there is a number of models and strategies for improving the quality of care such as total quality management, continuous quality improvement and clinical governance. the policy of clinical governance is part of the governments overall strategy for monitoring, assuring and improving in the national health services organization. clinical governance has been introduced as a bridge between manager...

A binomial logit model is fitted to the college attendance behavior of 27,046 male high-school juniors in 1960, divided into 20 subgroups defined by student ability and family income. Tuition, high admissions standards, travel costs, and room and board costs all have significant negative effects on attendance. The highest elasticities of demand are found to occur in the low-income strata and lo...

OBJECTIVE Cancer incidence, treatment, and prognosis show important disparities by race, Hispanic ethnicity, and birthplace, but hospital policies and procedures in obtaining this information are poorly documented. This study documented policies and procedures in a state (Connecticut) with a high-quality population-based cancer registry. METHODS Directors of medical records and/or admissions ...

The prevention and control of healthcare-associated infection (HCAI) is a priority for the NHS. The delivery of national targets for reducing methicillin resistant Staphylococcus aureus bacteraemias and Clostridium difficile infection are supported by enhanced mandatory surveillance through the Health Protection Agency and a Department of Health improvement programme that promotes policies and ...

The studentBMJ has provided a forum for medical student debate for the past eight years. The issues that students need to discuss deserve dedicated journal space. Being able to comment on issues such as admissions policies and teaching styles may affect many future generations of doctors as well. As there are thousands of doctors in training world wide, the more ways available for students to e...

PURPOSE Selective higher education institutions that take race into account in admissions decisions must be able to demonstrate that their policy is justified by a compelling governmental interest, is narrowly tailored, and is the least restrictive means for achieving that interest. The authors thus investigate whether, among medical students, the association between racial diversity (as distin...

Using a calibrated general equilibrium overlapping generations model, which explicitly accounts for di erences between immigrants and natives, this paper investigates if an immigration policy reform alone could resolve the scal problems associated with the ageing of the baby boom generation. Such policies are found to exist and are characterized by increased in ow of working-age highand medium-...

OBJECTIVE To estimate the spatial intensity of urban violence events using wavelet-based methods and emergency room data. METHODS Information on victims attended at the emergency room of a public hospital in the city of São Paulo, Southeastern Brazil, from January 1, 2002 to January 11, 2003 were obtained from hospital records. The spatial distribution of 3,540 events was recorded and a unifo...

Korea is the only developed country that saw an increase in the number of psychiatric beds with the longest average length of stay of psychiatric patients for the past decades. This phenomenon can be explained regarding the payment system, the law, and society. Korea is in a critical position concerning mental health policy. How it paves the way for reducing psychiatric admissions will provide ...

outpatient studies, patients answeredmore positively to empowerment questions after being given EHR access. Despite supportingpatientempowerment, thepromiseofpatients finding errors in their medications or knowing when they were being discharged never materialized. This study is, to our knowledge, the first published evaluation of the experience of a large sample of inpatients and their frontli...