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Sophisticated hospital information system radiology information system picture archiving and communications system (PACS) integration in a large-scale traumatology PACS

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JOURNAL OF DIGITAL IMAGING 1999年第2期12卷 99-102页

作者： Peer, S Vogl, R Peer, R Jaschke, W Univ Innsbruck Hosp Dept Radiol A-6020 Innsbruck Austria

Picture archiving and communications system (PACS) in the context of an outpatient trauma care center asks for a high level of interaction between information systems to guarantee rapid image acquisition and distribution to the surgeon. During installation of the Innsbruck PACS, special aspects of traumatology had to be realized, such as imaging of unconscious patients without identification, and transferred to the electronic environment. Even with up-to-date PACS hardware and software, special solutions had to be developed in-house to tailor the PACS/hospital information system (HIS)/radiology information system (RIS) interface to the needs of radiologic and clinical users, An ongoing workflow evaluation is needed to realize the needs of radiolgists and clinicians. These needs have to be realized within a commercially available PACS, whereby full integration of information systems may sometimes only be achieved by special in-house solutions. Copyright (C) 1999 by W.B. Saunders Company.

关键词：门诊医疗设施/组织和管理计算机通信网络计算机系统医院信息系统/组织和管理医务人员病人识别系统放射学放射学信息系统/组织和管理软件系统综合创伤诊治中心/组织和管理意识丧失人类

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Making a case for the CDE's role in outsourcing diabetes services to a freestanding outpatient diabetes disease state management center

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DIABETES EDUCATOR 1999年第5期25卷 766-+页

作者： Hendricks, LE Hendricks, RT LHCA Diabet Self Management Skills Training Ctr Wheaton MD 20906 USA

Outsourcing of diabetes disease state management services by MCOs is a good thing for enrollees with diabetes. It is a good mechanism for MCOs that are striving to cut the costs of diabetes care, and it is a trend that the authors expect to see continue in an accelerated way, given the new diagnostic guidelines released by the American Diabetes Association and the epidemic of diabetes among older persons. Through a partnership with a quality, freestanding, outpatient diabetes disease state management center staffed by CDEs, MCOs with a vision can expect to profit now and pay less later for devastating, expensive diabetes complications that lead to increased hospitalizations.

关键词：算法门诊医疗设施/组织和管理证明合同业务/组织和管理糖尿病/预防和控制疾病管理职务说明管理医疗规划/组织和管理临床护理医生/教育临床护理医生/组织和管理病人教育(主题)/组织和管理人类

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Evaluation of telemedical support to a free-standing minor accident and treatment service

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JOURNAL OF TELEMEDICINE AND TELECARE 1998年第3期4卷 140-145页

作者： Tachakra, S Wiley, C Dawood, M Sivakumar, A Dutton, D Hayes, J Cent Middlesex Hosp Dept Accident & Emergency Med London NW10 7NS England Cent Middlesex Hosp Dept Radiol London NW10 7NS England

We studied all patients attending a free-standing minor accident and treatment service (MATS) run by emergency nurse practitioners (ENPs). In a six-month period, 5563 patients were seen in the MATS, of whom 2843 (51%) were new attenders. A teleconsultation was carried out with 150 of these patients (2.7% of all cases). The most common reason (39%) was to discuss a radiograph with an accident and emergency consultant. The accuracy of the telemedicine-assisted radiographic diagnosis was checked subsequently by a review panel. The ENPs' working diagnoses (made by viewing the films) had a sensitivity of 90% and a specificity of 96%;this was improved by telemedicine assistance to 97% and 99%, respectively. The telemedicine patients were also surveyed several months after being seen in the MATS;their replies indicated that the telemedicine diagnoses had been correct.

关键词：事故门诊医疗设施/组织和管理门诊医疗设施/利用急救医疗服务/组织和管理急救医疗服务/利用评价研究伦敦/流行病学开业护士远程会诊/统计学和数值数据创伤和损伤/诊断创伤和损伤/流行病学人类

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A pilot study of telemedicine for new neurological outpatient referrals

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JOURNAL OF TELEMEDICINE AND TELECARE 2000年第4期6卷 225-228页

作者： Craig, J Chua, R Wootton, R Patterson, V Royal Victoria Hosp Dept Neurol Belfast BT12 6BA Antrim North Ireland Royal Victoria Hosp Inst Telemed & Telecare Belfast Antrim North Ireland Erne Hosp Dept Med Enniskillen North Ireland Univ Queensland Ctr Online Hlth Brisbane Qld Australia

We investigated whether new patients attending a neurological outpatient clinic could be safely managed by neurologists at a distance, using a video-link. In Northern Ireland, a video-link, transmitting at 384 kbit/s, was set up between a neurological centre and a small rural hospital 140 km away. Twenty-five unselected patients who had been referred by their family doctor were assessed by a neurologist using the telemedicine link and then immediately by another neurologist face to face. Examiners were blinded to the results of each other's assessment. In 24 cases the diagnoses made after the telemedicine and face-to-face examinations were identical. There were minor differences between the type and number of investigations requested, and the requirements for treatment and follow-up between the two groups. Disposal method was the same in 21 of the cases. No major organizational difficulties were encountered during the study. The study showed that neurologists can deliver outpatient neurological care to distant patients using telemedicine. This has the potential to allow access to assessment for the large number of neurological outpatients who might otherwise be denied it.

关键词：门诊医疗设施/组织和管理神经病学检查/方法北爱尔兰结果评价(卫生保健) 试点项目远程会诊/标准成年人女(雌)性人类男(雄)性

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The incidence of cancellation and nonattendance at a dermatology clinic

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JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY 1999年第5期40卷 714-718页

作者： Penneys, NS Glaser, DA St Louis Univ Ctr Sci Dept Dermatol St Louis MO 63104 USA

Background: Same-day cancellation of appointments and nonattendance by patients can disrupt management of certain aspects of medical delivery and lead to inefficient allocation of resources and lost revenue. The frequency of cancellation and nonattendance at dermatology clinics has not been well documented. Objective: We measured same-day cancellation and nonattendance in a university dermatology clinic. Methods: We tabulated clinic attendees, same-day cancellations, and nonattendance for a 6-month period. We examined distribution by gender, type of payer, and clinic visit type (initial or follow-up). Results: Total same-day cancellation rate was 8.3%. Female patients canceled more frequently than male patients (9.2% vs 7.3%, P =.02). Cancellation rates were similar for initial and follow-up visits. The nonattendance rate was 17% with the highest rates found in state-supported categories (26%) and the lowest in commercial insurance programs (13%). Nonattendance rates did not vary significantly by gender or visit type. Conclusion: Same-day cancellation and clinic nonattendance is a significant factor in the efficient fiscally sound management of a busy dermatology clinic. The risk of nonattendance is assumed by physicians and seems to be correlated with payer type.

关键词：医学科学研究中心/经济学医学科学研究中心/组织和管理门诊医疗设施/经济学门诊医疗设施/组织和管理病人预约和时间安排皮肤病学财务管理随访研究卫生保健公平提供发病率保险健康 Medicaid Medicare 性别因素时间因素美国女(雌)性人类男(雄)性

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Marketing planning for ambulatory care: Twelve key steps

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Journal of Ambulatory Care Marketing 1987年第1期1卷 3-11页

作者： Maurer, Michael P. The Good Samaritan Hosptial San Jose CA United States

No abstract available for this article.

关键词：门诊医疗设施/组织和管理卫生服务使用研究规划技术美国

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ORGANIZATIONAL AFFILIATION AND EFFECTIVENESS - THE CASE OF RAPE CRISIS CENTERS

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ADMINISTRATION IN SOCIAL WORK 1991年第3期15卷 83-103页

作者： BYINGTON, DB MARTIN, PY DINITTO, DM MAXWELL, MS FLORIDA STATE UNIV DEPT SOCIOL TALLAHASSEE FL 32306 USA FLORIDA A&M UNIV DEPT SOCIOL SOCIAL WELFARE & CRIMINAL JUSTICE TALLAHASSEE FL 32313 USA UNIV TEXAS SCH SOCIAL WORK AUSTIN TX 78712 USA

Many rape crisis centers (RCCs) that were founded as autonomous organizations have affiliated with other organizations. The relationship of affiliation type and effectiveness is examined in a sample of 25 RCCs in Florida. Effectiveness is defined in terms of range of services for rape victims and involvement in rape prevention (social change) activities. The data show that 23 RCCs are affiliated with six types of organizations and two are free-standing. Each affiliation type has advantages and disadvantages but, overall, free-standing RCCs appear to be most effective and RCCs affiliated with community mental health centers, least effective. Of the seven types, free-standing agencies are most involved in rape prevention activities aimed at social change.

关键词：门诊医疗设施/组织和管理社区精神卫生中心/组织和管理危机干预/组织和管理效率佛罗里达组织隶属关系强奸/预防和控制社会工作精神病/组织和管理女(雌)性人类

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IMPACT OF ORGANIZATIONAL INTERVENTIONS ON THE DELIVERY OF PATIENT EDUCATION IN A DIABETES CLINIC

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PATIENT EDUCATION AND COUNSELING 1986年第2期8卷 115-123页

作者： LORENZ, RA PICHERT, JW ENNS, SJ HANSON, SL VANDERBILT UNIV MED CTRSCH MEDCTR DIABET RES & TRAININGNASHVILLETN 37232 USA

Patient education is widely regarded as an essential component of chronic disease care and effective health promotion. Nevertheless, the patient education process is seldom the subject of systematic investigation. In a previous study we determined that only a minimal amount of patients' time was devoted to education in a multidisciplinary diabetes clinic. The present study was designed to assess whether organizational manipulations would influence the delivery of patient education. Nurses' responsibility for management of patient flow was reduced, and an education checklist was included in the medical record. These simple modifications of clinic operation to increase the availability of professional time for patient education and to stimulate educational interactions were successful in significantly increasing patient education time. Time spent in assessing patient need increased by about one half (P less than 0.05) and in instruction by about two thirds (P less than 0.05). The process of patient education can be facilitated at low cost to the facility through targeted attention to organizational issues other than providers' knowledge or interest.

关键词：门诊医疗设施/组织和管理糖尿病/治疗护士病人医疗小组/组织和管理病人教育(主题)/组织和管理角色田纳西女(雌)性人类男(雄)性

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Freestanding imaging centers: Friend or foe?

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Health Marketing Quarterly 1985年第2-3期3卷 175-183页

作者： Haas, Kenneth A. Vice-President Marketing Medical Resources Inc. Teaneck NJ 70121 United States

No abstract available for this article.

关键词：门诊医疗设施/组织和管理医院机构间关系放射学/经济学美国

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How to plan and implement a downtown convenience medical care center

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Hospital Topics 1984年第5期62卷 20-21页

作者： Giesler, Raymond H. The Jewish Hospital of Cincinnati Inc United States

Click to increase image sizeClick to decrease image size

关键词：门诊医疗设施/组织和管理医院管理医院改组职业卫生服务/组织和管理俄亥俄

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