Opinions conflict on whether there is a place in the Health Service for general practitioner (community) hospitals in which the patients' treatment is mainly the responsibility of their family doctors. The authors therefore analysed a sample of the patients admitted in the course of a year to a group of two general district hospitals with a comparable sample of the patients admitted to a genera...

Chunyu Zeng, Hironobu Sanada, Hidetsuna Watanabe, Gilbert M. Eisner, Robin A. Felder, and Pedro A. Jose Department of Cardiology, Daping Hospital, Third Military Medical University, Chongqing, Peoples Republic of China; Futaba Kosei Hospital, Fukushima, Japan; Health Care Center, Fukushima University, Fukushima, Japan; Department of Medicine, Georgetown University Medical Center, Washington, Di...

In Achieving a Balance the Department of Health published requirements for medical staffing in hospitals. To review the effect that these would be likely to have a study was undertaken in the anaesthetic department of a district general hospital. The results were then validated with staffing levels in a new district general hospital with only one tier of junior staff. It was found that over the...

cent this patient returned to his native district, much delighted; with the result that since this time patients have come regularly from this district to this hospital for a similar operation. The technique of the operation, as performed in this hospital, is briefly as follows:? (a) The patient is prepared in the usual way by a preliminary bath and purgation. The whole genital area is thorough...

BACKGROUND Little is known about the costs of HIV care in Ethiopia. OBJECTIVE To estimate the average per person year (PPY) cost of care for HIV patients with and without anti-retroviral therapy (ART) in a district hospital. METHODS Data on costs and utilization of HIV-related services were taken from Arba Minch Hospital (AMH) in southern Ethiopia. Mean annual outpatient and inpatient costs...

BACKGROUND Health-care-associated infections are a major threat to the safety of patient care. Control of such problem is a major criterion for hospital accreditation. This study was aimed to determine the developing use of chemical (class 6 products) and biological indicators in Tabriz district hospitals since 1997 to 2011. METHODS We conducted this time-trend interventional study with all o...

BACKGROUND To study the feasibility of using criteria-based audit to improve a district referral system. METHODS A criteria-based audit was used to assess the Salima District referral system in Malawi. A retrospective review of 60 obstetric emergencies referred from 12 health centres was conducted and compared with prior established standards for optimal referral of emergencies. Recommendatio...

STUDY OBJECTIVE To provide those working at district level with practical guidance on using hospital data linked to small geographic areas to explore patterns of care. DESIGN Examination of the association between age standardised hospital episode rates for the commonest diagnostic categories and deprivation levels (Carstairs index) of the electoral ward of residence. SETTING An inner Londo...