Although progress has been made in diversifying medical school admissions and faculty, this has not extended to physicians with physical disabilities. To improve our understanding of medical students and physicians with physical and sensory disabilities, the authors propose systematically gathering information on the needs and experiences of four groups: physicians who had disabilities before b...

BACKGROUND Increasing unplanned hospital admissions disrupt planned health care, lead to additional morbidity and are expensive. A recent review found only weak evidence for case management preventing unplanned admissions, yet case management of older people is being implemented widely in the UK. We aimed to study the effect of advanced practice nurse case management on unplanned medical and ge...

This study explores the relationship between Asian dust storms (ADSs), asthma hospital admissions and average medical cost discharge. We adopt the hospitalisation data from the Taiwan National Health Insurance research database covering the period from 2000 to 2009. The autoregressive integrated moving average with exogenous variables (ARIMAX) analyses were performed to explore the relationship...

We investigated the impact of alcohol-related medical emergencies on health care utilization in an inner city hospital medical intensive care unit (ICU). Data from 200 consecutive admissions to the medical ICU were collected prospectively. The major reason for each patient's admission to the ICU was recorded and the causal relationship between alcohol abuse and the admission diagnosis was deter...

BACKGROUND Falls are a common occurrence in older people and frequently lead to hospital admission. There is a current lack of cohesive fall prevention strategies in the Republic of Ireland. AIM To demonstrate the cost of fall-related admissions to an acute hospital. METHODS A review of Hospital Inpatient Enquiry (HIPE) data and medical case notes was performed for all fall-related admissio...

THIS pilot study was carried out in Belfast during the period of civil unrest. A general medical ward with a once-weekly take-in of emergency admissions over a 24 hour period was the place of study. In order that beds become available for new admissions each week the turnover of patients must of necessity be rapid. It appeared to us that some beds became 'blocked' by patients who could not be d...

BACKGROUND The recent intense attention to hospital readmissions and their implications for quality, safety, and reimbursement necessitates understanding specific subsets of readmitted patients. Frequently admitted patients, defined as patients who are admitted 5 or more times within 1 year, may have some distinguishing characteristics that require novel solutions. METHODS A comprehensive adm...

BACKGROUND We studied the relationship between physician organization (PO) care management capabilities and inpatient utilization in order to identify PO characteristics or capabilities associated with low inpatient bed-days per thousand. METHODS We used fuzzy-set qualitative comparative analysis (fsQCA) to conduct an exploratory comparative case series study. Data about PO capabilities were ...

Evidence is presented for synchronous and recurring increases in medical admissions at between three and eight (most commonly five or six) year intervals. These lead to a typical 10% step-like increase in medical admissions (with other admissions totally unaffected). Such medical admissions are the tip of the iceberg for wider primary care cost increases. A range of non-specific signs and sympt...

Using computerized in-patients' discharge records, a descriptive analysis was carried out of all medical admission in 1987 in a general hospital. The survey found that there were a total of 4053 admissions in 1987. A wide range of medical disorders were seen reflecting the lack of subspecialization. Cardiovascular disorders topped accounting for 25.6% of all admissions, followed by gastrointest...