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Urban health最新文献

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Responsibilities and role of the clinic receptionist/secretary. 诊所接待员/秘书的职责和角色。
Pub Date : 1985-02-01
C M Ertl, K Woods, K Dziobkowski, M S Kochar
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引用次数: 0
Private practitioners, public health join forces in unique diabetes program. 私人医生,公共卫生联合力量在独特的糖尿病计划。
Pub Date : 1985-02-01
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引用次数: 0
The difficult patient. 难缠的病人。
Pub Date : 1985-02-01
S L Daniel, R Hudson
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引用次数: 0
Patient abandonment: from a legal perspective--a new series on physician-patient relationships. 病人遗弃:从法律角度看——医患关系的新系列。
Pub Date : 1985-02-01
H L Hirsh
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引用次数: 0
The woman no one would take. 没人要的女人。
Pub Date : 1985-01-01
S L Daniel, N Derizier
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引用次数: 0
Rationale, practice and problems of holistic medicine. 整体医学的基本原理、实践和问题。
Pub Date : 1984-12-01
J H Carter
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引用次数: 0
Causes of death in an urban public hospital. 城市公立医院的死亡原因。
Pub Date : 1984-12-01
C Franklin, J Gertzen, B Mamdani

For the study reported here, we examined the charts and autopsy reports of every death in the Department of Medicine at Cook County Hospital for the year 1983. In that period, there were 11,677 admissions to the Department and 476 deaths, yielding a mortality of 4.1 percent. There were 50 percent more deaths in the intensive care unit than on the general wards. Malignancies accounted for greater than one-third of all deaths. Lung cancer, which occurred in one of every six deaths in the department, was the single most-common diagnosis. The other leading causes of death were cirrhosis, gastrointestinal malignancies and cerebrovascular accidents. Cardiovascular mortality was somewhat less than expected. These figures reflect some of the serious diseases of the urban indigent population, which are, in turn, associated with cigarette smoking, alcoholism and hypertension. Decreases in morbidity and mortality are likely to be influenced by preventive medical measures and early detection campaigns. Department of medicine curricula and outpatient clinic programs should devote attention and resources to these areas.

在这里报告的研究中,我们检查了库克县医院医学部1983年每一个死亡病例的图表和尸检报告。在此期间,该部门有11,677人入院,476人死亡,死亡率为4.1%。重症监护病房的死亡率比普通病房高出50%。恶性肿瘤占所有死亡人数的三分之一以上。肺癌是该部门最常见的诊断,每6例死亡中就有1例是肺癌。其他主要死亡原因是肝硬化、胃肠道恶性肿瘤和脑血管意外。心血管疾病死亡率略低于预期。这些数字反映了城市贫困人口的一些严重疾病,而这些疾病又与吸烟、酗酒和高血压有关。发病率和死亡率的降低可能受到预防性医疗措施和早期发现运动的影响。医学部门的课程和门诊项目应该在这些领域投入更多的注意力和资源。
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引用次数: 0
Consumer opinions of emergency room medical care. 急诊医疗服务的消费者意见。
Pub Date : 1984-12-01
J R McMillan, M S Younger, L C DeWine

If hospital management is to adapt successfully to an increasingly competitive environment, and to retain a viable emergency department, it well be necessary to objectively and accurately assess the hospital's image in the community served. Knowledge of the consumers' views is an essential input into the formulation of strategic plans. This article reports on a study in which consumer opinions on 15 dimensions of emergency room health care were obtained from 723 respondents using a mail questionnaire. Findings reveal that consumers view the emergency room as being more expensive than other health care providers. Except for being available or convenient, little or no advantage is perceived for the emergency room over the personal physician. Even though the emergency room has specialized staff and equipment, consumers do not believe patients receive better or faster treatment in an emergency room than would be obtained in a physician's office. Unless changed, these perceptions will diminish the role of the emergency room in the delivery of health care services.

如果医院管理要成功适应竞争日益激烈的环境,并保留一个可行的急诊科,就有必要客观准确地评估医院在所服务社区中的形象。了解消费者的意见是制订策略计划的重要资料。本文报告了一项研究,在该研究中,消费者的意见对15个方面的急诊室医疗保健从723名受访者使用邮件问卷。调查结果显示,消费者认为急诊室比其他医疗服务提供者更昂贵。除了可用或方便之外,人们几乎没有感觉到急诊室比私人医生有什么优势。即使急诊室有专门的工作人员和设备,消费者也不认为病人在急诊室得到的治疗比在医生办公室得到的更好或更快。除非改变这些观念,否则将削弱急诊室在提供卫生保健服务方面的作用。
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引用次数: 0
Risk reduction is Carter Center target for health project. 降低风险是卡特中心健康项目的目标。
Pub Date : 1984-12-01
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引用次数: 0
Dilemma of black community hospitals. 黑人社区医院的困境。
Pub Date : 1984-11-01
N Wesley

This feature of Urban Health covers a wide range of topics related to metropolitan hospitals, both public and private. This month's column discusses a hospital setting with which relatively few practicing physicians are well acquainted--the Black community hospital. More than 500 such hospitals were established in years following the Civil War, but their numbers have dwindled steadily in recent decades to the point where today only a handful survive. A recasting of missions and a thrust into the middle class population are among strategies needed to halt the demise of these institutions, says the author.

《城市卫生》的这一专题涵盖了与公立和私立大都市医院有关的广泛主题。本月的专栏讨论了一种相对来说很少有执业医生熟悉的医院环境——黑人社区医院。内战结束后的几年里,美国建立了500多家这样的医院,但近几十年来,它们的数量稳步减少,如今只有少数几家幸存下来。作者说,要阻止这些机构的消亡,需要采取的策略包括重新定义使命和向中产阶级人口发起冲击。
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引用次数: 0
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Urban health
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