scholarly journals Comparative Productivity Among Different Sized Physician Practices in Rural Washington

1973 ◽  
Vol 2 (2) ◽  
pp. 153-161
Author(s):  
Sam Cordes
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
Physician Services ◽  
Resource Base ◽  
Medical Care System ◽  
Physician Practices ◽  
Resource Productivity ◽  
Rural Counties ◽  
Care System

Students of our nation's medical care system generally express particular concern over the availability or lack of availability of physician services in rural areas. This concern is not without statistical foundation. In 1969 the nation's most urbanized counties (5,000,000 inhabitants or more) had approximately five times as many actively-practicing private physicians per 100,000 population as did the most rural counties (less than 10,000 inhabitants) [1]. In view of this situation a number of measures designed to increase the rural supply of physician services are being proposed. In general, these measures can be categorized into (1) those designed to increase the size of the resource base used in producing physician services and (2) those designed to reorganize the existant resource base in hopes of increasing resource productivity.

Medical Care for a Mass Gathering: The Suwa Onbashira Festival

2007 ◽  
Vol 22 (5) ◽  
pp. 431-435 ◽  
Author(s):  
Kazuyuki Yazawa ◽  
Yukihiro Kamijo ◽  
Ryuichi Sakai ◽  
Masahiko Ohashi ◽  
Mafumi Owa
Keyword(s):  
Medical Care ◽  
Medical Records ◽  
Medical Service ◽  
Medical Problems ◽  
Medical Care System ◽  
Mass Gatherings ◽  
Emergency Medical ◽  
Cervical Spine Fractures ◽  
First Time ◽  
Care System

AbstractIntroduction:The Suwa Onbashira Festival is held every six years and draws approximately one million spectators from across Japan. Men ride the Onbashira pillars (logs) down steep slopes.At each festival, several people are crushed under the heavy log. During the 2004 festival, for the first time, a medical care system that coordinated a medical team, an emergency medical service, related agencies, and local hospitals was constructed.Objective:The aims of this study were to characterize the spectrum of injuries and illness and to evaluate the medical care system of this festival.Methods:The festival was held 02 April–10 May 2004. The medical records of all of the patients who presented to an on-site medical tent or who were treated at the scene and transported to hospitals over a 12-day period were reviewed.The following items were evaluated: (1) the emergency medical system at the festival; (2) the environmental circumstances; and (3) patient data.Results:All medical usage rates are reported as patients per 10,000 attendees (PPTT). A total 1.8 million spectators attended the festival during the 12-day study period; a total of 237 patients presented to the medical tent (1.32 PPTT), and 63 (27%) were transferred to hospitals (0.35 PPTT). Of the total, 135 (57%) suffered from trauma—two were severely injured with pelvic and cervical spine fractures; and 102 (43%) had medical problems including heat-related illness.Conclusions:Comprehensive medical care is essential for similar mass gatherings. The appropriate triage of patients can lead to efficient medical coverage.

Les Nouveaux Miserables: Modem Victims of Social Asphyxia

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 851-857
Author(s):  
David R. Smith
Keyword(s):  
Health Care ◽  
Health Status ◽  
Medical Care ◽  
Health Care Costs ◽  
Health Care Services ◽  
Preventive Services ◽  
Medical Care System ◽  
Care Services ◽  
Care Costs ◽  
Care System

During the past 30 years, social and economic barriers to health care services have increased for many Americans, especially for the nation's most vulnerable populations. Health status actually has declined for certain populations during this time. Meanwhile, national attention has been focused primarily on containing health care costs and on devising strategies for reforming the financing of health care rather than strategies for achieving improvements in the health status of the population. Existing methods of financing health care services, health research priorities, the increasing centralization and compartmentalization of health care services, and the recent failure of national health reform all serve to hinder this nation's progress towards developing a comprehensive and accountable health care system focused on promoting and achieving improved health as well as treating sickness. Recent changes in the health care marketplace, however, including a growing movement toward measuring the outcomes of medical treatments and an emphasis on improving the quality of services, have increased interest among payers and providers of health care services in investing in preventive services. Health maintenance organizations and other integrated health care delivery systems are beginning to devise incentives for increasing preventive care as well as for containing costs. The transformation of the nation's current medical care system into a true health care system will require innovative strategies designed to merge the existing fragmented array of services into coordinated and comprehensive systems for delivering primary and preventive health care services in community settings. The community-Oriented Primary Care concept successfully blends these functions and has achieved measurable results in reducing health care costs and improving access to preventive services for identified populations. There is flexibility in existing funding sources to promote preventive services in various public and private health care settings and to assist in the transformation from a disease-oriented medical care system to one focused on health.

The Impact of AIDS on the Medical Care System

JAMA ◽  
1988 ◽  
Vol 260 (4) ◽  
pp. 519 ◽  
Author(s):  
Deborah J. Cotton
Keyword(s):  
Medical Care ◽  
Medical Care System ◽  
The Impact ◽  
Care System

scholarly journals A qualitative investigation of the psychosocial services utilised by care-givers of patients with Alzheimer's disease and related dementias in southwestern Uganda

2021 ◽  
pp. 1-14
Author(s):  
Catherine Abaasa ◽  
Celestino Obua ◽  
Edith K. Wakida ◽  
Godfrey Zari Rukundo
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Medical Care ◽  
Family Members ◽  
Medical Care System ◽  
Psychosocial Services ◽  
Care Givers ◽  
Care Giving ◽  
Southwestern Uganda ◽  
Care System

Abstract Individuals with Alzheimer's disease and related dementias often require substantial support from other people. Much of the care-giving is from family members who eventually experience physical, emotional and financial stress, depression and fatigue. In Uganda, families are a cornerstone in providing care to individuals with dementia. However, little is known about the psychosocial supports available to the care-givers in their care-giving role. We assessed the psychosocial supports available to care-givers of individuals with Alzheimer's disease and related dementias in southwestern Uganda. We conducted 34 in-depth interviews at three referral hospitals at which care-givers identified by the treating clinicians were approached for informed consent. The interviews were conducted until thematic saturation was reached, and the interviews were translated and transcribed. Thematic content analysis was used to analyse the data. Care-giver supports were structured into two major themes: medical supports utilised and supports beyond the medical care system. Medical supports highlighted information provided by medical professionals. Supports beyond the medical care system included emotional and instrumental supports provided by religious leaders, the local communities and family members. Care-givers for individuals with dementia in southwestern Uganda receive educational support from medical practitioners, and unstructured emotional and instrumental supports from the family and community.

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