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An information system for family practice. Part 2: The value of defining a practice population.

https://arctichealth.org/en/permalink/ahliterature250659
Source
J Fam Pract. 1976 Oct;3(5):525-8
Publication Type
Article
Date
Oct-1976
Author
M J Bass
J P Newell
G L Dickie
Source
J Fam Pract. 1976 Oct;3(5):525-8
Date
Oct-1976
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Child
Child, Preschool
Family Practice
Female
Health facilities
Humans
Infant
Information Systems
Male
Middle Aged
Morbidity
Ontario
Population
Residence Characteristics
Sex Factors
Abstract
The gathering of information on the practice population is essential for practice monitoring, preventive medicine, and research. The minimum necessary information is the age and sex of individuals cared for in the practice. This allows the expression of age-sex specific morbidity rates for the at-risk population. In the Department of Family Medicine, University of Western Ontario, practice census information has been used to determine the suitable size for a teaching practice, the representativeness of our practices in terms of age, sex, residence location, and morbidity, and for the production of at-risk registers based on age and sex.
PubMed ID
978149 View in PubMed
Less detail
Source
Acta Neurochir (Wien). 2011 Jun;153(6):1237-43; author reply 1245
Publication Type
Article
Date
Jun-2011
Author
Ole Solheim
Johan Cappelen
Source
Acta Neurochir (Wien). 2011 Jun;153(6):1237-43; author reply 1245
Date
Jun-2011
Language
English
Publication Type
Article
Keywords
Adult
Brain Neoplasms - mortality - surgery
Centralized Hospital Services - standards
Cerebellar Neoplasms - mortality - surgery
Child
Child, Preschool
Clinical Competence - standards
Craniotomy - mortality
Cross-Cultural Comparison
Female
Health Facility Size - standards
Humans
Infant
Male
Medulloblastoma - mortality - surgery
Neuroectodermal Tumors, Primitive - mortality - surgery
Norway
Postoperative Complications - mortality
Quality Indicators, Health Care - standards
Registries
Specialties, Surgical
Survival Analysis
Notes
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Comment On: Acta Neurochir (Wien). 2011 Jun;153(6):1231-621547494
PubMed ID
21541685 View in PubMed
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[Child abuse - an important problem about which midwives need to take a stand].

https://arctichealth.org/en/permalink/ahliterature242509
Source
Katilolehti. 1983 Jan;88(1):6-8
Publication Type
Article
Date
Jan-1983
Source
Odontol Foren Tidskr. 1970;34(2):149-51
Publication Type
Article
Date
1970

Effect of hospital size and on-call arrangements on intrapartum and early neonatal mortality among low-risk newborns in Finland.

https://arctichealth.org/en/permalink/ahliterature278127
Source
Eur J Obstet Gynecol Reprod Biol. 2016 Mar;198:116-9
Publication Type
Article
Date
Mar-2016
Author
Elina Karalis
Mika Gissler
Anna-Maija Tapper
Veli-Matti Ulander
Source
Eur J Obstet Gynecol Reprod Biol. 2016 Mar;198:116-9
Date
Mar-2016
Language
English
Publication Type
Article
Keywords
Adult
Female
Fetal Death
Finland - epidemiology
Health Facility Size
Humans
Infant
Infant mortality
Infant, Newborn
Logistic Models
Middle Aged
Pregnancy
Abstract
To evaluate the influence of delivery unit size and on-call staffing in the performance of low-risk deliveries in Finland.
A population-based study of hospital size and level based on Medical Birth Register data. Population was all hospital births in Finland in 2005-2009. Inclusion criteria were singleton births (birth weight 2500g or more) without major congenital anomalies or birth defects. Additionally, only intrapartum stillbirths were included. Birthweights and maternal background characteristics were adjusted for by logistic regression. Main outcome measures were intrapartum or early neonatal mortality, neonatal asphyxia and newborns' need for intensive care or transfer to other hospital and longer duration of care. On-call arrangements were asked from each of the hospitals.
Intrapartum mortality was higher in units where physicians were at home when on-call (OR 1.25; 95% CI 1.02-1.52). A tendency to a higher mortality was also recorded in non-university hospitals (OR 1.18; 95% CI 0.99-1.40). Early neonatal mortality was twofold in units with less than 1000 births annually (OR 2.11; 95% CI 0.97-4.56) and in units where physicians were at home when on-call (OR 1.85; 95% CI 0.91-3.76). These results did not reach statistical significance. No differences between the units were found regarding Apgar scores or umbilical cord pH.
The differences in mortality rates between different level hospitals suggest that adverse outcomes during delivery should be studied in detail in relation to hospital characteristics, such as size or level, and more international studies determining obstetric patient safety indicators are required.
PubMed ID
26827286 View in PubMed
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Experi-mental: a simulation of the distribution of services to mentally deficient children.

https://arctichealth.org/en/permalink/ahliterature249626
Source
Behav Sci. 1977 Sep;22(5):356-66
Publication Type
Article
Date
Sep-1977
Author
J C Bernard
F. Camirand
A J Hosios
J M Rousseau
Source
Behav Sci. 1977 Sep;22(5):356-66
Date
Sep-1977
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Child
Child, Preschool
Health Facility Planning
Humans
Infant
Intellectual Disability - epidemiology - rehabilitation
Models, Theoretical
Quebec
Regional Health Planning
Systems Analysis
Abstract
In this study a formal analytical technique was introduced in typical planning operation of the Quebec Ministry of Social Affairs. The mental deficiency sector of the province was chosen because important changes were imminent in both the orientation and types of services provided to children in this sector. A simulation model was constructed according to system dynamics methodology to provide an integrated description of the social impact of these changes. The immediate result of the simulation model was to focus a reevaluation by government planners on certain operational features of the system of services and the implementation schedule of the ministry's policy. In a broader context, the model demonstrated that simulation is a viable approach to planning social services. Similar social services studies have been initiated to familiarize government planners with the methodology and have been used in the preparation of precise implementation plans.
PubMed ID
597097 View in PubMed
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Good results with the Ponseti method: a multicenter study of 162 clubfeet followed for 2-5 years.

https://arctichealth.org/en/permalink/ahliterature124158
Source
Acta Orthop. 2012 Jun;83(3):288-93
Publication Type
Article
Date
Jun-2012
Author
Christian Sætersdal
Jonas M Fevang
Lars Fosse
Lars B Engesæter
Author Affiliation
Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway. christian.saetersdal@helse-bergen.no
Source
Acta Orthop. 2012 Jun;83(3):288-93
Date
Jun-2012
Language
English
Publication Type
Article
Keywords
Braces
Casts, Surgical
Child
Child, Preschool
Clubfoot - surgery
Equipment Design
Female
Health Facility Size
Humans
Infant
Male
Norway
Patient compliance
Recurrence
Tenotomy - methods
Treatment Outcome
Abstract
In 2002-2003, several hospitals in Norway introduced the Ponseti method for treating clubfoot. The present multicenter study was conducted to evaluate the initial results of this method, and to compare them to the good results reported in the literature.
116 children with 162 congenital idiopathic clubfeet who were born between 2004 and 2006 were treated with the Ponseti method at 8 hospitals in Norway. All children were prospectively registered at birth, and 116 feet were assessed according to Pirani before treatment was started. 63% used a standard bilateral foot abduction brace, and 32% used a unilateral above-the-knee brace. One of the authors examined all feet at a mean age of 4 years. At follow-up, all feet were assessed by Pirani's scoring system, and range of motion of the foot and ankle was measured.
At follow-up, 77% of the feet had a Pirani score of 0.5 or better, good dorsiflexion and external rotation, and no forefoot adduction. An Achilles tenotomy had been performed in 79% of the feet. Compliance to any brace was good; only 7% were defined as non-compliant. Extensive soft tissue release had been performed in 3% of the feet. We found no statistically significant differences between the two braces, except a tendency of better Pirani score in the group using the bilateral foot abduction brace, and a tendency of better compliance in patients using the unilateral brace. Better Pirani scores were found in children who were treated at the largest hospitals.
After introducing the Ponseti method in Norway, the clinical outcome was good and in accordance with the reports from single centers. Only 5 feet needed extensive surgery during the first 4 years of life.
Notes
Cites: J Pediatr Orthop. 2002 Jul-Aug;22(4):517-2112131451
Cites: J Pediatr Orthop B. 2003 Mar;12(2):133-4012584499
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Cites: J Pediatr Orthop B. 1995;4(2):129-367670979
PubMed ID
22616746 View in PubMed
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The impact of provider surgical volumes on survival in children with primary tumors of the central nervous system--a population-based study.

https://arctichealth.org/en/permalink/ahliterature134724
Source
Acta Neurochir (Wien). 2011 Jun;153(6):1219-29; discussion 1229
Publication Type
Article
Date
Jun-2011
Author
Ole Solheim
Øyvind Salvesen
Johan Cappelen
Tom Børge Johannesen
Author Affiliation
Department of Neuroscience, Norwegian University of Science and Technology, 7005, Trondheim, Norway. ole.solheim@ntnu.no
Source
Acta Neurochir (Wien). 2011 Jun;153(6):1219-29; discussion 1229
Date
Jun-2011
Language
English
Publication Type
Article
Keywords
Brain Neoplasms - mortality - surgery
Centralized Hospital Services - standards
Cerebellar Neoplasms - mortality - surgery
Child
Child, Preschool
Choroid Plexus Neoplasms - pathology - surgery
Clinical Competence - standards
Female
Health Facility Size - standards
Humans
Infant
Kaplan-Meier Estimate
Male
Medulloblastoma - mortality - surgery
Neuroectodermal Tumors, Primitive - mortality - surgery
Norway
Postoperative Complications - mortality
Quality Assurance, Health Care - standards
Registries
Specialties, Surgical
Abstract
Provider volume is often a central topic in debates about centralization of procedures. In Norway, there is considerable variation in provider volumes of the neurosurgical centers treating children. We sought to explore long-term survival after surgery for central nervous system tumors in children in relation to regional provider volumes.
Based on data from the Norwegian Cancer Registry we analyzed survival in all reported central nervous system tumors in children under the age of 16 treated over two decades, between March 1988 and April 2008; a total of 816 patients with histologically confirmed disease.
There was no overall difference in survival between regions. In the subgroup of PNET/medulloblastomas, both living in the high-provider volume health region and receiving treatment in the high-volume region was significantly associated with inferior survival.
In this population-based study of children operated over a period of two decades, we found no evidence of improved long-term survival in the high-provider volume region. Surprisingly, a subgroup analysis indicated that survival in PNET/medulloblastomas was significantly better if living outside the most populated health region with the highest provider volumes. One should, however, be careful of interpreting this directly as a symptom of quality of care, as there may be unseen confounders. Our study demonstrates that provider case volume may serve as an axiom in debates about centralization of cancer surgery while perhaps much more reliable and valid but less quantifiable factors are important for the final results.
Notes
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Cites: Acta Neuropathol. 2007 Aug;114(2):97-10917618441
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Cites: Neurosurgery. 2003 Jan;52(1):48-53; discussion 53-412493100
Cites: Acta Neurochir (Wien). 2003 Jan;145(1):45-812545261
Cites: Neurosurgery. 2003 May;52(5):1056-63; discussion 1063-512699547
Cites: Laryngoscope. 2003 Aug;113(8):1332-4312897555
Cites: J Clin Endocrinol Metab. 2003 Oct;88(10):4709-1914557445
Cites: Cancer. 2004 Mar 1;100(5):999-100714983496
Cites: Neurosurgery. 2004 Mar;54(3):553-63; discussion 563-515028128
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Cites: J Urol. 2005 Jun;173(6):2099-10315879851
Cites: J Neurosurg. 2005 Jun;102(6):977-8616028755
Cites: Pediatr Neurosurg. 2006;42(2):67-7316465074
Cites: Childs Nerv Syst. 2006 May;22(5):466-7416283195
Comment In: Acta Neurochir (Wien). 2011 Jun;153(6):1231-621547494
PubMed ID
21547495 View in PubMed
Less detail

32 records – page 1 of 4.