Abstract：
:This study evaluated a multidisciplinary care center, the Pike Market Clinic (PMC), whose physicians provide and coordinate inpatient and outpatient care for downtown low-income elderly in Seattle. We interviewed users of PMC and their near-neighbors with a 206 item questionnaire to compare their medical and social service use, quality of care, and satisfaction. We then estimated mean annual charges/person for inpatient, outpatient and emergency room services in the two groups. Demographic and health status characteristics were similar in the two groups. PMC patients made significantly more annual visits than neighbors to their primary physicians. Visits to non-primary physicians occurred at the same rate in both groups, but PMC patients were referred more often by their primary physicians. Both emergency room and inpatient use were higher in the neighbor group. Social services were used at the same rate by PMC patients and neighbors. Various indices suggested that quality of care and satisfaction were comparable or superior among PMC patients. Using utilization data, we estimated that neighbors generated charges over $1000/person/year greater than PMC patients. Coordination by PMC providers rather than the availability of multidisciplinary services may be largely responsible for utilization differences between PMC patients and their neighbors.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Baldwin LM,Inui TS,Stenkamp Sdoi
10.1007/BF01324418subject
Has Abstractpub_date
1993-04-01 00:00:00pages
95-108issue
2eissn
0094-5145issn
1573-3610journal_volume
18pub_type
杂志文章abstract：:Women with disabilities have lower screening rates for breast and cervical cancer with some evidence suggesting that people with disabilities experience higher cancer mortality and may receive a different course of treatment. This study examined whether women with and without disabilities using Montana Cancer Control ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0141-y
更新日期：2016-06-01 00:00:00
abstract：:The IMPACT Program seeks to improve access to prostate cancer care for low-income, uninsured men. The objective of the current study was to compare the cost-effectiveness of four policy alternatives in treating this population. We analyzed the cost-effectiveness of four policy alternatives for providing care to low-in...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-009-9199-8
更新日期：2010-02-01 00:00:00
abstract：:Despite availability of a safe, effective vaccination, uptake and completion rates of human papillomavirus (HPV) vaccination remain low in the United States. This is particularly true in the southeast, which also sees some of the highest rates of HPV-associated (HPVa) cancers. We aimed to identify areas in Alabama in ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00690-1
更新日期：2019-12-01 00:00:00
abstract：:To identify significant predictors of the adoption of more than one tick-exposure and tick-borne disease risk reduction behavior among a cross-section of Indiana residents. Study participants were recruited through quota sampling, before completing an online self-administered questionnaire in Qualtrics. The most adopt...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00803-1
更新日期：2020-08-01 00:00:00
abstract：:A seventy-nine question survey concerning AIDS was administered to 142 students in a high school senior class in Manhasset, Long Island, an affluent New York City suburb with a low incidence of AIDS. The instrument elicited information about knowledge, attitudes and beliefs, behaviors, and risks. Overall knowledge lev...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01702786
更新日期：1996-10-01 00:00:00
abstract：:Though smokeless tobacco (SLT) use has decreased in many communities, concern for American Indian (AI) SLT use remains, as this population continues to be disproportionally affected by SLT-related diseases. Tobacco has cultural significance to many AI tribes, therefore tobacco cessation messages portraying tobacco as ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0362-3
更新日期：2017-12-01 00:00:00
abstract：:In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the f...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-012-9546-z
更新日期：2012-10-01 00:00:00
abstract：:This paper discusses the results from the field test of a multimedia health education intervention, designed to provide breast cancer education for low income Latinas. The purpose of the field test was to ascertain whether the intervention produced significant changes in breast cancer knowledge and attitude, and scree...
journal_title：Journal of community health
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1023/a:1013880210074
更新日期：2002-02-01 00:00:00
abstract：:Data from Wave 1 of the National Survey of Personal Health Practices and Consequences were used to examine the association between perceived control over future health and 13 health behavior indices. Analyses were conducted within three strata of health status, defined by a cross-tabulation of subjective and functiona...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01338800
更新日期：1986-10-01 00:00:00
abstract：:In the few surveys of injuries occurring in schools, severity has been defined using a priori criteria based on the nature of injury and by the area injured. The validity of these methods of classifying injury severity has not been established. The association between two commonly used measures of injury severity (nat...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01324294
更新日期：1987-01-01 00:00:00
abstract：:This study determined prevalence of intimate partner violence (IPV) victimization among female clients at three hair salons in Connecticut using an anonymous tablet based screening tool. While many may assume that women receive services at hair salons, victims of IPV are often isolated by their partners and unable to ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0429-1
更新日期：2018-04-01 00:00:00
abstract：:Seasonal variations in the incidence of the most common acute diseases in childhood during the inter-epidemic year 1978 were investigated using a sample of 7,068 walk-in patients attending. Aurora Hospital, Helsinki. At least seven out of the ten most common diseases were of infectious origin. Generally, boys and the ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01325512
更新日期：1982-04-01 00:00:00
abstract：:The objective of this study was to examine geographic and race/ethnic disparities in access to end of life care among elderly patients with lung cancer. The study sample consisted of 91,039 Medicare beneficiaries with lung cancer who died in 2008. The key outcome measures included the number of emergency room visits, ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9850-x
更新日期：2014-10-01 00:00:00
abstract：:Firearm violence remains a significant problem in the US (with 2787 adolescents killed in 2015). However, the research on school firearm violence prevention practices and policies is scant. Parents are major stakeholders in relation to firearm violence by youths and school safety in general. The purpose of this study ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0360-5
更新日期：2017-12-01 00:00:00
abstract：:The prevalence of overweight and obesity has increased globally. This study examined the geographic variation in overweight and obesity trends among Icelandic adolescents in urban and rural areas. Data from two cross-sectional population-based samples of 14- and 15-year-old students attending the compulsory 9th and 10...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9441-z
更新日期：2012-02-01 00:00:00
abstract：:A specific type of casual relationship known as "Friends with Benefits" (FWB) is becoming increasingly popular among youth. However, current research has often examined the dating practices of urban college students, resulting in a limited understanding of rural youth. Potential risk factors associated with FWB includ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9966-z
更新日期：2015-06-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9765-y
更新日期：2014-04-01 00:00:00
abstract：:Latinas have the highest incidence of cervical cancer. Latino parents' perceptions of the human papillomavirus (HPV) and willingness to have their sons and daughters vaccinated in Utah is largely unknown. Latino parents/guardians of children ages 11-17 years were recruited from two community organizations (N = 52) to ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9949-0
更新日期：2015-06-01 00:00:00
abstract：:Chronic hepatitis B is the leading cause of liver cancer and the largest health disparity between Asian/Pacific Islanders (APIs) and the general US population. The Hep B Free model was launched to eliminate hepatitis B infection by increasing hepatitis B awareness, testing, vaccination, and treatment among APIs by bui...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9339-1
更新日期：2011-08-01 00:00:00
abstract：:The evaluation for Celebremos La Salud, a community randomized trial of Hispanic cancer prevention found no differences in mammography screening rates between intervention and control communities. The goal of the present study was to determine reasons for the intervention's lack of effectiveness. In the first aim, we ...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-008-9127-3
更新日期：2009-02-01 00:00:00
abstract：:This study examined the sexually transmitted infections (STIs), cervical cancer, and human papillomavirus virus (HPV) vaccine-related awareness and knowledge among married Bhutanese refugee and Nepali women living in eastern Nepal. Participants were recruited from a women's health camp in Jhapa District in eastern Nep...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00770-2
更新日期：2020-06-01 00:00:00
abstract：:Women residing in Eastern Africa are disproportionately affected by cervical cancer. Previous studies have identified risky sexual behavior as a major risk factor for cervical cancer. However, population-based studies examining the relationship between sexual behavior and cervical cancer screening are currently lackin...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0410-z
更新日期：2018-04-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9530-z
更新日期：2012-10-01 00:00:00
abstract：:Evidence of the degree of fit between the special needs of the elderly and the service mix and payment level of ambulatory services offered under the Medicare program is presented in this second part of a two-part study of geriatric office care. Results from interviews with a focus group of 60 practicing clinicians, i...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01321539
更新日期：1989-07-01 00:00:00
abstract：:A meta-study of 83 articles published from 1981 to 2016 was conducted on Hispanics access to health care in the US. Few of these studies have included acculturation and even fewer the role of social capital as important factors that impact healthcare access for this population. Among those that do include these two fa...
journal_title：Journal of community health
pub_type： 杂志文章,meta分析
doi：10.1007/s10900-019-00692-z
更新日期：2019-12-01 00:00:00
abstract：:Although the cooperation between modern and traditional medicine (TM) is increasingly promoted in health care system of nationwide, there remains many barriers. In this study, we examined the barriers and possible ways of promoting cooperation between traditional healers and modern health system. Ethnographic method i...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9325-7
更新日期：2011-06-01 00:00:00
abstract：:Korean Americans experience many challenges to obtaining adequate health care coverage and access to needed services. Because a large proportion of Korean Americans attend churches on a regular basis, churches may be a promising venue where health programs can be delivered. In order to gain an in-depth understanding o...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-009-9213-1
更新日期：2010-04-01 00:00:00
abstract：:Food insecurity (FI) affects more than one in five American children and is increasingly addressed during pediatric primary care. Its relevance during subspecialty care, including in the treatment of chronic conditions like epilepsy, is largely unknown. This study sought to determine the FI prevalence among children w...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0372-1
更新日期：2017-12-01 00:00:00
abstract：:Thirty percent of tuberculosis (TB) patients in New York City in 2007 were not tested for HIV, which may be attributable to differential testing behaviors between private and public TB providers. Adult TB cases in New York City from 2001 to 2007 (n = 5,172) were evaluated for an association between TB provider type (p...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9783-9
更新日期：2014-06-01 00:00:00
abstract：:In 2010, at the same time as the national roll out of the Free Health Care Initiative (FHCI), which removed user fees for facility based health care, trained community health volunteers (CHVs) were deployed to provide integrated community case management of diarrhea, malaria and pneumonia to children under 5 years of ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0107-0
更新日期：2016-04-01 00:00:00
