Assuntos
Ética Profissional , Assistentes Médicos/normas , Responsabilidade Social , Acessibilidade aos Serviços de Saúde/normas , Humanos , Programas de Assistência Gerenciada/economia , Programas de Assistência Gerenciada/normas , Planejamento de Assistência ao Paciente , Atenção Primária à Saúde/economia , Atenção Primária à Saúde/normas , Estados UnidosAssuntos
Prática de Grupo/organização & administração , Assistentes Médicos/estatística & dados numéricos , Análise e Desempenho de Tarefas , Coleta de Dados , Grupos Focais , Controle de Formulários e Registros , Hospitais com mais de 500 Leitos , Hospitais Especializados/organização & administração , Enfermeiros Obstétricos/estatística & dados numéricos , Profissionais de Enfermagem/estatística & dados numéricos , Equipe de Assistência ao Paciente/organização & administração , Pennsylvania , Recursos Humanos , Carga de TrabalhoRESUMO
Two hundred and ninety cases of subacute sclerosing panencephalitis (SSPE) registered in England and Wales from 1970 to 1989 were followed at 6-monthly intervals. Male to female ratio was 2.8:1. Age at onset increased significantly over the period. Measles was recorded for 81% of cases; in nearly half this had occurred under 2 years. Measles vaccine was documented in 20 cases; in 10 measles was also documented and it could not be positively excluded in the remainder. The calculated risk of SSPE following measles was 4.0/100,000 cases compared with the risk after vaccine of 0.14/100,000 doses. Measles under 1 year carried a risk 16 times greater than measles over 5 years. There was an excess of cases in third and subsequent children. The incidence was higher in the northwest than in the southeast of the country. Survival time varied from 4 weeks to 16 years and was shorter when measles had occurred over the mean age of 2.5 years. Of the cases 9% had a history of mental retardation before the onset of SSPE. The incidence of SSPE has fallen following the reduction in measles resulting from vaccination. However, because of the median 8-year interval between measles and onset of SSPE, further cases arising from measles during the study period must still be expected, particularly in adolescents.
Assuntos
Panencefalite Esclerosante Subaguda/epidemiologia , Adolescente , Adulto , Criança , Pré-Escolar , Inglaterra/epidemiologia , Feminino , Seguimentos , Humanos , Incidência , Masculino , Sarampo/epidemiologia , Fatores de Risco , País de Gales/epidemiologiaRESUMO
The first formal physician assistant (PA) program began at Duke University 25 years ago, write David M.S., and Kenneth Harbert, M.H.A., PA-C. Since then, PAs have become widely utilized in the medical field, yet little has been done to measure their financial contribution. The authors provide a methodology and framework for groups to measure the financial productivity of their PAs.
