RESUMO
Change, challenge, and commitment motivate staff at the University of Miami/Jackson Memorial Medical Center in Miami, Florida, to prepare its health care system for the 21st century. Doctors, nurses, environmental workers, pharmacists, cashiers, nursing assistants, laboratory technologists, and many others are participating on a variety of teams to bring about the changes needed for our delivery system to be competitive.
Assuntos
Centros Médicos Acadêmicos/organização & administração , Reestruturação Hospitalar/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Assistência Centrada no Paciente/organização & administração , Competição Econômica , Humanos , Cultura Organizacional , Inovação Organizacional , Avaliação de Programas e Projetos de SaúdeRESUMO
Changes in the health care environment are causing health care providers to review and re-engineer the provision of perinatal and women's health care. Expanded programs need to be developed using alternative levels of care. Employers, payers, and providers have a unique opportunity to band together in effecting changes in care from the traditional illness model to a more current wellness/health promotion/ prevention model. New areas to explore include life care partners/case managers and virtual health management.
Assuntos
Atenção à Saúde/organização & administração , Promoção da Saúde/organização & administração , Assistência Perinatal/organização & administração , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Serviços de Saúde da Mulher/organização & administração , Participação da Comunidade , Controle de Custos , Feminino , Humanos , Recém-Nascido , Programas de Assistência Gerenciada/organização & administração , Modelos Organizacionais , Gravidez , Estados UnidosRESUMO
Eighty-eight nonstress tests (NSTs) were obtained on gravid women between 27 and 44 weeks' gestation to compare the results of a three-second acoustic stimulus with a traditional NST. Length of testing time was significantly decreased with the use of acoustic stimulation. Consequently, nursing time and equipment use were also considerably lessened per test. Previous studies indicated that the predictive value of the acoustic stimulation test is comparable or better than the traditional NST.
Assuntos
Estimulação Acústica , Cardiotocografia/normas , Sofrimento Fetal/epidemiologia , Adulto , Cardiotocografia/economia , Cardiotocografia/enfermagem , Análise Custo-Benefício , Estudos de Avaliação como Assunto , Feminino , Sofrimento Fetal/diagnóstico , Humanos , Valor Preditivo dos Testes , Gravidez , Reprodutibilidade dos TestesRESUMO
This chapter discusses: identifying the need for risk reduction; assessing the need for psychological support; and various sociocultural, psychological, and grief-related issues. It specifically describes psychosocial reactions of AIDS patients. Furthermore, counseling stressors and factors are suggested. Finally, counseling issues specific to the HIV-positive/AIDS woman are discussed with suggested topics for follow-up counseling sessions listed.