scholarly journals The quality of computerised tomography use in two psychogeriatric services

1993 ◽  
Vol 17 (9) ◽  
pp. 536-537 ◽  
Author(s):  
Jon Spear
Keyword(s):  
Medical Care ◽  
Medical Audit ◽  
Computerised Tomography ◽  
Catchment Population ◽  
Care Department ◽  
Department Of Health ◽  
Cerebral Tumours ◽  
Quality Of Medical Care

The aim of medical audit is to improve the quality of medical care (Department of Health, 1989). There was concern that patients referred to a psychogeriatric service (Service X) did not have adequate access to computerised tomography. The nearest computerised tomography scanner was located in a neighbouring district and direct referrals were not accepted. Computerised tomography scans could be obtained indirectly by referral to neurosurgeons. Because of these difficulties “potentially treatable structural lesions” (such as cerebral tumours and subdural haematomas) may have been missed. We decided to compare the use of computerised tomography scans with a nearby service (Service Y) which had a computerised tomography scanner on site. Service X had a catchment population of 33,000 aged over 65 and Service Y a catchment population of 23,420 aged over 65.

scholarly journals Psychiatric audit

1991 ◽  
Vol 15 (9) ◽  
pp. 550-551 ◽  
Author(s):  
Paul Hatton ◽  
Edward B. Renvoize
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Critical Analysis ◽  
Diagnosis And Treatment ◽  
Medical Audit ◽  
Department Of Health ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Patient Department

Medical audit has been defined “as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patient” (Department of Health, 1989).

scholarly journals Audit in psychiatry

1989 ◽  
Vol 13 (6) ◽  
pp. 278-281 ◽  
Author(s):  
Gillian Garden ◽  
Femi Oyebode ◽  
Stuart Cumella
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Critical Analysis ◽  
White Paper ◽  
Diagnosis And Treatment ◽  
Medical Audit ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
The Government

Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patient (DOH, 1989). The White Paper Working for Patients states that the Government proposes that every consultant should participate in a form of medical audit agreed between management and the profession locally. It also states that management should be able to initiate an independent professional audit.

scholarly journals Audit in psychiatry: “failed discharges”

1991 ◽  
Vol 15 (1) ◽  
pp. 26-27 ◽  
Author(s):  
E. Jones
Keyword(s):  
Critical Analysis ◽  
Medical Profession ◽  
Psychosocial Care ◽  
Medical Audit ◽  
Department Of Health ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Problems ◽  
Medical Specialities

Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patients (Department of Health, 1989). The medical profession has been under pressure to extend and improve audit procedures in recent years (McKee et al, 1989), but there have been doubts about the most satisfactory methods, particularly in psychiatry (Garden & Oyebode, 1989). There are numerous methodological problems in measuring the outcome of psychosocial care (Shaw, 1989; Royal College of Psychiatrists, 1989). Indicators of outcome which have been used in medicine include incidence of adverse events. Reintervention rates do offer some measure of outcome, and have been used widely in other medical specialities.

scholarly journals Measuring patient satisfaction in children

1993 ◽  
Vol 17 (11) ◽  
pp. 661-662
Author(s):  
Elizabeth Walters
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Medical Care ◽  
Child Mental Health ◽  
Early Stage ◽  
Child Mental Health Services ◽  
Department Of Health ◽  
Medical Advisory Committee ◽  
Quality Of Medical Care

The report of the Standing Medical Advisory Committee to the Department of Health, The Quality of Medical Care (1990), states that outcome is the most relevant indicator of quality of medical care. In addition to providing information about the appropriateness of treatments, there are important ethical and resource implications if activities are found to be unjustified. However, measuring outcome is difficult if there is no quantifiable change in symptoms or function following treatment. In child psychiatry this is a relatively common dilemma and outcome studies, while agreed to be essential, are frequently abandoned at an early stage or fail to get off the ground because of the complexity of the problems they generate. In a review of the ways in which child mental health services attempt to measure outcome (Pound & Cottrell, 1989) the authors acknowledge these difficulties and conclude that a start should be made by “Asking the customer's opinion” about the treatment they have received. In other words, “Are they satisfied?”.

scholarly journals Audit in two acute psychiatric units

1991 ◽  
Vol 15 (6) ◽  
pp. 351-352 ◽  
Author(s):  
A. Dutta ◽  
R. R. Parker ◽  
T. W. Fleet
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Royal College ◽  
Critical Analysis ◽  
Preliminary Report ◽  
Medical Audit ◽  
Use Of Resources ◽  
Psychiatric Units ◽  
Quality Of Medical Care

The Royal College of Psychiatrists (1989) has recently produced its own preliminary report on medical audit. It defines medical audit as: “The systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patients.” This definition is in essence similar to that of the Royal College of Physicians.

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

Evaluation of medical care for Diabetic and Hypertensive patients in primary care in Mexico: Observational retrospective study (Preprint)

2020 ◽  
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A Zaizar-Fregoso ◽  
Violeta M Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A Montes-Galindo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Serum Lipids ◽  
Quality Care ◽  
Premature Death ◽  
Current Standard ◽  
Anonymized Data ◽  
Quality Of Medical Care

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.

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