Subject(s)
Home Childbirth , Medically Underserved Area , Nurse Midwives , Physicians, Family/psychology , Female , Humans , PregnancyABSTRACT
Late in 1987, the American Academy of Medical Directors conducted a survey of its hospital-based members on staffing and other aspects of their utilization review and quality assurance functions. Responses were obtained from 130 of the 860 hospitals surveyed. The results show that, beyond the basics of hospital utilization review and quality assurance, hospitals are extremely diverse in their approaches to these functions.
Subject(s)
Hospital Administration , Professional Staff Committees/organization & administration , Quality Assurance, Health Care/organization & administration , Utilization Review/organization & administration , Data Collection , United StatesSubject(s)
Carotid Artery Diseases/diagnosis , Cerebrovascular Disorders/diagnosis , Adult , Aged , Arterial Occlusive Diseases/diagnosis , Carotid Artery Diseases/surgery , Carotid Artery, Internal/diagnostic imaging , Doppler Effect , Endarterectomy , Female , Humans , Male , Middle Aged , Mitral Valve Stenosis/diagnosis , RadiographyABSTRACT
Increasing numbers of patients more than 70 years old are at risk from coronary artery disease. The continued success of coronary artery bypass operation in selected patients provides impetus for applying this procedure to older patients as well. Our results indicate coronary artery operation is effective in older patients and has a low mortality (3% in our series). In patients in this age group, coronary artery operation can be combined with other procedures, when indicated, such as cardiac valve replacement or repair, left ventricular aneurysmectomy, carotid endarterectomy, and cholecystectomy.
