ABSTRACT
The revival of the economy in the US holds 2 powerful lessons for its healthcare system: know your customers and focus on their needs. Widespread inefficiency and inconvenience characterise the current healthcare system because it has failed to heed these lessons so far. Making the necessary changes will require substantial modifications by both government and healthcare providers. But, in the end, the result will reshape the future of healthcare.
Subject(s)
Delivery of Health Care/economics , Delivery of Health Care/trends , Health Care Sector/trends , Community Participation/trends , Delivery of Health Care/organization & administration , Forecasting , Health Care Costs , Health Care Sector/organization & administration , Humans , United StatesABSTRACT
We report a fetus with spinal muscular atrophy type I, who presented with an increased nuchal translucency at 13 weeks' gestation. A review of the literature reveals additional cases of spinal muscular atrophy type I associated with increased nuchal translucency and suggests increased nuchal translucency may be an early finding in this disorder.
Subject(s)
Neck/diagnostic imaging , Spinal Muscular Atrophies of Childhood/diagnostic imaging , Ultrasonography, Prenatal , Adult , Fatal Outcome , Female , Humans , Infant, Newborn , Male , PregnancyABSTRACT
Are you ready to take your organization into the 21st century? Do you fully grasp the implications of current and emerging trends in the field? Healthcare Executive talked with six healthcare experts and asked them what they saw as the greatest challenge for both executives and their organizations in the new millennium. Although the experts' opinions vary, their responses emphasize the importance of repairing old relationships and building new partnerships between those working in healthcare organizations, as well as bringing a consumer focus back to healthcare delivery.
Subject(s)
Health Services Administration/trends , Physician Executives , Consumer Behavior , Cost Control , Health Services Administration/standards , Hospital-Physician Relations , Managed Care Programs/economics , Managed Care Programs/organization & administration , Organizational Culture , Preventive Health Services/organization & administration , Quality Indicators, Health Care , United StatesSubject(s)
Attitude to Health , Consumer Advocacy , Health Policy , Managed Care Programs , Consumer Advocacy/legislation & jurisprudence , Consumer Behavior , Humans , Managed Care Programs/organization & administration , Managed Care Programs/standards , Private Sector , Quality Assurance, Health Care/standards , Truth Disclosure , United StatesABSTRACT
The U.S. health care sector is following the path of the revitalized U.S. economy with the creation of focused health care factories that provide coordinated care primarily for high-cost chronic diseases, disabilities, and surgical procedures, and with increased response to the demands of hard-working, well-educated Americans for convenience and support. Everything-for-everybody vertically integrated systems and managed care organizations will be sorely tested by these efficient, consumer-friendly innovations. This managerial revolution will create substantial opportunities for important health care administration research.
Subject(s)
Delivery of Health Care, Integrated/organization & administration , Health Care Sector/trends , Managed Care Programs/organization & administration , Consumer Behavior/economics , Cost Savings/trends , Cost-Benefit Analysis/trends , Delivery of Health Care, Integrated/economics , Economic Competition , Health Care Sector/organization & administration , Health Services Research , Hospitals, Special/economics , Humans , Institutional Management Teams , Managed Care Programs/economics , Multi-Institutional Systems/economics , Multi-Institutional Systems/organization & administration , United StatesSubject(s)
Health Care Sector , Health Services Needs and Demand , Health Policy , Humans , United StatesSubject(s)
Hospitals, Special , Patient-Centered Care , Product Line Management , Chronic Disease , Health Care Sector , Humans , United StatesSubject(s)
Consumer Advocacy , Delivery of Health Care/organization & administration , Organizational Innovation , Appointments and Schedules , Delivery of Health Care/economics , Delivery of Health Care/standards , Delivery of Health Care, Integrated , Disease Management , Economic Competition , Information Services , Organizations, Nonprofit , Quality Assurance, Health Care , Self Care , United StatesABSTRACT
We report a pregnancy complicated by anti-B isoimmunization that resulted in fetal ascites, anemia, hepatomegaly, and polyhydramnios. A previous pregnancy in the same patient was complicated by neonatal ABO incompatibility. A review of the obstetric literature suggests that ABO incompatibility may cause severe fetal anemia, especially in patients with type O blood or a previous history of ABO incompatibility of the newborn.
