Abstract:
OBJECTIVES:Reducing the widespread use of physical restraints in nursing homes is a primary goal of the federal nursing home reforms enacted as part of the Omnibus Budget Reconciliation Act of 1987. However, some nursing home operators assert that reducing restraint use could be prohibitively expensive, costing payors perhaps as much as $1 billion annually. We investigated whether nursing home residents free from physical restraint require more care and resources than similar residents who are restrained. METHODS:We examined the major component of nursing home costs--staff time--and its allocation among residents who were physically restrained and those who were not restrained. The multivariate analysis used staff-time-study data on the care of 11,932 nursing home residents in 276 facilities in seven states. RESULTS:The analyses indicate that, when differences in impairment and care needs are controlled for, residents who are physically restrained require more nursing care than other residents. Higher levels of nursing-assistant time were consistently provided to restrained residents. CONCLUSIONS:Residents free of restraints are less costly to care for than restrained residents. The 1987 federal requirements concerning restraint use, which are aimed at improving quality of care and quality of life, can be implemented without engendering a major increase in care costs.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Phillips CD,Hawes C,Fries BEdoi
10.2105/ajph.83.3.342subject
Has Abstractpub_date
1993-03-01 00:00:00pages
342-8issue
3eissn
0090-0036issn
1541-0048journal_volume
83pub_type
杂志文章abstract::We performed a serosurvey of 133 embalmers in an urban area where human immunodeficiency virus (HIV) infection is prevalent. Although we found histories of needlesticks to be common, and the seropositivity rate of hepatitis B virus (HBV) (13%) was approximately twice that of a blood donor comparison group, HIV antibod...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.10.1425
更新日期:1989-10-01 00:00:00
abstract::Background. There is debate whether policies that reduce firearm suicides or homicides are offset by increases in non-firearm-related deaths.Objectives. To assess the extent to which changes in firearm homicides and suicides following implementation of various gun laws affect nonfirearm homicides and suicides.Search M...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/AJPH.2020.305808
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:We sought to examine sexual violence victimization in childhood and sexual risk indicators in young adulthood in a primarily Latina and Black cohort of "mostly heterosexual" and heterosexual women in the Project on Human Development in Chicago Neighborhoods (PHDCN). METHODS:In 2000, a comprehensive survey t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.099473
更新日期:2008-06-01 00:00:00
abstract::Nutrient intakes were investigated for Blacks and Whites using data from the NHANES II survey (1976-80). Intake of energy, total fat, saturated fat, dietary cholesterol, P/S ratio, and per cent of calories derived from total and saturated fat are examined by sex and age, both in absolute terms and per unit of body wei...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.9.1150
更新日期:1988-09-01 00:00:00
abstract:OBJECTIVES:Overall and cause-specific mortality among persons with diabetes in North Dakota was estimated and compared with estimates from previous population-based studies. METHODS:Data were derived from North Dakota death certificate data, which included unique information on decedents' diabetes status and Behaviora...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.1.84
更新日期:2001-01-01 00:00:00
abstract::A case control study was conducted in North Carolina to explore the relation between individual exposure to sunlight and the risk of cataracts. One hundred thirteen cases and 161 controls aged 40-69 at diagnosis were studied. Sunlight exposure was inferred from interview data on residency and time spent in the sun, co...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.11.1459
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVES:We examined recent public-sector trends in childhood vaccine costs and estimated future costs. METHODS:We used public-sector price data to calculate vaccine purchase cost per child for children aged 0 to 6 years from 1975 to 2001. We fit a linear regression model to historical data and then used it to proje...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.12.1982
更新日期:2002-12-01 00:00:00
abstract::Compared with their heterosexual peers, sexual minority women (SMW; e.g., queer, bisexual, lesbian, pansexual) have an elevated risk for unintended pregnancy.A team of social science and clinical researchers qualitatively documented the multilevel pathways leading to this disparity, particularly the contexts of contra...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305211
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:We compared estimates for children with and without special health care needs (SHCN) at 2 time periods for national health objectives related to the Healthy People 2010 leading health indicators (LHIs). METHODS:Data were from the 2003 and 2007 National Surveys of Children's Health. Seven survey items were r...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301001
更新日期:2013-06-01 00:00:00
abstract::We analyzed data from a survey of occupational factors and pregnancy outcome to examine the effects of cigarette, alcohol, and coffee consumption on pregnancy outcome. Clear and statistically significant associations were found between cigarette and alcohol consumption and spontaneous abortion. There was a weaker but ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.85
更新日期:1992-01-01 00:00:00
abstract::Following Hurricane Katrina, the uniformed US Public Health Service created an updated system through which its officers participated in emergency responses. The Rapid Deployment Force (RDF) concept, begun in 2006, involved five teams of officers with diverse clinical and public health skill sets organized into an inc...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2018.304496
更新日期:2018-09-01 00:00:00
abstract::Objectives. To determine the impact of city-level cannabis decriminalization and medical marijuana laws (MMLs) on fatal traffic crashes in US cities.Methods. Using a census of fatal traffic crashes from the 2010 to 2017 Fatality Analysis Reporting System, we examined MMLs and cannabis decriminalization on fatal crashe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305484
更新日期:2020-03-01 00:00:00
abstract::In 2004, the US Preventive Services Task Force called for an end to scoliosis screening in US public schools. However, screening endures, although most nations have ended their screening programs. Why? Explanations range from America's unique fee-for-service health care system and its encouragement of high-cost medica...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2011.300531
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVES:We examined HIV diagnosis rates and disease progression among men who have sex with men (MSM) according to race/ethnicity and age. METHODS:Using data obtained from the national HIV/AIDS surveillance system, we examined trends in HIV diagnosis rates for 2001 through 2004 using Poisson regression. We used a s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087551
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:We examined the effects of changes in Rhode Island's Lead Hazard Mitigation Law in 2005 on children's blood lead levels. METHODS:We used 2005 to 2009 data from Rhode Island's Lead Elimination Surveillance System; city tax assessor records in Central Falls, Pawtucket, Providence, and Woonsocket, Rhode Island...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301908
更新日期:2014-08-01 00:00:00
abstract::In data from the Texas Educational Agency and the Health Resources and Services Administration, we found fewer autism diagnoses in school districts with higher percentages of Hispanic children. Our results are consistent with previous reports of autism rates 2 to 3 times as high among non-Hispanic Whites as among Hisp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.150565
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVES:The effect of caffeine consumption on fertility was examined prospectively in 210 women. METHODS:Women reported on caffeinated beverage consumption and pregnancy status monthly. Odds ratios for becoming pregnant were calculated for both high and moderate vs low consumption. RESULTS:No significant associati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.270
更新日期:1998-02-01 00:00:00
abstract::From February through December 2012, we examined responses to health behavior questions integrated into the electronic medical record of primary care centers in the Bronx, New York in the context of New York City Community Health Survey data. We saw a higher proportion of unhealthy behaviors among patients than among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302326
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study is to analyze the smoking changes that have occurred among pregnant Black teenagers in Missouri. The study also examines changes in Black teenage pregnancy outcomes in relation to smoking behavior changes. METHODS:This analysis used computerized data files from the 1978 to 1990 Mis...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.8.1121
更新日期:1993-08-01 00:00:00
abstract:OBJECTIVES:The Minnesota Heart Health Program is a 13-year research and demonstration project to reduce morbidity and mortality from coronary heart disease in whole communities. METHODS:Three pairs of communities were matched on size and type; each pair had one education site and one comparison site. After baseline su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.9.1383
更新日期:1994-09-01 00:00:00
abstract::The results of 2 large field studies on the impact of the polio eradication initiative on health systems and 3 supplementary reports were presented at a December 1999 meeting convened by the World Health Organization. All of these studies concluded that positive synergies exist between polio eradication and health sys...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.1.19
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:In February 2007, Public Health-Seattle and King County issued a press release describing a cluster of multiclass drug-resistant HIV cases among men who had sex with men (MSM). We evaluated the effect of the press release among MSM in the Seattle area. METHODS:We administered a rapid assessment survey at ve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.126656
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:We examined self-reported health status, health behaviors, access to care, and use of preventive services of the US Hispanic adult population to identify language-associated disparities. METHODS:We analyzed 2003 to 2005 Behavioral Risk Factor Surveillance System data from 45 076 Hispanic adults in 23 states...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.119008
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:To identify payments that involved opioid products from the pharmaceutical industry to physicians. METHODS:We used the Open Payments program database from the Centers for Medicare and Medicaid Services to identify payments involving an opioid to physicians between August 2013 and December 2015. We used medi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303982
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:This study investigated the relationship between psychosocial and behavioral factors and the frequency of emergency department visits for childhood asthma. METHODS:Data obtained from a survey of parents of 445 children who were being treated for asthma in the emergency room of a large urban hospital were ex...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.10.1410
更新日期:1996-10-01 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::Occupational health problems have needlessly been produced at many worksites as a consequence of their not having been anticipated during design and construction. Pre-review may be an effective and efficient mechanism for preventive intervention in occupational health and safety. Legal and administrative precedents ar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.2.157
更新日期:1980-02-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether US physicians' practice patterns in treating tobacco use at ambulatory visits improved over the past decade with the appearance of national clinical practice guidelines, new smoking cessation medications, and public reporting of physician performance in counseling smokers. MET...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2006.092577
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVES:This study examined the effect of an active program of household lead paint hazard abatement, applied over 22 years, on childhood lead poisoning in Massachusetts. METHODS:A small areas analysis was used to compare screening blood lead levels of children in Worcester County, Mass (n = 27,590), with those in ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1690
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Recent studies have shown considerable variation in body fatness among children and adolescents defined as obese by a percentile rank for skinfold thickness. METHODS:We examined the relationship between percent body fat and risk for elevated blood pressure, serum total cholesterol, and serum lipoprotein rat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.358
更新日期:1992-03-01 00:00:00