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Статті в журналах з теми "Hospital care"

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Автор: Grafiati

Опубліковано: 4 червня 2021

Оновлено: 5 березня 2023

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1

Qadir, Dr Murad, Dr Rafat Murad, and Dr Naveed Faraz. "HOSPITAL WASTE MANAGEMENT; TERTIARY CARE HOSPITALS." PROFESSIONAL MEDICAL JOURNAL 23, no. 07 (July 1, 2016): 802–6. http://dx.doi.org/10.17957/tpmj/16.3281.

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2

Garthwaite, Craig, Tal Gross, and Matthew J. Notowidigdo. "Hospitals as Insurers of Last Resort." American Economic Journal: Applied Economics 10, no. 1 (January 1, 2018): 1–39. http://dx.doi.org/10.1257/app.20150581.

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American hospitals are required to provide emergency medical care to the uninsured. We use previously confidential hospital financial data to study the resulting uncompensated care, medical care for which no payment is received. Using both panel-data methods and case studies, we find that each additional uninsured person costs hospitals approximately $800 each year. Increases in the uninsured population also lower hospital profit margins, suggesting that hospitals do not pass along all uncompensated-care costs to other parties such as hospital employees or privately insured patients. A hospital's uncompensated-care costs also increase when a neighboring hospital closes. (JEL G22, I11, I13, L25)

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3

Kahn, Jeremy M., Rachel M. Werner, Shannon S. Carson, and Theodore J. Iwashyna. "Variation in Long-Term Acute Care Hospital Use After Intensive Care." Medical Care Research and Review 69, no. 3 (February 6, 2012): 339–50. http://dx.doi.org/10.1177/1077558711432889.

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Long-term acute care hospitals (LTACs) are an increasingly common discharge destination for patients recovering from intensive care. In this article the authors use U.S. Medicare claims data to examine regional- and hospital-level variation in LTAC utilization after intensive care to determine factors associated with their use. Using hierarchical regression models to control for patient characteristics, this study found wide variation in LTAC utilization across hospitals, even controlling for LTAC access within a region. Several hospital characteristics were independently associated with increasing LTAC utilization, including increasing hospital size, for-profit ownership, academic teaching status, and colocation of the LTAC within an acute care hospital. These findings highlight the need for research into LTAC admission criteria and the incentives driving variation in LTAC utilization across hospitals.

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4

Allen, Diana. "Day hospital care." Elderly Care 2, no. 1 (January 1990): 19–22. http://dx.doi.org/10.7748/eldc.2.1.19.s22.

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5

Garrett, Gill. "Improving hospital care." Elderly Care 8, no. 2 (February 1988): 14–15. http://dx.doi.org/10.7748/eldc.8.2.14.s18.

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6

Garrett, Gill. "Improving hospital care." Nursing Older People 8, no. 2 (February 1, 1988): 14–15. http://dx.doi.org/10.7748/nop.8.2.14.s18.

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7

Greaves, Ian. "Pre-hospital care." Trauma 18, no. 2 (March 16, 2016): 83–84. http://dx.doi.org/10.1177/1460408616638633.

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8

Heimel, Albert J. "Pediatric hospital care." Postgraduate Medicine 80, no. 6 (November 1986): 245. http://dx.doi.org/10.1080/00325481.1986.11699604.

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9

James, Chris D., John Peabody, Kara Hanson, and Orville Solon. "Public Hospital Care." Asia Pacific Journal of Public Health 27, no. 2 (February 17, 2013): NP1026—NP1038. http://dx.doi.org/10.1177/1010539511422740.

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10

Duncan, R. Paul. "Uncompensated Hospital Care." Medical Care Review 49, no. 3 (September 1992): 265–330. http://dx.doi.org/10.1177/002570879204900302.

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11

Wasieleski, David M. "Poor Hospital Care." Proceedings of the International Association for Business and Society 11 (2000): 551–62. http://dx.doi.org/10.5840/iabsproc20001152.

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12

Marchant, Sally, Jo Garcia, Jo Alexander, Mavis Kirkham, Debra Bick, Christine MacArthur, Helena Fortune, and Heather Winter. "Hospital Postnatal Care." British Journal of Midwifery 6, no. 3 (March 5, 1998): 194. http://dx.doi.org/10.12968/bjom.1998.6.3.194.

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13

Briscoe, Jane, and Stefan Priebe. "Day hospital care." Psychiatry 3, no. 9 (September 2004): 8–10. http://dx.doi.org/10.1383/psyt.3.9.8.50252.

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14

Stessman, Jochanan, Robert Hammerman-Rozenberg, Yoram Maaravi, and Aaron Cohen. "HOME HOSPITAL CARE." Journal of the American Geriatrics Society 48, no. 3 (March 2000): 344–45. http://dx.doi.org/10.1111/j.1532-5415.2000.tb02662.x.

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15

Bricknell, M. C., and D. McArthur. "Deployed Hospital Care." Journal of the Royal Army Medical Corps 157, Suppl_4 (December 1, 2011): S453—S456. http://dx.doi.org/10.1136/jramc-157-4s-09.

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16

Briscoe, Jane, and Stefan Priebe. "Day hospital care." Psychiatry 6, no. 8 (August 2007): 321–24. http://dx.doi.org/10.1016/j.mppsy.2007.05.010.

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17

Harrison, Greg J. "Hospital Intensive Care." Journal of the Association of Avian Veterinarians 7, no. 4 (1993): 222. http://dx.doi.org/10.2307/27671105.

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18

Kuruppuarachchi, K. A. L. A., and S. S. Williams. "Acute hospital care." Psychiatric Bulletin 26, no. 8 (August 2002): 315. http://dx.doi.org/10.1192/pb.26.8.315.

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19

Frass, M., H. Friehs, M. Müllner, K. Gärtner, K. Thieves, and C. Marosi. "In-hospital care." European Journal of Integrative Medicine 2, no. 4 (December 2010): 163–64. http://dx.doi.org/10.1016/j.eujim.2010.09.210.

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20

Weissman, Joel. "Uncompensated Hospital Care." JAMA 276, no. 10 (September 11, 1996): 823. http://dx.doi.org/10.1001/jama.1996.03540100067031.

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21

Bay, K. S., K. A. Toll, and J. R. Kerr. "Utilisation of Acute Care Hospital Beds by Levels of Care." Health Services Management Research 2, no. 2 (July 1989): 133–45. http://dx.doi.org/10.1177/095148488900200205.

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Анотація:

An exploratory analysis of utilisation patterns of acute care hospitals in the Province of Alberta, Canada was carried out to develop a methodology for assessing bed utilisation profiles of acute care hospitals by levels of care. The utilisation of Alberta acute care hospital beds was measured in terms of primary, secondary and tertiary levels of hospital services. Patient origin—destination methodology was applied and a regionalisation perspective employed. The data used for this study were hospital separation abstracts compiled by all Alberta acute care hospitals during year 1986, this coincided with the most recent available Canadian census data. It was estimated that approximately 10–11% of Alberta beds were used for tertiary care as derived from population based utilisation rates and patient flow patterns. With respect to per capita measurement, the number of beds used per 1,000 residents was: 3.5 to 3.9 for primary, 1.2 to 1.6 for secondary, and about 0.6 for tertiary levels of care. Regression analysis revealed that the marginal cost per bed at each level was approximately 75–79, 87–88, and 201–209 thousand Canadian dollars per year in 1986 for primary, secondary and tertiary care respectively. The profiles thus estimated explained about 65% of per bed hospital cost variation.

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22

Ann O'Loughlin, Mary. "Conflicting interests in private hospital care." Australian Health Review 25, no. 5 (2002): 106. http://dx.doi.org/10.1071/ah020106.

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This article looks at key changes impacting on private hospital care: the increasing corporate ownership of private hospitals; the Commonwealth Government's support for private health;the significant increase in health fund membership; and the contracting arrangements between health funds and private hospitals. The changes highlight the often conflicting interests of hospitals, doctors, Government, health funds and patients in the provision of private hospital care. These conflicts surfaced in the debate around allegations of 'cherry picking' by private hospitals of more profitable patients. This is also a good illustration of the increasing entanglement of the Government in the fortunes of the private health industry.

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23

Nadia, Bouzgarrou, Bouzgarrou Lamia, and Tahar Hakim Benchekroun. "Quality Care Within The Hospital Management." Advances in Social Sciences Research Journal 1, no. 6 (November 1, 2014): 152–57. http://dx.doi.org/10.14738/assrj.16.448.

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24

Burke, Robert, Anne Canamucio, Thomas Glorioso, Anna Baron, and Kira Ryskina. "TRANSITIONAL CARE OUTCOMES IN VETERANS RECEIVING POST-ACUTE CARE IN A SKILLED NURSING FACILITY." Innovation in Aging 3, Supplement_1 (November 2019): S732. http://dx.doi.org/10.1093/geroni/igz038.2683.

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Abstract More than 200,000 Veterans transition between hospital and skilled nursing facility (SNF) annually. Capturing outcomes of these transitions has been challenging because older adult Veterans receive care at VA and non-VA hospitals, and four different kinds of SNFs: VA-owned and -operated Community Living Centers (CLCs), VA-contracted community nursing homes (CNHs), State Veterans Homes (SVHs), and non-VA community SNFs. We used a novel data source which concatenates VA, Medicare, and Medicaid data into longitudinal episodes of care for Veterans, to calculate the rate of adverse outcomes associated with the transition from hospital to SNF in all enrolled Veterans age 65 and older undergoing this transition 2012-2014. The composite primary outcome included Emergency Department (ED) visits, rehospitalizations, and mortality (not in the context of hospice) within 7 days of hospital discharge to SNF. We used multivariable logistic regression to adjust for Veteran and hospital characteristics and hospital random effects. In the 388,339 Veterans discharged from 1502 hospitals in our sample, we found more than 4 in 5 Veteran transitions (81.7%) occurred entirely outside the VA system. The overall 7-day outcome rate was 10.7%. After adjustment, VA hospitals had lower adverse outcome rates than non-VA hospitals (OR 0.80, 95% CI 0.74-0.86). VA hospital-CLC transitions had the lowest adverse outcome rates; in comparison, non-VA hospital-CNH (OR 2.51, 95% CI 2.09-3.02) and non-VA hospital-CLC (OR 2.25, 95% CI 1.81-2.79) had the highest rates. These findings raise important questions about the VA’s role as a major provider and payer of post-acute care in SNF.

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25

Montalbano, Amanda, Ricardo A. Quinonex, Matt Hall, Rustin Morse, Stacey L. Ishman, James W. Antoon, Jessica Gold, et al. "Achievable Benchmarks of Care for Pediatric Readmissions." Journal of Hospital Medicine 14, no. 9 (May 10, 2019): 534–50. http://dx.doi.org/10.12788/jhm.3201.

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BACKGROUND: Most inpatient care for children occurs outside tertiary children’s hospitals, yet these facilities often dictate quality metrics. Our objective was to calculate the mean readmission rates and the Achievable Benchmarks of Care (ABCs) for pediatric diagnoses by different hospital types: metropolitan teaching, metropolitan nonteaching, and nonmetropolitan hospitals. METHODS: We used a cross-sectional retrospective study of 30-day, all-cause, same-hospital readmission of patients less than 18 years old using the 2014 Healthcare Utilization Project National Readmission Database. For each hospital type, we calculated the mean readmission rates and corresponding ABCs for the 17 most common readmission diagnoses. We define outlier as any hospital whose readmission rate fell outside the 95% CI for an ABC within their hospital type. RESULTS: We analyzed 690,949 discharges at 525 metropolitan teaching hospitals (550,039 discharges), 552 metropolitan nonteaching hospitals (97,207 discharges), and 587 nonmetropolitan hospitals (43,703 discharges). Variation in readmission rates existed among hospital types; however, sickle cell disease (SCD) had the highest readmission rate and ABC across all hospital types: metropolitan teaching hospitals 15.7% (ABC 7.0%), metropolitan nonteaching 14.7% (ABC 2.6%), and nonmetropolitan 12.8% (ABC not calculated). For diagnoses in which ABCs were available, outliers were prominent in bipolar disorders, major depressive disorders, and SCD. CONCLUSIONS: ABCs based on hospital type may serve as a better metric to explain case-mix variation among different hospital types in pediatric inpatient care. The mean rates and ABCs for SCD and mental health disorders were much higher and with more outlier hospitals, which indicate high-value targets for quality improvement.

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26

Ochoa, Dixan. "Characterization of hospital-acquired pneumonia in Intensive Care Unit. General Hospital." Journal of Clinical Research and Reports 4, no. 3 (June 8, 2020): 01–09. http://dx.doi.org/10.31579/2690-1919/067.

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Objective: characterize the hospital-acquired pneumonia (HAN) in the Intensive Care Unit(ICU) of the Methods: a descriptive and cross-sectional study was carried out to characterize the hospital-acquired pneumonia in admitted patient in ICU of the General Hospital “Guillermo Domínguez López” in Puerto Padre, Las Tunas since June, 2018 to May, 2019. The population was all the patients who acquired the infection during the admission. The information was taken from de patient`s clinic file. It was created graphics and charts to pick the information. Dates was described, analyzed and compared with others national and international studies. Result: the prevalent age group was 60 -79 to 59%. Asisted mechanical ventilation was not realed with the HAN due to the procedure was only performing in 9 patients to 25%. The most frequent isolated germ was citrobacter. The deseases which was most related with (HAN) was neurological deseases. The mortality was high, 20 patients die to 58%. Conclusion: clinic and epidemiologic characterisctics of NIH was described in the ICU of the General Hospital “Guillermo Domínguez López”.

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27

Lander, Kevin, and Jonathan Pritchett. "When to Care." Social Science History 33, no. 2 (2009): 155–82. http://dx.doi.org/10.1017/s0145553200010944.

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Prior to the Civil War, many hospitals in the southern United States treated both free and slave patients. In this article we develop a model for the selective medical treatment of slaves. We argue that the pecuniary benefits of hospital care increased with the price of the slave if healthy. Using a rich sample of admission records from New Orleans Touro Hospital, we find a positive correlation between the predicted price of the slave and the probability of hospital admission. We test the robustness of the model by controlling for the length of residence in the city, ownership by traders and doctors, and the type of illness.

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28

Bardell, Trevor, and Peter M. Brown. "Smoking Inside Canadian Acute Care Hospitals." Canadian Respiratory Journal 13, no. 5 (2006): 266–68. http://dx.doi.org/10.1155/2006/139359.

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OBJECTIVE: To assess smoking policies at Canadian acute care hospitals.METHOD: A questionnaire was designed, piloted and faxed to all acute care hospitals in Canada. The questionnaire was designed to address the following: what is the current policy regarding patient smoking? Are staff and/or visitors allowed to smoke inside the hospital? Is there a separate policy for psychiatric patients? Are smoking cessation products available at the hospital pharmacy? Is the policy governed by regional or municipal legislation?RESULTS: A total of 852 hospitals were included in the study. Of these, 476 responded to the questionnaire, for an overall response rate of 56%. Twenty-seven per cent of respondents allowed patient smoking inside the hospital. While staff smoking was not allowed inside most hospitals (93%), 32% of hospitals in Quebec allowed staff to smoke inside the building. Thirty per cent of hospitals had a separate policy for psychiatric patients, and 27% of hospitals had provisions for visitor smoking. Sixty-seven per cent of hospitals were able to offer patients smoking cessation products while they were in hospital.CONCLUSIONS: Many Canadian hospitals continue to allow smoking inside their facilities. There is considerable variation in hospital smoking policies across the country.

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29

Abou Ramdan, Amal H., and Walaa M. Eid. "Toxic Leadership: Conflict Management Style and Organizational Commitment among Intensive Care Nursing Staff." Evidence-Based Nursing Research 2, no. 4 (October 8, 2020): 12. http://dx.doi.org/10.47104/ebnrojs3.v2i4.160.

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Context: Toxic leadership becomes a real problem in nursing administration. Its toxicity harms the nursing staff's progress and creates a challenging work environment full of struggles that, in turn, produce adverse outcomes on the nursing staff's commitment toward the organization. Aim: This study envisioned to compare toxic leadership among intensive care nursing staff at Tanta University Hospital and El Menshawy hospital and assess its relation to their conflict management style used and organizational commitment at the two hospitals. Methods: A descriptive, comparative, via cross-sectional research design was applied. All intensive care units at Tanta University Hospitals and El-Menshawy General Hospital were included. All available nurses (n=544) at Tanta University hospitals' ICUs (n=301) and El-Menshawy hospital's ICUs (n=243) was incorporated. Toxic leadership, conflict management styles assessment, and organizational commitment scales were utilized to achieve this study's aim. Results: The nursing staff perceived that their leaders had high 10.6%, 11.5%, and moderate 12%, 11.9% overall toxic leadership levels at Tanta University Hospitals, and Elmenshawy Hospital, respectively. 43.9% of the nursing staff had a high level of using compromising style to manage conflict with their supervisors at Tanta University hospitals contrasted to 36.6% using competing style at El Menshawy hospital. 78.4% of the nursing staff had a low level of overall organizational commitment at Tanta University hospital's ICUs compared to 63% at El-Menshawy General hospital's ICUs. Conclusion: Toxic leadership affected the nursing staff's choice of conflict management style used when handling conflict with toxic leaders at two hospitals and had a negative effect on affective and normative dimensions of organizational commitment in both hospitals. Therefore, improving leadership experiences is necessary by conducting a leadership development program to meet the nursing staff's expectations and improve their commitment. Also, adjusting the hospital's policies is vital to permit nursing staffs' involvement in leadership evaluation as a mean for early detection of leaders' toxic behaviors.

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30

Anonymous. "Hospital Care Quality Varies." Journal of Gerontological Nursing 20, no. 12 (December 1994): 48. http://dx.doi.org/10.3928/0098-9134-19941201-15.

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31

Giardino, Angelo P., Tiffany Glasgow, Jill Sweney, and David Chaulk. "Pediatric inpatient hospital care." Hospital Practice 49, sup1 (October 13, 2021): 391–92. http://dx.doi.org/10.1080/21548331.2022.2050112.

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32

McNally, Steve. "Improving care in hospital." Learning Disability Practice 15, no. 2 (February 29, 2012): 11. http://dx.doi.org/10.7748/ldp.15.2.11.s8.

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33

Keene, Nick, and Helen James. "Who needs hospital care?" Journal of the British Institute of Mental Handicap (APEX) 14, no. 3 (August 26, 2009): 101–3. http://dx.doi.org/10.1111/j.1468-3156.1986.tb00355.x.

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34

Sippio-James, Torey. "At-Home Hospital Care." AJN, American Journal of Nursing 119, no. 1 (January 2019): 13. http://dx.doi.org/10.1097/01.naj.0000552590.38342.67.

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35

Deakin, Charles D., and Eldar Søreide. "Pre-hospital trauma care." Current Opinion in Anaesthesiology 14, no. 2 (April 2001): 191–95. http://dx.doi.org/10.1097/00001503-200104000-00011.

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36

&NA;. "HOSPITAL-BASED DAY CARE." AJN, American Journal of Nursing 86, no. 10 (October 1986): 1098. http://dx.doi.org/10.1097/00000446-198610000-00005.

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37

&NA;. "HOSPITAL-BASED DAY CARE." AJN, American Journal of Nursing 86, no. 10 (October 1986): 1098. http://dx.doi.org/10.1097/00000446-198686100-00005.

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38

Stephens, Sheila. "Hospital-Based Palliative Care." JONA: The Journal of Nursing Administration 38, no. 3 (March 2008): 143–45. http://dx.doi.org/10.1097/01.nna.0000310724.20419.12.

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39

Bannon, Monique Daragjati. "Choosing private hospital care." British Journal of Midwifery 15, no. 11 (November 2007): 716–17. http://dx.doi.org/10.12968/bjom.2007.15.11.27472.

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40

von Sternberg, Tom, and Robert L. Kane. "POST-HOSPITAL SUBACUTE CARE." Journal of the American Geriatrics Society 45, no. 3 (March 1997): 384–85. http://dx.doi.org/10.1111/j.1532-5415.1997.tb00962.x.

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41

Rosenfeld, Peri, and Charlene Harrington. "Hospital Care for Elderly." AJN, American Journal of Nursing 103, no. 5 (May 2003): 115. http://dx.doi.org/10.1097/00000446-200305000-00033.

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42

Redhead, Julian, Patricia Ward, and Nicola Batrick. "Prehospital and Hospital Care." New England Journal of Medicine 353, no. 6 (August 11, 2005): 546–47. http://dx.doi.org/10.1056/nejmp058178.

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43

Cohen, E. J. "Prehospital and Hospital Care." Yearbook of Ophthalmology 2006 (January 2006): 272–75. http://dx.doi.org/10.1016/s0084-392x(08)70411-8.

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44

Prince, Jonathan D. "Incarceration and Hospital Care." Journal of Nervous and Mental Disease 194, no. 1 (January 2006): 34–39. http://dx.doi.org/10.1097/01.nmd.0000195311.87433.ee.

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45

Dommen, B. "Costing Hospital Health Care." European Psychiatry 12, S2 (1997): 113s. http://dx.doi.org/10.1016/s0924-9338(97)80268-4.

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46

Dallek, Geraldine. "Hospital care for profit." Society 23, no. 5 (July 1986): 54–59. http://dx.doi.org/10.1007/bf02695559.

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47

Wood, John. "Pre-hospital stroke care." Emergency Nurse 17, no. 7 (November 4, 2009): 6. http://dx.doi.org/10.7748/en.17.7.6.s8.

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48

Kilner, Tim. "Pre-hospital care delivery." Emergency Nurse 4, no. 1 (May 1996): 16–18. http://dx.doi.org/10.7748/en.4.1.16.s5.

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49

Benezra, E. Eliot. "Why Not Hospital Care?" Psychiatric News 38, no. 5 (March 7, 2003): 41. http://dx.doi.org/10.1176/pn.38.5.0041.

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50

&NA;. "Hospital care often disappoints." Nursing 39, no. 1 (January 2009): 27. http://dx.doi.org/10.1097/01.nurse.0000343451.50753.3b.

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