RESUMO
The purpose of this article is to present a model for equitable distribution of orthopedic contact capitation payments. This model accounts for services covered, patient severity of illness, patient age, and condition prevalence.
Assuntos
Capitação , Efeitos Psicossociais da Doença , Ortopedia/economia , Escalas de Valor Relativo , Alocação de Custos/métodos , Cuidado Periódico , Planos de Pagamento por Serviço Prestado , Pesquisa sobre Serviços de Saúde/organização & administração , Humanos , Modelos Econométricos , Doenças Musculoesqueléticas/classificação , Doenças Musculoesqueléticas/economia , Doenças Musculoesqueléticas/terapia , Planos de Incentivos Médicos , Salários e Benefícios , Índice de Gravidade de Doença , Estados UnidosRESUMO
To investigate interrater reliability on categorical and dimensional judgments of personality disorder, five clinicians completed five different judgment tasks for each of 10 case vignettes. The reliability estimates support previously unconfirmed statements that dimensional judgments are substantially more reliable than categorical diagnoses.
Assuntos
Transtornos da Personalidade/diagnóstico , Análise de Variância , Transtorno da Personalidade Borderline/classificação , Transtorno da Personalidade Borderline/diagnóstico , Tomada de Decisões , Humanos , Julgamento , Modelos Estatísticos , Transtornos da Personalidade/classificaçãoRESUMO
Advancing medical technology presents problems to medical professionals previously unforeseen. Psychiatric consultants are frequently called upon to assist staff, patients, and families in addressing these issues. The nursing staff of an infant intensive care unit was surveyed as to their perceptions of their work and their coping strategies. The results confirmed that in this technologically novel environment, staff were still attempting to acquire coping strategies to effectively meet demands placed upon them. The present study indicates that consultants need to be cognizant of such concerns to effectively assist such staff.
Assuntos
Atitude do Pessoal de Saúde , Unidades de Terapia Intensiva Pediátrica/organização & administração , Recursos Humanos de Enfermagem Hospitalar/psicologia , Psiquiatria , Encaminhamento e Consulta , Adaptação Psicológica , Atitude Frente a Saúde , Humanos , Lactente , Relações Enfermeiro-Paciente , Equipe de Enfermagem , Enfermagem Pediátrica , Relações Profissional-Família , Inquéritos e QuestionáriosRESUMO
The conventional Groups x Trials F ratio from an analysis of variance (ANOVA) was compared with three alternatives: an epsilon corrected F ratio, a nonparametric test, and a parametric multivariate test. The Type I error rate and power of the tests was investigated under violation of variance-covariance and normality assumptions. In general, the nonparametric test was preferable under violation of the normality assumption. When both normal-theory conditions were met, the conventional F ratio was preferred, but under severe violation of the variance-covariance assumption, the multivariate test was generally preferred.
