Articoli di riviste: "Hospital and community"

1

Stastny, Peter, e Deborah Perlick. "Hospital vs. Community". Psychiatric Services 44, n. 5 (maggio 1993): 498—a—499. http://dx.doi.org/10.1176/ps.44.5.498-a.

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Schreiber, Judith L., Alan Breier e David Pickar. "Hospital vs. Community". Psychiatric Services 44, n. 8 (agosto 1993): 795. http://dx.doi.org/10.1176/ps.44.8.795.

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&NA;. "University Community Hospital". American Journal of Nursing 96 (gennaio 1996): 76. http://dx.doi.org/10.1097/00000446-199601001-00055.

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&NA;. "Tallahassee Community Hospital". American Journal of Nursing 96 (gennaio 1996): 92. http://dx.doi.org/10.1097/00000446-199601001-00069.

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FINE, EVA L. "Community Hospital Merger". Nursing Management (Springhouse) 20, n. 12 (dicembre 1989): 30???34. http://dx.doi.org/10.1097/00006247-198912000-00007.

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Critcbley, Lindsay. "Community-Hospital Partnerships". JONA: The Journal of Nursing Administration 22, n. 11 (novembre 1992): 33–39. http://dx.doi.org/10.1097/00005110-199211000-00010.

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Lemieux-Charles, Louise, e Peggy Leatt. "Hospital-Physician Integration: Case Studies of Community Hospitals". Health Services Management Research 5, n. 2 (luglio 1992): 82–98. http://dx.doi.org/10.1177/095148489200500201.

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Hospitals are attempting more meaningfully to involve physicians in management as one approach to increasing the efficiency and effectiveness of their operations. The purpose of this research was to explore the relationship between the structure of the medical staff organization, the extent to which physicians are integrated into hospital decision making and the hospital's financial performance. A measure of hospital-physician integration was developed based on Alexander et al's (1986) dimensions of hospital-physician integration which were based on Scott's (1982) organizational models, ie, autonomous, heteronomous and conjoint. A multiple case study design, which comprised eight community non-teaching hospitals over 200 beds located in the Province of Ontario, Canada, was used to examine the relationship between variables. Study results suggest that there is variation among community hospitals on both contextual and organization factors. Hospitals with high levels of hospital-physician integration were located in highly populated areas, had formulated and implemented a strategic plan, had highly structured medical staff organizations, and had no budgetary deficit. In contrast, hospitals with moderate or low levels of integration were more likely to be located in lowly populated areas, had little planning activity, had a moderately structured medical staff organization, and had deficit budgeting. Suggested areas for future research include examining the role of the Board of Trustees in determining physicians' organizational roles and identifying differences in commitments, characteristics, and motivations of physicians working in rural versus urban hospitals and their impact on integrative strategies.

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Ahmed Khan, Maqsood, Baqir Shyum Naqvi, Ali Akber Sial, Farya Zafar e Saquib Qureshi. "COMMUNITY ACQUIRED PNEUMONIA;". Professional Medical Journal 24, n. 06 (5 giugno 2017): 843–49. http://dx.doi.org/10.29309/tpmj/2017.24.06.1113.

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Background: The treatment cost of community acquired pneumonia in Pakistanis a heavy economic burden for the society. Objectives: To assess the component of directcost (ward cost, medication cost, laboratory and diagnosis cost and the length of stay cost) oftreatment of community acquired pneumonia patients admitted in hospital ward. Study Design:Prospective study. Period: 15 months. Setting: Three private hospitals among these hospitalsone of the hospital was a tertiary care university hospital situated in Karachi. Method: The studyenrolled 514 patients and the patients were included from three private hospitals. Spearmancorrelation statistical tool was used to determine the correlation among variables Whitney U testwas used to determine the cost in different groups. Results: A total of 514 cases were examined322 cases were male and 192 cases were females. The CAP cases were mostly prevalentin patients with the age between 1-5 years (192), in male, low socioeconomic status and inunmarried patients. The mean length of hospital stay was 5.31days found in patients admittedin the hospitals due to CAP. In this study the median medication cost of CAP per episode oftreatment was Rs 2423($24.25), median laboratory diagnosis cost was found Rs 1310($13.11),median length of stay in hospital cost was found Rs 5700($57.04) and the median total costof treatment was found Rs 9889($98.96). Conclusion: length of stay, laboratory diagnosisand the medication cost were the main components of direct cost of treatment of hospitalizedcap patients. Age, comorbidity, PSI, laboratory diagnosis and length of stay was positivelycorrelated with the direct cost of treatment of CAP. Gender difference was not correlated withthe direct cost of treatment of CAP. The direct cost, drug cost, hospital stay cost increases asthe pneumonia severity index increases, but in case of laboratory diagnosis cost is initially lessin PSI I and increases in the PSI class II but remain same from PSI III to PSI V.

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Mindnich, Deborah S., e Bernadette Hart. "Linking Hospital and Community". Journal of Psychosocial Nursing and Mental Health Services 33, n. 1 (gennaio 1995): 25–28. http://dx.doi.org/10.3928/0279-3695-19950101-17.

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Santos, Tatiane, e Richard C. Lindrooth. "Nonprofit Hospital Community Benefits". Medical Care 59, n. 9 (26 luglio 2021): 829–35. http://dx.doi.org/10.1097/mlr.0000000000001595.

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SPENCER, D. A. "Hospital or community unit?" Journal of the Institute of Mental Subnormality (APEX) 8, n. 2 (26 agosto 2009): 46. http://dx.doi.org/10.1111/j.1468-3156.1980.tb00512.x.

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McConnon, J. K. "THE CANADIAN COMMUNITY HOSPITAL". Lancet 329, n. 8527 (gennaio 1987): 266–67. http://dx.doi.org/10.1016/s0140-6736(87)90078-x.

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Karkos, Brenda, e Karen Peters. "A Magnet Community Hospital". JONA: The Journal of Nursing Administration 36, n. 7 (luglio 2006): 377–82. http://dx.doi.org/10.1097/00005110-200607000-00011.

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Gehrke, Paige, Alexandra Binnie, Stephanie P. T. Chan, Deborah J. Cook, Karen E. A. Burns, Oleksa G. Rewa, Margaret Herridge e Jennifer L. Y. Tsang. "Fostering community hospital research". Canadian Medical Association Journal 191, n. 35 (2 settembre 2019): E962—E966. http://dx.doi.org/10.1503/cmaj.190055.

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Corrigan, Janet, Elliott Fisher e Scott Heiser. "Hospital Community Benefit Programs". JAMA 313, n. 12 (24 marzo 2015): 1211. http://dx.doi.org/10.1001/jama.2015.0609.

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Buetti, Niccolò, Andrew Atkinson, Andreas Kronenberg e Jonas Marschall. "Different Epidemiology of Hospital-Acquired Bloodstream Infections Between Small Community Hospitals and Large Community Hospitals". Clinical Infectious Diseases 64, n. 7 (25 gennaio 2017): 984–85. http://dx.doi.org/10.1093/cid/cix040.

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Toms, Rhinedd. "Meeting the Need—from Institutional to Community Care". Bulletin of the Royal College of Psychiatrists 11, n. 11 (novembre 1987): 373–74. http://dx.doi.org/10.1192/s0140078900018447.

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Severalls Hospital is a large psychiatric hospital, established in 1913 and originally designed for about 2000 patients. With the changes in attitudes to mental health over the last 70 years the hospital's aims and objectives have altered several times. Now, with the number of in-patients already reduced to approximately 650 and the movement to run down large hospitals such as this, preparation needs to be made for the shift to the community as the main future base for psychiatric services. Over the years the hospital has recognised the importance of preserving close links with the patient's home and has always maintained that regular activity and work is vital in the process of re-establishing patients in the community and in employment.

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Singh, Simone R., Gary J. Young, Lacey Loomer e Kristin Madison. "State-Level Community Benefit Regulation and Nonprofit Hospitals' Provision of Community Benefits". Journal of Health Politics, Policy and Law 43, n. 2 (1 aprile 2018): 229–69. http://dx.doi.org/10.1215/03616878-4303516.

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Abstract Do nonprofit hospitals provide enough community benefits to justify their tax exemptions? States have sought to enhance nonprofit hospitals' accountability and oversight through regulation, including requirements to report community benefits, conduct community health needs assessments, provide minimum levels of community benefits, and adhere to minimum income eligibility standards for charity care. However, little research has assessed these regulations' impact on community benefits. Using 2009–11 Internal Revenue Service data on community benefit spending for more than eighteen hundred hospitals and the Hilltop Institute's data on community benefit regulation, we investigated the relationship between these four types of regulation and the level and types of hospital-provided community benefits. Our multivariate regression analyses showed that only community health needs assessments were consistently associated with greater community benefit spending. The results for reporting and minimum spending requirements were mixed, while minimum income eligibility standards for charity care were unrelated to community benefit spending. State adoption of multiple types of regulation was consistently associated with higher levels of hospital-provided community benefits, possibly because regulatory intensity conveys a strong signal to the hospital community that more spending is expected. This study can inform efforts to design regulations that will encourage hospitals to provide community benefits consistent with policy makers' goals.

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19

Cody, Marisue, Lois Friss e Zeina Chebaro Hawkinson. "Predicting hospital profitability in short-term general community hospitals". Health Care Management Review 20, n. 3 (1995): 77–87. http://dx.doi.org/10.1097/00004010-199502030-00012.

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Cody, Marisue, Lois Friss e Zeini Ckiebaro Hawkinson. "Predicting hospital profitability in short-term general community hospitals". Health Care Management Review 20, n. 3 (1995): 77–87. http://dx.doi.org/10.1097/00004010-199522000-00013.

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21

Gardner, MD, Aaron H., Michael R. FitzGerald, PhD, Hamilton P. Schwartz, MD e Nathan L. Timm, MD. "Evaluation of regional hospitals’ use of children in disaster drills". American Journal of Disaster Medicine 8, n. 2 (1 aprile 2013): 137–43. http://dx.doi.org/10.5055/ajdm.2013.0120.

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Objective: Describe the prevalence of pediatric casualties in disaster drills by community hospitals and determine if there is an association between the use of pediatric casualties in disaster drills and the proximity of a community hospital to a tertiary children’s hospital.Design: Survey, descriptive study.Setting: Tertiary children’s hospital and surrounding community hospitals.Participants: Hospital emergency management personnel for 30 general community hospitals in the greater Cincinnati, Ohio region.Interventions: NoneMain Outcome Measure(s): The utilization of pediatric casualties in community hospital disaster drills and its relationship to the distance of those hospitals from a tertiary children’s hospital.Results: Sixteen hospitals reported a total of 57 disaster drills representing 1,309 casualties. The overwhelming majority (82 percent [1,077/1,309]) of simulated patients from all locations were 16 years of age or older. Those hospitals closest to the children’s hospital reported the lowest percentage of pediatric patients (10 percent [35/357]) used in their drills.The hospitals furthest from the children’s hospital reported the highest percentage of pediatric patients (32 percent [71/219]) used during disaster drills.Conclusions: The majority of community hospitals do not incorporate children into their disaster drills, and the closer a community hospital is to a tertiary children’s hospital, the less likely it is to include children in its drills. Focused effort and additional resources should be directed toward preparing community hospitals to care for children in the event of a disaster.

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22

CABRE, M., I. BOLIVAR, G. PERA e R. PALLARES. "Factors influencing length of hospital stay in community-acquired pneumonia: a study in 27 community hospitals". Epidemiology and Infection 132, n. 5 (ottobre 2004): 821–29. http://dx.doi.org/10.1017/s0950268804002651.

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We did a retrospective study of 1920 episodes of community-acquired pneumonia (CAP) in 27 community hospitals and analysed inter-hospital variability in length of hospital stay (LOS), mortality and readmission rates. The overall adjusted LOS (mean±S.D.) was 10·0±9·8 days. LOS increased according to the Pneumonia Severity Index (PSI) risk class: 7·3 days for class I to 11·3 days for class V (P<0·001). In a multiple regression model, LOS increased (P<0·001) according to the hospital (inter-hospital variability), PSI risk class, complications during hospitalization, admission to ICU, need of oxygen and transfer to a nursing home. Hospitals with shorter LOS did not show an increased readmission rate (adjusted OR 1·02, 95% CI 0·51–2·03, P=0·97) and post-discharge mortality (adjusted OR 1·20, 95% CI 0·70–2·05, P=0·51). There are significant inter-hospital variations in LOS in patients with CAP which are related to differences in clinical management. The reduction of these differences will further improve efficiency and quality of care.

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Zeana, Cosmina, Elaine Larson, Jyoti Sahni, S. J. Bayuga, Fann Wu e Phyllis Della-Latta. "The Epidemiology of Multidrug-ResistantAcinetobacter BaumanniiDoes the Community Represent a Reservoir?" Infection Control & Hospital Epidemiology 24, n. 4 (aprile 2003): 275–79. http://dx.doi.org/10.1086/502209.

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AbstractObjective:To explore the role of the community as a potential reservoir forAcinetobacter baumannii.Design:Antimicrobial resistance patterns and genotypes ofA. baumanniiisolates from patients in two Manhattan hospitals were compared with those ofA. baumanniiisolates from the hands of community members.Results:A total of 103 isolates from two hospitals (hospital A, 81; hospital B, 22) and 23 isolates from community residents were studied. Of the hospital isolates, 36.6% were multidrug resistant (hospital A, 68.2%; hospital B, 27.8%). In contrast, there were no multidrug-resistant isolates from the community (P< .005 between hospital and community). The prevalence ofA. baumanniion the hands of community residents was 10.4% (23 of 222). By molecular typing, 42 strains of A.baumanniiwere identified. Of the isolates from hospital A and hospital B, 55.6% (45 of 81) and 68.2% (15 of 22), respectively, were indistinguishable or closely related. In contrast, most community (83.3%) isolates were unrelated (P= .001 between hospital and community).Conclusion:Acinetobacterisolates from the community, characterized by a large variety of unrelated strains (83.3%), were distinct from the hospital isolates, of which 58.3% were closely related. The absence of multidrug-resistant strains in the community compared with 36.6% prevalence among hospital isolates suggests that the reservoir for epidemic strains resides in the hospital environment itself. To our knowledge, this is the first study to examine the community as a potential reservoir for hospital strains ofA. baumannii.

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Mohiuddin, Abdul. "Patient Care Management (Handbook for Hospital and Community Pharmacists)". Clinical Research Notes 1, n. 2 (10 giugno 2020): 01–14. http://dx.doi.org/10.31579/2690-8816/010.

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Most people on the outside of the health care profession are not familiar with this new role of the pharmacist. The general public has created a stereotypical pharmacist's picture as being a person who stands behind a counter, dispenses medicine with some instructions to the respective consumer. Pharmacy practice has changed substantially in recent years. Today’s pharmacists have unique training and expertise in the appropriate use of medications and provide a wide array of patient care services in many different practice settings. As doctors are busy with the diagnosis and treatment of patients, the pharmacist can assist them by selecting the most appropriate drug for a patient. Interventions by the pharmacists have always been considered as a valuable input by the health care community in the patient care process by reducing the medication errors, rationalizing the therapy and reducing the cost of therapy. The development and approval of the Pharmacists’ Patient Care Process by the Joint Commission of Pharmacy Practitioners and incorporation of the Process into the 2016 Accreditation Council for Pharmacy Education Standards has the potential to lead to important changes in the practice of pharmacy, and to the enhanced acknowledgment, acceptance, and reimbursement for pharmacy and pharmacist services. As an author, it is my heartiest believe that the book will adjoin significant apprehension to future pharmacists in patient care as most of the portion created from recently published articles focusing pharmacists in patient care settings.

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Seamark, David, Deborah Davidson, Helen Tucker, Angela Ellis-Paine e Jon Glasby. "The changing role of GP clinicians working in community hospitals." British Journal of General Practice 68, suppl 1 (giugno 2018): bjgp18X696713. http://dx.doi.org/10.3399/bjgp18x696713.

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BackgroundIn 2000 20% of UK GPs had admitting rights to community hospitals. In subsequent years the number of GPs engaged in community hospital clinical care has decreased.AimWhat models of medical care exist in English community hospitals today and what factors are driving changes?MethodInterviews with community hospital clinical staff conducted as part of a multimethod study of the community value of community hospitals.ResultsSeventeen interviews were conducted and two different models of medical care observed: GP led and Trust employed doctors. Factors driving changes were GP workload and recruitment challenges; increased medical acuity of patients admitted; fewer local patients being admitted; frustration over the move from ‘step-up’ care from the local community to ‘step-down’ care from acute hospitals; increased burden of GP medical support; inadequate remuneration; and GP admission rights removed due to bed closures or GP practices withdrawing from community hospital work.ConclusionMultiple factors have driven changes in the role of GP community hospital clinicians with a consequent loss of GP generalist skills in the community hospital setting. The NHS needs to develop a focused strategy if GPs are to remain engaged with community hospital care.

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Delijani, Kevin, Melissa C. Price e Brent P. Little. "Community and Hospital Acquired Pneumonia". Seminars in Roentgenology 57, n. 1 (gennaio 2022): 3–17. http://dx.doi.org/10.1053/j.ro.2021.10.006.

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Salomon, Bonnie. "Lessons from a Community Hospital". Academic Emergency Medicine 8, n. 1 (gennaio 2001): 94–95. http://dx.doi.org/10.1111/j.1553-2712.2001.tb00564.x.

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Kim, Hyun Su, Hyun Jung Jeon, Jong Hee Cho e Sook Cho. "Hospital blending in the community". Public Health Affairs 2, n. 1 (31 dicembre 2018): 157–65. http://dx.doi.org/10.29339/pha.2.1.157.

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Shearer, Madeleine H. "Community Versus Hospital Perinatal "Services"". Birth 14, n. 4 (dicembre 1987): 173. http://dx.doi.org/10.1111/j.1523-536x.1987.tb01486.x.

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Nazarko, Linda. "Working in a community hospital". British Journal of Healthcare Assistants 2, n. 2 (febbraio 2008): 99–101. http://dx.doi.org/10.12968/bjha.2008.2.2.28396.

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31

Smeal, William E., e Louis A. Schenfeld. "Nocardiosis in the community hospital". Postgraduate Medicine 79, n. 8 (giugno 1986): 77–82. http://dx.doi.org/10.1080/00325481.1986.11699423.

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32

Clarke, Kenneth, Joyce Major e Kenneth Clarke. "Hospital Closures and Community Care". Bulletin of the Royal College of Psychiatrists 9, n. 3 (marzo 1985): 49–55. http://dx.doi.org/10.1192/s0140078900001450.

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DUNN, ERNEST L., PHIL H. BERRY e RALPH E. CROSS. "Community Hospital to Trauma Center". Journal of Trauma: Injury, Infection, and Critical Care 26, n. 8 (agosto 1986): 733–37. http://dx.doi.org/10.1097/00005373-198608000-00009.

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Peruzzi, Margaret, Denise Ringer e Karen Tassey. "A community hospital redesigns care". Nursing Administration Quarterly 20, n. 1 (1995): 24–46. http://dx.doi.org/10.1097/00006216-199502010-00006.

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Rich, Gordon, e Janice Vickery. "Sharps injuries; Hospital versus community". Pathology 27, n. 1 (1995): A3. http://dx.doi.org/10.1016/s0031-3025(16)35352-1.

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Rydman, Robert J. "More hospital or more community?" Administration and Policy in Mental Health 17, n. 4 (1990): 215–34. http://dx.doi.org/10.1007/bf00706924.

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Armitagc, S., e S. Jowett. "Liaison between hospital and community". Primary Health Care 6, n. 10 (novembre 1996): 20. http://dx.doi.org/10.7748/phc.6.10.20.s32.

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Newhouse, Robin, e Mary Etta Mills. "Research in the Community Hospital". JONA: The Journal of Nursing Administration 31, n. 12 (dicembre 2001): 583–87. http://dx.doi.org/10.1097/00005110-200112000-00009.

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Fleischhacker, Sheila Erin, e Gowri Ramachandran. "The Hospital Community Benefit Program". Nutrition Today 51, n. 4 (2016): 191–93. http://dx.doi.org/10.1097/nt.0000000000000165.

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Song, Paula H., Shoou-Yih Daniel Lee, Jeffrey Alexander e Eric Seiber. "Hospital Ownership and Community Benefit". Academy of Management Proceedings 2012, n. 1 (luglio 2012): 17518. http://dx.doi.org/10.5465/ambpp.2012.17518abstract.

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Clay, Patrick G. "Community pharmacists preventing hospital readmissions". Journal of the American Pharmacists Association 54, n. 2 (marzo 2014): 208. http://dx.doi.org/10.1331/japha.2014.14514.

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Fowler, R. "Community based hospital discharge scheme". BMJ 297, n. 6655 (22 ottobre 1988): 1043. http://dx.doi.org/10.1136/bmj.297.6655.1043-a.

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Connolly, M. J. "Community based hospital discharge scheme". BMJ 297, n. 6655 (22 ottobre 1988): 1043. http://dx.doi.org/10.1136/bmj.297.6655.1043-b.

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Mascaro, O., C. Socolich, A. Pedragosa, E. Reynaga, G. Lucchetti, X. Gimeno e J. Brugues. "Malaria in a community hospital". International Journal of Infectious Diseases 14 (marzo 2010): e140. http://dx.doi.org/10.1016/j.ijid.2010.02.1794.

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Poku, Michael K., David B. Hellmann e Joshua M. Sharfstein. "Hospital Accreditation and Community Health". American Journal of Medicine 130, n. 2 (febbraio 2017): 117–18. http://dx.doi.org/10.1016/j.amjmed.2016.06.054.

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Hine, Christine, Victorine A. Wood, Stephen Taylor e Mark Charny. "Do Community Hospitals Reduce the Use of District General Hospital Inpatient beds?" Journal of the Royal Society of Medicine 89, n. 12 (dicembre 1996): 681–87. http://dx.doi.org/10.1177/014107689608901207.

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Community hospitals have been supported by the general public and by professionals as one means of increasing choice between local, low technology, care and high technology care at the district general hospital. However, there is no information on the impact of community hospitals on district general hospital use subsequent to NHS and community care reforms. Examination of routinely gathered activity data in the Bath Health District revealed that availability of community hospital beds was associated with reduced use of central inpatient services in the city of Bath. The reduction was most apparent for medical and geriatric beds. Decrease in the use of surgical beds was small. However, total inpatient bed use (including central and community hospital beds) was higher in the population with access to community hospital beds. We conclude that community hospitals offer one option for accessible health care and, as such, merit systematic evaluation of costs and benefits. This study presents some evidence that savings could be achieved through improved efficiency.

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Preston, Gary A. "HICPAC Guidelines for isolation precautions in hospitals: Community hospital perspective". American Journal of Infection Control 24, n. 3 (giugno 1996): 207–8. http://dx.doi.org/10.1016/s0196-6553(96)90016-4.

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Collier, Caryl, Donald P. Miller e Marguerite Borst. "Community Hospital Surgeon-Specific Infection Rates". Infection Control 8, n. 6 (giugno 1987): 249–54. http://dx.doi.org/10.1017/s0195941700066133.

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AbstractA one-year prospective study of surgeon-specific nosocomial infection rates was done in two community hospitals. Hospital A (93 beds) and Hospital B (158 beds) have nearly identical surgical staffs. Unified criteria for the diagnosis of infections, methods of data collection, and coding were used. Data were processed with an IBM 370 computer using Statistical Analysis System (SAS). Each surgeon received semiannual reports of 1) overall infection rate by site, 2) number of surgical wound infections by wound class and type of procedure, 3) pathogens for each deep and incisional infection, and 4) quarterly wound infection rates by wound class. Analysis of reports revealed high Class I surgical wound infection rates for both general and orthopedic surgeons. One person in each group had inordinately high infection rates. These data serve as an objective incentive to reduce surgical wound infections, identify individual problems, and suggest surgical privileges be evaluated by performance.

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Letovsky, Eric. "From teaching hospital to community hospital: one physician’s experience". CJEM 3, n. 03 (luglio 2001): 232. http://dx.doi.org/10.1017/s1481803500005625.

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OKIMOTO, Niro, Kazue FUJITA, Takayuki KARINO, Tatsutoshi YANO, Yoshihiro KOBASHI, Junichi NAKAMURA, Toshiharu MATSUSHIMA e Rinzo SOEJIMA. "Community-Acqiured Pneumonia by Streptoccoccus pneumoniae in Community Hospital". Journal of the Japanese Association for Infectious Diseases 72, n. 8 (1998): 857–59. http://dx.doi.org/10.11150/kansenshogakuzasshi1970.72.857.

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Articoli di riviste sul tema "Hospital and community"

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