A microbiological study of cold, ready-to-eat sliced meats from 2579 catering establishments (public houses, hotels, cafes, restaurants, residential homes and other catering premises) found that 2587 of 3494 samples (...
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A microbiological study of cold, ready-to-eat sliced meats from 2579 catering establishments (public houses, hotels, cafes, restaurants, residential homes and other catering premises) found that 2587 of 3494 samples (74%) were of acceptable quality, 892 (26%) were of unsatisfactory quality and 15 (< 1%) were of unacceptable quality. Unacceptable results were due to high levels of Escherichia coli, Staphylococcus aureus, Listeria species and/or Clostridium perfringens. Unsatisfactory results were mostly due to high Aerobic Plate Counts. The microbiological quality of cold, ready-to-eat meats was associated with meat type, premises type, management training, hygienic practices, meat supplier and length of storage. The relationship between food hygiene training and microbiological quality is discussed.
This article reports historical trend data on resident characteristics and conditions, problems, and deficiency patterns for nursing facilities from 1991 through 1997 from Health Cave Financing Administration (HCFA) a...
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This article reports historical trend data on resident characteristics and conditions, problems, and deficiency patterns for nursing facilities from 1991 through 1997 from Health Cave Financing Administration (HCFA) administrative records from the On-line Survey, Certification, and Reporting System (OSCAR). Over this period, residents show some increases in dependency and conditions, although there was a decline in the use of restraints. The deficiencies reveal continued quality problems in some nursing homes, although the average number of deficiencies given to facilities declined by 44 percent between 1991 and 1997. The discussion considers possible explanations for the decline in deficiencies, including whether the quality of care in nursing homes has improved or whether the enforcement process has gradually been weakened.
作者：
Moscovice, IraRosenblatt, Roger A.IRA MOSCOVICE
Ph.D. is Associate Professor and Associate Director of the Center for Health Services Research at the University of Minnesota. He is the co-author of Rural Health Care (Wiley 1982). His work has focused on the use of health services research to improve policy decision making in state government. ROGER A. ROSENBLA'IT
M.D. M.P.H. is Associate Professor and Director of the Research Section of the Department of Family Medicine at the University of Washington. He is currently principal investigator of a project funded by the W.K. Kellogg Foundation to improve the professional and fiscal functioning of rural hospitals in the Pacific Northwest. Dr. Rosenblatt was the 1985 recepient of the Distinguished Research Award of the American Rural Health Association.
This is the second of a two part series that summarizes what is known about the operation and performance of the rural hospital and discusses potential options and strategies for strengthening the viability of these i...
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This first of two papers on the health sector in Lebanon describes how unregulated development of private care quickly led to a crisis situation. Following the civil war the health care sector in Lebanon is characteri...
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This first of two papers on the health sector in Lebanon describes how unregulated development of private care quickly led to a crisis situation. Following the civil war the health care sector in Lebanon is characterized by (i) ambulatory care provided by private practitioners working as individual entrepreneurs, and, to a small extent, by NGO health centres;and (ii) by a fast increase in hi-tech private hospitals. The latter is fuelled by unregulated purchase of hospital care by the Ministry of Health and public insurance schemes. Health expenditure and financing patterns are described. The position of the public sector in this context is analyzed. In Lebanon unregulated private care has resulted in major inefficiencies, distortion of the health care system, the creation of a culture that is oriented to secondary care and technology, and a non-sustainable cost explosion. Between 1991 and 1995 this led to a financing and organizational crisis that is the background for growing pressure for reform.
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