Declines in patient volume : An obstetrics and gynecology teaching program's response.
Historically, University teaching hospitals have been the primary providers of health care to the indigent population.
With the advent of managed health-care plans, the university hospitals have seen a rapid decline in their obstetrical patient populations.
This decrease is reflected in the numbers of deliveries and gynecological surgeries.
From 1990 to 1995, these changes resulted in a significant decline in deliveries at our hospital, the Lyndon B. Johnson General Hospital.
To reverse this ominous trend, we instituted a variety of changes resulting in a more patient-centered system and found an improvement in the numbers of obstetrical patients.
In the following report, we describe these changes and the subsequent outcome.
Mots-clés Pascal : Obstétrique, Gynécologie, Spécialité médicale, Malade, Nombre, Analyse quantitative, Analyse statistique, Organisation santé, Formation professionnelle, Enseignement universitaire, Homme, Médecin
Mots-clés Pascal anglais : Obstetrics, Gynecology, Medical specialty, Patient, Number, Quantitative analysis, Statistical analysis, Public health organization, Occupational training, Higher education, Human, Physician
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0210598
Code Inist : 002B30A09. Création : 11/09/1998.