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Day care urology in a hospital based setting. 以医院为基础的日间护理泌尿科。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-07-01
A Seth, S N Wadhwa

From January 1, 1991 to December 31, 1992, 3078 operations were performed on day care basis and 1185 operations on in-patient basis. Surgery performed on day care basis included ureteric stone basketing, ureteroenoscopic stone retrieval, JJ stenting, cystolithotripsy, TUR-BT, TUR-P and internal urethrotomy. Failure of complication rate was 0.97%. Most of the complications (26/29) could be detected early and managed by conversion of short admission into a regular one. Only 3 patients (0.1%) were admitted later on through the emergency. There was no mortality. In conclusion, we recommend urologic operative procedures on carefully selected patients on day-care basis to achieve two of the government's primary goals a) the provision of high quality services and b) the reduction of health care costs. Simultaneously a word of caution that it is unique challenge to be handled with care.

1991年1月1日至1992年12月31日日间日间手术3078例，住院手术1185例。在日间护理基础上进行的手术包括输尿管结石植入、输尿管镜下取石、JJ支架置入、膀胱碎石术、turt - bt、turp - p和内尿道切开术。并发症失败率为0.97%。大多数并发症(26/29)可早期发现并通过短期住院转为常规住院治疗。只有3名患者(0.1%)后来通过急诊入院。没有死亡。总之，我们建议在日间护理的基础上对精心挑选的患者进行泌尿外科手术，以实现政府的两个主要目标:a)提供高质量的服务;b)降低医疗保健成本。同时提醒一句，这是一个需要小心处理的独特挑战。
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引用次数: 0
Planning and organisation of AIDS unit in hospital. 规划和组织医院艾滋病科。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-07-01
P K Singh, S I Singh, P C Choubey
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引用次数: 0
Resource mobilisation in hospitals--a view point. 医院资源调动——一个观点。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-07-01
S Gupta, N K Parmar
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引用次数: 0
The role of counselling in hospital administration. 咨询在医院管理中的作用。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-07-01
R C Goyal
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引用次数: 0
Medical informatics--an overview. 医学信息学——概述。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-07-01
M Dayananda, R P Sinha
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引用次数: 0
A comprehensive review of medicolegal procedures in service hospitals. 服务医院医疗法律程序的综合审查。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-07-01
H H Richharia, R S Verma, P C Choubey

Medicologal service is one of the vital component of hospital services which helps in providing justice to the victim and strengthen the public relations. Any shortcomings in the form of disrespect, negligence and inadvertant delay on the part of hospital staff towards the patient masks the image of the hospital. Some events such as expert evidence, methods of proff, assesment of disability, the work of the medical examiner, Blood groupings, organ transplantation and effectiveness of other tests have great practical importance in providing justice. Steps to deal with medicologal cases effectively and minimising legal complications are enumerated.

医疗服务是医院服务的重要组成部分之一，有助于为受害者伸张正义，加强公共关系。医院工作人员对病人的不尊重、疏忽和无意的延误等任何形式的缺点都掩盖了医院的形象。专家证据、教授方法、残疾评估、法医工作、血型分类、器官移植和其他检验的有效性等一些事件对伸张正义具有重要的实际意义。列举了有效处理医学案件和尽量减少法律并发症的步骤。
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引用次数: 0
Health manpower management--rural India. 卫生人力管理————印度农村。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-07-01
A Kumar, A Kumar, N A Khan
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引用次数: 0
Quality circles--a revolution in the health sector. 质量圈——卫生部门的一场革命。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-07-01
A Prakash
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引用次数: 0
On a probabilistic set covering model for diagnosing psychiatric disorders. 精神疾病诊断的概率集覆盖模型。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-01-01
S K Kohri

Correct diagnosis and treatment of the patients attending a hospital is the foremost requirement if that hospital is to be a profitable proposition. F.T. DeDombal achieved 70% reduction in unwanted surgeries and almost 100% reduction in delayed surgeries in cases of acute abdomen through computer-aided diagnosis. Similarly, R. Boom et al proved an increase in the professional efficiency of internees in diagnosing cases of jaundice, acute abdominal pain & upper G.I. bleeding after they started using computer. N.G. Rao reported diagnostic accuracy of 94% for various types of anemias with the use of expert system developed by him. Johri & Guha showed an enhancement of performance of non-expert clinician in tackling psychiatric disorders from 64% to 86%. Many developed countries have developed data bases for studying the epidemiological patterns of various diseases for future health planning and combating strategy. Another advantage of computer based diagnosis is that it will provide uniformity for defining diseases, symptoms & signs which is very important for pursuing medical research. A very simple methodology is described in this paper which can provide data driven as well as heuristic driven approach to medical decision making. To start with, this approach has been used to analyse psychiatric disorders but can be implemented elsewhere with the same efficiency.

如果一家医院要成为一家有利可图的医院，对病人进行正确的诊断和治疗是最重要的要求。通过计算机辅助诊断，F.T. DeDombal在急腹症病例中减少了70%的不必要手术，几乎100%的延迟手术。同样，R. Boom等人也证明，在使用电脑后，实习医生诊断黄疸、急性腹痛和上消化道出血的专业效率有所提高。N.G. Rao报告说，使用他开发的专家系统，对各种类型的贫血的诊断准确率为94%。Johri & Guha显示，非专业临床医生在处理精神疾病方面的表现从64%提高到86%。许多发达国家已经建立了数据库，用于研究各种疾病的流行病学模式，以供今后的保健规划和防治战略之用。计算机诊断的另一个优点是，它将提供疾病、症状和体征的统一定义，这对进行医学研究非常重要。本文描述了一种非常简单的方法，它可以为医疗决策提供数据驱动和启发式驱动的方法。首先，这种方法已经被用于分析精神疾病，但也可以在其他地方以同样的效率实施。
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引用次数: 0
Designing health care organisations for excellence. 设计卓越的卫生保健组织。
Journal (Academy of Hospital Administration (India))
Pub Date : 1993-01-01
S A Tabish, R K Sarma
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引用次数: 0
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