Browsing by keyword "Hospital Bed Capacity"

Now showing items 1-3 of 3

    • Against the grain? A reasoned argument for not closing a state hospital
      Geller, Jeffrey L.; Shore, Helen; Grudzinskas, Albert J. Jr.; Appelbaum, Paul S. (2005-05-12)
      In the face of the Massachusetts Governor's attempts to close one of the state's four remaining state hospitals, Massachusetts legislators overrode the Governor's veto of funding for the hospital, but required the state's Mental Health Authority to author a study of the implications of further loss of public sector inpatient beds. The Center for Mental Health Services Research of the University of Massachusetts Medical School conducted its own study concluding that maintaining a longer-term inpatient capacity in the public sector in central Massachusetts was both necessary and accrued a significant number of benefits. This article can serve as a model for the reasoned position that a state hospital in 21st century psychiatry can be looked at as a multiservice center that fulfills a key role in a public sector, integrated system of treatment, care, training and research.

    • Improving discussion of surgical treatment options for patients with breast cancer: local medical opinion leaders versus audit and performance feedback.
      Guadagnoli, Edward; Soumerai, Stephen B.; Gurwitz, Jerry H.; Borbas, Catherine; Shapiro, Charles L.; Weeks, Jane C.; Morris, Nora (2000-05-01)
      We studied whether a hospital intervention utilizing medical opinion leaders and performance feedback reduced the proportion of women who reported that surgeons did not discuss options prior to surgery for early stage breast cancer. Opinion leaders provided clinical education to their peers using a variety of strategies and were selected for their ability to influence their peers. Performance feedback involved distributing performance reports that contained data on the outcomes of interest as well as on other treatment patterns. Twenty-eight hospitals in Minnesota were randomized to the intervention or to a control group that received performance feedback only. The proportion of patients at intervention hospitals who said that their surgeon did not discuss options decreased significantly (p < 0.001) from 33% to 17%, but a similar decrease was observed among control hospitals. Using medical opinion leaders to intervene in hospitals appeared as effective as performance feedback.

    • Secondary analysis of merged American Hospital Association data and U.S. Census data: Beginning to understand the supply-demand chain in pediatric inpatient care
      Lacey, Susan R.; Kilgore, Meredith; Yun, Huifeng; Hughes, Rhonda; Allison, Jeroan J.; Cox, Karen S. (2008-05-22)
      Much attention has been focused on how the nursing shortage will impact the growing number of aging Americans. This study was conducted as a first step in understanding nursing supply relative to potential pediatric demand using merged data from the American Hospital Association's annual survey and Census data by state from the year 2000. Findings indicate that there is tremendous variability among reporting states related to estimated pediatric nurses (registered nurse full-time equivalents), potential pediatric demand (persons from birth to 18 years), and allocated pediatric beds. Future research will examine how this supply-demand chain impacts clinical and cost outcomes for pediatric patients.