purpose: to assess patient satisfaction with ophthalmologic services at labbafinejad medical center. method: the present study was a cross-sectional study conducted during the summer of 2008. patients with ophthalmic problems were selected by systematic random sampling according to the admission list. a trained investigator interviewed patients in the hospital or clinic. the data collection too...

BACKGROUND In many countries a high proportion of births begin as induced labours. Induction can be lengthy if cervical priming is required prior to induction. This usually occurs as an inpatient, however, an alternative is to allow women to go home after satisfactory fetal monitoring. The aim of this study was to assess the preferences of women for cervical priming for induction of labour in a...

This article identifies current challenges in the planning and execution of daily work in inpatient care settings. Inadequate planning of the processes and resources associated with inpatient care services may negatively affect their effectiveness. It may also lead to burnout of healthcare workers when the resulting work plan is unknowingly infeasible or does not incorporate the necessary human...

OBJECTIVE To assess whether equity is achieved in use of general practitioner, outpatient, and inpatient services by children and young people according to their ethnic group and socioeconomic background. DESIGN Secondary analysis of the British general household survey, 1991-94. SUBJECTS 20 473 children and young people aged between 0 and 19 years. MAIN OUTCOME MEASURES Consultations wit...

BACKGROUND Older veterans may use both the Veterans Health Administration (VHA) and Medicare, but the association of dual use with health outcomes is unclear. We examined the association of indirect measures of dual use with mortality. METHODS Our secondary analysis used survey, claims, and National Death Index data from the Survey on Assets and Health Dynamics among the Oldest Old. The analy...

BACKGROUND In recent years, an increasing number of countries have introduced outpatient commitment orders (OC), which imply that patients can be subject to compulsory follow-up and treatment while living in the community. However, few studies on how OC is practised have been published. METHOD Retrospective case register study based on medical files of all patients receiving an OC order in 20...

The purpose of this study was to describe and evaluate the Unassigned Geriatric Evaluation and Management (UGEM) program recently developed at Bundoora Extended Care Centre (BECC). The UGEM program resembles a bed substitution service and aims to prevent hospital admissions by providing community case management services to clients who would otherwise require inpatient admission. Data was colle...

BACKGROUND Recognition that integrated services can lead to more efficient and effective care has made the principle of integration a priority for health systems worldwide for the last decade. However, actually bringing fully integrated services to life has eluded most health care organizations. Mental health has followed the rule, rather than the exception, when it comes integrating services. ...

It's often a balancing act to determine if patients should be admitted to the hospital or receive observation services as an outpatient, but it's critical to get it right the first time so the hospital will get appropriate reimbursement and avoid having money taken away following audits. Reimbursement is much lower for observation services, but if a patient is admitted inappropriately, Medicare...

During the period 1983-86, the period directly following implementation of the Medicare prospective payment system, inpatient hospital care declined. Concurrently, fee-for-service utilization rates for physicians and other noninstitutional suppliers of medical goods and services and for outpatient facility care rose. Medicare expenditures for physicians and other suppliers and for outpatient fa...