Assuntos
Emprego/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Centers for Medicare and Medicaid Services, U.S. , Retroalimentação , Controle de Formulários e Registros , Mortalidade Hospitalar , Humanos , New York , Pennsylvania , Padrões de Prática Médica/economia , Qualidade da Assistência à Saúde , Resultado do Tratamento , Estados Unidos/epidemiologiaRESUMO
Many state health departments and other agencies have become involved in the collection and analysis of physician-specific health care data. Two states--New York and Pennsylvania--have released surgeon-specific data on the results of coronary artery bypass graft surgery, and the Health Care Financing Administration is considering the release of physician-specific health care data. This article discusses those developments and presents suggested guidelines for the collection, use, and release of physician-specific data.
Assuntos
Defesa do Consumidor/legislação & jurisprudência , Serviços de Informação , Médicos/normas , Resultado do Tratamento , Centers for Medicare and Medicaid Services, U.S. , Guias como Assunto , Humanos , Mortalidade , New York , Pennsylvania , Médicos/estatística & dados numéricos , Organizações de Normalização Profissional , Estados UnidosRESUMO
The major purpose of this study was to develop an instrument to appraise the comfortability level of college students toward cardiopulmonary resuscitation (CPR) performance. The Purdue CPR Comfortability Scale was designed to measure five major areas of possible discomfort that are experienced while performing CPR on a human victim in an actual emergency situation. A table of specifications was constructed to establish content validity. This table presented the appropriate balance of emphasis on attitudinal topics in accord with the areas to be measured. Three subconcepts were developed for each of the five major areas specified. Therefore, the summated scale included a total of 15 items. A higher score indicated a higher level of comfortability toward CPR performance. An analysis of the mental processes required by the scale items in expressing affective reactions to the selected circumstances, and a comparison of student comfortability levels before and after CPR training indicated construct validity of the instrument. The scale was administered as a pretest to gather data on 317 first aid students at Purdue University. After five weeks of CPR training, the scale was readministered as a posttest. Split-half reliability methods were used to determine the internal consistency of the scale. High internal consistency (.84 Spearman-Brown) and a high level of scale administrability were demonstrated and it was concluded that the Purdue CPR Comfortability Scale is a valid self-report instrument for appraising the comfortability level of college students toward CPR performance.
