization rate
      of hospitals in the twenty first century. Aging of the population would suggest
      that hospital utilization will increase significantly over the next 40 years;
      however, major changes are taking place in the delivery of health services. This
      article examines the possible combined impact of the aging population, the
      increased use of alternative health insurance policies, and the growth in HMOs.

PMID- 10268974
TI  - Cash planning in the NHS.

PMID- 10268975
TI  - Health management. Ups and downs of a service on trial.

PMID- 10268976
TI  - Health management. Method right--climate wrong.

PMID- 10268977
TI  - Money in the bank.

PMID- 10268978
TI  - Countering the dustbin image.

PMID- 10268979
TI  - US health care. Positive lessons...and pitfalls.

PMID- 10268980
TI  - Ironing out some dirty linen tangles.

PMID- 10268981
TI  - The caring foundation.

PMID- 10268982
TI  - Estate management. Raking over old ground for future use. The professional
      approach.

PMID- 10268983
TI  - Estate management. Breaking down the barriers.

PMID- 10268985
TI  - When a grievance has no appeal.

PMID- 10268984
TI  - Laundry services. The competition hots up.

PMID- 10268987
TI  - Emerging POMIS culture: away from sheer strength toward adaptability.

PMID- 10268988
TI  - The RFP--a management issue.

PMID- 10268986
TI  - Developing neighbourhood networks.

PMID- 10268989
TI  - Curing a hospital's growing pains.

PMID- 10268990
TI  - LANS for the physician's office.

PMID- 10268991
TI  - Managing home care businesses. Coping with union organizing attempts.

PMID- 10268992
TI  - An interview with: William Robert Clouse.

PMID- 10268993
TI  - Making use of a fire brigade as a loss prevention tool.

PMID- 10268994
TI  - The surgical case cart.

PMID- 10268995
TI  - Case-per-cart management: a new approach.

PMID- 10268996
TI  - Working within architectural restrictions to achieve an effective surgical case
      cart system.

PMID- 10268997
TI  - The case-per-cart system: educating the operating room and central processing and
      distribution staff.

PMID- 10268998
TI  - Implementing a case cart system in an existing hospital: a team approach.

PMID- 10268999
TI  - The organizational concept for case-per-cart delivery support.

PMID- 10269000
TI  - Cycle counting as a method for improving perpetual inventory accuracy.

PMID- 10269001
TI  - Applications of the SPD concept to prime vendor relationships.

PMID- 10269003
TI  - Patient transport and material: they will manage.

PMID- 10269002
TI  - Symbiosis: material management and the operating room.

PMID- 10269004
TI  - Central service: yesterday, today and forever?

PMID- 10269005
TI  - Robotic technology in health care settings. The goal--increased productivity.
      Part II. Applications already in use.

PMID- 10269006
TI  - How do you handle an employee who steals?

PMID- 10269007
TI  - How to finance employee education: hospital and employees should both gain.

PMID- 10269008
TI  - "The Humpty Dumpty syndrome"--patient falls--standing your ground.

PMID- 10269009
TI  - How department heads can use cost studies to reduce hospital costs.

PMID- 10269010
TI  - Teaching clerical support staff effective techniques for dealing with behavioral
      problem patients.

PMID- 10269011
TI  - How to write nursing care plans--an easy five step method.

PMID- 10269012
TI  - Central service Q & A: running a biological indicator with every flash load.

PMID- 10269013
TI  - How to save time, money and personnel in central service and infection control.

PMID- 10269014
TI  - Central service/materials management: meeting the challenge of DRG's.

PMID- 10269015
TI  - Hospital topical law. A hospital board vs a staff physician.

PMID- 10269016
TI  - Robotic technology in health care settings. The goal--increased productivity.
      Part I. Overview.

PMID- 10269017
TI  - Financial support of health care coalitions increasing.

PMID- 10269018
TI  - HMO drug sales exempt from antitrust statute.

PMID- 10269020
TI  - Status report: health planning and capital expenditure regulation.

PMID- 10269019
TI  - State courts rule on removal of life-support systems.

PMID- 10269021
TI  - Treasury's modified flat tax proposal could adversely affect tax-exempt
      hospitals.

PMID- 10269022
TI  - HHS publishes proposed regulations to implement "Baby Doe" sections of Child
      Abuse Act.

PMID- 10269023
TI  - An age old problem...who will care for our elderly?

PMID- 10269024
TI  - Make incident reports more than an exercise on paper.

PMID- 10269025
TI  - Administrators need not fear residents' councils.

PMID- 10269026
TI  - Yes, we can humanize bottom-line management.

PMID- 10269028
TI  - Get employees in shape with a fitness program.

PMID- 10269027
TI  - Native liaison lessens the trauma of hospitalization.

PMID- 10269029
TI  - Health education versus health promotion--a practitioner's view.

PMID- 10269030
TI  - Towards a definition of health education and health promotion.

PMID- 10269031
TI  - An evaluation of two antenatal information booklets.
AB  - The readability of two antenatal education books which are widely distributed to
      expectant mothers was assessed. There were some significant differences, and it
      was anticipated that this would be reflected in the levels of information
      imparted to the mothers, particularly when they were analysed by social class. In
      practice the differences were small, and the only one of significance was that
      the book which was believed to be more readable and more attractive in format
      resulted in higher knowledge scores in social classes I and II, but not in social
      classes III to V. Possible explanations for this are discussed. Clear benefit in
      terms of knowledge was demonstrated when mothers received a book in advance of
      their attendance at the antenatal booking clinic. They arrived better prepared
      and better informed, with knowledge to help the healthy development of the foetus
      at an early stage in pregnancy. The additional postage costs in sending out
      booklets is considered justifiable.

PMID- 10269032
TI  - Regional continuing education for HEOs--East Anglia.

PMID- 10269033
TI  - Building a Trojan horse. Science under the Reagan Administration.

PMID- 10269034
TI  - Pain and plenty. Income polarization and health in the '80's.

PMID- 10269035
TI  - A systematic decision.

PMID- 10269036
TI  - When Diana spoke, hospitals listened.

PMID- 10269037
TI  - Health industry bar coding--a management perspective.

PMID- 10269038
TI  - The older employee: harvesting the experience. Interview by Barbara Feiner.

PMID- 10269039
TI  - Shops on wheels. The gift cart option.

PMID- 10269040
TI  - Pharmacist's role when dispensing pressurized aerosols for asthma.
AB  - Pharmacists should ensure that patients with asthma know how to use their
      pressurized aerosol medication, including bronchodilators and steroids.
      Inappropriate inhalation technique with these agents is common and may result in
      suboptimal response or therapeutic failure. Instruction by the pharmacist should
      include demonstration of the inhalation technique as well as the use of verbal
      and printed information. After demonstrating the use of the inhaler, the
      pharmacist should observe the patient to verify proper use. Instructions should
      be reinforced when prescriptions are refilled or if the patient is readmitted to
      the hospital. For patients who cannot learn proper inhalation technique,
      extension devices are now available.

PMID- 10269041
TI  - Utilization review report.

PMID- 10269042
TI  - Staffing levels: how do you compare?

PMID- 10269043
TI  - Types of selected security devices for hospital pharmacies.
AB  - Every pharmacist, whether in the hospital or in a community environment, faces
      the daily possibility of a holdup, burglary, or forged prescription. Statistics
      on drug-related crime are on the upswing as an increasing number of perpetrators
      recognize that wholesalers and hospitals are large depots of injectable narcotics
      and controlled substances. In response to this, many Federal drug crime laws and
      increased security have been proposed. This report identifies many types of
      security devices available to provide early warning or deter robberies. They
      include perimeter security systems, motion detectors, surveillance cameras,
      bullet-resistant windows, and key-lock systems. This report also suggests several
      considerations to be used in developing a security system in a hospital pharmacy.
      A basic understanding of security devices will enhance the manager's ability to
      choose the appropriate devices(s) for a particular service.

PMID- 10269044
TI  - Audit of digoxin prescribing in ambulatory patients.
AB  - Digoxin prescribing for ambulatory patients with uncomplicated congestive heart
      failure in normal sinus rhythm (UCHF) was evaluated. The audit was conducted at a
      hospital primary care clinic and was performed retrospectively over a recent 2
      year period. The audit focused on the discontinuance of digoxin prescribing and
      the attendant monitoring necessary. There was 34 patients prescribed digoxin
      during the study period who were classified as UCHF. Of these, 23 (68%) met our a
      priori criteria for digoxin discontinuance. However, only three of the 23 were
      discontinued and none met the criteria for proper follow-up. With regard to
      monitoring, the average patient was seen once every 2 months, but in fewer than
      half of the visits the patient was assessed on basic subjective and objective
      parameters of CHF status and digoxin toxicity. These results are being used in an
      educational program for the clinic physicians who before the audit had perceived
      their care of digoxin patients to be optimal.

PMID- 10269045
TI  - Cost effective method of implementing decentralized unit dose pharmacy services
      in a Friesen setting.
AB  - A limited decentralized drug distribution system was implemented at the Graduate
      Hospital, a 310-bed Friesen Concept teaching hospital. This mobile system
      services 252 medical/surgical beds on three floors of the hospital. Operation was
      limited to hours of peak demand for pharmacy services and to initial doses. The
      system was able to reduce turnaround time from 217 minutes to 90 minutes for 80
      85% of newly written orders. Further, the systems was found to increase the
      availability of the pharmacist as a reference source and to clarify unclear or
      inappropriate orders. This approach required no increase in full-time equivalents
      and minimal capital expenditure.

PMID- 10269046
TI  - Financial management issues. Position control procedure: Part 2.

PMID- 10269047
TI  - The CCRC as a business opportunity: consider the issues.

PMID- 10269048
TI  - Tax-exempt leasing offers savings.

PMID- 10269049
TI  - Industry notes.

PMID- 10269050
TI  - Shared savings finance energy investments.

PMID- 10269051
TI  - A practical approach to capital investment decisions.

PMID- 10269052
TI  - Survey results show diversity in sources, uses of working capital.

PMID- 10269053
TI  - The Health Maintenance Plan (HMP) of Wisconsin Physicians Service.
AB  - The origin and development of the Health Maintenance Plan of Wisconsin are
      discussed in relation to participants in the plan, the Wisconsin Medical Society
      and its similarity to alternative health care delivery systems. The roles of
      primary, referral, and non-participating physicians are also described. The
      author suggests that relationships among physicians in the community remain
      collegial and that hospitals are not affected adversely. The elements which have
      contributed to the success of this plan, one of the largest in the United States,
      are discussed in general terms.

PMID- 10269054
TI  - Consumer-sponsored prepaid group practice: restructuring the health care system.
AB  - The traditional separation of health care delivery and financing systems is
      breaking down as various new types of health care facilities are established and
      as payment continues to be a major concern. Group Health Cooperative of Puget
      Sound (GHC) was organized as a prepaid group practice system responsive to
      consumers. Costs, methods of payment and delivery of care are interrelated and
      are all influenced by consumer ownership. GHC has been refining its benefit
      programs since 1945. Strategies for controlling use and costs focus on improved
      provider management and on flexibility. This article explains how the structure
      of GHC benefits the consumer.

PMID- 10269055
TI  - Blue Cross/Blue Shield-sponsored prepaid individual practice.
AB  - The HMO is no longer a fledgling idea in the Blue Cross/Blue Shield System. There
      are 45 Blue Cross/Blue Shield Plans throughout the country which sponsor a total
      of 54 HMO programs with about 1,040,000 members. Among those 54 programs are
      staff models, group models, Individual Practice Associations (IPAs), and other
      structures. This analysis is confined to the Minnesota affiliate corporation,
      "HMO Minnesota."

PMID- 10269056
TI  - Changes in corporate organization of the health care system.
AB  - Health care financing has undergone numerous structural changes over the years.
      Change continues while extreme growth seriously affects the health care focus.
      The author examines the multiclass system and health financing trends.
      Restructuring techniques are also discussed.

PMID- 10269057
TI  - Geisinger Medical Center and the Geisinger Health Plan: the rural HMO.
AB  - The Geisinger Health Plan (GHP) in Danville, Pennsylvania represents one of the
      nation's first rural health maintenance organizations. Opened in the Geisinger
      Medical Center in 1972, this hospital-based, multi-specialty group practice today
      provides comprehensive care to an enrolled population of 6,000 members in Montour
      County. Cost and utilization statistics for GHP compare favorably with other HMO
      settings.

PMID- 10269058
TI  - Prepaid group practice in a metropolitan area: Health Insurance Plan of Greater
      New York.
AB  - This article presents an overview of the benefits of prepaid group practice to
      the efficient delivery of medical care in a large metropolitan area. The
      management techniques of the Health Insurance Plan (HIP) of Greater New York are
      examined. Included is a short history of HIP, the problems it has faced, and how
      it overcame them.

PMID- 10269059
TI  - Maintenance drug option plans.

PMID- 10269060
TI  - The hospital corporate negligence doctrine.

PMID- 10269061
TI  - Hospital-sponsored group practice.
AB  - Henry Ford Hospital, a 1,000-bed institution in central Detroit, is being
      developed into a "center of excellence" with expansion of ambulatory care to
      suburban satellite clinics. A hospital-based HMO has been started in an effort to
      cut costs, decentralize care, and provide an alternative to Blue Cross. It has
      been successful and is now being considered as a solution to Michigan's Medicaid
      problems. Background and analysis follow.

PMID- 10269062
TI  - Creating competitive weapons from information systems.
AB  - As the pace of competition intensifies in the 1980s, information systems will
      emerge as critical new weapons in the battle to gain an advantage over
      competitors. The authors show how a business can use modern information
      technologies to create a competitive edge by adding value to present products and
      services.

PMID- 10269063
TI  - Hospital's television programs educate diverse audience.

PMID- 10269064
TI  - CHA, federal and state officials analyze health needs of poor.

PMID- 10269065
TI  - When values compete: ethics committees and consensus.
AB  - When conflict arises between physicians's commitments to prolong life and to
      relieve suffering, health care providers must assess the purpose of medical
      practice. Concepts that must be clarified and translated into action are "quality
      of life," "relief of suffering," "inevitable death," and "normal care." A
      multidisciplinary ethics committee brings together individuals with varied
      backgrounds: those with philosophic or religious training, physicians, nurses,
      administrators, attorneys, and others. Consultation among these persons
      representing the intellectual cultures in the health care structure can benefit
      the quest for the "right" decision. In a similar way, an ad hoc coalition of
      representatives from various groups, including The Catholic Health Association,
      agreed on the language of an amendment to SB 1003, which mandates ethics
      committees to recommend guidelines for treating handicapped newborns. In addition
      to examining scientific issues (e.g., brain damage, permanent unconsciousness)
      and humanistic concerns (e.g., the guidance provided by religious beliefs,
      incompetent patients), the committee would on occasion sponsor a subcommittee to
      deal with a specific patient problem in which preservation of privacy precludes
      large-group discussion. Such a subcommittee could also approach a range of
      questions beyond the use of life-sustaining treatment, such as consultative
      practices and physician and hospital fees. To be effective in improving quality
      and appropriateness of health care, ethics committees must relentlessly deal in a
      frank manner with the problems of contemporary medical practice. They must not
      avoid contentious problems or protect hospitals and physicians rather than
      patients.

PMID- 10269066
TI  - Marketing health services: the engineering of satisfaction.
AB  - Service marketing is the engineering of satisfaction, and the key to success is
      to identify and influence potential customers' expectations and then to fulfill
      those expectations. Patient satisfaction largely determines both a program's
      revenues and expenditures and the effectiveness of care received by patients. A
      program's ability to satisfy patients rests upon three basic elements: research,
      design, and communication. Research should be on two levels. The first is basic
      market assessment and analysis, and should reveal overall market potential by
      focusing on consumers' expectations, unmet needs, and level of satisfaction. From
      this stage of research, the organization should be able to identify current
      programs that are secure and stable, those which have significant growth
      potential, those which are threatened by competition, and those which have little
      future. This research also should indicate the potential for new programs and for
      new markets for existing programs. The second level of research focuses on a
      specific program (whether current or proposed) and is the basis for program
      design. The organization can tailor the program to consumers' expectations in
      everything from services provided to price of parking and other amenities.
      Research also provides a basis for communications. Not only can communications
      influence a potential customer to try a provider, but also care providers can use
      communications during and after the service experience to reinforce what might
      have been a casual decision. Ideally, all communication that occurs between
      patients and providers should serve marketing as well as diagnostic and
      therapeutic purposes. It can shape patients' expectations, reinforce satisfaction
      when those expectations have been fulfilled, and convey the provider's caring and
      concern.

PMID- 10269067
TI  - Developing a PPO: challenges and benefits.
AB  - When deciding upon which kind of alternative delivery system to develop, Saint
      Vincent Charity Hospital and Health Center, Cleveland, selected the preferred
      provider organization (PPO) mode because of four basic advantages: (1) the health
      care consumer's freedom to choose providers; (2) effective cost containment; (3)
      coordination of services among allied providers; and (4) health promotion
      programs. More specifically, the Ohio Health Choice Plan (OHCP) benefits
      hospitals by assisting to maintain or increase market share, facilitating prompt
      claims payments, and improving financial mix. Physicians benefit not only because
      they receive prompt payment and are not a risk but also because the fee-for
      service system is retained and their market shares can also be preserved or
      enhanced. Employers' advantages include savings through controlled utilization,
      positive employee relations, and improved management information. Employees'
      benefits include lower out-of-pocket costs and freedom of choice. As a full
      service PPO, the organization provides benefits plans designed to meet each
      employer's needs as well as actuary services, claims screening and processing,
      benefits coordination, utilization control, management reporting, health
      promotion activities, and networking capabilities. Four major challenges do
      confront PPOs: 1. Start-up and operating costs can be significant; 2. The
      administrative skills required are different from those used in traditional
      health care systems; 3. The commitment in implementing and operating a PPO; and
      4. All participating providers must genuinely accept the PPO. A PPO's success
      also can be measured in three ways: the development of a strong network; size of
      enrollment; and effectiveness in utilization control.(ABSTRACT TRUNCATED AT 250
      WORDS)

PMID- 10269068
TI  - Anointing of the sick: community celebration.
AB  - With the recent more celebrative attitude toward the sacraments comes the concern
      that people will not recognize the ceremonies' call to conversion and to the
      sharing in Christ's mystery--experiences that occur during life's crises, such as
      serious illness. The Anointing of the Sick permits the recipient to witness
      Christ's own suffering and thus is much more than a "blessing" for individuals.
      It is a rite that must be celebrated in the context of the community's total
      pastoral life as part of an overall program of care of the sick. This community
      attention to the sick encourages anointing as soon as serious sickness is
      apparent, when the recipient can enter the ceremony consciously. The sacrament
      can be fruitfully celebrated with unconscious persons, however. With friends and
      relatives present, the event can minister to the community as well as to the sick
      person. Sickness should not be too narrowly defined. Elderly, suicidal, or
      alcoholic persons who wish to relate their conditions with Christ's sufferings
      can benefit from this sacrament. The need for anointing is often greatest in the
      health care setting, where time may be lacking for proper catechesis or
      celebration. To remedy this, pastoral care personnel can prepare a brochure
      explaining to patients and families the facility's sacramental practice and can
      encourage family and staff members to be present at the rite. They can avoid
      administering the sacrament hurriedly. These actions focus on the purpose of the
      anointing: to provide an opportunity for people to join in a celebration of their
      faith.

PMID- 10269069
TI  - Communicating hospitals' concerns to legislators and the community.
AB  - The time is past when voluntary hospitals could afford to be uninformed and
      inactive in public affairs. As decisions in the public sector increasingly
      threaten not-for-profit institutions, Catholic hospitals particularly must pursue
      an action-oriented program of communication with legislators and the community.
      At Carney Hospital, Boston, an especially effective forum for the past eight
      years has been buffet dinners held on a quarterly basis with state and
      congressional legislators and representatives of the hospital's management team,
      board of trustees, associate board, and medical staff. These dinner meetings
      provide a singular opportunity for law-makers to learn hospitals' perspective on
      key issues such as the effect of tightened reimbursement on care of the poor. The
      dinners not only have enhanced relations with legislators but also raised the
      consciousness of the business community, consumers, and the general public.
      Frequent mailings to legislators and members of the board of trustees and the
      associate board also have beeN helpful. The associate board was formed to augment
      the expertise of the board to trustees and to increase lay participation in the
      hospital's affairs. Composed of 20 lay leaders representing a diversity of
      disciplines, the associate board provides a strong base for influencing public
      policy and community action. Moreover, the hospital's various constituencies-
      physicians, employees, volunteers, and auxilians-are recruited as appropriate to
      contact legislators, write letters to the editor, and give media interviews. Also
      important in the facility's public affairs efforts have been timely responses to
      requests for action from The Catholic Health Association, the American Hospital
      Association, and the state hospital association.

PMID- 10269070
TI  - Center provides research, treatment for Hansen's disease.
AB  - The National Hansen's Disease Center is a unique research, training, and
      treatment complex at Carville, LA, for Hansen's disease (leprosy), a chronic
      illness affecting an estimated 15 million people worldwide. The Daughters of
      Charity of St. Vincent de Paul helped establish it in 1896, and in 1921 the
      center became a federally funded institution. SUlfone drug treatment, a major
      advance, was begun there. Scientists at Carville study the disease's unknown mode
      of transmission; training administrators conduct learning seminars; and
      laboratory researchers produce bacteria samples to be distributed as possible
      vaccines. Some patients receive treatment and leave, whereas others reside at the
      self-contained community. Reconstructive surgery is performed there, and special
      footwear is made. Some patients work on The Star, a magazine dedicated to
      correcting misconceptions about the disease and its communicability. The center
      includes a school and a pool and golf course. Hansen's disease care programs are
      available in many states and are expanding to other areas.

PMID- 10269071
TI  - May a Catholic hospital allow drugs that accelerate abortion?

PMID- 10269072
TI  - Congregation's new ministry provides housing for poor.

PMID- 10269073
TI  - Community mental health and the elderly: service and training approaches.
AB  - There is a growing gap between needed and available mental health services for
      older adults. This article discusses the training needs, personnel shortages, and
      lack of effective service programs and proposes some strategies for dealing with
      the problems. There is a lack of adequate methods for identifying and referring
      frail elderly persons in need of mental health services. Services that are
      currently available to the elderly are identified along with factors that may
      influence their use by older adults and other service personnel. There are
      shortages of mental health professionals with special training and experience in
      gerontology and geriatrics, and clinical geropsychologists. An innovative and
      practical service model that was developed to coordinate and integrate the
      identification and treatment of frail, community-dwelling elderly is presented.
      Various aspects of the program that include outreach and case management
      approaches, the integration of student volunteer activities with those of special
      volunteer corps within public housing and specially trained paraprofessionals,
      telephone reassurance programs, and a system of layered supervision are
      described. Comparisons are made between this Coordinated Agency Resources for
      Elderly Services (CARES) model and existing service delivery programs. A three
      tiered approach to training and coordinating the activities of trained mental
      health personnel: (a) paraprofessionals and volunteers, (b) middle-level
      professionals and (c) supervisory professionals within an integrated system is
      proposed. Specific roles and functions of personnel at each level are described.
      The summary discusses the potential of the proposed strategies for dealing with
      the problems created by the shortage of personnel and services. It suggests some
      time frames within which the strategies could be operationalized.

PMID- 10269074
TI  - Improved medical care for the elderly: intervening in medical education.
AB  - It is the premise of this paper that certain instructional interventions in the
      medical school behavioral science curriculum will eventually improve the health
      care received by elderly patients. Four content areas for such intervention are
      reviewed: patient adherence to medication regimens, risk and management of
      psychosocial stress, responses to chronic illness, and doctor-patient
      communication patterns. The final section describes research that supports the
      long-term efficacy of such curricular interventions.

PMID- 10269075
TI  - Pre-admission education brings early involvement.

PMID- 10269076
TI  - At home on Golden Hill.

PMID- 10269077
TI  - Working with the family council.

PMID- 10269078
TI  - Family life at Bryans.

PMID- 10269079
TI  - In West Virginia it's family style.

PMID- 10269080
TI  - Go fishing and hook a visitor.

PMID- 10269081
TI  - Fitness is a family affair.

PMID- 10269082
TI  - Turning transfer trauma to triumph.

PMID- 10269083
TI  - Decision-making in long term care facilities--the role of the family.

PMID- 10269084
TI  - Family-centered care begins with staff.

PMID- 10269085
TI  - Start-up analysis for marketing strategy.
AB  - The complex start-up effect on utilization of health care services is too often
      overlooked or underestimated by marketing planners, leading to a range of
      negative consequences for both the users of services and the provider
      organization. Start-up analysis allows accurate estimation of these utilization
      effects for coordinated strategic planning among marketing finance, and
      operations.

PMID- 10269086
TI  - Role of referent selection in primary care provider choice and satisfaction.
AB  - This study reports the results of a large scale mail survey designed to identify
      and assess the sources of influence used in choosing primary medical care
      providers. Distinctive referent utilization patterns were identified for
      particular demographically defined market segments. Additionally, patient
      satisfaction with primary care providers was shown to be related to referent
      selection preferences.

PMID- 10269087
TI  - The medical staff and the development of hospital marketing programs.

PMID- 10269089
TI  - Evaluating a marketing consultant: a consultant's viewpoint.

PMID- 10269088
TI  - Marketing the Health Protection Plan.

PMID- 10269090
TI  - Factors affecting rural consumers' satisfaction with medical care.
AB  - This study examines various factors which influence consumer satisfaction with
      medical care at a family practice office of a randomly generated sample of 259
      rural households. Consumer perceptions regarding physician competence, seeing the
      same doctor on successive visits, and whether the physician's office is meeting
      the general medical needs of the community were important predictors of
      satisfaction. Marketing implications are suggested to increase the economic and
      professional viability of medical practice.

PMID- 10269092
TI  - Six challenges for the future.

PMID- 10269091
TI  - Career preparation for leadership in the university teaching hospital.

PMID- 10269093
TI  - On using workforce characteristics to prepare and counsel students for hospice
      administration.

PMID- 10269094
TI  - International health administration experiences: issues for sponsors and
      participants.

PMID- 10269095
TI  - Whither the master's thesis? One program's approach.

PMID- 10269096
TI  - A new educational program in the Netherlands: health care administration.

PMID- 10269097
TI  - Shared progress, issues, and responsibilities.

PMID- 10269099
TI  - Administration/consultation: the staff interview.

PMID- 10269098
TI  - Quality circle in a rural mental health center?

PMID- 10269100
TI  - Issues of accountability in mental health administration.
AB  - The issue of accountability in state hospitals and state schools-hospitals can be
      expected to remain paramount in the future. Almost all areas of mental health
      services are being scrutinized by consumers who are demanding more for their
      money. From the Perspective of the mental administrator consumers will have to
      become a more meaningful part of the decision making process to produce
      productive changes in these human service fields. Thus, to this end, human
      service institutions must have the ability to function as open systems and must
      develop a sense of responsiveness to their consumers' needs.

PMID- 10269102
TI  - Ethics and administration.

PMID- 10269101
TI  - The incompatibility between psychiatrists' expectations and organizational needs
      of community mental health centers.

PMID- 10269103
TI  - A unique approach to performance standards for clinicians in a CMHC.
AB  - Performance standards were developed for clinicians of a large comprehensive
      mental health center. Clinicians were required to provide a minimum average of 20
      hours of face-to-face service per week. Credit values, ranging from .5 to 3.0,
      were assigned for each hour of service provided based on the difficulty of the
      service to deliver and the amount of paperwork required. Total credits were
      considered as an extra accomplishment and utilized as a criterion for determining
      merit increases. The results indicated an increase in the utilization of family
      and group therapy as well as a more equitable system for evaluating widely
      differing services.

PMID- 10269104
TI  - The left hand finally meets the right: development of linkages between a state
      hospital and community mental health centers--why it worked and continues to
      work.
AB  - In January, 1981, Central State Hospital and eight Community Mental Health
      Centers within the Hospital's Service Area formed a Task Force for the purpose of
      strengthening linkages. Several concrete accomplishments have resulted and
      continue to result due to the efforts of this Task Force. The Authors describe
      why they believe the Task Force has been so successful. (This article was part of
      a presentation made at the 1983 Annual Meeting of the Association of Mental
      Health Administrators in San Antonio).

PMID- 10269105
TI  - Monitoring mental health contract services: a management approach.

PMID- 10269106
TI  - Psychiatrists and the private psychiatric hospital. "Closed staff model vs. open
      staff model".

PMID- 10269107
TI  - Improving the record-keeping performance of direct service personnel.
AB  - Record review procedures and contingent performance feedback were used to monitor
      and improve the record-keeping performance of human service staff in a behavioral
      residential treatment setting. A multiple baseline design was employed across
      three groups of B.A.-level human service personnel. The study consisted of five
      conditions: (1) Baseline 1; (2) Written Instructions (memoranda); (3) Written
      Performance Feedback; (4) Verbal Performance Feedback; and (5) Baseline 2 (return
      to the Baseline 1 condition). Dependent measures included highly reliable ratings
      by independent observers of the (1) essential documents present in case records,
      (2) documents approximately located/organized in case records, and (3) an overall
      rating of documents present, correctly organized, signed and dated, and not
      duplicated in the records. Results indicated that the procedures most frequently
      used to provide feedback to human services personnel--meetings, policy and
      procedure manuals, and/or written memoranda--were not as effective as verbal
      feedback sessions in prompting staff participation in case record maintenance.
      Findings were interpreted to suggest that, with adequate training, supervision,
      and performance appraisal, direct service personnel in residential treatment
      settings can effectively manage clients' case records and become more involved
      in, and committed to, accountability and quality control.

PMID- 10269108
TI  - Delineating management authority in community mental health centers.

PMID- 10269109
TI  - General hospital psychiatry in the 1980's.
AB  - There has been an increasing amount of attention being given to the role of
      community hospital based inpatient psychiatric services in the face of changing
      utilization patterns, state hospital deinstitutionalization and cutbacks in
      community support programs. These trends have converged over recent years to
      reshape the nature of psychiatric practice in the general hospital setting. It is
      likely that these trends will continue throughout the 80's and that general
      hospital based services will become increasingly pivotal in the care of mental
      illness at the community level. The challenge facing such programs will be adapt
      creatively to the changing demands of the market environment while maintaining
      the integrity of existing programs and coping with the pressures that these
      changes place on staff.

PMID- 10269110
TI  - Resident advocates: a mechanism for protecting the rights of institutionalized
      mentally retarded.

PMID- 10269111
TI  - Designing an incentive plan for outpatient therapists.

PMID- 10269112
TI  - The Oklahoma experience: a systems approach to budget cuts in community mental
      health.

PMID- 10269113
TI  - The use of music with hospitalized infants and toddlers: a descriptive study.
AB  - This clinical study was conducted to examine the effectiveness of music in
      decreasing stress behaviors exhibited by hospitalized infants and toddlers. The
      sample consisted of 27 hospitalized infants and toddlers, ages 5 weeks to 36
      months, who had demonstrated stress behaviors (defined as crying, throwing
      objects, absence of vocalization, lethargy, and/or body tension) during 15-minute
      observation sessions. Each subject was assigned to a music program implemented by
      a Registered Music Therapist (RMT) on the Child Life staff. Programming included
      relaxation, didactic games, movement, and songs. Sessions lasted from 15 minutes
      to 1 hour. During the sessions, the subjects were observed and their behaviors
      were recorded on a checklist. Results of the study indicated that music plus
      interaction with a music therapist effectively reduced stress-related behaviors.

PMID- 10269115
TI  - Hospital acquired infection--the role of the World Health Organisation.

PMID- 10269114
TI  - The evaluation of bedpan washer/disinfectors.

PMID- 10269116
TI  - Gastrointestinal endoscopy--the hazards of infection.

PMID- 10269117
TI  - Decontamination of fibrescopes--recent developments.

PMID- 10269118
TI  - The present state of medical records library and education of medical records
      administration in Japan.

PMID- 10269119
TI  - Emergency medicine and trauma care in Japan.

PMID- 10269120
TI  - Quality assurance programs in Japan.

PMID- 10269121
TI  - The plan of medical treatment in the Senri area and its development.

PMID- 10269122
TI  - Japanese medical system and regional medical treatment.

PMID- 10269123
TI  - International Hospital Federation Regional Conference, Seoul Korea, 1984.
      Hospitals and primary health care in achieving for all by the year 2000. Future
      role of hospitals in Japan.

PMID- 10269125
TI  - Do quality-of-work-life programs violate Section 8(a)(2)?

PMID- 10269124
TI  - An analytical study in the use of space in Japanese hospitals.

PMID- 10269126
TI  - Who is working for whom?
AB  - A recent trend in many medical groups toward management aiding in "employee self
      fulfillment" leads to the question, "Who is working for whom?" The author of this
      article firmly believes that a manager's expectations, encouragement, and support
      of his employees must be used to balance his own personal intelligence,
      knowledge, and skills if he is to be successful in his job. A manager's strong
      desire and commitment to becoming involved in his employees' lives will bring
      many benefits to all involved--management, employees, and most importantly, the
      patients.

PMID- 10269127
TI  - Collection time again.
AB  - Looking forward to your next round of collection calls? Few of us do, yet
      collections play a vital role in every group practice, large or small. This crop
      of practical collection tips is guaranteed to boost the morale of everyone
      involved in the collection process. Not only are the basics of a good collection
      call set down, but result-getting responses to frequent debtor excuses are
      provided. Telephoning the debtor patient need not be a dreaded task. Just have
      confidence, keep in mind that the patient does owe you for services rendered in
      good faith, and pick up the phone--it's a snap!

PMID- 10269128
TI  - The numbers game. Introducing a cost-reduction program.
AB  - When cost-reduction programs based on theory are introduced, they invariably
      trigger opposition. It is hard to object, however, to a program based on solid
      statistical data. A new statistical tool is now available which allows medical
      group managers to focus on the impact of change: the Group Practice Performance
      Evaluator (GPPE). Based on GPPE data, the possibilities for cost reduction in one
      significant area, human resources, are examined.

PMID- 10269129
TI  - Exploring new frontiers in advertising.
AB  - What will be the next stage in the on-going healthcare services marketing
      revolution? The city of Madison, Wisconsin has hosted a preview of the new
      frontier. According to a media spending report, the area's six HMOs, an insurance
      carrier, and local hospitals spent over $500,000 in one month on media
      advertising expenditures in a battle to enroll patients in prepaid health plans.
      Despite initial physician reluctance, the scramble for healthcare dollars has
      made the packaging and sale of medical services a reality of today.

PMID- 10269130
TI  - I've got something stronger than malpractice insurance.

PMID- 10269131
TI  - Is the fee scale tipping toward cognitive services?

PMID- 10269133
TI  - Look who's helping build practices now! Hospitals have discovered that it makes
      good business sense to give attendings a boost.

PMID- 10269132
TI  - If I join a PPO, will it respect me in the morning?

PMID- 10269134
TI  - Medical instrument reliability. Designing reliable microprocessor-based
      monitoring instruments.

PMID- 10269136
TI  - Annual buyers guide surveys: biofeedback, catheters/cath systems, electrodes-
      ECG, EEG, etc., patient monitors, stimulators, defibrillators.

PMID- 10269135
TI  - Sensor performance evaluation.

PMID- 10269137
TI  - What is reasonable care in design?

PMID- 10269138
TI  - Power supplies: voltage regulator or dedicated line?

PMID- 10269139
TI  - "The N.H.S. in the next decade--development of data and information".

PMID- 10269140
TI  - Medical records--value for money.

PMID- 10269141
TI  - '83 hospital spending by department.

PMID- 10269142
TI  - Patient support groups: a natural resource for physicians.

PMID- 10269143
TI  - Streamlining blood counts with a microcomputer.

PMID- 10269144
TI  - The key to predicting laboratory workload.

PMID- 10269145
TI  - An in-house proficiency survey for WBC differentials.

PMID- 10269146
TI  - Legal guidelines for blood banking and transfusions. Part II.

PMID- 10269147
TI  - Improving care while limiting costs.

PMID- 10269148
TI  - Treatment alternatives for public mental health clients.

PMID- 10269149
TI  - The key to a successful psychiatric program.

PMID- 10269150
TI  - Size considerations in the psych unit.

PMID- 10269151
TI  - The evolution in alcoholism services.

PMID- 10269152
TI  - Assisting the victim: one innovative alternative.

PMID- 10269153
TI  - A consultation-liaison team in the general hospital.

PMID- 10269154
TI  - Mental health scenery: MHAM perspectives.

PMID- 10269155
TI  - Severity, frequency of claims push hospitals' insurance rates skyward.

PMID- 10269156
TI  - Surgical center chain sells stock, plans to use $6.8 million to expand.

PMID- 10269157
TI  - Hospitals overcoming roadblocks to use variable-rate bond financing.

PMID- 10269159
TI  - Staff conferences can help promote good relations, better management.

PMID- 10269158
TI  - Technology, demographics to bring variety of changes in 21st century.

PMID- 10269160
TI  - NME selecting business strategies that help boost hospital admissions.

PMID- 10269161
TI  - Hospital testing PPO on its own employees.

PMID- 10269163
TI  - HMOs advertising heavily to sign up government workers in Madison, WI.

PMID- 10269162
TI  - Nursing home crunch to hit hospitals soon.

PMID- 10269164
TI  - Catholic providers undaunted in wake of Saint Joseph sale.

PMID- 10269165
TI  - Adventists see national network of diverse healthcare services.

PMID- 10269166
TI  - Protestant networks seek to preserve religious heritage.

PMID- 10269167
TI  - Effectively employing support services the key for increasing nursing personnel
      productivity.

PMID- 10269168
TI  - Frugal hospitals are looking outside for laundry services.

PMID- 10269169
TI  - Nursing home stocks star as other healthcare stocks lose their glitter.

PMID- 10269170
TI  - Board must remember fiduciary duty in negotiating insurance coverage.

PMID- 10269171
TI  - Outside directors bring experience, ideas to Holy Cross Health System.

PMID- 10269172
TI  - Outcome of November vote: industry competition probably will continue.

PMID- 10269173
TI  - Physicians, Rochester, NY, hospital enter joint venture to protect market.

PMID- 10269174
TI  - State legislatures considering ways to finance medical care for indigent.

PMID- 10269175
TI  - Home care leads rising trend of new services.

PMID- 10269176
TI  - Ambulatory centers try to broaden appeal by shifting to primary care.

PMID- 10269177
TI  - HCA, Intermountain deal offers glimpse of "giants' in action.

PMID- 10269178
TI  - Opting for deals a growing trend.

PMID- 10269179
TI  - Declining occupancy, bad debts put Austin, TX, public hospital in the red.

PMID- 10269180
TI  - Big 3 hospital supply companies trim employee health benefit plans to ease the
      bite on their bottom lines.

PMID- 10269181
TI  - Teaching hospitals seek new funds, new roles in education.

PMID- 10269182
TI  - Consortium makes effort to surmount difficulties, aid university hospitals.

PMID- 10269183
TI  - Education bill may stir debate.

PMID- 10269184
TI  - Hospital commits itself to fresh, new look at care delivery.

PMID- 10269185
TI  - Firings, unhappiness main reasons for job shifts by nurse heads.

PMID- 10269186
TI  - An export in demand. International hospitals, joint ventures, and HMOs attract
      multis.

PMID- 10269187
TI  - Credit markets forecast: 1985.

PMID- 10269188
TI  - Multis 'import' business talent.

PMID- 10269189
TI  - Humana's goal. Centers of Excellence draw exceptional physicians, and the
      patients follow.

PMID- 10269190
TI  - Tax reforms.

PMID- 10269191
TI  - Growing with the business. At Basic American Medical, Brady Justice is managing
      for change. Interview by Jo Ellen Mistarz.

PMID- 10269192
TI  - Reps must weigh words under final MDR rule.

PMID- 10269193
TI  - MM alertness key to new reporting rule.

PMID- 10269194
TI  - Group purchasing commitment: once the exception, it is fast becoming the rule.

PMID- 10269195
TI  - Hospitals review options for home care involvement.

PMID- 10269196
TI  - Hospital market update: groups still seen groping for contract compliance.

PMID- 10269197
TI  - Hospital buyers' sweet dreams of automation.

PMID- 10269198
TI  - Bringing corporate culture to the bottom line.
AB  - Up to now managers could find little evidence to support the idea that the
      organization's culture has an impact on its bottom-line performance. To remedy
      this, Denison draws on survey and performance data from 34 large corporations to
      show that those that have participative cultures experience better performance
      than those that do not. This difference in performance appears to have widened
      over the five years that these firms were studied. The results also hold up when
      the performance measures for each firm (return on investment and return on sales)
      are compared with those of their competitors. Denison suggests that this
      comparative approach to the study of organizational culture provides a way to
      capture the impact that culture has on organizational performance. This strategy,
      he argues, also provides a way of diagnosing organizations and measuring the ways
      in which human resources management, organizational culture, and management
      practices do, in fact, contribute to the success of business organizations.

PMID- 10269199
TI  - 'Wellness' helps public and industry.

PMID- 10269200
TI  - Career transitions within organizations: an exploratory study of work, nonwork,
      and coping strategies.
AB  - This paper examines career transitions within organizations. An integrative model
      was developed and evaluated which views career transitions as a stress-coping
      process influenced by work and nonwork factors. Data supported the model in that
      individuals experiencing a large number of personal life transitions were more
      likely to adopt a symptom-management coping strategy (as contrasted with a
      situation-focused strategy) for dealing with job stress during the transition.
      However, neither the magnitude of the career transition nor intervening role
      variables in the model contributed to explanation of the career transition
      process. Major career transitions were associated with major transitions in
      personal life and data suggested that a career transition could act as a
      "trigger" event for personal life instability. Implications of both supportive
      and disconfirming findings are discussed. Future directions are suggested for
      research on careers and for career management in organizations.

PMID- 10269201
TI  - Uncompensated care, payment delays top list of main concerns.

PMID- 10269202
TI  - Making a choice: seven specialties up close. Psychiatry, Family Practice,
      Internal Medicine, Pediatrics, General Surgery, Obstetrics/Gynecology, and
      Emergency Medicine.

PMID- 10269203
TI  - The National Health Service Corps: policies and prospects.

PMID- 10269204
TI  - Cutting laboratory costs: where we are most likely to succeed.

PMID- 10269205
TI  - Prescriptive chemical urinalysis can reduce your laboratory's workload.

PMID- 10269206
TI  - Boosting your laboratory's productivity.

PMID- 10269207
TI  - Six strategies for providing hospital laboratory services.

PMID- 10269209
TI  - Patient advisory council cuts malpractice costs.

PMID- 10269210
TI  - Patient education challenges in home health care.

PMID- 10269208
TI  - Organ transplant law includes grants, computerized network.

PMID- 10269211
TI  - "People are talking about the importance of evaluating patient education. But
      where do I start?".

PMID- 10269212
TI  - Patient education: whose territory is it?

PMID- 10269213
TI  - The Deficit Reduction Act of 1984: some implications for employers.

PMID- 10269215
TI  - A three-tier plan for cafeteria benefits.

PMID- 10269214
TI  - Keeping healthcare costs down, employee spirits up.

PMID- 10269216
TI  - Is your organization ready for no-fault absenteeism?

PMID- 10269217
TI  - Every bunny benefits.

PMID- 10269218
TI  - Health care cost containment and its impact on employee relations.

PMID- 10269219
TI  - Guarding the health care dollar. A systematic approach to choosing from today's
      cost containment options.

PMID- 10269220
TI  - Worksite health promotion. An overview of programs and practices.

PMID- 10269221
TI  - Preferred provider organizations.

PMID- 10269222
TI  - Medical benefit plan costs.

PMID- 10269223
TI  - Corporate physical fitness programs: the role of the personnel department.

PMID- 10269224
TI  - A business coalition overcomes its suburban isolation.

PMID- 10269225
TI  - Shiftwork, stress and wellbeing. How workers and their families cope with
      shiftwork.

PMID- 10269226
TI  - Low-priced automation for personnel management functions. The microcomputer
      market.

PMID- 10269227
TI  - The computerized job seeker.

PMID- 10269228
TI  - Human resource management systems.

PMID- 10269229
TI  - An approach to estimating future manpower requirements in physical and
      occupational therapy.
AB  - This paper reports the approach used in a physical therapy (PT) and occupational
      therapy (OT) manpower requirements study conducted in British Columbia, Canada. A
      total of 426 questionnaires were mailed to likely employers of PTs and OTs, and
      to PTs in private practice. After telephone reminders and a second mailing, the
      overall response rate was 83.3%. The results of the survey indicated that, by
      1986, respective PT and OT department heads were anticipating a 60% increase in
      demand for PTs and a 102% increase for OTs, while agency administrators were
      suggesting a 76% increase for PTs and a 142% increase for OTs. Although a variety
      of factors--all largely beyond the control of both respondents and researchers-
      will determine the degree to which these estimates actually reflect the future
      demand for these manpower groups, it should be noted that, for both disciplines,
      the anticipated increase was substantially greater than the level experienced in
      the five years preceding the survey. The estimation approach used in this study
      considers nonrespondents; it is a procedure which permits investigators to offer
      a more accurate picture of the current manpower situation while using a more
      realistic base on which to estimate future requirements. The development of the
      requirement side in the supply/requirement equations of manpower studies may be
      well served in the future with this approach.

PMID- 10269230
TI  - Hazardous waste management.

PMID- 10269232
TI  - Attendance.

PMID- 10269231
TI  - Purchase of goods and services.

PMID- 10269233
TI  - Will the courts blow PPOs out of the water?

PMID- 10269234
TI  - For-profit hospitals: a boom or bust for health care?

PMID- 10269235
TI  - Why your hospital may go out of business.

PMID- 10269236
TI  - Respite care for the frail or disabled elderly.

PMID- 10269237
TI  - Creative financing methods in the acquisition of medical imaging equipment.

PMID- 10269238
TI  - Estimating the financial impact of computed tomography acquisition on the 50- to
      200-bed community hospital.

PMID- 10269239
TI  - Occupational injuries in radiology: strategies for cost containment.
AB  - Occupational injuries represent a measurable part of the operating costs in the
      health care environment. Injury rates in hospitals have been documented to be
      higher than those in industry; one possible cause may be the cost-based
      reimbursement setting which provides no incentive to reduce occupational
      injuries. With the advent of prospective payment, the costs associated with
      occupational injuries must be reduced. This paper will discuss the common hazards
      in radiology, as well as action that can potentially reduce these costs.
      Prospective payment has given a new meaning to cost containment, forcing the
      radiology administrator to seek all possible means to contain costs.

PMID- 10269240
TI  - Using film librarians to increase productivity.
AB  - This article presents an approach to increasing the efficiency and productivity
      of radiology departments by having film librarians review, select and place films
      on multiviewers prior to the radiologist's interpretation.

PMID- 10269241
TI  - Cool treatment for patient food.

PMID- 10269242
TI  - Hospitals train employees to be nice.

PMID- 10269243
TI  - Purchase of social services: another look.
AB  - Purchase of social services is an integral part of many social service delivery
      systems. Its advent was heralded by some as the fiscal salvation of hard-pressed
      social service agencies. This article reviews the problems of purchase of social
      services. It then discusses some of the literature and the research on the
      subject, including the author's own study in Utah, that are directly concerned
      with the variables of cost and quality. The author adds recommendations based on
      the findings presented.

PMID- 10269244
TI  - The changing context of human services administration.
AB  - In response to economic, political, and other changes in their environment, human
      service agencies undergo a financial and ideological crisis. This crisis leads to
      major transitions in the administration of agencies that are expressed by
      degovernmentalization (the shift to nongovernmental jurisdiction over human
      services), privatization, and cutback management. This article explores the
      implications of these transitions for both the delivery and the future character
      of human services.

PMID- 10269245
TI  - Financing innovations for capital expenses.

PMID- 10269246
TI  - The Deficit Reduction Act of 1984.

PMID- 10269247
TI  - Hughston Sports Medicine Hospital and Campus.

PMID- 10269248
TI  - The importance of caring.

PMID- 10269249
TI  - The nurse expert witness.

PMID- 10269250
TI  - Fundamentals of terminating.

PMID- 10269251
TI  - Laundry joint venture.
AB  - Many hospitals are concerned about the loss of control which is associated with
      contracting for linen service. On the the hand, many laundries do not have the
      resources or experience to serve hospitals in a comprehensive and trouble-free
      manner. In many communities a joint venture, such as the one described here, can
      successfully combine the interests of the hospital and laundry communities
      without causing the hospitals to lose control of the service and without
      requiring the laundry operator to have detailed knowledge of hospital operations.
      As more hospitals opt for contract service, and if this service is to be provided
      at the lowest total cost, the hospitals and the laundries must come to grips with
      the problems surrounding the laundry-hospital interface. A joint venture, such as
      that described here, is one way to accomplish this.

PMID- 10269252
TI  - Successfully marketing education programs.

PMID- 10269253
TI  - The marketing audit: the first step.

PMID- 10269255
TI  - Financing building and equipment through UDAG.

PMID- 10269254
TI  - Community involvement as a marketing strategy.

PMID- 10269256
TI  - Hospital advertising: a sign of the times.

PMID- 10269257
TI  - Bahrain emphasizes health care development.

PMID- 10269258
TI  - Case study: St. David's Community Hospital.

PMID- 10269259
TI  - A new identity for a new era.

PMID- 10269260
TI  - Medical records and the terminally sick patient.

PMID- 10269262
TI  - How to read a financial statement.

PMID- 10269261
TI  - Dental care for the AIDs patient: the infection control practitioner's
      perspective.

PMID- 10269263
TI  - Recent legal decisions and the implications for governance.
AB  - What major legal precedents were considered in the past year that affect hospital
      governance? The assistant general counsel of the American Hospital Association
      examines three particular areas of concern: the composition of hospital boards,
      trustee liability for federal taxes, and antitrust analysis of exclusive
      contracts.

PMID- 10269264
TI  - The public's perception of hospital trustees.
AB  - A member of the board of directors of the Arizona Hospital Association takes a
      candid look at the pressures that are affecting the public's perception of not
      for-profit hospitals, and the actions trustees must take to preserve public
      confidence in our health care system.

PMID- 10269266
TI  - Hospitals' leading edge: telecommunications.

PMID- 10269265
TI  - Wanted: CEOs and trustees with a business perspective.

PMID- 10269267
TI  - Sicker patients trigger staff alterations.

PMID- 10269268
TI  - Diversification of nursing home services evaluated.

PMID- 10269269
TI  - As controversy mounts over hospitals-for-profit.

PMID- 10269270
TI  - Congress orders feasibility study for National Bone Marrow Registry.

PMID- 10269271
TI  - Cost containment of health care. The responsibility of employers and doctors.

PMID- 10269272
TI  - Perspectives. Congress reconsiders block grants.

PMID- 10269273
TI  - Perspectives. Malpractice insurance: affordability crisis?

PMID- 10269274
TI  - Mission possible: survival of personalized medical care.

PMID- 10269275
TI  - Ethical issues in the cost-containment of modern medicine.

PMID- 10269277
TI  - Health care blow-outs hit rubber city.

PMID- 10269276
TI  - The impact of corporate restructuring of inner-city hospital charges: a
      comparative analysis.

PMID- 10269278
TI  - The role of a free clinic in the mid eighties.

PMID- 10269279
TI  - Hospitals' legal responsibility for trainees.

PMID- 10269280
TI  - Technology and interorganizational activity as predictors of client referrals.
AB  - The client referral activity of 41 human service agencies operating within the
      same community was examined using recently collected data. Hypotheses were
      developed focusing on agency service technology and interagency activity as
      predictors of referrals from and to other organizations. The hypothesis for
      technology was supported; hypotheses for interagency activity received mixed
      support. Additional analysis revealed an agency's service orientation to be a
      strong predictor of referral inflows.

PMID- 10269281
TI  - The moderating role of work context in job design research: a test of competing
      models.

PMID- 10269282
TI  - The effects of full-time versus part-time employment status on attitudes toward
      specific organizational characteristics and overall job satisfaction.

PMID- 10269283
TI  - Another side of DRG's.

PMID- 10269284
TI  - The Chinese view of health education.

PMID- 10269285
TI  - Peer review in medical publishing--how to streamline the system.

PMID- 10269286
TI  - What's new in transplantation.

PMID- 10269287
TI  - Still too many cesareans?

PMID- 10269288
TI  - Arguing the right to die.

PMID- 10269289
TI  - Beware 'sick-building syndrome'. The deadliest pollutants of all may be the ones
      you breathe at home or at work.

PMID- 10269290
TI  - Child abuse and neglect prevention and treatment program--HHS. Notice of proposed
      rulemaking.
AB  - This rule proposes a new basic State grant requirement to implement the Child
      Abuse Amendments of 1984 (Pub. L. 98-457). As a condition of receiving State
      grants under the Child Abuse Prevention and Treatment Act, States must establish
      programs and/or procedures within the State's child protective service system to
      respond to reports of medical neglect, including reports of the withholding of
      medically indicated treatment for disabled infants with life-threatening
      conditions. Other changes in regulations required by these Amendments will be
      published as a separate NPRM at a later date.

PMID- 10269291
TI  - Services and treatment for disabled infants; interim model guidelines for health
      care providers to establish infant care review committees--HHS. Notice of
      opportunity to comment.
AB  - These are interim model guidelines to encourage the establishment within health
      care facilities, especially facilities with tertiary level neonatal care units,
      of committees for the purposes of educating hospital personnel and families of
      disabled infants with life-threatening conditions, recommending institutional
      policies and guidelines concerning the withholding of medically indicated
      treatment (including appropriate nutrition, hydration, and medication) from such
      infants, and offering counsel and review in cases involving disabled infants with
      life-threatening conditions. The publication of these interim model guidelines
      for public comment is required by section 124(b) of the Child Abuse Amendments of
      1984, Pub. L. 98-457.

PMID- 10269292
TI  - Cooperative agreements to support national health promotion programs--PHS.

PMID- 10269293
TI  - NIH center grants--PHS. Notice of proposed rulemaking.
AB  - This Notice sets forth proposed regulations covering grants by the National
      Institutes of Health for the support of research and demonstration centers. These
      regulations would replace existing regulations covering just centers supported by
      the National Heart, Lung, and Blood Institute.

PMID- 10269294
TI  - Medical Radiation Advisory Committee; request for nominations for membership-
      FDA. Notice.
AB  - The Food and Drug Administration (FDA) is requesting nominations for membership
      on the Medical Radiation Advisory Committee. There is currently one vacancy on
      the committee and there will be three additional vacancies on June 30, 1985.

PMID- 10269295
TI  - Occupational exposure to ethylene oxide--OSHA. Final rule: supplemental statement
      of reasons.
AB  - On June 22, 1984, the Occupational Safety and Health Administration (OSHA)
      published a final standard for ethylene oxide (EtO) that established a
      permissible exposure limit of 1 part EtO per million parts of air determined as
      an 8-hour time--weighted average (TWA) concentration (29 CFR 1910.1047, 49 FR
      25734). The standard also includes provisions for methods of exposure control,
      personal protective equipment, measurement of employee exposure, training, signs,
      and labels, medical surveillance, regulated areas, emergencies and recordkeeping.
      The basis for this action was a determination by OSHA, based on human and animal
      data, that exposure to EtO presents a carcinogenic, mutagenic, genotoxic,
      reproductive, neurologic, and sensitization hazard to workers. During the
      rulemaking proceedings that led to the establishment of the 1 ppm TWA, the issue
      of whether there was a need for a short-term exposure limit (STEL) for workers
      protection from EtO was raised. OSHA reserved decision on the adoption of a STEL
      at the conclusion of the rulemaking in order to permit peer review of the
      available evidence and to review more fully the arguments and pertinent data
      regarding the STEL issue. Upon receipt of the analyses from most of the peer
      reviewers, OSHA published a notice to that effect on September 19, 1984 (49 FR
      36659) and invited public comment on the pertinent issues addressed in the peer
      reviews. Based on the entire rulemaking record, including the peer reviews and
      public comments received since June 22, the Assistant Secretary has determined
      that adoption of a STEL for EtO is not warranted by the available health
      evidence, and that a STEL is not reasonably necessary or appropriate for
      inclusion in the final EtO standard. OSHA has also asked that NIOSH fund certain
      additional studies related to whether a dose-rate relationship can be established
      for EtO, and OSHA will review the results of those studies when they become
      available.

PMID- 10269296
TI  - Insurers predict lower health care rate hikes.

PMID- 10269297
TI  - Mandatory rate setting still studied by states.

PMID- 10269298
TI  - Employers hope for savings from home care.

PMID- 10269299
TI  - Employer actions help hold the line.

PMID- 10269300
TI  - Employer considers refund of health plan contributions.

PMID- 10269301
TI  - When religious faith dictates treatment.

PMID- 10269303
TI  - Brand name vs generic: the drug wars rage on.

PMID- 10269302
TI  - Moving south: from the frying pan and into the fire?

PMID- 10269304
TI  - Healing--through the eyes of traditional cultures.

PMID- 10269305
TI  - Home practice: is the neighborhood doctor extinct?

PMID- 10269306
TI  - Prevocational exploration and vocational rehabilitation of the psychiatric
      client.
AB  - The primary objective of this paper is to survey current trends in the United
      States in the use of vocational rehabilitation services for the psychiatric
      client in relation to occupational therapy. In assessing the techniques and
      services that can be employed by occupational therapists working in psychiatric
      rehabilitation centers, nine vocational rehabilitation prototypes have been
      identified, i.e., evaluation of skills and aptitudes, occupational information
      groups, individual counseling, vocational training, pre-employment group
      counseling, transitional volunteer work, sheltered work, temporary tryout work,
      and special placement. Based on a number of descriptive clinical studies, it can
      be concluded that vocational rehabilitation serves as a key factor in a
      comprehensive psychiatric treatment program located in the community. In general,
      work provides the psychiatric client with opportunities to be in the mainstream
      of life and to attain the psychological satisfactions that are derived from being
      employed.

PMID- 10269307
TI  - Substitutability of work and the professionalization of occupational therapists.
AB  - This paper examines the status of occupational therapy as a profession.
      Achievement of status as a full-fledged profession will depend on the success
      with which this group convinces members of society that the work it does is non
      substitutable. It is difficult for occupational therapists to prove there is no
      legal substitute for the services they offer. This factor will likely limit
      attainment of status as a full-fledged profession.

PMID- 10269308
TI  - A survey to determine how occupational therapists in Ontario rehabilitation units
      are using microcomputers for patient treatment in clinical programs.
AB  - Thirty four Ontario Rehabilitation units were surveyed to determine how
      occupational therapists use microcomputers for patient treatment. Twelve
      rehabilitation units (35.3% of the sample) presently have microcomputers and 11
      of these units have recently purchased the microcomputer for clinical use.
      Stroke, head injury and spinal cord injury patients were identified as the
      population that use the microcomputer. The APPLE 11 microcomputer was the most
      popular type chosen by rehabilitation units. Commercially available software
      programs are used for cognitive, perceptual, educational and recreational
      purposes. Satisfaction level with the quality of the software, however, was only
      42.8%. Finally, it was noted that the speech therapist was the primary
      professional who liaised with the occupational therapist.

PMID- 10269309
TI  - Report on the Canadian Association of Occupational Therapists' manpower survey:
      1981.
AB  - The following report outlines the findings of the CAOT Task Force established in
      1980 to undertake a national manpower survey. With the assistance of Statistics
      Canada a survey was designed and through CAOT, it was distributed in the Fall of
      1981. Although a completed methodology and tabulation were sent to the CAOT
      Executive in March 1982, an analysis was not completed until November 1982. This
      report is to inform all participants of the findings, implications and future
      considerations. The objectives, methodology and problems encountered are
      described. Unfortunately, most of the objectives were not met. The task of
      developing an effective survey tool and the process of collecting meaningful data
      was far greater than anticipated. Such a massive project, which entails money and
      time, requires professional assistance to reduce ambiguities in the survey forms
      and computerization to correlate the information. Much of the information
      received could not be used nor correlated; however, the results do give a brief
      description of the profile of an occupational therapist to build on in the
      future. In addition, the experience gained will facilitate future survey
      development and distribution.

PMID- 10269310
TI  - Women and technology.
AB  - The introduction of microtechnology (in particular, word processing and data
      processing instruments and other computer-controlled equipment) has had dramatic
      effects on the nature, organization and rhythm of work in settings traditionally
      occupied by female workers (offices, service industries, telecommunications,
      etc.). This article describes some of these effects, with particular reference to
      organizational issues within the office setting. Symptoms of excessive stress
      among office workers are described; the motives for technological change and
      resistance to change are examined; and some suggestions for procedural reform are
      offered in the interest of safeguarding the mental health of female workers.

PMID- 10269311
TI  - Sexual harassment on the job: psychological, social and economic repercussions.
AB  - This article is an effort to shed new light on what has been commonly termed
      sexual harassment, to identify its forms and, most importantly, to explore its
      effect upon those who have been subjected to it. The author's hypothesis is that
      sexual harassment in the workplace is more a social phenomenon than a personal
      problem, and that it is the cause of lasting psychological, social and economic
      after-effects among its victims. Combatting sexual harassment is only part of the
      solution; we must look beyond its legal aspects to find ways of changing male
      female occupational relationships, and we must provide support to victims of
      sexual harassment.

PMID- 10269312
TI  - Double work and women's health.
AB  - In Canada, a high percentage of wives and mothers have full time or part time
      paid employment outside the home; yet the expectation that they will assume
      primary responsibility for domestic work persists. As a result, women who work
      outside the home experience cumulative stress: too many physical and emotional
      demands to meet, too many hours of work, and a continuous struggle to reconcile
      the demands of the two work settings. The author considers double work from a
      socioeconomic, structural viewpoint, and from the perspective of increased
      psychosocial and health risks. She calls on professionals to address the complex
      and controversial issues raised by the identification of double work as a risk
      factor.

PMID- 10269313
TI  - Employee assistance programs: an alternative resource for mental health service
      delivery.
AB  - The purpose of this article is to provide a very brief introduction to employee
      assistance programs (EAPs) and their role in the mental health delivery system.
      In addition, some consideration will be given to the opportunity these programs
      offer for making a significant impact on both the mental health of Canadians and
      the productivity of Canadian business.

PMID- 10269314
TI  - The role of pastoral care in home health services.

PMID- 10269315
TI  - Diagnosis-specific home care: a model for the future.

PMID- 10269316
TI  - Homemaker-home health aide supervisors' knowledge about older families: a study.

PMID- 10269317
TI  - An evaluation of a pharmacy based aminoglycoside monitoring service.
AB  - The impact of a pharmacy based aminoglycoside serum concentration monitoring
      service is reported. Physician responses to serum concentrations were assessed
      before and after the introduction of the service and the results compared. Eighty
      four percent of recommendations made by pharmacists to physicians were totally
      accepted and the response to serum concentrations significantly improved after
      the introduction of the clinical pharmacokinetic service. Such a service provides
      a valuable function and is well accepted by the physicians.

PMID- 10269319
TI  - Innovative technologies for healthcare enhancement.

PMID- 10269318
TI  - Guidelines for phenytoin infusions.
AB  - Until recently, phenytoin sodium injection was not recommended for dilution in
      intravenous fluids because insolubility results in precipitation of phenytoin
      acid. The formation of rod-shaped crystals primarily reflects the failure to
      maintain the pH of the admixture above 9.5 to 10. Investigations have clarified
      this problem and point out that stable solutions of phenytoin sodium can be
      prepared which are safe for intravenous infusion provided the injection is
      diluted in small volumes of 0.9 percent sodium chloride or Ringer's. Lactate
      injection and administered freshly prepared. Specific guidelines are suggested
      for the preparation and administration of phenytoin sodium infusions.

PMID- 10269320
TI  - The post 1984 in-house vs. out-of-house decision.

PMID- 10269321
TI  - Consultants perspective on medical office computerization.

PMID- 10269322
TI  - Fear of individuality displacement.

PMID- 10269323
TI  - A responsible industry.

PMID- 10269324
TI  - Thoughts about thinking from the President-elect of HISSG.

PMID- 10269325
TI  - Selecting whether to die at home or in a hospital setting.
AB  - Data from a 1978 health care study in rural North Carolina were analyzed to
      investigate whether people prefer to die at home rather than in a hospital
      setting and the reasons for their preference. Medical, financial, personal and
      family-related reasons were investigated as possible explanations for selecting a
      preferred site of death. Differences between respondents in demographic,
      socioeconomic, and health-related variables were analyzed to determine their
      possible effects on where an individual preferred to die. The results indicate
      that financial reasons were most likely to be given for preferring to die at home
      followed closely by individual reasons and then by family and health
      considerations. Statistically significant differences indicated that those who
      preferred to die at home were younger, white, more educated, were not satisfied
      with the quality of medical services, considered their health as excellent and
      were afraid of hospitals. The implications of these results were considered.

PMID- 10269326
TI  - Hospice program integration: an issue for policymakers.
AB  - As the number of hospice programs in the United States expands, policymakers face
      a variety of issues concerning the care of the terminally ill. Do hospice
      programs offer a truly unique approach in caring for the dying? Are hospice
      services cost effective? Should hospice programs become integrated into the
      mainstream of medical care service delivery? Based on data from hospice programs
      in an industrialized Midwestern state, this paper explores the strategies
      employed by hospice programs to become integrated, the conflicts that have arisen
      among providers of hospice care, and the impact of hospice program integration on
      patient care. Results show that as hospice programs become more integrated, they
      have lost some of the idealism on which they were founded, have altered
      organizational structures, and have changed certain patient services. However,
      there is no evidence to suggest that integration of hospice programs into the
      medical mainstream has decreased the quality of patient care or patient
      satisfaction for hospice services.

PMID- 10269327
TI  - A general framework for evaluating the reliability of medical measurement
      systems.
AB  - Measurements of physical and social phenomena are often used in the decision
      making process despite the error introduced by human and context variation. It
      would be advantageous to a decision maker to know the sources and magnitudes of
      such errors in using a measurement system or in choosing among alternative
      measurement systems. This paper describes an approach to determining the
      reliability of a measurement procedure called generalizability (G) theory. G
      theory uses the results of a random-effects analysis of variance to estimate the
      magnitude of error variability associated with each of several potential sources.
      These estimates can then be used to calculate a number of indices which typify
      the amount of precision provided by a measurement system in a particular context
      of usage. The major concepts of G theory are described and illustrated in the
      context of evaluating a radiologic total lung capacity measurement system.

PMID- 10269328
TI  - Are validity and reliability "relevant" in qualitative evaluation research?
AB  - Interest in and use of qualitative methodological strategies in evaluating
      research have increased considerably in the last few years. Many of the recent
      evaluation frameworks or models are entirely or partly oriented toward use of
      qualitative methods. A number of methodological issues and concerns have been
      raised, including the appropriateness of validity and reliability estimation for
      the measurement strategies employed in qualitative evaluations becoming more
      common in health and other fields. In this article, the views of prominent
      qualitative methodologists on this topic are briefly summarized; a case is made
      for the relevance of validity and reliability estimation; definitions of validity
      and reliability for qualitative measurement are presented; and appropriate
      estimation techniques are suggested. It is hoped that discussions such as this
      will promote increased attention to validity and reliability concerns in
      qualitative evaluations and thus help improve the quality of those evaluations.

PMID- 10269329
TI  - Research approaches in health manpower development. Some alternatives.
AB  - Traditional scientific research approaches have contributed only minimally to the
      resolution of problems related to the educational aspects of health manpower
      development. It has been suggested that this lack of impact has been due mainly
      to the incompatibility of the traditional approaches with the phenomena of
      concern--naturally occurring educational, human, and social events. The problem
      has been addressed in considerable detail in the literature that relates to the
      more general view of education, and the alternative research approaches described
      in this article are derived from this broader-based literature.

PMID- 10269330
TI  - A Bayesian aggregate meta-analytic evaluation approach.
AB  - The Bayesian inferential process is modified to be used as an approach to an
      aggregate meta-analytic evaluation. Comparisons of the Bayesian approach with the
      traditional average effect size meta-analytic approach indicated that the
      Bayesian approach was more sensitive to differences between studies. The
      approaches to derive descriptive and inferential statistics were more consistent
      in the Bayesian approach. Because of its ability to account for all available
      information, the Bayesian approach was statistically more powerful. It is
      recommended that this approach be used for combining evaluation results when
      primary data are not available and when all evaluations involve comparisons of
      two independent samples.

PMID- 10269331
TI  - A comparison of knowledge, synthesis, and clinical judgment. Multiple-choice
      questions in the assessment of physician competence.
AB  - This study compares the reliability, validity, and efficiency of three multiple
      choice question (MCQs) ability scales with patient management problems (PMPs).
      Data are from the 1980, 1981, and 1982 American Board of Internal Medicine
      Certifying Examinations. The MCQ ability scales were constructed by classifying
      the one best answer and multiple-true/false questions in each examination as
      measuring predominantly clinical judgment, synthesis, or knowledge. Clinical
      judgment items require prioritizing or weighing management decisions; synthesis
      items require the integration of findings into a diagnostic decision; and
      knowledge items stress recall of factual information. Analyses indicate that the
      MCQ ability scales are more reliable and valid per unit of testing time than are
      PMPs and that clinical judgment and synthesis scales are slightly more correlated
      with PMPs than is the knowledge scale. Additionally, all MCQ ability scales seem
      to be measuring the same aspects of competence as PMPs.

PMID- 10269332
TI  - Defining the severely mentally disabled.
AB  - A definition of the "known target population of severely mentally disabled" in
      community mental health centers is examined. Criteria include intensive treatment
      contact and persistent, severe disability, but not diagnosis. Feasible and
      reliable screening procedures are demonstrated. In the identified population,
      most subjects at some time had received a diagnosis of schizophrenia and had been
      on public assistance. These criteria apply to catchmented treatment systems and
      should be useful in services research.

PMID- 10269333
TI  - Age-based transition periods and the outcome of mental health treatment.
AB  - Do people ever get too old to change? Studies of the influence of the age of
      adult patients on the outcome of mental health treatment have led to inconsistent
      results. Design characteristics of such studies have limited our understanding of
      the relationship between age and outcome. Over 300 male veterans undergoing brief
      inpatient psychiatric treatment were categorized according to their age-based,
      adult developmental period (Levinson, Darrow, Klein, Levinson, & McKee, 1978).
      Improvement during treatment was found to be significantly related to the
      patient's developmental stage (r = .25, p less than .01). These results wee cross
      validated and replicated using three different techniques for measuring
      improvement. Patients treated during transition periods, whether young or old,
      improved most. These results were not limited to wartime veterans. Apparently,
      adult males are more responsive to mental health treatment during transition
      periods than at other times.

PMID- 10269335
TI  - Physician expectations and the changing culture of medical practice: can we
      adapt?

PMID- 10269334
TI  - Physicians' attitudes toward an expanded role for pharmacists in an HMO.
AB  - The study examines the attitudes of physicians in a large HMO toward expanded
      activities for pharmacists and attempts to determine the physicians and their
      practice characteristics that account for these attitudes. The setting was the
      Oregon Region of the Kaiser-Permanente Medical Care Program. The data were
      obtained from a survey of the physicians serving the membership. The findings
      indicated that about two of every three physicians favored expanded activities
      for pharmacists. The specific activities most favored were those least
      threatening to physicians' roles. Their attitudes were most strongly related to
      whether they favored prescribing privileges for physician assistants and nurse
      practitioners. The physicians and their practice characteristics accounted for a
      small amount of the variation in physicians' attitudes. Large HMOs may be
      favorable settings for expanding the activities of pharmacists.

PMID- 10269336
TI  - Perceived access to care and patient satisfaction in a prepaid group practice
      HMO.

PMID- 10269337
TI  - Phasing-in mental health services in a health maintenance organization: problems
      and issues.

PMID- 10269338
TI  - Radical surgery at the Red Cross.

PMID- 10269339
TI  - Library of Congress complex fire protected.

PMID- 10269341
TI  - The role and development of marketing in today's health care institution.

PMID- 10269340
TI  - Selecting an image maker for your health care facility.
AB  - In this era of increased competition for patients and increased health care
      consumer sophistication, hospitals and other health care facilities are coming to
      terms with the need to market their services and assess their true image in the
      marketplace. This article provides a professional look at the field of image
      building in the health care industry, and offers some solid guidelines with which
      to create a strong, professional, and financially healthy hospital.

PMID- 10269343
TI  - Hospital image quiz.

PMID- 10269342
TI  - A survey on the current status of health care marketing.
AB  - This article presents the results of a survey, conducted by Market-PULSE
      Measurement Systems, reflecting the growth of health care marketing and the
      marketing perspectives of health care professionals. The survey results echo the
      opinions of two groups of professionals: chief executive officers of hospitals
      over 100 beds; and administrators as well as directors of marketing, planning,
      and public relations who attended a recent health services marketing conference.
      The survey, a telephone interview, was conducted to determine: The degree to
      which hospitals are market oriented. The degree to which hospitals use survey
      research. The following is an analysis of what the surveyors found.

PMID- 10269344
TI  - Case in point. Providence Hospital.

PMID- 10269345
TI  - Dealing decently with death.

PMID- 10269346
TI  - Administering death.

PMID- 10269347
TI  - Nursing costs. Tokens: a simple way to monitoring an expensive resource.

PMID- 10269348
TI  - Estate management. The commercial incentive.

PMID- 10269349
TI  - Special needs which Sweden tries to meet.

PMID- 10269350
TI  - Financial advisers. Poachers or gamekeepers?

PMID- 10269351
TI  - Mental handicap. Seeking the best of both worlds.

PMID- 10269352
TI  - Why governments want comprehensive health care.

PMID- 10269353
TI  - Hospital catering. Currying favour with the Asian vegetarians.

PMID- 10269354
TI  - Keeping costs in the pipeline.

PMID- 10269355
TI  - Select and save on works contracts.

PMID- 10269356
TI  - Business in Richmond attacks health care costs.
AB  - Like a fever that will not break, health care premiums continue to climb
      relentlessly, yet remedies have been hard to come by. Employers, for the most
      part, have accepted ever-rising expenditures as the price of good employee
      relations. And federal regulations designed to control medical costs have proven
      weak. The road to recovery begins, this author tells us, when a health
      maintenance organization, or HMO, enters a community, because its prepayment
      approach upsets the medical profession's conventional fee-for-service rules. Thus
      it quickly evokes competitive responses from other health care providers, who
      must become equally cost-conscious or lose their market share. HMOs need
      advocates, however, to spread as rapidly as their potential warrants. Drawing on
      recent events in Richmond, Virginia, the author shows how a city's business
      leadership can become the catalyst for changing the health care system.

PMID- 10269357
TI  - Quality circles after the fad.
AB  - On the face of it, it makes sense, If you want to involve your employees more in
      decision making and shift the organization toward a more participative culture,
      starting suggestion groups called quality circles seems to be a risk-free way to
      begin. Having studied many quality circles in different organizations, the
      authors of this article conclude that quality circles have their distinct
      advantages but that they have inherent in their design numbers of factors that
      often lead them to self-destruct. Quality circles are also said to be a poor
      forerunner for more participative approaches to management. Changing a quality
      circle into an institutionalized participative structure involves making many
      changes in important features of the organization that do not naturally flow from
      the implementation of a circle program. The authors describe the stages that
      quality circles go through, discuss the various threats they must survive, and
      then outline the most effective uses that managers can make of them.

PMID- 10269359
TI  - Purchase law clinic. Supplier's firm offer.

PMID- 10269358
TI  - Appraising your suture distribution system.
AB  - Devoting study to a minute part of its supply system has paid off in big
      dividends for Hutchison Hospital, an acute care hospital in central Kansas with
      230 beds and an occupancy rate of 71%. In this article the author explains why
      other hospitals may find it profitable to take a close look at their suture
      distribution systems.

PMID- 10269360
TI  - Manufacturer's liability to patient for injuries from defective equipment.

PMID- 10269361
TI  - Central laundries: only as good as their management.

PMID- 10269362
TI  - Looking at today's x-ray film market. Part II.

PMID- 10269364
TI  - Marketing research for better planning: surveys.

PMID- 10269363
TI  - Logistics management: a timely management tool.

PMID- 10269365
TI  - Delegation--its dilemmas.

PMID- 10269366
TI  - An interview with Dr. Robert J. Rubin. Interview by Walter R. Nathan.

PMID- 10269367
TI  - Manpower shortage in hospital labs? Warning flags are flying.

PMID- 10269368
TI  - Morale in the lab can affect patient care.

PMID- 10269369
TI  - Certified agencies' growth dramatic.

PMID- 10269370
TI  - Recognizing union organizing activity. Part II.

PMID- 10269371
TI  - Winning greater employee involvement in security.

PMID- 10269372
TI  - Not the National Health Service. The Canadian Health Care System.

PMID- 10269373
TI  - The general manager: who fits the description?

PMID- 10269374
TI  - Competitive tendering--the need for a systematic approach.

PMID- 10269375
TI  - Outcome measures and health care planning.

PMID- 10269376
TI  - IHSA Presidential Address 1984.

PMID- 10269377
TI  - Management budgeting.

PMID- 10269378
TI  - The hidden soul of harmony.

PMID- 10269379
TI  - The management budgeting experiment.

PMID- 10269380
TI  - Health care for the elderly--the next twenty years.

PMID- 10269381
TI  - Current themes in the care of the elderly.

PMID- 10269382
TI  - Race relations.

PMID- 10269384
TI  - The Japanese health system--another success story?

PMID- 10269383
TI  - Staff homes.

PMID- 10269385
TI  - Care in the community: the administrator and the management of change.

PMID- 10269386
TI  - Equal opportunities in the NHS--a challenge for personnel management.

PMID- 10269387
TI  - How far can management influence NHS industrial relations?

PMID- 10269388
TI  - The use of management development in developing a training strategy.

PMID- 10269389
TI  - Freedom and constraint in unit management.

PMID- 10269390
TI  - The Health Service Commissioner.

PMID- 10269392
TI  - The emerging hospital/employee relationship.

PMID- 10269391
TI  - Beyond the carrot and the stick.

PMID- 10269393
TI  - How to choose and use microcomputers.

PMID- 10269394
TI  - How to stimulate innovation.

PMID- 10269395
TI  - Putting patients at the center of admission process. Interview by Nancy Evans.

PMID- 10269396
TI  - Carner's codes. You (the best of all worlds).

PMID- 10269397
TI  - Action, not theory, key to productivity.

PMID- 10269398
TI  - Health care values redefined.

PMID- 10269399
TI  - Does your customer relations program have what it takes?

PMID- 10269401
TI  - Progress of the government's liberalisation policy.

PMID- 10269400
TI  - Work-study provides strategy for health care recruitment.

PMID- 10269402
TI  - New exchanges.

PMID- 10269403
TI  - Telecommunications in the health service.

PMID- 10269404
TI  - Electronic energy management progress.

PMID- 10269405
TI  - Why do the majority of marketing programs in hospitals fail?

PMID- 10269406
TI  - Using marketing research to estimate market potential and feasibility: the case
      of hospital child care centers as a nurse recruiting tool.

PMID- 10269407
TI  - Benefit segmentation: a marketing tool for enhancing the physician recruitment
      process for hospitals.

PMID- 10269408
TI  - Segmentation bases of the elderly health care consumer.

PMID- 10269409
TI  - Product integrity: the missing link in a hospital's marketing process.

PMID- 10269410
TI  - Public policy and hospital marketing.

PMID- 10269411
TI  - Price--a primer on the 2nd "P" for hospital marketers.

PMID- 10269412
TI  - Environment design can strengthen a hospital's marketing campaign.

PMID- 10269413
TI  - Renovated hospital building provides housing alternative for the elderly.

PMID- 10269414
TI  - The bottom line on advertising.

PMID- 10269415
TI  - The making of a logo: Scott and White develops a new look.

PMID- 10269417
TI  - Medical malpractice crisis continuing; now hospitals may be liable with
      physicians.

PMID- 10269416
TI  - Maricopa aftermath: what is required for a physician group to achieve
      integration?

PMID- 10269418
TI  - 1984 annual tax wrap-up.

PMID- 10269419
TI  - Don't work harder, work smarter!

PMID- 10269420
TI  - Barriers to adult women students returning to college in a nontraditional MRA
      program.

PMID- 10269421
TI  - Spotlight. Wanda McKnight, ART.

PMID- 10269422
TI  - Mental patients in nursing homes: their characteristics and treatment.
AB  - Nursing homes have become a primary care site for chronic mental patients. The
      present study reports an empirical investigation of the characteristics of 163
      mental patients in nursing homes in a large midwestern city and of the treatment
      they receive. These mental patients tended to be chronic schizophrenics with an
      established history of poor social coping. Their average age was 48 years, and
      they had no obvious physical ailments that would account for their nursing-home
      placements. These patients received an average of three or four medications each,
      a figure that tended to increase over a 1-year period. Conversely, relatively
      little psychosocial treatment is provided these patients, and such treatment
      tends to decrease over a year. Results are discussed in terms of the relative
      emphasis in nursing homes on custodial care versus active psychosocial treatment.

PMID- 10269423
TI  - Outcome of a cooperatively funded children's day-treatment program.
AB  - Emotionally disturbed children participated in a cooperatively funded day
      treatment program. The philosophy of the program, designed to facilitate
      understanding and cooperation among the three funding agencies, the parents, and
      interdisciplinary team members, was a variant of social learning theory. In this
      article the program is described, as well as the results of a follow-up study
      which indicated successful therapeutic intervention. Finally, a discussion of the
      success, problems, and dissolution of the program is presented. A suggestion is
      made that future programs which are funded cooperatively include a buffer fund to
      allow the program to survive temporary financial shortfalls.

PMID- 10269424
TI  - The implementation of a program innovation in a community mental-health center:
      theory and practice.
AB  - This paper describes the innovation of a partial-hospital program into an ongoing
      community mental-health center which is under the auspices of the department of
      psychiatry housed in a city general hospital. The role of the environment and
      structure of this mental health system in facilitating and hindering
      implementation is discussed. Resistance from within the program and problems
      associated with institutionalization of the implementation are noted. The
      experience of innovation is linked with theory.

PMID- 10269425
TI  - Method for the study of the effectiveness of attendance in the multiple-family
      group on overall client treatment in a day-hospital setting.
AB  - Client satisfaction in a specific day-hospital session was demonstrated using an
      evolving questionnaire process. This process consists of phases in which the
      questionnaire is systematically revised based upon significant findings from the
      previous questionnaire, further client input, and the application of pertinent
      theoretical frameworks. In the present study, two phases of revision are
      described to determine specific aspects of client satisfaction from attendance in
      a multiple-family group (MFG). Mahler's theory of separation-individuation and
      Russell's circumplex model were used in the revision of critical items from
      Questionnaire 1 used in Questionnaire 2. Results of Questionnaire 2 yielded more
      refined data of discrete aspects of client satisfaction from attendance in the
      MFG. Thus, these results will be used to devise Questionnaire 3 in the next phase
      of the questionnaire evolution process.

PMID- 10269426
TI  - Medicine, society & the dying patient: the case of Granny Doe.

PMID- 10269427
TI  - The new era of negotiations: conflict or cooperation.

PMID- 10269428
TI  - Emphasize steering instead of the brake.

PMID- 10269429
TI  - Raising money from members: who needs what you do?

PMID- 10269430
TI  - Protecting personal information: what every nonprofit should know.

PMID- 10269431
TI  - The future of the nonprofit sector.

PMID- 10269432
TI  - The rights of passage: hospice care in the 1980s.

PMID- 10269433
TI  - "Selling" your hospital: public relations is essential.

PMID- 10269434
TI  - Alberta redesigns its home care information system.

PMID- 10269435
TI  - Involuntary treatment: the issue of consent.

PMID- 10269436
TI  - The People's Republic of China: impressions from a recent visit.

PMID- 10269437
TI  - Hospital nursing practice in the year 2000.

PMID- 10269438
TI  - Evaluation of amitriptyline use for depression when prescribed by internists and
      psychiatrists.
AB  - The efforts involved in structuring and implementing a drug utilization review
      (DUR) program that was designed to assess the use of amitriptyline for depression
      when prescribed by internists and psychiatrists is described. In-depth audit
      criteria were used to identify deviations from the criteria for each group. An
      immediate goal of this amitriptyline DUR program is to apply the results of the
      study toward the implementation of a targeted, multifaceted educational program.
      The design of the DUR program should emphasize the individual needs of each of
      the two study groups.

PMID- 10269439
TI  - The P&T committee: Clinical Hospital Center, Zagreb, Yugoslavia.
AB  - A P&T Committee was recently founded and organized by clinical pharmacologists at
      the Clinical Hospital Center in Zagreb, Yugoslavia. Although subtle differences
      are evident, the responsibilities of the Yugoslav P&T Committee parallel those of
      the P&T Committees in hospitals in this country. A hospital formulary has been
      established in Zagreb's Clinical Hospital Center, resulting in more rational
      prescribing of drugs. The criteria for formulary inclusion and protocol for
      submission are provided. Other responsibilities of the Yugoslav P&T Committee in
      Zagreb are discussed.

PMID- 10269440
TI  - Transferring a national information system from the public sector to the private
      sector--how the Administration on Aging did it.
AB  - The Administration on Aging (AoA) sponsored a national information system known
      as the SCAN system. The SCAN bibliographic database went on-line in March 1982.
      Congress, however, had repealed the authority for the clearinghouse, so the
      Government let all of the services of SCAN expire by September 1982. The
      Government then tried to keep the SCAN information accessible by offering it to
      the private sector. The Government solicited applicants through both the Federal
      Register and the Commerce Business Daily. As a result, the American Association
      of Retired Persons (AARP) and AoA signed an agreement calling for AARP to make
      such of the SCAN information accessible on-line and to update it.

PMID- 10269441
TI  - Dollars and sense: the economics of personal health decision-making.
AB  - The economic consequences of personal health care decision-making have received
      relatively little attention in the United States. The majority of the American
      public is shielded from an awareness of the cost impact of health services by
      first dollar health insurance coverage and modest out-of-pocket personal
      payments. As the various current structural changes in the reimbursement system
      for health care begin to manifest themselves in terms of mandating individual
      responsibility for paying a significant portion of health care, Americans will
      require and demand a deeper understanding of how much their health is costing
      them. In addition, as individuals realize that up to 50% of disability and death
      can be attributed to negative lifestyle health behaviors, the interrelationship
      of personal economic status and health status will create a new consciousness of
      the value of preventive health practices and health education. This article
      provides an in-depth analysis of the social forces in America compelling
      individual health decision-making in economic terms, barriers to informed health
      decision-making, a suggested matrix for making quality-vested health decisions
      (with case examples) and a discussion of available resources for assisting in the
      decision-making process.

PMID- 10269442
TI  - For-profit hospitals for Europe: the case of Britain and France.
AB  - The paper first describes the structural characteristics of the for-profit
      private sector in Britain and in France. In Britain, the recent growth of the for
      profit private hospital's sector, although still a small sector, is related to
      the growth of private insurance. Cost-containment however coupled to rapid
      increases in premiums is slowing down the momentum. Moreover, the NHS starts
      charging private hospitals for such services like blood banks. In France the
      private sector has always been strong, although living in a highly regulated and
      dependent symbiosis with the public sector. In a second part, speculations are
      made on the crucial question whether for-profit hospitals are a legitimate
      alternative for Europe. In the end, an in-between solution is opted for by which
      the public sector would sub-contract certain functions like data processing,
      management and others, from the commercial sector.

PMID- 10269443
TI  - Response to Relman.

PMID- 10269444
TI  - Adequacy of a health program for the Nigerian population: a critique of the free
      health scheme in Oyo state 1979-1982.

PMID- 10269445
TI  - The community residential treatment service: developing a continuum of prosthetic
      environments for the chronically disabled.
AB  - Among the many issues regarding the care of chronic mental patients, none is more
      pressing than the need for administrative and clinical models designed to
      organize and systematize the efforts of diverse community service providers. This
      paper describes the functioning of the Community Residential Treatment Service of
      the South Beach Psychiatric Center, a large-scale project of a state facility
      created to respond to this tissue. By blending sophisticated clinical and
      administrative technology, programs operated by the state, voluntary, and
      proprietary health care sectors have been integrated to form a balanced service
      delivery system. This system provides a broad continuum of inpatient and
      outpatient residential settings developed in accordance with social learning
      principles. The components of the system, with the Community Residential
      Treatment Service as the major integrative force, are linked together by detailed
      contracts as well as common behavioral clinical and behavioral administrative
      language. The treatment successes f this system have been significant enough to
      suggest that a positive synergistic effect is generated by this programming
      combination.

PMID- 10269447
TI  - 1985 salary survey.

PMID- 10269446
TI  - Clinical need variations of disabled persons residing in group homes.
AB  - Group home research has generally entailed comparison of these settings and their
      residents to institutions and their residents. Group home residents have
      frequently been treated as a homogeneous cohort of individuals. When group home
      development began, initial residents--usually individuals recently
      deinstitutionalized--were probably relatively homogeneous in regard to functional
      abilities and service needs, and generally similar to other disabled persons
      living in the community. Today, the residents of one group home may bear little
      resemblance to those of another. This report presents information about the types
      of group homes within a state system based upon the characteristics and service
      needs of 1,050 persons in 118 group homes and questions the role of community
      mental health centers in addressing certain service needs of group home
      residents.

PMID- 10269448
TI  - Ambulance maintenance.

PMID- 10269449
TI  - Trauma care. Child of the sixties, man of the eighties.

PMID- 10269450
TI  - Continuing education.
AB  - PROBLEM: With increasing demands being placed on limited resources, hospitals are
      drastically cutting back or eliminating entirely funds for employee continuing
      education. Considering the advances in technology, the changing regulatory and
      legislative climates, and the growing need for expertise in handling DRGs and
      case mixes, more funds should be allocated for continuing education, not less.
      Agree: 87%, Disagree: 9%, No opinion: 3%.

PMID- 10269451
TI  - Santa Barbara Cottage Hospital.
AB  - The 465-bed Santa Barbara Cottage Hospital is the largest medical facility on the
      California coast between Los Angeles and the San Francisco bay area. The hospital
      dates back to 1888, when a group of local citizens began raising funds to build a
      "cottage-style" hospital for the growing community. Their original plans called
      for a complex in which each medical specialty would be housed in a separate
      bungalow. Even then, however, such a decentralized plan was too costly, so work
      began instead on a single cottage for all hospital departments. The first Cottage
      Hospital opened in 1891, with 25 beds housed in a two story Victorian building.
      Now a hugh medical complex employing some 1,500 people, the hospital continues to
      be called "Cottage" after the original home-like building. Rodney J. Lamb has
      been Hospital Administrator for the last 30 years.

PMID- 10269452
TI  - A total waste management system for hospitals.

PMID- 10269454
TI  - Indefinite shelf life...amen!

PMID- 10269453
TI  - Sterile shelf life and expiration dating.
AB  - When products are packaged so that they remain sterile, the archaic practice of
      outdating is no longer necessary. Instead, expiration dates can be used as a tool
      for controlling the hospital's inventory. In this article, the Journal's
      publisher explains how products become contaminated and outlines steps CS
      professionals can take to guard against contamination.

PMID- 10269455
TI  - Steam penetration in fabric packs--gravity displacement sterilizers.

PMID- 10269456
TI  - Custom procedure trays. An overview.
AB  - A new service industry has emerged to assemble and sterilize custom procedure
      trays for use in the hospital. CS and materials managers, OR supervisors,
      infection control practitioners and other hospital personnel are being asked to
      make a selection among many competing vendors. A methodology is needed to assist
      these managers in the decision making process. This article will define custom
      procedure trays and suggest criteria by which the selection process may be
      assisted.

PMID- 10269457
TI  - Sarawak General Hospital--Kuching, Malaysia.

PMID- 10269458
TI  - Interpersonal communications.

PMID- 10269459
TI  - Compliance programs for the new EtO standard.

PMID- 10269460
TI  - Medical device reporting. Hospitals play a major role.

PMID- 10269461
TI  - Implementation of health facilities in a new city.
AB  - A new city is under construction in a developing country. The town will be
      organized in modules, and the population projection is established till the 90s.
      The ratio of medical personnel to inhabitants is fixed according to health policy
      criteria. The primary care system should be composed of a set of health centres
      which are identical with regard to equipment and personnel. The problem is to
      determine the number--and thus the size--of the health centres, and their
      location. The solution depends on two opposing factors: the total construction
      cost, which is increasing with the number of centres, and the walking distance
      for the patient, which is decreasing with the number of centres. For a given
      critical distance, we find--using techniques of location theory in network--the
      smallest number of centres that will ensure that all inhabitants are located
      within the critical distance. A Fortran program in which the sensitivity of the
      solution is studied as a function of the given critical distance is developed.

PMID- 10269462
TI  - The marketing of pastoral care and counseling, chaplaincy, and clinical pastoral
      education.
AB  - Offers ten approaches pastoral care persons might use to confront the growing
      health care crises facing the United States. As a response, the Executive
      Director of the Association for Clinical Pastoral Education outlines alternatives
      to traditional CPE settings which could be utilized to address creatively the
      many changes in health care delivery systems.

PMID- 10269463
TI  - Marketing pastoral counseling.
AB  - Identifies, suggests understandings, and illustrates applications of marketing
      principles as they relate to pastoral counseling services. Describes four
      approaches to marketing pastoral counseling--traditional, educational, marketing,
      and fund raising--and gives illustrations of each. A director of an established
      pastoral counseling center responds to the article in terms of "high density" and
      "low density" principles and suggests that strategies which emulate the medical
      model may need to be re-examined by contemporary pastoral counselors.

PMID- 10269464
TI  - Public relations for pastoral counseling centers.
AB  - Outlines a public relations program in terms of setting objectives, developing
      programs, and evaluating effectiveness. Details an example of a PR campaign for a
      Samaritan Center. Notes ways in which a well-planned PR program can increase a
      pastoral counseling center's effectiveness and visibility.

PMID- 10269465
TI  - West Midland Regional Health Authority regional training scheme in sterile
      service management.

PMID- 10269466
TI  - Getting the most out of performance appraisals.

PMID- 10269467
TI  - Should you...lease your staff to cut costs?

PMID- 10269468
TI  - Hospital redevelopment plan excludes laundry. Closed in-house facility won't
      reopen.

PMID- 10269469
TI  - Goals enhance job security.

PMID- 10269470
TI  - A mini course in uniform buying techniques.

PMID- 10269471
TI  - New center built for medical complex. Administration wants efficient laundry.

PMID- 10269472
TI  - The changing healthcare consumer.

PMID- 10269473
TI  - Regulation vs. competition.
AB  - Must we choose between regulation and competition as the remedy to today's
      skyrocketing healthcare costs? These two options are not necessarily mutually
      exclusive, and neither alone can best serve the needs of both the public and the
      profession. The heart of the current healthcare debate can be more accurately
      described as a system of individual restraint via the market versus a system of
      collective restraint arrived at through fixed budgets. Upon close examination of
      both viewpoints, it becomes apparent that a system in which regulation and
      competition coexist may be the best alternative in the long run for containing
      and redirecting total national healthcare expenditures.

PMID- 10269474
TI  - Achieving effective cost control while decreasing regulation. A response to Dr.
      Fein.
AB  - While Dr. Rubin and Dr. Fein agree that we must achieve effective healthcare cost
      control while decreasing regulation, they do not agree on the means to this end.
      Drawing on his years as assistant secretary for planning and evaluation at the
      Department of Health and Human Services, Dr. Rubin presents his views on
      regulation, competition, PPOs and HMOs, and prospective budgets. The real issue
      that emerges is whether or not our society is willing to spend millions and
      millions of dollars for a slight prolongation of life, and at what level this
      type of decision should be made.

PMID- 10269475
TI  - Competitive marketing strategies. A challenge for academic practices.
AB  - A special challenge has been presented to academic medical practices by the new
      healthcare environment. While increased competition for patients and resources
      affects all medical groups, it is the academic practices who are responsible for
      training the physicians of tomorrow. Not only must they sharpen their students'
      awareness of the new environment and teach them to incorporate effective
      management strategies into their practices, but they must set an example in
      effective management as well. The basic concepts of competitive marketing
      strategy, along with helpful exhibits, are presented here, and strategies for
      effectively maximizing position are discussed from the viewpoints of product mix,
      process market, and financing.

PMID- 10269476
TI  - Financial reporting.
AB  - "How are we doing?" Financial reports must provide the answer to this all
      important question for every medical group. Although there are some key
      differences between academic practices and private group practices, good
      financial reports and statements of activity are essential in all situations.
      Examples are provided here of how financial information can be communicated to
      the several organizational levels that need the information, as well as how
      financial planning, measurement, and control are part of this communication
      process. Sample formats outline the important ingredients for making your group's
      reports more useful.

PMID- 10269477
TI  - A physician profile system.
AB  - The need for effective management information systems is now evident. No longer
      is pertinent and timely information merely something desirable to group practice;
      it is essential for management control and even survival in today's healthcare
      environment. Most of the management information systems currently in use are
      designed for controlling line-item budget categories and not the key
      professionals whose actions determine the fate of the practice. A physician
      practice profile system was developed at the Cornell Medical Practice and
      implemented in July 1982. This tiered reporting system is described in detail,
      including its ancillary service utilization and quality audit profiles, and the
      results of the system are presented.

PMID- 10269478
TI  - Developing practice plans in a public hospital.
AB  - As funding sources outside of tight state and local budgets are being explored by
      public institutions, there is increasing interest in practice plan arrangements
      at public hospitals. The efforts of the New York City Health and Hospitals
      Corporation (HHC) in developing and implementing practice plan policies and
      programs in a diverse system of healthcare centers are documented here. These
      efforts were initiated in conjunction with a review of HHC's contracts with major
      medical schools, and their success has proven to be largely due to the plan's
      built-in flexibility and strong administrative and medical leadership.

PMID- 10269479
TI  - Public interest be damned. Our patients come first.

PMID- 10269480
TI  - A $2.2 million lesson in the perils of peer review.

PMID- 10269481
TI  - Can previous malpractice charges be held against you?

PMID- 10269482
TI  - Four visions of health care beyond the millennium.

PMID- 10269484
TI  - Allocating overhead hours with a spreadsheet.

PMID- 10269483
TI  - Cost containment factors will dictate promotional changes.

PMID- 10269485
TI  - Keeping the lab out of court.

PMID- 10269486
TI  - An inventory control and money management system that works.

PMID- 10269487
TI  - Projecting a favorable personal image.

PMID- 10269488
TI  - Job satisfaction: the possible dream.

PMID- 10269489
TI  - Hospital layoffs: the Michigan experience.

PMID- 10269490
TI  - Layoffs hit small, rural hospital.

PMID- 10269491
TI  - Dynamics of a staff reduction.

PMID- 10269492
TI  - Outplacement counseling proves cost effective, compassionate.

PMID- 10269494
TI  - The legal implications of layoffs.

PMID- 10269493
TI  - Program aids displaced health care workers.

PMID- 10269495
TI  - Current happenings--Michigan Department of Public Health.

PMID- 10269496
TI  - California hospitals talk to medical society about medical staff bylaws.

PMID- 10269497
TI  - Middleton Trustee of the Year. Alliance's E. George Middleton Jr.

PMID- 10269498
TI  - More not-for-profits mull sellouts to form 'new breed' of foundation.

PMID- 10269500
TI  - HHS 'Baby Doe' proposals draws fire.

PMID- 10269499
TI  - Boards consider several factors in trading hospital for foundation.

PMID- 10269501
TI  - New sales strategy puts AHSC executives near major customers.

PMID- 10269502
TI  - Modified heart-lung machine may cut cost of treating severely ill newborns.

PMID- 10269504
TI  - Hospital group rebates under federal scrutiny.

PMID- 10269503
TI  - Boards must approve medical staff bylaws.

PMID- 10269505
TI  - Company puts MD groups into home care business.

PMID- 10269506
TI  - Eleven cost containment tools.

PMID- 10269507
TI  - First full-service hospice for children opens.

PMID- 10269508
TI  - The health lobby: making private interest public law. Part II.

PMID- 10269509
TI  - Pathology has been an invisible specialty too long!
AB  - It is time for pathologists to tell patients and the public who they are and what
      they do, the author insists. Here are tips that will make your interviews with
      television and newspaper reporters more comfortable and more productive. This
      article is adapted from Mr. Zeitlin's presentation at the CAP seminar
      "Communicating With the Public: The Pathologist and the Media," during the 1984
      CAP/ASCP Spring Meeting. The seminar will be repeated at the 1985 Fall Meeting,
      Nov. 2-8.

PMID- 10269510
TI  - Collecting pituitaries: why the program continues to need your help.
AB  - The human pituitary collection program provides hormone for thousands of
      hypopituitary dwarfs each year. Though the past two decades have been years of
      great progress, the need for your dedication and assistance in years to come is
      more acute than ever.

PMID- 10269511
TI  - Beyond quality circles: self-managing teams.
AB  - A more extreme form of change than QCs, self-managing teams are informally
      estimated to have evolved in more than 200 U.S. plants. Indications are, however,
      that this is but the beginning--despite middle managers' fears that such teams
      will erode their power.

PMID- 10269512
TI  - Decisions, decisions: which approach to take?
AB  - After examining four basic decision processes, and the kinds of problems they are
      designed to solve, the author explains how to use each according to the situation
      at hand. Examples illustrate each.

PMID- 10269513
TI  - Effective supervisory training and development, Part 2: In-house approaches and
      techniques.

PMID- 10269514
TI  - Stage negotiation: the best route to agreement.

PMID- 10269515
TI  - A prescription for lower health care costs.

PMID- 10269516
TI  - Current methods, problems and future trends. The merit of merit pay.

PMID- 10269517
TI  - Encouraging patients to use the hospital library.

PMID- 10269518
TI  - Factors affecting the use of self-instructional material by patients with
      ischemic heart disease.
AB  - This study addressed three questions concerning the feasibility of self
      instruction by patients with ischemic heart disease in an acute-care teaching
      hospital. (1) Do patients complete a linear self-instructional booklet under
      conditions normally prevailing on a hospital ward? (2) Do patients perceive that
      activity in the ward environment and symptoms of illness affect use? (3) What
      aspects of activity and symptoms do patients report affect use? One hundred
      patients, 60 men and 40 women with an average age of 59 years, hospitalized with
      ischemic heart disease (acute myocardial infarction or unstable angina) were
      interviewed an average of six days after distribution of a self-instructional
      booklet as a component of a standard teaching program. Three subjects claimed not
      to have received the booklet; nine made no use of it; 73 made partial use of it;
      and 15 made complete use of it. Fifteen subjects claimed activity in the ward
      environment and 25 subjects claimed symptoms of illness affected use.
      Interruption, a noisy, busy atmosphere on the ward, and physical symptoms of
      ischemic heart disease were reported most frequently as factors affecting use.
      Results of the study suggest that a small percentage of patients will complete a
      self-instructional booklet. In addition to activity in the environment and
      symptoms of illness, factors not identified in this study also appear to
      influence the use of self-instructional material.

PMID- 10269519
TI  - Group dissemination of breast self-examination training technology.
AB  - Training in breast self-examination (BSE) using the Florida silicone models was
      evaluated in three training conditions: small group with feedback on individual
      performance, small group without feedback, and individual with feedback.
      Assessments on models and breasts indicated no significant differences between
      conditions in the quality of examinations (eg, lumps detected, area covered).
      Support is given to the dissemination of BSE training technology in a group
      format.

PMID- 10269520
TI  - Verbal behaviors and patterns exhibited by physicians during genetic counseling
      sessions.
AB  - Research in interaction and interviewing behaviors usually has focused on the
      verbal behaviors exhibited by the interactants. These behaviors have been looked
      upon and analyzed in isolation, that is, as a single event. There is little or no
      information on physician-patient interactions that analyzes verbal behaviors as
      being a series of events related to each other. These behaviors, when seen as a
      chain of events, provide a different and revealing picture of those who exhibit
      them. A study was undertaken to gather information on physicians' verbal
      behaviors and verbal patterns during interactions involving genetic counseling.
      Physicians who were rated high in communication skills spent more time in the
      affective dimension of the interaction and exhibited more reflection of feelings,
      emotional probing, reassurance/support, and silence during the interaction with
      patients. These differences were found in both the sequential verbal pattern data
      and the individual verbal behavior data.

PMID- 10269521
TI  - Group counseling in cardiac rehabilitation: effect on patient compliance.
AB  - A multicenter clinical trial was conducted to evaluate the effects on compliance
      of a group counseling program for cardiac patients and spouses. The sample
      comprised 58 couples in which one of the partners had documented atherosclerotic
      heart disease and was enrolled in an outpatient cardiac rehabilitation program.
      The experimental intervention involved a ten-week series of group sessions based
      on symbolic interactionist role theory. The research used a quasi-experimental,
      three-group, time-series design: Experimental group 1 consisted of 17 patients
      and their spouses who participated in group counseling; experimental group 2
      consisted of 22 patients and their spouses, but only the patients participated in
      the group series; the control group consisted of 19 patients and their spouses
      who did not participate in the experimental program. Data were collected at
      baseline, ten weeks, and six months on four cardiac risk factors: weight loss,
      blood pressure, exercise, and smoking. Repeated measures analysis of variance
      showed a significant difference (P less than 0.01) in mean body fat among
      treatment groups, with experimental group 2 having the greatest decrease over
      time. Patients in both experimental groups demonstrated lowered blood pressure,
      with a significant decrease (P less than 0.05) in systolic blood pressure. Again,
      the largest decrease was in experimental group 2. Changes in weekly exercise
      level were not significantly different among groups, although the highest
      compliance was reported by experimental group 1 patients. Results support the
      efficacy of group counseling based on an interactionist role theory framework to
      increase compliance. The anticipated effect of spouse participation was not
      confirmed.

PMID- 10269522
TI  - Recruitment literature.

PMID- 10269523
TI  - Patient literature.

PMID- 10269524
TI  - Architectural literature.

PMID- 10269525
TI  - Campaigning for blood.

PMID- 10269526
TI  - OB literature.

PMID- 10269527
TI  - Marketing OB services raises awareness.

PMID- 10269528
TI  - Ad gallery. A look to what's out there, what's working, and why.

PMID- 10269529
TI  - Maternity services literature.

PMID- 10269530
TI  - Reference guide for good nutrition.

PMID- 10269531
TI  - Great expectations; great results. Maternity marketing.

PMID- 10269532
TI  - For a father and his baby.

PMID- 10269534
TI  - Marketing from the inside out. What does marketing have to do with orderlies?

PMID- 10269533
TI  - Maternity open house.

PMID- 10269535
TI  - Improving physicians' images. With help for and from their office assistants.

PMID- 10269537
TI  - Out to walk. Fitness for unconvinced uncommitteds.

PMID- 10269536
TI  - Diabetes education.

PMID- 10269538
TI  - Direct mail for wellness promotion. A black bag(ful) of tricks.

PMID- 10269539
TI  - Dedicating a new program. Supercelebrity.

PMID- 10269541
TI  - Computer communication PLUS.

PMID- 10269540
TI  - Ad gallery.

PMID- 10269542
TI  - Home health services. Two approaches to doing it yourself.

PMID- 10269543
TI  - Body shop in a box. Planning: packaging; promoting.

PMID- 10269544
TI  - Diabetes manual. A hospital helps its patients and its colleagues.

PMID- 10269545
TI  - The heart of the fair is an affair of the heart.

PMID- 10269546
TI  - "I'm going to be a St. V's nurse!" A booklet that told them so.

PMID- 10269547
TI  - Cutting daily rates.

PMID- 10269548
TI  - Happy birthday hospital.

PMID- 10269550
TI  - Weighing and minimizing--the risks of joint venturing.

PMID- 10269549
TI  - The competitive advantages of cooperation.

PMID- 10269551
TI  - Guidelines for teaching the older adult.
AB  - The needs and abilities of the aged learner may change as a result of normal
      aging processes, and clinicians involved in patient education must remember and
      allow for these changes if effective teaching is to take place. Knowledge of the
      visual, auditory, psychological, and social changes, the functional outcome of
      each of these changes, and the implications for teaching will help clinicians
      maintain effective communication with and health-care delivery to this
      population. Guidelines for modified teaching aids and techniques are provided in
      the Clip & Carry.

PMID- 10269552
TI  - Malpractice update: what new trends will affect you.

PMID- 10269553
TI  - How to solve the malpractice crisis--the British way.

PMID- 10269554
TI  - Find out about your state. Where are the newest malpractice hot spots?

PMID- 10269555
TI  - Ventilatory and nonventilatory muscle exercise in COPD rehabilitation.
AB  - For maximum benefit, a rehabilitation program for patients with chronic
      obstructive pulmonary disease (COPD) should include both ventilatory and
      nonventilatory muscle exercise. The 12-week, outpatient program at Malden (Mass)
      Hospital incorporates whole-body exercise (walking), inspiratory resistive
      loading, and use of supplemental oxygen. Exercise prescription is based on the
      work level requiring a minute ventilation equal to 50% of each patient's maximum
      breathing capacity. A cardiopulmonary exercise test, 12-minute walk, and
      endurance test provide the before and after rehabilitation testing protocol. Such
      a program can be implemented at a community hospital where most patients with
      COPD have their greatest access to medical care.

PMID- 10269556
TI  - A day in the lives of respiratory therapists in the NICU.

PMID- 10269557
TI  - Respiratory and ventilatory management of critically ill children during
      transport.
AB  - As more and more pediatric intensive care units are established throughout the
      country, transport systems for critically ill children assume increasing
      importance. This article concerns the personnel, equipment, and other
      requirements for a transport system and reviews the respiratory and ventilatory
      management of pediatric patients during transport.

PMID- 10269558
TI  - Chronic ventilator patients. Alternatives to hospital care.
AB  - As the number of patients requiring chronic ventilator therapy increases, the
      shortage of facilities for this care becomes more and more acute. Nursing homes
      are unprepared to accept these patients or unwilling because of problems with
      reimbursement. Home care is only a limited option, but some innovative approaches
      at nursing homes in Illinois and Michigan may pave the way for a new health care
      model.

PMID- 10269559
TI  - Health care cost crisis unleashes innovation in hospital and nursing-home
      foodservice.

PMID- 10269560
TI  - Helping children express grief through symbolic communication.
AB  - Communication barriers erected by grieving children delay problem resolution. Use
      of the expressive arts--music, art, and body movement--in symbolic communication
      helps them to express overwhelming feelings and cope with trauma and stress.

PMID- 10269561
TI  - Mental health services for Chinese in a community health center.
AB  - Serious mental health problems exist within the Chinese population of the United
      States. This article describes one center's attempt to meet the psychiatric needs
      of both nonpsychotic and psychotic Chinese patients through bilingual, culturally
      relevant treatments.

PMID- 10269562
TI  - From mutual-aid self-help to professional service.
AB  - Some mutual-aid self-help organizations develop into professional-bureaucratic
      human service organizations. The process of transforming them involves important
      changes in functions. Social workers who become part of the process can learn to
      work efficiently despite its tensions.

PMID- 10269563
TI  - Adolescent dialysands in group therapy.
AB  - Adolescents are particularly vulnerable to the psychological effects of chronic
      illness and its treatment. Group treatment of girls with renal failure proved to
      be of therapeutic value in improving self-image and reducing emotional stress.

PMID- 10269564
TI  - Elder abuse: issues for the practitioner.
AB  - Workers assigned to cases of elder abuse experience significant problems related
      not only to the nature of the problem but also to their own feelings, biases, and
      attitudes about violence and the aging. This article examines the problems and
      suggests strategies for dealing with them.

PMID- 10269566
TI  - A strategic analysis of the textile rental industry. 1985 update.

PMID- 10269565
TI  - Health care and antitrust.

PMID- 10269567
TI  - THA's perspective on indigent health care.

PMID- 10269568
TI  - Indigent health care, a multidimensional problem. State Task Force on Indigent
      Health Care.

PMID- 10269569
TI  - Medical indigency--facing facts, every day.

PMID- 10269570
TI  - Care to the indigent: the voluntary hospital perspective.

PMID- 10269572
TI  - A public hospital perspective on indigent health care.

PMID- 10269571
TI  - Financing indigent care: the perspective of tax-paying hospitals.

PMID- 10269573
TI  - Indigent care--the "bonnies" bite the bullet too.

PMID- 10269574
TI  - Medical indigency: the legal backdrop.

PMID- 10269575
TI  - Dental care for the AID patient: the dentist's perspective.

PMID- 10269576
TI  - Using indicators in quality/appropriateness of anesthesia.

PMID- 10269577
TI  - Materials management in smaller hospitals.

PMID- 10269578
TI  - Productivity reporting.

PMID- 10269579
TI  - Product standardization and efficiency.

PMID- 10269580
TI  - What can materials management do for you?

PMID- 10269581
TI  - Texas Supreme Court may consider important case on damage recoveries.

PMID- 10269582
TI  - A risk management program.

PMID- 10269583
TI  - Implementing respiratory care.

PMID- 10269584
TI  - Consultant pharmacist services surveyed.

PMID- 10269585
TI  - Guarding against foodborne illness.

PMID- 10269586
TI  - Why fringe benefits are leveling off.

PMID- 10269587
TI  - U.S. Medicine interviews Edward N. Brandt, Jr.

PMID- 10269588
TI  - Perspectives. Providers eye flat tax proposals.

PMID- 10269589
TI  - Perspectives. 1984 in review: more to come.

PMID- 10269590
TI  - Perspectives. The great American vaccine shortage.

PMID- 10269592
TI  - Study tour in Portugal. A medical view.

PMID- 10269591
TI  - Study tour in Portugal. Reality, evolution, culture, contrast and contradiction.

PMID- 10269593
TI  - Study tour in Portugal. An architect's view.

PMID- 10269594
TI  - Study tour in Portugal. A psychiatrist's view.

PMID- 10269595
TI  - Hospital development in Japan.

PMID- 10269597
TI  - The new university.

PMID- 10269596
TI  - Churches are joining the health care team.
AB  - Although the extent of formal health-related programs in churches has not been
      well defined, sufficient anecdotal and empiric evidence exists to indicate that
      churches are becoming more involved in matters related to the health of their
      congregations and their communities. A pioneer in this field discusses how
      churches have been joined by physicians, other health professionals, and major
      medical centers in a wholistic health care program.

PMID- 10269598
TI  - Where would I like pharmacy administration to be in the 21st century?

PMID- 10269599
TI  - If all pharmacists were ethical.

PMID- 10269600
TI  - Can a professional ethos be taught? A clinician's point of view.

PMID- 10269601
TI  - The future of shared services.

PMID- 10269602
TI  - The clock ticking. Congress tackles health items.

PMID- 10269603
TI  - At ACP session, an ancient code is scrutinized...does the Hippocratic Oath still
      apply?

PMID- 10269604
TI  - Pope John Paul II urges "human solidarity" with patients.

PMID- 10269605
TI  - Financing graduate medical education.

PMID- 10269606
TI  - The validity and uses of the In-Training Examination.

PMID- 10269608
TI  - A program director's view of the In-Training Examination.

PMID- 10269607
TI  - An analysis of results of the In-Training Examination.

PMID- 10269609
TI  - Four-star recovery suites.

PMID- 10269610
TI  - Farewell to fringe benefits?

PMID- 10269611
TI  - Medicare and Medicaid programs, health care financing research and demonstration
      cooperative agreements and grants and availability of funds for cooperative
      agreements and grants--HCFA. General notice.
AB  - This notice announces the availability of HCFA funds for certain priority
      research and demonstration cooperative agreements and grants for the Federal
      fiscal year 1985. HCFA makes funds available for activities that will help to
      resolve major health care financing issues or to develop innovative methods for
      the administration of Medicare and Medicaid. This notice contains information
      about the subject areas for cooperative agreements and grants that will be given
      priority; project requirements; application procedures and other pertinent
      information. It also cancels the February 4, 1985 closing date for HCFA waiver
      only applications that was announced on November 9, 1983.

PMID- 10269612
TI  - Federal old-age, survivors, and disability insurance; listing of impairments-
      mental disorders--SSA. Proposed rules.
AB  - These proposed amendments revise the medical evaluation criteria for mental
      disorders for the disability program in title II and title XVI of the Social
      Security Act. No substantial revisions have been made to these criteria since
      1979. The proposed revisions reflect advances in medical treatment and in methods
      of evaluating certain mental impairments, and will provide up-to-date medical
      criteria for use in the evaluation of disability claims based on mental
      disorders.

PMID- 10269613
TI  - National Library of Medicine programs--PHS. Notice of proposed rulemaking.
AB  - The Public Health Service, HHS, proposes to revise the regulations for the
      programs of the National Library of Medicine. The proposed revisions would: (1)
      Permit the Regional Medical Libraries to recover part or all of the costs of
      providing photocopies of biomedical materials, (2) improve readability of the
      regulations, (3) update references to statutory authorities and uniform
      administrative requirements, and (4) revoke Part 63 (Traineeships) which is
      obsolete.

PMID- 10269614
TI  - Health maintenance organizations--PHS. Final rule.
AB  - This rule amends the Public Health Service regulations on health maintenance
      organizations (HMOs) to elaborate on the 1981 amendments to the HMO statute
      regarding member protection in the event of insolvency, community rating by
      class, and primary care within the service area of a non-metropolitan HMO. In
      addition, the rule removes regulatory provisions that are considered unnecessary
      or burdensome, such as the specification of contractual provisions, and increases
      one of the regulatory limits on copayments to permit HMOs to become more
      competitive. These amendments are made after consideration of public comments on
      the notice of proposed rulemaking (NPRM) published on March 22, 1983.

PMID- 10269615
TI  - Privacy Act of 1974; report of new system--HCFA. Notice of new system of records.
AB  - In accordance with the requirements of the Privacy Act of 1974, we are proposing
      to establish a new system of records, "Payments for Interns and Residents,"
      HHS/HCFA/BPO No. 09-70-0524. We have provided background information about the
      proposed system in the "Supplementary Information" section below. HCFA invites
      public comments by March 18, 1985, with respect to routine uses of the system.

PMID- 10269616
TI  - List of primary care health manpower shortage areas designated under Section 332
      of the Public Health Service Act.
AB  - This notice provides a list, updated as of September 30, 1984, of primary care
      health manpower shortage areas designated by the Secretary of Health and Human
      Services under the authority of section 332 of the Public Health Service Act.

PMID- 10269617
TI  - Surveys find most employers self-funding health benefits.

PMID- 10269618
TI  - Rx for drug plans. Halting the runaway cost of prescription coverage.

PMID- 10269619
TI  - Cost-containment audit. Ailing health care plan may need exploratory surgery.

PMID- 10269620
TI  - Wagner v. Saskatchewan College of Physicians and Surgeons: a case study in
      professional discipline.

PMID- 10269621
TI  - Plug into greater energy savings.

PMID- 10269622
TI  - Blood sampling that brings smiles!

PMID- 10269623
TI  - Renal dialysis--high tech at a price.

PMID- 10269624
TI  - Community-based team approach to the management of children with cleft palate.
AB  - The child born with a cleft palate may have many associated problems in feeding,
      respiration, dentition, hearing, speech, language, and intellectual development
      as well as in psycho-social development. If the cleft is associated with a
      specific craniofacial syndrome, other physical problems may be present such as
      cardiac, kidney, digital, and visual involvement. The need for an extensive
      treatment program can extend from birth through adulthood. Important to the
      successful habilitation of these children is the early involvement of a multitude
      of specialists working together with the family in a team approach. The primary
      task of the team is to make decisions concerning timing and sequence of
      intervention for each individual patient. Several models for the delivery of
      health care services to the patient with a cleft palate are now in use. A
      community-based team model will be described in this article as a unique approach
      to the management of this population and as one that may be implemented in a cost
      effective manner in communities where cleft palate teams presently do not exist.

PMID- 10269625
TI  - An alternative health care setting for children with cancer: a residential summer
      camp.
AB  - Increasing concern for the psychosocial needs of children with cancer has
      paralleled increasing survival rates. This paper discusses the way in which a
      summer camp program can help to meet many social needs of children with cancer.
      Also discussed is the proposal of a campsite to be operated year-round for
      families of children with cancer, and the way in which such a program can help to
      meet many needs of these families.

PMID- 10269626
TI  - A clinical nurse specialist's role in the comprehensive management of attention
      deficit disorder.
AB  - Attention deficit disorder or the hyperactivity syndrome is a common and chronic
      disorder of childhood, with potential ramifications in adolescence and into adult
      life. Treatment directed solely toward medication management has not been
      demonstrated to affect the outcome of this disorder significantly, and it is
      clear that comprehensive treatment is in order for these children. The role of a
      clinical nurse specialist with skills and abilities complementary to that of the
      child psychiatrist or pediatrician who can provide many of the ancillary and
      direct services needed by these patients is described.

PMID- 10269627
TI  - American hospitals evaluate their computer systems in 1984.

PMID- 10269628
TI  - Management information systems...definition and status.

PMID- 10269629
TI  - Executive managers, take note!

PMID- 10269630
TI  - High-technology vision center has eye-appealing sophistication.

PMID- 10269631
TI  - Hospital learning center aids pediatric therapy.

PMID- 10269632
TI  - Teleconferencing facilities take healthcare lead.

PMID- 10269633
TI  - Integrated light & color makes positive contribution to patient rehabilitation.

PMID- 10269634
TI  - Designer uses paint to color a low-budget hospital project.

PMID- 10269635
TI  - Healthcare super-mart is new design trend.

PMID- 10269637
TI  - Memphis Methodist hospitals renovate with master plan.

PMID- 10269636
TI  - Prototype hospital room provides privacy & amenities.

PMID- 10269638
TI  - Color, signage identify extended care facility.

PMID- 10269639
TI  - Continuity of care video teleconference audience questions to panelists.

PMID- 10269640
TI  - Situational ethics: an approach to resolving ethical dilemmas in discharge
      planning.

PMID- 10269642
TI  - Chickenpox, shingles and EMS.

PMID- 10269641
TI  - Physician attitudes on medical costs, alternatives.

PMID- 10269643
TI  - State legislative requirements for CPR certification of EMS personnel.

PMID- 10269644
TI  - Budgeting in health care.

PMID- 10269645
TI  - Budgeting in health care systems.
AB  - During the last decade there has been a recognition that all health care systems,
      public and private, are characterised by perverse incentives (especially moral
      hazard and third party pays) which generate inefficiency in the use of scarce
      economic resources. Inefficiency is unethical: doctors who use resources
      inefficiently deprive potential patients of care from which they could benefit.
      To eradicate unethical and inefficient practices two economic rules have to be
      followed: (i) no service should be provided if its total costs exceed its total
      benefits; (ii) if total benefits exceed total costs, the level of provision
      should be at that level at which the additional input cost (marginal cost) is
      equal to the additional benefits (marginal benefit). This efficiency test can be
      applied to health care systems, their component parts and the individuals
      (especially doctors) who control resource allocation within them. Unfortunately,
      all health care systems neither generate this relevant decision making data nor
      are they flexible enough to use it to affect health care decisions. There are two
      basic varieties of budgeting system: resource based and production targeted. The
      former generates obsession with cash limits and too little regard of the
      benefits, particularly at the margins, of alternative patterns of resource
      allocation. The latter generates undue attention to the production of processes
      of care and scant regard for costs, especially at the margins. Consequently, one
      set of budget rules may lead to cost containment regardless of benefits and the
      other set of budget rules may lead to output maximization regardless of costs. To
      close this circle of inefficiency it is necessary to evolve market-like
      structures. To do this a system of client group (defined broadly across all
      existing activities public and private) budgets is advocated with an
      identification of the budget holder who has the capacity to shift resources and
      seek out cost effective policies. Negotiated output targets with defined budgets
      and incentives for decision makers to economise in their use of resources are
      being incorporated into experiments in the health care systems of Western Europe
      and the United States. Undue optimism about the success of these experiments must
      be avoided because these problems have existed in the West and in the Soviet bloc
      for decades and efficient solutions are noticeable by their absence.

PMID- 10269646
TI  - Is there a general theory for health care budgeting?
AB  - This article suggests that a broad theoretical framework is needed within which
      the empirical evidence about the results of the many different health care
      funding systems can be analysed. A possible framework is described. The article
      also proposes that when policy makers select the budgetary system most likely to
      produce the patterns of health care that are required they should also install
      output and quality controls designed to avoid any predictable and undesirable
      side effects. Reimbursement under the budget could be made conditional upon an
      adequate performance as measured by the controls.

PMID- 10269647
TI  - Regional health budgeting in Western Europe.
AB  - This article distinguishes in the first section three characteristics of regional
      budgeting in health care systems: geographical division of budgets, regional
      financial limits, and policy freedom for regional authorities. Following these
      and more general elements of regional budgeting systems sections 2 to 5 describe
      the situation in the U.K., Sweden, The Netherlands, and some other European
      countries. The first two countries have a developed regional budgeting system for
      health services paid by taxation. Other European countries are developing
      regional budgeting models which are to be combined with a social insurance
      system. Of these countries, the Netherlands are discussed in some detail. Based
      on the experiences with regional budgeting in different countries three
      hypotheses are generated which require further empirical research. They are: (1)
      One management tier on a regional level--or municipal or provincial level--is a
      condition for a regional budgeting system which contributes more to an
      integration of health services than a two-tier system. (2) Countries with a
      regional budgeting system with a regional financial limit superimposed by the
      state seem to spend a smaller percentage of their gross national product than
      other countries. (3) Countries with policy freedom on a local level show a faster
      growth rate for primary care than for hospital care.

PMID- 10269648
TI  - Programme budgeting: an aid to planning and priority setting in health care.
AB  - Programme budgeting can assist in overcoming some of the current problems
      besetting health care planning and management. In particular, health services
      suffer from lack of (i) explicit objectives; (ii) comprehensive overviews; (iii)
      knowledge of production functions; (iv) incentives for efficiency; and (v)
      inappropriate budgeting structures. Programme budgeting while not in itself
      capable of overcoming all these problems can create an information framework
      which first highlights but secondly fosters amelioration of these problems. In
      essence programme budgeting links outputs and inputs by health care programme.
      This facilitates monitoring, planning, control and the fostering of evaluation.
      Two examples of the use of programme budgets are presented.

PMID- 10269649
TI  - Diet and primary prevention of cancer.
AB  - Various assessments have been made of the contribution of diet to the risk of
      developing cancer in industrialized societies. The evidence available for a
      causal relationship between diet factors and cancer of specific sites is still
      incomplete and further research is needed to fill gaps in knowledge. Nevertheless
      given the limited effectiveness of available therapy in the treatment of
      established disease, preventive measures based on available evidence should
      receive active consideration, particularly as they are unlikely to be hazardous
      in other respects and as they approximate to changes in food supply and diet
      recommended for general health maintenance. Prevention must address itself to the
      nature of the food supply, to the choice of the foods that constitute the normal
      diet and the way in which these are stored and prepared both domestically and
      industrially. The objectives of a primary prevention programme would be to
      develop dietary intake patterns that would meet established requirements for
      health maintenance, would minimize the intake of carcinogens and optimize the
      intake of inhibitors. The feasibility of public health measures in respect of
      these objectives is examined and the cost effectiveness assessed. Potential
      problems arising from the implementations are considered. Measures include the
      modification of agricultural practices and of food processing techniques as well
      as various approaches to nutrition education, and modification of food intake
      patterns. It is concluded that considerable experience exists in other areas of
      nutrition intervention to suggest that primary prevention of cancer in respect of
      dietary factors is feasible and would complement other public health activities
      in this area.

PMID- 10269650
TI  - Economic aspects of smoking.
AB  - Smoking has become a major issue for public health policy in recent years. This
      paper deals with the economic aspects of smoking. First, we outline the basic
      concepts of welfare economics which subsequently are used as the normative
      framework of the analysis. In particular, we stress the role of efficiency as a
      criterion for economic policy evaluation. Second, we demonstrate that smoking is
      associated with several market failures, notably externalities and
      dependency/addiction (non-rational behavior). Third, costs and benefits of
      smoking are considered. We argue that the benefits of smoking are the
      satisfaction (utility) which the consumers derive from it rather than the
      employment effect of producing tobacco products or the revenues of the excise tax
      on these products. A general model for estimating the costs of smoking is
      developed and various cost concepts are discussed. Empirical cost estimates are
      presented for Switzerland. In 1976, estimated social (economic) costs of smoking
      were between 560 and 800 million Swiss francs while the external costs were
      between 140 and 260 million francs. Contrary to a widely held belief, smoking
      hardly influenced health care costs because the higher medical care costs of
      smokers during their lifetime are offset by their reduced life expectancy. The
      last section deals with intervention strategies to reduce smoking: anti-smoking
      publicity, advertising restrictions, and taxation. We discuss these three
      instruments on a conceptual level and summarize previous empirical studies. The
      main results are: (1) Both publicity and taxation offer a considerable potential
      as deterrents of cigarette demand. (2) The results for Switzerland imply that
      publicity campaigns are likely to be efficient in the sense that expected
      campaign benefits outweigh its costs.

PMID- 10269652
TI  - A child is born, or a tale of moral hazard.

PMID- 10269651
TI  - Caring for the infirm: a task for the individual or for a social insurance
      programme?
AB  - In West Germany, seventy per cent of all nursing home patients receive only a
      pocket-money, for social health insurances are responsible only for the care of
      "sick" people, but not of those needing only "care". The infirm individual,
      however, rarely can pay for the costs of nursing homes out of his own revenue.
      Despite general agreement that guarding against the financial risks of becoming
      dependent on nursing is insufficient there is little consensus on what a new
      concept should look like. Some proposals are more concerned with avoiding cost
      expansion than with effective health care. On the one hand, the implementation of
      a new branch in the social insurance system, called "nursing insurance", is
      demanded, which would pay for the stay in nursing homes. On the other hand, it is
      emphasized that the capacity for voluntary individual provision should be
      strengthened as well as the families' means to care for their bedridden members.
      This paper presents the discussion and outlines implications for health care of
      the various proposals.

PMID- 10269653
TI  - When to buy, when to lease.

PMID- 10269654
TI  - Selecting reliable vendors.

PMID- 10269655
TI  - Client-centered health education: a chance for provider change.

PMID- 10269657
TI  - Client-centered treatment for the alcoholic in an ambulatory care setting.

PMID- 10269658
TI  - An interactive model for wellness: a systems approach.

PMID- 10269656
TI  - Health risk appraisals: use and misuse.

PMID- 10269659
TI  - Use of benefit segmentation in designing family health programs.

PMID- 10269660
TI  - The issue of women's health: a matter of record.

PMID- 10269662
TI  - An advocacy model for health care professionals.

PMID- 10269661
TI  - Volunteers in patient education: is there a role?

PMID- 10269663
TI  - Humana administrator hails teamwork of staff in artificial heart implant drama.

PMID- 10269664
TI  - FAH scholarship total rises to 57 with 14 new winners in '84.

PMID- 10269665
TI  - Some states recognize broad role in care of medically indigent.

PMID- 10269666
TI  - Competition provides impetus for the transformation of the health marketplace.

PMID- 10269668
TI  - A bit more: computers. Basics & beyond.

PMID- 10269667
TI  - Mounting pressures cause rise in hospital hybridization.

PMID- 10269669
TI  - Incentives that "pay".

PMID- 10269670
TI  - A team effort at MMC of Long Beach.

PMID- 10269671
TI  - Westminister Village: dining facilities.

PMID- 10269672
TI  - New treasury proposals' effects on non-profits.

PMID- 10269673
TI  - Health education: a boon to humanity or a fantasy and fraud?
AB  - The health education profession in the United States has been influenced by three
      major forces in recent years: sociomedical phenomena resulting in a public demand
      for health education, disease specificity of the practice of health education,
      and the process of professional credentialing. While these three forces are
      looked upon by many as beneficial to the profession, they also pose significant
      threats to the viability of the profession. Health educators must deal with these
      threats if the health education profession is to significantly benefit humanity.
      Otherwise, the profession may be ultimately perceived as a fantasy and fraud.

PMID- 10269675
TI  - The new game in health care: who will profit.

PMID- 10269674
TI  - Unemployment and its effect on high-level wellness.

PMID- 10269677
TI  - Monte Carlo method in the health service.

PMID- 10269676
TI  - Statistics at work. Admission impossible?

PMID- 10269678
TI  - Out patient referrals.

PMID- 10269679
TI  - Mental health censuses in Mersey RHA.

PMID- 10269680
TI  - Variations in hospital throughput.

PMID- 10269681
TI  - Unit management. Re-ordering managers' roles and responsibilities.

PMID- 10269682
TI  - Staff relations. A build-up of too much pressure.

PMID- 10269683
TI  - Estate management. A willing guide.

PMID- 10269684
TI  - Management development. Breaking the management mould.

PMID- 10269685
TI  - Nurses' uniforms. Safety and style.

PMID- 10269686
TI  - Ireland. What divides and unites Donegal and Derry.

PMID- 10269687
TI  - Civil Defense. Preparing for the wounds of war without the NHS.

PMID- 10269689
TI  - Libraries. Why every manager should have one.

PMID- 10269688
TI  - Libraries. The struggle for status.

PMID- 10269690
TI  - Benefits. Where patients may lose out.

PMID- 10269691
TI  - Registers. Keeping tabs on mental handicap.

PMID- 10269692
TI  - Stoke Mandeville fights the two-nation image.

PMID- 10269693
TI  - Performance indicators. The quality and the width.

PMID- 10269694
TI  - Community care: evaluating the options.

PMID- 10269696
TI  - Libraries. Integrated information online for health.

PMID- 10269695
TI  - Libraries. Rapid reference and retrieval systems.

PMID- 10269697
TI  - Libraries. Charting unexplored areas of research services.

PMID- 10269698
TI  - Status: Compucare. Interview by Bill W. Childs.

PMID- 10269699
TI  - Using the differential costing concept for healthcare decisions.

PMID- 10269700
TI  - Hospital information systems: the next three generations.

PMID- 10269701
TI  - Internal auditing.

PMID- 10269702
TI  - Ethics and success--the relationship.

PMID- 10269703
TI  - The drug file.

PMID- 10269704
TI  - Is productivity effective?

PMID- 10269705
TI  - Electronic spread sheets.

PMID- 10269706
TI  - Hackley Hospital upgrades to the IBM S/38 Model 40.

PMID- 10269707
TI  - Preparing a proper resume.

PMID- 10269708
TI  - Divisible obligations of a contract.

PMID- 10269709
TI  - How much do you know about the legal aspects of purchasing?

PMID- 10269710
TI  - PA's holding down TP prices.

PMID- 10269711
TI  - The economics of hospital supply prices.

PMID- 10269712
TI  - How to save money on your next bulk oxygen buy.

PMID- 10269713
TI  - Administration tips the scales in group purchasing involvement.

PMID- 10269714
TI  - Unloading your surplus equipment.

PMID- 10269715
TI  - Modification of the sales contract.

PMID- 10269716
TI  - Controlling your suture inventory.

PMID- 10269717
TI  - How the New Jersey Hospital Association bids reference labs.

PMID- 10269718
TI  - Why worry about volunteers?

PMID- 10269720
TI  - The NHS response to Asians--is it enough?

PMID- 10269719
TI  - Planning family practitioner services.

PMID- 10269721
TI  - Recent innovations in the use of computers at Rampton Hospital.

PMID- 10269723
TI  - Change without growth: the challenge for management.

PMID- 10269722
TI  - Planning residential services for mentally handicapped people: variation in
      demand across territories and over time.

PMID- 10269724
TI  - The practical implementation of Griffiths. The contractual issues.

PMID- 10269726
TI  - The Engineering Assembly and regional structure.

PMID- 10269725
TI  - Results of monitoring and computer modelling.

PMID- 10269727
TI  - Solar energy project at Torbay Hospital. Monitoring--data collection and
      processing.

PMID- 10269728
TI  - The supply, processing and distribution supervisor.

PMID- 10269729
TI  - The magic wand.

PMID- 10269730
TI  - Computers: materiel management's future.

PMID- 10269731
TI  - Materiel management: a nursing perspective.

PMID- 10269732
TI  - Pharmacy and the law: a pharmacist/lawyer perspective.

PMID- 10269733
TI  - Materiel management: present and future concepts.

PMID- 10269734
TI  - The pharmacist as a member of the patient care team.

PMID- 10269735
TI  - Materiel management and food service: a synergistic approach.

PMID- 10269736
TI  - A clinician's views of supply, processing and distribution.

PMID- 10269737
TI  - Internal marketing of materiel management.

PMID- 10269738
TI  - The role of processing in implementing a case cart system.

PMID- 10269739
TI  - The materiel manager's training: for now and tomorrow.

PMID- 10269740
TI  - Developing your practice's business plan.
AB  - Transplantation of organs and tissues provides the clinician with treatment
      options for many types of organ failure. However, nearly all transplant efforts
      are limited by a relative scarcity of donor material. Donor organ and tissue
      availability can be increased by developing suitable preservation methods and by
      improving the awareness of primary health care providers as to the needs and
      scope of therapeutic transplantation. Donor material capable of immediate
      function upon implantation will become available as increasingly effective
      techniques of tissue and organ preservation develop. These techniques are
      extremely important for lung, heart, and liver transplantation, where no
      artificial, long-term methods of support exist, making immediate function a
      necessity. In Part I of this article, the authors discuss the transplantation of
      cornea, kidney, heart, lung, and heart-lung block: Part II covers transplantation
      of liver, pancreas, skin, and bone marrow.

PMID- 10269741
TI  - Washington Supreme Court decides case re: removal of life support systems.

PMID- 10269742
TI  - Detroit coalition adopts PPO policy statement.

PMID- 10269743
TI  - West Virginia hospital board composition law upheld.

PMID- 10269744
TI  - 1984 annual tax wrap-up (Part 2).

PMID- 10269745
TI  - Comparative statistics for health care coalitions available.

PMID- 10269746
TI  - New Jersey Supreme Court outlines standards for treatment withdrawal.

PMID- 10269747
TI  - Interpersonal conflict: strategies and guidelines for resolution.
AB  - Historically, management theorists have recommended the avoidance or suppression
      of conflict. Modern management theorists recognize interpersonal conflict as an
      inevitable byproduct of growth and change. The issue is no longer avoidance of
      conflict but the strategy by which conflict is resolved. Various strategies of
      conflict resolution and the consequences of each are discussed in this article,
      along with guidelines for the effective use of confrontation strategy.

PMID- 10269748
TI  - Show me your peer review and medical records.

PMID- 10269749
TI  - South Carolina medical record department directors as health information
      managers.
AB  - Is the job of medical record department director substantially the same in any
      acute care hospital? If not, what are some of the differences in roles and
      responsibilities? This study addresses that question as it relates to medical
      record department directors in South Carolina acute care general hospitals.

PMID- 10269750
TI  - Streets to good health. The Veterans Replacement Hospital.

PMID- 10269751
TI  - Regulating the cost of institutional healthcare through competitive bidding.
AB  - A system for prospective rate setting based on the theory of auctions is
      proposed. In order to guarantee that competition will achieve public health
      goals, the State Health Planning and Development Agency will issue a limited
      number of patient day certificates. Hospitals can obtain these certificates by
      offering bids in the form of rate increases. Hospitals offering low rate
      increases will receive patient day certificates with authorized rate increases
      equal to their own proposed rate increases plus a bonus. Hospitals offering high
      rate increases will receive only a base rate increase equal to the smallest rate
      increase offered by any hospital. This approach enjoys the cost minimizing
      benefits of competition while restraining hospital capital expenditures.

PMID- 10269752
TI  - Pricing hospital units of service using microcosting techniques.
AB  - Traditionally, pricing of hospital-based ancillary and diagnostic services has
      been a reactionary response to a cost-based budgeting system. Revenue objectives
      have been determined by budgeted costs, new development, contractual allowances,
      and required net income. Since hospitals have found it difficult to accurately
      measure the costs of specific services, price setting has been reserved solely
      for senior management or for the financial division. Thus, operating managers and
      their professional (medico-administrative) counterparts have had little
      opportunity to participate in the price-setting process and, for the most part,
      have had little understanding of the cost components which should be analyzed
      before the rates are set. A great deal of confusion and questioning has developed
      surrounding the establishment of prices at the departmental level. Although
      hospitals have given some consideration to market forces, this element in the new
      competitive environment will have a greater impact on the services purchased by
      the various payors.

PMID- 10269754
TI  - Closing the gender gap.

PMID- 10269753
TI  - Difference in composition of personnel among government, voluntary, and investor
      owned U.S. community hospitals.
AB  - The relationship between an organization's staff structure, particularly the
      relative proportions of its administrators and line staff, and the organization's
      size, ownership status, financial condition, and scope of services is a subject
      that has attracted a good deal of attention from organizational theorists. At the
      present time, the subject is especially important to the hospital industry
      because of widespread concern about hospital costs and interest in how personnel
      expenses contribute to these costs.

PMID- 10269756
TI  - Dishing up sales.

PMID- 10269755
TI  - A sterling opportunity.

PMID- 10269757
TI  - Effective introduction of change.

PMID- 10269758
TI  - Closed medical staffs are not inevitable.

PMID- 10269759
TI  - 1984 as it was.

PMID- 10269760
TI  - The lure of risk-sharing arrangements. Interview by Emily Friedman.

PMID- 10269761
TI  - Nothing ventured, nothing gained.

PMID- 10269762
TI  - Drug usage guidelines, Part 2: Analysis of program outcome.
AB  - The effect of integrating a Drug Usage Guidelines (DUG) program with a hospital
      formulary system was analyzed. Significant changes were observed in both the
      number of requests submitted to the P & T Committee and the number of drugs added
      to the formulary after implementation of the DUG program. Failure to follow the
      DUG submission protocol, particularly with respect to the requirement for
      supportive clinical data from the primary literature, led to delayed
      consideration and eventual withdrawal of several highly promoted drug products.
      The initial involvement of physicians in the planning and implementation of the
      DUG program has been an important factor in the continued success of the program.

PMID- 10269763
TI  - Maintaining clinical pharmacy services during cost containment.
AB  - As new hospital reimbursement schemes are rapidly introduced into the hospital
      industry, the impact of cost containment measures will be felt by all departments
      of pharmacy. This paper describes how the pharmacy department at one community
      teaching hospital justified the continuation of clinical pharmacy programs when
      faced with an immediate 18% reduction in pharmacist staff. Various written
      communications and recommendations are provided to assist other hospital pharmacy
      departments that are facing or may face this dilemma.

PMID- 10269765
TI  - Employee turnover revisited.

PMID- 10269764
TI  - Lawful uses of drugs purchased at preferential prices.
AB  - The issue of use of pharmaceuticals purchased at preferential prices by hospital
      pharmacies in competition with community pharmacies has received great attention
      in recent years. The U.S. Supreme Court has addressed such issues twice within
      the past 10 years. The statutory basis for the lawsuits is explained and the
      history and implications of the Supreme Court decisions are discussed, with
      emphasis on the various categories of permissible and impermissible uses under
      the court's decisions. Implications for the hospital pharmacy are described and
      discussed.

PMID- 10269766
TI  - Peaceful setting, individual care aid terminally ill patients.

PMID- 10269767
TI  - Bishops challenge facilities to act with hope, realism.

PMID- 10269768
TI  - The Bishops and the economy. Draft is "more cautious than recent Popes".

PMID- 10269769
TI  - Goal for pastoral letter: expose holes in "social safety net".

PMID- 10269770
TI  - Capitalism and Christian values: dilemma for Catholic health care.

PMID- 10269771
TI  - Michael Novak comments on the pastoral draft.

PMID- 10269772
TI  - Health programs at risk in wake of '84 election.
AB  - President Ronald Reagan's reelection suggests that government will continue to
      promote policies that favor marketplace allocation of medical care resources and
      that it will continue to cut social welfare programs, particularly health
      programs for the elderly and the poor. Unlike previous administrations, which
      focused on controlling private and public health care costs, President Reagan has
      targeted Medicare and Medicaid expenditures--a policy which has caused
      substantial cost shifting to underwrite hospitals' uncompensated and
      undercompensated care. Physician payment policies likely will receive the
      greatest attention in spending reduction efforts. Congress, as it showed in the
      president's first term, can cut spending sharply. Its task, however, has been
      complicated by the president's campaign declaration that defense spending and
      Social Security benefits were off-limits. Expected to lead health care debate on
      Capitol Hill are Sens. Albert Gore, Jr., D-TN, and Phil Gramm, R-TX, and Rep.
      James Jones, D-OK.

PMID- 10269773
TI  - Efficiency, new equity capital enable systems to compete.
AB  - Because of limited cash, sponsors of some community and religious hospitals have
      sought to sell or lease their institutions to a not-for-profit (NFP) system or to
      a for-profit system. A number of national alliances address the capital formation
      problem of NFP institutions. Until now they have been almost exclusively
      concerned with acquiring less costly debt. Without new equity capital, market
      influence is difficult to obtain. Even well-managed voluntary systems face a
      serious threat from well-capitalized investor-owned systems. Increased
      competition among hospitals and physicians will force future advantages to those
      who have capital. It will also restrict funding of certain programs and services
      by voluntary enterprises. In anticipation of this, various forms of partnerships
      have developed with investor-owned systems. To regain the initiative as the
      premier sponsors of health care, religious and other voluntary systems must go
      beyond merely competing in their markets to acquiring weaker institutions. They
      also must revitalize private giving and excel in efficiency to offset threats
      from ambulatory, day-care operations and from high-technology hospitals.
      Structural changes in the industry can be predicted, including the following: The
      trend toward integration for production, financing, and marketing will continue.
      Public market equity capital will be increasingly used to finance medical
      practice. Hospitals that sell their equity values will establish service
      foundations. National alliances will continue, but strictly local systems will
      maintain operation. Investor-owned systems will move increasingly into high
      technology tertiary care.

PMID- 10269774
TI  - Compensation: bonus versus wage increase.
AB  - Health care facilities with increased revenues that wish to give year-end lump
      sum bonuses must comply with fair labor standards to avoid recalculating regular
      pay and incurring retroactive overtime liability. Discretionary bonuses are
      excluded from the regular rate of pay. Circumstances in each case determine if a
      bonus is discretionary and thus excluded from the regular rate of pay. A
      "discretionary" bonus is one that the facility did not promise or announce and
      that employees have no reason to view as regular pay. To ensure their bonuses'
      discretionary status, facilities should not announce the bonus until just before
      or when they give it and should not discuss it with employee groups. Records
      should show that the facility (1) never before granted such a bonus, (2) had no
      plan to do so, (3) had not informed employees of it, and (4) has given the bonus
      only because of unexpected and probably nonrecurring profits.

PMID- 10269776
TI  - Restructuring helps ensure Ohio hospital's survival.

PMID- 10269775
TI  - New communications tools expand educational options.
AB  - Administrators must make well-informed decisions regarding new communications
      technology to disseminate information to diverse constituencies in the facility
      and its service area. For example, communicating and using information about
      rapidly changing regulations is important in today's competitive environment.
      Administrators are faced with choosing from among such electronic media as
      satellite programming, telephone systems, cable television, and microwave radio
      to meet their institutions' needs. Teleconferences and closed-circuit educational
      programming also offer cost-efficient choices. Consultants can assist the
      management team in developing an appropriate system, whether sharing in an
      existing program or private network or installing an independent satellite
      receiving dish, or "downlink." The team, including medical personnel, must choose
      the hardware that the institution can use most effectively in accomplishing its
      objectives. Studying other facilities' systems, such as St. Joseph Hospital,
      Providence, RI, with its independent receiving dish, shows the practical
      applications of the often confusing technology. Administrators should not be put
      off by "'technology frenzy." About 600 U.S. institutions have receiving stations
      or access to them; most will have them in the future. Even smaller facilities can
      become leaders with this cost-effective technology. Administrations must lead in
      accepting the challenge to improve health care communications.

PMID- 10269778
TI  - Pastoral care staff participate on treatment team.
AB  - Clinical department members at Marianjoy Rehabilitation Center identified
      problems with their staffing conferences, in which they plan patient care. The
      problems included a deemphasis on social and spiritual aspects and an
      overemphasis on billing concerns. To correct these difficulties, the hospital
      adopted the Patient Evaluation Conference System (PECS), adding a pastoral care
      component. Central to the new system is the addition of pastoral care data from
      scales that assess patient status in four areas: (1) awareness of spiritual
      dimension of disability, (2) knowledge of spiritual resources, (3) skill in
      spiritual self-management, and (4) use of spiritual resources. Pastoral care
      staff write evaluations in easily understood language so other staff members can
      understand pastoral care's purpose. They formulate specific short-term objectives
      in order to delineate the pastoral services needed. Integration with the
      treatment team has resulted in greater accountability for the pastoral care
      staff. Patient progress charts now include specific pastoral care goals, and a
      daily report of pastoral care services is included on patient bills, although no
      fee is charged. Program evaluation and feedback systems to enable pastoral care
      staff to make more accurate assessments are planned. The new system has enhanced
      staff communication, service documentation, discharge planning, and the quality
      of pastoral care.

PMID- 10269777
TI  - Values program allows employees to set performance standards.
AB  - Through a pilot program in values enrichment at Sacred Heart Medical Center,
      Spokane, WA, employees learned to evaluate their own and others' work behaviors.
      They identified the values that they believed would promote the medical center's
      best interests, and they suggested actions that could help or hinder the
      attainment of five key values: compassion, care of the poor, respect for the
      dignity of every person, high-quality care of the whole person, and teamwork in
      care giving. Each of the medical center's 32 departments as well as its
      management system committee prepared evaluation tools to measure employee
      performance. These tools, based on employee suggestions, are essential to the
      institution's ongoing attention to its values. Employee screening procedures,
      including an application form, to discern potential employees' readiness to
      further the institution's stated values also were developed. Other program
      accomplishments included the formation of an ethics committee, recruitment of a
      staff ethicist, and production of a videotape for use in employee orientation and
      in-service sessions.

PMID- 10269779
TI  - Comprehensive radiological equipment management program.
AB  - The increasing cost and complexity of state-of-the-art radiological equipment,
      and the need for more comprehensive safety and performance assurance, have
      increased maintenance expenditures to a level where they have become one of the
      largest operating expenses of radiology departments. To cope with this ever
      increasing expenditure, a comprehensive in-house maintenance program was
      implemented in our institution. This program properly balanced the capability of
      the radiology department's in-house technical personnel with support provided by
      equipment manufacturers' service organizations. Quality assurance activities are
      also included as an integral part of the entire program. Since the implementation
      of the program, an average 40% reduction in the annual maintenance expenditure
      has been observed.

PMID- 10269780
TI  - NMR issues for 1985 and beyond. Guideline report.

PMID- 10269781
TI  - Utilization reporting system facilitates physician practice analysis.

PMID- 10269782
TI  - A computer-based emergency unit management system for a multi-institutional
      system.

PMID- 10269783
TI  - Referrals form hospital emergency departments to primary care centers for
      nonurgent care.

PMID- 10269784
TI  - Long term care dialogue. Community relations.

PMID- 10269785
TI  - Volunteers in long term care: an all-staff responsibility.

PMID- 10269786
TI  - Implementing EMT-D.

PMID- 10269787
TI  - Early education. EMS awareness project.

PMID- 10269788
TI  - CPR: are our assumptions valid?

PMID- 10269789
TI  - Wellness/quality of life program in a long-term care facility.

PMID- 10269790
TI  - The use of volunteers in social group work as remotivation leaders.

PMID- 10269791
TI  - The music therapy clinical intern: performance skills, academic knowledge,
      personal qualities, and interpersonal skills necessary for a student seeking
      clinical training.
AB  - The music therapy curriculum consists of two distinct parts: the academic phase
      and the internship. The music therapy student must apply for a clinical
      internship during the last year of the academic phase, and the student is
      expected to evolve from student to professional music therapist during the
      internship phase. The present study sought to determine the skills, knowledge,
      and qualities clinical training directors considered most important for a
      prospective intern to possess. The sample population of the survey consisted of
      25 clinical training directors from the Great Lakes Region. Results of the survey
      indicated that piano skills, knowledge of psychology, emotional maturity, and the
      ability to express needs and feelings were considered most important for the
      prospective intern to possess.

PMID- 10269792
TI  - Condell Memorial Hospital--Libertyville, Illinois.

PMID- 10269793
TI  - Virucidal efficacy of hospital disinfectants and antiseptics.
AB  - This article reviews the virucidal efficacy of the five main families of chemical
      disinfecting solutions: Alcohols, glutaraldehydes, iodophors, bisdiguanides and
      phenolics currently used in hospitals as disinfectants or antiseptics. Special
      emphasis was placed on the efficacy of these solutions against difficult-to-kill
      hydrophilic viruses, some of which are responsible for nosocomial infections in
      hospitals.

PMID- 10269794
TI  - Linen control systems for hospitals.

PMID- 10269795
TI  - How efficient are sterile processing departments ... do you know?

PMID- 10269796
TI  - The MDR rule.

PMID- 10269797
TI  - Handling conflict.

PMID- 10269798
TI  - Deposition: a voyage of discovery, or just a fishing expedition?

PMID- 10269799
TI  - Vaudois University Hospital--Lausanne, Switzerland.

PMID- 10269800
TI  - Sterilization monitoring.

PMID- 10269801
TI  - Tax policy and the demand for health insurance.
AB  - Estimates of the price and income elasticities of demand for health insurance are
      derived from econometric estimates of the parameters of a discrete choice model
      of health insurance demand using data from a survey of plan choices among a
      sample of federal government employees. The estimated income elasticity (+0.01)
      is similar to most previous estimates. The estimated price elasticity (-0.16) is
      in absolute value much less than the earlier previous estimates and somewhat less
      than the more recent previous estimates. Possible causes of these differences in
      price elasticity estimates are discussed.

PMID- 10269802
TI  - Considering the effects of financial incentives and professional ethics on
      'appropriate' medical care.
AB  - This manuscript presents a model of an 'ethical' physician's allocation of time
      and income between work and leisure activities for various remuneration types and
      income levels. The physician is 'ethical' because, ceteris paribus, he prefers to
      provide that amount of medical care which he believes to be in the patient's best
      interests. Remuneration systems include fixed, time-based and output-based
      incomes. Only output-based income provides the physician with incentives which
      may (if the physician density and medical care price are sufficiently high)
      generate more-than-'appropriate' care per patient. Fixed and time-based incomes
      necessarily lead the physician to provide less-than-'appropriate' care.

PMID- 10269803
TI  - Regulating uncertain health hazards when there is changing risk information.
AB  - The usual regulatory strategy for imperfectly understood risks is to regulate
      these hazards more stringently than would be dictated by myopic benefit-cost
      concerns. When downward irreversibilities are present and there are opportunities
      for learning more about the risk over time, it is optimal to under-regulate the
      risk initially and then tighten the regulatory requirements after adverse
      information is acquired. Upward irreversibilities that limit the ability to
      augment the health and safety investment level create the opposite result. The
      expected value of perfect prior information is a decreasing function of the
      probability of acquiring future risk information and the probability that the
      risk will be discovered to be severe.

PMID- 10269805
TI  - Time series analysis of mortality and unemployment.

PMID- 10269804
TI  - Corporate benefit policies and health insurance costs.
AB  - We tested the hypothesis that health insurance premium costs per employee are
      lower for employee groups where multiple health plans are offered and the
      employer pays a level dollar amount of the chosen premium than for employee
      groups where these two conditions are not met. Proposed national legislation
      relies on these conditions to create a competitive health care market. Data on 56
      employee groups in 1981 and 66 employee groups in 1982 were collected from two
      surveys of large employers in Minnesota. Regression analysis of premium data from
      both surveys rejected the hypothesis. Indemnity plans in multiplan groups were
      cheaper if the employer paid a level dollar contribution versus a level percent
      (including 100) contribution. However, groups offered only an indemnity plan had
      lower premiums than groups meeting the two legislative conditions. These findings
      apply to both individual and family coverage premiums and are not caused by
      systematic differences in benefit provisions, employee demographics or factors
      influencing loading charges. Our findings cast doubt on attempts to achieve
      health care competition by legislative changes in insurance options and
      contribution methods.

PMID- 10269806
TI  - The competition debate five years later.

PMID- 10269807
TI  - Electronic image systems for records management.
AB  - Users of micrographics and those individuals who work with paper-based systems
      are probably intrigued by the promise of increased productivity available through
      optical disk technology. However, those with a thorough understanding of all
      that's been written about the technology are in the minority. This article hopes
      to help lift the veil of uncertainty surrounding the impact of optical disk
      technology as it applies to electronic document image systems, and to also add to
      the knowledge base of those who have already reached a respectable level of
      understanding.

PMID- 10269808
TI  - The evolution of a cooperative online network.

PMID- 10269809
TI  - Managing internal entrepreneurs.
AB  - Creativity and entrepreneurship are vital to any organization, but bureaucracy
      and organizational restrictions can discourage these important traits in a
      company's employees. Often, attitudes and the general gestalt within a group can
      be more important than policies or pronouncements by management, but translating
      intangibles into concrete results is a mystery to many managers. This article,
      while it contains no revolutionary new ideas, is a summary of proven methods for
      igniting creative sparks in any organization.

PMID- 10269810
TI  - Hospital laundry space shortage problem conquered with design, monorail system.

PMID- 10269811
TI  - Anti-bacterial agents seen as expendable.

PMID- 10269812
TI  - Baylor Medical Center laundry moves. Long wait pays off in new facility.

PMID- 10269813
TI  - Infection control and linen services.

PMID- 10269815
TI  - How you'll feel the money squeeze on hospitals.

PMID- 10269814
TI  - What the prepaid-care "boom" looks like from the inside.

PMID- 10269816
TI  - Family practice is becoming the first victim of competition.

PMID- 10269817
TI  - The importance of health record maintenance in the tuberculosis control programme
      in India.

PMID- 10269818
TI  - Get ready for EcuMed.

PMID- 10269819
TI  - The Achilles' heel of medicine.

PMID- 10269820
TI  - "Rusk's folly:" rehabilitation.

PMID- 10269821
TI  - The White House and the white coat.

PMID- 10269822
TI  - American medicine in the year 2000.

PMID- 10269823
TI  - NIH--a balancing act.

PMID- 10269824
TI  - Evolution of a "right to health care".

PMID- 10269825
TI  - NIH research: a window to the world of medicine.

PMID- 10269826
TI  - In control of their own destinies. Specialty groups build identities away from
      AMA.

PMID- 10269827
TI  - Privileges, MD surplus, costs impel hospital staff turf battles.

PMID- 10269828
TI  - Landmark studies propel medicine forward.

PMID- 10269829
TI  - The nosocomial infection war.

PMID- 10269831
TI  - Gifts for the hospital that needs everything.

PMID- 10269830
TI  - Osteoporosis: looking at the whole picture.

PMID- 10269832
TI  - Wellness comes to work.

PMID- 10269833
TI  - Productivity: the magic word pays off.

PMID- 10269834
TI  - The robots are coming.

PMID- 10269835
TI  - Lab budgeting and cost accounting under DRGs.

PMID- 10269836
TI  - Collaborative problem solving.

PMID- 10269837
TI  - A paperless microbiology laboratory.

PMID- 10269838
TI  - Why I spent time as a hospital volunteer.

PMID- 10269840
TI  - Southwest Detroit Hospital creates a multihospital system.

PMID- 10269839
TI  - NME political donation is subject of FBI probe.

PMID- 10269841
TI  - New York City's teaching hospitals look carefully at high-cost equipment.

PMID- 10269842
TI  - Nation's leading clinics expect more patient volume, facility expansion.

PMID- 10269843
TI  - Children's hospital sets up network by leasing other hospitals' nurseries.

PMID- 10269844
TI  - Insurers' change in approach may threaten hospitals' margins.

PMID- 10269845
TI  - PPOs must recognize divergent interests, incentives to succeed.

PMID- 10269846
TI  - PPOs growing rapidly in CA market: study.

PMID- 10269847
TI  - District hospital board takes action against threat posed by referendum.

PMID- 10269849
TI  - Low rates, tax reform and Medicare fears push hospitals into bond market.

PMID- 10269848
TI  - Ruling affirms liability of hospitals for emergency doctors' negligence.

PMID- 10269850
TI  - Model staff bylaws debate involves 'code words', legal expert charges.

PMID- 10269851
TI  - Hospitals must restructure emergency charges to retain patient base: expert.

PMID- 10269852
TI  - Patient costs for diagnostic tests drop average of 10% in ACEP project.

PMID- 10269853
TI  - HMO industry leaders want HCFA to tone down its peer review plans.

PMID- 10269855
TI  - Greatwest picks Phoenix for next HMO expansion.

PMID- 10269854
TI  - California Catholic hospital system buys statewide HMO, avoids start-up.

PMID- 10269856
TI  - AMI, St. Luke's Episcopal discussing integrated delivery system for Houston.

PMID- 10269857
TI  - Expert, hospital group join to form 'test tube' fertilization clinic venture.

PMID- 10269858
TI  - Manor Care chain's large profits a result of wooing wealthy patients.

PMID- 10269859
TI  - The way to control hospital costs lies between regulation, competition.

PMID- 10269860
TI  - Not-for-profits considering a sellout should think twice, fight takeovers.

PMID- 10269861
TI  - Find leads university hospital to growth after state divestiture.

PMID- 10269862
TI  - X-ray manufacturers engaging in 'price war'.

PMID- 10269863
TI  - Council Shared Services planning to expand, diversify to boost sales.

PMID- 10269864
TI  - Attorneys urge hospitals to combat PPOs with competition, not lawsuits.

PMID- 10269865
TI  - Cost avoidance in a regional continuing education center.
AB  - Continuing education is a professional fact of life. There are numerous reasons
      why health professionals continue their education: the knowledge explosion makes
      existing theory and practice obsolete; society is ever changing and becoming
      increasingly complex; professionals are required to improve the quality of
      services rendered because of increased demands for accountability; some
      individuals change roles (e.g., direct care provider to administrator) within a
      profession, or even change professions; and some professions (e.g., medicine,
      nursing) require documentation of participation for relicensure and/or
      recertification to practice. While there are compelling reasons for health
      professionals to continue their education, the state of economic affairs is such
      that both continuing education (CE) providers and participants must seek ways to
      avoid and/or reduce costs related to CE. This paper consists of a case study
      description of what one regional continuing education center has done to reduce
      costs without reducing services.

PMID- 10269866
TI  - Health care and costs. Abiding ethical problems.

PMID- 10269867
TI  - 1984 and beyond. A panel discussion.

PMID- 10269868
TI  - The future of transplantation. Has Congress forgotten the lessons of dialysis?

PMID- 10269869
TI  - Prescription drugs and the elderly. Strategies for effective drug prescribing and
      use.
AB  - The author explains why the elderly are particularly at risk for problems of
      noncompliance with prescribed drug regimens and describes some innovative
      strategies that can be used to prevent or reduce both inappropriate prescribing
      by physicians and noncompliance among the elderly. These strategies can be
      applied by health professionals providing or monitoring drug therapy for the
      elderly (primarily physicians and pharmacists) and some can also be undertaken by
      the elderly working in close collaboration with clinical pharmacists. The paper
      concludes with an examination of the potential role of continuing education in
      ameliorating some of the problems discussed here.

PMID- 10269870
TI  - Physician-patient communication and medical malpractice.

PMID- 10269871
TI  - Criteria for evaluating methods used to assess physician performance.

PMID- 10269872
TI  - The impact of two educational techniques on physician knowledge, performance and
      patient care.
AB  - Few studies have examined change in physician performance as a result of
      participation in CME. In addition, there is no evidence in the literature that
      traditional didactic instruction is the most effective way to deliver CME. The
      purpose of our study was to compare two educational processes by which
      information is conferred (traditional didactic lecture and case study format) to
      determine their impact on physician cognitive knowledge, performance, and patient
      care.

PMID- 10269873
TI  - Designing education interventions to improve physician performance in office
      practice.
AB  - Family doctors play a very important role in determining the health of the
      populace; however, surveys and expert opinions indicate that there is
      considerable room for improvement in the knowledge and skills of family
      physicians concerning the prevention, early detection and management of the major
      causes of death and disability. Effective Continuing Medical Education (CME)
      could help greatly to resolve this problem. THere is, however, little evidence
      that presently available systems of CME, though costly, are effective in
      improving either physician competence or patient health. Attractive and cost
      effective CME methods are greatly needed. This study develops, field tests and
      evaluates more efficient office-based CME programs for family doctors.
      Prevention, early detection and improved management of cardiovascular disease and
      cancer are the primary goals. A pretest posttest control group and time series
      approach was chosen for the experimental design. Thirty-one family physicians are
      participating. Physician performance and patient outcome prior to and after
      education are being assessed largely through office record review.

PMID- 10269874
TI  - Patient care appraisal.
AB  - This paper will highlight the contributions of Patient Care Appraisal at
      Dalhousie University to the developing field of CME research. Since that
      experience goes back in excess of twelve years, a comprehensive review in the
      space available would be very superficial. It would seem more appropriate for me
      to highlight for you the contribution we believe Patient Care Appraisal (PCA)
      research will make to the developing field of Continuing Medical Education
      research. I will begin with a brief review of the elements that make PCA relevant
      to the theme of this meeting, followed by a summary of our experience introducing
      the process into hospitals in our three provinces in the early 1970's. The first
      research project, which attempted to link PCA to physician behavior change in the
      ambulatory setting, began in 1977 and was followed by a project which links the
      process to patient health outcomes.

PMID- 10269875
TI  - The evaluation of continuing education in the health professions.

PMID- 10269876
TI  - Multis enter the health insurance field.

PMID- 10269877
TI  - Multis courting teaching hospitals.

PMID- 10269878
TI  - Multis encountering antitrust problems.

PMID- 10269879
TI  - Third annual Multis compensation survey.

PMID- 10269880
TI  - Multi marketers.

PMID- 10269881
TI  - Urgent care centers. Should hospitals beware?

PMID- 10269882
TI  - HIBCC scans success for bar code standard.

PMID- 10269883
TI  - Insurance carriers: guidelines for a premium selection.

PMID- 10269884
TI  - Performance appraisal without stress.

PMID- 10269885
TI  - The legal nightmares of employee leasing.

PMID- 10269886
TI  - Controlling absenteeism: union and nonunion differences.

PMID- 10269887
TI  - How to help the elderly to comply with their drug therapy.

PMID- 10269888
TI  - What is the role of today's P&T committee in hospital practice?

PMID- 10269889
TI  - Development of an information system for a physiotherapy department.
AB  - This paper outlines the rationale for the development of an information system
      and shows how much a system can become an effective management tool for
      physiotherapy department directors. The author points out the need to assess both
      costs and benefits before venturing into the world of computerized information
      systems, but also makes a case for the need to establish a useful system for the
      gathering and processing of data that will provide useful information, whether or
      not computers are used to store and analyze the data. A five-step approach to the
      development of an information system is presented. The steps include: system
      analysis, selection of design approach, systems design, implementation, and
      system maintenance. The author states that management information systems for the
      future--if they are to be efficient and effective---will require department heads
      to develop specific methodologies of approach.

PMID- 10269890
TI  - Government/interest group interaction in Ontario: a comparative study.

PMID- 10269891
TI  - Risk identification and management in clinical practice. Techniques for risk
      appraisal, screening, and monitoring.
AB  - The data on factors that adversely affect health status are mounting, and
      information on behavioral and environmental means of preventing certain types of
      disease is becoming more widely available; yet preventive medicine is still seen
      as a less dynamic form of clinical practice than the crisis-oriented, complaint
      responsive form. In this article, first in a series, the author reviews attitudes
      toward preventive medicine, discusses factors that affect health, explains the
      notion of how "prospective" medicine can develop through the use of health hazard
      appraisal, and reviews his and other researchers' ideas about screening tests,
      periodic physical examinations, health monitoring, and risk-factor identification
      in physical exams.

PMID- 10269892
TI  - How a patient rights society will affect your practice.

PMID- 10269893
TI  - Medicine in the '80s: confronting bioethics.

PMID- 10269894
TI  - How are medical futurists faring?

PMID- 10269895
TI  - Malpractice risks of documentation.

PMID- 10269896
TI  - Do PPOs practice quality medicine?

PMID- 10269897
TI  - Management in action. A comparative analysis of radiology productivity.
AB  - In June 1982 an outside consulting firm utilized management engineering
      techniques to analyze productivity levels of the Radiology Department at the
      Medical University of South Carolina Hospital. Identical methods were utilized
      for a follow-up study conducted in January 1984. Strategies for productivity
      improvement were assessed as measured by number of examinations accomplished
      daily by usual department staffing. Findings indicated that productivity had
      increased through better staff and room utilization, though some problems still
      existed with staffing and patient scheduling practices. These studies indicate
      that, through the establishment of productivity goals, continuous assessment and
      monitoring of productivity indicators can be effective management tools.

PMID- 10269898
TI  - New concepts in planning: image and retrieval systems of the future.

PMID- 10269900
TI  - Lessons on supervision.

PMID- 10269899
TI  - Management in action. Manpower when you need it--using your staff efficiently.
AB  - Recently, there has been much interest in developing and refining a uniform
      reporting system as a means toward productivity analysis within the radiology
      department. The management of the Department of Radiology at Morristown Memorial
      Hospital realizes that the efficiency of most departments varies at different
      times during the work week. We have developed a system which we feel is adaptable
      to many institutions and will allow the radiology manager to allocate resources
      in an informed and controlled manner.

PMID- 10269901
TI  - AHRA Statistical/Resource Committee. Survey results: member/institution
      characteristics, including salary.

PMID- 10269902
TI  - Radiology manager: the critical link in hospital-physician joint ventures.
AB  - Mounting capitalization obstacles and growing competition require hospitals to
      explore nontraditional avenues in acquiring and offering services. This first of
      a two-article series outlines the reasons behind the increasing popularity of
      hospital-physician joint venture agreements for diagnostic imaging equipment, and
      the contributions radiology administrators should make in the formation of such
      enterprises.

PMID- 10269903
TI  - Five not so easy pieces.

PMID- 10269904
TI  - Informed consent--the controversy in radiology.
AB  - Informed consent is more than a sheet of paper with indications,
      contraindications, possible side effects, and the physician's and patient's
      signature. It is a moral and legal Pandora's box. How much information does the
      patient really need to know? What information is the physician responsible for?
      What legal implications come into play during an emergency? Is informed consent
      necessary for IVPs? These topics and a brief history of the doctrine of informed
      consent should give the radiology administrator some insight into the medico
      legal implications of informed consent.

PMID- 10269905
TI  - The little hospital that could.

PMID- 10269906
TI  - Using thermography to document the presence of pain.

PMID- 10269907
TI  - Employee privacy: legal and research developments and implications for personnel
      administration.
AB  - The contemporary emphasis on privacy has created a myriad of complex personnel
      problems and associated approaches to handle them. These privacy-oriented
      problems generally involve social, ethical, legal, managerial, and even political
      considerations. Personnel administrators are constantly confronted with the
      privacy issue. This article attempts to synthesize privacy information relevant
      to personnel administration, and to provide personnel administrators with
      managerial guidance for handling employee privacy problems in the work
      environment. It places particular emphasis on differentiating between ethical and
      legal aspects of privacy in our society, and, accordingly, on clarifying existing
      confusion over the impact of so-called "privacy laws" on personnel
      administration.

PMID- 10269908
TI  - Using ratio analysis for financial accountability.

PMID- 10269909
TI  - A systems approach to the management of a hospital for short-term patients.
AB  - The endemic problems of health system management are reviewed, as is the
      difficulty of taking a systems viewpoint. It is argued, and demonstrated, that,
      by using some very simple ideas of system structure it is remarkably easy to draw
      up a diagram of system influences. Such a diagram is drawn for the case of
      psychiatric patients who recycle in the system. The diagram is analyzed from the
      point of view of its properties as a feedback control system, and it is shown
      that there are alternative, and probably more satisfactory, management practices.
      Suggestions are made for the practical implementation of such policies. Finally
      it is argued that influence diagrams may be useful as agenda for discussions, and
      that they offer advantages over conventional agenda.

PMID- 10269910
TI  - Long-range hospital capital requirements planning: the state of the art, a
      proposal for change.
AB  - A Hospital Capital Requirements Planning System is proposed to channel
      competition through the use of a regional planning model. This model would help
      to reduce the social deadweight loss arising from competition-induced
      uncertainty. The system would increase the internal long-range planning capacity
      of hospitals and improve the quality of the applications presented for
      Certificate of Need review. Both health systems planners and investment bankers
      should have better information with which to evaluate hospital capital investment
      proposals.

PMID- 10269911
TI  - An application of multiattribute utility theory to the planning of emergency
      medical services.
AB  - This research considers the problem of relating Emergency Medical Services (EMS)
      to patient outcome. The hypothesis is that response time alone may be misleading
      as an EMS performance criterion. This research uses methods for approximating
      multiattribute utility functions to consider both response time and on-the-scene
      care. The final result is an optimization problem where the response time and
      desired personnel requirements are decision variables. These are important inputs
      in the planning for Emergency Medical Services.

PMID- 10269912
TI  - Guidelines and an illustration of the use of ecological data for seeking clues of
      excess risk.
AB  - Ecological studies have acquired a bad reputation as weak scientific studies
      suffering from the ecological fallacy and many intractable limitations of data
      and method. In order to reduce these problems, it is suggested that analyses be
      focused on specific populations-at-risk, diseases, risk factors and places. In
      addition, seven guidelines are suggested which will limit the possibility of
      false positive results and provide the best clues for expensive, follow-up
      research. These guidelines are testing to make sure that the results are
      consistent across different times, places and methods. The guidelines were
      applied to finding the best clues for occupational-related cancers among white
      males aged 35-64 in the State of Illinois during 1950-1975. The most interesting
      clue found was that most coal mining areas in Illinois during the late 1960s and
      1970s manifested the highest cancer mortality rates of trachea, bronchus, and
      lung and among the highest rates of increase of this type of cancer. This finding
      was unexpected because many studies have shown low lung cancer rates among coal
      miners.

PMID- 10269913
TI  - Employee solicitation rights in the health-care industry--a proposal for change.

PMID- 10269914
TI  - Low cost organization of a mental retardation facility staff library.
AB  - A mental retardation facility staff library of 700 volumes required complete
      organization. Two restraining factors were lack of personnel and limited funds. A
      plan was developed to classify titles according to Library of Congress, with the
      subject heading catalog predominantly based on Medical Subject Headings (MeSH). A
      cataloging service was located which produced custom card sets and book labels
      from CATLINE and MARC computer databases. Where necessary, MARC records were
      edited to alter LC subject headings to MeSH terminology. Organization was
      accomplished at an average cost per title of less than $1.50.

PMID- 10269915
TI  - Moving a medical center library.
AB  - The relocation of a medical center library collection of 30,000 book and journal
      volumes and 600 audiovisuals is described. The planning and moving procedures
      which facilitated the move are detailed. A bibliography of the library literature
      concerning library moves is attached.

PMID- 10269916
TI  - Fiscal accountability through effective risk management.
AB  - This article conceptualizes the role that risk management should take in
      therapeutic recreation to help attain fiscal accountability. The public is
      becoming increasingly aware of risk or harm to patients associated with medical
      care and is demanding a higher level of care. A litigious public has created a
      tremendous amount of caution within the health care community. This caution often
      has led to a mandated conservative approach to therapeutic recreation programs.
      Therapeutic recreation is faced with the task of designing risk management
      programs which will lessen financial concerns while creating a safe and effective
      treatment environment.

PMID- 10269917
TI  - Productivity analysis as a method of fiscal accountability for therapeutic
      recreation.
AB  - This article reviews increasing pressures for fiscal accountability and describes
      productivity analysis and measurement as a method of demonstrating fiscal
      accountability for therapeutic recreation. The article reviews various aspects of
      productivity analysis and measurement, including definitions for productivity, a
      description of why productivity measurement is important to therapeutic
      recreation as a method of demonstrating fiscal accountability, and facts and
      myths about productivity analysis and measurement. A process of developing a
      productivity measurement system for therapeutic recreation is presented for
      consideration.

PMID- 10269918
TI  - Fiscal management in therapeutic recreation: a perspective on educational
      preparation.
AB  - This article examines the implications for the educational preparation of
      therapeutic recreation specialists of fiscal management trends in health care.
      Selected questions related to identification of fiscal management competencies,
      undergraduate and graduate curricula, and research needs are discussed.

PMID- 10269919
TI  - Marketing therapeutic recreation services.
AB  - The use of marketing strategies can enhance the delivery of therapeutic
      recreation services. This article discusses how agencies can adapt marketing
      techniques and use them to identify potential markets, improve image, evaluate
      external pressures, and maximize internal strengths. Four variables that can be
      controlled and manipulated in a proposed marketing plan are product, price, place
      and promotion.

PMID- 10269920
TI  - Private foundations: a need for further explorations.
AB  - Private foundations should be considered as a potential resource of funding
      projects initiated by recreation therapists. This article acquaints the reader
      with the viability of the private sector. Attention is given to exploring the
      various types of foundations and methods to research potential resources. Some of
      the procedures that would be useful in securing funds are also presented.

PMID- 10269921
TI  - Combining risk management and quality assurance.

PMID- 10269922
TI  - Social workers help hospitals cut costs.

PMID- 10269923
TI  - Restructuring public hospitals.

PMID- 10269924
TI  - Recent court decision offers hopeful sign. Strict liability.

PMID- 10269925
TI  - A special event can tell your story.

PMID- 10269926
TI  - Interchange: rotating the chairmanship.

PMID- 10269927
TI  - Fledgling trustee lobbying efforts take wing.
AB  - Lobbying. Advocacy. These are words that are attaining new meaning for hospital
      trustees. Throughout the country, as legislators attempt to formulate legislative
      solutions to rising health care costs and to develop more effective payment
      systems, more and more trustees are being called upon to tell the hospital's
      story and to represent the institutions and communities they serve in the
      political arena.

PMID- 10269928
TI  - What 1985 holds in store for trustees.
AB  - What problems and challenges will governing boards face in 1985? A hospital
      trustee and board member of the Indiana Hospital Association presents an overview
      of the changing environment and the role tha trustees will be expected to play.

PMID- 10269929
TI  - Productivity efforts on the rise at most U.S. community hospitals.
AB  - A recent survey of CEOs, conducted by Hospitals magazine, shows that productivity
      studies are concentrating on staffing--especially in nursing, laboratory,
      surgical suite, medical records, and radiology.

PMID- 10269930
TI  - Privileges system deters disputes among medical staff specialists.
AB  - With a growing number of physicians and dwindling opportunities to perform in
      hospital procedures, medical staff privileges disputes are likely to increase.
      The author explains how a privileges process that is based on the individual
      physician's demonstrated ability instead of specially labels or character of
      training can prevent such disputes and protect the hospital from antitrust suits
      that may occur in connection with them.

PMID- 10269931
TI  - Risks and uncertainty dictate caution in hospital bond ratings.

PMID- 10269932
TI  - Social Security freeze? Facts behind the furor.

PMID- 10269933
TI  - How hospices ease last days of the dying.

PMID- 10269934
TI  - The greatest gift: "I know I did all I could".

PMID- 10269935
TI  - Bleak days for psychiatry--a search for answers.

PMID- 10269936
TI  - Ethical implications of cost control in health care.

PMID- 10269937
TI  - The mechanism for containing medical care costs in Japan.

PMID- 10269938
TI  - The role of inferential accuracy in performance rating.
AB  - The presence of shared implicit theories of performance is used in explaining the
      failure of behavioral anchors to improve performance ratings. It is proposed that
      efforts to improve rating accuracy also will be hampered by a preoccupation with
      observation. Instead, attention needs to be focused on the inferential accuracy
      of the rater and the cognitive processes and implicit theories upon which raters
      rely.

PMID- 10269939
TI  - Another form of age discrimination.

PMID- 10269940
TI  - The dynamics of interorganizational coordination.
AB  - A theory was developed on the creation, growth, and decline of relationships
      among organizations and was tested, using a longitudinal study of 95 dyadic
      relationships among child care and health organizations in Texas. Using LISREL V,
      the test of the theory showed that substantial revision of the model was required
      to explain the data adequately. When the model was revised, important new
      patterns were revealed in the development of interorganizational relationships
      over time: (1) Perceptions of dependence on others for resources spurs the
      development of interorganizational relationships. Resource dependence is a
      powerful direct determinant of communications, resource transactions, and
      consensus; (2) The growth of interorganizational relationships is fostered by
      frequent communications to formalize the relationship and build consensus about
      the terms of the relationship among the parties involved; (3) Monetary
      transactions and client referrals entail different patterns of coordination; and
      (4) Consensus among parties in an interorganizational relationship is both a
      positive outcome of initial resource dependence and communications and has a
      negative influence on subsequent perceptions of resource dependence.

PMID- 10269941
TI  - Services for families of the aged: which ones will work best?

PMID- 10269942
TI  - Guide for adult immunization.

PMID- 10269943
TI  - Strategies to improve drug use in hospitals.

PMID- 10269944
TI  - Computer-based prescription audit as a research, educational and management tool.
AB  - An existing dedicated pharmacy computer system (MIDAS system, Alfred Hospital and
      Health Computing Services, Victoria) used primarily for pharmacy labelling and
      dispensing, has been rewritten for an in-house minicomputer, with enhancements
      that allow it to be used in budgetary predictions, drug use monitoring,
      therapeutic audit and as a research tool. An automatically updated hard copy
      record of individual patient prescription profiles is generated and represents a
      valuable addition to the patient medical record. Allied to automatic "sorting"
      and retrieval techniques, all patients on nominated drugs can be identified and
      their records examined for particular combination use. Current application to
      assessment of nifedipine- beta blocker use will be presented, as will an
      application to cimetidine audit. Prescriptions can be scanned and segregated in
      terms of numbers of prescriptions in addition to segregation in terms of a
      particular therapeutic agent. Initial application to audit has detected an
      unacceptable level of polypharmacy (more than 26% of all prescriptions involve
      greater than or equal to 5 items and more than 3% involved greater than or equal
      to 10 items). Statistical information on the volume and unit cost of outpatient
      prescribing allows a precise estimate of ongoing budgetary commitments, while
      trends in discharge medication profiles allow a basis for prediction of budgetary
      trends, particularly with respect to the use of recent additions to the
      formulary. The system allows for expansion at minimal cost with potentially
      revolutionary applications, for example, interactive prescriber education if and
      when "on-line" capabilities are developed. Cross-linking with relevant data-bases
      will allow a major expansion of applied research into therapeutic drug use and
      its consequences.

PMID- 10269945
TI  - Assuring rational antibiotic use: the impact of a joint microbiology-pharmacy
      surveillance program.
AB  - A comprehensive antibiotic surveillance program conducted in cooperation with the
      Microbiology and Pharmacy departments in a teaching hospital is described. The
      program consists of a number of interrelated processes including the personal
      advice of specialists including a Clinical Microbiologist, Infection Control
      Nurse and Ward Pharmacists, re-educative strategies and non restrictive
      administrative policies. The program does not involve the use of formularies or
      published guidelines, and retains complete clinical freedom of choice for
      antibiotics. Studies, including antibiotic prevalence and prescribing surveys,
      indicate that the program has been an effective means of improving antibiotic
      use, reducing costs and promoting infection control. This has been achieved by
      educative means through the provision of relevant information on antibiotic
      principles, and opportunities for prescribers to improve their problem solving
      skills, resulting in long term attitudinal change.

PMID- 10269946
TI  - The structure and operation of health service boards of management in South
      Australia.
AB  - Although it is generally believed that boards of management in the health field
      have an important role to play in the attainment of an effective health system
      very little information is available on either their structure or operation. This
      article summarises the findings of a state-wide survey and also includes an
      analysis of board members' perception of board responsibilities and of their need
      for further education.

PMID- 10269947
TI  - Hospital food service: is a chilled meal system best?
AB  - Royal Prince Alfred Hospital, Sydney, introduced the first chilled meal system
      into a major Australian hospital twenty years ago. Recently the food service has
      been converted back to a centralised system with conventional food production.
      The change has resulted in reduced operating costs and better quality food. This
      suggests that a chilled food system is not always the most economical form of
      hospital food service.

PMID- 10269948
TI  - The Master of Nursing Administration at the University of New South Wales.
AB  - The funding of the Master of Nursing Administration program at the University of
      New South Wales by the Department of Health, N.S.W. in November 1983 has allowed
      the first intake of students to proceed from March 1984. This article provides
      the background to the MNA's development, as well as a description of its nursing
      components.

PMID- 10269949
TI  - Health service for a billion people. The organization of health care in the
      People's Republic of China.

PMID- 10269950
TI  - In the spotlight. Interview with Kenneth Lee, Health Economist, University of
      Leeds, U.K.. Interview by Johannes Stoelwinder.
AB  - Ken Lee appointed to the staff of the Nuffield Centre, University of Leeds, as
      Lecturer in Health Economics in 1970. He is now Senior Lecturer and Director of
      the Master's Programme in Health Service Studies. His main teaching interests are
      in health planning and health economics, and he has carried out research and
      written extensively on approaches to health economics, health planning and
      management, care of the elderly, primary health care, health financing, and
      emergency health services.

PMID- 10269951
TI  - Medicare: an early assessment of its impact.

PMID- 10269952
TI  - Report of the inquiry into the Royal Southern Memorial Hospital.

PMID- 10269953
TI  - Contractors can slash hospital bills, says study.

PMID- 10269954
TI  - Energy conservation and the hospital.

PMID- 10269955
TI  - An activity analysis of electronic game simulators.

PMID- 10269956
TI  - Ensuring the effectiveness of compensation programs.

PMID- 10269957
TI  - Sentronic/book-mark library security system.

PMID- 10269958
TI  - Performance appraisal: a bold plan.

PMID- 10269959
TI  - Minnesota study: 37% of hospital employees admit to stealing supplies.

PMID- 10269960
TI  - A model for estimating payroll expenses.

PMID- 10269962
TI  - How to raise $16,000 on the way to Bermuda.

PMID- 10269961
TI  - Three philosophical positions of therapeutic recreation and their implications
      for professionalization and NTRS/NRPA.

PMID- 10269963
TI  - Visible evidence: effective newsletter designs.

PMID- 10269964
TI  - Who won the PGA's Texas open? Santa Rosa Medical Center has won $200,000.

PMID- 10269965
TI  - Gifts from your ER.

PMID- 10269966
TI  - The paramedic pack.

PMID- 10269967
TI  - A greenhouse for patients.

PMID- 10269968
TI  - Poster PR: how to get 1000 area kids to think about your hospital.

PMID- 10269969
TI  - Prenatal newsletter: from (can you believe it) "The Great Expectations Society".

PMID- 10269970
TI  - Chest pain emergency center.

PMID- 10269971
TI  - Internal management seminar: encouraging leadership from within.

PMID- 10269972
TI  - Parenting conference: seminar provides a flock of benefits to the hospital.

PMID- 10269973
TI  - Day care for employees' children: a program so effective it can be marketed to
      other hospitals.

PMID- 10269974
TI  - Advertising sports medicine.

PMID- 10269975
TI  - Recognizing employees with gift certificates.

PMID- 10269976
TI  - Patient admission literature.

PMID- 10269977
TI  - Campaigning against infection.

PMID- 10269978
TI  - Good health is good business.

PMID- 10269979
TI  - Data-based research in therapeutic recreation: state of the art.
AB  - During difficult financial times, it is critical not only to evaluate therapeutic
      recreation programs and document client progress but also to disseminate
      objective program data to therapeutic recreation and other practitioners. The
      purpose of this state-of-the-art research inquiry was to provide the therapeutic
      recreation discipline and other related helping professions with an accurate and
      current assessment of empirically based research concerning the provision of
      recreation for special populations. Eight professional journals in recreation,
      special education, and psychology from 1977 (the year of PL 94-142) through the
      current literature were reviewed. Articles using a data-based research
      methodology in the area of recreation/leisure for special populations were
      identified. Articles were analyzed according to target population, subject age,
      purpose of study, and research design. Of the 83 data-based research reports
      found, 40 studies addressed the mentally retarded population, 26 involved
      children (birth to 13 years), and the case study (23) and survey (23) research
      designs were most prevalent. A plea for future data-based research by therapeutic
      recreation professionals to improve services is made.

PMID- 10269980
TI  - Psychographic/lifestyle aspects for market targeting.

PMID- 10269981
TI  - Almost everything you need to know about HMOs but haven't had time to think
      about.

PMID- 10269982
TI  - Short-term financing: the hospital perspective.

PMID- 10269983
TI  - Cardiac catheterization laboratory, VA Medical Center, West Los Angeles.
AB  - The cardiac catheterization laboratory at this VA facility provides a wide
      variety of services, using state-of-the-art technology, to a large population of
      veterans with cardiac problems.

PMID- 10269984
TI  - Does the ICU computer improve patient care?
AB  - The introduction of sophisticated microprocessor-based instruments into the
      intensive care environment promises to relieve clinical staff of many routine
      duties and to provide more time for patient observation. A recent English survey
      investigates how much time can actually be saved thereby, and in what kinds of
      duties, and offers ideas on how to maintain clinical awareness when data logging
      has been automated.

PMID- 10269985
TI  - Health care is ministry.

PMID- 10269986
TI  - 1942-1982: Forty years of chaplaincy: reflections and projections.

PMID- 10269987
TI  - Roots, ruts and routes.

PMID- 10269988
TI  - Reminiscence. A volunteer listening-visiting program for Congregational outreach.

PMID- 10269989
TI  - Human dimensions in health care.

PMID- 10269991
TI  - Special edition on pastoral care. Proceedings of the Annual Convention, College
      of Chaplains, San Diego, California, March 20-23, 1983.

PMID- 10269990
TI  - Maintaining ethical principles and surviving in a competitive environment.

PMID- 10269992
TI  - The chaplain's role in developing an oncology support team.

PMID- 10269993
TI  - Developing a structure for chaplaincy evaluation.

PMID- 10269994
TI  - Development of a pastoral care association in a sparsely populated area.

PMID- 10269995
TI  - Paying Peter and Paul: benefits of a hospital-based lay pastoral visitation
      program.

PMID- 10269996
TI  - Uniqueness, opportunities and problems of chaplains in university-owned
      hospitals.

PMID- 10269997
TI  - The chaplain amid dilemmas of health care ethics.

PMID- 10269998
TI  - Pastoral care in a level one trauma center emergency room.

PMID- 10269999
TI  - A businessman's view of professional liability.

PMID- 10270000
TI  - The public image of surgery. Summary of panel discussion.

PMID- 10270001
TI  - The federal government's perspective on professional liability.

PMID- 10270002
TI  - A surgeon's perspective on professional liability.

PMID- 10270003
TI  - The artificial heart: Act III.

PMID- 10270004
TI  - Paying for mental health care in the private sector.

PMID- 10270005
TI  - Providing emotional help through alternative delivery.

PMID- 10270006
TI  - Peer review program sets trends in claims processing.

PMID- 10270007
TI  - Malpractice threat poses a complex solution.

PMID- 10270008
TI  - Building a better benefit plan at Quaker Oats.

PMID- 10270009
TI  - A diverse coalition matches New York City's style.

PMID- 10270010
TI  - Colorado's governor confronts hard health care choices. Interview by Jane Stein.

PMID- 10270011
TI  - Dispelling myths about mental health benefits.

PMID- 10270012
TI  - Users groups: a model for data collection, analysis.

PMID- 10270013
TI  - Iowa's experience with packaging hospital information.

PMID- 10270014
TI  - Women at work: the benefit implications.

PMID- 10270015
TI  - Managing benefit costs with disability claims audits.

PMID- 10270016
TI  - Healthy habits that pay off.

PMID- 10270017
TI  - New York state battles with health spending plans. Interview by Jane Stein.

PMID- 10270018
TI  - Election post-mortem: Arizona hospital, business health cost fight fizzles.

PMID- 10270019
TI  - Hospital data use in Maryland.

PMID- 10270020
TI  - Patient, heal thyself. Preventive medicine moves into the mainstream.

PMID- 10270021
TI  - Living with cancer.

PMID- 10270022
TI  - Learning to survive.

PMID- 10270023
TI  - Medical care reimbursement rates for fiscal year 1985.

PMID- 10270024
TI  - HUD board and care home regulations--HUD. Proposed rule.
AB  - This rule would permit HUD to provide mortgage insurance for the construction or
      rehabilitation of board and care homes, as authorized under section 437 of the
      Housing and Urban-Rural Recovery Act of 1983, Pub. L. 98-181.

PMID- 10270025
TI  - Debarment, suspension, and ineligibility of contractors--DHHS. Final rule.
AB  - The Office of the Secretary, Department of Health and Human Services, is amending
      the HHS Acquisition Regulation, Title 48 CFR Chapter 3, by adding a new subpart
      concerning debarment, suspension, and ineligibility of contractors. This new
      subpart will implement the provisions of Subpart 9.4, Debarment, Suspension and
      Ineligibility, of the Federal Acquisition Regulations.

PMID- 10270026
TI  - Program grants for black lung clinics--PHS. Final rule.
AB  - The Public Health Service hereby revises the regulations governing the grants
      program for black lung clinics established under section 427(a) of the Federal
      Mine Safety and Health Act of 1977. The revision is in keeping with the
      Department of Health and Human Services' desire to remove as many programmatic
      burdens and restrictions from grantees as possible, while maintaining program
      integrity.

PMID- 10270027
TI  - Health maintenance organizations--HRSA. Notice; qualified health maintenance
      organizations.
AB  - This notice sets forth the name, addresses, service areas, and dates of
      qualification of entities determined by the Secretary to be federally qualified
      health maintenance organizations (HMOs).

PMID- 10270028
TI  - Grants for hospital construction and modernization; federal right of recovery and
      waiver of recovery--PHS. Notice of proposed rulemaking.
AB  - As a result of recent amendments to sections 609 and 1622 of the Public Health
      Service Act, the Public Health Service proposes to amend its regulations to
      provide for (1) written notification to the Secretary when a grant-assisted
      hospital is sold or no longer used as a health facility eligible for a grant
      under Title VI or XVI of the Act, (2) waiver of the Government's right of
      recovery under certain circumstances, and (3) interest on recovery amounts.

PMID- 10270029
TI  - Information regarding requirements for health maintenance organizations--HRSA.
      Notice; information regarding requirements for qualified health maintenance
      organizations.
AB  - This notice amends information relating to the requirements for federally
      qualified health maintenance organizations (HMOs) that was published in the
      Federal Register on April 29, 1980. The amendment deletes the requirement for a
      cancellation clause in contracts between an HMO and another party performing the
      HMO's marketing activities.

PMID- 10270030
TI  - Medicare program; payment to health maintenance organizations and competitive
      medical plans--HCFA. Final rules with comment period.
AB  - These regulations implement section 114 of the Tax Equity and Fiscal
      Responsibility Act of 1982 by authorizing Medicare reimbursement for health care
      services to eligible health maintenance organizations (HMOs) and competitive
      medical plans (CMPs) on a prospective basis for those entities that have a risk
      contract or on a reasonable cost basis for those that have a cost contract. The
      regulations set forth the requirements that an entity must meet in order to be:
      Eligible to enter into a Medicare contract (either risk or reasonable cost) as an
      eligible organization; and Reimbursed by Medicare on a capitation basis (either
      prospectively or retrospectively) for items and services furnished to Medicare
      enrollees. In addition, these regulations implement sections 2322 and 2350 (b)
      and (c) of Pub. L. 98-369 (Deficit Reduction Act of 1984), which further amended
      the Social Security Act concerning payments to HMOs and CMPs.

PMID- 10270031
TI  - Health systems agency and state health planning and development agency reviews;
      certificate of need programs--PHS.
AB  - The Assistant Secretary for Health, with the approval of the Secretary of Health
      and Human Services, amends the regulations governing certificate of need reviews
      by State health planning and development agencies (State Agencies) and health
      systems agencies (HSAs). The amendments accomplish two tasks: (1) To implement
      amendments to the Public Health Service Act made by the Health Programs Extension
      Act of 1980 (Pub. L. 96-538) and the Omnibus Budget Reconciliation Act of 1981
      (Pub. L. 97-35), and (2) to reduce Federal regulatory burdens. Under the
      provisions of Title XV of the Public Health Service Act, the planning agencies
      are required to administer certificate of need programs consistent with the
      Department's regulations, under which they review and determine the need for
      proposed capital expenditures, institutional health services and major medical
      equipment. These regulations change the requirements for satisfactory certificate
      of need programs.

PMID- 10270032
TI  - Public ready for real change in health care.

PMID- 10270033
TI  - Administration taking aim at subsidies for hospitals' medical education costs.

PMID- 10270034
TI  - Faulty food and shelter programs draw charge that nobody's home to homeless.

PMID- 10270035
TI  - Hospitals scramble to buy malpractice coverage.

PMID- 10270036
TI  - States developing data bases to track health care patterns.

PMID- 10270037
TI  - Unions open to cost control, but most reject cost shifting.

PMID- 10270038
TI  - Reeling in health care data.

PMID- 10270039
TI  - Auditing helps cut hospitalization costs.

PMID- 10270041
TI  - Loewen v. Cariboo Memorial Hospital: a decision for a medical appeal board.

PMID- 10270040
TI  - Insurers protest state-mandated health benefits.

PMID- 10270042
TI  - Do you know the real age of consent?

PMID- 10270043
TI  - Workload measurement update. Peer group comparisons.

PMID- 10270044
TI  - Laboratory assistant certification.

PMID- 10270045
TI  - Computer developments in health risk management.

PMID- 10270046
TI  - Evaluation of worksite health promotion: some unresolved issues and
      opportunities.

PMID- 10270047
TI  - The effect of critical care unit noise on patient sleep cycles.

PMID- 10270048
TI  - Medical security against burglary and vandalism.
AB  - With the large number of medical and pharmacy burglaries occurring every year,
      can any medical group practice afford to be unprotected? There is a distinct need
      for security against burglary and vandalism in the medical group setting. Where
      should the administrator go for help? Based on a discussion of the history of
      security, legal issues, and insurance considerations, the unique aspects of
      medical group security are presented and concrete recommendations made.

PMID- 10270049
TI  - Investor-owned clinics--a likely trend.
AB  - The trends in today's world of health care have come together to form a suitable
      backdrop for the rise of investor-owned clinics. Mandated change, competition,
      manpower availability, consolidation, the increasing roles of capital and of
      management, investment interest, the success of the proprietary hospital model-
      all seem to point towards the emergence of this new movement and, consequently,
      new possibilities for administrators of medical groups. The trend is apparent,
      but is it viable? Success will not be easy for there are many difficult
      challenges that must be addressed.

PMID- 10270050
TI  - The patient satisfaction questionnaire.
AB  - To keep patients, a medial group must keep its patients satisfied. One helpful
      way to determine whether patients are happy with the care they receive is through
      a patient satisfaction questionnaire. In order to obtain an accurate picture of
      how the public views a practice, a number of basic considerations must be made:
      What information is needed? What is the best way to get it? What factors
      contribute to patient satisfaction and dissatisfaction? What layout is most
      likely to encourage a response? How should the survey be implemented and how can
      the value of the data be maximized? These and many other questions are addressed
      in this guide to developing a tailor-made patient satisfaction questionnaire and
      improving your patient retention rate.

PMID- 10270051
TI  - A development program: an alternative way of funding capital and program
      expenditures.
AB  - As medical groups look for new ways to acquire dollars to fund purchases of
      supplies, services, and capital equipment, the idea of a development program to
      raise funds from the private sector may become appealing. A development program
      can provide a mechanism for acquiring additional funds without charging patients
      more for medical services. The prerequisites of a successful program are: a
      group's commitment to the effort, establishment of proper tax-exempt status, and
      availability of competent legal counsel and a qualified person to lead the
      program. Also discussed here are the essential considerations of implementation
      approaches, the case statement, standard components of a program, and donor
      relations.

PMID- 10270052
TI  - The detail cost sheet.
AB  - Effective management information systems are a basic need of every administrator
      of a medical group practice. This general discussion of the subject of cost
      accounting enables the administrator to develop a standard cost system and its
      related detail cost sheets as a management information tool. Detail cost sheets
      can be useful in reviewing utilization of group resources, establishing a basis
      for fees, setting a uniform margin of expected profit, and as a guide in
      negotiation of contracts with third-party payers.

PMID- 10270053
TI  - 3 case studies: installation of computerized appointments, a computerized chart
      tracking system, and telautowriters.
AB  - Problem situations are unavoidable in the daily routines of the medical group
      administrator. It is the method used to handle these situations that points out
      an administrator's skill. In the following three case studies, the problems of
      appointment scheduling, medical record tracking, and communication between
      appointment clerks, front desk receptionists, and nurses are presented. The
      problems are thoroughly addressed from beginning to end, through the stages of
      initial identification, seeking alternatives, recommendations, groundwork,
      implementing solutions, and analyzing final results.

PMID- 10270054
TI  - Volunteer work: the myth and the reality.

PMID- 10270055
TI  - Caring for an elderly relative.

PMID- 10270056
TI  - The clergy: a willing but underutilized resource in the care of persons with
      alcohol problems.

PMID- 10270058
TI  - The role of social work in hospice.

PMID- 10270057
TI  - Focus on hospice. Volunteers as the backbone.

PMID- 10270059
TI  - Hospice in the long term care setting.

PMID- 10270060
TI  - Emerging community and public health systems--obtaining excellence through
      accreditation.

PMID- 10270061
TI  - Hospice and home health: together in harmony or discord?

PMID- 10270062
TI  - Solve your hospital's marketing problems: learn how to deploy the right
      components of a marketing grid.

PMID- 10270064
TI  - Should you start a hepatitis B vaccine program?

PMID- 10270063
TI  - One hospital chain's blueprint for survival.

PMID- 10270065
TI  - System installation: the user's viewpoint.

PMID- 10270067
TI  - Patient education and cost containment.

PMID- 10270066
TI  - Best overall performance. The HIS awards.

PMID- 10270068
TI  - MEGAHIS: the 1980s and beyond.

PMID- 10270069
TI  - A review of healthcare industry directions.

PMID- 10270070
TI  - Universal data bases close 'information gap'.

PMID- 10270071
TI  - Controlling escalation. Interview by Ken Kadash.

PMID- 10270072
TI  - Bar coding--where are we?

PMID- 10270073
TI  - Good computer--bad computer.

PMID- 10270074
TI  - A user based summary of market projections. A brief summary of the usage patterns
      of hospital based computer systems.

PMID- 10270075
TI  - St. Louis businesses start review program.

PMID- 10270076
TI  - Labor, management differ in cost control attitudes.

PMID- 10270077
TI  - Dental insurance a success with new challenges.

PMID- 10270078
TI  - Managing health care cuts hospitalization.

PMID- 10270079
TI  - Advances in mathematical models: benefits for EMS.

PMID- 10270080
TI  - An aid for diagnosing acute ischemic heart disease in the emergency room.
AB  - A five-year study was undertaken to develop a valid mathematical model that could
      aid in diagnosing acute ischemic heart disease in the emergency room, thus
      reducing inappropriate admissions to the coronary care unit. The study was
      divided into two substudies. In the first, variables significantly predictive of
      ischemic heart disease were identified and a logistic function was developed and
      tested. In the second, a six-hospital study, the variables of the first substudy
      were validated and a final logistic regression was developed and tested
      prospectively. This model's availability proved to be successful in improving
      diagnostic accuracy and specificity and in reducing false positive predictive
      rates and admissions to coronary care units.

PMID- 10270081
TI  - Modeling skill utilization among prehospital care personnel.
AB  - Several models linking skill utilization rates for advanced aids and drugs used
      in prehospital patient management with indicators of the structural and
      operational characteristics of emergency providers were derived from empirical
      data. Because the utilization patterns for each clinical category were taken into
      account, different models were built for each of these categories.

PMID- 10270082
TI  - Out-of-hospital transfer of trauma patients.
AB  - This study examined a large number of demographic, hospital, and medical factors
      that may influence out-of-hospital transfer for trauma patients. Data from the
      1977 and 1978 National Hospital Discharge Survey were used to assemble a case
      control data set of injuries (n=4576); cases were defined as transfers out of
      hospital and controls were discharges to home. Controls were frequency matched to
      cases based on overall severity, site of the most severe anatomic injury, and
      age. The analysis estimated the relative risk of transfer associated with
      different levels of the risk factors by the odds ratio. The analysis was
      performed twice, once for the full case-control data set and a second time for
      patients with severe injuries. Of the risk factors examined the only strong,
      consistent relationships with patient transfer were found for marital status and
      region of country. Individuals who were not married were at nearly twice the risk
      of transfer compared with married individuals; likewise patients hospitalized in
      the western US were twice as likely to be transferred as patients in Southern
      hospitals. Possible reasons for these results are offered.

PMID- 10270083
TI  - New solutions clean and disinfect ceilings at medical facilities.

PMID- 10270084
TI  - Maintaining quality with cost containment. How to avoid cutting product
      effectiveness when cutting costs.

PMID- 10270085
TI  - Handwashing: locking out the spread of infection.

PMID- 10270086
TI  - Quality assurance for environmental sanitation in health care facilities.

PMID- 10270087
TI  - Community services for community care.

PMID- 10270088
TI  - Immunization procedures in Europe.

PMID- 10270089
TI  - The disordered development of day care in psychiatry.

PMID- 10270090
TI  - The incidence of common infectious diseases: the weekly returns service of the
      Royal College of General Practitioners.
AB  - This article summarizes the information collected on morbidity due to infectious
      disease in the UK between 1967 and 1983 by the Weekly Returns Service (WRS) of
      the Royal College of General Practitioners. The population data base used for
      this purpose now exceeds 200,000 and 40 general practices and 106 principals are
      included. Where comparisons are available incidence rates derived from the WRS
      are higher than those obtained in official notifications.

PMID- 10270091
TI  - The treatment of Parkinson's disease--a consumer view.

PMID- 10270092
TI  - Unemployment and parasuicide in Hartlepool 1974-83.

PMID- 10270093
TI  - A survey of cost awareness among hospital medical staff.

PMID- 10270094
TI  - Implementation of policies for community care--the DHSS contribution.

PMID- 10270095
TI  - Smoking and illness: what smokers really believe.

PMID- 10270096
TI  - HCA perspective.

PMID- 10270097
TI  - Coalition perspective.

PMID- 10270098
TI  - Patient profiling.

PMID- 10270099
TI  - Chrysler perspective.

PMID- 10270100
TI  - Group mission. Which of these management philosophies best fits your group?

PMID- 10270101
TI  - Physician-administrator conflict.

PMID- 10270102
TI  - Gut issues in competitive strategy development.

PMID- 10270103
TI  - Tracking people.

PMID- 10270104
TI  - Plug into consumer thinking.

PMID- 10270106
TI  - Future: role medical groups/doctors?

PMID- 10270105
TI  - Health & the doctor business.

PMID- 10270107
TI  - Managing physicians/being managed.

PMID- 10270108
TI  - Lab revolution.

PMID- 10270109
TI  - Democrats reassign NHI to 'long term' goal, focus on cost control.

PMID- 10270110
TI  - 1984 activity indicates state lawmakers looking beyond regulation.

PMID- 10270111
TI  - Arizona hospital cost battle goes to the polls; voters to decide rate control
      issue.

PMID- 10270112
TI  - Illinois chooses free market approach; Florida ties competition and budget
      review.

PMID- 10270113
TI  - Future status of project review programs in health planning process remains
      uncertain.

PMID- 10270114
TI  - Franchise regulation: closer to home than you may think.

PMID- 10270116
TI  - Voluntary bar coding system developed by health care industry.

PMID- 10270115
TI  - Partisanship and health policy.

PMID- 10270117
TI  - Horse therapy: a special treat for children in psychiatric hospital.

PMID- 10270118
TI  - Corporate-community foundations: the tie that's binding.

PMID- 10270119
TI  - The right to death.

PMID- 10270120
TI  - The experience of dying.

PMID- 10270122
TI  - Aging and blindness.

PMID- 10270121
TI  - Spiritual well-being of the dying.

PMID- 10270123
TI  - Free meals bring outpatients in.

PMID- 10270125
TI  - The for-profit revolution in healthcare. The art of selling foodservices in
      hospitals & nursing homes.

PMID- 10270124
TI  - The for-profit revolution in healthcare.

PMID- 10270126
TI  - Why an auction may be the right "event" for you.

PMID- 10270127
TI  - Special events in the '80s: a case for marketing approach.

PMID- 10270128
TI  - Festival of trees brightens hospital's fund raising year.

PMID- 10270129
TI  - Planning the special event: negotiating the do's & don'ts. Interview by Raymond
      Roel.

PMID- 10270130
TI  - Gifts-in-kind organization gives something for nothing.

PMID- 10270132
TI  - United Way at the workplace: coping with America's needs.

PMID- 10270131
TI  - Private foundation rules: what fund raisers should know. Part I.

PMID- 10270133
TI  - The process of developing innovation and leadership.

PMID- 10270134
TI  - Fund raising's future lies with creative visionaries.

PMID- 10270135
TI  - Building the tiers of your resource development program.

PMID- 10270136
TI  - Game plan tactics win when reporting to the board.

PMID- 10270137
TI  - An international survey of drug information centers.
AB  - A questionnaire was developed to characterize the location, operation, personnel,
      reference resources, and functions of drug information centers in countries
      throughout the world other than the United States. The questionnaire was mailed
      to 100 drug information centers or pharmacy practitioners (primarily faculty) in
      65 countries. The majority of drug information centers responding to this
      questionnaire were located at and funded by university based hospitals. Most were
      open eight hours per day and engaged in the following activities: answering
      requests for information, publishing pharmacy bulletins, teaching, continuing
      education, and providing information directly to pharmacy and therapeutics
      committees. Additional information gathered from this survey included: common
      references and journals maintained by drug information centers, user
      demographics, and a request profile. Although many similarities among the
      information centers were found, interesting observations regarding their
      differences may be made. It is important that drug information centers share
      their experiences so that others may learn about their new and innovative
      programs.

PMID- 10270138
TI  - Public drug information: a telephone-based model for patient education.
AB  - As one facet of a larger investigation evaluating the various means by which
      patients receive information concerning their medications, a telephone-based drug
      information service was established for selected public use. The purpose was to
      detail the growth and utilization of the service, characterize the type and
      importance of the questions asked, and compare the potential utility with that of
      the USP-DI patient package insert (PPI) in responding to the public's drug
      information requests. Availability of the toll-free number for the Prescription
      Drug Information Service (PDIS) was controlled by offering it only to outpatients
      receiving selected medicines from the pharmacy of a large university-based
      medical center. The PDIS was operated by clinical pharmacists who participated in
      completing standardized operational data forms after each drug information call
      by the public. Of those calls received, 91.7% were not of a serious nature and
      most commonly dealt with side effects, drug interactions, and drug
      identification. Fifty percent of first-time calls occurred within two days of the
      subject's visit to the pharmacy and 23.4% of the total PDIS calls were repeat
      contacts. Interestingly, 34% of the patients' questions could not have been
      answered using the standard USP-DI PPI.

PMID- 10270139
TI  - Effect of ten specific questions on nationwide drug information center activity.
AB  - A survey of drug information centers (DICs) was performed to determine (1) the
      number of requests received and (2) the amount of manpower used in answering
      requests for frequently sought information dealing with ten specific topics. A
      total of 2,968 requests for information on ten topics was received by the 41
      DICs, representing 3% of all questions received. The number of requests for
      information on each topic ranged from 27 to 724, and over half of the DICs
      received at least one request for information on nine of the ten topics. A total
      of 1,206 man-hours was used by the DICs to answer requests for information on all
      topics combined. It is concluded that DICs overlap substantially in the provision
      of frequently sought information.

PMID- 10270140
TI  - The need for lupus support groups.

PMID- 10270141
TI  - Social security benefits for lupus patients.

PMID- 10270142
TI  - Social support networks and the health of elderly persons.

PMID- 10270143
TI  - Cheating on licensing examinations--a legal perspective.

PMID- 10270144
TI  - Foreign medical graduates: credentials and licensure--III. The Missouri Plan.

PMID- 10270145
TI  - Physician, sell thyself.

PMID- 10270146
TI  - The hot and healthy glow of the HMOs.

PMID- 10270147
TI  - Hospitals and medical staffs: allies or adversaries?

PMID- 10270148
TI  - An interview with Adrian Roberg, RN, on his experience as a director of referral
      services. Interview by Patrick M. Mages.

PMID- 10270149
TI  - The manager as conflict negotiator.

PMID- 10270150
TI  - Application of a job diagnostic model to staff motivation.

PMID- 10270151
TI  - The central service role in today's hospital.

PMID- 10270152
TI  - Sexual harassment: a problem for the health care supervisor.

PMID- 10270153
TI  - An economical and functional nursing unit design.
AB  - In mid-1983, Mary Immaculate Hospital began operating with a 44-bed nursing unit.
      The larger unit was designed to be functionally efficient, architecturally
      attractive, and cost effective. This article examines the physical and functional
      changes made as a result of the larger unit, and the staffs' reactions to these
      changes.

PMID- 10270154
TI  - Reconciling high-tech with high-touch.

PMID- 10270155
TI  - Hospital energy costs.
AB  - Hospital energy costs have increased dramatically in the past decade. With the
      new incentives for increased operating efficiency, hospitals must now find ways
      of reducing these costs by conserving energy. This article discusses the energy
      problem, solution, and results of an energy conservation program at the Fulton
      DeKalb Hospital Authority in Atlanta, Georgia.

PMID- 10270156
TI  - Establishing prices: one hospital's strategic response.
AB  - Establishing appropriate prices for health care products has been an ongoing
      problem. Price increases have traditionally been based on an across-the-board
      percentage increase for all products. In this article, the importance of pricing
      and the actual pricing methodology used at Baptist Medical Center in Kansas City,
      Missouri are discussed.

PMID- 10270157
TI  - Hospital care--where has it gone?
AB  - The past several decades have been called the economic golden years of medicine.
      The vast majority of health care was provided in the hospital setting. Today,
      however, multiple forces are at work moving health care providers to less
      expensive environments. This article explores the past and the future of hospital
      care in the United States.

PMID- 10270158
TI  - Organizing nursing homes.

PMID- 10270159
TI  - Gray Panthers speak out on a national health service.

PMID- 10270160
TI  - For an end to ageism.

PMID- 10270161
TI  - The nation grows older. Facts, projections and gaps concerning data on aging.

PMID- 10270162
TI  - Hospital development. Building on a capital programme.

PMID- 10270163
TI  - Data retrieval. There are statistics... and hospital statistics.

PMID- 10270164
TI  - Institution v community: is there really much to choose.

PMID- 10270165
TI  - Hospital television. Sandwell's TV eye.

PMID- 10270166
TI  - Private hospitals. Putting on the private charm.

PMID- 10270167
TI  - How much does it cost to go to the theatre in Cheltenham?

PMID- 10270168
TI  - Effective costing for community provisions.

PMID- 10270169
TI  - Primary care. Reassessing NHS evaluation could prove a "blooming" success.

PMID- 10270170
TI  - Hospital economies. Whipps Cross goes on its holidays.

PMID- 10270171
TI  - Data retrieval. Paying attention will reap its own reward.

PMID- 10270172
TI  - NHS impressions. A new image can work wonders.

PMID- 10270173
TI  - NHS Pinafore or From consensus to dreadnought.

PMID- 10270174
TI  - Desk diary of a hospital administrator.

PMID- 10270175
TI  - Have you got the Griffiths factor?

PMID- 10270176
TI  - Hospital closures. Plans and patients--crossed lines?

PMID- 10270177
TI  - Hospitals abroad. Putting Japan in the patient's perspective.

PMID- 10270178
TI  - A radical plan for patients at home.

PMID- 10270179
TI  - Medical records. Will there be time to comply with the new code?

PMID- 10270180
TI  - Patient care. Will they ever learn about feelings?

PMID- 10270181
TI  - What is the future of the chief financial officer?

PMID- 10270182
TI  - Control receivable days through cross training.

PMID- 10270183
TI  - Hospital prices and the CPI: implications for managers.

PMID- 10270184
TI  - Automating multis: the participative approach.

PMID- 10270185
TI  - Cutting hospital costs with consignment purchasing.

PMID- 10270186
TI  - Hospital cost accounting: a basic system framework.

PMID- 10270187
TI  - Merger and consolidation: what is the target organization worth?

PMID- 10270188
TI  - Health care and the national debt: issues for 1985.

PMID- 10270189
TI  - Financial manager's notebook. Audit standard programs cut insurance audit losses.

PMID- 10270190
TI  - Late discharges are really communication problems.

PMID- 10270191
TI  - Today's CFO: better educated, better paid, with more responsibility.
AB  - The average CFO is 41 years old with a master's degree. He (CFOs are still
      overwhelmingly male) earns $54,700 a year and has increasing responsibility over
      areas such as medical records, financial planning, internal audit, and
      reimbursement. The CFO is becoming increasingly interested in new business
      activities such as joint ventures and mergers, and is finding government
      regulations and reimbursement issues a less enjoyable aspect of the job.

PMID- 10270192
TI  - Capital financing demands new, innovative practices.
AB  - Hospitals are facing challenges in the financing of capital expenditures. Credit
      ratings have shifted to a lower rating category. Interest rates for long-term
      debt have risen, and the use of short-term variable rate debt has increased.
      Also, the elimination of tax-exempt financing is being considered. Clearly,
      capital financing is in a state of flux. With a need for low cost capital,
      hospital financing is in a state of flux. With a need for low cost capital,
      hospital financial managers should study the changing credit market and consider
      innovative practices in healthcare financing.

PMID- 10270193
TI  - Treating the merger as a taxable versus tax-free combination.
AB  - A key issue in any business combination is whether the transaction is to be a
      taxable acquisition or a tax-free reorganization. Neither structure's benefits
      clearly dominate. Taxable acquisitions result in greater inventory cost and
      depreciation tax benefits to the buyer and more tax to the seller. Tax-free
      reorganizations allow the seller to avoid current payment of at least some taxes
      but result in less favorable tax benefits to the buyer. Each merger must
      therefore be tailored to fit the specific needs and wishes of the parties
      involved.

PMID- 10270194
TI  - Preventive medicine and employee productivity.

PMID- 10270195
TI  - Computerized materials management--the systems of the future.

PMID- 10270196
TI  - Nurses enhance productivity and patient care.

PMID- 10270197
TI  - How to automate the laboratory--not laboratorians.

PMID- 10270198
TI  - A perspective on clinical laboratory computing systems.

PMID- 10270199
TI  - Medical Center's computer improves productivity.

PMID- 10270200
TI  - Healthcare CEOs and CFOs report on vendor problems.

PMID- 10270201
TI  - Equal opportunities: race and the NHS.

PMID- 10270202
TI  - Discipline and dismissal of medical staff: a BMA view.

PMID- 10270203
TI  - Towards a new model of health manpower planning.

PMID- 10270204
TI  - The medical manpower crisis--who can solve it.

PMID- 10270205
TI  - Management development in the outdoors.

PMID- 10270206
TI  - Payment by results systems for managers in the NHS--an overview.

PMID- 10270207
TI  - Job sharing--Gloucester Health Authority style.

PMID- 10270208
TI  - Back to the textbooks: a year of study.

PMID- 10270209
TI  - Towards an organisation theory for the NHS?

PMID- 10270210
TI  - Nurses and privatisation.

PMID- 10270211
TI  - The realities of human resourcing: a case study which questions the utility of
      rational manpower planning models in health care.

PMID- 10270212
TI  - Dismissals for reasons of redundancy: what the law says.

PMID- 10270213
TI  - Griffiths: the general manager's contract.

PMID- 10270214
TI  - General management at unit level.

PMID- 10270215
TI  - Personnel management in the NHS: some evidence from Scotland.

PMID- 10270217
TI  - Formal, organized materials management department growth continues.

PMID- 10270216
TI  - The industrial relations training needs of NHS managers.

PMID- 10270218
TI  - The use of "or equal" in specifications.

PMID- 10270219
TI  - Hospitals continue to benefit from purchase price deflation.

PMID- 10270220
TI  - HPM surveys the paper towel market.

PMID- 10270221
TI  - Backgrounder. Fort Howard on paper.

PMID- 10270222
TI  - Purchasing/vendor relations.

PMID- 10270223
TI  - The accreditation experience.

PMID- 10270224
TI  - The legal aspects of homecare company acquisitions.

PMID- 10270225
TI  - Insurance must offer homecare/hospice policies.

PMID- 10270226
TI  - Maryland hospital based home health celebrates birthday, reviews progress.

PMID- 10270227
TI  - Humana tests homecare service 'water'.

PMID- 10270228
TI  - An interview with: Linda Chaff, director of protection services.

PMID- 10270229
TI  - Managing an effective asbestos abatement program.

PMID- 10270230
TI  - Hospital patient rapes posing serious legal and security challenges.

PMID- 10270231
TI  - Update on closed circuit television.

PMID- 10270232
TI  - Marketing traps. 13 tips on how not to succeed.

PMID- 10270233
TI  - Promises, promises.

PMID- 10270234
TI  - Getting the best from your ad agency.

PMID- 10270235
TI  - The leading edge.

PMID- 10270236
TI  - Attracting women. Have you got what it takes?

PMID- 10270237
TI  - Rodeos to rock shows: a hospital covers spectator events.

PMID- 10270238
TI  - Myths about hospital unionization dispelled.

PMID- 10270239
TI  - Productivity enhancement begins with management, not employees.

PMID- 10270240
TI  - Application of BMS technology of South West Thames RHA.

PMID- 10270241
TI  - A works information system to support cost effective management.

PMID- 10270242
TI  - Control of materials by computer.

PMID- 10270243
TI  - International Hospital Federation--its activities and aims.

PMID- 10270244
TI  - Considerations in implementing shared clinical engineering services in New
      Brunswick.

PMID- 10270245
TI  - The development of criteria for testing hospital designs.

PMID- 10270246
TI  - A large scale hospital in the suburbs of Tokyo.

PMID- 10270247
TI  - Cardiac pacing practices: a survey.
AB  - A profile of permanent cardiac pacing practices in the United States during 1981
      has been compiled in a survey of physicians who implant pacemakers. Approximately
      5,600 physicians performed about 118,000 new primary implants at 3,670 centers.
      Only 17% of implantation procedures were replacements, compared with 31% in 1978.
      Although 90% of primary pacemakers were somewhat programmable, almost half were
      not reprogrammed within the first three months after implantation and 30% were
      never reprogrammed. Most patients (85%) were followed by trans-telephonic
      monitoring, 68% in conjunction with private office visits. The respondents
      estimated that dual-chamber pacing, accounting for 10% of implants in 1981, would
      increase to 37% by 1985.

PMID- 10270248
TI  - Group practice: the prototype physician organization.

PMID- 10270249
TI  - Creative options or what your hospital can do to reduce nurse turnover at little
      cost.

PMID- 10270250
TI  - How to manage hospital records.
AB  - It has been documented that hospitals with records retention programs have 55
      percent less records, spend less time on record maintenance and retrieval of
      records and can find records on demand when requested. This all adds up to
      savings in time and space and improved quality in an age when these commodities
      are precious resources. No other industry that I can think of has as its mainstay
      the need for good quality records as hospitals do. Don't pass up this opportunity
      to manage your records as carefully as you have been managing your other
      resources: money, manpower and materiel.

PMID- 10270251
TI  - Marketing efforts of hospitals: result of a sample survey.

PMID- 10270252
TI  - Group conflict--a challenge to participative management.

PMID- 10270253
TI  - Tips to improve the manager/leader's performance.

PMID- 10270255
TI  - On-the-job instruction.

PMID- 10270254
TI  - The education process. Determining your training needs.

PMID- 10270256
TI  - Free money from the Post Office.

PMID- 10270257
TI  - How to increase efficiency, safety and cost control in hospital infectious waste
      treatment.
AB  - An efficient and cost-effective on-site infectious waste management program can
      be implemented by integrating the decontamination advantages offered by both
      steam sterilization and incineration. To do so requires the understanding of the
      interrelationship between the components that comprise the program. The physical
      and chemical characteristics of the various infectious waste constituents will
      dictate the mode by which each constituent will be decontaminated. The treatment
      mode will in turn dictate the packaging and containment necessary to ensure
      decontamination. An understanding of the operating principles, and design
      features of each treatment mode will further enhance treatment efficacy.

PMID- 10270258
TI  - Introduction to medical anthropology and the anthropology of medicine: patient
      care and public health.

PMID- 10270259
TI  - Greta and Azarcon: a survey of episodic lead poisoning from a folk remedy.

PMID- 10270260
TI  - Clinical anthropologist as therapy facilitator: role development and clinician
      evaluation in a psychiatric training program.

PMID- 10270261
TI  - Federal requirements for performing cost analysis of a contract proposal.

PMID- 10270263
TI  - Uniform Determination of Death Act.

PMID- 10270262
TI  - NIH cost analysis of a contract proposal.

PMID- 10270264
TI  - California court rules on patient's right to refuse life-sustaining treatment.

PMID- 10270265
TI  - Antitrust developments. Hospital exclusive contracts and the Department of
      Justice vertical restraints guidelines.

PMID- 10270266
TI  - Cook chill cuts costs, not quality.

PMID- 10270267
TI  - Contract service could be your meal ticket.

PMID- 10270268
TI  - Can your linen supply meet demands?

PMID- 10270269
TI  - Assess mental health care before it's too late.

PMID- 10270270
TI  - Hospital staff sound off.

PMID- 10270271
TI  - The legal worries of quality assurance reports.

PMID- 10270272
TI  - What doctors can expect of the hospital administrator.

PMID- 10270273
TI  - Patient education relieves pre-op fears.

PMID- 10270274
TI  - Cooperation in operation.

PMID- 10270275
TI  - Surveys help diagnose organizational illness.

PMID- 10270276
TI  - Finished hospital manuals...now what?

PMID- 10270277
TI  - Attitudes towards health show a gratifying change.

PMID- 10270278
TI  - Business holds keys to more competitive health care.

PMID- 10270280
TI  - The Atlanta experience. The Coalition.

PMID- 10270279
TI  - Number of health care coalitions on the rise.

PMID- 10270281
TI  - The Arizona health care confrontation.

PMID- 10270282
TI  - National business groups' views on regulation split.

PMID- 10270283
TI  - Health education intervention in the separation and divorce process.
AB  - This paper argues the case for a full national conciliation service which would
      include the provision of anticipatory guidance on the health consequences of the
      divorce process. After a small empirical study on a group of women from York,
      evidence emerged that no such provision existed. Despite the fact that all the
      women belonged to, or were associated with, the One-Parent Family group in York,
      they all felt that some form of support agency and a health adviser would have
      been invaluable.

PMID- 10270284
TI  - Health education in the National Health Service: the differing perceptions of
      community physicians and health education officers.
AB  - Community physicians and health education officers (HEOs) are the two key health
      professionals with a particular responsibility for the delivery of health
      education services to the community. For this reason it is important that they
      achieve some measure of consensus in terms of the aims, objectives and methods
      employed by such a service. The results of a study based on a questionnaire and
      detailed interviews with both groups, indicate that this consensus is rarely
      achieved. It shows that community physicians and HEOs have important differences
      of opinion in a number of key areas, including both the level of intervention and
      methods employed in health education.

PMID- 10270285
TI  - The scope for preventive medicine in general practice in the East End.
AB  - Primary care is seen as an obvious setting for preventive programmes, but a
      number of studies present a negative view of inner city primary care, with
      criticism directed particularly at older single-handed GPs. This may not be
      justified. A survey of 56 of the 84 GPs in the inner London borough of Tower
      Hamlets, found a higher than average proportion of single-handed GPs over 60 and
      a high level of dissatisfaction with premises. Half said they carried out some
      kind of preventive programme, usually hypertension screening, and three quarters
      were interested in doing so. Only one practice had a patient support group, but
      70 per cent thought they were a good idea. Given support and help, more GPs would
      consider preventive programmes and set up patient support groups.

PMID- 10270286
TI  - Make room for Daddy.

PMID- 10270287
TI  - The buying plan.

PMID- 10270288
TI  - Lancaster General Hospital gift shop.

PMID- 10270289
TI  - Management styles: are you an effective leader? Part I.

PMID- 10270290
TI  - "I'd like to be a buyer ... but I don't understand figures!".

PMID- 10270291
TI  - Displays for fine gifts.

PMID- 10270292
TI  - Two tiers of care: the unthinkable meets the inevitable.

PMID- 10270293
TI  - Ethical issues dominate hospital leadership forum.

PMID- 10270294
TI  - Medical staff, board, and administration relationships must change.
AB  - The traditional, loosely organized relationship among medical staffs,
      administrators, and trustees must give way to more effective, business-oriented
      interrelationships if hospitals are to thrive and prosper in the future.

PMID- 10270295
TI  - Physicians and hospital-based health promotion: formalizing the relationship.
AB  - Hospitals and health care organizations today are faced with a multitude of new
      pressures that threaten their very survival. Redirecting a threat into an
      opportunity requires close cooperation between a health care institution and its
      medical staff. One opportunity that has emerged is the development of health
      promotion programs, whose success depends on medical staff support.

PMID- 10270296
TI  - Competitors become allies in MRI joint venture.
AB  - In spite of what first seemed like insurmountable hurdles, two competing Denver
      hospitals have joined together in an innovative plan to provide magnetic
      resonance imaging (MRI) services. Their alliance may be a model for other
      hospitals in the same type of competitive environment.

PMID- 10270297
TI  - Informed consent: a haunting presence.
AB  - As informed consent case law evolves, physicians and hospitals are increasingly
      becoming responsible for what patients are not told as well as for what they are.

PMID- 10270298
TI  - The uncertain future of American teaching hospitals. Interview by Emily Friedman.

PMID- 10270299
TI  - Is the voluntary medical staff on the way out?

PMID- 10270300
TI  - What medical staffs need to know about recruiting physicians.
AB  - Hospital medical staffs involved in physician recruiting face an enormously
      complex task. The "old boy network" is probably not the most effective way to
      find physicians.

PMID- 10270301
TI  - The realities of the 'doctor glut'.

PMID- 10270302
TI  - The effects of the physician supply: 'I think it will get quite rough'. Interview
      by Emily Friedman.

PMID- 10270303
TI  - Advantages of collective bargaining contracts for residents exist but have
      declined.
AB  - The results of 1979 and 1983 surveys of resident physicians show that there are
      still advantages in terms of working conditions for collective bargaining
      contracts, but the advantages have lessened.

PMID- 10270304
TI  - New medical staff members made 'members of family'.
AB  - Akron (OH) City Hospital uses a formal orientation programs to introduce new
      members of the medical staff to their responsibilities to the hospital.

PMID- 10270305
TI  - Structure and philosophy of pharmacy management using a matrix organization, Part
      I: a conceptual model.
AB  - The resource, systems, information, and therapy management responsibilities of a
      director of pharmacy services are used to illustrate the horizontal decision
      making opportunities made available through matrix management. When compared with
      traditionally vertical decision models, the matrix offers the probability of
      broad consensus and support, but can have a risk of lowest-common-denominator
      determinations. The role and function of a management matrix in the hospital
      context are introduced and contrasted to power-oriented decision making.

PMID- 10270306
TI  - Improvement in antibiotic use secondary to a small hospital antibiotic review.
AB  - An ongoing antibiotic review was instituted in a 144-bed, community teaching
      hospital. The objectives were to establish criteria defining the use of
      antibiotics and to identify and quantify antibiotic use not fulfilling these
      criteria. Through medical staff review of this data on antibiotic use,
      utilization was then changed to conform with established criteria or was
      identified as an exception to the criteria. A 45% improvement in antibiotic use
      was noted when data from the first 9 months of the audit were compared with the
      second 9-month period. This report shows that a pharmacy-directed antibiotic
      review can have a positive effect on drug utilization in a small community
      hospital.

PMID- 10270307
TI  - Adverse drug effects: evaluation of four secondary reference sources.
AB  - Four adverse drug effect abstracting services, Adverse Drug Reaction Index, Clin
      Alert, Current Drug Experience Literature, and Reactions were evaluated. Each
      service was evaluated in terms of the total number of articles cited, cost per
      citation, lag time, and time requirements for searches. The Adverse Drug Reaction
      Index was found to retrieve the most total and unique citations. Its potential
      disadvantages included the longest lag time and a high overall cost for the
      system. Reactions provided an alternative to this service, although it provided
      fewer total and unique citations. However, its overall costs is less, and the lag
      time is shorter. Clin-Alert ad Current Drug Experience Literature provided
      significantly fewer citations than the other services. Both services did retrieve
      unique citations.

PMID- 10270308
TI  - Pharmacy newsletters: time for a new approach.
AB  - P & T Committees are often responsible for preparing a drug information
      newsletter for the purposes of disseminating drug-related information to the rest
      of the medical staff. A large amount of time, effort, and expense is devoted to
      preparing a high-quality newsletter, but, unfortunately, data suggest that the
      correspondence is not often read by members of the medical staff. Therefore, the
      drug information newsletter needs to be examined and modified periodically to
      meet the needs of its readers. A mechanisms for providing drug information in a
      "pocket-guide" form that is easily kept for future and quick future reference was
      developed and is described.

PMID- 10270309
TI  - The basics of budgeting for capital equipment.

PMID- 10270310
TI  - Minimizing waste of prepared sterile products.

PMID- 10270311
TI  - Hiring patterns for non-faculty clinical staff pharmacist positions in
      institutions greater than 500 beds.
AB  - A survey was mailed to 150 randomly-selected hospitals greater than 500 beds to
      determine: 1) the type of pharmacists currently in non-faculty clinical staff
      positions; and 2) to assess the hiring philosophy toward such positions. Seventy
      two surveys were used to tabulate results. Fifty-eight per cent of the non
      faculty clinical positions in the institutions surveyed are held by BS
      pharmacists. Top preference if rehiring was an advanced degree PharmD or an entry
      level PharmD with a specialized residency. However, BS pharmacists with clinical
      experience also ranked high in preference, showing a definite competition with
      advanced degree pharmacists. Personality and experience seem to become important
      factors. MS graduates ranked very low, unless their degree was accompanied by a
      specialized residency. Implications of the survey results are discussed in
      respect to graduating pharmacy students, academe, and pharmacists currently in
      the work force.

PMID- 10270312
TI  - Cost containment through therapeutic substitution of aminoglycosides.
AB  - A therapeutic substitution policy (TSP) for tobramycin and gentamicin sulfate was
      implemented at the University of Texas Medical Branch (UTMB). The policy was
      designed by various physician-chaired hospital committees and clinical
      departments that collaborated with the pharmacy service. The goal was to
      encourage the medical house staff to use the most economical yet safe and
      effective aminoglycoside, without limiting the medical team's prerogative to
      select among alternatives within this antibiotic group. Cost data from the first
      6 months of aminoglycoside use under the new policy projected an annual savings
      of $139,071 in drug expenditures and $242,472 in patient charges. Following the
      implementation of the TSP, a concurrent drug utilization review (DUR) was
      performed in 50 consecutive inpatients prescribed amikacin, tobramycin, or
      gentamicin sulfate. The objectives were to identify those aspects of prescribing
      and monitoring of aminoglycosides by house staff that could be improved by
      specific policy and/or education, and to evaluate those specific cases in which
      attending physician's approval allowed house staff to prescribe an aminoglycoside
      other than designated in the TSP. The audit revealed that house staff were
      compliant with 72% of the DUR criteria; however, at least one instance (mean of
      5.04 +/- 2.21) of noncompliance occurred during the treatment of each patient.
      The most frequently encountered deficiencies were failure to monitor for
      ototoxicity, incorrect orders for at least one set of serum aminoglycoside
      concentrations, and improper dosage adjustments for those patients with renal
      insufficiency. In three cases, the attending physician approved house staff use
      of tobramycin instead of gentamicin sulfate for reasons of organism resistance,
      pre-existing renal impairment, and long-term treatment of osteomyelitis.

PMID- 10270313
TI  - Twenty-four hour pharmacy service in hospitals with less than 300 beds--part 10.
AB  - In the June 1983 issue of Hospital Pharmacy, I requested pharmacy directors in
      hospitals of less than 300 beds who had 168-hour a week pharmacy service to
      describe their service and how they obtained it. Below you will find a
      continuation of this feature. We plan to publish additional descriptions as they
      are received.

PMID- 10270314
TI  - Twenty-four hour pharmacy service in hospitals of less than 300 beds.

PMID- 10270315
TI  - Wrongful discharge of the at-will hospital pharmacy employee.
AB  - The vast majority of hospital pharmacy employees are not covered by a contract or
      a collective bargaining agreement and are therefore subject to the employment at
      will doctrine. In recent years, there has been considerable erosion of this
      doctrine with increased protection of the at-will employee from wrongful
      discharge. This paper reviews both the statutory and judicial limits on the right
      to discharge an employee at-will, and discusses the implications for pharmacy
      management and staff. Although the laws relating to wrongful discharge will vary
      from state to state, the changing theories governing this process are of
      significant importance to all concerned.

PMID- 10270316
TI  - Impact of preceptor counseling on medical resident prescription writing.
AB  - A collaborative study was conducted by pharmacists and the clinical preceptor of
      the otolaryngology outpatient clinic of the University of Texas Medical Branch
      (UTMB). This study focused on decreasing the percent of legal or procedural
      errors made by resident physicians. During the study period all prescriptions
      written by house staff were reviewed by a pharmacist for compliance to previously
      established criteria. Noncompliant prescriptions were photocopied by the
      pharmacist and recorded for review by the resident's clinical preceptor. After an
      8-week period of baseline data collection, residents were counseled privately by
      the clinical preceptor and critique on their ability to write a legally and
      procedurally correct prescription. The residents were made aware of their major
      deficiencies to enable them to correct the problems. During an unannounced 4-week
      period, beginning 5 months after preceptor consultation, resident prescription
      writing was again audited. The result, an overall decrease of 78.5% in
      noncompliant prescriptions, illustrates that establishing lines of communication
      between pharmacists and physicians can demonstrably improve health care services.
      If this change in the quality of prescription writing could be achieved in all of
      the institution's ambulatory care clinics, an annual conservation of at least
      $57,000 in pharmacist salaries would be realized.

PMID- 10270317
TI  - Look-alike threats to unit dose safety.
AB  - Several similar-appearing (look-alike) unit dose products are shown, including
      ampuls, syringes, and oral drugs. These look-alikes could potentially lead to
      drug administration errors when one product is mistaken for another. This problem
      is briefly discussed and some suggestions for helping reduce the likelihood of
      errors are made. These include calling on manufacturers to use more varied types
      of packaging and to refrain from producing several different drugs or dosages in
      similar packaging. The examples shown illustrate the risks of mistaking different
      look-alike products for one another and the importance of carefully reading
      package labels.

PMID- 10270318
TI  - A guideline for establishing medication teaching groups for schizophrenic
      patients.
AB  - Guidelines for establishing patient-oriented medication teaching groups for the
      schizophrenic patient are described. The importance of patient education has been
      well documented, although the effort and subsequent efficacy is still equivocal.
      Schizophrenic patients have several factors that may lead to drug default. By
      increasing the patient's database regarding the neuroleptic drug class, an
      increase in patient compliance may result. An approach to surveying existing
      programs, soliciting administrative support, addressing the patient, and plans
      for followup evaluation are outlined in a comprehensive format. It is the
      author's opinion that this format is highly successful and can be implemented at
      other institutions.

PMID- 10270319
TI  - Credit support vehicles: issues and options.
AB  - A hospital must consider and discuss with commercial banks a number of questions
      before deciding on the appropriate credit support vehicle and the bank with which
      to work. Making sure that all parties agree to the major points early in
      negotiations results in each institution meeting its financial objectives,
      thereby structuring a transaction acceptable to all parties.

PMID- 10270321
TI  - The risks and payoffs of variable-rate demand securities.

PMID- 10270320
TI  - Industry notes.

PMID- 10270322
TI  - Cost analysis and pricing decisions.

PMID- 10270323
TI  - Providing an institutional framework for resolving ethical dilemmas.

PMID- 10270324
TI  - Business seeks to blend regulation with competition to control costs.

PMID- 10270325
TI  - Four gifts guide Catholic health professionals.

PMID- 10270326
TI  - Surrogate motherhood: unacceptable answer to infertility.
AB  - Although many see surrogate motherhood as a solution to female sterility, it
      produces problems with the marriage relationship, parental responsibility, and
      parent-child bonding. Pope Pius XII condemned artificial insemination from a
      donor (surrogate fatherhood) because it separates procreation from marriage. This
      condemnation would extend to surrogate motherhood for the same reasons: Human
      procreation is reduced simply to transmitting biological life rather than a
      Christian way of living, which is a task that requires parents' commitment to
      each other and the child. Many other problems make this procedure unacceptable.
      These include commercialization, the child's possible anxiety because of its
      ambiguous parentage, and the surrogate's wanting to keep the child.

PMID- 10270327
TI  - The workplace as a community: promoting employee satisfaction.
AB  - Because people's primary commitments lie elsewhere, the workplace will never be a
      true community. The workplace will be better, however, if employees show concern
      and respect for coworkers and if employers celebrate traditions, recognize
      achievement, and encourage creative thinking. Such workplace enhancement should
      encourage employees' participation in a shared enterprise but not substitute for
      workers' outside ties. To offset excessive competition, which can lead to
      suspicion and hostility, employers can (1) provide communication outlets, (2)
      faster loyalty to the job by providing attractive surroundings and benefits, (3)
      promote cooperation by allowing employees to participate in decision making.
      Family, neighborhood, and faith communities also benefit if employers acknowledge
      the family's importance, bring the workplace and the neighborhood together (for
      example, by investing in the area), and encourage church membership. Work in
      health care is potentially satisfying because it can meet people's need to serve
      others. Efforts to provide some semblance of community in the workplace will help
      to release the workplace's potential to provide personal satisfaction.

PMID- 10270328
TI  - Catholic theology and the "right to die".
AB  - Catholic moral theology teaches that life is sacred but not absolute. Because
      life and all activities are subordinated to spiritual ends, it is moral to allow
      oneself to die when efforts to prolong life will bring no significant benefit and
      may even make it more difficult to finish life in peace, composure, and union
      with God. This is not the moral equivalent of suicide, but rather an acceptance
      of the human condition. In making such a decision, the distinction between
      morally ordinary and extraordinary means is crucial and based on the patient's
      total good. Ordinary means are those which offer a reasonable hope of benefit
      without excessive expense, pain, or other inconvenience. Extraordinary means are
      those which cannot be obtained without excessive burden or which, if used, would
      not offer a reasonable hope of benefit. Whether a medical procedure is standard
      or experimental does not, from a moral viewpoint, affect whether it is ordinary
      or extraordinary. In Catholic teaching, the patient has the paramount right to
      decide whether life-preserving measures will be used. If the patient is unable to
      make this decision, then the family should make it as the patient's
      representative.

PMID- 10270329
TI  - Reason, courage, and grace: notes of a death watcher.
AB  - Dying is strikingly private and personal, and it breaks the interconnectedness of
      all human life. It is at such a time that the physician's humanity must touch the
      unique personhood of the afflicted if the death is to be "good". A physician's
      duty does not rest on the medical profession's code of conduct; it consists of
      the physician's moral obligation to a specific person in a specific situation.
      That person's entire identity--not just the physical being--is assaulted by
      terminal illness; the emotional, familial, and social dimensions of selfhood are
      ravaged by the disease as surely as is the body. Each individual is involved in
      his or her suffering in a way that is unique and that cannot be understood or
      appreciated by anyone else. But the physician must try to bridge the distance
      that is placed around the sufferer by the dying process. And it is only with his
      or her own humanity that the care giver can accomplish this. That humanity should
      inform all decision making, and thus bring with it genuine control and comfort.
      In this way the patient can truly "own" his or her own death. The patient can
      thereby attain reason and courage, which together are the quality of grace.

PMID- 10270330
TI  - Canonical considerations in corporate restructuring.
AB  - Religious institutes sponsoring Catholic health facilities face competitive
      economic pressures that impel them to seek corporate restructuring and joint
      ventures to fulfill their mission to the poor. They especially must look to the
      Church's Code of Canon Law to protect ecclesiastical goods and maintain their
      Catholic identity when entering such ventures. The U.S. bishops directives also
      assist in guaranteeing patient expectations that the health facility will observe
      the Church's ethical principles. Institutes first must ensure that subsidiaries
      will operate according to Catholic mission and philosophy. The canons delineate
      proper protection of assets and identify ends toward which the religious must
      apply temporal goods, such as supporting clergy and performing charitable works.
      Alienation, or conveyance of goods, is a critical consideration in such financial
      transactions; canons specify the institute's administrative limits and require
      superiors' written permission along with their councils' consent. All involved
      must be "thoroughly informed concerning the economic situation," show "just
      cause" for the transaction, and obtain expert estimates of property values.
      Religious administrators retain certain faith and executive obligations, such as
      amending the charter, appointing the board, and merging or dissolving the
      corporation. With the canons they help to ensure that collaborative efforts
      preserve the institute's corporate mission and allow religious to carry out their
      responsibility for ecclesiastical goods. Though alternatives to corporate
      ventures may be limited, options regarding how to structure and with whom to
      affiliate do exist. Sponsoring bodies dedicated to providing high-quality care
      must explore these options

PMID- 10270331
TI  - Education on wheels convenient, useful for nurses.

PMID- 10270332
TI  - Program for disturbed youths stresses family-centered therapy.

PMID- 10270333
TI  - Hospital program treats early juvenile offenders.

PMID- 10270334
TI  - Lithotripters: noninvasive devices for the treatment of kidney stones. Guideline
      report.

PMID- 10270335
TI  - Macro trends affecting long term care marketing.

PMID- 10270336
TI  - Being creative in your marketing.

PMID- 10270337
TI  - Marketing and public relations: a combined service.

PMID- 10270338
TI  - Administration. Show and tell.

PMID- 10270339
TI  - Administration. To the ear from the heart.

PMID- 10270340
TI  - The resident comes first: a marketing philosophy that works.

PMID- 10270341
TI  - The retailing of health care.
AB  - A number of striking parallels between recent developments in health care
      marketing and changes in the retailing industry exist. The authors have compared
      retailing paradigms to the area on health care marketing so strategists in
      hospitals and other health care institutions can gain insight from these
      parallels. Many of the same economic, demographic, technological and lifestyle
      forces may be at work in both the health care and retail markets. While the
      services or products offered in health care are radically different from those of
      conventional retail markets, the manner in which the products and services are
      positioned, priced or distributed is surprisingly similar.

PMID- 10270342
TI  - Computer use in long-term health care facilities.

PMID- 10270343
TI  - Market identification and hospital cost containment: a comparison of revenue
      contribution to utilization of strategic business units.

PMID- 10270344
TI  - What marketing researchers expect from clients.

PMID- 10270345
TI  - The Accrediting Commission on Education for Health Services Administration:
      future issues.

PMID- 10270346
TI  - The context and social role of specialized accreditation.

PMID- 10270347
TI  - Perspectives on specialized accreditation in health services administration.

PMID- 10270348
TI  - The influence of policy objectives on professional education and accreditation:
      the case of hospital administration.

PMID- 10270349
TI  - Improving graduate education through self-study: implications for health
      administration education.

PMID- 10270350
TI  - Specialized accreditation at the baccalaureate level: the case for professional
      rationalism.

PMID- 10270352
TI  - Suction devices. A guide to emergency field aspirators.

PMID- 10270351
TI  - Specialized accreditation: an administrative perspective.

PMID- 10270353
TI  - Florida Hospital Medical Center, Orlando, Florida. Profile.
AB  - In 1908, a 20 bed hospital known as Florida Sanitarium began serving the small
      farming community of Orlando primarily through traditional "rest cures" in a
      quiet, wooded environment. By contrast in 1985, the 1,071 bed Florida Hospital is
      a technologically advanced, full service medical center offering specialized
      surgical and diagnostic services to a greatly expanded Central Florida
      population. Owned and operated by the Seventh-Day Adventist Church, Florida
      Hospital Medical Center is today the fourth largest employer in the Orlando area,
      supporting a staff of some 700 physicians, 1,600 nurses and 2,400 technical,
      administrative and medical support personnel. Florida Hospital is located on a
      sprawling campus in Orlando, with the adjacent "West Campus" containing a free
      standing ambulatory care center and a professional office building with
      physician's offices and a family health center. Additionally, two satellite
      hospitals (Florida Hospital/Altamonte with 220 beds and Florida Hospital/Apopka
      with 50 beds), are located approximately 20 minutes away. A 56-bed Center for
      Psychiatry on the Orlando campus was completed last year, and a regional cancer
      center is currently under construction adjacent to Florida Hospital/Altamonte.

PMID- 10270354
TI  - EtO personnel monitoring devices: the state of the art.
AB  - Results from a single monitor worn by an employee become a part of his record of
      previous EtO exposure and a measure of the conditions in the central sterile
      supply area. It is obviously important that these results be accurate. Random
      errors in the results of analytical measurements are allowed for in the NIOSH
      criteria for overall accuracy of a technique. The sensitivity and accuracy of
      devices used to monitor TWA personnel exposure to EtO are only as good as the
      collection efficiency of the technique and the analytical instrumentation it
      utilizes. The active sampling charcoal absorption tube, impinger, and Tedlar bag
      methods are common air quality monitoring tools within the occupational health
      field. In the hands of experienced industrial hygienists and analytical chemists,
      these devices may be used with accurate EtO collection and analytical results.
      Passive sampling diffusion monitoring devices obtain the same results through
      simplicity of use and ease of providing analysis. However, the user must be
      careful to follow the manufacturer's instructions exactly if the results are to
      be accurate and meaningful. With these facts in mind, and in light of recent
      studies showing continued improvements in the technique's precision, it is likely
      that most hospitals will turn to the diffusion monitor methods as their primary
      means of documenting compliance with the new OSHA monitoring standard.

PMID- 10270356
TI  - Inservice for CS.

PMID- 10270355
TI  - One hospital's experience with EtO diffusional monitors.
AB  - With the advent of the new OSHA standard for ethylene oxide, many hospitals are
      looking for economical and reliable ways to monitor personnel exposure. In
      describing the experience of one hospital which has used personal badge monitors
      on a regular basis, this article addresses the concerns that arise from the use
      of this type of monitor in the sterile processing department.

PMID- 10270357
TI  - A productivity study.
AB  - Although the study did not include all of the direct and indirect activities
      performed in the Processing Department, the study did provide data for the
      following conclusions. In analyzing the activities surrounding the collection of
      statistical data, it was determined that the manager was required not only to
      supervise, but to work in a staffing position. As a result, a supervisor was
      employed to assist the manager in supervising the daily operation of the
      department. This enabled the manager to fulfill the responsibility of overall
      direction of the Processing area. This study was a vehicle for building and
      maintaining pride and enthusiasm toward the achievement of high levels of
      performance in the department. The study was an instrument for establishing
      operational standards. By conducting a time study in each area, an exact amount
      of time required for decontamination, instrument processing and case cart
      assembly was determined. A specific time was determined for each activity,
      thereby providing a workload index. The study was the catalyst for developing an
      instrument manual with diagrams of instrument trays for increased accuracy and
      efficiency. Productivity studies play a significant role in establishing
      credibility between employee and employer in that both can establish mutual
      goals. Once performance is defined by measurable criteria, steps can be taken to
      focus on methods of improving productivity. By increasing efficiency and
      effectiveness, the department will attain "more bang for the buck."

PMID- 10270358
TI  - Managing through influence.

PMID- 10270359
TI  - Hazard communication/right-to-know.
AB  - The medical device and diagnostic product industry, although subject to
      compliance with the federal hazard communication regulation in the future, is
      currently facing state right-to-know requirements. The Health Industry
      Manufacturers Association (HIMA), has developed a training program for industry
      entitled, "Chemical Safety in the Health Products Industry." This program-
      consisting of written and video training materials--provides insight into the
      conduct of right-to-know training for employees. HIMA, through the training
      materials and in seminars being conducted on the right-to-know issue, is
      encouraging members to prepare compliance programs that will meet both federal
      and state requirements. Hospitals, too, are faced with state right-to-know
      requirements, and are in the process of obtaining MSDSs and preparing training
      programs for employees. Although future court decisions may change compliance
      requirements, industry and hospitals are currently working to meet the compliance
      requirements set forth by the federal hazard communication regulation and state
      and municipal legislation and regulation.

PMID- 10270360
TI  - Decontamination.
AB  - The soil encountered in the cleaning and decontamination process is protein in
      nature and relatively difficult to remove, especially if the protein has been
      allowed to dry on the surface. However, removal of this soil prior to
      sterilization is necessary in order to achieve satisfactory results--the lower
      the bioburden, the greater the probability of actually achieving sterilization.
      Therefore, when cleaning is done thoroughly and properly, visible soil and film
      and most microorganisms and pyrogens will be removed from the surface of the
      item. By providing instruments and other patient care equipment that are safe to
      handle or that have been adequately prepared for sterilization, you can be
      confident that you have made a major contribution to the provision of quality
      patient care in your hospital.

PMID- 10270362
TI  - Client satisfaction with the helping process: a review for the pastoral
      counselor.
AB  - Surveys client satisfaction studies conducted on a variety of clinical settings
      and notes that most such studies indicate high levels of client satisfaction.
      Urges pastoral counseling centers to join in this type of evaluative research and
      offers specific suggestions to overcome methodological problems frequently
      encountered in conducting client satisfaction surveys.

PMID- 10270361
TI  - Pastoral care for the institutionalized elderly: determining and responding to
      their need.
AB  - Reports on a survey of nursing home residents and from the empirical findings of
      the survey outlines specific pastoral care needs, identifies vulnerable groups,
      and describes desired elements of visitation and ministry to the elderly. Links
      the elderlys' expressed current problems to effective pastoral care.

PMID- 10270363
TI  - The Minnesota Couples Communication Program and clinical pastoral education.
AB  - Describes the use of The Minnesota Couples Communication Program (MCCP) as part
      of a Clinical Pastoral Education unit's efforts to assist CPE students grow in
      communication skills, Notes four styles of communication and five modes of
      awareness and how these may lead to the establishment of more adequate
      communication and shared meaning. Observes that workshops using the MCCP may help
      pastors to initiate and improve their pastoral activities.

PMID- 10270364
TI  - An analysis of CPE student time usage: the impact of training.
AB  - Reports results of a research project on a population of 81 Clinical pastoral
      Education students. Correlates demographic, training, and emotional variables
      with time usage. Discusses and interprets data and draws implications for CPE
      Supervisors and for CPE training programs.

PMID- 10270365
TI  - Grief-resolution therapy in a pastoral context.
AB  - Describes the use of grief-resolution therapy within a pastoral context.
      Differentiates between a normal and unresolved grief reaction and outlines
      treatment procedures particularly suited to the pastoral caregiver.

PMID- 10270366
TI  - The new common law of employment: changes in the concept of employment at will.

PMID- 10270368
TI  - Managing corporate cultures.

PMID- 10270367
TI  - Professionalism in a medical volunteer role: volunteers in emergency squad work.

PMID- 10270369
TI  - Spotting a market gap for a new product.

PMID- 10270370
TI  - Is a PPO in your future?
AB  - A medical group considering the possibility of becoming involved with a PPO faces
      a host of challenges. The author of this article firmly believes that medical
      groups today are prime candidates for this emerging alternative delivery system.
      The evolution and future of PPOs, advantages and disadvantages, and strategies
      during start-up are presented.

PMID- 10270371
TI  - Capturing charges for hospital services.
AB  - It is very common for group practices to miss charges for service and procedures
      performed by their physicians. Billing for physician fees for hospital services
      is too often taken for granted, and items in the areas of surgery, hospital
      stays, emergency room, and consultants are frequently overlooked. The various
      elements and steps to capturing charges for hospital services are provided here,
      and examples of how several groups perform this task are given.

PMID- 10270372
TI  - Location decisions made easier.
AB  - "Should we have a facility at XYZ location?" Location plays an important role,
      though perhaps not a dominant one, in determining consumer patronage, and many
      healthcare providers are now facing major location decisions. Some of the
      subjectivity can be taken out of these decisions through the use of readily
      available demographic data from the US Census Bureau and the National Center for
      Health Statistics, along with a program designed for microcomputers.

PMID- 10270373
TI  - What can RSS point out in accounts receivable?
AB  - Either periodic appraisal or an unusual event may cause a medical group manager
      to analyze the group's accounts receivable system. Retrospective selective
      sampling (RSS) is an analysis method which tracks previously posted charges
      through the accounts receivable system step by step. The authors examine how the
      manager can make a selective sampling of charges, track those charges through the
      system, and interpret the RSS analysis.

PMID- 10270374
TI  - Give your employees a pat on the back.
AB  - How does your medical group recognize the long-term service of its employees?
      Realizing that many of its employees had been under continuous employment for as
      many as 30 years, the Falls Clinic Professional Association developed a
      recognition program to honor that faithful service. Employees and physicians were
      involved in development of the program from many phases--a logo contest was held
      as an approach to developing a symbol that could be associated with the group and
      used for the awards. Presentation of the awards has become a tradition that this
      group eagerly anticipates and is proud to support.

PMID- 10270375
TI  - The biggest malpractice sellout ever.

PMID- 10270376
TI  - An up-close look at emergency medicine specialists.

PMID- 10270377
TI  - How to finish first at the bargaining table.

PMID- 10270378
TI  - How to pack a lot of practice in a little office.

PMID- 10270379
TI  - Malpractice: spotting cases that could blow up in your face.

PMID- 10270380
TI  - How bad doctors dodge discipline.

PMID- 10270382
TI  - Medical Electronics Buyers Guide 1985, Part 1. Chromatography; electrophoresis;
      electrosurgery; Holter ECG; hospital information systems; radiation detection,
      radiology; refractometers; respiration equipment.

PMID- 10270381
TI  - How insurers get back at high-charging doctors.

PMID- 10270383
TI  - Equipment management. Biomedical instrumentation department at Pioneer Valley
      Hospital uses computerized equipment management.

PMID- 10270384
TI  - Computer security risk analysis.

PMID- 10270385
TI  - The hospital market. A big step up.

PMID- 10270386
TI  - The artificial heart controversy: research, rationing, and regulation.

PMID- 10270387
TI  - The home test movement shifts into high gear.

PMID- 10270388
TI  - Vaccine development: on the verge of a new era?

PMID- 10270390
TI  - Ex-FDA official looks back on major issues.

PMID- 10270389
TI  - Plans to get 20% of budget cuts from health care draw protests.

PMID- 10270391
TI  - The realm of ethics--more than issues.

PMID- 10270392
TI  - Doctors meeting patient demands.

PMID- 10270393
TI  - Fee-for-service: last rites?

PMID- 10270394
TI  - Challenging ECT in Vermont.

PMID- 10270395
TI  - Biopharmaceuticals: new technology unlocks the body's medicine cabinet.

PMID- 10270396
TI  - HMO appeal. Could you get more care for your cash?

PMID- 10270397
TI  - Smart selection. Three steps to choosing new employees.

PMID- 10270398
TI  - The fading of firing-at-will.

PMID- 10270399
TI  - COLLEAGUE: a comprehensive online medical library for the end user.
AB  - COLLEAGUE, from BRS/Saunders, is an online information service intended for use
      by health professionals. This article describes both the databases and services
      available through COLLEAGUE and shows specific search examples. Special COLLEAGUE
      features are highlighted as well as the differences between COLLEAGUE and both
      BRS/AFTER DARK and the BRS Search System. In addition, the role of the librarian
      in end user searching and future directions for COLLEAGUE are discussed.

PMID- 10270400
TI  - Volunteers in the medical library: issues and suggestions for their use.
AB  - The implementation of the use of volunteers in a medical library poses a unique
      challenge to the library administrator who must effectively utilize individuals
      who are often inexperienced with the highly technical informational needs of
      medical clientele. The benefits and difficulties of volunteer use are discussed
      along with specific issues that may occur--legal issues, the issue of volunteer
      use vs. paid employee, and the determination of the value of volunteers. A
      checklist of suggested uses of volunteers is included as well as an evaluation
      form that can be used to aid the library administrator and volunteer in
      evaluating the volunteer's performance and job satisfaction.

PMID- 10270401
TI  - Justifying an automated library network: concept and progress.

PMID- 10270402
TI  - A nurse staffing evaluation model.

PMID- 10270404
TI  - Patient education: creativity or crunch.

PMID- 10270403
TI  - Professional nurse staffing and primary care: a cost comparison.

PMID- 10270405
TI  - Nursing education--nursing service: maximizing the potential.

PMID- 10270406
TI  - Do not resuscitate: developing a policy.

PMID- 10270407
TI  - Innovations in nursing. Neurotrauma: how a program was born.

PMID- 10270408
TI  - Volunteers fill new roles.

PMID- 10270409
TI  - Cafeteria plans revisited: a viable alternative.

PMID- 10270410
TI  - Presbyterian's $427.2 million issue is its first and the largest in history.

PMID- 10270411
TI  - Experts say for-profit chains will buy few teaching hospitals in next decade.

PMID- 10270412
TI  - HCA, AMI got permits from alleged scheme.

PMID- 10270413
TI  - Teaching hospitals fuel expansion of consortium.

PMID- 10270414
TI  - Revision of tort system won't solve malpractice crisis, experts say.

PMID- 10270415
TI  - Hospitals get few deals from oxygen vendors.

PMID- 10270416
TI  - Hospitals spending more money on advertising, market research.

PMID- 10270417
TI  - Women's healthcare spending new target of hospitals' ads.

PMID- 10270418
TI  - Advertising helps more consumers select hospitals.

PMID- 10270419
TI  - Facilities battle with billboards to boost their emergency care.

PMID- 10270420
TI  - Analysts still at odds over impact of tax, bond reforms on hospitals.

PMID- 10270421
TI  - Financing healthcare. Chains view acquisitions, will limit building projects.

PMID- 10270422
TI  - Financing healthcare. Groups build reserves to fuel tactical expansion.

PMID- 10270423
TI  - Financing healthcare. Chains following new directions to raise capital for
      growing needs.

PMID- 10270424
TI  - Financing healthcare. Teaching hospitals confident of ability to get access to
      capital.

PMID- 10270425
TI  - Financing healthcare. New financing avenues slow feasibility studies.

PMID- 10270426
TI  - 'Baby boomers' a ripe market for healthcare providers: study.

PMID- 10270427
TI  - Lobby group aims at quality of care.

PMID- 10270429
TI  - Marketers should be idea managers: Kotler.

PMID- 10270428
TI  - Not-for-profits, beware--foundation formed by sale could be short-lived.

PMID- 10270430
TI  - Ills of malpractice insurance market worsened by restrictions, rate hikes.

PMID- 10270431
TI  - Purchasing managers pressure vendors for supply price discounts.

PMID- 10270432
TI  - Children's home creates new unit for care of 'stable' high-risk babies.

PMID- 10270433
TI  - Single-room maternity care seen as way to attracts patients, cut costs.

PMID- 10270434
TI  - Large lithotripter facility aids patient volume, improves payback: architect.

PMID- 10270435
TI  - Reforms will toughen policing, raise fines of California nursing homes.

PMID- 10270436
TI  - Ads help consumers recall hospital; direct mail is favored ad method.

PMID- 10270437
TI  - Psychological midwifery during the birth of a family. Pregnancy to Parenthood
      Family Center.

PMID- 10270438
TI  - Intervention with sexually abused children. The Child and Adolescent Sexual Abuse
      Resource Center at San Francisco.
AB  - Child victims of sexual abuse are being identified in increasing numbers. An
      appropriate and therapeutic intervention requires a trained multidisciplinary
      staff. This article describes the San Francisco Child and Adolescent Sexual Abuse
      Resource Center (CASARC), a 24-hour crisis intervention program for sexually
      abused children based in a pediatric setting. The training needs of medical
      professionals as well as community agencies serving children are discussed. Areas
      for new research are also presented.

PMID- 10270439
TI  - How to achieve integration on the human side of the merger.
AB  - Blake and Mouton use an actual case of a successful merger to show how their
      Interface Conflict-Solving Model, based on behavioral science principles, can be
      used to achieve integration. The authors outline the history of the two
      organizations, give illustrations of the kinds of changes that were necessary to
      more from the actual state of affairs within each organization to the conditions
      needed for synergy, and explain how the merging organizations collaborated to
      develop a model for the interface. The merger is evaluated from the perspective
      of what happened during the two years following the merger. Blake and Mouton also
      elaborate on the dynamics of group behavior that they took into consideration in
      designing the Interface Conflict-Solving Model: the effects of group members'
      shared history; the natural tensions that typically exist between groups that
      have a functional relationship and misperceptions and distortions that arise as a
      result of these tensions; and win-lose competitiveness instead of a win-win
      mentality as a shared expectation. Finally, the authors show how shared
      participation can overcome inappropriate and debilitating competition.

PMID- 10270440
TI  - Managing bad debts in the emergency room.

PMID- 10270441
TI  - Better collections begin with clearly stated policies.

PMID- 10270442
TI  - Making law the new way.

PMID- 10270443
TI  - Directing the post-TEFRA laboratory.
AB  - Strategies of the past are inappropriate for the future. But pathologists and
      hospitals who know the options and take the necessary steps can survive
      prospective payment.

PMID- 10270444
TI  - Multiphasic health testing services: can they cure medicine of its ills?
AB  - Preventive medicine could be the answer to many of the problems facing medicine,
      the author says. However, to be cost effective, we need to merge this new type of
      care with the traditional treatment of the sick that has been the foundation of
      health care for centuries.

PMID- 10270445
TI  - Will the 'ghost of health care future' be a horror story? The choice is ours.
AB  - Americans have to choose one of two possible scenarios regarding the future of
      health care in this country. This decision, the author says, will determine
      whether the "ghost of health care future" is competitive or constrictive. This
      article is adapted from Mr. Moore's presentation on the "DRG Fallout:
      Implications for the Pathologist and the Health Care System," during the CAP/ASCP
      1984 Fall Meeting.

PMID- 10270446
TI  - Promoting maintenance continuing education in a prospective payment environment.
AB  - Maintenance continuing education plays an important role in the laboratory by
      assuring a baseline of technical expertise. Paradoxically, it is liable to be de
      emphasized in a prospective payment environment where supervisory staff will
      become increasing involved with technical responsibilities. The pathologist can
      sustain and promote maintenance continuing education by incorporating it into the
      written review of work guidelines. This cost effective maneuver is easily
      integrated into daily activities and affords the participating staff a
      flexibility not possible with traditional forms of CE.

PMID- 10270447
TI  - Machine readable identification systems. If bar code works in supermarkets, it
      should be great for medicine.

PMID- 10270448
TI  - Manpower needs in 1990: a mildly rosy point of view.

PMID- 10270449
TI  - OTA issues report on medical device policy.

PMID- 10270450
TI  - Medical staff meeting: the Emperor's medicine. The perils of Pauline Plodd, MD.

PMID- 10270451
TI  - HRIS implementation: a systematic approach.

PMID- 10270452
TI  - Another compliance challenge for employers: The Retirement Equity Act.
AB  - This ERISA update is designed to correct oversights in the previous law. It
      increases women's share of private sector retirement benefits by accommodating
      what are considered to be standard career patterns for women and by increasing
      the rights of spouses when it comes to employees' retirement benefits.

PMID- 10270453
TI  - State regulation of polygraph tests at the workplace.

PMID- 10270454
TI  - Corrective action: a treatment plan for problem performers.

PMID- 10270455
TI  - A task-focused approach to team building.

PMID- 10270456
TI  - The performance review approach to improving productivity.

PMID- 10270458
TI  - Flexible benefits packages that satisfy employees and the IRS.

PMID- 10270457
TI  - Making performance appraisals perform: the use of team evaluation.

PMID- 10270459
TI  - Nursing poor recruitment with a marketing approach.

PMID- 10270460
TI  - Selecting and managing competent managers.

PMID- 10270461
TI  - How we operate our prepaid pharmacy successfully.

PMID- 10270462
TI  - Clinical pharmacy: how it operates effectively in our hospital.

PMID- 10270463
TI  - Women's Center brings health promotion, clinical services into full partnership.

PMID- 10270464
TI  - The employee assistance program: a health promotion essential.

PMID- 10270465
TI  - Designing the hospital EAP: a case in point.

PMID- 10270466
TI  - Preadmission preoperative teaching: a promoting option, but easier said than
      done.

PMID- 10270467
TI  - When a child dies.
AB  - The death of a child has a significant and far-reaching impact on all remaining
      members of the family. Each individual undergoes the process of bereavement,
      adjusting to this new and unwanted reality. The stages of this process include
      disorganization, the initial impact; the struggle of holding on/letting go, the
      lengthy period of keeping memories and certain aspects of the dead child, while
      relinquishing the child as a living member of the family; and reorganization, the
      integration of the loss into an ongoing life structure. Reactions to a loss of
      this magnitude often include a variety of normal and pathologic symptoms, some of
      which indicate the need for professional therapeutic intervention. In addition to
      professional help, there are numerous needs that can also be met by other family
      members, clergy, and support groups that facilitate the bereavement process.
      Importantly for the professionals in the service fields, the intense experience
      of these family members gives rise to problems and dilemmas in the helper,
      complicating work with bereaved individuals.

PMID- 10270468
TI  - How non-MD hospital admissions will impact your practice.

PMID- 10270469
TI  - "Pulling the plug": are you ready to make the decision?

PMID- 10270470
TI  - Learn the basics of marketing a practice.

PMID- 10270471
TI  - New MD fee system in the works.

PMID- 10270472
TI  - How to compete with for-profit medicine.

PMID- 10270473
TI  - Housing for the elderly: a discussion of options.

PMID- 10270474
TI  - In the stretch: electronic mail.

PMID- 10270475
TI  - A comparison of methods to approximate standard errors for complex survey data.
AB  - Complex survey designs are characterized by multistage selections with
      stratification and clustering. The departure from simple random sampling
      assumptions requires special consideration with regard to variance estimation.
      Specially designed software packages exist to generate variance estimates for
      statistics from complex survey data. The variance estimation techniques used
      include balanced repeated replication, jackknife, and Taylor series
      linearization. Many complex surveys generate thousands of tables. The
      computational and publishing costs soar if estimates of standard error are
      required for all statistics. To decrease these costs, several alternative
      techniques to approximate the standard errors of estimates are available. These
      include the widely used relative variance curve, a method based on the average
      relative standard error, and the average design effect model. In this paper these
      three methods are compared with respect to accuracy, computational and publishing
      costs, and ease of implementation.

PMID- 10270476
TI  - Definitive criteria for prescribing home oxygen systems.
AB  - The state of the art of oxygen delivery to ambulatory patients has evolved
      remarkably in the past 20 years. Oxygen is established as both safe and effective
      to use in selected patients with advanced chronic obstructive pulmonary disease.
      It has clearly been shown to extend life and to improve the quality of life in
      many patients. It is likely that further advances will make oxygen more suitable,
      acceptable, and perhaps less costly for a growing number of patients with
      progressive chronic respiratory diseases marked by hypoxemia and organ system
      damage.

PMID- 10270477
TI  - Perinatal transport at Wesley Medical Center, Wichita, Kan.
AB  - Fixed-wing aircraft, helicopters, and ambulances all are part of the transport
      system at this regional perinatal care center, one of only two in Kansas. The
      neonatal transport teams are made up of respiratory therapists and registered
      nurses.

PMID- 10270478
TI  - Rx for unprofitable outpatient dining: Big Mac.

PMID- 10270479
TI  - Switch to cook-chill system lowers labor costs, improves food quality for
      Anderson Hospital.

PMID- 10270480
TI  - Bereaved parents: particular difficulties, unique factors, and treatment issues.
AB  - Little has been written on the topic of parental reactions to the loss of a
      child, despite the fact that there are unique psychological and sociological
      factors that make parental bereavement difficult to resolve. This article
      discusses factors involved in parental bereavement, including the unnaturalness
      of the child predeceasing the parents, social reactions to the death of a child,
      the loss of the spouse as a primary support during the grieving process, and
      grief-related problems with surviving children. Treatment recommendations are
      also presented.

PMID- 10270481
TI  - Triage in neonatal intensive care: the limitations of a metaphor.

PMID- 10270482
TI  - Understanding hospital communications systems.

PMID- 10270484
TI  - Customize life-safety systems to meet each hospital's needs.

PMID- 10270483
TI  - Trends in hospital HVAC control.

PMID- 10270485
TI  - Reliable in-hospital electrical distribution.

PMID- 10270486
TI  - Hospital emergency system expansion--make it part of the plans.

PMID- 10270487
TI  - Single-duct reheat system seals in Center's germs.

PMID- 10270488
TI  - The incontinence pad. Workhorse of the incontinence products.

PMID- 10270489
TI  - The firing line. New limitations on an employer's right to fire employees.

PMID- 10270491
TI  - Hospice medical record documentation and management; opportunity for improvement.

PMID- 10270490
TI  - Home health agencies with multiple programs: flexibility is key for clinical
      records.

PMID- 10270492
TI  - Occupational health record systems: an essential component of occupational health
      and safety programs.

PMID- 10270493
TI  - Essential components of recordkeeping in a community-based geriatric setting.

PMID- 10270494
TI  - Elevating ambulatory record systems: a case study.

PMID- 10270495
TI  - The medical record practitioner's role in developing information systems.

PMID- 10270496
TI  - The role of the health record practitioner in public health nursing and home
      health care agencies.

PMID- 10270497
TI  - THRM forum: the MRP in the nonacute setting.

PMID- 10270498
TI  - Access to adoptee's birth records: additional arguments.

PMID- 10270499
TI  - Review efficiently with screening techniques.

PMID- 10270501
TI  - Confronting the issues. Healthcare executives--taking charge of the future.

PMID- 10270500
TI  - Climb every ladder. Each step challenges aspiring health care executives.

PMID- 10270502
TI  - Who is entitled to staff privileges?

PMID- 10270503
TI  - Advertising shapes image and attracts business.

PMID- 10270504
TI  - Why report communicable diseases?

PMID- 10270505
TI  - For the new trustee. Executive compensation.

PMID- 10270506
TI  - The medical mall design as an answer to hospital cost control.
AB  - Reorganizing the hospital's inpatient and outpatient services for the convenience
      of patients and to decrease acute care costs is becoming a necessary strategy
      under prospective pricing. Two architectural planners discuss the health care
      mall concept and the benefits of segregating ambulatory and ancillary services.

PMID- 10270507
TI  - Is your hospital ready to join the life care business?
AB  - One new form of alternative care for the elderly that more hospitals are
      examining is the continuing care retirement center concept. An executive with a
      rating agency discusses nine important factors to evaluate before embarking on
      this type of project.

PMID- 10270508
TI  - Trustees and physician CEOs: possibilities for partnership.
AB  - Mitchell T. Rabkin, M.D., president of Beth Israel Hospital, Boston, is a member
      of a group whose numbers, once diminished, are on the rise again: physicians who
      are chief executive officers of hospitals. In this interview with Emily Friedman,
      senior field editor, American Hospital Publishing, Inc., Rabkin talks about why
      he thinks interest in physician CEOs is growing--and what boards should take into
      consideration when thinking about hiring one.

PMID- 10270509
TI  - Opportunities for financing new service ventures.

PMID- 10270510
TI  - Trustee orientation.

PMID- 10270511
TI  - The winds of change: medical staff relations.
AB  - Are hospital governing boards and medical staffs natural adversaries in the
      health care ecosystem, or are they partners in a common effort? Are they parallel
      but equal organizations with different roles and different points of view, or,
      eventually, must one emerge with authority over the other? This article discusses
      how medical staff/board relations are changing and the need for better
      communications between the two leadership groups.

PMID- 10270512
TI  - How to recruit an activist board.
AB  - The new issues facing hospitals today involve the fundamental nature of the
      institution. What should its mission be? What business should it be in? How
      should its business be conducted? Choices of this magnitude must be made at the
      board level. To broaden, accelerate, and reorganize the hospital's strategy for
      growth, the board needs activist members who understand the new environment, get
      involved, and mandate change. The author outlines a step-by-step process for
      recruiting such an activist board.

PMID- 10270514
TI  - Human values. The evolution of the health care system.

PMID- 10270513
TI  - Financial officers at odds with some CEOs' predictions about the future of health
      care.

PMID- 10270515
TI  - Anti-social ethics. Health care costs.

PMID- 10270516
TI  - Learning about volunteer burnout: (it can improve your retention rate).

PMID- 10270517
TI  - How to prevent volunteer burnout. Interview by Donna Hill.

PMID- 10270519
TI  - Volunteer recognition--a year-round responsibility.

PMID- 10270518
TI  - Planning for National Volunteer Week--tips and ideas.

PMID- 10270520
TI  - Perspectives. Provider-based insurance.

PMID- 10270521
TI  - Perspectives. Teaching hospitals meet proprietary chains.

PMID- 10270523
TI  - Defining death.

PMID- 10270522
TI  - On the economic implications of a physician surplus.

PMID- 10270525
TI  - Art as therapy with an aging artist.

PMID- 10270524
TI  - Dilemma of black community hospitals.
AB  - This feature of Urban Health covers a wide range of topics related to
      metropolitan hospitals, both public and private. This month's column discusses a
      hospital setting with which relatively few practicing physicians are well
      acquainted--the Black community hospital. More than 500 such hospitals were
      established in years following the Civil War, but their numbers have dwindled
      steadily in recent decades to the point where today only a handful survive. A
      recasting of missions and a thrust into the middle class population are among
      strategies needed to halt the demise of these institutions, says the author.

PMID- 10270526
TI  - A unique guide to medical information.

PMID- 10270527
TI  - Image quality and magnetic field strength in NMR imaging.
AB  - The rapid proliferation of nuclear magnetic resonance imagers necessitates an
      increasingly critical look at system requirements. Image quality in its broadest
      sense must be determined for various types of imaging systems. We review here the
      physical determinants of image quality and present examples of images acquired at
      several different field strengths.

PMID- 10270528
TI  - Rebuilding the barrio.

PMID- 10270529
TI  - A private hilltop village.

PMID- 10270530
TI  - Regional recall.

PMID- 10270532
TI  - Cape Cod congenial.

PMID- 10270531
TI  - In the manner of a manor.

PMID- 10270533
TI  - A neighborhood restored.

PMID- 10270534
TI  - Job burnout: malady of the 'best and brightest.'.

PMID- 10270535
TI  - Getting the most from gifts.

PMID- 10270537
TI  - Ogilvy's advertising acumen applies to health care, too.

PMID- 10270536
TI  - Doctors house calls.

PMID- 10270538
TI  - Hospitals: we should be asking "Who should control health care?".

PMID- 10270539
TI  - EtO sterilization procedures require close look.

PMID- 10270540
TI  - The HMO movement.

PMID- 10270541
TI  - The preferred-provider approach.

PMID- 10270542
TI  - American medicine: the power shift.

PMID- 10270543
TI  - The impact of contract medicine on surgery.

PMID- 10270544
TI  - For-profit hospitals: a cost problem or solution?

PMID- 10270545
TI  - The compelling issue of access to capital.

PMID- 10270546
TI  - HMOs in transition: what the future holds.

PMID- 10270547
TI  - Forming an ethical response to for-profit health care.

PMID- 10270548
TI  - The danger of making serious problems worse.

PMID- 10270549
TI  - An alliance for economic revitalization.

PMID- 10270550
TI  - Purchasers should share in solving the mutual problem of indigent care.

PMID- 10270551
TI  - Illinois looks to data gathering council to spur competitive cost reform.

PMID- 10270552
TI  - Meeting community needs is a major concern raised by for-profit health care.

PMID- 10270553
TI  - The rise of proprietary health care.

PMID- 10270554
TI  - Communicating wellness to employees.

PMID- 10270555
TI  - The challenge of living with hospital regulation. Interview by Jane Stein.

PMID- 10270556
TI  - State legislative reforms stop short of solving malpractice problem.

PMID- 10270557
TI  - Federal, state courts uphold challenges to rate-setting systems.

PMID- 10270558
TI  - High-tech moves into home market with cardiac, nutritional therapies.

PMID- 10270559
TI  - Small business develops its own brand of health promotion programs.

PMID- 10270560
TI  - A blockbuster health-care deal.

PMID- 10270561
TI  - The medical quandary. Technological change raises new policy questions.

PMID- 10270562
TI  - Revision of income criteria for eligibility for uncompensated services--HRSA.
      Notice.
AB  - This notice announces the applicability of the recent revision of the Poverty
      Income Guidelines to uncompensated services programs administered by health care
      facilities pursuant to Titles VI and XVI of the Public Health Service Act.

PMID- 10270563
TI  - Health system agencies and state health planning development agencies;
      certificate of need reviews--HRSA. Notice regarding adjustment of the expenditure
      minimum for capital expenditures and the expenditure minimum for annual operating
      costs.
AB  - This notice provides necessary information for each State which chooses to adjust
      the capital expenditure and annual operating cost expenditure minimums that are
      used to determine whether proposals are subject to review under a State's
      certificate of need program. The notice also provides guidance to assist a State
      Health Planning and Development Agency (State Agency) in determining the exact
      minimum dollar figure it will use and in seeking further information.

PMID- 10270564
TI  - Privacy Act of 1974; report of new system--HCFA. Notice of new system of records.
AB  - In accordance with the requirements of the Privacy Act of 1974 we are proposing
      to establish a new system of records, Credit Reports for Medicaid Recipients,
      (Credit Bureau(s)), HHS/HCFA/BQC No. 09-70-2004. We have provided background
      information about the proposed system in the "Supplementary Information" section
      below. HCFA invites public comments by May 9, 1985, with respect to routine uses
      of the system.

PMID- 10270565
TI  - Child abuse and neglect prevention and treatment program--HHS. Final rule.
AB  - This rule contains a new basic State grant requirement to implement the Child
      Abuse Amendments of 1984 (Pub. L. 98-457). As a condition of receiving State
      grants under the Child Abuse Prevention and Treatment Act, States must establish
      programs and/or procedures within the State's child protective service system to
      respond to reports of medical neglect, including reports of the withholding of
      medically indicated treatment for disabled infants with life-threatening
      conditions. Other changes in regulations required by these Amendments will be
      published as a separate NPRM at a later date.

PMID- 10270566
TI  - Services and treatment for disabled infants; model guidelines for health care
      providers to establish infant care review committees--HHS.
AB  - These are model guidelines to encourage the establishment within health care
      facilities, especially facilities with tertiary level neonatal care units, of
      committees for the purposes of educating hospital personnel and families of
      disabled infants with life-threatening conditions, recommending institutional
      policies and guidelines concerning the withholding of medically indicated
      treatment (including appropriate nutrition, hydration, and medication) from such
      infants, and offering counsel and review in cases involving disabled infants with
      life-threatening conditions. The publication of these model guidelines is
      required by section 124(b) of the Child Abuse Amendments of 1984, Pub. L. 98-457.

PMID- 10270567
TI  - Weiner brings PPOs to southern Florida.

PMID- 10270568
TI  - Goodrich searches for ways to contain CE's health costs.

PMID- 10270569
TI  - Wipfli vs Britten: assessing damages in malpractice.

PMID- 10270570
TI  - How professional associations serve you.

PMID- 10270571
TI  - The computer challenge: more data, less privacy.
AB  - The growth of computer use in health care settings will create gains and losses
      to the present state of patient care and confidentiality. Anticipating certain
      ethical and legal problems before they arise will help you deal with the changing
      health care environment.

PMID- 10270572
TI  - Employee assistance programs and untested assumptions.

PMID- 10270574
TI  - Evaluation of worksite stress management.

PMID- 10270573
TI  - Labor and corporate perspectives on stress reduction in the workplace.

PMID- 10270575
TI  - Negotiating with management: planning for health promotion.

PMID- 10270576
TI  - A guide to knowledge and skills necessary for employment within a mental health
      service.
AB  - This document "A Guide to Knowledge and Skills Necessary for Employment Within a
      Mental Health Service" was developed over the course of a number of meetings by
      the Provincial and Territorial Directors of Mental Health Divisions. It arose
      from a concern expressed from all parts of the country that the graduates of some
      professional schools were not necessarily equipped by their training to assume
      roles in mental health services. The document has no mandatory aspect and is
      intended only as an advisory guideline, to be helpful to employers and to those
      planning to work in direct mental health services.

PMID- 10270577
TI  - Radio, social support, and mental health.
AB  - The author discusses the rise of "interactive radio" and its potential as a form
      of social support. Ranging from music request shows to on-air counselling,
      interactive radio reduces isolation, allows listeners to participate in various
      kinds of networking and dialogue, and conveys information and advice that may be
      helpful in promoting mental health. Based in part on his own experience with a
      weekly program, the author identifies characteristics of interactive radio that
      will be to interest or professionals who want to use the medium for community
      mental health promotion.

PMID- 10270578
TI  - The role of the social worker in provincial psychiatric hospitals: an Ontario
      study.
AB  - Confusion still exists about the roles and functions of social workers in the
      mental health care system. The authors discuss this role ambiguity and its
      effects. They then present and discuss the findings of a study that explored the
      current role of the social worker in Ontario psychiatric hospitals with the
      following objectives: to document social workers' major roles and activities; to
      assess role satisfaction; to assess involvement in decision making; and to
      identify major types of therapy used.

PMID- 10270579
TI  - Planning your niche in the "high tech" home care market.
AB  - Proponents of high tech home care cite its significant cost savings compared to
      similar therapies provided in an inpatient setting. Further proof of its cost
      effectiveness may, indeed, provide support for more attractive reimbursement
      coverage in the future and greater use of such therapies. However, at the present
      time, existing and prospective providers should proceed cautiously given the
      potential reimbursement pitfalls and increased competition. Hospitals, in
      particular, are increasingly interested in participating in this market, either
      through providing all aspects of the program or only parts. As such, agencies may
      find them either to be competitors or affiliated partners in providing high tech
      home care. Agencies have a variety of choices to make regarding high tech home
      care: provide specialized nursing care, provide equipment/supplies, handle
      billing, or handle it all. Whatever the approach, it is critical to understand
      the reimbursement aspects and target marketing efforts to hospitals, high tech
      product companies. HMOs, and perhaps most important, physicians.

PMID- 10270580
TI  - Caring for ventilator dependent patients.

PMID- 10270581
TI  - Creating a safe environment for high tech home care.

PMID- 10270582
TI  - Assuring quality and confidence in new home care technologies.
AB  - In summation, a quality assurance program must prepare itself to succeed. The
      groundwork is often tedious and the orchestration of "hi-tech" programs no easy
      task. But by spending the time required in the development and educational
      phases, you will effectively avoid the common pitfalls in implementation of "hi
      tech" programs. Patient care will run smoothly from beginning to end. All people
      involved will receive satisfaction in knowing that no compromise in quality is
      necessary in the transition from the hospital to the home setting.

PMID- 10270583
TI  - Visiting Nurse and Home Care, Inc.: high tech home care in a VNA.

PMID- 10270584
TI  - The Visiting Nurse Association of New Haven, Inc.: profile high-tech program
      development.

PMID- 10270585
TI  - Geriatric alcohol program: participation in a demonstration project.

PMID- 10270586
TI  - Vertical integration in home care--part I.

PMID- 10270587
TI  - Assessing staffing needs in home care.

PMID- 10270588
TI  - U. S. Senators raise money for hospice and home care.

PMID- 10270589
TI  - Legislators speak on home care.

PMID- 10270590
TI  - Home care challenge: care of the vulnerable elderly.

PMID- 10270591
TI  - The organization review: health care management.

PMID- 10270592
TI  - Defining health and health care--a practical perspective.

PMID- 10270593
TI  - Volunteers: unleashing their potential.

PMID- 10270594
TI  - Parking headaches? Trenton Memorial has viable solutions.

PMID- 10270595
TI  - Public image: the number one PR problem.

PMID- 10270596
TI  - Recruiting trustees who care: a key for effective boards.

PMID- 10270597
TI  - Evaluating trustees: "Who cares"?

PMID- 10270599
TI  - ProHealth: curing hospital ailments.

PMID- 10270598
TI  - Hospital care for the poor: who will bear the burden?

PMID- 10270600
TI  - Meeting the competitors.

PMID- 10270601
TI  - Bar coding--where are we? Part 2.

PMID- 10270602
TI  - Hospitals selling computers.

PMID- 10270603
TI  - An interview with Leo I. Mirowitz, President, McDonnell Douglas Health Systems
      Company.

PMID- 10270604
TI  - Attitudes of the emergency physician toward and diagnostic evaluation of suicide
      attempters.
AB  - The negative attitudes of emergency medical personnel toward suicide attempters
      are well documented in recent studies. Part of the reason for such negative
      attitudes may involve the emergency medical professional's lack of knowledge
      about the variety of psychiatric conditions present in the patient who attempts
      suicide. Information about such conditions and the emotional reactions certain
      personalities generate might alter these attitudes. Questioning the patient about
      the feelings and thoughts experienced during the attempt often provides some of
      the most helpful data about the patient's psychiatric condition, treatment needs,
      and prognosis. Proper guidelines and education for the emergency physician should
      help improve the early management of the suicide attempters.

PMID- 10270605
TI  - Doctors and hospitals: an antitrust perspective on traditional relationships.
AB  - Under new pressures for cost containment, hospitals are increasingly asserting
      interests that conflict with those of physicians. Professor Havighurst argues
      that legal rules under which practitioners have challenged denials of hospital
      admitting privileges should be clarified in order that hospitals can more
      effectively carry out their new cost-containment and other responsibilities. He
      invokes antitrust law's "essential-facilities" doctrine to protect those abused
      by their competitors on a hospital staff, but he contends that, if a hospital
      participates in decisionmaking as an independent actor--even though it acts in
      concert with its physicians--, antitrust courts should lower the level of
      scrutiny to a point at which most challenges can be dismissed summarily. He
      analogizes restraints imposed by hospitals on competition between health
      professionals to vertical restraints of other kinds, and draws conclusions
      critical of doctrine traditionally applicable to the latter.

PMID- 10270606
TI  - Retiree health and welfare benefits: controversy over their duration.
AB  - As the cost of providing health-care benefits skyrockets, employers have begun to
      reduce or even to terminate health-care and life insurance benefits for retirees,
      often with little awareness of the possible repercussions. Retiree groups and
      unions have countered these actions with claims based on such theories as the
      "status benefits" argument--that retirement benefits should be viewed as earned
      compensation for years of service--or the "vested rights" view--that retirement
      rights may not be altered without the pensioner's consent. Crucial to these
      conflicts are the terms of the collective bargaining agreement. Case law
      indicates that employers can never feel themselves fully protected even if the
      agreement contains provisions explicitly stating the benefits' scope and
      duration. The authors demonstrate this point in their review of recent retiree
      benefits cases. They then explore in detail the problem of contract and document
      ambiguity, and offer guidelines for ascertaining intent. They conclude with a
      discussion of strategies for litigating retiree benefits cases.

PMID- 10270607
TI  - Appropriate bargaining units in health-care institutions: the disparity of
      interests test.

PMID- 10270608
TI  - Earthquake planning and preparedness.

PMID- 10270609
TI  - Mass casualty incident preparedness: can you plan for disasters?

PMID- 10270610
TI  - Moulage: making disaster drills realistic.

PMID- 10270611
TI  - EMS and nuclear war.

PMID- 10270612
TI  - Psychiatric emergencies, Part 1.

PMID- 10270613
TI  - Medevacs of Alaska.

PMID- 10270614
TI  - The effectiveness of alcohol control policies in Europe.
AB  - This paper examines the relationship between alcohol control measures, alcohol
      consumption and selected indicators of alcohol related harm in fifteen countries
      of Europe and in Israel. A public health perspective on alcohol problems is
      developed in which alcohol related consequences, both positive and negative, are
      seen as emerging from the interaction of alcohol itself, the individuals who
      consume it and the physical and social environment. Consequently, a range of
      alcohol control and prevention measures is examined, some aimed at the
      availability of alcohol, other at those who drink alcohol and yet other at the
      environments in which drinking takes place and problems emerge. A rudimentary
      scale of alcohol control policy is presented, from which a classification of
      European countries in terms of alcohol control status is possible. Per capita
      alcohol consumption and liver cirrhosis mortality data in these countries are
      examined cross-sectionally and over time. These indicate that cross-sectionally
      there is, in general, a clear relationship between the alcohol control status of
      European countries and both per capita alcohol consumption and liver cirrhosis
      mortality. However, from a time series view there are some interesting exceptions
      to this general observation. Nonetheless, there is sufficient evidence to suggest
      that alcohol control and prevention measures are effective at controlling alcohol
      consumption and preventing the adverse consequences of drinking. Some
      considerations about alcohol control policy in Europe other than the control of
      availability are presented.

PMID- 10270615
TI  - Social inequalities and perceived health.
AB  - The association between morbidity and mortality indicators and low socio-economic
      status has been observed for many centuries. In 1980 the publication of the Black
      Report in Britain drew attention to the failure of the National Health Service to
      close the gap between rich and poor in relation to health status. The gradients
      of morbidity and mortality which are linked to social class have been observed
      throughout Europe, in the U.S.A. and Australia. However, information on how
      people feel, as opposed to how they become ill, and the cause of their death, is
      scarce. Measures of perceived need can provide important additions to routinely
      collected data because they give access to the experiential status of respondents
      and thus provide vital data on which to base planning, provision and evaluation
      of health services. A standard reliable and valid measure of perceived health,
      the Nottingham Health Profile, was used to conduct a postal survey of
      differential status in subjective health between social classes in England. The
      results showed statistically significant differences between social classes in
      the age group 20-44 years only. For both men and women these were in their
      experience of sleep problems, emotional problems and lack of energy. In all cases
      the lower the social class the greater the amount and severity of perceived
      distress. After the age of 45 these differences, although still present, were not
      so marked, perhaps because of the excess mortality rates in lower socio-economic
      groups and the lowering of expectations with age. It is suggested that younger
      people from unskilled and semi-skilled occupations and, of course, the
      unemployed, are more vulnerable than their better off compatriots because of a
      kind of psychic susceptibility which is a consequence of social circumstances and
      the inability to cushion the effects of ill health. A type of Marxian
      "immiseration' may occur whereby in contemporary society health status is
      undermined by spiritual and social impoverishment rather than by the gross
      poverty and grinding labour of the past. The results of this study indicate that
      changes in the allocation of health care resources may have only a minor
      influence on inequalities in health. Remedial action would, rather, need to take
      the more radical form of providing fulfillment for aspirations and enhancing well
      being by introducing fundamental social, economic and environmental reforms.

PMID- 10270617
TI  - The appropriate use of diagnostic services. (1) Introduction to the series.

PMID- 10270618
TI  - General practice facilitator--a personal view.

PMID- 10270616
TI  - Failures of the hospital financing system of the Federal Republic of Germany and
      reform proposals.
AB  - This paper deals with an economic analysis of the present hospital financing
      system of the Federal Republic of Germany. In the first section normative
      criteria for the evaluation of hospital systems are established. The most
      important objectives are: a medically appropriate hospital care, an efficient
      production of services and adequate hospital care for everyone. The imminent
      conflicts between individual and social value systems on the one hand and between
      allocative and distributive objectives on the other hand are pointed out. The
      second section contains a short description of the most important elements of a
      hospital financing system: first the method of coordination of supply and demand.
      Since pure market systems are rejected as the only mechanism for the coordination
      of hospital care, other coordination systems must be applied. There are in
      principle two alternative systems at one's disposal: regulation of the hospital
      care by public authorities or negotiations between hospitals and financiers.
      Second, it is analysed how the financial burden can be shared amongst the patient
      and the various third party financing institutions such as statutory health
      funds, private insurance companies and public budgets. Third, the modes of
      reimbursement are discussed. It is pointed out, that besides the problem of how
      the hospital performance should be measured and how the level of prices of the
      services should be determined, the distribution of the production risks is the
      central matter in hospital reimbursement. The more hospitals have to undetake
      financial risks, the greater the incentives are for an efficient production of
      services. The third section contains a description of the main failures of the
      German hospital financing system. It is argued that the central public planning
      of capacities, which is dominated by political interests, causes excess
      capacities and structural disequilibria in particular sectors of hospital care.
      The next important failure is the division of the financial burden amongst public
      households and statutory health funds in spite of exclusive public planning
      authority. In the area of reimbursement the total cost reimbursement is
      criticized. The cost based public investment grants and cost based lump sum per
      diem rates per patient in the area of operating cost imply incentives for an
      inefficient (and ineffective) production of services. The last section deals with
      some reform proposals which at present are being discussed. All proposals claim a
      regionalization of the hospital planning and a stronger participation of the
      hospitals and health funds concerned in the planning process.(ABSTRACT TRUNCATED
      AT 400 WORDS)

PMID- 10270619
TI  - Psychiatrists who passed MRCPsych 1975-77.

PMID- 10270620
TI  - Health Agreements between the United Kingdom (UK) and other governments for the
      development of co-operation in the field of medicine and public health.
AB  - The UK has a number of Agreements with other countries covering co-operation in
      different aspects of health care. The provisions in some relate only to the
      treatment of the nationals of either side when visiting the other; others are
      more widely based and cover broader co-operation in the health care field. This
      article outlines what the Agreements contain, how they have developed and what
      opportunities they present to senior health professionals for exchanges with the
      countries concerned. Any reader who wishes to learn more about the scope of
      existing Agreements or who would like to put forward suggestions on topics for
      exchanges of information and experience in future Agreements should contact the
      Department of Health and Social Security at the address given at the end of this
      article.

PMID- 10270621
TI  - Occupational therapy in a health district--an overview.

PMID- 10270622
TI  - A system for assessing use of patients' time.
AB  - Education and patient education literature provide evidence that time spent in
      instruction, particularly when the student or patient is actively involved, is
      positively related to understanding. Time spent on other tasks is not positively
      related to outcomes. The way in which health professionals and patients spend
      their time together, however, has not been adequately researched. A system is
      described for assessing how patients spend their time in environments where
      health care is delivered. When the system was employed in a multidisciplinary
      diabetes clinic, it was found that almost two-thirds of patient nonwaiting time
      was spent in assessment. Only 20% or 12 to 15 minutes, was spent in instruction;
      in only four of these minutes wee patients actively involved. Although it may be
      common sense that people learn better when actively participating in an
      instructional session, these data suggest that common sense may not be common
      patient education practice.

PMID- 10270623
TI  - Terminally ill patients' and families' responses to participation in a research
      study.
AB  - Evaluations of the effect of interventions on the terminally ill focus on
      outcomes such as patient satisfaction and quality of life. Due to the theoretical
      nature of these measures, researchers must rely on patients and family members as
      primary data sources. Family members of terminally ill patients wee queried
      concerning their motives for participation in the National Hospice Study and
      their reactions to an intensive interview schedule. Of those contacted, 94%
      agreed to the interview. The most frequently cited reasons for participating in
      the study were the desire to help other families facing a serious illness and the
      desire to help the hospice movement. Responses indicated a real enthusiasm for
      study participation in spite of the stressful nature of the terminally ill
      patient's situation.

PMID- 10270624
TI  - State rate setting resoundingly beaten by Arizona voters.

PMID- 10270626
TI  - Investor-owned companies develop innovative services in bid to build health care
      systems.

PMID- 10270625
TI  - Hospitals restructure for new markets in move to establish health systems.

PMID- 10270627
TI  - Humana Care Plus plan enables hospital company to compete in insurance business.

PMID- 10270628
TI  - New American Healthcare sees a key role for members in restructuring health care
      system.

PMID- 10270629
TI  - VHA president says hospital group is a viable force in systemization.

PMID- 10270630
TI  - Freestanding hospital at Houston plans for future by developing health care
      system.

PMID- 10270631
TI  - Act to impact taxable and non-taxable groups' joint ventures.

PMID- 10270632
TI  - Hospital's bottom line aided by effective management of equipment.

PMID- 10270634
TI  - Bloomington Hospital: kitchen & employee/visitor cafeteria.

PMID- 10270633
TI  - Image program gives AMI hospital workers a new look.

PMID- 10270635
TI  - Promoting a positive image.

PMID- 10270636
TI  - How to cut dietary costs & improve patient care.

PMID- 10270637
TI  - A new climate for management & labor.

PMID- 10270638
TI  - New York and New Haven: labor walks the line.

PMID- 10270639
TI  - The market for dietetic services.

PMID- 10270640
TI  - Foreign medical graduates: credentials and licensure--I.

PMID- 10270641
TI  - Relationship between the American Medical Association and the Federation of State
      Medical Boards.

PMID- 10270642
TI  - A modest proposal for controlling the influx of United States citizen foreign
      medical graduates in the United States.

PMID- 10270643
TI  - The health of the industry.

PMID- 10270644
TI  - Polybutylene piping for automatic sprinkler systems.

PMID- 10270645
TI  - Preventing pitfalls in fire protection systems.

PMID- 10270646
TI  - Rethinking computer room design.

PMID- 10270648
TI  - The team approach to patient management: a supervisor's responsibility.

PMID- 10270647
TI  - National trends in union contract settlements.

PMID- 10270649
TI  - The performance appraisal interview: putting it all together.

PMID- 10270650
TI  - The supervisor's central role in organizational communication.

PMID- 10270651
TI  - Self-insurance for employee health care benefits: an overview.

PMID- 10270652
TI  - Rose Medical Center's management team. Interview by Bill W. Childs.

PMID- 10270653
TI  - Trends in ambulatory care center automation.

PMID- 10270654
TI  - Implementing order management.

PMID- 10270655
TI  - Bar coding: getting at the truth.

PMID- 10270656
TI  - The hospital materials management operations appraisal.
AB  - Materials management is responsible for approximately 25% of the operating
      expense of the typical hospital. With the emphasis today on cost containment due
      to the various TEFRA, DRG and prospective payment regulations, many health care
      institutions are demanding increased economics and efficiencies from the various
      materials functions. However, numerous members of administration are uncertain
      how to obtain the desired materials improvements.

PMID- 10270657
TI  - A look at hospital supply and equipment trends.

PMID- 10270658
TI  - Measuring productivity in health care security.
AB  - Activity logs of security officers can provide a statistical basis from which
      security productivity can be measured with validity. Here is a step-by-step
      description of one such approach.

PMID- 10270659
TI  - Quality indicators of hospital security productivity.
AB  - Indicators that measure the quality of an officer's performance are equally as
      important as those which measure the number of things he or she does. Here is a
      description of the quality indicators used at one hospital to increase program
      effectiveness--from newly hired officers through supervisory personnel.

PMID- 10270660
TI  - The AAR report--how to record and disseminate afterhours entry activity, insecure
      areas and unsafe conditions.
AB  - A reporting sub-system currently used by the safety/security department of
      Richmond Memorial Hospital provides a means to record and disseminate security
      and safety related activity. This system may easily be adapted to a micro
      computer to provide a wide variety of incident analysis and productivity data.

PMID- 10270662
TI  - Productivity--what is it and why.

PMID- 10270661
TI  - Developing and applying computerized productivity standards for a hospital
      security department.
AB  - One of the most successful computerized productivity programs in hospital
      security is being conducted at North Carolina Memorial Hospital, Chapel Hill, NC.
      In this article, the program is explained in detail. Besides Brexler, Dave
      Donaldson, security coordinator at the hospital, and Richard L. Brandon and Willy
      G. Yamamoto of the hospital's management engineering department, were
      instrumental in the program's development and implementation.

PMID- 10270663
TI  - Increased productivity through employee participation.
AB  - Applying theory Y and other management approaches that win employee support,
      rather than dictating productivity, has doubled individual officer performance in
      one hospital's security department.

PMID- 10270664
TI  - When your staff is cut: how one hospital coped with a one-third reduction in
      security officers.
AB  - With many hospitals struggling with DRG's and growing competition for patients,
      budget reduction in security and elsewhere is becoming more and more prevalent.
      Forced to deal with a severe cut in its security officers' staff in 1980, New
      England Memorial Hospital's security department has survived for four years by
      taking a number of steps that have achieved more with less. Here are some of the
      lessons learned.

PMID- 10270665
TI  - Justifying your budget--a persuasive and flexible approach.
AB  - The pressures have never been greater on security directors to demonstrate the
      cost-effectiveness of their expenditures. Here's one approach to budgeting that
      can be instrumental in getting manpower requests approved.

PMID- 10270666
TI  - Using the computer to increase productivity in a shared services operations.
AB  - Understanding the computer and developing programs for it that increase
      productivity in security is not as difficult as you might think. Here is an
      account of how one organization's experience with computers is working out.

PMID- 10270667
TI  - Improving productivity through more effective supervision: motivational keys that
      work.
AB  - "It is our belief that once security management has recognized the key roles
      played by their supervisory personnel, much can be done to improve the work,
      morale, and effectiveness of the security force. To this end, it is the
      responsibility of management to see that their supervisory staff is properly
      equipped and trained to assist their subordinates to use, as it were, the right
      tools".

PMID- 10270668
TI  - How to develop and win support for a properly equipped security operations
      center.
AB  - A Security Operations Center (SOC) offers security directors an opportunity to
      modernize, maintain efficiency, provide expanded services, and reduce future
      staff costs. Here is a step-by-step description on how to successfully set up an
      SOC, based on the system in place at William Beaumont Hospital.

PMID- 10270669
TI  - The personal computer: getting the information you need for the least cost.
AB  - By acquiring a relatively low cost personal computer and certain software, you
      can reduce the time now spent on costly manual operations in security, safety,
      and telecommunications management. At the same time, you can improve both your
      department's performance and its value as a resource for other departments.

PMID- 10270670
TI  - Some basic approaches to productivity that work.
AB  - Improvements in productivity or reductions in cost do not necessarily have to be
      tied to complex systems involving computers. Opportunities exist in all
      organizations to utilize more effectively equipment or systems on hand. In this
      article, three such "simple" approaches are described.

PMID- 10270671
TI  - Employing a dispatch-record card system for better performance.
AB  - A simple 71/2" x 31/4" card, used to to record calls for service can be the basis
      for computer reports that enable management to better analyze the performance of
      a hospital security department. Here is a detailed account of how the card is
      used.

PMID- 10270672
TI  - Making productive use of your creative resources--a "spatio-temporal" approach to
      loss prevention.
AB  - Despite the overwhelming number of events that complicate successful and cost
      effective loss prevention programs, the fact remains that each event involves a
      "simple" act by a "simple" person. Perhaps we can come up with "simple"
      solutions, if we call on our creative resources.

PMID- 10270673
TI  - Cost containment pressures.

PMID- 10270675
TI  - What is marketing?

PMID- 10270674
TI  - The acquisition agreement--its format.

PMID- 10270676
TI  - Maintenance data analysis for ambulances.

PMID- 10270677
TI  - Nosocomial infections: an overview.

PMID- 10270678
TI  - Children, families, and mental health service organizations: cultures in
      conflict.
AB  - This paper applies the concepts of culture, organizational culture, and culture
      conflict to a study of relationships between children, their families and a
      number of mental health and other social service organizations. The culture of a
      specific children's mental hospital ward is examined and a sample of 12 patients
      is followed on their course through the service system (pre- and post
      hospitalization). A cultural interpretation of current mental health service
      delivery problems is suggested.

PMID- 10270680
TI  - Supreme Court decision could affect publicly owned hospitals.

PMID- 10270679
TI  - Strategies for adapting to high rates of employee turnover.
AB  - For many organizations facing high rates of employee turnover, strategies for
      increasing employee retention may not be practical because employees leave for
      reasons beyond the control of management or the costs of reducing turnover exceed
      the benefits to be derived. In this situation managers need to consider
      strategies that can minimize or buffer the organization from the negative
      consequences that often follow from turnover. Strategies organizations can use to
      adapt to uncontrollably high employee turnover rates are presented in this
      article. In addition, suggestions are made for how managers should make choices
      among the alternative strategies.

PMID- 10270681
TI  - HHS provides instructions for Hill-Burton uncompensated care amount.

PMID- 10270682
TI  - Hospital joint ventures, diversification, and the antitrust price discrimination
      laws.

PMID- 10270683
TI  - After St. Francis II: rigid standards imposed on small bargaining units.

PMID- 10270684
TI  - Public Health Service proposes amended Hill-Burton recovery rules.

PMID- 10270685
TI  - More than 400-member hospitals join in asbestos suit.

PMID- 10270686
TI  - Supreme Court declines review of staff privileges, other health cases.

PMID- 10270687
TI  - Hospitals/providers should review new GM plan.

PMID- 10270689
TI  - NLRB revokes association's certification.

PMID- 10270688
TI  - Legal considerations of medical staff-hospital joint ventures.

PMID- 10270690
TI  - Federal Court rejects nurses' assn. comparable worth claim.

PMID- 10270691
TI  - Executive message: clinical data management.

PMID- 10270692
TI  - Medical records--friend or foe?

PMID- 10270693
TI  - Health for all by the year 2000: what role for the medical record practitioner?

PMID- 10270694
TI  - The information manager and his environment.

PMID- 10270696
TI  - Burning out.

PMID- 10270695
TI  - Infection control: is it quality assurance?

PMID- 10270697
TI  - Fighting fire with compassion.

PMID- 10270698
TI  - Where will all the garbage go?

PMID- 10270699
TI  - Hospitalization from a patient's point of view.

PMID- 10270701
TI  - An introduction to health futurism.

PMID- 10270700
TI  - The politics of health care.

PMID- 10270702
TI  - Rural hospitals and community health.

PMID- 10270703
TI  - A peer-reviewed journal?

PMID- 10270704
TI  - Registered nurses in BC: 1979-83.

PMID- 10270705
TI  - Medical consents and minors.

PMID- 10270707
TI  - Learning from teaching hospitals.

PMID- 10270706
TI  - English community health services.

PMID- 10270709
TI  - Quality assurance in 90 days.

PMID- 10270708
TI  - Hospital integration: theory and practice.

PMID- 10270710
TI  - CEO perspectives on mission, healthcare systems, and the environment.
AB  - Nowhere in the United States' economy has the role and function of management
      changed so dramatically as in the hospital industry. And no functionary has felt
      it as keenly as the chief executive officer (CEO) of the multihospital system.
      The enlargement of the CEO's responsibility--from governance of the hospital to
      the development of the multihospital system to the evolution of the healthcare
      corporation--has mainly taken place in the last two decades. The purpose of this
      study is to look at the changing mission, environmental demands, and
      organizational structures of healthcare corporations from the vantage point of
      top management. With a grant from the Hermann Hospital in the Texas Medical
      Center, interviews were conducted with a select group of CEOs of major hospital
      systems. A study overview is presented here.

PMID- 10270711
TI  - Healthcare management: a letter to the president.
AB  - This imaginary letter to a hospital president examines current literature on
      management and outlines those traits that are applicable to the healthcare field.
      According to the findings, effective managers have a flair for communication; are
      persistent, reliable, and coherent; have positive self-regard; focus their energy
      and attention only on the task at hand; and neither fear nor avoid failure. In
      addition, creativity through personal commitment should be stressed. Managers
      must learn that it is not only acceptable to care about others, but that it is a
      necessary prerequisite for effective management.

PMID- 10270712
TI  - Multiple rater performance appraisals: solutions for hospital personnel.
AB  - Widely used single rater personnel appraisal systems are not as effective as they
      should be. Moreover, rater training does not improve ratings based on one
      person's judgment about an employee. Multiple rater appraisal systems improve
      accuracy by using the judgments of several knowledgeable people in arriving at a
      decision. Multiple rater performance appraisals are better than single rater
      systems because they increase participation; improve accuracy and perceived
      fairness; provide higher quality management information for selection decisions;
      supply better Equal Employee Opportunity documentation; give quantitative
      feedback for employees, appraisers and management; take less management time to
      complete the performance measurement process and, consequently, improve cost
      effectiveness.

PMID- 10270713
TI  - Factors influencing hospital employee motivation: a diagnostic instrument.
AB  - This article presents a diagnostic instrument which identifies the most salient
      elements of employee motivation in hospitals. Application of this instrument in
      medium-sized U.S. hospitals indicates that recognition is the primary motivating
      factor. The results are greatly different in other countries.

PMID- 10270714
TI  - Demand forecasting for magnetic resonance imaging services.
AB  - Healthcare providers interested in acquiring MRI technology are finding it
      difficult to assess demand and, therefore, financial feasibility. This article
      presents a quantitative technique for MRI demand forecasting that interrelates
      the known applications of MRI to the specific clinical setting in which it is to
      be employed. The first step in this technique is to identify the number of
      patients with diagnoses for which MRI is known to be applicable. Next, each of
      these diagnoses is weighted according to the percent of patients who are expected
      to receive MRI scans versus other diagnostic modalities. Finally, the number of
      patients in each diagnosis is multiplied by the weighting to estimate the number
      of patients for whom MRI scans can be expected. This technique was used by a
      consortium of three major community hospitals in Omaha, Nebraska, as the basis of
      their demand forecasting and was used in successfully obtaining a Certificate of
      Need.

PMID- 10270715
TI  - A reaction to: "Demand Forecasting for MRI Services".
AB  - In this short piece, the author outlines the efforts the American Hospital
      Association (AHA) has made to uncover the issues associated with MRI. In March of
      1983, as part of its Hospital Technology Series, the AHA published a 60-page
      report on MRI. In January 1985, it published a 240-page report entitled, "NMR
      Issues for 1985 and Beyond," that probes the questions of utilization, magnetic
      field strength, and the future of MRI in spectroscopy.

PMID- 10270716
TI  - Who picks the hospital: practitioner or patient?
AB  - This article presents the findings of a survey on consumer versus physician
      selection of a hospital. Forty-one percent of respondents reported that they or
      the affected household member selected the hospital. In addition, the perception
      of who chose the hospital was related to: 1) demographic (age and marital
      status); sociocultural (number of times moved in the past five years), and
      psychological (willingness to change physicians) factors which predispose
      hospital selection; 2) differences in individual resources (type of insurance
      coverage) which influence decision making; and 3) medical conditions (inpatient
      vs. outpatient status and the reason for the hospital utilization) which imply
      specific needs. Knowledge of these factors permits the correct classification of
      70.2% of the cases, as opposed to 59.5% without such knowledge. The implications
      of these findings for healthcare marketing are discussed.

PMID- 10270718
TI  - All dressed up and no place to go.

PMID- 10270717
TI  - The fine art of fixturing.

PMID- 10270719
TI  - What's cooking in hospital gift shops?

PMID- 10270720
TI  - Service, smiles and profits: the Johns Hopkins Hospital Gift Shop.

PMID- 10270721
TI  - "Oh, no! Not another meeting"!

PMID- 10270722
TI  - Creating customer comfort.

PMID- 10270723
TI  - One for the books.

PMID- 10270724
TI  - Putting slow movers on the fast track.

PMID- 10270725
TI  - Are you an effective leader? Part II.

PMID- 10270726
TI  - Adjusting the builder's basic shop.

PMID- 10270727
TI  - Markdowns: when and why to take them.

PMID- 10270728
TI  - Drug usage guidelines, Part 3: assessment of acceptance of the program.
AB  - The Drug Usage Guidelines (DUG) program, as perceived by the members of the P & T
      Committee and by physicians who had prepared and submitted DUGs, was demonstrated
      to be an effective method for evaluating drugs for formulary inclusion. The
      majority of P & T members felt that the DUG program had strengthened the drug
      review process without being too tedious or preventing the addition of valuable
      drugs to the formulary. Sixty-eight percent of physicians who had submitted a DUG
      expressed the opinion that it served as a vehicle for providing educational
      information on rational therapeutics. A majority of respondents stated that they
      would recommend the DUG program to other hospitals.

PMID- 10270729
TI  - Warfarin: a quality assurance model for concurrent drug monitoring.
AB  - Until recently, the mechanism to gain the attention of hospital decision makers
      on the potential implication of pharmacists' involvement in the drug use review
      process was missing. However, integrating clinical pharmacy services with quality
      assurance activities appears to provide a mechanism to reduce patient risk and
      cost while maintaining the quality of patient care services provided. The
      department of pharmacy at The Mercy Hospital of Pittsburgh, through the hospital
      wide quality assurance committee (QAC) and pharmacy evaluation committee (PEC),
      has developed concurrent drug the reviews. The concurrent warfarin review
      conducted by the department of pharmacy is described in detail to illustrate the
      process that is followed in the development and implementation of a concurrent
      drug use review. The concurrent review of warfarin was initiated and, in general,
      criteria were met and few variations occurred. Interventions by staff pharmacists
      were effective in further improving compliance with certain criteria. Although it
      was not proven that the incidence of hemorrhage was actually decreased, the QAC
      felt that such an approach would serve to decrease the likelihood of hemorrhage
      as warfarin therapy is initiated in the hospital. Similar drug use reviews have
      been developed for aminoglycosides, third-generation cephalosporins,
      piperacillin, cefoxitin, cefazolin, vancomycin, phenytoin, and the digoxin
      quinidine interaction. The objective of these reviews is also to reduce patient
      risk and costs associated with drug use. Therefore, in today's hospital
      environment, a mechanism to improve the visibility of the pharmacist's
      involvement in the health care process is to integrate clinical pharmacy services
      with quality assurance activities.

PMID- 10270730
TI  - Conflict resolution strategies in the pharmacy.
AB  - Conflict occurs in the pharmacy as employees seek limited resources, prestige,
      power, and position. An organization such as the pharmacy has a diversity of
      employees, including professional, semiprofessional, skilled, and technical,
      which makes the pharmacy susceptible to constant confrontation. Various
      strategies exist for the pharmacist to use in resolving conflict situations in
      the workplace. These include win-lose, lose-lose, and win-win strategies. To
      achieve a win-win situation, the pharmacy manager must have good communication
      skills that help employees clarify the meaning of words and avoid
      misunderstandings.

PMID- 10270731
TI  - Person-to-person communication in an applied research/service delivery setting.
AB  - Data from a national survey (n = 1666) of researchers, practitioners, and
      policymakers in the field of rural mental health services were used to conduct a
      sociometric analysis of person-to-person communication in the field. This article
      describes the structure of the person-to-person communication network in terms of
      its connectedness, centrality, homogeneity, and differentiation. Despite the
      diversity of survey respondents, and apparently meager interorganizational
      communication, communication in he field is similar, in many respects, to that
      observed in "invisible colleges." While the probability of two randomly chosen
      individuals being in contact is low (0.0008), over 70% were connected indirectly.
      The person-to-person communication network is also highly centralized and
      exhibits higher than expected communication among respondents in the same
      professional role, type of work organization, and geographical region. It does
      not appear to be highly differentiated with respect to topic, since the majority
      of information providers are contacted with respect to a number of topics.

PMID- 10270733
TI  - Methodological issues and policy implications of physician manpower forecasting.
AB  - Future physician supply is a matter of concern in most industrialized countries
      due to its impact on cost and quality of health care. Consequently, forecasting
      the number of physicians becomes an important research issue from both
      methodological and policy perspectives. This article presents a simple forecast
      model developed for the State of Wisconsin (U.S.A.), using the complex federal
      model of the U.S. Graduate Medical Education National Advisory Committee as a
      backdrop. In this context, the article discusses the main determinants of
      physician supply, such as mobility, retention, ageing and productivity. The
      methodological issues in the simple modelling of such phenomena are examined
      using the Wisconsin case as an empirical example. Finally, policy implications of
      planning physician supply with respect to projected demand for services, changes
      in reimbursement patterns and productivity are discussed along with some of the
      recommendations actually made to the Wisconsin Legislature.

PMID- 10270732
TI  - Information-seeking behavior in an applied research/service delivery setting.
AB  - The area of rural mental health services was used as a testbed to study
      information-seeking behavior in a field that includes researchers, policymakers,
      and practitioners. Findings from a nationwide survey (n = 1666) describe the
      sources that were used to obtain information about various topics and the use and
      value of these sources by or to individuals in various work roles and settings.
      The findings demonstrate the importance of person-to-person communication;
      differences in the sources used, and the value placed on these sources, by
      individuals in different work roles and settings; and that information-seeking
      episodes generally involve using multiple sources (5.0) to obtain information
      about several topics (3.2).

PMID- 10270734
TI  - The role of the schools of public health in the development of primary health
      care.
AB  - Starting with the assumption that the schools of public health can and should be
      major promoters of primary health care but that they have not fully utilized
      their potential, the paper reviews the different interpretations of primary
      health care and their implications for the recruitment policies, educational
      objectives, teaching methods and research orientation of the schools. Four
      interpretations (primary health care as a set of activities; as a level of care;
      as a strategy of organizing health services; and as a philosophy permeating the
      entire health care system) are identified. It is suggested that most
      industrialized countries already have a primary medical care system which has to
      be transformed into primary health care. A blueprint for this transformation is
      outlined. Many of the changes included in the blueprint are related to the
      concept of primary health care as a strategy. Schools of public health can play a
      major role in implementing the necessary strategic changes and in training their
      implementers. The training of actual primary care providers for leadership;
      increased emphasis on management in the curricula; and reorientation of research
      towards primary health care are underlined as particularly important elements in
      the new role of the schools of public health.

PMID- 10270735
TI  - The legal mandate of drug registration authorities in theory and practice.
AB  - In the course of this century all industrial nations witnessed a growth in the
      influence of the state over the individual. Usually, state intervention in
      private life is justified by the state's mandate to protect the health and
      security of its constituents, either through general, uniform precepts such as
      laws or decrees, or through individual arrangements such as licences or
      subsidies. The principle of state protection has also long been established in
      the pharmaceutical sector, and entails that regulatory agencies should only
      approve those drugs for market use, which--according to scientific knowledge-
      have benefits which outweigh their potential harmful effects. Although 'the state
      of scientific knowledge' seems to imply that safety decisions concerning drugs
      are predominantly based on medical, scientific criteria, it is argued in this
      paper, that regulatory agencies nevertheless have wide discretionary margins,
      which allow for a political dimension to such decisions. For this reason it is
      briefly examined how drug authorities react under political pressure, i.e. when a
      drug has become a public problem. Additionally, the issue is considered why
      especially so-called non-steroidal anti-inflammatory drugs (NSAID's) have
      recently been the focus of controversy in the media. This attention has led to a
      situation in which it seems that regulatory agencies only accept drugs for market
      use with zero risk. The paper concludes by recommending that safety decisions of
      health authorities should involve two expert levels: in order to make precise
      risk assessments on the scientific level all relevant information about risks and
      benefits of drugs should be collated, whereas safety decisions should be taken by
      experts knowledgeable in the field of societal proportions.

PMID- 10270736
TI  - Regulation and selection of patients.
AB  - During the past decades health legislation and regulation have been on the
      increase in most industrialized countries. The growing role of government in the
      provision and financing of health care, the need to correct given aspects of
      health care and the mandate to protect the underprivileged have been some of the
      many reasons for increased regulation. Different regulatory approaches and their
      respective advantages and disadvantages are reviewed in this paper. Particular
      attention is given to the crucial issue of how to regulate the access to scarce
      resources and how to cope within a legislative approach with the resulting
      patient selection.

PMID- 10270737
TI  - Alternative modes of care threaten single-tier goal.

PMID- 10270738
TI  - Survey advises CEOs to reexamine traditional goals.

PMID- 10270739
TI  - Medical humanism: pragmatic or personalist?
AB  - Those in health care practice and research must depend on humanism for guidance
      in making difficult judgments and decisions that involve the individual patient's
      dignity and value. But what kind of humanism will inform those choices? Pragmatic
      humanism tends to view dignity in terms of human functioning: One is human
      because he or she acts, produces, thinks, achieves. The comatose, the insane, the
      hopelessly senile, fetuses and the newborn may be accorded human dignity as well,
      but only because society grants it to them. Thus such dignity can be manipulated
      or diminished in the name of overall human progress or the common welfare. By
      contrast, personalist humanism holds that human dignity is rooted in "being
      human" rather than in "doing human things." An individual has full human value
      simply by being a living person. This humanism suggests that health care
      providers must use their capabilities even for nonproductive patients. This may
      be difficult in the face of today's cost-benefit analyses. But if the
      individual's basic value is not defended, human dignity will vary in direct ratio
      to a person's social usefulness. And that would be obscene.

PMID- 10270740
TI  - Two views of the human person. Ethical decisions: why "exceptionless norms"?
AB  - Theoretical differences between the teachings of the U.S. bishops and many moral
      theologians have left Catholic medical professionals puzzled about whose advice
      to follow. Although three concepts have influenced the development of medical
      ethics--physicalism, ecclesiastical positivism, and personalism--the real source
      of disagreement is two different approaches to understanding the person: the
      objective and the subjective. Objectivists see persons as living organisms
      subject to natural laws and unique among animals because they can develop
      cultures, control the environment, and exercise critical thought. According to
      the subjective approach, persons are free subjects who transform the objective
      world into one of meaning. They find reality only in the culture and its social
      forms, arts, history, and theories. The objective approach identifies basic human
      needs that transcend cultures and it defends exceptionless moral norms; the
      subjective demands that the person be free to decide each situation's morality.
      Objectivity is preferable because it is supported by Catholic tradition, which
      trusts human reason to arrive at universal ethical truths, and leads to an ethics
      grounded in an understanding that is transcultural and objectively verifiable. In
      the future the Church's moral teachings on abortion, euthanasia, and other life
      issues will not change. They will, however incorporate subjective insights that
      emphasize the person's uniqueness, sociological conditioning, conscientious
      responsibility, and moral evolution.

PMID- 10270741
TI  - Sister Mary K. Samson v. The United States. Religious institutes and the IRS: the
      Samson Case's impact.
AB  - A federal appeals court recently ruled that a member of a Catholic religious
      institute assigned by her superiors to serve with a county hospital was subject
      to Social Security withholding on earnings from that service. Consequently,
      Catholic institute members will have Social Security taxes withheld whenever they
      serve with an entity not associated with the Church, that is, any entity not
      listed in the Official Catholic Directory. The ruling hinges on the contention
      that the sister could not have been "required" by her superiors to serve with the
      county hospital, since the hospital had final authority to determine who its
      employees would be, and that she thereby failed to qualify for the exception to
      Social Security withholding in Internal Revenue Code section 3121(b)(8)(A) for
      members of religious institutes performing service "'required" by their
      superiors. Because virtually all employers have this final authority, however,
      the appeals court's ruling leaves in doubt the perimeters of the exception to
      Social Security withholding in section 3121(b)(8)(A).

PMID- 10270742
TI  - New Testament story presents model for health care ministry.
AB  - Those who minister to the sick and the aged can learn several lessons from the
      experience of two disciples who met Jesus on the road to Emmaus. Though the men,
      who were leaving Jerusalem to escape the confusion caused by Jesus' crucifixion,
      did not initially recognize him, Jesus walked alongside them and drew them into
      conversation about the preceding days' events. His attentive listening and
      perceptive questioning, which allowed them to vent their feelings, helped the men
      to deal with the reality of their suffering. When they asked Christ to remain, he
      accepted their invitation, knowing that they needed additional support. As they
      broke bread together that evening, the disciples recognized Jesus, "whereupon he
      vanished from their sight." Care givers, too, at times need to walk away from
      their work, not only to allow time for reflection but also to enable patients to
      experience God's presence. They must be alert to everything a patient says so
      that words meant to comfort do not cause suffering, and they must learn to
      recognize the subtle ways in which patients ask them to stay with them. Helping
      patients face the truth requires courage and the ability to help another
      appreciate his or her self-worth. Just as the disciples recognized Jesus'
      presence in those they encountered, so, too, must care givers allow themselves to
      be transformed at the eucharistic table and to see in others--even the unlovely
      an existential, holistic love.

PMID- 10270744
TI  - Workshop involves hospital staff in assisting area's poor.

PMID- 10270743
TI  - Anesthesiologists face conflict as technologies develop.

PMID- 10270745
TI  - Fitness programs benefit mothers-to-be, heart patients.

PMID- 10270746
TI  - A case for democratic capitalism.

PMID- 10270747
TI  - Resuscitating the terminally ill.

PMID- 10270748
TI  - Train your trainers. Part 2: Instructional objectives.

PMID- 10270749
TI  - Organ procurement.

PMID- 10270750
TI  - Refusal of care. Caught between a rock and a hard place.

PMID- 10270751
TI  - Negligence in EMS. Case studies.

PMID- 10270752
TI  - Getting your certificate of need approved.

PMID- 10270753
TI  - A nursing home/university exchange program: an alternative model for teaching
      nursing homes.
AB  - The nursing home/university exchange program is a long way from the ideal
      teaching nursing home model, but it can meet many of the same objectives of
      providing high-quality care for the elderly. The utilization of an
      interdisciplinary exchange can encourage cohesiveness throughout the nursing home
      and provide for increased opportunities for university affiliation. The nursing
      home can serve as an educational bridge for educators. Likewise, the university
      can provide practitioners an environment in which to grow and keep current in the
      field. This model can be adapted by any nursing home and university committed to
      improving the quality of life of older persons, regardless of whether they have
      the resources to develop the ideal teaching nursing home. This type of exchange
      program will benefit academicians, administrators, students, service providers,
      and, ultimately, the older individual.

PMID- 10270754
TI  - Update: the removal of life supports in long-term care facilities.

PMID- 10270755
TI  - Health care allocation: who gets left out?

PMID- 10270756
TI  - Alternative health care for the elderly: a description of three models.

PMID- 10270757
TI  - Office computers: managing the human impact.
AB  - With all the attention placed on the mechanical and technological aspects of
      office automation equipment, the human element can be overlooked. Office
      automation is not just equipment, but the process of integration of people,
      information, functions and procedures. This article explores attitudes ranging
      from dread to fascination, personnel issues, ergonomics and other "human" aspects
      of the automation process.

PMID- 10270758
TI  - Reformulating the development theory of welfare.
AB  - Industrialization, technological change and overall economic development are
      often cited as important factors in the development of welfare states. This
      article examines the importance of cycles in economic activity and cycles in
      technological innovation to enhancing our understanding of welfare. The history
      of technological change in health-care services is used to illustrate the
      argument.

PMID- 10270759
TI  - Are worker participation plans "labor organizations" within the meaning of
      Section 2(5)?: a proposed framework of analysis.

PMID- 10270760
TI  - Is seniors' housing really health care?

PMID- 10270761
TI  - Seniors push hospital resources to the limit.

PMID- 10270762
TI  - Extended meal plan spices up food service.

PMID- 10270763
TI  - Managing the elderly alcoholic resident.

PMID- 10270764
TI  - The Illinois state legislature will change rule on wash temperature.

PMID- 10270765
TI  - Look for hidden costs.

PMID- 10270766
TI  - Humana laundry expects increase in volume due to heart publicity.

PMID- 10270767
TI  - New laundry at Brooklyn Hospital may eliminate need for disposables.

PMID- 10270768
TI  - Laundries above criticism, State finds mental hospitals otherwise dilapidated.

PMID- 10270769
TI  - Is this a Waterloo in the privileges war?

PMID- 10270770
TI  - Medical Electronics Buyers Guide 1984, Part 6. CAT scanners, electrical safety &
      test equipment, financial management, neonatal & pediatric equipment,
      pulmonary/respiratory equipment, simulators, stress test systems/ergometers.

PMID- 10270771
TI  - Limiting infarct size: the race against time.

PMID- 10270772
TI  - Facing up to layoffs.

PMID- 10270773
TI  - Flexible budgeting: a tool for better forecasting.

PMID- 10270774
TI  - How 1995's instrumentation will impact the lab.

PMID- 10270775
TI  - A strategic plan for staff development.

PMID- 10270776
TI  - Establishing a successful autologous transfusion program.

PMID- 10270777
TI  - How to make certain you get your merit increase.

PMID- 10270779
TI  - The care and feeding of your staff.

PMID- 10270778
TI  - Instrument checklist for a group practice lab.

PMID- 10270780
TI  - A data base management program for lab inventory.

PMID- 10270781
TI  - What does your staff think about you?

PMID- 10270782
TI  - FDA advises blood centers on phase-in of AIDS test.

PMID- 10270783
TI  - "Sorry, John, we have to let you go".

PMID- 10270784
TI  - A closer look at fatal transfusion reactions.

PMID- 10270785
TI  - Are you acting or just pretending?

PMID- 10270786
TI  - Our lab week lasted a month.

PMID- 10270787
TI  - A broker for better nursing-laboratory relations.

PMID- 10270788
TI  - A cost containment checklist.

PMID- 10270789
TI  - Working effectively with natural adversaries.

PMID- 10270790
TI  - Michigan's cancer reporting system.

PMID- 10270791
TI  - MRI technology: a valuable tool of the future.

PMID- 10270793
TI  - Volunteers make a difference at Shiawassee hospice.

PMID- 10270792
TI  - Law, medicine, and the time differential.

PMID- 10270794
TI  - Community cancer care of the future: a scenario.

PMID- 10270795
TI  - An organized system for cancer care in the hospital.

PMID- 10270796
TI  - Infection control could save millions.

PMID- 10270797
TI  - Ambulatory care centers may find public offerings will be hard to sell.

PMID- 10270798
TI  - To survive, not-for-profits must learn to act like investor-owned hospitals.

PMID- 10270799
TI  - Doctor-hospital cooperation needed for healthcare corporation success.

PMID- 10270800
TI  - Hospitals' joint ventures, incentive plans may violate fraud, abuse laws.

PMID- 10270801
TI  - Incentive plan can add doctors to savings team.

PMID- 10270802
TI  - Fiscally fit teaching hospitals eye sellouts to for-profit chains.

PMID- 10270803
TI  - Humana's game plan for expansion includes exploiting its 'brand name'.

PMID- 10270804
TI  - Humana money, name may cure financial woes of Doctors Officenters.

PMID- 10270805
TI  - Strategic planning and marketing will be administrators' top concerns.

PMID- 10270806
TI  - Alternative services. Development company plans to use joint ventures to build
      surgicenters.

PMID- 10270807
TI  - Acquisition plans, vertical integration fueling growth for Summit Health.

PMID- 10270808
TI  - Tax reform ideas means municipals will remain volatile.

PMID- 10270809
TI  - Hospitals' cost-cutting efforts spur union activity, expert says.

PMID- 10270810
TI  - Shrinking market for hospital supplies to limit price hikes.

PMID- 10270811
TI  - States' rate-setting plans may be buffer for census declines.

PMID- 10270812
TI  - Design and construction. Bethesda, MD, hospital turns old wing into 13-bed luxury
      unit.

PMID- 10270813
TI  - Proposed 'Baby Doe' regulations draw 20,000 comments from public.