Thomas R Willemain
Biographic Data
| ID | 5535583 |
|---|---|
| NAME | Thomas R Willemain |
| GIVEN NAMES | Thomas R |
| FAMILY NAME | Willemain |
| SIGNATURE | WILLEMAIN T R |
| AFFILIATIONS | Harvard University |
| ORCID | 0000-0002-1851-7070 |
| VERIFIED | No |
| TOTAL WORKS | 8 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 8 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1975 |
| LATEST PUBLICATION YEAR | 1982 |
| H-INDEX | 0 |
Hospital Discharge Queues in Massachusetts
There is growing concern over the inappropriate utilization of health care facilities. The high cost of hospital care and the apparent shortage of nursing home beds have focused attention on one aspect of this problem: the clinically unnecessary days (sometimes called "administrative days" or "ADs") spent in hospitals by patients who are awaiting placement in long-term care facilities. In this study, data from a 1976 Massachusetts Department of P…
Police Deployment
The Distribution of Intervals Between Visits as a Basis for Assessing and Regulating Physician Services in Nursing Homes
We propose a new indicator of responsiveness of physician care in nursing homes: the distribution of intervals between physician visits. Current reimbursement and certification practices work to contain costs and assure minimum quality by influencing the intervals between visits. Data from a comparative study of 2 systems of medical care in nursing homes reveal marked differences in the interval distributions of the 2 systems. The system operatin…
A New Intermediate Dental Outcome Measure
The length of time amalgam restorations last before replacement was investigated for use as an intermediate outcome measure in utilization review and quality assurance studies. Based on record data from 37 general dental practices, a determination was made of the average percentage of two- or three-surface amalgams receiving another service at 6, 12, and 24 months from the date of insertion. After 2 years, approximately 13 per cent of the amalgam…
Response to Dr. Roemer
Response to Mr. Wiener
Nursing Homes and the Roemer-Feldstein Hypothesis
The theory of certification-of-need is based in large part on the Roemer-Feldstein hypothesis, which holds that demand for services is proportional to bed supply. Athough developed solely from hospital data, this hypothesis is commonly assumed to hold for nursing homes as well. In fact, a high correlation between nursing home bed supply and bed utilization does exist. However, the rate of utilization should not be judged without reference to the …
Patient and Bystander Response to Medical Emergencies
This study of patient and bystander responses to medical emergencies revealed serious shortcomings in the public's ability to respond appropriately to such situations. Decision delays at least as long as ambulance response delays were found to be the result of confusion regarding the seriousness of the emergency, confusion regarding the appropriate reaction to the emergency, and a reluctance to burden the rescue service unnecessarily. A significa…
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Patient and Bystander Response to Medical Emergencies
This study of patient and bystander responses to medical emergencies revealed serious shortcomings in the public's ability to respond appropriately to such situations. Decision delays at least as long as ambulance response delays were found to be the result of confusion regarding the seriousness of the emergency, confusion regarding the appropriate reaction to the emergency, and a reluctance to burden the rescue service unnecessarily. A significa…
Nursing Homes and the Roemer-Feldstein Hypothesis
The theory of certification-of-need is based in large part on the Roemer-Feldstein hypothesis, which holds that demand for services is proportional to bed supply. Athough developed solely from hospital data, this hypothesis is commonly assumed to hold for nursing homes as well. In fact, a high correlation between nursing home bed supply and bed utilization does exist. However, the rate of utilization should not be judged without reference to the …
Response to Dr. Roemer
Response to Mr. Wiener
A New Intermediate Dental Outcome Measure
The length of time amalgam restorations last before replacement was investigated for use as an intermediate outcome measure in utilization review and quality assurance studies. Based on record data from 37 general dental practices, a determination was made of the average percentage of two- or three-surface amalgams receiving another service at 6, 12, and 24 months from the date of insertion. After 2 years, approximately 13 per cent of the amalgam…
Police Deployment
The Distribution of Intervals Between Visits as a Basis for Assessing and Regulating Physician Services in Nursing Homes
We propose a new indicator of responsiveness of physician care in nursing homes: the distribution of intervals between physician visits. Current reimbursement and certification practices work to contain costs and assure minimum quality by influencing the intervals between visits. Data from a comparative study of 2 systems of medical care in nursing homes reveal marked differences in the interval distributions of the 2 systems. The system operatin…
Hospital Discharge Queues in Massachusetts
There is growing concern over the inappropriate utilization of health care facilities. The high cost of hospital care and the apparent shortage of nursing home beds have focused attention on one aspect of this problem: the clinically unnecessary days (sometimes called "administrative days" or "ADs") spent in hospitals by patients who are awaiting placement in long-term care facilities. In this study, data from a 1976 Massachusetts Department of P…
Medicine (5 works) · MEDLINE (4 works) · Political science (4 works) · Geriatric Care and Nursing Homes (3 works) · Medical emergency (2 works) · Nursing (2 works) · Psychology (2 works) · Ambulance service (1 works) · Backup (1 works) · Business (1 works)