AI to improve diagnostics and patient care.

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AI to improve diagnostics and patient care.

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Objective: The medical service organization faces the pressure of progressive market competition in the face of modern medical service,and the change of medical service mode, through strengthening the core competence of long-distance medical service, applying the scientificmanagement theory to enhance the connotation of medical service. To achieve the scientific management of medical service.Methods: Through literature search and analysis, the domestic and foreign literatures on medical follow-up service management werereviewed, and the new trends in recent years were reviewed and summarized.Results: Through the study of the management of long-distance medical follow-up service, this paper expounds the theory of medical servicerelatedtheory, and finds the breakthrough point of applying these theories to the medical follow-up service. The concept and characteristics,object, carrier, value and demand of long-distance medical follow-up service were studied in detail. This has great help to improve themanagement level of medical service agencies, which is more conducive to meeting the needs of patients' medical services and the needs ofthe public, and can better meet the needs of medical institution management and the needs of patients' disease treatment.

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Care of Tuberculosis Patients in the 1970's. After the Sanatorium, Then What?
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The Impact of Integrating Mental and General Health Services on Mental Health's Share of Total Health Care Spending in Alberta
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In April 2003 the Alberta government integrated specialized mental health services, formerly organized independently, with the health regions, which are responsible for general health services. The objective of this article is to determine whether the transfer was associated with an increase or decrease in the share of resources in the region allocated to mental health care relative to total spending for health care. The measure of the share for mental health care is the total costs for mental health care resources as a percentage of total health care spending. Resources and spending examined were those that were actually or potentially under the regions' control. Annual costs for mental health services in the province were obtained for a seven-year period (fiscal year [FY] 2000 through FY 2006) from provincial utilization records for all residents in the province. Unit costs were assigned to each visit. The trend in the share measure was plotted for each year. The share for mental health care increased overall from FY 2000 (7.6%) to FY 2003 (8.2%), but returned to pre-FY 2003 levels in the three years after the transfer (7.6%). Despite concerns expressed before the transfer by federal and provincial reports over the level of expenditures devoted to mental health care, the integration of mental health services with other health services did not result in an increase of the share for mental health care.

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Maternal and Child Health Services Policy in the German Democratic Republic
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  • Robert A Greenberg

The policies and structure of the human services system of the German Democratic Republic (GDR) which expresses a strong commitment to maternal and child health and related social services was investigated. The discussion presents a general description of the national health and social services system emphasizing the organization of ambulatory maternal and child services followed by an examination of selected health policies. The GDR constitution grants its citizens medical and social services. All health and medical care facilities belong to the state and all people working in the health care system are employed by the state with the exception of a small steadily decreasing number of private practices. Ultimate control of the health and social services system rests with the national Ministry of Health and Social Services. The intermediate administrative levels are the 15 counties (Bezirke); the local levels are the 219 districts (Kreise). Ambulatory health care including maternal and child services is provided by an organized network of clinics whose personnel and services vary with local needs. In most of the 15 counties of the GDR including rural areas there are favorable ratios of patients to primary care physicians i.e. general practitioners pediatricians and obstetrician gynecologists. Observations of maternal and child primary care services in numerous urban and rural sites were consistent with the health care provider distribution statistics. All women receive prenatal care and 89% have their 1st prenatal visit before the 16th week of pregnancy. Such coverage can be attributed to several factors. There is a concerted effort made in schools at work and in the communications media to emphasize the importance of ensuring good prenatal health. The health service system sponsors conveniently available courses for pregnant health. The health service system sponsors conveniently available courses for pregnant women. Working women are allowed paid time off to attend prenatal clinics an important benefit since 85% of pregnant women are employed. An example of a particularly effective health maintenance program is that provided for diabetic mothers. 1/3 begin the program prior to conception. Participation at well baby clinics is excellent and the organization of dental health services is designed to encourage utilization. In the GDR outreach services are provided primarily by the community nurse and the health and welfare worker. In addition to the administrative integration of health and social services at all government levels functional integration is particularly evident in the delivery of health maintenance services beginning in the prenatal period and continuing throughout childhood and adolescence. Health services are supplemented by an extensive program of financial and social supports designed to nurture young families.

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