ABSTRACT
A number of health care provider organizations, particularly those with geographically dispersed personnel, are utilizing the video medium to improve organizational performance. The key attributes of the video medium are uniformity of education delivery to multiple sites, the ability to deliver information in a timely manner, the ability to visually portray best practices for all to see, and the convenience for end-users. While the executives interviewed for this article aren't aware of any published research specifically documenting the linkage between video education and improved organizational performance, the panelists believe that informed health care professionals inherently contribute to improved organizational performance and that video education is a prudent investment of resources.
Subject(s)
Education, Continuing/methods , Managed Care Programs/organization & administration , Videotape Recording , Audiovisual Aids , Education, Medical, Continuing/methods , Efficiency, Organizational , Societies , Total Quality Management , United StatesSubject(s)
Medical History Taking , Surveys and Questionnaires , Adolescent , Adult , Aged , Humans , Microcomputers , Middle Aged , Time FactorsABSTRACT
The Asthma Bother Profile assesses one of the components of asthma experience: asthma distress. An initial questionnaire was constructed from the content of earlier asthma quality of life research and modified by comments of 32 asthmatics in focus groups. Psychometric analysis of responses of 131 asthmatics to the final questionnaire showed that the 15 ¿bother items' constitute a unidimensional measure of asthma distress with high internal consistency, and the seven ¿management items' assess the patient's confidence of asthma knowledge, perception of the quality of care and confidence in managing asthma attacks. Patients who had attended a self-management clinic reported more knowledge of asthma, more bother from treatment but not significantly less bother in other contexts. Knowledge about when to call the doctor but not knowledge about medicine or asthma was correlated with total bother. Self-management programmes that encourage problem-focused coping strategies may not reduce asthma distress unless distress reduction counselling is included within the education programme.
Subject(s)
Adaptation, Psychological , Asthma/psychology , Sick Role , Adolescent , Adult , Asthma/therapy , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Middle Aged , Patient Education as Topic , Personality Inventory/statistics & numerical data , Psychometrics , Self Care/psychologySubject(s)
Delivery of Health Care , Riots , Delivery of Health Care/legislation & jurisprudence , Humans , Los Angeles , Oregon , VermontSubject(s)
Gender Identity , Interprofessional Relations , Physicians, Women/psychology , Physicians/psychology , Faculty, Medical , Female , Humans , MaleSubject(s)
Advertising , Ethics, Medical , Health Maintenance Organizations , Humans , United StatesSubject(s)
Child Welfare/trends , Infant Mortality , Black or African American , Child , Humans , Infant, Newborn , United StatesSubject(s)
Attitude of Health Personnel , Group Practice/organization & administration , Hospital Administrators/psychology , Physician Executives/psychology , Quality of Health Care/statistics & numerical data , Evaluation Studies as Topic , Hospital-Physician Joint Ventures/organization & administration , Humans , Interprofessional Relations , Ownership , Surveys and Questionnaires , United StatesABSTRACT
Isolated perfused Malpighian tubules of the desert beetle Onymacris plana (Coleoptera: Tenebrionidae) have been subjected to cable analysis under the following conditions: control, adenosine 3',5'-cyclic monophosphate (cAMP), corpora cardiaca homogenate (CCH), and high ambient K (130 mM). In addition, we investigated possible effects of perfusate composition on proximal transtubular potential (Vo) by reducing K, Na, or Cl or by adding ouabain, furosemide, or dinitrophenol. The effects of cAMP, CCH, and high K on Vo and cable parameters were consistent with increased fluid secretion, i.e., diminished input and core resistances and increased virtual short-circuit current, length constant, and luminal diameter. They differed in that CCH had variable effects on Vo and high K did not reduce transepithelial resistance. In terms of their effects on the parameters of a simple equivalent electrical circuit, the responses to cAMP, CCH, and a high ambient K concentration appear to be mediated by different mechanisms. Alterations in perfusate composition were almost without effect.
