Richard A. Reid

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CONTEXT Few studies have attempted to quantify the effect of the epidemic of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) on demand for health care in developing countries. More data are required to improve understanding of its impact and to guide development of appropriate response strategies. OBJECTIVE To assess the(More)
To explore the potential usefulness of a strategy of hospital-based pneumococcal immunization, we studied a population-based linked record of hospital discharges for Medicare enrollees living in the Shenandoah region of Virginia. A retrospective study of 1633 persons discharged with pneumonia in 1983 showed that 61% to 62% had been discharged within the(More)
The population of a community of 29,608 adults was screened door-to-door for elevated blood pressure. Of 12,371 adults screened, 20% were classified as hypertensive. After repeated blood-pressure measurement, however, there were only 9% with sustained hypertension, while 11% had labile hypertension. Sixty percent of the cases of sustained hypertension had(More)
A work sampling study was initiated to provide a comprehensive description of the tasks performed by midlevel health personnel in the rural component of an experimental medical care delivery system. The investigation determined the proportion of time spent on various activities by the staff members of a rural clinic which is linked to supervisory physicians(More)
Twenty-one members of a graduate internal medicine training program were studied to determine whether feedback of simple ambulatory practice profiles would prove valuable in their training program. Each physician was profiled every three months with regard to number of patients seen, average cost of ancillary testing per visit, average time per visit, and(More)
Logic tools from the Theory of Constraints (TOC) provide the ability to descriptively characterize the entity relationships responsible for a typical, although somewhat chaotic, manufacturing environment. Basically through one-to-one mappings, System Dynamics (SD) models are created from the TOC logic diagrams. Insights gained from exercising the SD models(More)
Medical residents require an experience beyond the tertiary care hospital to understand many aspects of contemporary medical practice and to make informed career choices. To provide this balanced training, the University of Virginia has operated for 10 years an internal medicine teaching office practice to provide an outpatient experience similar to private(More)
Two types of strategic factors promote the development of hospice-home health care alliances. Enabling factors include favorable reimbursement policies, acceptance of innovative and noninstitutional modes of health care delivery, and existing supportive infrastructures. Factors supporting alliances include similar types of patient needs, potential for(More)