Harold I Goldberg
Datos Biográficos
| ID | 5535131 |
|---|---|
| NOMBRE | Harold I Goldberg |
| NOMBRES | Harold I |
| APELLIDO | Goldberg |
| FIRMA | GOLDBERG H I |
| AFILIACIONES | University of Washington |
| VERIFICADO | No |
| TOTAL DE OBRAS | 16 |
| TOTAL DE CITAS | 7 |
| TOTAL COMO AUTOR | 16 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1984 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2002 |
| ÍNDICE H | 1 |
The Midpeninsula Health Service
OBJECTIVES: A Joint Planning Committee Report was issued in 1974 exploring how Stanford University might itself provide primary care to students, faculty, employees and their dependents at low cost. The report called for the creation of a health maintenance organization owned by its subscribers in affiliation with Stanford Medical Center. However, because the report was dismissed by the dean of the School of Medicine as being unworkable, the Midp…
A Festschrift in Honor of Halsted R. Holman, MD
Hospital in New York. In Dr. Henry Kunkel's lab at Rockefeller Institute, Hal Holman identified antinuclear and antiDNA antibodies that, along with Hargreaves's description of the lupus cell, provided the first evidence of autoimmunity, contrary to the dictum of Paul Ehrlich that autoimmunity was impossible. With his Rockefeller Institute colleague Jules Hirsch, Halsted lectured in schools and church basements about the perils of the nuclear arms…
Relative Impact of Patient and Clinic Factors on Adherence to Primary Care Preventive Service Guidelines
BACKGROUND: Preventive care service use is commonly compared across health plans, clinics, or individual providers, yet little is known about the influence of the clinic versus patient factors on utilization of these services. OBJECTIVES: To measure the relative influence of the facility (clinic) versus patient factors (demographic, behavioral and functional characteristics) on patients' utilization of mammography, Pap smears, cholesterol screeni…
Assessing Compliance to Antihypertensive Medications Using Computer-Based Pharmacy Records
Systematic approaches for compliance problem detection and intervention are needed if the benefits of prescribed drug therapy in chronic disease management are to be optimized. As with all measures of compliance, computer algorithms based on refill patterns have advantages and disadvantages. They are unobtrusive and easily determined, but they measure the timeliness of prescription refills, not actual drug-taking. Computer-generated algorithms fo…
Proprietary Interests
Deliberations on the Dissemination of Port Products
This report outlines the activities undertaken by the Inter-PORT Dissemination work group during its first 2 years of operation. The work group's initial purpose was to assist the individual PORTs in developing their plans for both disseminating research findings and evaluating the effectiveness of these strategies. However, it became quickly apparent that in a discipline little more than a decade old, a commonly understood vocabulary had yet to …
Conducting Medical Effectiveness Research
Finale Panel
From the University of Washington and Harborview Medical Center, Seattle, Washington †From the Department of Pediatrics, University of California at San Francisco, San Francisco, California ‡1110 West Main Street, Jacksonville, Arkansas
Testing the Implementation of Clinical Guidelines
come achieved eventually led many to call for national efforts to employ professional education in addition to financial incentives to promote more cost-effective practice.2 Unfortunately, it was not at all clear which clinical approaches merited advocacy. Less than 20 percent of all commonly accepted clinical modalities had been demonstrated to be efficacious with a randomized controlled trial (RCT).3 Because the cost of performing an RCT for al…
Ethical Issues in Administrative Continuous Improvement
Consensus exists concerning the distinctions to be drawn between clinical practice and research. When the latter is undertaken, established regulations require that protocols including plans for obtaining subjects' informed consent be submitted to Institutional Review Boards for approval. Less consensus or codification exists concerning evaluations conducted by managers in health care settings. The recent development of firm systems, in which ran…
Academic Group Practice
In order to evaluate physician response to the reorganization of a traditional medical clinic into a group practice model, a randomized controlled trial was conducted using equivalent groups of patients and physicians. The group practice model, unlike the traditional clinic, provided decentralized registration, 5 days/week clinic coverage, and night/weekend phone coverage. Residents worked in small groups with an attending physician, nurse practi…
Effect of an Academic Group Practice on Patient Show Rates
Ambulatory medical clinics at academic centers are reputed to be expensive, inefficient, and poorly regarded by the medical residents who staff them. In an effort to address these problems, some centers have reorganized their traditional clinics into group practices. These group practices are thought to be more effective for teaching and providing services than are the traditional clinics. This is a report on the results of a study in which the a…
Academic Group Practice
The effect upon patient satisfaction of a reorganization of a traditional medical clinic into a group practice model was examined in a controlled trial in which both patients and physicians were randomized. The group practice model, unlike the traditional clinic, provided decentralized registration, 5 days/week clinic coverage, and night/weekend phone coverage. Residents worked in small groups with an attending physician, a nurse practitioner, an…
The Continuity of Care Provided to Primary Care Patients
The authors compared the continuity of care that family physicians, general internists, and medical subspecialists provided to their adult primary care patients. The 40 study physicians came from large, private multispecialty practices in the San Francisco Bay Area. The three physician types did not differ significantly in the degree of continuity provided, measured by the proportion of total visits to a patient's primary provider (usual provider…
Preventive content of adult primary care
We compared preventive care performed by 20 generalists and 20 subspecialists practicing in Santa Clara and San Mateo Counties, California, by auditing charts of adult primary care patients for compliance with recommendations of the Canadian Task Force on the Periodic Health Examination. Generalists and subspecialists both provided 49 per cent of recommended preventive services. The two groups did not differ significantly in performance of any in…
The Effect of Decentralized Education Versus Increased Supply on Practice Location
To improve the geographic distribution of physician assistants and nurse practitioners in California, the Primary Care Associate Program established five community-based training sites in outlying areas while continuing to operate its core program within the San Francisco Bay Area. To evaluate this effort, the authors prospectively compared the employment locations of graduates from both groups, achieving a follow-up rate of 95%. Graduates from c…
Preventive content of adult primary care
We compared preventive care performed by 20 generalists and 20 subspecialists practicing in Santa Clara and San Mateo Counties, California, by auditing charts of adult primary care patients for compliance with recommendations of the Canadian Task Force on the Periodic Health Examination. Generalists and subspecialists both provided 49 per cent of recommended preventive services. The two groups did not differ significantly in performance of any in…
Preventive content of adult primary care
We compared preventive care performed by 20 generalists and 20 subspecialists practicing in Santa Clara and San Mateo Counties, California, by auditing charts of adult primary care patients for compliance with recommendations of the Canadian Task Force on the Periodic Health Examination. Generalists and subspecialists both provided 49 per cent of recommended preventive services. The two groups did not differ significantly in performance of any in…
The Effect of Decentralized Education Versus Increased Supply on Practice Location
To improve the geographic distribution of physician assistants and nurse practitioners in California, the Primary Care Associate Program established five community-based training sites in outlying areas while continuing to operate its core program within the San Francisco Bay Area. To evaluate this effort, the authors prospectively compared the employment locations of graduates from both groups, achieving a follow-up rate of 95%. Graduates from c…
The Continuity of Care Provided to Primary Care Patients
The authors compared the continuity of care that family physicians, general internists, and medical subspecialists provided to their adult primary care patients. The 40 study physicians came from large, private multispecialty practices in the San Francisco Bay Area. The three physician types did not differ significantly in the degree of continuity provided, measured by the proportion of total visits to a patient's primary provider (usual provider…
Academic Group Practice
The effect upon patient satisfaction of a reorganization of a traditional medical clinic into a group practice model was examined in a controlled trial in which both patients and physicians were randomized. The group practice model, unlike the traditional clinic, provided decentralized registration, 5 days/week clinic coverage, and night/weekend phone coverage. Residents worked in small groups with an attending physician, a nurse practitioner, an…
Academic Group Practice
In order to evaluate physician response to the reorganization of a traditional medical clinic into a group practice model, a randomized controlled trial was conducted using equivalent groups of patients and physicians. The group practice model, unlike the traditional clinic, provided decentralized registration, 5 days/week clinic coverage, and night/weekend phone coverage. Residents worked in small groups with an attending physician, nurse practi…
Effect of an Academic Group Practice on Patient Show Rates
Ambulatory medical clinics at academic centers are reputed to be expensive, inefficient, and poorly regarded by the medical residents who staff them. In an effort to address these problems, some centers have reorganized their traditional clinics into group practices. These group practices are thought to be more effective for teaching and providing services than are the traditional clinics. This is a report on the results of a study in which the a…
Ethical Issues in Administrative Continuous Improvement
Consensus exists concerning the distinctions to be drawn between clinical practice and research. When the latter is undertaken, established regulations require that protocols including plans for obtaining subjects' informed consent be submitted to Institutional Review Boards for approval. Less consensus or codification exists concerning evaluations conducted by managers in health care settings. The recent development of firm systems, in which ran…
Testing the Implementation of Clinical Guidelines
come achieved eventually led many to call for national efforts to employ professional education in addition to financial incentives to promote more cost-effective practice.2 Unfortunately, it was not at all clear which clinical approaches merited advocacy. Less than 20 percent of all commonly accepted clinical modalities had been demonstrated to be efficacious with a randomized controlled trial (RCT).3 Because the cost of performing an RCT for al…
Finale Panel
From the University of Washington and Harborview Medical Center, Seattle, Washington †From the Department of Pediatrics, University of California at San Francisco, San Francisco, California ‡1110 West Main Street, Jacksonville, Arkansas
Deliberations on the Dissemination of Port Products
This report outlines the activities undertaken by the Inter-PORT Dissemination work group during its first 2 years of operation. The work group's initial purpose was to assist the individual PORTs in developing their plans for both disseminating research findings and evaluating the effectiveness of these strategies. However, it became quickly apparent that in a discipline little more than a decade old, a commonly understood vocabulary had yet to …
Conducting Medical Effectiveness Research
Proprietary Interests
Assessing Compliance to Antihypertensive Medications Using Computer-Based Pharmacy Records
Systematic approaches for compliance problem detection and intervention are needed if the benefits of prescribed drug therapy in chronic disease management are to be optimized. As with all measures of compliance, computer algorithms based on refill patterns have advantages and disadvantages. They are unobtrusive and easily determined, but they measure the timeliness of prescription refills, not actual drug-taking. Computer-generated algorithms fo…
Relative Impact of Patient and Clinic Factors on Adherence to Primary Care Preventive Service Guidelines
BACKGROUND: Preventive care service use is commonly compared across health plans, clinics, or individual providers, yet little is known about the influence of the clinic versus patient factors on utilization of these services. OBJECTIVES: To measure the relative influence of the facility (clinic) versus patient factors (demographic, behavioral and functional characteristics) on patients' utilization of mammography, Pap smears, cholesterol screeni…
The Midpeninsula Health Service
OBJECTIVES: A Joint Planning Committee Report was issued in 1974 exploring how Stanford University might itself provide primary care to students, faculty, employees and their dependents at low cost. The report called for the creation of a health maintenance organization owned by its subscribers in affiliation with Stanford Medical Center. However, because the report was dismissed by the dean of the School of Medicine as being unworkable, the Midp…
A Festschrift in Honor of Halsted R. Holman, MD
Hospital in New York. In Dr. Henry Kunkel's lab at Rockefeller Institute, Hal Holman identified antinuclear and antiDNA antibodies that, along with Hargreaves's description of the lupus cell, provided the first evidence of autoimmunity, contrary to the dictum of Paul Ehrlich that autoimmunity was impossible. With his Rockefeller Institute colleague Jules Hirsch, Halsted lectured in schools and church basements about the perils of the nuclear arms…
Medicine (13 obras) · Family medicine (9 obras) · Nursing (7 obras) · Primary Care and Health Outcomes (7 obras) · Health care (6 obras) · Political science (6 obras) · Psychology (5 obras) · Business (4 obras) · Computer Science (4 obras) · Healthcare Policy and Management (4 obras)