Decreasing self-perceived health status despite rising health expenditures.

Abstract:

:Despite steady increases in U.S. health care spending, the population's self-perceived health status has been in a long-term decline. Increased support for public health, prevention, and primary care could reduce growth in spending and improve actual and perceived health.

journal_name

Am Fam Physician

authors

Rabin D,Petterson SM,Bazemore AW,Teevan B,Phillips RL Jr,Dodoo MS,Xierali I

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

427

issue

5

eissn

0002-838X

issn

1532-0650

journal_volume

80

pub_type

杂志文章
  • Hepatitis B.

    abstract::Hepatitis B causes significant morbidity and mortality worldwide. More than 400 million persons, including 1.25 million Americans, have chronic hepatitis B. In the United States, chronic hepatitis B virus infection is responsible for about 5,000 annual deaths from cirrhosis and hepatocellular carcinoma. Hepatitis B vi...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Lin KW,Kirchner JT

    更新日期:2004-01-01 00:00:00

  • An update on the diagnosis and treatment of mania in bipolar disorder.

    abstract::Manic episodes are characterized by the triad of unstable mood, pressured speech and increased motor activity. This type of episode is often due to bipolar disorder. Benzodiazepines and antipsychotic agents are generally used in the acute emergency management of mania. Lithium, carbamazepine or a valproate preparation...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Werder SF

    更新日期:1995-04-01 00:00:00

  • Osteoporosis: effects of calcium.

    abstract::Bone loss coincides with the reduced physical activity of both sexes in later years, vigorously aggravated by age-associated hormonal changes in women and chronic inadequate intake of calcium. In the absence of preventive dietary measures, osteoporosis may become a major health problem for America's fastgrowing senior...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Albanese AA,Lorenze EJ Jr,Wein EH

    更新日期:1978-10-01 00:00:00

  • Basic upper extremity orthotics.

    abstract::Improved hand function after injury or disease is achieved by increasing joint mobility, muscle strength and coordination, while reducing edema and pain. Static and dynamic orthoses assist in correcting deformities, provide strengthening activities and maintain a functional hand position. Many orthotic appliances are ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Delisa JA,Greenberg S

    更新日期:1981-08-01 00:00:00

  • Clinical research by the family phtsician.

    abstract::After the safety and the tolerable dosage range of a new drug have been determined, it must be evaluated for efficacy and safety in patients having the condition for which the new drug is intended. The nature of certain drugs or diseases of of the patient population desired may suggest a family physician as the best d...

    journal_title:American family physician

    pub_type: 临床试验,杂志文章

    doi:

    authors: Flaster DJ

    更新日期:1976-01-01 00:00:00

  • Type 2 Diabetes Mellitus: Outpatient Insulin Management.

    abstract::In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. The American Diabetes Association suggests the use of long-acting (basal) insulin to augment therapy with one or two oral agents or one oral agent plus a glucagon-like pep...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Howard-Thompson A,Khan M,Jones M,George CM

    更新日期:2018-01-01 00:00:00

  • Atypical moles.

    abstract::Atypical moles can be distinguished visually by clinical features of size greater than 6 mm in diameter, color variegation, indistinct borders, and textured surface. All patients who have atypical moles should be counselled about sun avoidance, screening of family members, and regular skin checks at least once per yea...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Cyr PR

    更新日期:2008-09-15 00:00:00

  • The serum digoxin concentration: ten questions to ask.

    abstract::Although the role of digoxin therapy has been the subject of debate, the drug is generally accepted as effective in the treatment of heart failure due to systolic dysfunction and as therapy for atrial fibrillation and supraventricular tachyarrhythmias. Serum digoxin concentrations are commonly used to gauge patient re...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Cauffield JS,Gums JG,Grauer K

    更新日期:1997-08-01 00:00:00

  • Relactation.

    abstract::Relactation means reestablishment of a milk supply and nursing after the cessation of nursing for a variable period. Induced nonpuerperal lactation means establishing a milk supply in a woman who has never been pregnant. When motivation and the breasts have both been carefully examined, preparation includes breast sti...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Waletzky LR,Herman EC

    更新日期:1976-08-01 00:00:00

  • Evaluation and treatment of orthostatic hypotension.

    abstract::Orthostatic hypotension is defined as a decrease of at least 20 mm Hg in systolic blood pressure when an individual moves from a supine position to a standing position. Nonneurogenic causes of orthostatic hypotension are related to cardiac pump failure, reduced intravascular volume, venous pooling or a medication side...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Engstrom JW,Aminoff MJ

    更新日期:1997-10-01 00:00:00

  • New trends in the management of cardiac arrest.

    abstract::Prompt defibrillation with lower energy levels (200 joules) initially is now recommended. Epinephrine is effective when instilled intratracheally and remains the treatment of choice for restoring cardiac rhythm. Enthusiasm for isoproterenol and calcium chloride has waned. Sodium bicarbonate and atropine are now used m...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Grauer K

    更新日期:1984-02-01 00:00:00

  • Unstable angina and non-ST-segment elevation myocardial infarction: part II. Coronary revascularization, hospital discharge, and post-hospital care.

    abstract::In the guideline developed by the American College of Cardiology and the American Heart Association, the management of suspected unstable angina and non-ST-segment elevation myocardial infarction (UA/NSTEMI) has four components: initial evaluation and management; hospital care; coronary revascularization; and hospital...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Wiviott SD,Braunwald E

    更新日期:2004-08-01 00:00:00

  • Surgical options in the management of groin hernias.

    abstract::Inguinal and femoral hernias are the most common conditions for which primary care physicians refer patients for surgical management. Hernias usually present as swelling accompanied by pain or a dragging sensation in the groin. Most hernias can be diagnosed based on the history and clinical examination, but ultrasonog...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Bax T,Sheppard BC,Crass RA

    更新日期:1999-01-01 00:00:00

  • Evaluation and management of herpes zoster ophthalmicus.

    abstract::Herpes zoster ophthalmicus occurs when the varicella-zoster virus is reactivated in the ophthalmic division of the trigeminal nerve. Herpes zoster ophthalmicus represents up to one fourth of all cases of herpes zoster. Most patients with herpes zoster ophthalmicus present with a periorbital vesicular rash distributed ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Shaikh S,Ta CN

    更新日期:2002-11-01 00:00:00

  • Suicide attempt by drug overdose.

    abstract::Suicide attempts by drug overdose are a growing health care problem, now reaching epidemic proportions. The patient who attempts suicide is typically a young, single adult female with interpersonal conflicts who takes an overdose of a prescribed drug, frequently a benzodiazepine. Patients who have recently been separa...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Bouknight RR

    更新日期:1986-04-01 00:00:00

  • Choosing the best medications.

    abstract::Physicians can create their own personal formulary by rigorously selecting and regularly using one or two drugs for each clinical condition they commonly encounter. The primary and secondary medical literature provides the necessary information to create this formulary. Primary literature sources include peer-reviewed...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Chambliss ML

    更新日期:1996-06-01 00:00:00

  • Delirium in older persons: evaluation and management.

    abstract::Delirium is defined as an acute, fluctuating syndrome of altered attention, awareness, and cognition. It is common in older persons in the hospital and long-term care facilities and may indicate a life-threatening condition. Assessment for and prevention of delirium should occur at admission and continue throughout a ...

    journal_title:American family physician

    pub_type: 杂志文章,已发布勘误,评审

    doi:

    authors: Kalish VB,Gillham JE,Unwin BK

    更新日期:2014-08-01 00:00:00

  • Recognition and management of acute medication poisoning.

    abstract::Poisoning is a common cause of morbidity and mortality in the United States, with several million episodes reported annually. Acute medication poisonings account for nearly one half of all poisonings reported in the United States and should be considered in persons with an acute change in mental status. The initial ap...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Frithsen IL,Simpson WM Jr

    更新日期:2010-02-01 00:00:00

  • Alzheimer's disease: making the diagnosis.

    abstract::Alzheimer's disease accounts for about 60 percent of dementia cases. Misdiagnosis of the treatable dementias can have devastating results. Pseudodementia accompanying major depression and chronic cognitive dysfunction due to psychoactive drugs are among the most commonly missed diagnoses. Although cortical atrophy is ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Black KS,Hughes PL

    更新日期:1987-11-01 00:00:00

  • Use of sedation and local anesthesia to prepare children for procedures.

    abstract::Analgesic and sedative needs depend on the type of procedure, the child's age and the degree of cooperation from the child and parents. Local anesthesia, which may be administered subcutaneously or in topical gel form, generally is sufficient for common procedures such as lumbar puncture and laceration repair. Frequen...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Sectish TC

    更新日期:1997-02-15 00:00:00

  • Attenuating cardiovascular risk factors in patients with type 2 diabetes.

    abstract::Patients with type 2 diabetes (formerly known as non-insulin-resistant diabetes) have a significantly increased risk of developing cardiovascular disease. Once clinical cardiovascular disease develops, these patients have a poorer prognosis than normoglycemic patients. By inducing endothelial changes, hyperglycemia co...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Garber AJ

    更新日期:2000-12-15 00:00:00

  • Evaluation and treatment of childhood obesity.

    abstract::The prevalence of childhood obesity in the United States has risen dramatically in the past several decades. Although 25 to 30 percent of children are affected, this condition is underdiagnosed and undertreated. Hormonal and genetic factors are rarely the cause of childhood obesity; unnecessary diagnostic evaluations ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Moran R

    更新日期:1999-02-15 00:00:00

  • The tonsillectomy-adenoidectomy dilemma.

    abstract::Tonsillectomy and adenoidectomy (T&A) is the most commonly performed surgical procedure in the U.S. Considerable controversy surrounds this operation because all previous studies have demonstrated experimental flaws that compromise the value of the findings. While an apparent immunologic deficit following T&A has been...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: McCurdy JA Jr

    更新日期:1977-09-01 00:00:00

  • Diets for Health: Goals and Guidelines.

    abstract::Diet is the single most significant risk factor for disability and premature death. Patients and physicians often have difficulty staying abreast of diet trends, many of which focus primarily on weight loss rather than nutrition and health. Recommending an eating style can help patients make positive change. Dietary p...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Locke A,Schneiderhan J,Zick SM

    更新日期:2018-06-01 00:00:00

  • Common questions about the initial management of hypertension.

    abstract::Hypertension is the most common chronic condition treated by family physicians. Elevated blood pressure is associated with an increased risk of heart failure, myocardial infarction, cerebrovascular disease, and death. Treatment of hypertension reduces the risk of these events. Several lifestyle modifications are assoc...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Langan R,Jones K

    更新日期:2015-02-01 00:00:00

  • Primary care of infants and young children with Down syndrome.

    abstract::Down syndrome is caused by triplicate material of chromosome 21. The syndrome has a variable physical expression, but congenital cardiac defects, transient myelodysplasia of the newborn and duodenal atresia are highly specific for this chromosomal disorder. Routine health maintenance is important because infants and c...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Saenz RB

    更新日期:1999-01-15 00:00:00

  • Acute abdominal pain in children.

    abstract::Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common medical cause is gastroenteritis, and the most common surgical cause is ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Leung AK,Sigalet DL

    更新日期:2003-06-01 00:00:00

  • Gas, Bloating, and Belching: Approach to Evaluation and Management.

    abstract::Gas, bloating, and belching are associated with a variety of conditions but are most commonly caused by functional gastrointestinal disorders. These disorders are characterized by disordered motility and visceral hypersensitivity that are often worsened by psychological distress. An organized approach to the evaluatio...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Wilkinson JM,Cozine EW,Loftus CG

    更新日期:2019-03-01 00:00:00

  • Effects of alcohol on bone, muscle and nerve.

    abstract::The acute and chronic effects of alcohol on bone, muscle and peripheral nerves are not well appreciated. Bone complications include traumatic fractures, osteoporosis and osteonecrosis. In muscle, a sustained bout of heavy drinking may cause rhabdomyolysis, while chronic alcohol abuse may produce proximal myopathy. In ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Hodges DL,Kumar VN,Redford JB

    更新日期:1986-11-01 00:00:00

  • The asymptomatic patient with a positive VDRL test.

    abstract::Although VDRL and RPR tests are excellent screens for syphilis, false-positive reactions do occur. A positive VDRL or RPR test must be confirmed with an FTA-ABS test. Patients with positive serologic tests should have a thorough physical examination to determine the stage of syphilis. A patient with a low-titer VDRL o...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Feder HM Jr,Manthous C

    更新日期:1988-01-01 00:00:00