One of the less obvious costs of educational programs is the increased volume of work-ups and treatment for hospitalized patients that are ordered by residents. In a hospital with both private teaching and private nonteaching floors, a comparison shows that service charges on teaching floors are 60 percent higher than on nonteaching floors.…

Describes an interdisciplinary cancer-rehabilitation program composed of rehabilitation teams that evaluate patients and suggest or provide treatment with the goal of improved quality of life. Issues, problems, and suggested solutions are discussed with implications for other programs. (Author)

Two models of geriatric day care can be empirically discriminated using data from a field study of 10 programs. Programs in both models show some tendency to adapt their features to existing environments. Descriptions of both models are presented. (Author)

A computerized patient profile system is used in a practice laboratory taught in a pharmacy student's fourth year. Exposure to both a manual family card system and the computerized individual profile system allows the student to achieve a level of competence and confidence with more than one system in monitoring and evaluating the ambulatory…

A methodology is outlined that can be used by teaching hospitals in determining their costs of treating patients with a complex mix of diagnoses. It is not held that case mix alone explains all cost differences between teaching and nonteaching hospitals, but that factor must be isolated before examining other variables. (Author/LBH)

A methodology for developing behavioral checklists to assess the techniques of performing a physical examination is described. Behavioral checklists seem to avoid the problems associated with rating scales since they require a minimum degree of subjective judgment on the part of observers. The results of validity and reliability studies are…

The nature of the professional interaction between the pharmacist and the patient was explored, with data collected from 3,743 questions asked of 16 pharmacists during an 8-week period. Factors that might affect the nature of the pharmacist-patient interaction are identified along with a cognitive-based profile of patient wants. (LBH)

This model allows competency statements to be categorized on the basis of a pharmacist's interaction with various persons and organizations, including physicians, patients, nurses, the pharmacy, and the community. (LBH)

The ethical primacy of patient involvement in treatment decision-making requires that more attention be paid to assessment of a patient's competency to make treatment decisions. Makes recommendations to increase sensitivity to this issue with significantly impaired elderly nursing home patients and to improve existing decision-making procedures.…

Compared the effects of fixed-interval and on-demand administration of analgesic medications in chronic pain patients. A fixed-interval analgesic schedule was found more effective than an on-demand schedule in reducing subjective pain and elevating mood. No differences were found between the two conditions on measures of physical activity.…

Residents and faculty members completed a survey covering the effect of prepaid health care plans at a family medicine center on the program's practice profile, cost-containment, and education activities over a three-year period. Respondents agreed that prepaid plans increased the number of patient visits. (Author/MLW)

Describes the process by which a department of psychiatry computerized its clinical services under a single communication network. Presents the program in detail, demonstrating the recording of various clinical, administrative and demographic data. Emphasizes the value of such information for returning patients, immediate updating of information,…

Describes two-week clinical experience assigned to nursing students in an acute short-term psychiatric hospital. Selected voluntary large group meetings to promote social skills and group belonging; and small groups, based on level of patient functioning, to enhance change and growth. Describes the groups and the value of poetry and artistic…

Evaluation of patients on the Cognitive Status Examination (CSE) significantly discriminated the brain-damaged from the psychiatric and medical groups. Examined the relationship of scores to age and education, as well as the effect of demographics on group discrimination. Presents a distribution of cutting scores for screening purposes. (Author/KS)

Compared child outpatients with diagnoses for both conduct disorder (CD) and attention deficit disorder with hyperactivity (ADD/H) with children with CD but no ADD/H. Children with both CD and ADD/H exhibited more physical aggression and a greater variety and severity of antisocial behaviors despite their younger age at time of referral than did…