Abstract：
:Cost-effectiveness and cost containment are becoming increasingly more important in medicine as health care costs continue to rise and as public attention continues to focus on these costs. This article examines the major issues and terminology of cost-effectiveness and cost containment in the context of primary care. A review of basic terminology and a quick reference glossary are included; relevant literature is reviewed. The goal of this article is to provide a beginning step for physicians to become more knowledgeable and enthusiastic participants in cost-effectiveness and cost-containment efforts.
journal_name
Prim Carejournal_title
Primary careauthors
Bishof RO,Nash DBdoi
10.1016/s0095-4543(05)70265-7subject
Has Abstractpub_date
1996-03-01 00:00:00pages
115-26issue
1eissn
0095-4543issn
1558-299Xpii
S0095-4543(05)70265-7journal_volume
23pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract：:Child abuse is a common pediatric problem that can be recognized and treated appropriately by all primary care physicians who care for children. One of the necessary skills in this process involves being prepared to interface with the legal system. The physician is mandated to report suspected child abuse according to...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1993-06-01 00:00:00
abstract：:This review provides an update on lung cancer screening with low-dose computed tomography (LDCT) and its implications for primary care providers. One of the unique features of lung cancer screening is the potential complexity in patient management if an LDCT scan reveals a small pulmonary nodule. Additional tests, con...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2014.02.007
更新日期：2014-06-01 00:00:00
abstract：:Infectious arthritis should be suspected in any patient with a swollen joint but especially in children, debilitated patients, immunocompromised persons, those with infection elsewhere (even if on antibiotics), and those with other types of arthritis or a prosthetic joint. Diagnosis depends on obtaining joint fluid fo...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：:The radiographic evaluation of the arthritides still relies primarily on the plain films that are readily available to every practicing clinician. The radiographic examination serves primarily to confirm the clinician's diagnosis based on the history, clinical findings, and laboratory studies and to document the sever...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1993-12-01 00:00:00
abstract：:Depression is the most frequent psychiatric complication of serious medical illness, occurring in up to 20 per cent of cases. Criteria for its diagnosis and guidelines for its treatment are presented. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1987-12-01 00:00:00
abstract：:The relationships between oral health conditions, dietary practices and nutritional status, and general health status in the older American are complex, with many interrelating factors. Just as inadequate nutrition can affect oral health, poor oral health status affects food choices and, thus, nutritional status. It i...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1994-03-01 00:00:00
abstract：:There can be no question that smoking is a modern version of plague; that, as Camus points out, the public does not comprehend its true nature. As in the metaphorical community in Camus' narrative, the struggle of individuals against the pestilence (including official obstruction) is imperative. Physicians have multip...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1992-09-01 00:00:00
abstract：:Reports of factitious disorders, Munchausen's syndrome, and self-induced illness exist throughout medical history. In practice, disease simulation represents a spectrum of behaviors that range from relatively common and benign (e.g., pleading illness to avoid an unwanted social obligation) to rare and malignant forms ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(08)70008-3
更新日期：1999-06-01 00:00:00
abstract：:The clinician handling skin disorders may be confounded in a number of ways. By being aware of the general types of errors seen in clinical medicine and the specific, clinical pitfalls of common dermatoses, the physician should be better able to triage and treat skin problems accurately. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1989-09-01 00:00:00
abstract：:Fingertip injuries and lacerations of the hand are often dismissed as inconsequential, although this attitude can lead to more serious problems. Appropriate and timely treatment of these injuries prevents loss of function, preserves digital sensibility, and lessens the need for reconstructive surgery. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1980-06-01 00:00:00
abstract：:The environment contains a huge array of allergens, primarily proteins or glycoproteins, to which the atopic individual may become sensitized. In situations of high exposure and highly reactive substances, even nonatopic individuals may develop allergic antibodies. The individual's response depends on the underlying i...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1987-09-01 00:00:00
abstract：:The medical emergency of diabetic ketoacidosis is a particular problem for children with insulin-dependent diabetes because it is frequently associated with their initial presentation. Subsequent episodes can be prevented with proper use of personal glucose monitoring. The pathophysiology and diagnosis of diabetic ket...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1983-12-01 00:00:00
abstract：:Motivational approaches that build on the concepts of risk and harm reduction are new developments in the application of behavioral sciences to health promotion and disease prevention. This article develops a generic approach for helping practitioners motivate patients to change unhealthy behaviors. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1995-12-01 00:00:00
abstract：:All patients with pain must be taken seriously, and both organic and emotional factors investigated. Cultural aspects, early developmental experience, and highly personal meanings may influence the individual's perception of and reaction to pain; specific psychiatric pain states may be identified as well. Treatment is...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1975-03-01 00:00:00
abstract：:Guillain-Barré syndrome and its clinical variants are a group of rapidly progressing, potentially debilitating neurologic disorders that may have significant morbidity/mortality if left unrecognized or untreated. The most common symptoms include ascending limb weakness and paralysis, which may progress to respiratory ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2015.01.001
更新日期：2015-06-01 00:00:00
abstract：:Acute gastroenteritis is a common cause of emergency and office visits. This article reviews causes, pathogenesis, diagnosis, prevention, and treatment. The incidence of antibiotic-associated colitis is increasing worldwide as a consequence of widespread use of broad-spectrum antibiotics for various illnesses. The pat...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(02)00060-x
更新日期：2003-03-01 00:00:00
abstract：:With multiple vaccines for adolescents recommended, it is imperative providers remain up to date with the current recommendations. With misinformation of vaccine safety and effectiveness in the mainstream media and social media, adolescents are a vulnerable population that needs to be reviewed and educated. Adolescent...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2020.02.002
更新日期：2020-06-01 00:00:00
abstract：:Attention-deficit-hyperactivity disorder (ADHD) is a commonly occurring, heritable neurobehavioral disorder distributed worldwide that does not typically resolve after childhood. The significant impact of ADHD on an individual's family, relationships, educational performance, and performance at work is now well establ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2007.04.012
更新日期：2007-06-01 00:00:00
abstract：:Detoxification is the medical care that safely carries the patient through withdrawal. It is normally not an end point but is a step toward rehabilitation. Protocols should be tailored to meet the needs of individual patients. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1993-03-01 00:00:00
abstract：:Children with congenital anomalies often represent a special diagnostic and management challenge. To provide optimal care for these children, one must employ a systematic approach to identify the likely pathogenic mechanism leading to the birth defects present. Determining how distinct anomalies relate to one another ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2004.04.015
更新日期：2004-09-01 00:00:00
abstract：:Prevention of infection in the elderly is far preferable to treatment of the disease, and can be promoted through precautionary measures when undertaking invasive procedures in older patients as well as through the administration of available vaccines. Difficulties in diagnosing bacterial pneumonia, influenza, tubercu...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1982-03-01 00:00:00
abstract：:Physical therapy and manual medicine for low back pain encompass many different treatment modalities. There is a vast variety of techniques that physical therapists commonly use in the treatment of low back pain. Some of the therapies include, but are certainly not limited to, education, exercise, lumbar traction, man...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2012.06.006
更新日期：2012-09-01 00:00:00
abstract：:Pilonidal disease commonly is seen by all primary care practitioners, and guidelines for office management and referral are provided. Less commonly seen entities, such as hidradenitis suppurativa, anal cancer, and Bowen's and Paget's diseases, also may affect this anatomic area. Knowledge that they may be encountered ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70107-x
更新日期：1999-03-01 00:00:00
abstract：:Depression, chronic fatigue, and premenstrual syndrome often coexist in women seeking treatment for premenstrual distress. A reliable diagnosis can be made by prospectively rating symptoms for two cycles, taking a careful history, performing physical and gynecologic examinations, and obtaining basic laboratory test re...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1991-06-01 00:00:00
abstract：:It is estimated that 8% to 12% of American youths have experienced at least one sexual assault in their lifetime, making childhood sexual abuse (CSA) an important public health problem that is likely to be encountered by primary care providers. Use of screening tools and understanding the principles behind targeted cl...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2016.01.005
更新日期：2016-06-01 00:00:00
abstract：:Urticaria and angioedema are common medical problems. This article presents a classification and review of the diverse etiologic factors that can trigger these problems. A practical approach to differential diagnosis and various therapeutic modalities are also explained. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1987-09-01 00:00:00
abstract：:Most disease states giving rise to pulmonary symptoms represent a composite of physiologic changes involving ventilation and perfusion. The major initial physiologic abnormality is identified for a number of problems commonly encountered. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1978-09-01 00:00:00
abstract：:The major differences that have been recognized between black and white hypertensives are primarily epidemiologic, with hypertension being more prevalent, having an earlier onset, and having more severe sequelae in the black population. The cause of the problem in both black and white people remains obscure, but it ap...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1991-09-01 00:00:00
abstract：:This article discusses the technique of cervical electrosurgical loop excision, which allows for treatment of premalignant conditions of the cervix. The primary goal of cervical loop excision is to provide a method of managing preneoplastic cervical conditions in a safe, effective manner while minimizing the chance of...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70394-8
更新日期：1997-06-01 00:00:00
abstract：:In summary, menopause tends to be associated with an increased risk of obesity and a shift to an abdominal fat distribution with associated increase in health risks. Changes in body composition at menopause may be caused by the decrease in circulating estrogen, and, for fat distribution shifts, the relative increase i...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(03)00012-5
更新日期：2003-06-01 00:00:00
