Abstract:
OBJECTIVES:A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). METHODS:Half of 52 primary care sites received the intervention, which included written feedback and a financial bonus. Mammography, breast exam, colorectal screening, and Pap testing compliance rates were evaluated. RESULTS:From 1993 to 1995, screening rates doubled overall (from 24% to 50%), with no significant differences between intervention and control group sites. CONCLUSIONS:Financial incentives and feedback did not improve physician compliance with cancer screening guidelines in a Medicaid HMO.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Hillman AL,Ripley K,Goldfarb N,Nuamah I,Weiner J,Lusk Edoi
10.2105/ajph.88.11.1699subject
Has Abstractpub_date
1998-11-01 00:00:00pages
1699-701issue
11eissn
0090-0036issn
1541-0048journal_volume
88pub_type
临床试验,杂志文章,多中心研究,随机对照试验abstract::More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infri...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1776
更新日期:2001-11-01 00:00:00
abstract::The medical outcomes and demographic characteristics of all victims of fires identified by The Baltimore Fire Department during a 14-month period in Baltimore City were studied. Fifty-nine per cent of victims suffered minor injuries, 25 per cent required hospitalization and 16 per cent were fatalities. The majority of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.11.1077
更新日期:1977-11-01 00:00:00
abstract::This paper reports the home-facility and level of care changes, discharges, and deaths over a five-year period for 1,653 clients newly admitted in 1978 to a long-term care program in British Columbia, Canada. Five years after admission, of clients initially admitted to care at home (N = 1241), 34.3 per cent were still...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.11.1312
更新日期:1986-11-01 00:00:00
abstract::An ever-present challenge for the oral health profession is to reduce the extent of oral disease among racial and ethnic minority populations. Adding to this complex dilemma is the linkage between oral health and systemic health. We describe enhanced cultural competency, in the context of individual cultural beliefs, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303721
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES: To test the efficacy of Reducing the Risk (RTR) and Love Notes (LN) on reducing risky sexual behavior among youths yet to experience or cause a pregnancy. METHODS: The four dependent variables were ever had sex, condom use, birth control use, and number of sexual partners at 3- and 6-month follow-up in a 3...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303429
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:This study evaluated a nurse-managed smoking cessation program for smokers hospitalized for a variety of conditions. METHODS:Hospitalized patients who smoked prior to hospitalization and who were motivated to quit (n = 660) were randomized to intervention or usual-care groups and followed for the next year....
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.86.11.1557
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVES:We examined differences in substance abuse treatment outcomes between American Indians and their non-American Indian counterparts in California, during 2000 to 2002. METHODS:A total of 368 American Indians and a matched sample of 368 non-American Indians from 39 substance abuse treatment programs in 13 Cali...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.055871
更新日期:2006-05-01 00:00:00
abstract::We developed a quality-of-life method for valuing changes in health status. Our model determines changes in health attributes for different illnesses and then estimates the dollar value of the corresponding welfare losses. We used our quality-of-life approach to estimate willingness to pay to avoid asthma, a headache,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1553
更新日期:1992-11-01 00:00:00
abstract::We analyzed the variation in the risk of AIDS in US Blacks, Hispanics, and other racial/ethnic groups relative to that in Whites (non-Hispanic) by geographic area and mode of acquiring HIV infection, based on data reported between June 1, 1981 and January 18, 1988 to the Centers for Disease Control and 1980 US census ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1539
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVES:We described 27-year secular trends in added-sugar intake and body mass index (BMI) among Americans aged 25 to 74 years. METHODS:The Minnesota Heart Survey (1980-1982 to 2007-2009) is a surveillance study of cardiovascular risk factors among residents of the Minneapolis-St Paul area. We used generalized lin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300562
更新日期:2013-03-01 00:00:00
abstract::Along with the rest of Central and Eastern Europe, Croatia has begun to dismantle its long-standing socialist health care system and to replace it with a market-based approach. Marketization's advocates maintain that the market will bring efficiency and quality to the Croatian health care system. Nevertheless, data fr...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.88.8.1156
更新日期:1998-08-01 00:00:00
abstract::Many people (40 per cent) receive each year some personal health service provided by local health departments. A substantial number of poor children (50 per cent) look to public agencies including health departments for all or part of their medical care. A number of departments including those represented in this stud...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.1_suppl.15
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVES:After conducting a media campaign focusing on the importance of oral and pharyngeal cancer (OPC) examinations, we assessed mechanisms of behavior change among individuals receiving an OPC examination for the first time. METHODS:We used data from 2 waves of telephone surveys of individuals residing in 36 rur...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302516
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether supplemental private insurance coverage among Medicare recipients alters patterns of health care or outcomes associated with acute myocardial infarction. METHODS:Medicare patients hospitalized after a myocardial infarction were identified from New York City hospitalization rec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.5.778
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVES:We estimated the prevalence and incidence of gender identity disorder (GID) diagnoses among veterans in the Veterans Health Administration (VHA) health care system and examined suicide risk among veterans with a GID diagnosis. METHODS:We examined VHA electronic medical records from 2000 through 2011 for 2 o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301507
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVES:We investigated basic measures used to assess collaboration between colocated providers and to gauge the extent to which health centers practice integrated care. METHODS:We used the Assessment of Behavioral Health Services survey and the 2010 Uniform Data System to explore the elements of integrated care fo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302710
更新日期:2015-10-01 00:00:00
abstract::The accepted wisdom about the US overdose crisis singles out prescribing as the causative vector. Although drug supply is a key factor, we posit that the crisis is fundamentally fueled by economic and social upheaval, its etiology closely linked to the role of opioids as a refuge from physical and psychological trauma...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304187
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:This study assessed changes in the prevalence of hearing impairment in persons aged 50 years and older over the past 30 years and identified risk factors. METHODS:Age-adjusted hearing impairment prevalence rates at four time intervals were calculated from the Alameda County Study (n = 5108). Logistic regres...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.3.440
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVES:This study tested the hypothesis that tobacco industry campaign contributions influence state legislators' behavior. METHODS:Multivariate simultaneous equations regression was used to analyze data on tobacco industry campaign contributions to state legislators and legislators' tobacco control policy scores ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.918
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:We examined the associations of oral health literacy (OHL) with oral health status (OHS) and dental neglect (DN), and we explored whether self-efficacy mediated or modified these associations. METHODS:We used interview data collected from 1280 female clients of the Special Supplemental Nutrition Program for...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300291
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:We examined the joint associations of marital status and duration of cohabitation on self-reported intimate partner violence, substance use, and postpartum depression among childbearing women. METHODS:We analyzed data from the 2006-2007 Canadian Maternity Experiences Survey, a cross-sectional nationwide sam...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301116
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:We examined gender differences in sociodemographic, military service, and mental health characteristics among Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans. We evaluated associations between these sociodemographic and service characteristics and depression and posttraumatic stre...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.166165
更新日期:2010-12-01 00:00:00
abstract::A deeper understanding of how structure and environment shape the sexual and reproductive health vulnerabilities of youths across a range of outcomes has implications for the development of successful policies and programs. We have discussed some of the key structural and environmental factors that influence the sexua...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2015.302740
更新日期:2015-10-01 00:00:00
abstract::The environmental justice movement has stimulated community-driven research about the living and working conditions of people of color and low-income communities. We describe an epidemiological study designed to link research with community education and organizing for social justice. In eastern North Carolina, high-d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.110486
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:This study compared characteristics of older (> or = 50 years) and younger (< 50 years) women with acquired immunodeficiency syndrome (AIDS) attributed to heterosexual contact. METHODS:We interviewed women with heterosexually acquired AIDS reported to 12 state and local health departments. Of 556 women inte...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.11.1616
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVES:We compared cycling injury risks of 14 route types and other route infrastructure features. METHODS:We recruited 690 city residents injured while cycling in Toronto or Vancouver, Canada. A case-crossover design compared route infrastructure at each injury site to that of a randomly selected control site fro...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300762
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVES:We sought to identify correlates of forced sex perpetration among men and victimization among women in Botswana and Swaziland. METHODS:We surveyed a 2-stage probability sample of 2074 adults from the 5 districts of Botswana with the highest HIV prevalence rates and all 4 regions of Swaziland. We used multiv...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300060
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:We assessed the impact of a tobacco control initiative over 10 years on cessation and prevention. METHODS:We examined 2000-2009 Behavioral Risk Factor Surveillance System cases of a metropolitan statistical area (MSA) with systematic tobacco control efforts throughout the decade (El Paso, TX) and 2 comparis...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300346
更新日期:2012-05-01 00:00:00
abstract::Cryptosporidia that were infective for infant mice were subjected to various moist heat treatments and subsequently tested in infant mice for infectivity. Warming from 9 degrees C to 55 degrees C over a period of 15 to 20 minutes neutralized infectivity in calf feces, cecal contents, and ileal scrapings. Inocula held ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.12.1433
更新日期:1985-12-01 00:00:00
abstract:OBJECTIVES:Suffering from waning demand, poor quality, and reform efforts enabling veterans to "vote with their feet" and leave, the Veterans Health Administration (VA) health care system transformed itself through a series of substantive changes. We examined the evolution of primary care changes underlying VA's transf...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2007.115709
更新日期:2007-12-01 00:00:00