Smart moves: good management, not technology, will steer movement to outpatient care

Article Abstract:

Experts predict increasing ambulatory patient care, and hospitals must accommodate the needs of outpatients and physicians. The manner in which hospitals respond to this trend will determine whether patients and doctors will bypass hospitals. The number of ambulatory care centers has grown more than 21% a year from 1984 to 1990, but the rate is expected to slow to 7% between 1990 and 1995. Although non-hospital outpatient diagnostic imaging centers performed 32% of the total procedures in 1990, the volume of outpatient surgery is increasing more slowly.

Forecasts and trends, Ambulatory medical care, Ambulatory care, Hospital outpatient services

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Pioneering protocols: hospitals test the computer's use in patient care decisions

Article Abstract:

Some hospitals are using computer programs that not only track patient care but suggest treatment protocols. The programs can lower medical costs, monitor outcomes, prevent malpractice suits and reduce the time spent on medical charts. Gathering physician support for such programs is key to their success. Many hospitals are enlisting physician support by beginning with simple programs that chart the efficacy of certain pharmaceuticals. Additional information about successful computerized protocols is presented.

Offices & clinics of medical doctors, Practice, Physicians, Medical professions, Technology application, Medical protocols, Hospital administration

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Form follows function: patient-centered care needs strong facilities planning

Article Abstract:

Architects are enthusiastic about designing hospitals for patient-centered care, whether remodeling existent facilities or building new ones. For example, Mercy Hospital and Medical Center in San Diego, CA, has a five-year plan which began with the remodeling of four units. Two additional units will be added each year until 1994. Patients' rooms are well decorated, smaller nurses' stations fit into the plan, and services are brought to the patients. Facilities design changes at other hospitals are described.

Architectural services, Innovations, Design and construction, Architects

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