Abstract:
OBJECTIVES:This study was designed to provide an empirical description, based on a review of visit audiotapes, of primary care practice with chronic-disease patients. METHODS:We analyzed 439 interactions between adult patients with chronic disease and 49 physicians. We explored the content, frequency, intensity, and dynamics of health promotion discussion during these routine visits. RESULTS:There was evidence of health promotion discussion in more than half (53%) of the audiotapes reviewed. When life-style topics were discussed, the discussion lasted a mean of 4 1/2 minutes, or 20% of the length of the visit. Diet/weight control was the most frequently discussed topic, followed by exercise, stress, smoking, and alcohol. Stress was by far the most time-consuming topic; stress-related discussion took an average of 6 minutes. CONCLUSIONS:Nearly 60% of the discussion that took place were not merely perfunctory but were attempts to counsel or encourage behavior change in the patient. Physicians used a wide range of behavioral counseling strategies, including providing a rationale for the recommended change and specific instructions to facilitate change. Other strategies noted as "effective" in the literature, however, were used infrequently and indicate obvious areas of weakness in physician performance.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Russell NK,Roter DLdoi
10.2105/ajph.83.7.979subject
Has Abstractpub_date
1993-07-01 00:00:00pages
979-82issue
7eissn
0090-0036issn
1541-0048journal_volume
83pub_type
杂志文章abstract:OBJECTIVES:We sought to determine the extent to which early life conditions and adverse life events impact chewing ability in middle and later adulthood. METHODS:Secondary analyses were conducted based on data from waves 2 and 3 of the Survey of Health, Ageing, and Retirement in Europe (SHARE), collected in the years ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301918
更新日期:2014-05-01 00:00:00
abstract::Nicotine replacement therapy (NRT) is recommended for tobacco cessation on the basis of pharmaceutical industry research showing its effectiveness when combined with counseling. The tobacco industry opposed NRT when it first appeared in the 1980s but by 2016 was marketing its own NRT products. We used internal tobacco...
journal_title:American journal of public health
pub_type: 杂志文章
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2010-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:1990-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.9.1021
更新日期:1981-09-01 00:00:00
abstract::The advent of RU 486 (mifepristone), a steroid analogue capable of inducing menses within 8 to 10 weeks of a missed menstrual period, has provoked a firestorm of concern and controversy. When used in conjunction with prostaglandin (RU 486/PG), it is at least 95% effective. Used in France principally to terminate confi...
journal_title:American journal of public health
pub_type: 杂志文章,评审
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abstract:OBJECTIVES:To assess how US Public Health Emergency Preparedness (PHEP) awardees plan to respond to an influenza pandemic with vaccination. METHODS:The Centers for Disease Control and Prevention developed the Pandemic Influenza Readiness Assessment, an online survey sent to PHEP directors, to analyze, in part, the rea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303952
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.4.392
更新日期:1982-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
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更新日期:1995-09-01 00:00:00
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journal_title:American journal of public health
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更新日期:1986-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2007.113050
更新日期:2008-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.10.1460
更新日期:1993-10-01 00:00:00
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journal_title:American journal of public health
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更新日期:1977-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1499
更新日期:1989-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1997-10-01 00:00:00
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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.2008.145433
更新日期:2009-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.3.312
更新日期:1981-03-01 00:00:00
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更新日期:2001-10-01 00:00:00
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更新日期:2015-07-01 00:00:00
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更新日期:2011-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300670
更新日期:2012-12-01 00:00:00
abstract::All locatable subjects (n = 94) for whom tuberculosis prevalence had been determined in an earlier study were tested with purified protein derivative (PPD) and control antigens, sputum sampling, and chest x-rays. Of the 46 who had been tuberculin negative (confirmed with control antigens) 3 years earlier, 2 had develo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.11.1836
更新日期:1994-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2003.037242
更新日期:2005-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.8.1312
更新日期:2002-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.426
更新日期:1992-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2019-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.7.1142
更新日期:1994-07-01 00:00:00
abstract::Understanding differential disease susceptibility requires new tools to quantify the cumulative effects of environmental stress. Evidence suggests that social, physical, and chemical stressors can influence disease through the accumulation of epigenetic modifications. Geographically stable epigenetic alterations could...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302130
更新日期:2014-10-01 00:00:00